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

EPIC · Generalist Hospital-Initiated

ADT- and EHR-driven SPOC-CO activations led by the Hospitalist Pod. ED arrivals, inpatient admits, discharge planners, problem-list watchers, and AI symptom clusters route to TCM, RPM, IPC, and specialist referrals.

Filters
Synthetic data prototype — no PHI. Numbers, names, and IDs are fabricated for design review only.
Core Flow
Patient identificationCondition detectionProgram assignmentOrder set automationDischarge planningTCM activationLongitudinal transitionConnected monitoring

Condition Routing

Signals coming through the Intake Engine are normalized into condition groups and routed to a pathway.

  • Shortness of breathCardiology pathwayPWY-001
  • SyncopeCardiac + neuro pathwayPWY-002
  • Urinary tract infection (UTI)Infection pathwayPWY-003
  • Heart symptoms (chest pain, arrhythmia)Cardiology referral / monitoringPWY-001
SOB Cardiology Bundle
ROCT / 93229 cardiac monitor12-lead EKGCardiology consultRPM enrollment if indicated
Syncope Monitoring Bundle
EKGExternal cardiac monitor (93241)Cardiology consult (99445)RPM if indicated
Infection Pathway
TCM 7d follow-upRepeat labs (CBC + UA)Medication reviewTCM/PCM enrollment if indicated

Operational Charts

Click a bar to open intake routing.

Click a slice to open intake routing.

Click a bar to open containment.

Click a bar to open order sets.

Click a slice to open TCM.

Click a bar to open intake routing.

< 4h4–12h12–24h> 24h

Worklist

One row per generalist episode with trigger, condition, AI score, pathway, recommended program, current stage, and next best action.

20 episodesHospitalist Pod
20 episodes
PatientTriggerSourceCondition GroupAI ScorePathwayRecommendedStageNext Best ActionOpen Tasks
Linda ChenEPI-2026-0003Inpatient Rounding ListKeck Hospitalist Rounding ToolCardiology - SOBMed · 66%
Cardiology SOB PathwayPWY-001
TCMLongitudinalShip RPM device + activate transmissions0
George FloresEPI-2026-0006ADT DischargeKeck Discharge ADT FeedCardiology - Syncope/ArrhythmiaMed · 55%
Syncope / Arrhythmia PathwayPWY-002
TCMLongitudinalShip RPM device + activate transmissions1
Denise JohnsonEPI-2026-0009EHR Diagnosis SignalUSC EHR Problem List WatcherCardiology - SOBHigh · 99%
Cardiology SOB PathwayPWY-001
TCMRouted - OutreachShip RPM device + activate transmissions2
William KimEPI-2026-0010EHR Diagnosis SignalUSC EHR Problem List WatcherCardiology - Syncope/ArrhythmiaHigh · 78%
Syncope / Arrhythmia PathwayPWY-002
TCMTriggeredShip RPM device + activate transmissions5
Charles MitchellEPI-2026-0012Inpatient Rounding ListKeck Hospitalist Rounding ToolInfection - UTIHigh · 90%
UTI / Infection PathwayPWY-003
TCMRouted - OutreachContinue care plan; no urgent action2
Karen ParkEPI-2026-0015EHR Diagnosis SignalUSC EHR Problem List WatcherCardiology - Syncope/ArrhythmiaMed · 53%
Syncope / Arrhythmia PathwayPWY-002
TCMLongitudinalShip RPM device + activate transmissions4
Edward QuinnEPI-2026-0016ADT Inpatient AdmissionKeck Inpatient ADT FeedInfection - UTIHigh · 90%
UTI / Infection PathwayPWY-003
TCMLongitudinalContinue care plan; no urgent action1
Henry SandersEPI-2026-0018ADT Inpatient AdmissionKeck Inpatient ADT FeedInfection - UTIHigh · 88%
UTI / Infection PathwayPWY-003
TCMRouted - OutreachSchedule TCM visit within 14d1
Kevin UnderwoodEPI-2026-0020Inpatient Rounding ListKeck Hospitalist Rounding ToolInfection - UTIMed · 57%
UTI / Infection PathwayPWY-003
TCMClosedEpisode closed — survivorship surveillance only0
Anthony WalkerEPI-2026-0022EHR Symptom ClusterUSC AI Symptom DetectorCardiology - Syncope/ArrhythmiaMed · 67%
Syncope / Arrhythmia PathwayPWY-002
TCMRouted - OutreachShip RPM device + activate transmissions4
Brian YoungEPI-2026-0024EHR Symptom ClusterUSC AI Symptom DetectorCardiology - SOBHigh · 77%
Cardiology SOB PathwayPWY-001
TCMRouted - OutreachSchedule TCM visit within 14d1
Emily ZhangEPI-2026-0025ADT Inpatient AdmissionKeck Inpatient ADT FeedInfection - UTIMed · 68%
UTI / Infection PathwayPWY-003
TCMLongitudinalContinue care plan; no urgent action1
James EllisEPI-2026-0030ADT ED ArrivalKeck ED ADT FeedCardiology - Syncope/ArrhythmiaHigh · 90%
Syncope / Arrhythmia PathwayPWY-002
TCMRouted - OutreachShip RPM device + activate transmissions2
Janet FosterEPI-2026-0031ADT Inpatient AdmissionKeck Inpatient ADT FeedInfection - UTIHigh · 87%
UTI / Infection PathwayPWY-003
TCMLongitudinalContinue care plan; no urgent action0
Kenneth GarciaEPI-2026-0032Inpatient Rounding ListKeck Hospitalist Rounding ToolCardiology - Syncope/ArrhythmiaMed · 59%
Syncope / Arrhythmia PathwayPWY-002
TCMTriggeredSchedule TCM visit within 14d4
Mark IversonEPI-2026-0034ADT DischargeKeck Discharge ADT FeedInfection - UTIHigh · 82%
UTI / Infection PathwayPWY-003
TCMLongitudinalContinue care plan; no urgent action1
Vincent RomeroEPI-2026-0042ADT DischargeKeck Discharge ADT FeedCardiology - Syncope/ArrhythmiaMed · 59%
Syncope / Arrhythmia PathwayPWY-002
TCMLongitudinalShip RPM device + activate transmissions2
Yvonne UnderhillEPI-2026-0045ADT Inpatient AdmissionKeck Inpatient ADT FeedInfection - UTIHigh · 86%
UTI / Infection PathwayPWY-003
TCMTriggeredSchedule TCM visit within 14d1
Carol YoderEPI-2026-0049ADT Inpatient AdmissionKeck Inpatient ADT FeedInfection - UTIMed · 53%
UTI / Infection PathwayPWY-003
TCMCare Plan ActiveContinue care plan; no urgent action1
Dennis ZimmermanEPI-2026-0050EHR Symptom ClusterUSC AI Symptom DetectorCardiology - Syncope/ArrhythmiaMed · 71%
Syncope / Arrhythmia PathwayPWY-002
TCMRouted - OutreachSchedule TCM visit within 14d4

