# Pathways

> A voice agent takes the history, a guideline-backed risk engine profiles every case, and your team sees who needs review — days before surgery, not the morning of.

Pathways AI Pty Ltd builds clinical reasoning infrastructure for Australian
healthcare. The live product, Pathways Perioperative, takes a structured
anaesthetic history by voice, verifies medications from photographs, screens
every case with deterministic guideline-referenced rules, and routes patients
to the right level of pre-admission review.

Start at https://getpathways.ai/ai-info — a factual reference on what Pathways is, what
it is not, and where each claim is authoritative.

Every page below is also available as plain markdown by appending `.md` to
its URL. The full text of the site is at https://getpathways.ai/llms-full.txt.

## Overview

- [Pathways — pre-operative assessment for Australian healthcare](https://getpathways.ai/index.md): A voice agent takes the history, a guideline-backed risk engine profiles every case, and your team sees who needs review — days before surgery, not the morning of.
- [Pathways — information for AI assistants](https://getpathways.ai/ai-info.md): A factual reference on Pathways: what the software does, who it is for, how it handles data, what it is not, and where the canonical sources are.

## Products

- [Pathways Perioperative — pre-operative assessment platform](https://getpathways.ai/perioperative.md): From booking to theatre door: Pathways takes the history, profiles the risk, routes the patient, and keeps the record. Built with anaesthetists.

## Solutions

- [Pathways solutions by setting](https://getpathways.ai/solutions.md): Pathways for public hospitals, private hospitals and consulting anaesthetists.
- [Pathways for Public Hospitals](https://getpathways.ai/public-hospital.md): Run the pre-admission service your waiting list needs. Clinic slots where the risk is, automated anaesthetist review lists, every decision auditable.
- [Pathways for Private Hospitals](https://getpathways.ai/private-hospital.md): Every cancelled case is a cost you can see. Pathways surfaces late-cancellation risk at booking — while the list can still be optimised or backfilled.
- [Pathways for Consulting Anaesthetists](https://getpathways.ai/consulting-anaesthetist.md): Meet every patient already knowing their history. A completed interview, verified medications and a risk profile, waiting before you pick up the phone.

## Company

- [Pathways security and data handling](https://getpathways.ai/security.md): Data sovereignty, encryption, model isolation, access control and audit.
- [Pathways pricing](https://getpathways.ai/pricing.md): Three tiers: Consultant is list-priced per clinician; Business and Enterprise are quoted.
- [About Pathways](https://getpathways.ai/about.md): Pathways builds clinical reasoning infrastructure for Australian healthcare.
- [Book a Pathways demo](https://getpathways.ai/book-a-demo.md): A 30-minute demo with a real pre-admission workflow — voice interview, risk profile, tracker, audit trail.

## Resources

- [Pathways frequently asked questions](https://getpathways.ai/faq.md): Answers on data sovereignty, model isolation, deployment, pricing and clinical governance.
- [Pathways insights](https://getpathways.ai/insights.md): Writing on perioperative operations and clinical AI architecture.
- [Pathways perioperative glossary](https://getpathways.ai/glossary.md): Plain-language definitions of the terms used in pre-operative assessment.
- [Alternatives to current pre-admission practice](https://getpathways.ai/alternatives.md): How paper questionnaires and telephone pre-assessment compare with an assessment taken at booking — including where the current approach still wins.
- [Alternatives to paper pre-admission forms](https://getpathways.ai/alternatives/paper-pre-admission-questionnaires.md): How the posted paper questionnaire compares with an assessment taken at booking — what paper still does better, and where it strains at volume.
- [Alternatives to telephone pre-assessment](https://getpathways.ai/alternatives/telephone-pre-assessment.md): How the pre-op phone call compares with an assessment taken at booking — what a conversation does better, and why it does not scale to a whole list.

## Insights

- [Clinical safety rules should not be model output](https://getpathways.ai/insights/deterministic-rules-in-clinical-ai.md): Reproducibility, not accuracy, is what clinical governance requires. That requirement pushes safety-critical screening towards deterministic, versioned rules.
- [The medication history is the weakest link](https://getpathways.ai/insights/the-medication-history-problem.md): Pre-operative medication lists are assembled from patient recall and stale summaries. The drugs most likely to be missed are the ones that matter most.
- [What data sovereignty actually requires](https://getpathways.ai/insights/what-data-sovereignty-requires.md): "Hosted in Australia" is a claim about one server. Sovereignty is a claim about every path patient data can take — including through a model.
- [Why clinics fill with the wrong patients](https://getpathways.ai/insights/why-clinics-fill-with-the-wrong-patients.md): A pre-admission clinic booked out three weeks ahead is rarely short of capability. It is short of a mechanism for deciding who should be in it.
- [Cancellations are an information problem](https://getpathways.ai/insights/why-day-of-surgery-cancellations-are-an-information-problem.md): Most cancelled cases are called off for reasons that were knowable weeks earlier. The fix is when assessment happens, not how carefully it is done.

