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.
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.
“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.”
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.
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.
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.
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.
Realistic client scenarios revealed what a coach and a doctor each reach for first when the clock is running.
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.
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.
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.
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 wantSession 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 sessionThe 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 averagingI 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 observationA 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 sessionThose 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.
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.
Comprehensive on a spreadsheet a clinician scrolls at their desk. Far past what a panel can show during a live interaction.
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 visibleThe 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 removedFields 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 lostThe 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.
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.
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.
Answered with first click testing in the UAT lab, on the hierarchy itself.
Answered with real client scenarios drawn from past cases, reading tier one only.
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
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.
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.
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.
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.
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.
The live panel: identity fields up top, then an undifferentiated scroll of topic snippets. Every retrieval was a hunt.
The redesigned panel: a five second case summary, searchable accordion detail and archives kept out of the way.
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.
| March, phases V1 to V3 | May, phases V3 to V6 | |||||
|---|---|---|---|---|---|---|
| Team | Clients | Flags | Per client | Flags | Per client | Reduction |
| Team 41 | 46 | 116 | 2.52 | 54 | 1.17 | 53.4% |
| Team 4 | 39 | 98 | 2.51 | 47 | 1.21 | 52.0% |
| Team 27 | 57 | 102 | 1.79 | 56 | 0.98 | 45.1% |
| Team 20 | 52 | 113 | 2.17 | 59 | 1.13 | 47.8% |
| Team 11 | 39 | 87 | 2.23 | 42 | 1.08 | 51.7% |
| Team 35 | 49 | 92 | 1.88 | 48 | 0.98 | 47.8% |
| All teams | 282 | 608 | 2.16 | 306 | 1.09 | 49.7% |
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.
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.