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.

AW

Anthony Walker

PT-000022 · USC-900022 · EPI-2026-0022

OutreachMedium riskMedicareStones
Generalist Hospital-InitiatedGeneralist Acute CareEHR Symptom ClusterAI 67%Syncope / Arrhythmia PathwayRouted - OutreachTCMRPMIPCSpecialist Referral

NBA: Ship RPM device + activate transmissions

Reason codes: PAYER_PCM_ELIGIBLE, RECENT_FALL

Outreach

5

PCM Min.

0

Paid $

$0

Age / Sex

75 · M

ZIP

90008

Language

English

Payer

Medicare FFS

Procedure

Ureteroscopy

Surgeon

Dr. Daniel Park

Surgery Site

Keck Hospital of USC

Surgery Date

Jan 10, 2026

Discharge

Jan 10, 2026

LOS

0d

Status

Outreach

Consent

On file

Episode Timeline

20 events

Program Assignment · TCM · Eligible

2026-01-09 00:00

Accepted (assigned by AI Engine)

Program Assignment · RPM · Eligible

2026-01-09 00:00

Accepted (assigned by AI Engine)

Program Assignment · Specialist Referral · Pending Verification

2026-01-09 00:00

Not accepted (Pending payer check)

Intake Trigger · EHR Symptom Cluster · USC AI Symptom Detector

2026-01-09 13:15

Routed at 2026-01-10 00:00

AI Detection · AI score 67%

2026-01-09 13:15

PAYER_PCM_ELIGIBLE, RECENT_FALL

Surgery · Ureteroscopy

2026-01-10

Dr. Daniel Park

Discharge · LOS 0d

2026-01-10

Program Assignment · IPC · Eligible

2026-01-11 00:00

Accepted (assigned by STF-009)

Order Set · Syncope Monitoring Bundle · Pending Review

2026-01-11 00:00

3 orders · review pending

Outreach · Attempt 1 · Call Back Requested

2026-01-11 16:15

Felix Stone

Outreach · Attempt 2 · Left Voicemail

2026-01-12 09:00

Felix Stone

Outreach · Attempt 3 · No Answer

2026-01-13 14:15

Jamal Carter

RPM Enrollment · Weight scale · CPT 99453/99454/99458/99470

2026-01-14

27/30 transmission days

RPM Alert · 3 alert(s) in last 30d

2026-01-14

Weight scale

Outreach · Attempt 4 · Left Voicemail

2026-01-15 11:00

Jamal Carter

Outreach · Attempt 3 · TCM Accepted

2026-01-15 15:45

Felix Stone

IPC Consult · Pulmonology · CPT 99445

2026-01-18 00:00

Report complete

Utilization · Complication · Hydronephrosis

2026-01-19 21:00

In-network

TCM Encounter · Telehealth · CPT 99496

2026-01-24

Note pending

Steerage · Follow-up → External

2026-02-13

Community Health LA (External)

Outreach Attempts

IDAttemptDatetimeOutcomeStaffMin
OUT-0048#12026-01-11 16:15Call Back RequestedFelix Stone4
OUT-0049#22026-01-12 09:00Left VoicemailFelix Stone4
OUT-0050#32026-01-13 14:15No AnswerJamal Carter2
OUT-0051#42026-01-15 11:00Left VoicemailJamal Carter2
OUT-0113#32026-01-15 15:45TCM AcceptedFelix Stone8

TCM Encounters

IDEncounterTypeCPTDoc CompleteNote → USCStaff
TCM-00302026-01-24Telehealth99496YesNoNaomi Reyes

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.

  • Send TCM note to USC EHR

    High

    Documentation completed but note not transmitted

    Owner: RN

  • Offer PCM enrollment

    Medium

    TCM completed; patient not yet enrolled in PCM

    Owner: NP

  • Complete clinical review for order set

    High

    Order set OS-002 pending NP/MD review

    Owner: NP

  • Resolve RPM alert(s)

    High

    3 unresolved Weight scale alert(s) in last 30d

    Owner: RN