There are three Thilo Menzer dialysis centres in the north of the German state of Hessen, each with an associated specialist medical practice.

A decision was taken to examine the efficiency of the centres to ensure that the business could continue on a profitable basis. Thilo Menzer commissioned flow consulting gmbh to support the team in introducing a paperless practice. The project uses not only classical project management instruments, but also process-oriented procedures. During the project, alongside planned effects unexpected ones also appeared which make a major contribution to the success of the project.