Clinical Pathways in HCBS: Why Informal Care Models Fail High-Risk Populations
Home and Community-Based Services increasingly support individuals with complex clinical needs, yet many HCBS systems still rely on informal decision-making rather than structured clinical pathways. This article examines why the absence of defined pathways creates predictable risk, how failures manifest in real services, and what operationally credible HCBS pathways look like in practice.
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