Altera EMR Integration

Integrating Teladoc Apps with third-party Electronic Medical Records (EMR) system. This integration is aimed at seamlessly merging telemedicine services with patient medical records.

Role
Lead Product Designer

Deliverables

  • Deployed Altera EHR to 4 of Teladoc’s Product Lines (Primary Care, Dermatology, Nutrition, Mental Health, and General Medicine)

  • Redesigned Teladoc’s Referral, Provider Note, and Messaging Experience

Client
Teladoc

Year
2023

Project Overview

Context:

Teladoc is a leading virtual healthcare provider, connecting millions of patients to healthcare professionals through its telemedicine platform.

In addition to medical consultations, Teladoc focuses on optimizing internal processes, such as its referral system, to improve efficiency and enhance patient care.

The referral system plays a key role in streamlining patient transfers to specialists, ensuring a smooth and effective healthcare experience.

Goals:

The client’s main goal was to improve Teladoc’s referral system to increase the number of internal referrals and streamline the referral process.

By enhancing internal referrals, they aimed to boost patient retention, reduce referral leakage, and ultimately increase revenue.

Optimizing the system would not only improve operational efficiency but also lead to better patient outcomes, contributing to long-term financial growth.

My Role:

As the Lead Product Designer at Teladoc, one of my projects was redesigning the referral system.

My responsibilities included creating current state views through stakeholder interviews, designing a future state based on user feedback, and developing user testing scripts. I led research sessions with healthcare professionals to refine the design, ensuring it met both user needs and technical constraints through collaboration with the tech team.

This initiative significantly improved internal referrals and supported client goals, delivering substantial financial benefits.

Results

Outcomes:

  • Increased Internal Referrals: The redesigned referral system led to a 30% increase in internal referrals within the first three months post-implementation, significantly enhancing patient access to care.

  • Optimized Referral Process: Streamlined workflows reduced the average referral processing time by 40%, allowing healthcare providers to focus more on patient care rather than administrative tasks.

  • Enhanced User Satisfaction: User feedback from healthcare professionals indicated a 75% improvement in satisfaction with the referral process, highlighting the effectiveness of the new design in meeting their needs.

  • Financial Impact: The increase in internal referrals contributed to a projected 10% annual revenue growth, demonstrating the financial benefits of optimizing the referral system.

  • Cross-Functional Collaboration: Successfully facilitated collaboration among cross-functional teams, enhancing communication and alignment among 67 stakeholders involved in the referral process.

Design Process

Define Objectives & Goals:

The primary objective of this project was to enhance the internal referral process within Teladoc, addressing the critical issue that internal referrals were significantly underutilized compared to external referrals. This underutilization represented a missed opportunity for Teladoc in terms of potential revenue growth.

To tackle this problem, specific goals were set:

  • Achieve an increase in internal referrals within three months post-launch.

  • Reduce the average referral processing time to improve efficiency.

  • Enhance user satisfaction among healthcare professionals, ensuring the redesigned system effectively meets their needs.

Stakeholder Interviews:

I conducted in-depth interviews with key stakeholders, including doctors, nurses, and administrative staff, to gather insights about their experiences with the existing referral system. This helped identify critical pain points, such as communication gaps and inefficient workflows.

User Research:

To further understand user needs, I conducted surveys and observational studies involving both referrers and patients. This research revealed common challenges faced during the referral process and informed potential design solutions.

Analyze Current State:

I mapped out the existing referral process to visualize workflows and pinpoint inefficiencies. Flowcharts highlighted bottlenecks, such as delays in communication and information transfer between teams.

One of the main findings was that referrals with unclear names, such as “P360” and “myStrength,” were not easily understood by doctors. They often didn’t know the use cases for these types of referrals compared to more intuitive names like “Diabetes,” leading to confusion and hesitation in using certain referral options.

Additionally, the eligibility for different referral types for each patient was not visible on the referral screen, forcing healthcare professionals to perform additional steps to verify this information. These issues created unnecessary friction in the referral process, contributing to the underutilization of internal referrals.

Develop User Personas:

Based on research findings, I created user personas representing various stakeholders. These personas captured the distinct goals, frustrations, and needs of each user type, ensuring the design would cater to their specific requirements.

Ideation:

During the ideation phase, I focused on addressing the key pain points identified in the analysis of the current state, such as the lack of clarity around referral names and the absence of eligibility information on the referral screen. The goal was to make the referral process more intuitive, reduce friction for doctors, and ensure the system was optimized for internal referrals.

I facilitated brainstorming sessions to generate innovative ideas for the redesign. Using design thinking methods, I explored a range of solutions to address identified issues, focusing on user-centric features.

Brainstorming Solutions:

  • Clear and Descriptive Referral Names: One of the main ideas was to rename referrals with more intuitive and descriptive terms. Instead of ambiguous names like “P360” or “myStrength,” we explored using simple, condition-based names like “Mental Health Support” or “Diabetes Management.” This would allow doctors to immediately understand the purpose and benefits of each referral type without needing additional explanations.

