← All Work
SM-CLIENT-004 · Healthcare CX + Patient Experience Design

Regional Health System

Patient Experience Design — Multi-Year Engagement

2022–2026

An ongoing multi-year engagement with a major regional integrated health system. We design the patient-facing surfaces — billing, the patient portal, care journey touchpoints — and the design system that ties them together. The work is research-led, journey-mapped, and shipped through a healthcare design system we co-built with the client's product organization.

  • Engagement: 2022–present.
  • Scope: Patient experience design, billing & EOB redesign, patient portal UX, journey management, healthcare design system.
  • Scale: Regional integrated delivery network serving hundreds of thousands of patients across multiple states.
  • Methodology: Research-first. Journey-mapped. Design-system-anchored.
Client
Regional integrated health system (anonymized)
Challenge
Fragmented patient-facing surfaces — portal, billing, communications — each owned by a different team, each producing a different patient experience. No shared journey, no shared design system, no shared definition of "good."
Approach
Patient journey mapping across acute, ambulatory, and billing touchpoints. EOB and billing redesign grounded in readability research. Patient portal UX redesign. Healthcare-specific design system to make the work durable across teams.
Deliverables
Patient journey maps · EOB & billing redesign · Patient portal UX · Healthcare design system (tokens, components, patterns) · Journey management framework · Monthly executive readouts
Result
A unified patient experience standard adopted across product and brand teams. Measurable improvements in EOB comprehension and portal task completion. The design system has become the source of truth for patient-facing product development.
01 The Challenge

Large health systems do not have a patient experience problem in the abstract — they have it in the specifics. Billing statements that nobody can read. Patient portals built for clinicians, not patients. Care journey communications written by lawyers. Each surface is owned by a different team, each team optimizes for its own metric, and the patient gets the seams. Our client knew this. The question was where to start and how to make the fix stick.

02 Our Approach

We did not begin with redesigns. We began with patient journey mapping — a single artifact that put every team on the same map, with the same patient, at the same touchpoint. From there the work fanned out: an EOB redesign grounded in readability research and tested with real patients; a patient portal UX redesign that prioritized the three tasks portals actually get used for; and a healthcare design system that captured the patterns so the next team didn't have to start from scratch. The design system was the multiplier — it turned individual project wins into organizational defaults.

03 The Outcome

The patient experience became a shared object across the organization — not a slogan, an actual map and an actual system. EOB comprehension improved measurably under usability testing. Portal task completion went up on the redesigned surfaces. Most importantly, the design system is now used by teams we never worked with directly, which means the patient experience improvements compound rather than decay.

04 What we learned
In healthcare, the design system is not a deliverable. It is the strategy. Without it, every patient experience improvement is one team's opinion against another team's opinion. With it, "good" becomes a shared definition that survives staff changes, reorgs, and vendor swaps.
Disciplines
  • 01 Patient Journey Mapping
  • 02 Healthcare CX Strategy
  • 03 Patient Portal UX
  • 04 EOB & Billing Redesign
  • 05 Healthcare Design Systems
  • 06 Usability Research

Start a
project.