Skip to main content

Tapering Engine

What Tapering Governance Is

Tapering governance manages the process of medication reduction within defined bounds. It is not clinical automation. It is not prescribing authority. It is operational infrastructure that executes within protocol constraints.

Figure 1: Deterministic Simulation Logic (GLP-1 Cohort)

Protocol-Driven Eligibility

Eligibility for tapering is determined by protocol criteria, not individual discretion. Protocols define thresholds for metabolic stability, adherence history, and contraindication screening. Eligibility is reproducible.

Human Review Role

Human clinical oversight is applied where protocols require judgment. Review is not discretionary—it is structurally mandated at defined decision points. Decisions requiring judgment are not automated.

Exception Handling

Exceptions are expected and handled explicitly. When member response diverges from protocol expectations, exception pathways engage. Exceptions are documented and inform protocol calibration.