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Case study | Cardinal Medical App

Product and UX design for an informed connected wellness app that supports an implanted microchip helping people manage their health metrics and provide immediate access to patient record data.

 
 
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INFORMED, CONNECTED, WELLNESS APP
 
 

Cardinal Health

Product Design | UX

MY ROLE: User Experience Design, Branding, Research, Visual Design , User Interface Design and Data Visualization.

TOOLS: Illustrator, InDesign, Photoshop,
Adobe XD and Sketch.

TIMEFRAME: 6 weeks

TEAMMATE: Tanya Sheremeta

 

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BACKGROUND:

In 2015 the CDC passed legislation mandating the use of Electronic Medical Records. To meet the mandate and avoid penalties, the medical industry was forced to quickly overhaul its entire patient process. The rapid implementation of electronic medical record technology resulted in an increase in negative health outcomes for patients in vulnerable populations, such as seniors or those who have multiple health providers.

PROBLEM:

Different doctors, practices, and facilities implemented different electronic medical records systems that do not all seamlessly integrate with each other. This results in several common and costly problems that negatively impact patient outcomes. Two of the most common errors are providers failing to correctly match a patient with the correct medical records and/or medical providers assuming they have all the patient's medical records in one system when in fact other medical records exist in a different system(s). These common errors often result in higher medical costs and negative patient outcomes due to duplicate testing or procedures, delays in care, adverse drug interactions, and events like relapse or in the worst cases even death. Patients in vulnerable populations who often visit multiple facilities and providers are at a higher risk for these types of errors.

 

GOAL:

Empower vulnerable populations, especially seniors, experiencing chronic disorders, neurological issues, or dementia who routinely interface with multiple medical providers and are at risk of losing personal autonomy and independence.  Allow caretakers to act as an advocate for loved ones and track medical needs.

SOLUTION:

Create a health tracking product and application that aggregates an individual's medical records, medications, and treatment plans, in a single data store, and provides a framework that empowers patients to improve the quality of their interactions with healthcare providers improving their health outcomes. By making a patient's entire medical history available in real time, we are empowering patients, their caretakers, and medical providers with all the data they to develop the best treatment plan for that patient and providing a mechanism for both the patient and medical provider to maintain continuity of patient care during coordinated care. This solution enables patients to have confidence in and maintain ​their ​autonomy of the​ir​ medical history and care, while also freeing loved ones and caretakers from the burden of manually managing intake forms, medical records, coordinating care, tracking medications, and treatment plans.


RESEARCH + DISCOVERY


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Above you can see our process whiteboard during the brainstorming and research phase.

 

FOCUS ON THE PATIENT:
Through our research, we identified a need for comprehensive health tracking via an intuitive and accessible interface that is secure, reliable, and supported on Android and iOS devices.
See MoSCoW here.

IDENTIFYING FEATURES:
This Rx worksheet   developed by the CDC is the recommended tracking mechanism for patients who take multiple prescriptions. For large populations of people who take more than one medication, this tracking mechanism is difficult, if not impossible, to use. For example, people who are blind or have vision challenges, or people with disabilities who cannot write. With accessibility in mind, we designed a product, workflow, an​d an​ interface that was easier to use.

IDENTIFYING THE COMPETITOR:
We identified medical alert jewelry as our main competitor. Wearables have several weaknesses such as no standardized protocol for identification of the patient, they are often removed, and they carry limited patient information.  See competitor SWOT  here.

INFORMING DESIGN:
We designed our product to close feature gaps left open by our competitors like, actionable medical ID with a fixed passive ID tag to match patients to medical records, but more importantly we focused our efforts on building a platform to centralize people’s medical and health-related data to improve the quality of the care, maintain their autonomy and improve their health outcomes.
See product SWOT here.

 

OUTCOME:


 
An informed connected wellness app that supports an optional implanted microchip helping people manage their health metrics and provide immediate access to patient record data.
 
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IS THE HUMAN BODY SAFE FOR A MICROCHIP?
This is no longer a hypothetical discussion. Treating and enhancing the human body with microchips is commonplace in restorative medicine. Complex computing devices are routinely implanted in the human body every day. These devices include nerve stimulators, cochlear implants, pacemakers, insulin pumps, IUDs, implantable birth-control rods, visual prostheses like artificial silicon retinas, and deep brain stimulators. These devices are designed to restore lost functionality and improve the lives of patients.

HOW IT WORKS:
The Physician Inserted sub-dermal care chip pairs with a HIPPA compliant app safeguarding personal health data. Cardinal allows patients to log biometric data, health, wellness, medications as well as set medication reminders and inform or alert care teams in times of need. Allowing for ease of use by aggregating all health data and care providers in one place.  Patients are able to link past electronic medical records, add new ones and access complete medical records on the platform. The app also allows for private and share capabilities to pharmacists, doctors, family, and care teams.

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THE BRAND


BUILDING TRUST WITH THE BRAND:
The brand voice is compassionate and empowering to patients, physicians, and caregivers. As the name suggests​ the brand is grounded in the belief that our health is of the greatest importance and receiving the best medical care is a fundamental human right. With this foundation the Cardinal brand was developed in a warm, caring, and human tone. We identified people want to feel cared for as a human and not just a patient number and designed the platform to deliver a personal, human, experiences.
You can see the brand attributes and guidelines here.

DEMOGRAPHICS:
Cardinal’s target audience is the aging population and those with multiple care providers. While we envision targeting different demographics in the future, we identified a product market fix among seniors and those with chronic conditions who see multiple care providers. These demographics often interact with medical providers who lack a complete picture of their medical care or are fearful of losing independence and autonomy as they routinely visit medical providers whom they often perceived as not caring for them personally and thus do not trust.

