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Transition of Care

Recovery Platform

System Active

All services operational

SCREEN 2: Care Pathway Engine

Clinical Care Pathway Engine

"Care pathways adapt to patient condition."

Patient Context

Condition

Post-Cardiac Surgery

Age

65 years

Gender

Male

Days Post-Op

8

Comorbidities

2 conditions

Adaptive Care Pathway

Day 1-3

Immediate Post-Discharge

Daily vital checks
Wound care monitoring
Pain management
Day 4-7

Early Recovery

Medication adherence check
Symptom assessment
Light activity guidance
Day 8-14

Critical Window (CURRENT)

Clinical follow-up required
BP stabilization focus
Adherence intervention
Day 15-30

Extended Recovery

Cardiac rehab planning
Lifestyle counseling
Routine monitoring

Adaptive Pathway

Care plan dynamically adjusts based on recovery signals, not fixed schedules

AI Clinical Recommendations

HIGH

Schedule urgent follow-up appointment

Reasoning: BP trending upward (145/94), despite post-op recovery phase

Guideline: ACC/AHA Post-Cardiac Surgery Guidelines

HIGH

Medication adherence intervention required

Reasoning: Missed 2 doses of Metoprolol (critical post-cardiac med)

Guideline: Post-Surgical Care Protocol

MEDIUM

Symptom monitoring: breathlessness

Reasoning: Patient reports mild breathlessness - could indicate cardiac concern

Guideline: Post-Op Symptom Assessment Protocol

LOW

Continue routine vital tracking

Reasoning: Heart rate stable, wound healing normal

Guideline: Standard Recovery Monitoring

Clinical Guidelines Applied Dynamically

01

Age > 60

Impact: Increased monitoring frequency

Extended care window (30 days vs 14 days standard)

02

Cardiac Surgery

Impact: BP stability critical

Daily BP tracking + threshold alerts

03

Comorbidities

Impact: Higher complexity care

Diabetes + HTN management integrated

04

Medication Non-Adherence

Impact: Intervention required

Automated adherence check + outreach

Dynamic Adaptation: Guidelines aren't static templates — AI personalizes care pathways based on age, surgery type, risk factors, and real-time recovery data.