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GE DESIGN CHALLENGE

senior UX VISUAL designer candidate

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How can we provide Emergency Room care to our patients in a way that ensures patients feel both safe and in control?

 
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THE CHALLENGE

GE Healthcare Digital is working on a project for optimizing patient care in hospitals. How might we most effectively route a hospital patient through his/her journey of care, resulting in higher quality care, patient satisfaction, and operational efficiency?

 
 
 

KEY GOALS

Understand key patient pain points in a journey of care

Identify patient goals for quality care and satisfaction

Discover key opportunities to increase operational efficiency

 
 
 

TIMELINE 6 DAYS

Field Research

User Research

UX & UI Design

 
 
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Give people what they need: food, medicine, clean air, pure water, trees and grass, pleasant homes to live in, some hours of work, more hours of leisure. Don’t ask who deserves it. Every human being deserves it
— Howard Zinn
 
 
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RESEARCH

FIELD RESEARCH / GOALS / USER INTERVIEWS / INSIGHTS

VIEW MY RESEARCH HERE

 
 

RESEARCH GOALS

 

 
 
  1. Get a basic understanding of the field via online articles and scholarly research to gain potential insights.

  2. Perform interviews regarding hospital experiences as either patients or advocates (family or friends accompanying patient) to reveal pain points and opportunities.

  3. Interview professionals for a provider perspective.

 
 
 

THEORY & HYPOTHESIS

 

 
 

From my reading and initial interviews, I formed a theory and developed a hypothesis based on this information.

Theory: 

Patient portals provide good information, but patients do not use them for various reasons.

  • They are difficult to navigate

  • They are not intuitive

  • They are not engaging

  • They don’t provide rewarding feedback to encourage engagement

Hypothesis: 

If we improve the patient portal experience, then we can provide a higher level of care, increase operational efficiency, which will result in better patient satisfaction.

 
 
 
 

KEY INSIGHTS

 

 
 
  • It’s difficult to engage patients without a curated experience that feels member-centered and personal

  • Patients, and caretakers/ family members feel more in control when they feel like active members of the healthcare team

  • Underserved individuals often use tech as their main health resource, vs. a health system

  • Patients need a feeling of control and progress while they wait to be seen

  • Available data should be leveraged and shared with patients 

  • People are unwilling to continue an activity or change behavior when they don’t see wins stacking

 
 
 

USER FEEDBACK

 
 
 
Patients want to feel safe and in control. This is already a stressful situation. How can we reduce anxiety?
— Patient Advocate
 
 
Make things clear. Offer information in a digestible way.
— patient
Available data should be shared with patients so that they feel in control.
— ER Nurse
 
Make sure that your information is accessible to those with low literacy or little to no English
— Health Care Social Worker
A universal health care record accessible by all systems would solve so many problems
— doctor
 
Give information when you can clarifying expectations around wait times
— Patient Advocate
 
 
Patients and providers need a user-friendly system to manage care options.
— URGENT CARE CALL Nurse
 
It’s hard to keep track of the multiple care team members taking care of my family member.
— Patient Advocate
 
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KEY PATIENT NEEDS

 

From the various interviews, I identified key patient and provider needs.

  • Have a list of all care providers if possible

  • Reduce anxiety as much as possible with transparency of care

  • Increase comfort as much as possible

    For long wait times, provide access to water, food, basic needs and entertainment if available

  • Give information that clarifies expectations around wait time

  • Give information that clarifies what to expect during your stay in the Emergency Room

  • Make sure your information is accessible to those with low literacy or little to no english

  • Provide info in a digestible way

    Remember patients are often disoriented, so information needs to be accessible and bite sized

 
 
 
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KEY PROVIDER NEEDS


 
Patients that could be seen at urgent care take up time and space for those patients needing higher triage care
— ER Nurse
  • Pre-emptive patient education so that patients utilize nurses’ hotline or urgent care

  • Patients and providers need a user friendly and efficient system to manage care options

    Emergency Rooms are fast paced and stressful environments.

    Providers need to be able to input and share information quickly.

  • Available data needs to be leveraged and shared with patients

  • Patients need a feeling of control and progress while they are waiting to be seen 

  • Patients and providers need a user friendly and efficient system to manage care options

 
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WHO IS OUR PATIENT?

 
 

THE SCENARIO

 

 
 

Cynthia has severe abdominal pain, and is taken to the ER by her mom late at night.  She feels scared, anxious, and nervous. She’s never visited the ER either as a patient or companion, so she doesn’t know what to expect. 

