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Soham Dinesh Tiwari

Publications and source records attributed to Soham Dinesh Tiwari.

2 recordsLinked to original sources

READY or Not: Reliable Enterprise Agent Deployment

An AI agent can perform well on benchmarks and still be unsuitable for deployment. Existing AI-agent benchmarks measure whether an agent can complete realistic professional work, whereas enterprise deployment asks a different question: whether an agent can meet a required reliability level, under acceptable human oversight, and at tolerable cost. We introduce Reliable Enterprise Agent Deployment (READY), a framework for qualifying AI agents for deployment on enterprise workflows. READY preserves each workflow's own definition of successful execution while applying a common qualification procedure. Given an agent, a workflow, and a class of candidate oversight policies, READY measures the reliability and operating cost of the human-AI system, selects the minimum-cost policy that satisfies a specified reliability target, and statistically qualifies it on held-out cases. The resulting deployment profile characterizes the supported operating point: reliability, human-oversight burden, and cost. READY is implemented as an open testbed that decouples workflow specification, execution, evaluation, and qualification, and runs on existing agent-evaluation infrastructure. In an end-to-end clinical-audit case study spanning 16 agent systems and 750 cases, READY reveals differences hidden by autonomous performance: two systems separated by only 0.3 points in autonomous accuracy (72.8% vs. 72.5%) require 39.2% versus 29.6% human review, respectively, to qualify at the same 76% reliability target under the evaluated oversight policy. READY thus shifts enterprise agent evaluation from how well can the agent perform the work? to under what conditions, and at what cost, can it be reliably deployed? By making those conditions explicit and statistically testable, READY provides a basis for comparing agent systems, setting oversight requirements, and making evidence-based deployment decisions.

cs.AI↗

CliniCARE-Bench: Clinical Calibrated Audit of Medical Reasoning in EHR

Large language models perform strongly on medical knowledge benchmarks, but reliable clinical deployment requires agents to conduct defensible investigations over heterogeneous, longitudinal records: determining what evidence is needed, retrieving and reconciling structured and free-text data, grounding conclusions in verifiable evidence, and deferring cases that cannot be resolved reliably. We introduce CliniCARE-Bench (Clinical Calibrated Audit of Medical Reasoning in EHR), a benchmark for retrospective clinical audit: 25 clinician-validated scenarios instantiated as 750 patient-specific cases over real-patient-derived MIMIC-IV data. Systems investigate each case through a governed, logged tool environment for record retrieval, computation, and policy access, and return one of four verdicts---Yes, No, Indeterminate: Lack of Data, or Indeterminate: Medically Ambiguous---the last two separating missing evidence from residual medical ambiguity. Beyond verdict accuracy, we score patient-evidence and policy grounding, process adherence, calibrated abstention, reliability, and efficiency against case-level reference verdicts produced by independent multi-model adjudication and calibrated against Clinical Board review. Every retrieval, computation, and report is replayable, so the investigation trace is inspectable and scorable. To our knowledge, CliniCARE-Bench is the first deployment-oriented clinical-agent benchmark to jointly evaluate real longitudinal EHR investigation, claim-level evidence grounding, governing-policy use, process adherence, and calibrated abstention within a common patient-level adjudication framework. Across 16 agentic systems, four-way accuracy spans 65.3-76.1%, but raw accuracy overstates investigation quality. Defect-free accuracy, which credits a verdict only when correct and free of prohibited shortcuts, is 4.8-14.8 points lower and reorders the leaderboard.

cs.AI↗