Organise post-discharge care and clarify payers. Covers forward-looking planning and prioritisation, clear alignment with all stakeholders, consistent follow-up on results and continuous improvement of processes. Applies within the German regulatory and administrative context.Organise post-discharge care and clarify payers. Covers forward-looking planning and prioritisation, clear alignment with all stakeholders, consistent follow-up on results and continuous improvement of processes. Applies within the German regulatory and administrative context.Organise post-discharge care and clarify payers. Covers forward-looking planning and prioritisation, clear alignment with all stakeholders, consistent follow-up on results and continuous improvement of processes. Applies within the German regulatory and administrative context.