ACCESS PATHWAYEngraft prototype

Start here

Build a plan

Understand the barriers as you set what you know, de-identified and enumerated only. Then choose the interventions that form the plan, and start tracking. Nothing here is an eligibility determination: candidacy is the center's decision, and no answer ever screens a patient out.

Patient data

Demo

Planned therapy

Which therapy is under consideration?

Most referrals name an intended therapy, but the center confirms the choice during evaluation. Until it is chosen the pathway keeps both tracks visible.

Patient & disease

Diagnosis

Age band

Line of therapy

Disease pace

Performance status

Comorbidity burden

Care setting & geography

Currently managed at

Referring team & CAR-T

Distance to nearest center

Home community

Center in home state?

Transportation

Insurance & finances

Insurance

Center network status

Household income

Income during treatment

Financial cushion

Caregiver & household

Dedicated caregiver (~30 days)

Caregiver & work

Living situation

Housing

Communication, social & equityoptional, supports tailored help and never gatekeeping

Language

Health-system navigation

Family understanding of CAR-T

Race / ethnicity

0 barriers · 0 blocking · 0 tasks on the plan

1

Diagnosis & Referral

From diagnosis to first contact with an accredited center.

Any order, all required
Completion criteriaReach a centerreferred and accepted for evaluationNothing in the way for this patient
2

Candidacy Evaluation

The work-up that determines whether the center will proceed. Most tests run in parallel and all feed the selection decision.

Any order, all required
Completion criteriaAccepted as a candidatethe center recommends treatmentNothing in the way for this patient
3

Coverage & Authorization

Securing payer approval and financial clearance for the specific therapy.

Any order, all required
Completion criteriaApproved to proceedauthorization and coverage in placeNothing in the way for this patient
4

Collection & Preparation

Obtaining the cells and getting the patient ready. This is where CAR-T and allogeneic transplant diverge.

CAR-T track

Allo-HCT track

Shared preparation — in parallel with collection

Any order, all required
Completion criteriaReady for treatmentproduct/graft available, patient fit, logistics setNothing in the way for this patient
5

Treatment

Conditioning, infusion, and the acute monitoring window.

Completion criteriaThrough the acute phaseinfusion complete, early toxicity managedNothing in the way for this patient
6

Recovery & Follow-up

Monitoring, transition back home, and long-term survivorship.