# SCRIMED Automation Autopilot Brief

Status: scrimed-automation-autopilot-active-synthetic-no-phi
Average readiness score: 86
Capabilities: 10
Synthetic autopilot lanes: 2
Review-gated lanes: 3
Human-review-required lanes: 10
Production-authority-blocked lanes: 10

## Boundary
SCRIMED Automation Autopilot is a synthetic/no-PHI autonomy and automation readiness control plane. It can score readiness, recommend safe next actions, prepare proof packets, route approvals, and queue human-reviewed tasks. It does not process live PHI, perform autonomous clinical care, diagnose, treat, prescribe, contact patients, submit payer actions, write to EHRs, approve production connectors, rotate credentials, deploy production, guarantee revenue, guarantee uptime, or approve customer go-live.

This brief is recommendation-only and does not authorize live PHI, autonomous clinical care, diagnosis, treatment, prescribing, patient outreach, payer submission, EHR writeback, production connector approval, security certification, revenue guarantees, SLA commitments, production deploys, or customer go-live.

## Autonomy Capabilities
- Release Smoke Autopilot (synthetic-autopilot, release-readiness): readiness 92; owner Release Steward + Platform Engineering; gate Human release steward must approve production deploy or external proof promotion.; next Generate a no-secret release checklist from the latest local validation run.; audit scrimed-intel-38167952
- Service Delivery Autopilot (review-gated-automation, service-delivery): readiness 89; owner Delivery Lead + Revenue Operations; gate Delivery lead and qualified commercial reviewer approve SOW, contract language, and customer commitments.; next Attach every sellable package to a repeatable no-PHI work-order starter.; audit scrimed-intel-2c7cba9e
- Buyer Follow-Up Autopilot (recommendation-only, sales-revenue): readiness 84; owner Sales Operations + Founder; gate Human sales owner must approve and send all external communications.; next Create one human-reviewed follow-up packet per buyer audience.; audit scrimed-intel-f4e7be19
- Agent Approval Autopilot (review-gated-automation, agent-operations): readiness 88; owner AgentOS + TrustOS; gate Agent owner and human reviewer approve any irreversible or sensitive action.; next Precompute allow/deny/review decisions from session state before tool execution.; audit scrimed-intel-33750465
- Security Evidence Autopilot (recommendation-only, security-governance): readiness 86; owner Security Lead + Trust Safety Ops; gate Security lead and qualified reviewer approve external trust language.; next Bind security evidence to buyer-safe questionnaire answer starters.; audit scrimed-intel-842e52b9
- Integration Readiness Autopilot (recommendation-only, interoperability): readiness 81; owner Interoperability Control Plane + Security; gate Interoperability owner, security, privacy, and customer system owner approve live connector movement.; next Generate a no-PHI connector discovery packet with retained production-approval blockers.; audit scrimed-intel-1f23e2ca
- Clinical Safety Queue Autopilot (recommendation-only, clinical-safety): readiness 83; owner Clinical Safety + Trust Engine; gate Licensed clinical reviewer remains final authority for clinical content and workflow use.; next Attach clinical safety queue metadata to every clinical-facing synthetic output.; audit scrimed-intel-4fafdb28
- Support Operations Autopilot (manual-only, support-operations): readiness 74; owner Service Reliability + Customer Operations; gate Support lead and contract reviewer approve support tier, SLA, and coverage commitments.; next Create support-tier readiness packets before any managed-service language expands.; audit scrimed-intel-8089ca34
- Cost Guardrail Autopilot (synthetic-autopilot, cost-control): readiness 87; owner Finance Ops + Model Router; gate Finance or founder approval required before paid provider spend, custom scope, or pricing exceptions expand.; next Attach cost threshold classes to buyer demos and protected pilot packages.; audit scrimed-intel-734834f5
- Proof Packet Autopilot (review-gated-automation, proof-packaging): readiness 91; owner Proof Packet Studio + Buyer Diligence; gate Release steward and qualified reviewers approve any external proof distribution.; next Generate packet manifests that preserve claims, release, and no-PHI boundaries.; audit scrimed-intel-9a236811

## Bottleneck Workarounds
- Customer go-live readiness can be confused with demo readiness.: Keep launches framed as no-PHI services, readiness assessments, demos, or protected-pilot candidates. Automation assist: Autopilot classifies service activation status and produces missing-evidence tasks. Escalation: Any buyer asks to connect live systems, process PHI, or rely on SCRIMED for care delivery.
- Operator time is lost assembling the same proof routes for buyers, investors, and reviewers.: Autopilot drafts packet manifests and queues release review before sharing. Automation assist: Selects proof routes, claim boundaries, missing artifacts, and audience-specific next actions. Escalation: External distribution, buyer-specific diligence, or claims language expansion is requested.
- Pressure to automate can blur safe internal automation and prohibited healthcare actions.: Autopilot emits allow/review/block decisions before action execution. Automation assist: Precomputes risk score, approval gate, blocked actions, and audit hash per capability. Escalation: Action touches patient safety, legal, billing, external communication, infrastructure mutation, or production systems.
- Custom work, provider spend, and model route expansion can erode pilot margins.: Autopilot flags budget thresholds and routes low-risk synthetic work to cheaper model tiers. Automation assist: Creates cost-class metadata before buyer demos and protected pilot scope expands. Escalation: Projected spend, custom scope, or model route exceeds the package guardrail.

## Sample Decisions
- synthetic-release-check: allow-synthetic-autopilot; approval required false; reason The action is metadata-only, synthetic/no-PHI, reversible, and inside the declared autonomy scope.; audit scrimed-intel-80c9d850
- buyer-email-draft: require-human-review; approval required true; reason The action is sensitive and must be reviewed before any external, clinical-facing, irreversible, or commercial commitment.; audit scrimed-intel-2256a901
- live-ehr-writeback: block-production-action; approval required true; reason The action touches production authority or PHI risk and remains blocked under SCRIMED's preserved boundaries.; audit scrimed-intel-0630160d

## Next Operator Actions
- Use this surface before expanding autonomy so each automation has a mode, owner, approval gate, blocked actions, and proof routes.
- Promote only metadata-only, reversible, no-PHI automation into synthetic autopilot mode.
- Keep buyer follow-up, service delivery, proof packets, and clinical-facing artifacts human-reviewed before external use.
- Use the bottleneck workarounds to convert unsafe autonomy pressure into review queues, packet drafts, and scoped no-PHI service motions.
- Route any PHI, production connector, clinical care, payer, EHR, patient outreach, credential, deploy, SLA, or go-live request to the preserved approval path.