Situation
A healthcare operator deployed diagnostic-assist agents integrated with imaging and scheduling systems. Workloads were patient-adjacent. Downtime and wrong outputs both carried regulatory and clinical risk.
What was at stake
An agent that entered a logic loop or installed incompatible dependencies could delay reads and cascade to appointment backlog. No governed kill-switch meant operators feared 'turning it off' as much as 'leaving it on.'
What Threesixty did
Scoped HIPAA-aligned controls: data boundaries, access logging, and breach-ready incident narratives.
Implemented governed kill-switch and restore to last-known-good with mandatory operator sign-off.
Assigned 24/7 follow-the-sun coverage with SLA-aligned response for covered diagnostic agents.
Ran safety and drift checks on model and prompt changes before production promotion.
Technical approach
ClawGuard policies block unauthorised tool actions; gateway safety middleware inspects requests/responses. Multi-agent backups with per-agent restore paths; Command Center operator audit log for all kill-switch and restore actions. Client portal SLA tracker for internal stakeholders; data processing boundaries documented for GDPR/HIPAA-aligned vendor review.
Results
- Achieved 99.95% uptime on covered diagnostic workflows over twelve months.
- Zero patient-impact events attributed to uncontrolled agent failure modes in scope.
- One hundred percent of recovery events completed within contracted SLA windows.
- Clinical governance committee received audit-ready incident summaries, not engineering jargon.