# SCRIMED Strategic Problem Resolution Brief

Status: strategic-problem-resolution-engine-active-no-production-authority
Updated: 2026-07-09
Problems: 8
Critical problems: 3
Average priority score: 88

## Boundary
SCRIMED Strategic Problem Resolution Engine converts known weaknesses, bottlenecks, risks, launch constraints, global expansion gaps, sales friction, interoperability questions, automation pressure, and investor-proof needs into owner-bound execution records. It is an operating control plane only. It does not authorize live PHI, autonomous clinical care, diagnosis, treatment, prescribing, patient outreach, payer submission, EHR writeback, production connector approval, production deployment, legal approval, certification claims, securities claims, valuation assurance, revenue guarantees, profit guarantees, or customer go-live.

This brief supports operating discipline and founder-grade execution only. It does not authorize live PHI, autonomous clinical care, diagnosis, treatment, prescribing, patient outreach, payer submission, EHR writeback, production deployment, certification claims, securities claims, valuation assurance, revenue guarantees, profit guarantees, or customer go-live.

## Top Problems
- Clinical production pressure before approvals are complete (94, human-review-required): Add every live-care, PHI, diagnosis, treatment, prescribing, payer, or EHR request to the approval path before any sales or delivery promise expands. Proof: /clinical-production-readiness, /clinical-authority-readiness, /global-certification-readiness, /scrimed-automation-autopilot
- Automation must accelerate work without gaining unsafe authority (91, human-review-required): Route new automation requests through the Autopilot decision evaluator before implementation. Proof: /scrimed-automation-autopilot, /scrimed-agent-governance, /scrimed-trustops, /workflows/runtime-safety
- Health-system interoperability expectations must stay synthetic until approved (89, external-approval-required): Attach connector questions to a no-PHI technical diligence packet with explicit profile, license, security, and customer-approval gates. Proof: /enterprise-healthcare-infrastructure, /interoperability, /health-records, /limitations-workarounds
- Investor proof must show operating depth without overclaiming (87, human-review-required): Create a one-page investor proof ladder from Product Console, Public Market Readiness, and Proof Packet Studio. Proof: /investor-audience-readiness, /product, /scrimed-proof-packet-studio, /company-assessment
- International expansion requires claims-safe localization (86, human-review-required): Package the top launch and strategic regions into localized, no-PHI, human-reviewed proof packets. Proof: /global-enterprise-command, /global-reach, /global-certification-readiness, /client-onboarding

## Operating Rules
- Every problem needs a root cause and proof route: Reject problem records without rootCause, resolutionPath, owner, proofRoutes, and nextAction. Proof: /strategic-problem-resolution
- Every blocked request gets a safe workaround: Route hard-stop requests to limitations, approvals, and human review instead of informal exceptions. Proof: /limitations-workarounds
- Automation recommends; humans approve high-stakes actions: Require allow/review/block classification for each agentic workflow before execution. Proof: /scrimed-automation-autopilot
- Investor and buyer claims must be evidence-bound: Use proof packets and claim guard before external distribution. Proof: /scrimed-proof-packet-studio

## Resolution Sprints
- P0 boundary clarity sprint (now): Resolve clinical, PHI, production, payer, EHR, certification, and go-live ambiguity before any external promise expands. Success: No P0 request lacks owner, proof route, workaround, and blocked-action list.
- Revenue conversion sprint (7-days): Convert sales and global interest into scoped packages, proof packets, and human-reviewed follow-up. Success: Every demo has one package, one owner, one proof packet, and one dated next step.
- Enterprise proof compounding sprint (30-days): Turn repeated issue resolution into reusable proof, contracts, smoke checks, and buyer-safe operating evidence. Success: Resolved problems become reusable controls, not one-off memory.

## Blocked Actions
- live PHI processing
- autonomous diagnosis, treatment, prescribing, triage, or clinical action
- patient outreach or external communication without human approval
- payer submission, claim submission, or coverage determination
- EHR, RIS, PACS, HIS, or production connector writeback
- production deployment or customer go-live approval
- legal, tax, accounting, certification, valuation, revenue, profit, or securities claims

Next build step: Turn the highest-priority problem into a reusable proof packet, contract check, owner-bound sprint, and Product Console evidence update before expanding external claims.