Executive Overview
Executive Overview
TCM to PCM bridge pilot performance, revenue capture, outcomes, containment, and data completeness.
Patient Journey Funnel
Eligible → Reached → TCM → PCM → Billed
Weekly Pilot Trend
Eligible episodes, TCM completed, PCM enrolled
Revenue Realization
Expected vs paid by month
Network Containment
USC capture vs external leakage
25 · 83%
5 · 17%
Outcomes
ED · readmits · complications
ED rate
12%
Satisfaction
4.35/5
Top Operational Risks
Open exceptions by severity & age
| Severity | Stage | Owner | Due |
|---|---|---|---|
| High TCM Overdue | Outreach | Felix Stone | 47d overdue |
| High Referral Leakage Risk | PCM Active | Liam Chen | 25d overdue |
| High Referral Leakage Risk | PCM Active | Elena Rivera | 8d overdue |
| High Billing Defect | PCM Active | Carmen Ortiz | 3d overdue |
| High TCM Not Scheduled | Outreach | Sofia Diaz | 7d |
| Medium No Discharge Feed | Outreach | Aisha Patel | 53d overdue |
| Medium Outreach Overdue | Outreach | Elena Rivera | 45d overdue |
Recent Patient Journey Activity
Latest discharged episodes with stage, NBA, and billing
| Patient | Episode | Stage | Next Action | Risk | Billing |
|---|---|---|---|---|---|
| Vincent RomeroUSC-900042 | EPI-2026-0042 DC Mar 26, 2026 | PCM Enrolled | Log additional PCM time this month | Low | Paid |
| Patricia EvansUSC-900005 | EPI-2026-0005 DC Mar 25, 2026 | Outreach | Resolve exception: TCM Not Scheduled | Medium | Draft |
| Xavier ThompsonUSC-900044 | EPI-2026-0044 DC Mar 25, 2026 | Outreach | — | High | Draft |
| Peggy LopezUSC-900037 | EPI-2026-0037 DC Mar 23, 2026 | Outreach | Resolve eligibility for PCM | Medium | Draft |
| Irene DelgadoUSC-900029 | EPI-2026-0029 DC Mar 17, 2026 | TCM Complete | Complete TCM documentation for billing | Medium | Draft |
| Grace BrooksUSC-900027 | EPI-2026-0027 DC Mar 15, 2026 | Outreach | Resolve eligibility for TCM | Low | Draft |
| Laura HayesUSC-900033 | EPI-2026-0033 DC Mar 12, 2026 | Outreach | Submit IPC consult report | Medium | Draft |
| Karen ParkUSC-900015 | EPI-2026-0015 DC Mar 10, 2026 | PCM Active | Rework denied claim(s) | Low | Submitted |
EPIC Workflow Operations
EPIC Workflow Operations
Workflow mix, intake triggers, program assignment, order sets, AI activation, pathways, and task health — synthetic.
EPIC Workflow Mix
Episodes by EPIC workflow
20 · 40%
20 · 40%
10 · 20%
Intake Trigger Volume
Top trigger types
Program Assignment Mix
Recommended programs
Order Set Activations
By activation status
EKG / RPM
11 · 14
DME / IPC
23 · 8
AI Activation Score
Distribution across cohort
Care Pathway Distribution
Order set activations by pathway