Governance and accountability

Governance evidence

What agencies reported about the OMB M-25-21 minimum practices for high-impact AI. This is a disclosure analysis, not an audit, a compliance finding or an official assessment. An unanswered question is missing evidence, not evidence that a safeguard is absent.

Governance report

Practice-by-practice evidence

Denominator: 42 records · use cases designated high-impact

Reported in progressNo answer reported

Pre-deployment testing

Pre-deployment testing
Reported in progress: 6 (14.3%)Pre-deployment testing
No answer reported: 36 (85.7%)

AI impact assessment

AI impact assessment
Reported in progress: 6 (14.3%)AI impact assessment
No answer reported: 36 (85.7%)

Independent review

Independent review
Reported in progress: 6 (14.3%)Independent review
No answer reported: 36 (85.7%)

Ongoing monitoring

Ongoing monitoring
Reported in progress: 6 (14.3%)Ongoing monitoring
No answer reported: 36 (85.7%)

Operator training

Operator training
Reported in progress: 6 (14.3%)Operator training
No answer reported: 36 (85.7%)

Fail-safe

Fail-safe
Reported in progress: 6 (14.3%)Fail-safe
No answer reported: 36 (85.7%)

Appeal process

Appeal process
Reported in progress: 6 (14.3%)Appeal process
No answer reported: 36 (85.7%)

User and public consultation

User and public consultation
Reported in progress: 6 (14.3%)User and public consultation
No answer reported: 36 (85.7%)

Practice	In scope	In progress	No answer	Answered	In place of applicable
Pre-deployment testing	42	6	36	14%	0% of 42
AI impact assessment	42	6	36	14%	0% of 42
Independent review	42	6	36	14%	0% of 42
Ongoing monitoring	42	6	36	14%	0% of 42
Operator training	42	6	36	14%	0% of 42
Fail-safe	42	6	36	14%	0% of 42
Appeal process	42	6	36	14%	0% of 42
User and public consultation	42	6	36	14%	0% of 42

Answered = records with any answer ÷ records in scope. In place of applicable = reported in place ÷ (in scope minus not applicable, precluded and waived). Unanswered records stay in that denominator, so the rate is a lower bound on reported evidence, not an estimate of real practice.

Agency-by-safeguard heatmap

Cell: share reported in place, among applicable recordsIn place Answered

Agency by governance practice
	Testing	Impact assess.	Indep. review	Monitoring	Training	Fail-safe	Appeal	Consultation	n
VA	–	–	–	–	–	–	–	–	36
DOJ	0%	0%	0%	0%	0%	0%	0%	0%	6

Hatched cells: the agency answered nothing for that practice, so there is no evidence either way. Compare agencies with care: each agency is one reporting unit, and portfolios differ in size and type.

Records requiring further investigation

42 records with at least one practice unanswered or in progressOpen in explorer

Use case	Stage	Test	AIA	Review	Monitor	Train	Fail-safe	Appeal	Consult
ASCVD (Atherosclerotic Cardiovascular Disease) Risk Estimator DOJ · DOJ-0142	Deployed	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress
Automated Medication Dispensing Cabinet DOJ · DOJ-0143	Deployed	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress
Community Treatment Pipeline Screening DOJ · DOJ-0149	Deployed	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress
Medical Claims Adjudication DOJ · DOJ-0156	Deployed	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress
Medical Designations Calculator DOJ · DOJ-0157	Deployed	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress
Psychological Test Interpretation - Pearson Assessments DOJ · DOJ-0161	Deployed	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress	Reported in progress
VA CART Adenoma Detection VA · VA-24-2008	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Zio ECG Utilization Service VA · VA-24-2754	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
3M/Solventum 360 Encompass Computer Assisted Coding - Auto Suggestion VA · VA-24-3205	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
eCaremanager (Philips) VA · VA-24-3906	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
CareLink Home Monitoring VA · VA-24-4107	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Stratification Tool for Opioid Risk Mitigation (STORM) VA · VA-24-4152	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
REACH VET Suicide Risk Prediction and Recovery Engagement VA · VA-24-4234	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Velacur VA · VA-24-4279	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
RayStation 11B VA · VA-24-4443	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Preventice BodyGuardian Remote Monitoring System VA · VA-24-4599	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Persyst 14 EEG Review and Analysis Software VA · VA-24-4648	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
OPTIS Mobile Next Imaging System, OPTIS Integrated Next Imaging System VA · VA-24-4689	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
CARTO 3 EP Navigation System Software V8.0 (FG-5400-00, FG-5400-00U) VA · VA-24-5468	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Care Assessment Needs (CAN) Score VA · VA-24-5501	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
VA CART SYNTAX Risk Model VA · VA-24-5542	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
VA CART Mortality Model VA · VA-24-5583	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
VA CART Nephropathy Risk Model VA · VA-24-5624	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
BioPlex 2200 ANA Screen with Medical Decision Support Software for Use with BioPlex 2200 Multi-Analyte Detection System VA · VA-24-5714	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
VA CART Bleeding Risk Model VA · VA-24-5788	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Acumen Hypotension Prediction Index - EV1000 Clinical Platform, Acumen Hypotension Prediction Index - Hemosphere Advanced Monitoring Platform, Acumen Hypotension Prediction Index, Hemosphere Advanced Monitoring Platform - Pressure VA · VA-24-6042	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
No Missed Malignancy (NMM) VA · VA-25-2045	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
VASQIP Mortality Calculator VA · VA-25-4960	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Frailty Risk Analysis VA · VA-25-5001	Deployed	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
CCN Provider Directory VA · VA-25-817	Pre-deployment	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Pangaea VA · VA-24-1770	Pre-deployment	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Cogitativo VA · VA-24-1811	Pre-deployment	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Pharmacy AI Managed Inventory System (PHAIMIS) VA · VA-24-2828	Pre-deployment	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Fall Prediction Tool VA · VA-24-5579	Pre-deployment	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Veteran Rehabilitation Services VA · VA-25-4412	Pre-deployment	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Improve Care for Opioid Use Disorder VA · VA-25-4714	Pre-deployment	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Venous Care Pathway Improvement VA · VA-25-4942	Pre-deployment	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
ML Model for medication prediction VA · VA-25-5124	Pre-deployment	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Medsafely VA · VA-25-6373	Pre-deployment	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Predict Septic Shock in ICU Patients VA · VA-25-6638	Pre-deployment	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Lung Cancer Prediction Model VA · VA-24-3898	Pilot	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported
Screen for Esophageal Adenocarcinoma VA · VA-25-5375	Pilot	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported	No answer reported

Unanswered analytical questions

Generated from the data; for follow-up with agencies

VA designated 36 use cases high-impact but answered none of the minimum-practice questions for any of them. Were the practices assessed, and where is that recorded?
6 high-impact use cases are reported as deployed while their AI impact assessment is reported in progress. Was deployment authorised before the assessment was complete?
6 high-impact use cases report using PII but give no link to a Privacy Impact Assessment. Is a PIA published elsewhere?

These are questions the inventory raises but cannot answer. They are not findings of non-compliance.