Case study 03 · Amura Health · UX research

A visual could not fix a summary panel that was never designed for the people using it.

Care teams kept missing client details. The assumption was that a visual on top of the summary panel would fix it. Field work showed the summary panel had never been designed for how health coaches and doctors actually work, so they had abandoned it for handwritten diaries. The real job was rebuilding it around both roles.

RoleUX Researcher
DurationAbout 32 days of research and design, then rollout and measurement from March to May 2026
MethodsSituational client cases, five second testing, field observation, critical incident technique, affinity mapping, open and closed card sorting, MoSCoW prioritisation, information architecture design, first click testing, scenario testing
ImpactFriction from missing client data cut by 49.7% across 6 teams and 282 clients

I led the research end to end, from the first five second tests through to the information architecture I handed the UX team, working with 6 care teams, 12 health coaches and 6 doctors.

The brief

“Add a visualisation of client's data on top of the summary panel so health coaches and doctors can read a client at a glance.”

What I found

The care team had stopped opening the summary panel at all. They ran triage from handwritten diaries, so a visualisation of client data on top of a summary panel nobody opened would change nothing. The summary panel itself needed rebuilding.

6care teams, 12 health coaches and 6 doctors
32days of research and design
282clients tracked for the friction measure
49.7%drop in friction from missing client data
01 · My process

Reframe, stop the harm, then rebuild

The work split into three movements. A prioritisation round that turned into a reframe, a fast intervention to stop client data going missing while the redesign ran, then the structural work that produced the new panel.

Fig 01 · Process at a glance, about 32 days
  Reframe
11 days
Situational client casesFive second testingField observation
  Stop the harm
10 days
Critical incident sessionsAffinity mappingStakeholder validationInterim tracking sheet
  Rebuild
11 days
Open card sortingClosed card sortingMoSCoW prioritisationInformation architectureFirst click and scenario testing
02 · The research context

Where the summary panel sits

The core health software is a five panel workspace for supervising asynchronous clinical protocols. Panel 02, the summary panel, was built to give the primary clinical overview. It was live across every team, yet field observation showed its data did not support real time triage.

Fig 02 · Panel 02, the summary panel, inside the five panel terminal
Five panel terminal layout 01 Navigation 02 SUMMARY PANEL The target The information space that was rebuilt from scratch. 03 Activity logs 04 Care chat 05 Medical plan
03 · The brief and the first study Prioritisation round · 1.5 weeks

Deciding what the visual should show

The ask was a visual summary layered on the existing panel. To decide what it should surface, I narrowed from the 42 care teams to the 6 where client details were going missing most often, then ran two things side by side with them. Five second tests, to see which data each role recalled first from the current panel. And situational client cases, to see what a coach and a doctor each reached for first under real conditions. The output was meant to be a priority list for the visual.

Fig 03 · How the 6 teams were selected and what ran with them
42
care teams across the organisation
↓  ranked on how often client details were going missing at the point of care
6
teams studied · 12 health coaches and 6 doctors

Situational client cases

Realistic client scenarios revealed what a coach and a doctor each reach for first when the clock is running.

Five second testing

The current summary panel was shown briefly, then recalled. This measured what the existing layout actually surfaced first for each role.

The result was not the one the brief expected. The two roles read a client through different data. More importantly, both were working around the summary panel rather than from it. That observation reset the project.

04 · The discovery Observation · 3 days

They had left the panel behind

While running those sessions I noticed something the brief had not accounted for. Each clinician kept a physical diary covering all of their clients, filled in by hand. The entries were inconsistent and often incomplete. The same client details went missing again and again. The care team was not supplementing the summary panel. They had stopped opening it.

A visualisation of the client data on top of a summary panel nobody opened would change nothing. The summary panel had never matched the way clinicians work, so it needed rebuilding from the data up.

Fig 04 · The reframe

The brief that was given

A visualisation of client data on top of the summary panel

The brief that was discovered

A summary panel that was never designed for either role

Reframing the brief was the finding. Everything after this point solves the problem the field surfaced rather than the one the request assumed.

6scenario sessions, one per care team
5curated client situations per session
18clinicians involved, 12 coaches and 6 doctors
10days from first session to the tracking sheet going live
Fig 05 · The ten day sequence, from sessions to a live tracking sheet
Step 01

Scenario sessions, critical incident technique

Six sessions, one per team, each working five very different client situations that the Head of Coaches and the Head of Doctors curated as things that happen often and need careful handling.

