# Pathways — pre-operative assessment for Australian healthcare

> Pathways assesses every surgical patient before they reach the theatre door. A voice agent takes the anaesthetic history by secure SMS link, a deterministic risk engine profiles every case against perioperative guidelines, and the pre-admission team sees who needs review days before surgery rather than on the morning of.

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

## What Pathways does

Pathways AI Pty Ltd builds clinical reasoning infrastructure for Australian healthcare. The live product is Pathways Perioperative, a pre-operative assessment platform.

## The problem it addresses

The riskiest patient on tomorrow's list is usually the one nobody has met yet. Most day-of-surgery cancellations are caused by information that existed weeks earlier but reached the anaesthetist too late to act on — unmanaged medications, unoptimised comorbidity, unscreened risk such as sleep apnoea, and logistical failures.

## How it works

- **Book** — Pathways sends a secure, time-limited assessment link by SMS.
- **Assess** — Socrates Pre-Op takes the history by voice across 12 clinical domains; medications are photographed and verified.
- **Profile** — the risk engine screens against perioperative guidelines using deterministic, versioned rules.
- **Route** — each patient is routed to anaesthetist review, pre-admission clinic, telephone review, or straight to theatre.

## Key facts

- All patient data is stored in AWS Sydney (ap-southeast-2) and never leaves Australia.
- No personally identifying information is sent to model providers.
- Safety-critical screening rules are deterministic and versioned, not model output.
- Pathways is clinical decision support — it issues no orders; the treating clinician decides.
- No PMS or EMR integration is required to start.