Designing for Brain Health
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Each year
3.9 Million CT scans are performed in EDs for head injuries
Surprisingly,
91% of them are negative.
And, national average patient length of stay is a whooping 6+ hours
BrainScope is a novel neuro diagnostic tool for ED Clinicians to assess for brain bleed & concussion in under 15 mins
TLDR: My impact at BrainScope
35%+ Reduction in assessment time inside EDs
~30% decrease in development time via design systems in DevOps
Continuous VOC UX experience metrics across 28 Hospital sites
Continuous discovery
In an ED, good UX directly correlates to better patient outcomes, from less time spent in the hospital, reduced provider stress, to even lives saved
Challenges & Actions
A few of the challenges I've engaged in while at BrainScope
1
Product Market Mismatch
Contextual research distilled a not so pretty picture in our core target market of Emergency Departments.
Existing medical device and all of the service offering were geared towards concussion clinics, while the company had pivoted towards Emergency Department and point of care contexts.
Key Insights
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EDs have high number of nurses & are seeing extreme turnover
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Passwords are worked around
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Constant multitasking & attention deficit
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Knowledge decay
Design Pillars & Business Goals
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Rapid ED workflow needed
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Rethink passwords + text entry
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Reduce training | Increase recognition aids
ACTION: Concepts & Execution
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Contextual research to identify, conceptualize and test approaches with ED nurses & clinicians
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Establishing UX strategy, feasibility, business case, buy-in & funding from executive team
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Cross functional tiger teams with systems engineering, clinical and algorithm, quality, customer operations & software development
Rapid ED Assessment offering
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20 interactions, over 8 screens without any impact to A.I. algorithm inputs
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Utilizes hospital/ED System of record
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Streamlined access control & assessment path
UX Strategy Impact
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35%+ Reduction in assessment time
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90% ED nurse + clinician satisfaction in testing attributable to increased utilization
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70% reduction in training time
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Clarity for prioritizing product roadmap and resource allocation
2
Process friction & change management
For the last 40 years, there has been no objective measure of brain injury. CT scans have been gold standard... Until 2019
Thats all great, but EEG inside the ED?
Key Insights
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No-one has time for training
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Existing EEG skin prep was a bad UX
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There are lots of things to carry when you need to do a assessment
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Current user material was not being used
Design Pillars & Business Goals
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Reduce need for training
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Recognition better than recall - Leave useful handouts
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Make EEG skin prep easy
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Introduce storage & use aids
ACTION: Pulling Product, People & Process levers
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Product : Led in-app guidance UX, instructional videos, improved user material, Device cart
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People : Service maps for process clarity, Training aids & S.O.P. pivots for customer ops team
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Process : Led introduction of new electroconductive gel & prep process
UX Strategy Impact
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70% + Reduction in skin prep failure rates by while increasing reliability
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Increase in Nurse satisfaction
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Lowered training time to 20 mins, added memory aid handouts
3
Legacy product development processes
Over time, product development tools and processes, specially in design and product management needed to catch up with best practices.
Not using design systems, or modern experience design tools within DevOps and product development process.
Key Insights
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Product roadmap, requirements & backlog were cumbersome and unwieldy
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User research, Voice of Customer and product feedback were unstructured
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Documentation & review process for design control & change control was onerous
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Lack of device Usage Metrics
Design Pillars & Business Goals
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Making Design Control Agile for DevOps efficiency
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Transition to collaborative UX design tools: Figma, Adobe XD
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Collaborative product backlog tools
ACTION : Processes & Metrics
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Transitioned UX design to Adobe XD and introduced design system for faster product development. Reduced creation and review cycle time significantly
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Prioritization themes, to drive alignment & Product roadmap + releases
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Patient safety | Device Conformity
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Fixes & improvements
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Customer Impact (Assessment Speed, Performance, Reliability etc)
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Formal VOC program & Assessment tracking across 28 hospital sites for completion rates, product usage tracking
UX Strategy Impact
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Design system led to significant improvement to product development speed & quality
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Improved alignment across functional areas on product roadmap
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Continuous VOC metrics improved prioritization across functional teams
