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.

SH

Samuel Hernandez

PT-000008 · USC-900008 · EPI-2026-0008

PCM ActiveMedium riskMedicare AdvantageStones
Specialist Post-SurgicalPost-Surgical SPOCSurgery ScheduleAI 97%Urology Post-Surgical RecoveryLongitudinalTCMDMEPost-Acute

NBA: Verify DME delivery + patient education

Reason codes: ABNORMAL_LABS, HIGH_RISK_PROC, MULTI_CHRONIC

Outreach

2

PCM Min.

34

Paid $

$184

Age / Sex

60 · M

ZIP

90061

Language

Spanish

Payer

Humana Medicare Advantage

Procedure

Stone Removal

Surgeon

Dr. Eliot Kashani

Surgery Site

USC Pasadena Surgery Center

Surgery Date

Feb 22, 2026

Discharge

Feb 23, 2026

LOS

1d

Status

PCM Active

Consent

On file

Episode Timeline

22 events

Program Assignment · TCM · Eligible

2026-02-06 00:00

Not accepted (Pass payer check)

Program Assignment · Post-Acute · Eligible

2026-02-06 00:00

Accepted (assigned by AI Engine)

Order Set · Post-Urology Discharge Bundle · Activated

2026-02-06 00:00

4 orders

Intake Trigger · Surgery Schedule · USC Surgical Scheduling System

2026-02-06 18:15

Routed at 2026-02-07 00:00

Program Assignment · DME · Eligible

2026-02-08 00:00

Accepted (assigned by STF-010)

Surgery · Stone Removal

2026-02-22

Dr. Eliot Kashani

DME Order · Synthetic Medical Supply Co · 2 item(s) · Delivered

2026-02-22 00:00

E0163 Bedside commode chair · A4338 Foley catheter, 2-way, 30d supply

Discharge · LOS 1d

2026-02-23

Outreach · Attempt 1 · TCM Accepted

2026-02-23 11:30

Jamal Carter

Outreach · Attempt 5 · Call Back Requested

2026-02-24 08:15

Sofia Diaz

DME Fulfillment · Delivered via UPS

2026-02-27

Patient education pending

Exception · Referral Leakage Risk · Medium · Resolved

2026-03-01 12:00

Sofia Diaz

TCM Encounter · Telehealth · CPT 99495

2026-03-04

Note sent to USC

Billing · TCM Encounter · CPT 99495 · Paid

2026-03-04

$184 / $184

Satisfaction · Post-TCM · 3.6/5

2026-03-07

PCM Enrollment · Enrolled · consent signed

2026-03-11

Satisfaction · PCM Monthly · 3.8/5

2026-03-21

Care team called when they said they would.

PCM Activity · Phone Call · 5m

2026-04-06 09:20

Carmen Ortiz

PCM Activity · Phone Call · 19m

2026-04-09 17:50

Elena Rivera

PCM Activity · Specialist Coordination · 5m

2026-04-10 08:20

Naomi Reyes

Steerage · PT → USC

2026-04-18

USC Norris Cancer Hospital

PCM Activity · Phone Call · 5m

2026-04-18 17:20

Carmen Ortiz

Outreach Attempts

IDAttemptDatetimeOutcomeStaffMin
OUT-0019#12026-02-23 11:30TCM AcceptedJamal Carter18
OUT-0111#52026-02-24 08:15Call Back RequestedSofia Diaz7

TCM Encounters

IDEncounterTypeCPTDoc CompleteNote → USCStaff
TCM-00072026-03-04Telehealth99495YesYesElena Rivera

2 satisfaction survey(s) on file — see timeline.

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.

  • Backfill PROMs RWE

    Low

    PROMs only 46% complete

    Owner: Ops Coordinator

  • Backfill Satisfaction RWE

    Low

    Satisfaction only 35% complete

    Owner: Ops Coordinator

  • Backfill PCM Monthly Activity RWE

    Low

    PCM Monthly Activity only 38% complete

    Owner: Ops Coordinator