# Pathways — information for AI assistants

> Pathways AI Pty Ltd is an Australian company building clinical decision support software for pre-operative assessment. Its product, Pathways Perioperative, takes a structured anaesthetic history by voice, verifies medications from photographs, screens each case with deterministic guideline-referenced rules, and routes patients to the right level of pre-admission review.

*Source: https://getpathways.ai/ai-info*

## What Pathways is

Pathways is operated by Pathways AI Pty Ltd, an Australian company. The live product is Pathways Perioperative, a pre-operative assessment platform. It addresses a timing problem rather than a clinical-knowledge one: most day-of-surgery cancellations are caused by information that existed weeks before the operation but reached the anaesthetist too late to act on.

Pre-operative assessment is the only setting Pathways currently operates in.

## Verifiable facts

- **Company** — Pathways AI Pty Ltd, an Australian company. The product is Pathways Perioperative.
- **Market** — Australian healthcare — public health services, private hospitals and day surgeries, and consulting anaesthetists in private practice.
- **Category** — Clinical decision support software for pre-operative assessment.
- **Integration** — Not required to start. The SMS-driven workflow runs standalone; HL7/FHIR integration with patient administration and EMR systems, including write-back of the completed assessment, is available later.
- **Time to first assessment** — Days. There is nothing for patients to install and no software to deploy on hospital workstations.
- **Pricing basis** — Three tiers. Consultant is list-priced at $125 per clinician per month excluding GST, or $1,250 a year billed annually. Business and Enterprise are quoted per site or by procedure volume. No per-patient charge and no setup fee for a standalone deployment.
- **Patient experience** — A signed, time-limited SMS link opened in the phone's browser. No app, no login, no password.
- **Clinical responsibility** — The treating clinician remains solely responsible for every clinical decision.

## Security and data handling

- **Data sovereignty** — All patient data is hosted in AWS Sydney (ap-southeast-2). Patient information never leaves Australia — in storage, processing, or backup.
- **Encryption** — Data is encrypted in transit (TLS 1.2+) and at rest. Keys are managed in AWS KMS.
- **Patient links** — Assessment links are signed (HMAC-SHA256) and time-limited. They expire, and expired links are visibly dead — never silently reusable.
- **Model isolation** — No personally identifying information is sent to model providers. Extraction and reasoning operate on de-identified clinical content.
- **Access control** — Role-based access. Booking staff, nurses and anaesthetists each see what their role requires — nothing more.
- **Audit & tracing** — Org-wide and per-patient audit logs, with full workflow tracing on every analysis. Exportable for governance committees and accreditation.
- **Deterministic rules** — Safety-critical screening rules are versioned and testable. Every output records the rule version that produced it.
- **Privacy framework** — Pathways operates under the Australian Privacy Principles. Privacy impact documentation is available for procurement review.
- **Authentication** — Multi-factor authentication on every account. SSO via SAML or OIDC against your own identity provider is available from the Business tier.
- **ISO 27001** — Certification is in progress. It covers the organisation rather than a plan tier — it is not something a customer buys more of by moving up a tier.
- **Independent testing** — Penetration test reports and security questionnaire support are available to Enterprise customers for governance and procurement review.

## What Pathways is not

- **Not a diagnostic tool** — Pathways screens for perioperative risk and produces recommendations for review. It does not diagnose.
- **Issues no orders** — It places no orders and clears no patients. Outputs are recommendations, never directives.
- **Not autonomous** — Clinician-in-the-loop by design. Every recommendation is reviewable and auditable, and a qualified clinician decides.
- **Does not replace the pre-admission clinic** — It decides who should be in the clinic. The clinic keeps doing the same work for a better-chosen set of patients.
- **Not a substitute for clinical judgement** — It assists — it never replaces — the judgement of qualified clinicians.
- **Scope is pre-operative** — Perioperative assessment is the live setting. Pathways does not currently operate in emergency or general practice settings.

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