SPOC-CO
Synthetic data prototype — no PHI. Numbers, names, and IDs are fabricated for design review only.

Patient 360

Longitudinal Episode View

Search a synthetic patient or episode to inspect discharge → TCM → PCM → billing → outcomes end-to-end.

PE

Patricia Evans

PT-000005 · USC-900005 · EPI-2026-0005

OutreachMedium riskMedicareBPH
Specialist Post-SurgicalPost-Surgical SPOCSurgery ScheduleAI 75%Urology Post-Surgical RecoveryRouted - OutreachTCMDMEPost-Acute

NBA: Verify DME delivery + patient education

Reason codes: AGE>=65, PRIOR_COMPLICATION, PAYER_PCM_ELIGIBLE

Outreach

4

PCM Min.

0

Paid $

$0

Age / Sex

72 · F

ZIP

90027

Language

English

Payer

Medicare FFS

Procedure

TURP

Surgeon

Dr. Rebecca Lim

Surgery Site

Keck Hospital of USC

Surgery Date

Mar 22, 2026

Discharge

Mar 25, 2026

LOS

3d

Status

Outreach

Consent

On file

Episode Timeline

18 events

Intake Trigger · Surgery Schedule · USC Surgical Scheduling System

2026-03-11 17:00

Routed at 2026-03-11 00:00

AI Detection · AI score 75%

2026-03-11 17:00

AGE>=65, PRIOR_COMPLICATION, PAYER_PCM_ELIGIBLE

Program Assignment · TCM · Eligible

2026-03-12 00:00

Accepted (assigned by AI Engine)

Program Assignment · DME · Eligible

2026-03-12 00:00

Accepted (assigned by AI Engine)

Program Assignment · Post-Acute · Eligible

2026-03-12 00:00

Accepted (assigned by AI Engine)

Order Set · Post-Urology Discharge Bundle · Activated

2026-03-12 00:00

4 orders

Workflow Task · Initiate DME · Done

2026-03-21 00:00

DME · Ops Coordinator

Surgery · TURP

2026-03-22

Dr. Rebecca Lim

DME Order · Pacific DME (mock) · 2 item(s) · Delivered

2026-03-24 00:00

A4338 Foley catheter, 2-way, 30d supply · E0114 Crutches, underarm, pair

Discharge · LOS 3d

2026-03-25

Outreach · Attempt 1 · TCM Accepted

2026-03-25 17:45

Felix Stone

Outreach · Attempt 2 · No Answer

2026-03-27 15:00

Jamal Carter

Outreach · Attempt 3 · TCM Declined

2026-03-29 15:00

Felix Stone

DME Fulfillment · Delivered via Local Courier

2026-03-30

Patient education complete

Outreach · Attempt 4 · No Answer

2026-03-31 12:00

Jamal Carter

TCM Encounter · Telehealth · CPT 99495

2026-04-05

Note sent to USC

Steerage · Follow-up → USC

2026-04-13

Keck Hospital of USC

Exception · TCM Not Scheduled · High · Open

2026-04-28 13:00

Sofia Diaz

Outreach Attempts

IDAttemptDatetimeOutcomeStaffMin
OUT-0010#12026-03-25 17:45TCM AcceptedFelix Stone3
OUT-0011#22026-03-27 15:00No AnswerJamal Carter4
OUT-0012#32026-03-29 15:00TCM DeclinedFelix Stone11
OUT-0013#42026-03-31 12:00No AnswerJamal Carter4

TCM Encounters

IDEncounterTypeCPTDoc CompleteNote → USCStaff
TCM-00322026-04-05Telehealth99495YesYesJamal Carter

Actionable Chat

Synthetic
I can answer questions about this patient's EPIC workflow, intake trigger, pathway, programs, order set, tasks, and billing evidence. Try one of the suggested prompts below.

Next Best Actions

Rule-based recommendations derived from the patient's current state.

  • Resolve exception: TCM Not Scheduled

    Critical

    Open 0d, assigned to Sofia Diaz

    Owner: RN

  • Offer PCM enrollment

    Medium

    TCM completed; patient not yet enrolled in PCM

    Owner: NP

  • Backfill PROMs RWE

    Low

    PROMs only 42% complete

    Owner: Ops Coordinator

Open Exceptions

  • TCM Not Scheduled

    0d open · Open

    High