PATHFinder Planner for Appropriate Tailored Healthcare
University of Michigan

ACM Interactive Health 2026 · University of Michigan · REALIZE Lab

PATHFinder

Agents for Tailored Prenatal Care

An LLM-based agentic system that helps deliver prenatal care in a safe, scalable, and aligned manner — gathering each patient's medical and social context, mapping local resources, and individualizing visit cadence, all under clinician oversight.

Motivation

Prenatal care is care provided to birthing people — medical care, screening tests, answers to questions, and help finding social support and community resources during pregnancy.

"Prenatal care can improve the detection and management of chronic conditions and pregnancy complications, particularly for individuals with an increased risk of adverse outcomes." — ACOG

About 4 million pregnant people access prenatal care each year in the United States. At this scale, fixed, one-size-fits-all workflows can miss practical barriers and increase the risk of delayed follow-up. The core problem is aligning medically important milestones with real-life access constraints so that patients can consistently complete recommended care.

Diagram of current prenatal care practice showing disjoint conversations between patients, guidelines, and clinicians.
Current practice: context, guidelines, and conversations live in disconnected places.

The PATHFinder Approach

In collaboration with expert clinicians, we present PATHFinder, an agentic system that provides conversational care to patients while keeping clinicians in the loop — enabling tailored prenatal care planning that all stakeholders can trust, and redirecting clinician effort toward improving care.

PATHFinder system overview: a tailored prenatal care agent connecting patient context, ACOG guidelines, and local resources.
PATHFinder system overview — a tailored prenatal care agent connecting patient context, clinical guidelines, and community resources.

How It Works

PATHFinder follows a four-stage workflow — the same flow you can step through in the interactive demo: intake, follow-up dialogue, a draft plan & report, and clinician review.

PATHFinder four-stage workflow: intake, follow-up dialogue, draft plan, and clinician review.
The four-stage PATHFinder workflow.

Evaluation

We evaluate PATHFinder against a clinician-informed rubric spanning multiple dimensions of plan quality, safety, and alignment.

Heatmap of per-dimension rubric scores across different models.
Per-dimension rubric scores across models.

Citation

@inproceedings{balloli2026pathfinder,
  title={PATHFinder Agents for Tailored Prenatal Care},
  author={Balloli, Vaibhav and Samuel, Carissa and Abdelnabi, Samia and Peahl, Alex and Bondi-Kelly, Elizabeth},
  booktitle={ACM Interactive Health},
  year={2026}
}

Team

Authors: Vaibhav Balloli, Carissa Samuel, Samia Abdelnabi, Alex Peahl, and Elizabeth Bondi-Kelly · University of Michigan, REALIZE Lab.

Step 1 of 4: Intake Form

Personal Information

Form EHR Workflow V B
Questions Care Plan
Question 1 of 4
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Draft Report Review V B
Questions Care Plan

Your Personalized Care Report

Ask About Your Report

Shared Review — Clinician & Patient Collaborative visit

Current Care Plan

Shared Conversation