Order Set Automation

One row per order-set activation tied to a generalist episode. Flags indicate which downstream artifacts were generated.

3 activated5 pending review8 consults
11 activations
PatientPathwayOrder SetEKGRPMConsultDMESteerageClinical ReviewStatus
Linda ChenEPI-2026-0003Cardiology SOB PathwaySOB Cardiology BundleReviewedActivated
George FloresEPI-2026-0006Syncope / Arrhythmia PathwaySyncope Monitoring BundleNeeds ReviewPending Review
Denise JohnsonEPI-2026-0009Cardiology SOB PathwaySOB Cardiology BundleReviewedPartially Activated
William KimEPI-2026-0010Syncope / Arrhythmia PathwaySyncope Monitoring BundleReviewedActivated
Karen ParkEPI-2026-0015Syncope / Arrhythmia PathwaySyncope Monitoring BundleNeeds ReviewPending Review
Anthony WalkerEPI-2026-0022Syncope / Arrhythmia PathwaySyncope Monitoring BundleNeeds ReviewPending Review
Brian YoungEPI-2026-0024Cardiology SOB PathwaySOB Cardiology BundleReviewedCancelled
James EllisEPI-2026-0030Syncope / Arrhythmia PathwaySyncope Monitoring BundleReviewedActivated
Kenneth GarciaEPI-2026-0032Syncope / Arrhythmia PathwaySyncope Monitoring BundleNeeds ReviewPending Review
Vincent RomeroEPI-2026-0042Syncope / Arrhythmia PathwaySyncope Monitoring BundleReviewedPartially Activated
Dennis ZimmermanEPI-2026-0050Syncope / Arrhythmia PathwaySyncope Monitoring BundleNeeds ReviewPending Review