One session per team, so team habits stay visibleSituations curated by the two heads, not by meWatch what they reach for, avoid asking what they want
Step 02

Affinity mapping

Session notes were clustered until the data a coach must have separated cleanly from the data a doctor must have.

Cluster by the moment of need, not by data typeKeep the two roles separable through every passA field earns a place only if it changed a decision in session
Step 03

Stakeholder validation

The prioritisation was reviewed with the Head of Coaches, the Head of Doctors and the team leads, so nothing critical was missing before anything shipped.

Sign off from both role heads, plus the team leadsDisagreements resolved in the room, not by averaging
Step 04

The interim tracking sheet

I built an Excel sheet from the agreed prioritisation, so the care team could start capturing the right data on day one while the redesign ran.

Ship the fix before the redesign, the friction was liveEvery field maps back to a session observation
Fig 06 · The tracking sheet I built, so capture could start on day one
New_Template.xlsx shared drive · maintained by hand · one row per client
Identity and case · 7
Food data · 5
Progress · 10
Initial data · 9
Risk and attention · 6
Medical workflow · 8
Medical data · 5
Client Name
Client Number
Treating Doctor
Coaching Team
Implementation Status
Status
Phase
Dietary Preference
Pr g/d (g)
Protein Choice
Fiber Choice
Identified Allergies / Intolerance
21 Days earlier Weight (kg)
14 Days earlier Weight (kg)
7 Days earlier Weight (kg)
Current Weight (kg)
Start Weight (kg)
Target Weight (kg)
Weight loss remaining (kg)
Start BMI
Current BMI
Progression score
Types of Client
Health Goal
Lifestyle / Occupation
Why / Value
Country
City
Gender (M/F/O)
Age
Height (cm)
Next action required
Attention needed
HEC
Prone to Engagement
Medically sensitive
Active Medical Concern
SAQ Filled
Reports Submitted
Validation Call Asked
Validation Call Booked
Validation Call Done
Diagnosis Sent
Prescription Sent
Revised Prescription Sent
Diagnosed Medical Condition
Medication & Titration History
Add on Prescriptions
Hypertension
Diabetes
OG Live groupsLive groupsDataClosed groups
The sheet as it went live, column for column. Client rows anonymised. Scroll sideways to see how wide it became once both heads had added their fields.

A trade off I took on purpose. Before release, the Head of Coaches and the Head of Doctors added many more fields, because to them everything felt essential. I let the sheet grow. My real output was the information hierarchy of the panel. A wide, well maintained dataset would give me evidence to narrow with later. Carrying the excess now bought a sharper cut afterwards.

“I completely understand that doctors need to view the medical data first, but they do not interact with each client at least 3 times a day. We do that and for that we need to remember the last 2 to 3 requests or doubts and also how their behaviour is in general.”

Health Coach, scenario session

“Maybe we should have separate dashboards.”

Doctor, scenario session

Those two positions are the tension the whole architecture had to resolve. Separate dashboards would have split a shared client into two partial views. The alternative was one panel that opens on what both roles share, then lets each role go deeper into what only they need.

05 · From a full sheet to a screen that fits

The constraint that forced a stricter cut

Excel could hold every category the heads wanted. The screen could not. Designing the panel meant reducing that superset to what a clinician can actually read under load. I wanted that cut made on evidence rather than taste.

Fig 07 · What the tracking sheet was holding
Identity and program
NameAge and genderCountry and timezoneLanguageOccupationPhase and phase dayNew or restartingArchetypeCoaching team
Goals and motivation
Client's whyClient motivationHealth objectivePurpose triggerMotivation type
Medical profile
Medical historySurgical historyAllergiesIntolerancesMedicationsConditions and symptomsNew diagnosisSleep and stress
Progress and vitals
HeightStart weightCurrent weightTarget weight7 day weight14 day weightWeight loss remainingProgression scoreImplementation status
Food and lifestyle
Dietary preferenceProtein g/d and choiceFibre choiceMeal preparationEating outFood behaviour patternAlcohol and smokingTravelPhysical activity
Risk and escalation
HIC and reasonHEC and reasonClose watchActive medical concernProne to escalationEngagement level
Workflow
Next actionFollow up datePrescription statusReports statusValidation call statusTime availabilityFamily context

Comprehensive on a spreadsheet a clinician scrolls at their desk. Far past what a panel can show during a live interaction.

