EPIC Workflows
Three EPIC Workflows · Comparative View
Compare Generalist Hospital-Initiated, Specialist Post-Surgical, and Office-Based Provider EPICs side-by-side. Click any card to drill into that EPIC's dedicated workflow page.
Generalist Hospital-Initiated
Detect deteriorating generalist patients in the ED/inpatient setting and route them to TCM, RPM, and specialist follow-up before discharge gaps cause readmission.
- ADT / ED / IP signal
- Condition detection
- Program assignment
- Order set
- Discharge planning
- TCM / RPM / Specialist
- Longitudinal transition
Specialist Post-Surgical
Activate post-surgical urology and prostate-cancer patients into a recovery bundle covering TCM, DME, post-acute monitoring, and PCM survivorship.
- Surgery schedule / Discharge list
- Post-discharge enrollment
- TCM encounter
- Post-acute coordination
- DME execution
- Follow-up orchestration
- PCM enrollment
- Monthly care management
- Complication detection
- RWE capture
Office-Based Provider
Operate PCP and specialty panels longitudinally — risk-stratify, enroll into PCM/APCM, run monthly management with IPC consults and optional RPM.
- Panel intake
- Risk stratification
- PCM / APCM assignment
- Outreach / consent
- Care plan creation
- Monthly management
- IPC consults
- RPM if needed
- Preventive / longitudinal
AI activation score by EPIC
Average per-episode AI confidence (0–100%) that the patient should be activated into a SPOC-CO program. Higher = stronger signal.
EPIC workflow activity
| Patient | EPIC Workflow | Trigger | Pathway | Active Programs | Stage | Owner | Next Best Action | Exceptions |
|---|---|---|---|---|---|---|---|---|
| Maria AlvarezEPI-2026-0001 | Specialist | Discharge List | Urology Post-Surgical Recovery | TCMDMEPost-Acute | Longitudinal | Specialist Surgical Pod | Verify DME delivery + patient education | 1 |
| Thomas BennettEPI-2026-0002 | Specialist | Surgery Schedule | Urology Post-Surgical Recovery | TCMDMEPost-Acute | Longitudinal | Specialist Surgical Pod | Verify DME delivery + patient education | 0 |
| Linda ChenEPI-2026-0003 | Generalist | Inpatient Rounding List | Cardiology SOB Pathway | TCMRPMSpecialist Referral | Longitudinal | Hospitalist Pod | Ship RPM device + activate transmissions | 0 |
| Robert DavisEPI-2026-0004 | Specialist | Discharge List | Urology Post-Surgical Recovery | TCMDMEPost-Acute | Longitudinal | Specialist Surgical Pod | Verify DME delivery + patient education | 1 |
| Patricia EvansEPI-2026-0005 | Specialist | Surgery Schedule | Urology Post-Surgical Recovery | TCMDMEPost-Acute | Routed - Outreach | Specialist Surgical Pod | Verify DME delivery + patient education | 1 |
| George FloresEPI-2026-0006 | Generalist | ADT Discharge | Syncope / Arrhythmia Pathway | TCMRPMIPCSpecialist Referral | Longitudinal | Hospitalist Pod | Ship RPM device + activate transmissions | 0 |
| Ellen GreeneEPI-2026-0007 | Office-Based | Specialist Panel Upload | PCP Chronic Disease APCM | APCMRPM | Longitudinal | PCP Office Pod | Ship RPM device + activate transmissions | 1 |
| Samuel HernandezEPI-2026-0008 | Specialist | Surgery Schedule | Urology Post-Surgical Recovery | TCMDMEPost-Acute | Longitudinal | Specialist Surgical Pod | Verify DME delivery + patient education | 0 |
| Denise JohnsonEPI-2026-0009 | Generalist | EHR Diagnosis Signal | Cardiology SOB Pathway | TCMRPMSpecialist Referral | Routed - Outreach | Hospitalist Pod | Ship RPM device + activate transmissions | 0 |
| William KimEPI-2026-0010 | Generalist | EHR Diagnosis Signal | Syncope / Arrhythmia Pathway | TCMRPMIPCSpecialist Referral | Triggered | Hospitalist Pod | Ship RPM device + activate transmissions | 1 |
