Discharge management in the Kenntnisprüfung

On what legal basis are hospital patients entitled to discharge management (Entlassmanagement)?

• § 39 Abs. 1a SGB V
• § 14 Abs. 1 SGB XI
• § 37 Abs. 2 SGB V
• § 630d Abs. 1 BGB

Explanation: § 39 Abs. 1a SGB V establishes every hospital patient’s right to discharge management: the hospital must organise the transition to follow-up care. The details are set out in the Rahmenvertrag Entlassmanagement (framework agreement on discharge management); the DNQP expert standard describes how nursing puts it into practice.

Which statement about the initial screening under the DNQP expert standard on discharge management (Expertenstandard Entlassungsmanagement) is correct?

• It is carried out for patients over 75 within 24 hours of admission and is not repeated afterwards
• It is carried out for all patients within 24 hours of admission and is repeated if their condition changes
• It is carried out for all patients, but only once the doctor has set the discharge date, so that it is up to date
• It is carried out for all patients within 24 hours and replaces the differentiated assessment for at-risk patients

Explanation: The initial screening is the first filter: for all patients, it is checked within 24 hours of admission whether a need for support is to be expected after discharge. If the condition changes significantly (e.g. a stroke during the stay), it is repeated. Only if a risk is to be expected does the differentiated assessment follow.