How I narrowed it

Fig 08 · The methods and what each one decided
Stage 01 · 2 days

Open card sorting

Clinicians grouped the fields freely, which showed the categories they already think in rather than the ones the sheet imposed.

Their labels, never mineDoctors and coaches sorted separately, so divergence stayed visible
Stage 02 · 3 days

Closed card sorting

The candidate groupings from stage 01 were then tested as fixed categories, to confirm the structure held when fields had to be placed inside it.

A category survives only if both roles place fields consistentlyAnything repeatedly misplaced gets renamed or removed
Stage 03 · 1 day

MoSCoW with a top task lens

Fields were sorted into must, should, could and will not for the screen, weighted by the tasks clinicians actually perform most.

Must have earns tier one, nothing else doesA field starred by both roles outranks one starred by eitherWill not on screen still lives in the sheet, so nothing is lost
Fig 09 · How doctors and coaches sorted the same fields
Doctors starred
Longitudinal signal
7 days earlier weight14 days earlier weightDate of phase changeNew diagnosisCurrent weightProgression scoreKnown intoleranceProtein g/d
Starred by both
The shared core that qualified for the panel
HeightStart weightHealth objectiveClient's whyMedical historySurgical historyKnown allergiesMedicationsDietary preferenceProtein choiceSymptoms specific to allergensConditions reported during the program
Coaches starred
Daily execution
Fiber choiceEating out frequencyFood behaviour patternMeal preparationPurpose triggerWeight loss remainingEngagementTime availability

The selection rule from the sorting workshops: a field entered the summary panel only when at least two roles starred it as a must have and the health coach plus doctor pair carried the deciding weight.

06 · The information hierarchy The main output · 2 days

One panel, opening on what both roles share

The structure resolves the tension between the two roles without splitting the client in two. Tier one carries the shared core, what both a coach and a doctor need in the first seconds. Tier two holds everything else behind search and accordions, so each role goes deeper into what only they need. Tier three keeps the archive out of the way. This hierarchy was my deliverable. The UX team built the low fidelity wireframe from it.

In that handoff the panel was renamed from summary panel to Client case panel, to signal a rebuild rather than a reskin.

Fig 10 · The information hierarchy I specified for the Client case panel
Tier 1Case summaryAlways visible. The first five seconds. Shared by both roles.
Who and where
Name, age, genderCountry and timezone
Clinical state
Medical status, phase and dayDiagnosed conditionsActive medical concernsCurrent medications
Trajectory
Progression scoreDietary preference
What happens next
Next action
Tier 2Further detailsSearchable, grouped in accordions. Reached for during a conversation.
Client's initial data
HeightStart and target weightHealth objectiveClient's whyMedical and surgical historyWork scheduleRoutine stabilityFamily contextArchetype
Food and diet
Protein and fibreMeal preparationEating outFood behaviour patternAllergies and intolerances
Active patient management
Symptom trackerPrescriptionsHIC and HEC flagsEngagement
Surveillance data
7 and 14 day weightWeight loss remainingComplianceResponsiveness
Status and workflow
Reports and validation callsFollow up datePrescription status
Tier 3Deep archivesSecondary tabs. Opened only in a full clinical review.
Historic record
Lab report timelinesRevision historyPast prescriptions

A field reaches tier one only when both roles marked it a must have. Everything else moves down a tier rather than off the product, so the sheet stays the complete record.

07 · Validating the model Validation · 3 days

Two questions decided whether the structure worked

Can a clinician find a specific parameter fast?

Answered with first click testing in the UAT lab, on the hierarchy itself.

Does the case summary alone give enough to act on?

Answered with real client scenarios drawn from past cases, reading tier one only.

First click testing

Where would you click to find whether this client is prone to escalation?

Expected path, tier 2, active patient management

Where would you check what the client weighed two weeks ago?

Expected path, tier 2, surveillance data

Where would you look for the client's last lab report?

Expected path, tier 3, deep archives

82%first click success across 12 health coaches
94%first click success across 6 doctors

Doctors found what they needed almost every time. Coaches sat lower, which tracks with the sorting rounds: their data spreads across more of tier two, so more of their retrieval depends on the grouping labels rather than on tier one.

Scenario testing

A client messages that they have been skipping the fibre drink and feel low on energy. Read the case summary only, then say what you would do next.

