Screen 5 of 5
Methods and sources
What this prototype shows, where its content comes from, what is synthetic, and what it does not do.
How this maps to the four criteria
| Criterion | How CareLoop addresses it | See |
|---|---|---|
| Advancement | Moves from counting tickets to instrumenting every new user's first weeks, with proactive nudges and a tier-0 assistant that answers from approved content and hands off with context. | /radar |
| Learning | A stated hypothesis, a randomized control cohort, a primary measure with a 95% confidence interval and a sentiment guardrail, checked at pre-registered weekly looks. | /ledger |
| Adjusting | A stop/adjust rule plus a site-level adjustment log. Adjustments are made at the partner's discretion within the fixed price, without added Government funding. | /ledger#adjust |
| Solutions | Every payment is tied to a measurable outcome (M1-M4) and a success-based payment paid only if the 30% threshold is met. No labor-hour line items. | /ledger#milestones |
Fundamental prototype questions it speaks to
- What tools can we bring to bear to improve instrumentation of go-lives instead of merely counting tickets? (Go-live radar)
- Can we reduce dependence on legacy ITSM ticket thinking and become more proactive? (Nudge rules engine)
- Can we maximize the use of first-pass self-service support? (Tier-0 assistant, containment)
- What digital technologies can reduce the need for boots on the ground? (Self-service plus context-packet hand-offs)
- Can we adopt payment models that pay for insights and successes rather than labor? (Outcome milestones)
- Is our customer definition right? (Segment-aware answers: TRICARE beneficiary, Veteran, clinician)
Help content sources
18 public pages, 100 passages, retrieved 2026-10-29. All are U.S. Government works (17 U.S.C. 105), public domain in the U.S.
Why not health.mil or tricare.mil?
The first-choice sources were the MHS GENESIS Patient Portal help on health.mil and the TRICARE.mil FAQs. On 2026-10-29 those sites (and dha.mil and manuals.health.mil) answered automated requests with a JavaScript bot-challenge page, so we did not use them and did not try to get around it. We used public pages from the joint DoD/VA Federal Electronic Health Record Modernization office (fehrm.gov; the Federal EHR is the system the DoD deploys as MHS GENESIS), Military OneSource (a DoD program) and VA.gov's online health-tool help instead. At award, the content set would be the Government-approved one.
Rebuild locally with node scripts/build-corpus.mjs. It fetches each page, keeps the main content, splits it into passages of about 25-170 words under their headings, and writes data/corpus.json with the URL and retrieval date. Nothing runs in CI or on a schedule.
How the assistant answers
- Okapi BM25 (k1 = 1.2, b = 0.75) over passage headings and text, with light stemming, stopwords and a small everyday-words synonym list (for example “login” to “sign in”).
- Answers are extractive: 1-3 sentences quoted from one passage, with the passage ID, page title, publisher, link and retrieval date. Nothing is generated; there is no LLM and no API key.
- Confidence = 0.55 × word coverage + 0.45 × match strength, times a segment-fit factor (content written for another audience counts less). It answers at 0.55 or above with at least 50% of the user's words covered; otherwise it hands off with a context packet (question, segment, what was tried, suggested queue, transcript).
- Urgent wording (for example chest pain or suicide) skips retrieval and shows 911 and 988 guidance.
What is synthetic
- Go-live telemetry: a fictional product release at 8 fictional sites over 42 days, generated by a seeded simulation (seed 20261104, mulberry32). Same numbers on every load.
- The treatment effect in the experiment ledger is built into the simulation; it shows how the ledger works, not a measured result.
- The 35 unresolved questions on the insights screen were written for this prototype.
- Milestone amounts are illustrative, from the solution brief.
Privacy posture
- No PII or PHI. The prototype has no accounts, no server-side storage and no analytics. Questions and the event log stay in your browser (localStorage) and can be cleared from the assistant screen.
- The question box warns users not to type personal or health details. Context packets carry the question, segment and routing only.
- The design assumes, at award, a HIPAA Business Associate Agreement, hosting inside a DoD-authorized environment, and DoD identity for staff. None of that is claimed for this prototype.
Limitations
- The content set is a snapshot of 18 public pages, not the MHS GENESIS help library; answers about DoD-specific portal tasks often hand off by design.
- Keyword retrieval misses paraphrases that share no words with the content. A production version could add a vetted embedding model inside the boundary, keeping the same extract-and-cite rule.
- The rate-ratio interval assumes Poisson counts; real ticket data are often over-dispersed, so production analysis would use a negative binomial or bootstrap interval and account for site clustering.
- Weekly looks inflate the false-positive rate if read naively; the success stop requires the lower bound, not the point estimate, to clear 30%, and a production plan would set an alpha-spending rule.
- Theme-to-backlog mapping uses a hand-written rule table; new themes fall back to “needs triage”.
Independent prototype by Osonwanne Group LLC for an unsolicited solution brief to the Customer Care Prototyping Commercial Solutions Opening (HT0038-25-S-C002). It is not a Government system, not past performance and not affiliated with or endorsed by the Department of Defense, the Defense Health Agency or PEO DHMS.