| Barbara LawsonEPI-2026-0011 | Specialist | Discharge List | Urology Post-Surgical Recovery | TCMDMEPost-Acute | Longitudinal | Specialist Surgical Pod | Verify DME delivery + patient education | 1 |
| Charles MitchellEPI-2026-0012 | Generalist | Inpatient Rounding List | UTI / Infection Pathway | TCM | Routed - Outreach | Hospitalist Pod | Continue care plan; no urgent action | 1 |
| Susan NguyenEPI-2026-0013 | Specialist | Manual Referral | Urology Post-Surgical Recovery | TCMDMEPost-Acute | Longitudinal | Specialist Surgical Pod | Verify DME delivery + patient education | 1 |
| Donald OwensEPI-2026-0014 | Specialist | Surgery Schedule | Urology Post-Surgical Recovery | TCMDMEPost-Acute | Longitudinal | Specialist Surgical Pod | Verify DME delivery + patient education | 1 |
| Karen ParkEPI-2026-0015 | Generalist | EHR Diagnosis Signal | Syncope / Arrhythmia Pathway | TCMRPMIPCSpecialist Referral | Longitudinal | Hospitalist Pod | Ship RPM device + activate transmissions | 1 |
| Edward QuinnEPI-2026-0016 | Generalist | ADT Inpatient Admission | UTI / Infection Pathway | TCM | Longitudinal | Hospitalist Pod | Continue care plan; no urgent action | 0 |
| Helen ReyesEPI-2026-0017 | Specialist | Manual Referral | Prostate Cancer Recovery | TCMPCMPost-Acute | Longitudinal | Specialist Surgical Pod | Continue care plan; no urgent action | 1 |
| Henry SandersEPI-2026-0018 | Generalist | ADT Inpatient Admission | UTI / Infection Pathway | TCM | Routed - Outreach | Hospitalist Pod | Schedule TCM visit within 14d | 1 |
| Michelle TanakaEPI-2026-0019 | Office-Based | PCP Panel Upload | Specialty PCM Pathway | PCMIPC | Routed - Outreach | PCP Office Pod | Continue care plan; no urgent action | 0 |
| Kevin UnderwoodEPI-2026-0020 | Generalist | Inpatient Rounding List | UTI / Infection Pathway | TCM | Closed | Hospitalist Pod | Episode closed — survivorship surveillance only | 0 |
| Sandra VargasEPI-2026-0021 | Office-Based | PCP Panel Upload | PCP Chronic Disease APCM | APCMRPM | Longitudinal | PCP Office Pod | Ship RPM device + activate transmissions | 0 |
| Anthony WalkerEPI-2026-0022 | Generalist | EHR Symptom Cluster | Syncope / Arrhythmia Pathway | TCMRPMIPCSpecialist Referral | Routed - Outreach | Hospitalist Pod | Ship RPM device + activate transmissions | 0 |
| Donna XuEPI-2026-0023 | Specialist | Surgery Schedule | Urology Post-Surgical Recovery | TCMDMEPost-Acute | Longitudinal | Specialist Surgical Pod | Verify DME delivery + patient education | 0 |
| Brian YoungEPI-2026-0024 | Generalist | EHR Symptom Cluster | Cardiology SOB Pathway | TCMRPMSpecialist Referral | Routed - Outreach | Hospitalist Pod | Schedule TCM visit within 14d | 0 |
| Emily ZhangEPI-2026-0025 | Generalist | ADT Inpatient Admission | UTI / Infection Pathway | TCM | Longitudinal | Hospitalist Pod | Continue care plan; no urgent action | 0 |
| Frank AdlerEPI-2026-0026 | Specialist | Discharge List | Urology Post-Surgical Recovery | TCMDMEPost-Acute | Longitudinal | Specialist Surgical Pod | Verify DME delivery + patient education | 0 |
| Grace BrooksEPI-2026-0027 | Specialist | Surgery Schedule | Urology Post-Surgical Recovery | TCMDMEPost-Acute | Routed - Outreach | Specialist Surgical Pod | Schedule TCM visit within 14d | 0 |
| Howard CarterEPI-2026-0028 | Office-Based | Specialist Panel Upload | Specialty PCM Pathway | PCMIPC | Longitudinal | PCP Office Pod | Continue care plan; no urgent action | 0 |
| Irene DelgadoEPI-2026-0029 | Office-Based | Specialist Panel Upload | Specialty PCM Pathway | PCMIPC | Care Plan Active | PCP Office Pod | Confirm PCM consent + enroll | 0 |
| James EllisEPI-2026-0030 | Generalist | ADT ED Arrival | Syncope / Arrhythmia Pathway | TCMRPMIPCSpecialist Referral | Routed - Outreach | Hospitalist Pod | Ship RPM device + activate transmissions | 0 |
