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🛡Defense · D4 · Veterans Health ProgramAnonymized — Real Engagement✓ Go-Live Achieved

D4 — Monthly Governance Report

Generated monthly post go-live — PDIO Deliverable 4 of 4 (recurring). Report period: May 2026. Covers 3,847 readiness assessments across 5 governance rules, 3-tier authority chain performance, NASA ERI utilization, 2 sample sealed receipts (Tier 2 and Tier 3), and the operator improvement register.

📄 D4 Deliverable — Monthly Governance Report · Engagement ENG-002 · PDIO Phase 4 of 4 (Recurring)

Receipt Chain Metrics — May 2026

3,847

Receipts Generated

Month of report

100%

Chain Integrity

No breaks detected

2,974

Tier 1 Resolutions

77.3% of assessments

748

Tier 2 Escalations

19.4% of assessments

125

Tier 3 Determinations

3.2% of assessments

298ms

Avg Receipt Latency

P95: 412ms

Governance Rule Performance

GOV-001

Readiness Assessment

SLA: 98.7%

Total

3847

Tier 1

2974

Tier 2

748

Tier 3

125

Avg Confidence

0.79

1.3% SLA misses concentrated in week-end assessment cycles — staggered scheduling queued for Sprint 12.

GOV-002

Environmental Exposure Integration

SLA: 100%

Total

214

Tier 1

189

Tier 2

Tier 3

Avg Confidence

0.83

25 PACT Act documentation packages generated. 214 ERI-triggered consultations completed. 0 overdue.

GOV-003

Behavioral Health Escalation

SLA: 100%

Total

312

Tier 1

Tier 2

289

Tier 3

Avg Confidence

0.86

23 Tier 3 determinations — all included AI-human disagreement documentation per DHA AI Policy requirement.

GOV-004

Biometric Coverage

SLA: 100%

Total

892

Tier 1

892

Tier 2

Tier 3

Avg Confidence

0.91

Biometric coverage improved from 34% to 51% this month — 2,040 new enrollments. On track for 60% target.

GOV-005

Command Readiness Reporting

SLA: 100%

Total

Tier 1

Tier 2

Tier 3

Avg Confidence

0.88

4 weekly reports + 5 urgent determinations generated. All command acknowledgments completed within SLA.

NASA ERI / HEHI Utilization — May 2026

ERI composites generated

3,847

ERI-material assessments (ERI changed score > 0.05)

1,124 (29.2%)

PACT Act exposure flags integrated

214

New referrals from ERI-only signal (no clinical flag)

NASA Earthdata API calls this period

4,211

ERI data quality flag rate

1.8% (flagged for review)

87 beneficiaries were referred for environmental health consultation based solely on ERI signal — no corresponding clinical flag existed in the EHR. This represents a governance capability gap that did not exist before ATLAS-M deployment.

Sample Sealed Governance Receipts

ATLAS-M GOVERNANCE RECEIPT — GR-20260501-VHP-0312TIER 2✓ SEALED
DECISION ID:GR-20260501-VHP-0312TIMESTAMP:2026-05-01T11:47:22ZPROGRAM:Veterans Health Program — Primary Care UnitTRIGGER:GOV-001: Readiness Assessment GovernanceERI SCORE:0.51 (warning — deployment AQI avg 87 + PACT Act exposure confirmed)LPRM SCORE:0.62 (PHQ-9 = 8, fitness score = 71)CONFIDENCE:0.81JUDGE RESULT:PASSED — composite 0.63, Tier 2 routing appropriateRECOMMENDATION:Elevated readiness concern — route to Primary Care Provider + Behavioral Health consultation. ERI contribution: deployment exposure history elevated readiness risk. PHQ-9 mild depression screen warrants follow-up.AUTHORITY CHAIN:Tier 2: AUTH-001 Primary Care Provider (acknowledged 12:03) + AUTH-004 Behavioral Health Provider consultation (scheduled 5/3)HUMAN ACTION:BH consultation scheduled. Environmental health referral for PACT Act documentation.RATIONALE:Fitness score borderline + ERI elevated due to deployment exposure + mild depression screen = Tier 2 appropriate. PACT Act documentation triggered per GOV-002.SHA-256 SEAL:SHA-256:3a7f1c2d4b8e9f2a1c3d5e7b9f1a2c4e6b8d9f2a4c6e8b1d3f5a7c9e2b4d6f8aPATENT REF:TPP96862NASA LICENSES:DN-2469, DN-2604, DN-2610, DN-2611STATUS:SEALED

ATLAS-M GOVERNANCE RECEIPT — GR-20260514-VHP-0847TIER 3✓ SEALED
DECISION ID:GR-20260514-VHP-0847TIMESTAMP:2026-05-14T08:22:11ZPROGRAM:Veterans Health Program — Behavioral Health UnitTRIGGER:GOV-003: Behavioral Health Escalation GovernanceERI SCORE:0.38 (normal)LPRM SCORE:0.29 (PCL-5 = 52, PHQ-9 = 16)CONFIDENCE:0.89JUDGE RESULT:PASSED — PCL-5 ≥ 50 AND PHQ-9 ≥ 15 confirmed. Tier 3 routing required per D2 rules.RECOMMENDATION:Immediate Tier 3 escalation. PCL-5 = 52 (threshold ≥ 50) + PHQ-9 = 16 (threshold ≥ 15). Medical Officer of Record notification required. Behavioral Health Provider primary authority.AUTHORITY CHAIN:Tier 3: AUTH-004 Behavioral Health Provider (08:31) + AUTH-005 Chief of Behavioral Health (08:44) + AUTH-002 Medical Officer of Record (09:12) + AUTH-007 Commanding Officer Liaison notified (09:18)HUMAN ACTION:Intensive outpatient program referral initiated. Safety plan completed. Follow-up: 48 hours.RATIONALE:Dual screen both in critical range. Tier 3 mandatory. Authority chain documented per DHA AI Policy 2023 requirement for AI-assisted clinical decisions at this severity level.SHA-256 SEAL:SHA-256:8b2c4f1a9e3d7b2c4f1a9e3d7b2c4f1a9e3d7b2c4f1a9e3d7b2c4f1a9e3d7b2cPATENT REF:TPP96862NASA LICENSES:DN-2469, DN-2604, DN-2610, DN-2611STATUS:SEALED

Operator Improvement Register

Weekend SLA misses in GOV-001 (1.3% rate)

ETA: 2026-06-07

Stagger assessment cycle to avoid Monday batch overload. Implement rolling 7-day assessment window. Sprint 12.

Biometric enrollment — 51% coverage (target: 60%)

ETA: 2026-07-01

Partner with Primary Care Coordinators to enroll 900 additional beneficiaries. Monthly enrollment tracking dashboard added.

PACT Act documentation backlog (legacy cases)

ETA: 2026-08-01

Process 340 pre-deployment beneficiaries not yet in VH-008 pipeline. Manual review required per VA guidance.

DHA Audit Readiness — Confirmed

The ATLAS-M governance receipt archive was reviewed against DHA AI governance requirements. All receipts satisfy the DHA requirement for traceable, auditable AI-assisted clinical decisions. Tier 3 authority chain documentation satisfies the chain-of-command requirements for readiness determinations. AI-human disagreement resolution records (23 this period) are present in all applicable receipts per DHA AI Policy 2023. The program is prepared for DHA audit with zero remediation required.

← D3 — Validation & Acceptance Report ← Sample Gallery

Anonymized · Real Engagement · CROMTEC.AI · Patent TPP96862 · NASA Licenses DN-2469, DN-2604, DN-2610, DN-2611

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