Germany is investing 4.3 billion euros in the Hospital Future Act to promote digitalization


Hospital Future Act to promote digitalization

Cash injection for hospitals to enhance IT security and expand digital infrastructure


Lufthansa industry solutions
Klaus Zabel
Director Healthcare Solutions 
Downloaded on March 21st, 2022


Excerpt by Joaquim Cardoso MSc.


Germany’s Federal Ministry of Health (BMG) is initiating a comprehensive investment program to support hospitals as they embark on digital transformation. 

With the decision already made, management staff at hospitals should act now to take advantage of the opportunities available to them.


Germany’s Federal Ministry of Health (BMG) is initiating a comprehensive investment program to support hospitals as they embark on digital transformation.

In order to create the appropriate incentives, the BMG is offering up to EUR 3 billion from federal funds so that hospitals can invest in modern emergency capacity and digitalization under the Hospital Future Act (Krankenhauszukunftsgesetz, KHZG), which was adopted at its second and third reading on September 18, 2020. The Bundesrat, or Federal Council, approved the bill on October 9, 2020.


The Hospital Future Fund (KHZF) is to be set up by the Federal Office for Social Security (BAS) for financing purposes. 

Starting January 1, 2021, the German government will make EUR 3 billion available to the KHZF through the liquidity reserve of the health fund. 

An additional EUR 1.3 billion will be provided through co-funding by the federal states and hospital operators themselves. At least 15 percent of the funding requested must be used to improve IT security.


Digital maturity of hospitals according to the KHZG


The state of hospitals’ digitalization — their “digital maturity” — is to be evaluated on June 30, 2021, and on June 30, 2023. 

The aim is to determine the extent to which the digital maturity of the hospitals receiving funding has improved and whether the overall investment program has created incentives for more digitalization in hospitals.


KHZG: digitalization support plus penalties for hospitals that fail to act


The Hospital Future Act ensures funding for those hospitals that wish to actively promote the digitalization of their processes and medical services and receive financial support for achieving their goals

In addition, the overall package also provides for penalties to be imposed on hospitals that have failed to introduce the digital services eligible for funding from the Hospital Future Fund by 2025.


The Hospital Future Act ensures funding for those hospitals that wish to actively promote the digitalization of their processes and medical services and receive financial support for achieving their goals


In addition, the overall package also provides for penalties to be imposed on hospitals that have failed to introduce the digital services eligible for funding from the Hospital Future Fund by 2025.


The plan is for health insurance companies and hospitals to agree to a penalty of up to 2 percent on the invoice amount for each full and partial inpatient case for the period starting January 1, 2025, if a hospital fails to provide any of the relevant digital services. 

The exact amount of this penalty is to be determined by the number of services provided in principle and their actual utilization rate.



Current need for action as a result of the Hospital Future Act


Hospital managers are now faced with the task of answering various questions, if they have not done so already: 

  • What is the hospitals’ degree of digitalization? 
  • Which digitalization projects make sense, and what is the appropriate concept for this purpose? 
  • What requirements have to be met, and what digitalization measures are eligible for funding under the Hospital Future Act?

What matters here is making positive, targeted and forward-looking use of funding opportunities rather than getting left behind and facing the threat of having to pay penalties if digitalization measures are not implemented.


For full details of the Hospital Future Act (KHZG), funding and more, see our FAQs below.


Measures and projects eligible for funding under the KHZG

The KHZG states that the Hospital Future Fund (KHZF) will support measures in the following areas:

  • Investments in modern emergency capacity
  • Improvement of digital infrastructure
  • Measures to increase IT security
  • Development and expansion of cross-sectoral telemedical network structures
  • Necessary personnel measures

The importance and benefits of digitalization in the hospital environment

The aim of the KHZG is to further improve medical care at German hospitals, thereby ensuring high-quality care in the long term. 

At the same time, the aim is to open up new perspectives for staff, in particular based on the potential offered by digitalization. The main focal points are:

  • Improving patient service performance by introducing self-service applications and service portals for access to appointments, doctor’s letters, checklists and more
  • Improving information security by introducing information security management systems (ISMS)
  • Improving patient data security and infrastructure security by means of organizational and technical IT security measures, such as improving data access management or implementing the latest encryption methods
  • Relieving employees by means of user-friendly web applications and other applications, by digitalizing previously paper-based or manual processes and linking or integrating them into the hospital management software (HMS), or by using IoT product, system solutions and mobile device solutions

The aim of the KHZG is to further improve medical care at German hospitals, thereby ensuring high-quality care in the long term.


At the same time, the aim is to open up new perspectives for staff, in particular based on the potential offered by digitalization.


Originally published at https://www.lufthansa-industry-solutions.com.


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