Care does not end at the hospital door.
Coordinated Care closes the gap between hospital and home – with discharge management, Hospital at Home and wound care in one coordinated network.
Hospital at Home = continued care close to the hospital. Expressly not a substitute for hospital treatment.
- coordinated availability
- 24/7
- across the network
- named contact
- 1
- per case
- certified wound expertise
- ICW
- qualification of nursing staff across the network
According to international study evidence, hospital-at-home models are clinically at least equivalent, with higher patient satisfaction (Rhön-Stiftung / inav 2025; Cochrane 2024). This is no promise of cure and no outcome guaranteed by Coordinated Care.
The care gap usually opens right after discharge.
Short lengths of stay, unclear responsibilities and breaks in care at the interface between hospital and home lead to avoidable readmissions – and to extra work for discharge management and hospital social work.
- Responsibilities are spread across many individual providers
- Information is lost at the boundary between sectors
- No feedback on how the case actually went
One coordinated pathway, from hospital all the way home.
We take on the coordination as the carrying network: one case, one contact, one documented care pathway – agreed between hospital, practice, nursing service and the home setting.
Seamless follow-on care
- Structured handover straight from your hospital
- Digital feedback to the hospital
- Fewer avoidable readmissions
Services in the network
Four core areas, one coordinated system.
Discharge management
Structured follow-on care after an inpatient stay, named contacts, digital feedback.
More: Discharge managementHospital at Home
Medically and nursing-led care in the home setting, close to the hospital, with video consultations and remote monitoring.
More: Hospital at HomeWound care
Consultant-led, interdisciplinary wound care within the network of practice, nursing service and hospital.
More: Wound careCare management
Coordination across sector boundaries, one named contact, clear processes, consistent documentation.
More: Care management
What sets us apart
Medical backing within the network.
Coordinated Care works in close association with surgical practices. Care is physician-led, and whenever a case changes course, medical expertise is available within the network – without starting a new referral chain.
- Physician-led surgical direction, not nursing care alone
- Medical backing when a case changes course, with no change of responsibility
- One agreed treatment plan across practice, nursing service and hospital
Founded by Prof. Dr. med. Christian Schmidt MPH. Surgeon, adjunct professor (apl. Professor) and for seven years medical director of a university medical centre. About the founder
For hospitals & discharge management
A dependable partner for follow-on care.
- Fast, structured patient handover
- Digital feedback to the hospital
- Named contacts instead of gaps in responsibility
- Physician backup across the network, linked to surgical practices
- Fewer avoidable readmissions
Telemedical network structures in the Hospital Transformation Fund
The German Hospital Transformation Fund lists the creation of telemedical network structures between hospitals as an eligible project. We support your hospital in shaping the care pathway and contribute the perspective of continued care.
Whether a specific project is eligible is decided by the competent authority of the federal state. This is no funding advice.
Our care network
Stronger together – in a curated network.
We work with selected partners along the entire care pathway – curated rather than arbitrary, with clear roles in the network.
- Wundex
- Aiutanda
- Kliniken Köln
- Klinikum Siegen
- SmartHomecare
Shown as text only. Partner logos appear solely where written approval exists.
See the networkLet's talk about your follow-on care.
Whether hospital, care home or referrer – we will show you what a coordinated care pathway looks like in your setting.