Konzeptionierung eines zentralisierten Daten- und Prozessmanagements für Reha-Anträge am Institut für PMR im PEK Steyr: Implementierung eines datenqualitätsgetriebenen Data-Governance-Ansatzes

Abstract

The processing of rehabilitation applications represents a central component of the Austrian healthcare system and is gaining increasing importance considering demographic change and rising multimorbidity. Particularly in inpatient settings such as the Pyhrn-Eisenwurzen Klinikum Steyr (PEK), a structured, efficient, and transparent application process is essential to ensure the timely initiation of medically indicated rehabilitation measures. The current process at PEK is highly decentralized, predominantly paper-based, and characterized by media discontinuities and a lack of central process ownership. These structural weaknesses lead to delays, quality deficits, and a lack of transparency regarding processing status and return rates. The need for process improvement arises both from practical experience and from an organizational strategy perspective. The objective of this bachelor’s thesis was to develop a future-oriented concept for centralized data and process management for rehabilitation applications, based on a comprehensive analysis of the current state. The status quo was assessed through qualitative interviews with staff members of the Department of Physical Medicine and Rehabilitation (PMR) and through a systematic document analysis. The data was evaluated using Mayring’s qualitative content analysis. Identified weaknesses, particularly in the areas of standardization, communication, role allocation, and documentation, served as the basis for designing an optimized target process. This process was modelled using flowcharts and includes digital application capture via tablet, structured involvement of all relevant professional groups, and centralized coordination through the PMR department. To support implementation, a detailed action plan, a RACI matrix to define roles and responsibilities, and a KPI monitoring system for measuring success were developed. Technical requirements, organizational conditions, and the change and roll-out approach were also planned with practical applicability in mind. The conceptual results were reviewed in an expert interview with Prim. Dr. Lettner, head of PMR department, to evaluate their professional relevance, feasibility, and anticipated challenges from a clinical perspective. The thesis demonstrates that a digitally supported rehabilitation application process with interprofessional coordination can enhance quality of care, reduce staff workload, and increase process transparency. The developed concept shows potential for transferability to similar institutions within the Austrian healthcare system.

Date of Award	2025
Original language	German (Austria)
Supervisor	Christina Feilmayr (Supervisor)