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Snapshot · OMB 2025 inventory · processed Oct 11, 2026
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.

Agency
Stage1
High-impact
Topic
AI type
Sourcing
Vendor
No options match.
Function1
Start year

Only records with a parseable start date match a year filter.

Function: Clinical and medicalStage: Retired

Practice-by-practice evidence

Denominator: 6 records · use cases designated high-impact
No answer reported
PracticeIn scopeIn placeIn progressNot in placeN/APrecluded or waivedOtherNo answerAnsweredIn place of applicable
Pre-deployment testing600000060%0% of 6
AI impact assessment600000060%0% of 6
Independent review600000060%0% of 6
Ongoing monitoring600000060%0% of 6
Operator training600000060%0% of 6
Fail-safe600000060%0% of 6
Appeal process600000060%0% of 6
User and public consultation600000060%0% of 6

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 placeAnswered
Agency by governance practice
TestingImpact assess.Indep. reviewMonitoringTrainingFail-safeAppealConsultationn
VA––––––––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

6 records with at least one practice unanswered or in progressOpen in explorer
Use caseStageTestAIAReviewMonitorTrainFail-safeAppealConsult
AgileMD eCART Clinical Deterioration Model
VA · VA-24-1565
RetiredNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reported
ICU CIS/ARK PDF Medical Entity and Clinical Scoring Extraction (PHI 3.5 LLM)
VA · VA-24-2869
RetiredNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reported
Clinical Key | Elsevier
VA · VA-24-3488
RetiredNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reported
WAVE Clinical Platform
VA · VA-24-3828
RetiredNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reported
Medical Imaging Auto-segmentation
VA · VA-24-5013
RetiredNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reported
VSTOne – AI-Driven Patient Monitoring and Care Delivery
VA · VA-24-5050
RetiredNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reportedNo answer reported

Unanswered analytical questions

Generated from the data; for follow-up with agencies
  1. VA designated 6 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?

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