A centralized software platform with reliable in-
formation on offer and demand for nursing care ser-
vices can help to close the gaps between silos. Such
an integrated platform can also be of interest for re-
lated actors, such as social workers and facility man-
agers. Fig. 1 shows the architecture of our software
solution in a Fundamental Modeling Concepts (FMC)
block diagram. The foundation is formed by data
coming from different sources, which are either pre-
defined (master data) or continuously updated (trans-
actional data). The master data is only updated peri-
odically, consisting of governmental data, geograph-
ical data, and insurance claims data. In contrast,
transactional data is continuously updated, originat-
ing from nursing care facilities and users’ search be-
havior. The different sources are integrated and har-
monized in an In-Memory Database (IMDB), which
has been demonstrated to support flexible and fast
analysis of extensive amounts of data (Plattner and
Schapranow, 2014). The application offers a wide
range of services such as a personalized waiting
list, recommendations for nursing services matching
given search criteria, fine-grained data exploration,
and prognosis on different key performance indica-
tors (KPIs). The requirements of our software were
elicited following principles from design thinking, a
user-centric approach. The platform standardizes in-
formation exchange across the nursing care spectrum,
making it possible for the first time to tap into exist-
ing data silos. It therefore establishes the basis upon
which to perform advanced analytics, ultimately en-
abling users to derive recommendations that inform
policy and to reduce the time needed to find appropri-
ate care services.
The remainder of this work is structured as fol-
lows: Sect. 2 places the work in the context of already
existing initiatives in the field. In Sect. 3 the software
architecture and the technical infrastructure are dis-
cussed. Our specific contributions are described in
Sect. 4, while they are critically analyzed in Sect. 5.
The paper concludes with an outlook on the next steps
in Sect. 6.
2 RELATED WORK
Decentralization of care delivery is currently gaining
more importance (Real et al., 2018). Information and
communication technologies in nursing care thus shift
towards decentralized networking. Honor (Honor,
2018) and careship (Careship, 2018) are two exam-
ples of this development. The idea is to bring together
people in need of care with suitable caregivers from
the neighborhood. This strengthens local care. Nev-
ertheless, compared to our platform, it does not cover
people who can no longer stay in their own home and
are dependent on a care facility.
Other platforms, such as AOK Pflege-
Navigator (AOK, 2018), Wohnen im Alter (Wohnen
im Alter, 2018) and Seniorplace (Seniorplace, 2018)
offer a complete overview of care facilities in the
search region and also provide additional information
on the facilities. Unfortunately, these platforms lack
information about capacity utilization. In contrast to
our solution, this information has to be requested.
The focus on a specific user group is another dis-
advantage of these approaches. In order to improve
the entire process of care, there is no holistic ap-
proach. All approaches concentrate only on one spe-
cific user group or the interaction of two user groups,
e.g. carers and people in need of care. On our plat-
form, on the other hand, the four actors care recipient,
nursing facility, social planner and social worker are
linked.
Linking the actors further leads to a homogeniza-
tion of data. This data collection and process stan-
dardization of information exchange in association
with the IMDB technology facilitates individual real-
time analysis, consistency, scalability and leads to
more transparency (Knawy, 2017). Current solutions
in this area, as in the case of Recom (RECOM, 2018),
only take place within a closed facility, such as a hos-
pital or a care facility.
The federal ministry of education and research in
Germany is promoting aging in place through the pri-
macy of outpatient rather than inpatient care (Bun-
desministerium f
¨
ur Bildung und Forschung, 2017).
Ambient assisted living and e-health are current
methods that intend to promote this (Cedillo et al.,
2018). Still, people reliant on care facility is in-
creasing (Destatis, 2015). In order to meet increased
demand, social planning derives prognosis based on
static and aggregated data at a district or state level.
Short-term changes due to new technologies and pop-
ulation migration are not absorbed by this approach
and thus make it cumbersome for changes. In com-
parison, our centralized approach provides analysis of
real-time data even at a municipality level.
3 METHODS
In the following, we share details about the utilized
research methodology. To get an overall picture of
the existing challenges in the field of nursing care
we used the design thinking approach. Based on its
guidelines, we elicited the software requirements via
subject-matter interviews with the identified stake-
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