 

USER STORY


As a patient, Cynthia wants a personal and curated experience that’s easy to navigate and makes her feel in control of her care.

 
 
 

USER JOURNEY

 
 

 
 
 
 

OPPORTUNITIES


 
 
 
 
 

DESIGN PLAN

 
 

 
 
 

To create an app that will provide immediate support by providing important real-time updates and information – helping patients feel safer and less anxious during their Emergency Room visits.

The share of Americans that own smartphones is now 81%

 
 

SOURCE : pew research

 

To make this app extra accessible – we will build it as a simple progressive web app.

 
 
 
 

FEATURE GOALS

 

 
  1. Real time visualized updates regarding wait times

  2. Ability to connect to personal patient portal

  3. Clear and easy access to a nurse’s hotline

  4. In-app notifications regarding care updates

  5. Section for FAQs

  6. Optimized discharge plan

  7. Easy download at nurse’s station for Apple or Android

 
 
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WIREFRAMES


 
 
 

ONBOARDING FLOW


 
 

FEATURES OVERVIEW


 
 
 

Onboarding

 

Primary Features

 
 
 

Wait Time

 
 
 

Your Visit

 
 
 

Navigation (Hamburger)

 
 
 
 

FINAL SCREENS

 
 
 
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CLICK-THROUGH

 
 
 

VIDEO walk through - PRESS PLAY BUTTON TO VIEW VIDEO

 
 
 
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CONCLUSION

These are big, and worthy, problems to solve (especially in under a week!). I’m grateful for all the individuals that let me into their experiences and provided me with the insights and guidance that helped me define and focus on a scenario that would allow for small wins.

This concept app has the potential to help patients feel both safer and more in control of their ER experience by leveraging and empowering patients by providing them with important data.

FINAL THOUGHTS

I learned so much from my user interviews and reading. These are a few items and concepts I would look into closer, were I to continue work on this product.

What Seems to Be Working

  • Medical Scribes - Provide doctors with a scribe, someone who can be recording all the information that is being exchanged during a patient’s visit.

  • Medical Consultants - A patient advocate, someone whom a patient can share diagnosis and clinical information with and will provide educated questions to present back to the primary care provider.

  • Twistle - Apps like twistle are trying to help patients follow their care plan with in app notifications and reminders.

What Needs to be Re-examined

  • Universal Electronic Health Record - A record that works across all EHR systems would solve a lot of these inconsistencies and pain points for both providers and patients.

  • Insurance Companies - Doctors don’t get compensated for the time they spend piecing together paper records, records from various EHR networks, etc. This means they often spend time at home catching up on paperwork at the end of an already long and demanding work day.

  • Patient Portals - If these tools are not equally optimized for providers, they will continue to be inefficient communication and record keeping tools for patients.

NEXT STEPS

User Testing

Continue further product validation via user testing, iterating, and more interviews.

In-App Notifications and FRE Experience

Explore and test UI notifications for updates as well as a first run experience explaining all the app features upon sign in.

I would also explore adding elements of motion design (like the heart filling in as the splash screen loads).

 

 
 

My Files

ALL MY Process and source files HERE

RESEARCH

References

sources | online

The future of patient portals https://www.medicaleconomics.com/business/future-patient-portals

Behavior Change Theorem: Using a debt model to promote whole patient health https://www.medicaleconomics.com/news/behavior-change-theorem-using-debt-model-promote-whole-patient-health?utm_source=bibblio_recommendation

How mobile tech is transforming healthcare https://www.medicaleconomics.com/med-ec-blog/how-mobile-tech-transforming-healthcare?utm_source=bibblio_recommendation

A Doctor’s Diary: The Overnight Shift in the E.R. (Essay) https://www.nytimes.com/2019/12/16/health/emergency-room-medicine.html?auth=linked-facebook

Sources | Scholarly 

Patient Portals and Patient Engagement: A State of the Science Review https://www.jmir.org/2015/6/e148/  Cited by 330

The Impact of Electronic Patient Portals on Patient Care: A Systematic Review of Controlled Trials https://www.jmir.org/2012/6/e162/ Cited by 14

Electronic patient portals: evidence on health outcomes, satisfaction, efficiency, and attitudes: a systematic review https://www.ncbi.nlm.nih.gov/books/NBK169589/  Cited by 348