SCRIMED Automation Autopilot
Autonomy becomes useful when every automated move has a boundary, owner, gate, and proof route.
This control plane scores where SCRIMED can safely automate today, where human approval is mandatory, and which bottlenecks must be reduced before live production services expand.
Autonomy Boundary
SCRIMED can automate metadata work; healthcare and production authority stay review-gated.
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.
- Autonomy authority: synthetic-and-review-gated-only
- Production remediation: not-authorized
- Customer go-live: not-customer-go-live-approval
Automation Map
Each lane declares its safe autonomy mode, blocked actions, owner, approval gate, and proof routes.
synthetic-autopilot
Release Smoke Autopilot
Manual route and smoke verification delay before buyer or investor proof promotion.
Release Steward + Platform Engineering
- Domain: release-readiness
- Readiness: 92
- Reliability: 94
- Revenue impact: 78
- Safety risk: 18
- Human review required: yes
- Production authority: no
- Audit: scrimed-intel-38167952
Gate
Human release steward must approve production deploy or external proof promotion.
- Allowed: run local no-secret contract checks, compare source route counts with navigation inventory, recommend stale-deployment remediation, prepare release evidence summaries
- Triggers: route count drift, public smoke failure, brief route missing, deployment drift
- Proof routes: /release-continuity, /deployment-drift-guard, /navigation, /api/status
review-gated-automation
Service Delivery Autopilot
Manual conversion from demo interest to scoped, margin-safe delivery package.
Delivery Lead + Revenue Operations
- Domain: service-delivery
- Readiness: 89
- Reliability: 87
- Revenue impact: 92
- Safety risk: 24
- Human review required: yes
- Production authority: no
- Audit: scrimed-intel-2c7cba9e
Gate
Delivery lead and qualified commercial reviewer approve SOW, contract language, and customer commitments.
- Allowed: draft no-PHI work orders, map offers to acceptance criteria, flag missing buyer inputs, prepare kickoff and handoff checklists
- Triggers: scope creep, missing acceptance criteria, unsupported SLA language, custom work without price floor
- Proof routes: /service-delivery, /offerings, /client-onboarding, /qa-claim-guard
recommendation-only
Buyer Follow-Up Autopilot
Slow post-demo follow-up and inconsistent proof packet selection.
Sales Operations + Founder
- Domain: sales-revenue
- Readiness: 84
- Reliability: 82
- Revenue impact: 95
- Safety risk: 32
- Human review required: yes
- Production authority: no
- Audit: scrimed-intel-f4e7be19
Gate
Human sales owner must approve and send all external communications.
- Allowed: draft buyer-safe follow-up summaries, select proof packet routes, recommend pricing motion, queue human-reviewed next steps
- Triggers: demo completed without next step, buyer objection unanswered, pricing motion missing, trust question unresolved
- Proof routes: /scrimed-guided-execution, /pilot-deal-room, /pricing, /scrimed-proof-packet-studio
review-gated-automation
Agent Approval Autopilot
Manual classification of agent permissions and approval thresholds.
AgentOS + TrustOS
- Domain: agent-operations
- Readiness: 88
- Reliability: 90
- Revenue impact: 75
- Safety risk: 36
- Human review required: yes
- Production authority: no
- Audit: scrimed-intel-33750465
Gate
Agent owner and human reviewer approve any irreversible or sensitive action.
- Allowed: score agent action risk, recommend allowed tools, prepare audit packet, route protected work to human approval
- Triggers: tool outside scope, clinical-facing output, external action, cost threshold exceeded
- Proof routes: /scrimed-agent-governance, /scrimed-intelligence-safety-stack, /workflows/runtime-safety
recommendation-only
Security Evidence Autopilot
Repeated security diligence packet assembly and claim review delay.
Security Lead + Trust Safety Ops
- Domain: security-governance
- Readiness: 86
- Reliability: 89
- Revenue impact: 82
- Safety risk: 29
- Human review required: yes
- Production authority: no
- Audit: scrimed-intel-842e52b9
Gate
Security lead and qualified reviewer approve external trust language.
- Allowed: assemble security diligence evidence map, flag missing controls, prepare buyer questionnaire starters, route claims to qualified review
- Triggers: security claim requested, buyer questionnaire opened, protected route changed, token-handling proof requested
- Proof routes: /scrimed-cyber-defense, /trust-center, /qa-claim-guard
recommendation-only
Integration Readiness Autopilot
Unclear transition from synthetic conformance to live integration requirements.
Interoperability Control Plane + Security
- Domain: interoperability
- Readiness: 81
- Reliability: 84
- Revenue impact: 79
- Safety risk: 42
- Human review required: yes
- Production authority: no
- Audit: scrimed-intel-1f23e2ca
Gate
Interoperability owner, security, privacy, and customer system owner approve live connector movement.
- Allowed: map synthetic standards readiness, flag connector approval gaps, prepare no-PHI integration discovery questions, recommend FHIR/HL7/DICOM evidence routes
- Triggers: connector requested, FHIR scope missing, DICOM/PACS claim requested, raw payload logging risk
- Proof routes: /enterprise-healthcare-infrastructure, /health-records, /interoperability, /clinical-data-fabric
recommendation-only
Clinical Safety Queue Autopilot
Late discovery of clinical-risk gaps in demos and synthetic evaluations.
