# Pathways for Private Hospitals

> Pathways reduces day-of-surgery cancellations in private hospitals by screening every booked patient at the time of booking rather than on the morning of surgery. The classic late-cancellation causes — poor glycaemic control, unwithheld SGLT2 inhibitors, undiagnosed sleep apnoea — surface weeks ahead, while the list can still be optimised or backfilled.

*Source: https://getpathways.ai/private-hospital*

## Every cancelled case is a cost you can see. Now prevent it.

A day-of-surgery cancellation is lost revenue, an empty slot, and an annoyed surgeon. Pathways surfaces the risk at booking — while the list can still be optimised or backfilled.

## Utilisation, surgeons, and the patient experience.

### Utilisation protected (The list)

Late-cancellation risks — glycaemic control, SGLT2 inhibitors, undiagnosed OSA — are flagged weeks out, with time to optimise or reschedule.

### Fewer bad mornings (The surgeon)

Surgeons keep operating instead of losing cases at the door. The anaesthetist reviews a complete profile, not a chart read cold at 07:00.

### A better front door (The patient)

Interviewed by voice from home — no 40-page paper questionnaire. Your pre-admission experience becomes a differentiator.

## Deployed in days, not quarters.

No PMS integration required to start. The SMS-driven workflow works from day one, alongside whatever systems you run.

- Risk screening on every booked patient from day one
- Works standalone — integration can come later
- A single preventable cancellation covers months of Pathways

## Where day-of-surgery cancellations actually come from

A cancellation on the morning of surgery is rarely a surprise in the clinical
sense. It is almost always a piece of information that existed weeks earlier and
reached the anaesthetist too late to act on. Broadly, they fall into four
groups.

### Medication management not planned

The clearest example is the SGLT2 inhibitor class — empagliflozin, dapagliflozin,
ertugliflozin — where a withholding plan has to be made days ahead of surgery.
When the medication list is assembled from patient recall at a pre-op phone
call, the drug is frequently described as "something for sugar" and the plan is
never made. Pathways has patients photograph the boxes during the interview,
extracts and verifies each one against the source image, and flags the missing
withholding plan against the ANZCA and ADS guidance with a named rule version.

### Comorbidity not optimised

Poor glycaemic control, uncontrolled hypertension and anaemia are all
modifiable given a window. The window only exists if the problem is identified
while there is still time — a patient screened at booking has weeks, a patient
screened at the pre-admission clinic three days out has none.

### Undiagnosed risk not screened

Obstructive sleep apnoea is the standing example: a STOP-Bang of 5 or more in a
patient with no diagnosis changes the anaesthetic plan and sometimes the
location of care. It requires the questions to have been asked. A structured
12-domain interview asks them on every patient, not just the ones who look
high-risk on paper.

### Logistics and consent

Fasting instructions misunderstood, no escort home, no discharge support. These
are the cheapest to prevent and the most annoying to lose a slot to, and they
are caught by asking early rather than by asking better.

## The commercial arithmetic

A private hospital knows the contribution margin of a theatre hour. The
question a perioperative director is actually asking is not whether the
screening is clinically sound but how many cancellations it needs to prevent
before it pays for itself. In most private settings a single prevented
day-of-surgery cancellation covers several months of the platform, which is why
the deployment question — how long before the first list is screened — usually
matters more than the pricing question. The SMS-driven workflow runs standalone,
so the answer is days.