[Multi-professional Clearing in a Model Project based on § 64b SGB V by the Example of Geriatric Psychiatry]

As part of the largest model project in Germany in accordance with § 64b SGB V at the Pfalzklinikum, a clearing concept was developed in the Clinic for Geriatric Psychiatry to ensure rapid and adequate diagnosis and effective referral to the further treatment setting. Retrospective data of all clearing cases from the first year are presented. In addition to demographic data and treatment diagnoses, the distribution of patients across settings providing further treatment is presented.From a total of 1076 cases, more than half of the patients were able to be treated or discharged as outpatients after five working days at the latest.The results emphasize the central role of clearing for treatment management. With regard to demographic change, suggestions for standard care can be derived in order to provide patients with special diagnostic and treatment needs with more targeted and resource-efficient care.