Clinical Safety + Trust Engine
- Domain: clinical-safety
- Readiness: 83
- Reliability: 86
- Revenue impact: 76
- Safety risk: 55
- Human review required: yes
- Production authority: no
- Audit: scrimed-intel-4fafdb28
Gate
Licensed clinical reviewer remains final authority for clinical content and workflow use.
- Allowed: flag high-risk clinical-facing outputs, require clinician review status, prepare evidence completeness checklist, recommend refusal or escalation wording
- Triggers: clinical recommendation requested, missing evidence, human review absent, unsupported safety claim
- Proof routes: /clinical-robustness-lab, /clinical-authority-readiness, /scrimed-clinical-benchmark-suite
manual-only
Support Operations Autopilot
Support commitment ambiguity before protected pilots and customer-facing services.
Service Reliability + Customer Operations
- Domain: support-operations
- Readiness: 74
- Reliability: 79
- Revenue impact: 73
- Safety risk: 38
- Human review required: yes
- Production authority: no
- Audit: scrimed-intel-8089ca34
Gate
Support lead and contract reviewer approve support tier, SLA, and coverage commitments.
- Allowed: recommend triage category, draft internal support runbook, flag missing escalation owner, prepare incident review notes
- Triggers: buyer support expectation, incident lane missing, SLA language requested, managed-service coverage implied
- Proof routes: /service-reliability, /enterprise-scalability, /trust-safety-operations
synthetic-autopilot
Cost Guardrail Autopilot
Unbounded AI/provider spend and margin leakage during demos and pilots.
Finance Ops + Model Router
- Domain: cost-control
- Readiness: 87
- Reliability: 85
- Revenue impact: 86
- Safety risk: 22
- Human review required: yes
- Production authority: no
- Audit: scrimed-intel-734834f5
Gate
Finance or founder approval required before paid provider spend, custom scope, or pricing exceptions expand.
- Allowed: estimate synthetic workflow cost class, flag budget-threshold risk, recommend lower-cost routing for low-risk work, prepare margin-protection notes
- Triggers: cost threshold exceeded, model route too expensive, uncapped custom work, margin floor missing
- Proof routes: /platform-power, /enterprise-business-ops, /capital-vitality
review-gated-automation
Proof Packet Autopilot
Slow conversion from platform evidence to buyer-safe or investor-safe packet.
Proof Packet Studio + Buyer Diligence
- Domain: proof-packaging
- Readiness: 91
- Reliability: 88
- Revenue impact: 93
- Safety risk: 26
- Human review required: yes
- Production authority: no
- Audit: scrimed-intel-9a236811
Gate
Release steward and qualified reviewers approve any external proof distribution.
- Allowed: assemble audience-specific proof route list, detect missing evidence, draft no-PHI proof packet outline, queue release and claims review
- Triggers: buyer asks for proof, investor diligence packet needed, claim evidence missing, release sharing requested
- Proof routes: /scrimed-proof-packet-studio, /qa-buyer-proof-release, /buyer-release-control-run
Bottleneck Workarounds
Unsafe pressure gets converted into a safe packet, queue, owner, or escalation path.
Release Steward + Delivery Lead
Customer go-live readiness can be confused with demo readiness.
No customer go-live authority exists until customer-specific controls, contracts, security review, and support model are approved.
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.
- Proof route: /service-delivery
Proof Packet Studio + Claims Governance
Operator time is lost assembling the same proof routes for buyers, investors, and reviewers.
Proof packets remain human-reviewed and cannot be externally distributed automatically.
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.
- Proof route: /scrimed-proof-packet-studio
TrustOS + Security + Clinical Safety
Pressure to automate can blur safe internal automation and prohibited healthcare actions.
High-risk clinical, payer, outreach, connector, credential, and production actions remain blocked.
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.
- Proof route: /scrimed-agent-governance
Finance Ops + Model Router
Custom work, provider spend, and model route expansion can erode pilot margins.
Pricing exceptions and external provider spend require human finance review.
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.
- Proof route: /enterprise-business-ops
Decision Samples
Every automation request resolves to allow, review, or block before action.
allow-synthetic-autopilot
synthetic-release-check
The action is metadata-only, synthetic/no-PHI, reversible, and inside the declared autonomy scope.
release-readiness
- Action: run local release smoke and draft internal evidence summary
- Mode: synthetic-autopilot
- Human approval required: no
- Audit: scrimed-intel-80c9d850
require-human-review
buyer-email-draft
The action is sensitive and must be reviewed before any external, clinical-facing, irreversible, or commercial commitment.
sales-revenue
- Action: draft buyer follow-up after demo
- Mode: recommendation-only
- Human approval required: yes
- Audit: scrimed-intel-2256a901
block-production-action
live-ehr-writeback
The action touches production authority or PHI risk and remains blocked under SCRIMED's preserved boundaries.
interoperability
- Action: write reviewed note into production EHR
- Mode: recommendation-only
- Human approval required: yes
- Audit: scrimed-intel-0630160d