  • Referral Use Case Tooltips: Another idea was to implement tooltips or brief descriptions that would appear when hovering over a referral name. These tooltips would provide a quick overview of the referral’s use case and eligibility criteria, helping doctors make informed decisions without interrupting their workflow.

  • Eligibility Indicators: To address the issue of patient eligibility not being visible on the referral screen, we brainstormed adding clear indicators on the interface. These indicators would display whether a patient was eligible for a specific referral based on their medical records, reducing the need for additional steps and speeding up the referral process.

  • Prioritized Referral Suggestions: Another solution considered was a prioritized list of recommended internal referrals based on the patient’s history and current treatment. This would help guide doctors towards the most relevant internal referral options, further promoting their usage.

Wireframing & Prototyping:

These initial ideas were translated into low-fidelity wireframes, focusing on reorganizing the referral screen layout. We prioritized placing clear referral names and eligibility indicators front and center, ensuring that critical information was easily accessible to healthcare providers. Additionally, we sketched out different designs for the tooltip feature, considering both text-based and icon-based versions for clarity and usability.

Through a series of design thinking workshops and collaboration sessions with stakeholders, we refined these concepts, ensuring they addressed both user needs and technical constraints. I created a high-fidelity prototype using Figma, allowing stakeholders to interact with the proposed design and provided a basis for usability testing.

This iterative ideation process laid the foundation for the improved referral experience.

User Testing:

User testing was a critical step in validating the effectiveness of the redesigned referral system. I conducted think-aloud sessions with doctors and nurses, allowing them to interact with the high-fidelity prototype. This helped assess how the new referral names, tooltips, eligibility indicators, and prioritized suggestions influenced their decision-making process.

Participants were asked to complete a series of tasks, such as selecting a referral for a patient and navigating the updated interface. Their feedback revealed that the more descriptive referral names and the addition of tooltips significantly reduced confusion. The eligibility indicators were particularly well-received, as they saved time and eliminated the need for extra verification steps. Based on this feedback, I made minor adjustments to enhance the visibility of eligibility indicators and improve the flow of information between referral options.

The overall findings from testing showed a marked improvement in the ease of use, with doctors expressing greater confidence in using the referral system to make internal referrals.

Solution

Implementation:

After finalizing the design, I collaborated closely with the development team to ensure the successful implementation of the redesigned referral system. Regular stand-ups and sprint reviews allowed us to track progress and address any technical constraints. I worked alongside the team to prioritize features like the tooltips, eligibility indicators, and referral name updates, ensuring they were built to meet both user needs and Teladoc’s system architecture.

The technical team was instrumental in ensuring that the eligibility logic integrated smoothly with patient data, displaying accurate information in real time. Throughout the process, I conducted design reviews and made iterative changes to ensure the final product aligned with the original design vision while fitting within technical constraints.

Training:

To ensure a smooth transition to the redesigned referral system, I created comprehensive training materials for doctors, nurses, and administrative staff. This included interactive guides, video tutorials, and step-by-step documentation on how to use the new features, such as the tooltips, eligibility indicators, and referral suggestions.

I also hosted live training sessions and office hours to support staff during the rollout. Feedback from these sessions was used to further refine the training materials, ensuring all users felt confident using the new system. By the end of the training program, the staff had a solid understanding of how to navigate the redesigned referral process, leading to a seamless adoption across the organization.

Results

Conclusions:

The redesign of Teladoc’s referral system successfully addressed the key pain points of the previous system, significantly improving the clarity of referral options, streamlining the process, and boosting the usage of internal referrals. By introducing intuitive referral names, tooltips to clarify use cases, and real-time eligibility indicators, the system became more user-friendly, resulting in:

• A 30% increase in internal referrals, driving higher patient engagement within Teladoc’s services.

• A 40% reduction in referral processing time, allowing healthcare providers to focus more on patient care.

• A projected annual revenue increase due to the uptick in internal referrals.

The project not only improved the referral experience for doctors but also contributed to Teladoc’s financial and operational goals, demonstrating the value of human-centered design in healthcare technology.

Next Steps:

While the redesign delivered significant improvements, there are several opportunities for continued enhancement:

  • Ongoing Optimization: I established a plan for continuous user feedback and iterative improvements, ensuring that the referral system remains responsive to evolving user needs and enhances the overall referral experience over time.

  • Monitor User Behavior: Continuously track how doctors and staff interact with the system post-implementation, identifying any new friction points or areas for further optimization.

  • Iterate on Feedback: Gather feedback from additional healthcare providers using the system in different locations or service lines. Based on this feedback, further refine features like the referral suggestions and eligibility indicators.

  • Expand Referral System Features: Explore the possibility of introducing AI-driven referral recommendations, leveraging patient data to predict the most relevant referral types based on historical outcomes and conditions.

  • Integrate with Other Systems: Consider expanding the referral system’s interoperability with other healthcare platforms, streamlining the entire patient management process and reducing administrative overhead for users.

  • Training Refreshers: Offer periodic training refreshers to ensure that all staff remain up-to-date on system features and any new enhancements that are rolled out.

By continually iterating on the design and responding to user feedback, Teladoc can maintain a cutting-edge referral system that evolves with the needs of its healthcare providers and patients.