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The „boundaryless hospital“ stands for patient-centered rather than hospital-centered care, implemented through „digital“ and „analog attendants“ for an aging population. While the steering of healthcare is still organized top-down from the hospital through affiliated regional care structures to the patient, the medical procedures of care are reorganized bottom-up; large parts of diagnostics and therapy take place in the patient’s immediate environment. Data on the patient’s current condition is fed back to the hospital via a monitoring structure at the regional care level, and the hospital can use this information to continuously adjust the procedures and goals of care in line with the concept of a control loop.

The backbone of the „boundaryless hospital“ is thus no longer a conventional architecture of concrete, steel and glass, but an IT architecture that bi-directionally maps the most diverse communication and data streams along a hierarchy of decentralized care levels. The implementation of a boundaryless hospital poses additional challenges compared to established approaches for regional supply networks, which primarily stem from the requirement for seamless integration of digital and analog processes.