# SCRIMED Continuous Review, Audit, and Innovation Brief

Status: continuous-review-audit-innovation-control-plane-active
Updated: 2026-06-25
Agents: 7
Loops: 8
Audit controls: 6
Innovation tracks: 5

## Boundary
SCRIMED Continuous Review, Audit, and Innovation Control Plane organizes 24/7 agent-assisted review, evidence checks, error reduction loops, human escalation, and internal future research. It does not provide managed 24/7 SOC/MDR coverage, autonomous production remediation, legal advice, security certification, regulatory approval, PHI processing authority, clinical care authority, public quantum capability claims, product commitment, investment advice, or permission to bypass human review.

This brief is not managed 24/7 SOC/MDR coverage, autonomous production remediation, legal advice, security certification, regulatory approval, PHI authority, clinical care authority, public quantum capability claim, product commitment, investment advice, or permission to bypass human review.

## Review Agents
- Accuracy Review Agent (active-control-plane): Sample outputs, workflow results, API summaries, and buyer-facing copy for factual consistency, stale claims, missing caveats, and unsupported conclusions. Cadence: Continuous queue with daily sampled review and weekly executive exception digest. Blocked: silently rewrite public claims, approve clinical content, certify accuracy without reviewer
- Evidence Attribution Agent (active-control-plane): Ensure every strategic, regulatory, market, technical, and product assertion has a source, route, owner, or explicit boundary. Cadence: Continuous on new routes and briefs; daily source-drift digest. Blocked: invent source support, quote large copyrighted text, claim third-party endorsement
- Claims and Boundary Agent (active-control-plane): Compare public language, briefs, APIs, and sales paths against prohibited claims, authority boundaries, and no-PHI/no-live-care constraints. Cadence: Every release, every buyer packet, and every claims-related route change. Blocked: approve legal claim, approve advertising substantiation, waive external review
- Security Drift Agent (human-review-required): Track dependency posture, route headers, fail-closed behavior, evidence vault boundaries, and post-quantum readiness signals. Cadence: Daily dependency/config review, weekly protected fail-closed review, quarterly quantum-safe inventory. Blocked: apply unmanaged production patch, rotate customer secrets autonomously, claim SOC/MDR coverage
- QA Regression Agent (active-control-plane): Continuously translate discovered mistakes into deterministic smoke, typecheck, lint, build, and protected fail-closed assertions. Cadence: Every change set; nightly regression queue design; weekly smoke scope review. Blocked: bypass failing smoke, mark retained proof without protected packet, run authenticated happy path without AAL2
- Incident Learning Agent (human-review-required): Convert TrustOps incidents, near misses, buyer questions, and support gaps into root-cause notes, controls, and future prevention tasks. Cadence: Immediate for high/critical issues, daily for open incidents, monthly for learning review. Blocked: make breach determination, notify regulator, close incident without reviewer
- Innovation Scout Agent (internal-research-only): Track AI, healthcare infrastructure, interoperability, security, quantum-safe, privacy-preserving, and deployment futures for internal research assignment. Cadence: Weekly horizon scan, monthly research council, quarterly promotion gate. Blocked: publish quantum claims, promise future product, claim clinical advantage, commit to procurement timeline

## Loops
- Always-on sentinels (Continuous design; public smoke at release and scheduled when infrastructure is approved.): Watch route health, boundary headers, proof-stack posture, protected fail-closed paths, and critical API contracts. Error reduction: Turns every repeated route or header mistake into a deterministic smoke assertion.
- Accuracy sampling (Daily sample queue plus high-risk output review before buyer use.): Sample product copy, API summaries, briefs, and workflow outputs for factual accuracy and unsupported claims. Error reduction: Creates feedback loops for stale facts, overclaims, missing sources, and ambiguous language.
- Evidence attribution sweep (Daily for new source-sensitive work; weekly source aging review.): Check that official sources, reviewed dates, proof routes, and blocked claims remain attached. Error reduction: Reduces hallucination risk by requiring source-backed or boundary-backed claims.
- Claims and authority guard (Every release and every buyer packet.): Compare claims against allowed language, prohibited claims, approval boundaries, and data authority. Error reduction: Prevents sales, product, investor, and public copy from outrunning retained evidence.
- Security and dependency drift review (Daily triage, weekly control review, quarterly post-quantum inventory.): Track dependency, auth, cryptography, route, and protected access drift. Error reduction: Surfaces risky drift early before it becomes buyer-impacting or production-blocking.
- Human escalation and remediation (Immediate for high/critical items; daily for open work queue.): Assign accountable owner, implement fix, preserve evidence, and require validation before reopening path. Error reduction: Keeps remediation accountable instead of relying on unattended autonomous repair.
- Innovation horizon scan (Weekly internal scan and monthly research council.): Convert future signals into research assignments, prototype gates, and claim-guarded roadmap options. Error reduction: Separates useful future sensing from public hype or premature product commitment.
- Governance rehearsal (Quarterly): Review repeated defects, open risks, innovation bets, quantum-safe readiness, audit gaps, and external-review needs. Error reduction: Moves recurring mistakes into durable controls and moves mature research into governed build work.

## Internal Innovation Research
- Quantum-Safe and Post-Quantum Readiness (internal-only): How should SCRIMED inventory cryptographic dependencies, vendor commitments, key lifecycles, and buyer questions before post-quantum migration becomes procurement-critical? Blocked claims: quantum-safe certified, quantum clinical advantage, post-quantum production ready
- Agentic Review Automation (board-review): How can SCRIMED reduce human error by using agents to propose review items, tests, and evidence links while humans retain approval authority? Blocked claims: autonomous audit approval, error-free AI review, clinician-free validation
- Privacy-Preserving Compute (internal-only): Which privacy-preserving methods could eventually support analytics, evaluation, or federation without moving sensitive healthcare data? Blocked claims: privacy guaranteed, HIPAA approved analytics, customer data safe by default
- Clinical Simulation and Synthetic Safety Lab (board-review): How can SCRIMED improve synthetic evaluation depth for clinical operations workflows without crossing diagnosis or treatment boundaries? Blocked claims: clinical validation complete, diagnostic accuracy, treatment optimization
- Interoperability and Sovereign Deployment Futures (future-public-after-approval): Which interoperability, data residency, and sovereign deployment patterns will matter most for global health-system buyers? Blocked claims: sovereign-ready certified, EHR production approved, public-sector approved

## Sources
- NIST Cybersecurity Framework 2.0: Map 24/7 audit loops to Govern, Identify, Protect, Detect, Respond, and Recover language without claiming managed SOC coverage. Source: https://www.nist.gov/cyberframework
- NIST AI Risk Management Framework: Use Map, Measure, Manage, and Govern style evidence to review agent outputs, drift, citations, human oversight, and improvement actions. Source: https://www.nist.gov/itl/ai-risk-management-framework
- NIST Post-Quantum Cryptography Standards: Assign quantum-safe cryptography readiness to internal research, beginning with dependency inventory, vendor questions, key-lifecycle mapping, and no-public-claim controls. Source: https://www.nist.gov/news-events/news/2024/08/nist-releases-first-3-finalized-post-quantum-encryption-standards
- SCRIMED Trust and Safety Operations: Promote TrustOps from a response model into a continuous review and audit operating system with regression, evidence, claims, security, and innovation monitors. Source: /trust-safety-operations
- SCRIMED Global Certification Readiness: Feed continuous audit exceptions into approval/certification evidence rooms before claims, pilots, or production pathways expand. Source: /global-certification-readiness