The document describes a case study of implementing an ontology-based competence management system at Städtisches Klinikum Karlsruhe hospital to improve training planning. Key steps included modeling employee competencies in a shared catalog, defining requirement profiles for roles, and establishing strategic and operational processes. Challenges included shifting to competence-based thinking, addressing privacy concerns, and gaining worker acceptance. The system proved feasible for the healthcare domain and defining roles and processes was essential for sustainability.