Pathway-driven coordination for community care

Making physical readiness visible before care fails.

When pathways fail, it’s rarely clinical.

Patients discharged into community care depend on oxygen, medication, equipment and follow-up services arriving in sequence.

When those elements arrive late, incomplete or out of order:

  • Visits fail

  • Safety is compromised

  • Primary care absorbs avoidable calls

  • Capacity is lost

  • Admissions repeat

This is not a clinical failure.
It is a coordination gap.

A coordination layer for physical readiness

State Engine

Supplier, logistics and service signal ingestion across systems.

Connector Layer

Deterministic pathway logic — what must be true, and when.

Surfacing risk before failure becomes visible downstream.

Operational Dashboard

Pathways depend on readiness.

  • Fewer delayed discharges

  • Fewer failed community visits

  • Reduced avoidable readmissions

  • Less hidden coordination burden

black blue and yellow textile

Initial pilot scope

  • Single pathway (e.g. COPD)

  • Defined geography

  • Defined supplier set

  • Defined observability metrics

  • Oxygen and respiratory equipment are safety-critical

  • Accountability spans acute, community, and suppliers

We are working with early NHS and Swedish Public Health partners to pilot Pathway Grid.

If this problem resonates, we’d welcome a conversation.

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