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.

FA

Frank Adler

PT-000026 · USC-900026 · EPI-2026-0026

PCM ActiveMedium riskMedicare AdvantageStones
Specialist Post-SurgicalPost-Surgical SPOCDischarge ListAI 67%Urology Post-Surgical RecoveryLongitudinalTCMDMEPost-Acute

NBA: Verify DME delivery + patient education

Reason codes: ED_INDEX_VISIT, HIGH_LOS

Outreach

2

PCM Min.

22

Paid $

$186

Age / Sex

55 · M

ZIP

90034

Language

English

Payer

Humana Medicare Advantage

Procedure

Ureteroscopy

Surgeon

Dr. Daniel Park

Surgery Site

Keck Hospital of USC

Surgery Date

Jan 20, 2026

Discharge

Jan 21, 2026

LOS

1d

Status

PCM Active

Consent

On file

Episode Timeline

22 events

Program Assignment · DME · Eligible

2026-01-12 00:00

Accepted (assigned by AI Engine)

Intake Trigger · Discharge List · USC Discharge Planner

2026-01-12 07:15

Routed at 2026-01-12 00:00

AI Detection · AI score 67%

2026-01-12 07:15

ED_INDEX_VISIT, HIGH_LOS

Program Assignment · TCM · Eligible

2026-01-13 00:00

Accepted (assigned by AI Engine)

Program Assignment · Post-Acute · Eligible

2026-01-14 00:00

Accepted (assigned by STF-009)

Order Set · Post-Urology Discharge Bundle · Activated

2026-01-14 00:00

4 orders

Workflow Task · Initiate DME · Done

2026-01-15 00:00

DME · Ops Coordinator

Surgery · Ureteroscopy

2026-01-20

Dr. Daniel Park

DME Order · Pacific DME (mock) · 1 item(s) · Shipped

2026-01-20 00:00

A4338 Foley catheter, 2-way, 30d supply

Discharge · LOS 1d

2026-01-21

Outreach · Attempt 1 · Left Voicemail

2026-01-22 13:30

Felix Stone

Outreach · Attempt 2 · TCM Accepted

2026-01-24 15:15

Jamal Carter

TCM Encounter · In-Person · CPT 99495

2026-01-28

Note sent to USC

Billing · TCM Encounter · CPT 99495 · Paid

2026-01-28

$186 / $186

Steerage · Lab → USC

2026-02-03

Keck Hospital of USC

Satisfaction · Post-TCM · 4.8/5

2026-02-03

Wish I had received clearer medication instructions.

PCM Enrollment · Enrolled · consent signed

2026-02-07

PCM Activity · Care Plan Review · 10m

2026-02-14 11:30

Naomi Reyes

PCM Activity · Specialist Coordination · 19m

2026-03-20 12:00

Naomi Reyes

PCM Activity · Care Plan Review · 7m

2026-03-25 09:30

Naomi Reyes

PCM Activity · Patient Education · 16m

2026-04-14 11:40

Naomi Reyes

PCM Activity · Symptom Check · 6m

2026-04-14 16:10

Elena Rivera

Outreach Attempts

IDAttemptDatetimeOutcomeStaffMin
OUT-0060#12026-01-22 13:30Left VoicemailFelix Stone4
OUT-0061#22026-01-24 15:15TCM AcceptedJamal Carter14

TCM Encounters

IDEncounterTypeCPTDoc CompleteNote → USCStaff
TCM-00182026-01-28In-Person99495YesYesElena Rivera

1 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.

  • Log additional PCM time this month

    Medium

    Current month at 22m; need 8m more to bill 99426

    Owner: RN

  • Backfill Utilization Outcomes RWE

    Low

    Utilization Outcomes only 36% complete

    Owner: Ops Coordinator

  • Backfill PCM Monthly Activity RWE

    Low

    PCM Monthly Activity only 31% complete

    Owner: Ops Coordinator