Why Do We Build Medical Care Pathways But Not Social Ones?
We've spent decades building clinical pathways for heart failure: the drugs, the testing intervals, the escalation triggers. But the pathway stops at the hospital door. The community paramedic, the area agency on aging, the community health worker, they're doing the work that keeps patients out of the ER, and none of them are in the same system, reliably funded, or connected to each other. It's time to build the care pathway that starts when the patient goes home.
