Problem
Context
HealthAssist AI is a customer-facing LLM that answers general wellness questions and drafts support responses for a telehealth platform. The team added a safety layer to block harmful or non-compliant outputs, but users now report that some safe questions are being refused while a smaller set of risky answers still slip through.
Current Performance
| Metric | Validation Set | Target | Notes |
|---|---|---|---|
| Safe response precision | 0.96 | >= 0.95 | Most allowed answers are actually safe |
| Safe response recall | 0.78 | >= 0.90 | Many safe queries are unnecessarily blocked |
| Harmful output rate | 1.8% | < 0.5% | Too many unsafe responses still reach users |
| Refusal rate | 24% | 10-15% | Over-refusal hurts usability |
| F1 score (safe vs unsafe) | 0.86 | >= 0.92 | Overall balance is weak |
| Calibration error | 0.11 | < 0.05 | Risk scores are poorly aligned to actual risk |
The Problem
The model appears conservative on benign prompts but still misses some genuinely unsafe outputs. Leadership wants a practical evaluation plan that improves both safety and answer quality without making the assistant unusable.
Requirements
- Interpret what the current metrics imply about safety vs usability tradeoffs.
- Identify likely failure modes causing both over-refusal and unsafe leakage.
- Propose an evaluation framework covering offline tests, human review, and launch gates.
- Recommend threshold, calibration, and policy improvements.
- Define how you would monitor post-launch drift and regressions.
Constraints
- Harmful medical advice is high-severity and must be minimized.
- Excessive refusals reduce user trust and support deflection.
- Human review budget covers only 2,000 prompts per week.
- Any production change must be explainable to compliance and policy teams.
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