Independent prototype using public U.S. Government help content and synthetic telemetry. Not affiliated with or endorsed by the Department of Defense, the Defense Health Agency or PEO DHMS. No PII or PHI.

Screen 4 of 5 ยท Learning, Adjusting and Solutions

Experiment and outcome ledger

One falsifiable hypothesis, a randomized control cohort, a pre-registered stop/adjust rule checked every week, and payments tied to measured outcomes rather than hours.

Synthetic pilot results

Hypothesis

Proactive nudges plus tier-0 self-service cut human-touch tickets per 100 new users by at least 30% against a control cohort, without lowering sentiment.

Questions this answers

  • Can we maximize first-pass self-service and become proactive instead of counting tickets?
  • Does reducing human touch cost us sentiment, or improve it?
  • Which sites and segments need a different approach (adjust, not abandon)?

Design

  • New users at each of 8 sites randomized 50/50 to treatment (nudges + tier-0 assistant) or control (current help).
  • Primary measure: human-touch tickets per 100 new users. Rate ratio with a 95% log-scale Wald interval.
  • Guardrail: sentiment proxy (1-5); treatment must not be worse by more than 0.10 (lower bound of the difference).
Tickets per 100 new users, treatment
15.2
241 tickets, 1,582 new users
Tickets per 100 new users, control
25.2
401 tickets, 1,592 new users
Reduction vs control
40%
95% CI 29% to 48%; p < 0.001
Sentiment difference
+0.19
95% CI +0.10 to +0.27 on a 1-5 scale

Effect size with 95% confidence intervals

Week 6 (day 42). Dots are estimates; bars are 95% intervals. The dashed line is the 30% target.

-80%-60%-40%-20%0%20%40%60%80%No effect30% targetWeek 1Week 2Week 3Week 4Week 5Week 6

Decision now

ContinueEstimate 40% (95% CI 29% to 48%); keep collecting.

30% threshold metSuccess-based payment test: point estimate at or above 30%, interval excludes no effect, sentiment non-inferior.

Pre-registered rule (checked weekly)

  1. Stop: success when the lower bound of the reduction is at least 30% and sentiment is non-inferior (from week 4).
  2. Adjust when the sentiment lower bound falls below -0.10, or the estimate is under 15% at week 3 or later.
  3. Stop: futility when even the upper bound is below 30% (from week 4).
  4. Continue otherwise.

Weekly looks

Cumulative results at each pre-registered look. This is the audit trail for the Learning criterion.

WeekTreatment /100Control /100Reduction (95% CI)Sentiment diff (95% CI)Decision
15.6 (n 342)6.0 (n 351)7% (95% CI -73% to 50%)+0.05 (95% CI -0.16 to +0.27)AdjustSentiment lower bound -0.16 is below the -0.1 margin.
28.6 (n 845)13.9 (n 859)38% (95% CI 17% to 53%)+0.11 (95% CI -0.01 to +0.24)ContinueEstimate 38% (95% CI 17% to 53%); keep collecting.
310.8 (n 1326)18.2 (n 1346)41% (95% CI 27% to 52%)+0.16 (95% CI +0.06 to +0.26)ContinueEstimate 41% (95% CI 27% to 52%); keep collecting.
413.9 (n 1507)22.1 (n 1517)37% (95% CI 26% to 47%)+0.16 (95% CI +0.07 to +0.26)ContinueEstimate 37% (95% CI 26% to 47%); keep collecting.
514.8 (n 1563)24.3 (n 1573)39% (95% CI 28% to 48%)+0.18 (95% CI +0.09 to +0.27)ContinueEstimate 39% (95% CI 28% to 48%); keep collecting.
615.2 (n 1582)25.2 (n 1592)40% (95% CI 29% to 48%)+0.19 (95% CI +0.10 to +0.27)ContinueEstimate 40% (95% CI 29% to 48%); keep collecting.

Arms at a glance

CohortNew usersHuman-touch ticketsPer 100 new usersSelf-service containmentMedian time to first taskSentiment (n)
Treatment: nudges + tier-01,58224115.264%8.9 h3.52 (771)
Control: current help1,59240125.234%14.0 h3.33 (737)

Adjustment log

Adjusting criterion: the partner changes course in real time, at its own discretion and inside the fixed price. No added Government funding.

WeekSiteSignalChange made
2Site D (Saltmarsh)Containment 43% (< 55%)Review unanswered questions; add 5 approved articles; move the walkthrough nudge from 48 h to 24 h
3Site D (Saltmarsh)Containment 51% (< 55%)Keep the change; re-check next week
4Site D (Saltmarsh)Containment 51% (< 55%)Keep the change; re-check next week
5Site D (Saltmarsh)Containment 52% (< 55%)Keep the change; re-check next week
6Site D (Saltmarsh)Containment 52% (< 55%)Keep the change; re-check next week

Containment shown is cumulative since go-live, so it rises slowly after a fix. Sites monitored: 8. Synthetic.

Outcome-based milestones

Each payment is tied to a measurable outcome, not to hours or level of effort.

Illustrative, from the solution brief. Figures show the proposed payment structure; they are not a price quote, an award or a Government commitment.
IDMilestoneMeasurable outcome (acceptance)EvidencePayment
M1Baseline instrumentation liveGo-live radar reports adoption, time to first success, containment, tickets per 100 new users and sentiment for every pilot site, with a two-week baseline.Radar access for the Government; baseline report$30,000
M2Tier-0 assistant in a sandbox with an approved content setAssistant answers only from a Government-approved content set, cites every answer, hands off below the confidence threshold with a context packet.Sandbox demo; content set sign-off; hand-off test log$40,000
M3Pilot cohort results measured against controlRandomized treatment vs control results on tickets per 100 new users and sentiment, with 95% confidence intervals and the weekly decision log.Experiment ledger export; analysis notebook$45,000
M4Insights report and go/no-go recommendationThemes from unresolved questions mapped to backlog items, plus a go/no-go recommendation on scaling.Insights report; backlog items filed with product teams$20,000
SSuccess-based paymentMet in this synthetic runPaid only if the 30% reduction threshold is met: point estimate at or above 30%, 95% interval excludes no effect, sentiment non-inferior (lower bound at or above -0.10).M3 ledger result$15,000
Total (illustrative), of which $15,000 is at risk on outcome$150,000