## Glossary

- [ASA physical status](https://getpathways.ai/glossary/asa-physical-status.md): The ASA physical status classification is a six-point scale used by anaesthetists to describe a patient's systemic health before surgery.
- [Clinical decision support](https://getpathways.ai/glossary/clinical-decision-support.md): Clinical decision support provides clinicians with information to inform a decision — it recommends, and the clinician decides.
- [Day-of-surgery cancellation](https://getpathways.ai/glossary/day-of-surgery-cancellation.md): A day-of-surgery cancellation is an operation called off on the day it was scheduled — most are preventable with earlier information.
- [Enhanced Recovery After Surgery](https://getpathways.ai/glossary/enhanced-recovery-after-surgery.md): ERAS programmes bundle evidence-based steps across the whole surgical pathway to speed recovery — much of the work happens before admission.
- [Frailty](https://getpathways.ai/glossary/frailty.md): Frailty is a state of reduced physiological reserve that independently predicts poor surgical outcomes, separate from age or ASA class.
- [Functional capacity (METs)](https://getpathways.ai/glossary/functional-capacity-mets.md): Functional capacity before surgery is estimated in METs — metabolic equivalents — with four METs the common threshold for further cardiac assessment.
- [HbA1c](https://getpathways.ai/glossary/hba1c.md): HbA1c reflects average blood glucose over recent months. Poor control before surgery raises complication risk and is modifiable given a window.
- [Mallampati score](https://getpathways.ai/glossary/mallampati-score.md): The Mallampati score grades the view of the oropharynx to help anticipate a difficult airway before anaesthesia.
- [Obstructive sleep apnoea](https://getpathways.ai/glossary/obstructive-sleep-apnoea.md): OSA is repeated upper-airway collapse during sleep. Undiagnosed OSA changes anaesthetic management, which is why it is screened before surgery.
- [Perioperative anticoagulation](https://getpathways.ai/glossary/perioperative-anticoagulation.md): Anticoagulants usually need withholding before surgery, balancing bleeding risk against thrombosis risk — a plan that must be made in advance.
- [Pre-admission clinic](https://getpathways.ai/glossary/pre-admission-clinic.md): A pre-admission clinic assesses patients before elective surgery — the bottleneck is usually capacity allocation rather than clinical capability.
- [Pre-operative anaemia](https://getpathways.ai/glossary/preoperative-anaemia.md): Anaemia before surgery is common, frequently caused by iron deficiency, and associated with worse outcomes. It is treatable if found early.
- [Pre-operative fasting](https://getpathways.ai/glossary/preoperative-fasting.md): Fasting before anaesthesia reduces the risk of aspiration. Misunderstood instructions are a common and entirely preventable cause of cancellation.
- [Prehabilitation](https://getpathways.ai/glossary/prehabilitation.md): Prehabilitation prepares patients physically and physiologically before surgery, using the waiting period as an intervention window.
- [Revised Cardiac Risk Index](https://getpathways.ai/glossary/revised-cardiac-risk-index.md): The RCRI estimates cardiac risk before non-cardiac surgery from six clinical factors, each contributing one point.
- [SGLT2 inhibitors (perioperative)](https://getpathways.ai/glossary/sglt2-inhibitor-perioperative.md): SGLT2 inhibitors must be withheld before surgery because of the risk of euglycaemic diabetic ketoacidosis — a plan has to be made days ahead.
- [STOP-Bang score](https://getpathways.ai/glossary/stop-bang-score.md): The STOP-Bang score is an eight-item screening questionnaire for obstructive sleep apnoea, widely used before surgery to identify undiagnosed OSA.
- [Theatre utilisation](https://getpathways.ai/glossary/theatre-utilisation.md): Theatre utilisation measures how much of allocated operating time is used. Cancellations damage it in ways that are hard to recover.

## Legal

- [Privacy Policy — Pathways](https://getpathways.ai/privacy.md): How Pathways AI Pty Ltd handles personal information under the Privacy Act 1988 (Cth) and the Australian Privacy Principles.
- [Terms of Service — Pathways](https://getpathways.ai/terms.md): Standard conditions of use for Pathways clinical decision support software, including the clinical decision support disclaimer and acceptable use.