Does tier one alone support the right next action

A doctor picks up a client mid phase with a new symptom reported. Read the case summary only, then say whether this needs escalation.

Does tier one alone support a safe clinical judgement

For both roles the case summary covered what was needed in most cases. The exceptions are the useful finding, because they are consistent and they name exactly where tier one stops being enough.

Where coaches needed more than tier one

High engagement clients. Clients who are extremely friendly and share a lot of context. Clients asking for clarification on medical data. Clients who have altered the protocol repeatedly.

Where doctors needed more than tier one

Medically complicated clients. Clients with many medical documents uploaded. Clients who share a great deal of day to day life context.

Both lists point the same way. Tier one holds for the standard case. The exceptions are clients carrying more history or more context than a summary can reasonably compress. That is an argument for how tier two is reached rather than for putting more on the surface.

08 · The panel that came out of it Client case panel

The redesign, side by side with what it replaced

The three moments came straight from the sessions: what clinicians opened first, what they searched for mid conversation and what they reached for only in a full review. The wireframe below is the UX team's build of the hierarchy I specified.

Before · one endless pane
Before: the original summary panel, profile view
Before: the original summary panel, endless topic list

The live panel: identity fields up top, then an undifferentiated scroll of topic snippets. Every retrieval was a hunt.

After · the three tier panel
Client dataBK
Tier 1 · Case summary
Client name, age, genderBarbie Kong, 25, F
Next actionAsk her not to eat pastries
Medical status, phase and dayS2, V1, D26
Progression score4
Diagnosed conditionsSerotonin deficiency, fat loss
Active medical concernsGERD, low energy
Current medications5 HTP 100mg, Antoxid HC
Dietary preferenceNon vegetarian
Country, timezoneIndia, GMT+5:30
Tier 2 · Further details
Client's initial data
Height 167 cm
Start weight 90 kg
Target weight 50 kg
Work schedule Mon to Sat, 11am to 7pm. Unpredictable
Food and diet
Active patient management
Surveillance data
Client status and workflow
Tier 3 · Deep archives
Reports, lab timelines, revision history

The redesigned panel: a five second case summary, searchable accordion detail and archives kept out of the way.

Fig 11 · Before, the live summary panel. After, the Client case panel built from the specified hierarchy.
09 · Impact

Friction from missing client data, before and after

The measure is the friction the gaps were causing. Each team lead flagged, per client, where missing data or context created friction at the point of care. The same 6 teams and the same 282 clients were measured in March, when those clients sat in phases V1 to V3. They were measured again in May, once capture had been running and the clients had moved to V3 to V6.

608 → 306friction points flagged across 282 clients
2.16 → 1.09friction points per client
49.7%overall reduction across the 6 teams
Fig 12 · Friction points from missing client data, March to May 2026
March, phases V1 to V3May, phases V3 to V6
TeamClientsFlagsPer clientFlagsPer clientReduction
Team 41461162.52541.1753.4%
Team 439982.51471.2152.0%
Team 27571021.79560.9845.1%
Team 20521132.17591.1347.8%
Team 1139872.23421.0851.7%
Team 3549921.88480.9847.8%
All teams2826082.163061.0949.7%

Every team improved, between 45.1% and 53.4%. The teams starting from the heaviest load moved furthest: Team 41 and Team 4 began above 2.5 friction points per client and cut more than half, while Team 27, already the lightest at 1.79, had the least room and moved least. An effect that reproduces across six teams working independently is hard to attribute to any single team's habits.

Roughly two friction points per client became one. Part of that fall reflects clients maturing into later phases with fuller records, so I read this as the capture change plus natural maturation, with capture as the lever the team could actually pull.

10 · Limitations

What this study can and cannot claim

The work sits inside clear bounds. It ran in one organisation across 6 of 42 care teams, so it describes how Amura operates rather than clinical tooling in general. The validation samples are small, 12 coaches and 6 doctors, so the first click and scenario results are directional rather than precise. The friction measure is a team lead judgement, applied consistently within the study but not an external standard. And the before and after follows the same clients across program phases, so maturation shares credit with the capture change.

The clean next test is a control, a comparable cohort moving V1 to V3 through V3 to V6 without the tracking sheet, which would isolate the effect. Alongside that, the panel needs measuring in live use once it ships, to confirm the hierarchy holds when it stops being new.

← Previous case study

How the wrong fit clients were filtered out before they ever entered the program

All work

Back to the full list of case studies →