| Janet FosterEPI-2026-0031 | Generalist | ADT Inpatient Admission | UTI / Infection Pathway | TCM | Longitudinal | Hospitalist Pod | Continue care plan; no urgent action | 0 |
| Kenneth GarciaEPI-2026-0032 | Generalist | Inpatient Rounding List | Syncope / Arrhythmia Pathway | TCMRPMIPCSpecialist Referral | Triggered | Hospitalist Pod | Schedule TCM visit within 14d | 0 |
| Laura HayesEPI-2026-0033 | Office-Based | Manual Referral | Specialty PCM Pathway | PCMIPC | Routed - Outreach | PCP Office Pod | Continue care plan; no urgent action | 0 |
| Mark IversonEPI-2026-0034 | Generalist | ADT Discharge | UTI / Infection Pathway | TCM | Longitudinal | Hospitalist Pod | Continue care plan; no urgent action | 0 |
| Nancy JacobsEPI-2026-0035 | Office-Based | Manual Referral | Specialty PCM Pathway | PCMIPC | Routed - Outreach | PCP Office Pod | Continue care plan; no urgent action | 0 |
| Oscar KleinEPI-2026-0036 | Specialist | Discharge List | Urology Post-Surgical Recovery | TCMDMEPost-Acute | Routed - Outreach | Specialist Surgical Pod | Schedule TCM visit within 14d | 0 |
| Peggy LopezEPI-2026-0037 | Office-Based | PCP Panel Upload | Specialty PCM Pathway | PCMIPC | Routed - Outreach | PCP Office Pod | Continue care plan; no urgent action | 0 |
| Quincy MorrisonEPI-2026-0038 | Specialist | Discharge List | Urology Post-Surgical Recovery | TCMDMEPost-Acute | Routed - Outreach | Specialist Surgical Pod | Schedule TCM visit within 14d | 0 |
| Rachel NewmanEPI-2026-0039 | Office-Based | Specialist Panel Upload | PCP Chronic Disease APCM | APCMRPM | Longitudinal | PCP Office Pod | Ship RPM device + activate transmissions | 0 |
| Steven OrtegaEPI-2026-0040 | Specialist | Discharge List | Urology Post-Surgical Recovery | TCMDMEPost-Acute | Longitudinal | Specialist Surgical Pod | Verify DME delivery + patient education | 0 |
| Teresa PruittEPI-2026-0041 | Specialist | Discharge List | Urology Post-Surgical Recovery | TCMDMEPost-Acute | Closed | Specialist Surgical Pod | Verify DME delivery + patient education | 0 |
| Vincent RomeroEPI-2026-0042 | Generalist | ADT Discharge | Syncope / Arrhythmia Pathway | TCMRPMIPCSpecialist Referral | Longitudinal | Hospitalist Pod | Ship RPM device + activate transmissions | 0 |
| Wendy SullivanEPI-2026-0043 | Specialist | Surgery Schedule | Urology Post-Surgical Recovery | TCMDMEPost-Acute | Triggered | Specialist Surgical Pod | Schedule TCM visit within 14d | 0 |
| Xavier ThompsonEPI-2026-0044 | Specialist | Surgery Schedule | Urology Post-Surgical Recovery | TCMDMEPost-Acute | Routed - Outreach | Specialist Surgical Pod | Schedule TCM visit within 14d | 0 |
| Yvonne UnderhillEPI-2026-0045 | Generalist | ADT Inpatient Admission | UTI / Infection Pathway | TCM | Triggered | Hospitalist Pod | Schedule TCM visit within 14d | 0 |
| Zachary VelascoEPI-2026-0046 | Office-Based | Manual Referral | Specialty PCM Pathway | PCMIPC | Care Plan Active | PCP Office Pod | Confirm PCM consent + enroll | 0 |
| Alice WhitakerEPI-2026-0047 | Specialist | Manual Referral | Prostate Cancer Recovery | TCMPCMPost-Acute | Care Plan Active | Specialist Surgical Pod | Confirm PCM consent + enroll | 0 |
| Bruce XiongEPI-2026-0048 | Specialist | Discharge List | Urology Post-Surgical Recovery | TCMDMEPost-Acute | Routed - Outreach | Specialist Surgical Pod | Schedule TCM visit within 14d | 0 |
| Carol YoderEPI-2026-0049 | Generalist | ADT Inpatient Admission | UTI / Infection Pathway | TCM | Care Plan Active | Hospitalist Pod | Continue care plan; no urgent action | 0 |
| Dennis ZimmermanEPI-2026-0050 | Generalist | EHR Symptom Cluster | Syncope / Arrhythmia Pathway | TCMRPMIPCSpecialist Referral | Routed - Outreach | Hospitalist Pod | Schedule TCM visit within 14d | 0 |