# SCRIMED Pilot Handoff Command Brief

Status: pilot-handoff-command-active-synthetic-human-review-required
Updated: 2026-07-09
Packets: 6
Checklist items: 7
Risk controls: 5

## Boundary
SCRIMED Pilot Handoff Command converts synthetic pilot activation plans into role-specific handoff packets, review gates, owner checklists, and safe next actions. It does not send external communications, authorize live PHI, approve patient outreach, submit payer actions, mutate EHR/RIS/PACS/HIS records, grant live clinical authority, approve customer activation, certify compliance, create audited financial reporting, guarantee ROI, guarantee revenue, guarantee profit, assure valuation, or create binding commercial offers.

This brief is synthetic-only handoff preparation. It does not send external communications, authorize live PHI, approve patient outreach, submit payer actions, mutate EHR/RIS/PACS/HIS records, grant live clinical authority, approve customer activation, certify compliance, create audited financial reporting, guarantee ROI, guarantee revenue, guarantee profit, assure valuation, or create binding commercial offers.

## Handoff Packets
- Buyer sponsor scope handoff (buyer-sponsor, review-required): Prepare a buyer-safe scope call packet that maps the selected evidence packet to the pilot objective, owner map, and no-PHI activation path. Review: Founder or delivery lead approval required before any external send.
- Security and privacy review handoff (security-reviewer, external-approval-required): Collect safe security, privacy, deployment, and data-boundary context before buyer questionnaires or technical discovery progress. Review: Security owner approval required before buyer security distribution.
- Clinical governance handoff (clinical-governance, blocked-before-send): Prepare clinical sponsor review of decision-support-only boundaries, reviewer roles, and no-live-care pilot language. Review: Clinical governance owner approval required before clinical-facing language is shared.
- Implementation kickoff handoff (implementation-owner, draft-ready): Translate activation scope into implementation cadence, owners, artifacts, escalation path, and meeting-ready agenda. Review: Implementation lead approval required before scheduling or messaging.
- RCM documentation review handoff (rcm-lead, external-approval-required): Prepare a documentation-completeness review packet for RCM and prior authorization teams without payer submission authority. Review: RCM compliance reviewer approval required before buyer distribution.
- Investor diligence handoff (investor-reviewer, review-required): Convert route-backed product proof, boundaries, milestones, and validation commands into a claims-safe investor diligence appendix. Review: Founder and qualified reviewer approval required before investor distribution.

## Hard Stops
- Packet is sent externally before qualified human review.: Keep every packet in draft/review-required state until an owner approves the recipient, channel, and boundary language. Owner: Founder + Delivery Lead Hard stop: yes
- Buyer requests live PHI or raw payloads before the approval path is complete.: Substitute synthetic fixtures, metadata-only discovery, or de-identified examples after qualified review. Owner: Security + Data Governance Hard stop: yes
- Handoff language implies clinical authority or autonomous care.: Route clinical language through clinical governance and retain human final authority language. Owner: Clinical Governance Hard stop: yes
- Handoff language implies guaranteed savings, revenue, valuation, approval, or customer activation.: Use measurement-framework language and qualified review before external distribution. Owner: Commercial Operations + Qualified Review Hard stop: yes
- RCM handoff is interpreted as payer submission or coverage determination authority.: Limit RCM packet to documentation completeness, draft QA, and human review. Owner: RCM Compliance Hard stop: yes

## Checklist
- Buyer sponsor, reviewer owner, security contact, and implementation owner are named. Owner: Sales + Founder Status: review-required Hard stop if missing: yes
- Selected evidence packet has acceptance criteria, blocked claims, review gate, and audit hash. Owner: Delivery Lead Status: draft-ready Hard stop if missing: yes
- No live PHI, raw connector payloads, credentials, or raw schemas are requested for this handoff phase. Owner: Security + Data Governance Status: external-approval-required Hard stop if missing: yes
- Clinical-facing language is framed as decision support, education, workflow support, or review-gated draft output. Owner: Clinical Governance Status: blocked-before-send Hard stop if missing: yes
- Meeting cadence, escalation path, artifact tracker, and success review checkpoint are documented. Owner: Implementation Lead Status: review-required Hard stop if missing: no
- Scope language avoids binding offers, ROI guarantees, revenue guarantees, valuation assurance, and customer activation claims. Owner: Commercial Operations + Qualified Review Status: review-required Hard stop if missing: yes
- Success criteria, reviewer notes, blocked claims, and next milestone are attached before any outcome narrative is shared. Owner: Customer Success + Founder Status: review-required Hard stop if missing: yes

Next best move: Select the relevant handoff packet, confirm owner inputs, resolve hard stops, and keep the packet in human review until recipient, channel, and boundary language are approved.