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WHAT DOES THE PATIENT EXPERIENCE LOOK LIKE?
A patient will always be identifiable in an emergency situation even if they are unconscious or under duress. The chip can be scanned by care professionals and used to relay important medical details when linked to an online medical database accessible by the patient, care team and emergency contacts. Medical records are stored on the HIPPA compliant mobile or tablet app and emergency contacts are notified by Cardinal if or when a scan occurs. Privacy and sharing of access are granted by the patient.

USER PROFILE AND JOURNEY:
We follow Nancy’s Journey as a person and a patient. Nancy is a 63-year-old female with multiple health conditions. Her main goal is to maintain independence through her remaining life stages. Recently widowed, she saw the rapid decline of her partner and experience the need for both of them to advocate the best health care with multiple care providers.  After needlessly undergoing the same test multiple times and a visit to the ER due to unanticipated but known Rx interactions, Nancy worried for her partner’s life as she realized the health care system was not designed to provide each provider with a complete picture of her ​husband's medical history. She quickly learned she would need to track medication, collate medical records, research treatment options, coordinate are herself to ensure her partner received the care he deserved. The User Journey below follows Nancy’s touch points with Cardinal.

 

MARKETING:
Our research suggested that patients expect their medical providers to treat them as humans first and patients second but more often than not feel dehumanized when navigating the medical system. Using this data shape our design, we created a video advertisement that speaks directly to the patient emphasizing what they may be feeling today and explaining how Cardinal can improve their lives.

Final video for a student project.
Team:
Tanya Sheremeta @tanyasheremeta
Kim White @k.whitedesign

music: Epidemic Sound

Animation by Tanya Sheremeta music: Epidemic Sound


THE APP


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WIREFRAME:

After completing our initial research, we took to the whiteboard to work through task-flows and walk through possible solutions. ​Our research suggested an older demographic would prefer to use a tablet over a smartphone as they could more easily find information and utilize features​.​ Knowing ​this,​we set out to complete the first iteration on a tablet. As such we designed our wire-frames for iPads with iOS guidelines. We build our initial iteration in vertical mode but our first round of user testing taught us that most people hold an iPad horizontally. So to ensure we obtained better data from our second round of user testing we created our second iteration in horizontal mode.

 

PROTOTYPE:

We lead our design with the idea that the end product needed to be accessible, intuitive, and easy to navigate. We wanted a simple and clean look with large icons and typography so all patients are comfortable using it. We intentionally tailored our design for people with vision impairments and limited motor skills by utilizing touch screens, larger form fields, text, buttons, and higher color contrast.  We also allow users to activate larger Dynamic Type within the app so they can easily convert any hard-to-read font to an easier-to-read size. To ensure our design was accessible to colorblind users, we tested our app with Stark Colorblind Simulator to ensure colors could be distinguishable even when converted to greyscale.

 
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USER TESTING:

We tested our design decisions on several people of different demographics. We asked them to use our prototype to add a new medication to their profile with the "Photo Identify Pill” feature.  Additionally, we asked them to walk us through their thoughts as they stepped through the task. We identified that the user was interested in knowing information about each medication on their list. Additionally, they wanted to know if any of their medications could interact with over the counter meds such as aspirin or multivitamin supplements. After testing and discussing, we moved forward with edits. Because of our testing, we were able to learn and discover new paths forward and include a feature allowing the user to add supplements as well as prescription medications to the app.

 

FINAL FEATURES:

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ON BOARDING: We designed the onboarding experience to be simple and frictionless for users. Knowing our target demographic might be intimidated about using new technology we also make it easy for doctors, family members or caretakers to set the app up on behalf of someone else. Also, we envision providing 24-hour phone support ​so a member of the Cardinal support team can walk a user through onboarding as well.  You can see the onboarding process below.

 
 
 
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CREATING MEDICATION REMINDERS: From research, we identified that our demographic would benefit from medication reminders. Because of this, we made medication reminder alerts a key feature. The user is prompted to add the medication reminder when a new medication is added or they can easily set medication reminders at a later date. They have the option to select the frequency, day of the week and time of day that they would like the medication reminder to alert them. You can see a video walkthrough of this task flow below.

 
 
 
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ADDING NEW MEDICATIONS: While our long term vision is a world where Cardinal syncs a new patient record in real time as it is created, we realize the medical field today is not equipped to make this vision a reality. In the interim, we built a feature for a patient or caretaker to add any new medications to the Cardinal chart at any time. We identified that there should be more than one option to add a new medication and found through user testing that the above four options suited our users best. The options include adding based on an Rx note from your physician, searching a medication list database, adding from your past medications, or identifying a medication based off of a photo and information you have on hand.  From our research, we learned that adding this feature could aid in patient safety and guard them form possible drug interactions and ultimately saving lives. You can see this feature in action below.

 
 
 
 

LEARNINGS + NEXT STEPS:


While some people think this type of product involving a subdermal microchip that aggregates your medical history and health metrics is futuristic, our research suggests we are not far from something like this coming to life. Despite concerns of privacy and tracking microchip technology has moved forward and is currently used by thousands of Swedish citizens to aid them in everyday tasks. For our target demographic there are obvious benefits for the patient and their family. As built today the product and the medication interaction warnings could prevent potential life threatening medication interactions, safeguarding our loved ones.

In a future release, Cardinal will support tracking, which could help patients suffering from Dementia and who are prone to wandering off. If the patient was a Cardinal user their caretaker or family could quickly locate them and return them to safety. This technology, combined with continuously improving data science and research, will enable us to be healthier more informed and even more connected.