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Why the next scheduled check isn't enough
The checkup cadence and the decline cadence are not the same clock.
This isn't specific to any one platform's check-in schedule. It's a structural mismatch between how often anyone gets checked, by any method, and how fast the conditions that matter can actually move.
How often the system checks
- Admission assessmentWithin 14 days
- Significant-change assessmentWithin 14 days of staff noticing
- Quarterly reviewNot less than every 92 days
- Annual comprehensive reviewNot less than every 12 months
- Physician visit, first 90 daysEvery 30 days
- Physician visit, thereafterEvery 60 days, 70 compliant
How fast real decline moves
- COPD exacerbation to heart failure riskUp to 72x within 7 days
- High-pressure event to cardiac risk6x within 24 hours
- A clinically meaningful depressive episodeCan form in 2 weeks
- Pre-frail to frail progression19.7% within 1 year
- Frailty transition per intervalUp to 43.3% per 18-month gap
- Frail-to-recovered reversal, once it happensUnder 1%
Hatched region is roughly to scale: the span in which an acute decompensation event has been shown to fully form, against the regulatory floor for how often a formal review happens. A continuous signal is the only way to see inside that gap. Sources on page 07.