Curv: A Digital Healthcare platform

About:

Curv Health is an integrated digital clinic offering healthcare services and progress tracking. Clients are guided through treatment plans with computer-vision-tracked assessments, in-app video calling, and asynchronous check-ins. Providers access the platform to build programs, connect with clients, and monitor compliance and performance metrics.

Overview:

This case study is not traditional in the sense it does not follow one feature design. Instead, it displays how I planned to scale an application as a whole while designing for multiple feature sets and improvements at the same time focusing primarily on information architecture and content management.

The Ask:

Transition the existing application into its next phase: feature set expansion.

Solution:

Improved navigation by establishing information and visual hierarchy. Enhanced usability with improvements including healthcare program delivery, client dashboards and accessible communication channels. Lastly, increased appointment bookings by implementing a service discovery page.

Duration: 1 year

Role: Product Design & Management

Tools: Figma, Slack, Notion..& multiple sketchpads

 

P R O C E S S


 
 

E v a l u a t e & A u d i t


To understand the information architecture and existing user flows of the product, our team could prioritize the areas of opportunity and feature expansion.

How Did I Do It?

  • Product walkthrough to identify tasks that can be carried out by a client vs. provider

  • Create a feature inventory to compare it to business goals later

  • Map existing user flows, and understand navigation stacks with developers.

Outcome: Identify and document gaps in current flows, areas of opportunities, and map how future content or features may fit in.

 
 

U S E R R E S E A R C H & D i s c o v e r y


 

Building Personas without users

Being unavailable on any app stores and pre-market fit, Curv had no existing users to conduct interviews with. Therefore I began to develop a client proto-persona, which would help our team identify areas of opportunities and determine which improvements to prioritize. Additionally, it would help me focus on the content that would be most valuable to users & ensure its accessibility through appropriate user flows.

 

How Did I Do It?

  • Completed competitive research of health-tech companies to understand which needs are being addressed and how they are resolved

  • Reviewed academic journals projecting emerging health trends, populations most likely to uptake new technology and analysis on existing healthcare/ tracking applications

  • Conducted a survey of 20 questions with 100 participants all of whom had received health programming at least once

 
 

Outcomes:

1) Competitive research exemplified content organization and what made platforms ‘sticky’ or successful (gamification, incentives, ease of use, and personalized experiences)
2) Academic research shaped our proto-persona.
3) Questionnaire analysis validated our target demographic, evaluated people’s readiness & trust levels with remote care, and variables influencing compliance and treatment plan success (pain & activity education, communication, mindset, accountability, goal setting)

 

H O W M I G H T W E


Based on the research outcomes, the product team defined and scoped upcoming feature work. Identifying major gaps as Curv pivoted from a physiotherapy software tool to an integrated healthcare service platform, the following epics were outlined:

1) Improve program delivery and activity instructions to clients.

2) Ensure program success— hold clients accountable and motivate through personalization & gamification.

3) Redesign user flows for video calling & messaging with providers to increase engagement and communication.

4) Achieve business goals by creating synergy within an integrated clinic model. Encourage users to seek holistic healthcare by booking with additional service providers and potentially more browsing content.


Once our research identified areas of opportunity, the problem statement I had as a sole designer became:

How might we structure the app to manage existing & upcoming content/features in a way that is impactful for client care?

 

D e s i g n i n g s o l u t i o n s


 
 
  • The screens displayed above were all a user had to receive and act on health care programs when I first joined. Introducing several features and content that didn’t already exist in the app, I re-iterated on many designs focusing on each feature set independently and together as a whole. My goal was to keep content, layouts and individual elements modular. This aimed to increase the reusability of components and to democratize larger patterns for future use and development.

 
  • To validate designs early on, I carried out four rounds of testing with five participants each time.

    Method: Each test was comprised of key tasks with potential users. Working fully remote, our testing was completed with a recorded Zoom call. I created a prototype in which users would explain and direct me to carry out their desired actions. This was helpful in controlling the pace of tests. I found it gave opportunities to pause and discover insights with participants. Conversely, it could equally disrupt participants and may alter their innate decision making.

    Upon each round of testing, I analyzed the data and highlighted areas of hot touch targets, successes and failures. Overall impressions, and experiences were also collected and taken into account for future iterations.

 
  • Before: Assigned assessments required users to self-record activity one at a time as they were presented in isolation. Recording a submission was the only way to mark an activity as complete.

    Problem: There was no programming context for users as it was set up only for ad hoc sessions. Activities also had no displays for specific instructions or parameters like reps, sets, and rest which hindered remote care delivery.

    Solution: Restructure how programs are presented to clients. I began to modularize and nest elements such that a program consisted of routine(s) which represented a group of activities. Each activity would then be available to complete by self-report or video recording, and include customizable variables alongside its instructions. Additionally, the program tab would have pages that sorted program overviews, routine schedules, and a space dedicated to reviewing feedback from providers.

    Outcome: Give users rationale behind programming, surface appropriate program aspects depending on use cases, and allow activities to be self-report in addition to video recordings so more healthcare disciplines could leverage our program builder.

 
 
 
  • Before: There was no existing home page for a user that acted as a hub for programming and performance. The only feature that existed was a line of dots with numbers above indicating routine completion statuses.

    Problem: The compliance bar didn’t include a month, so it was not clear that it indicated daily routine progress. It appears interactive, as the coloured dots also don’t specify which routines are assigned for each day. Curv also needed to create an engaging landing page with content that would encourage users to complete programs, and receive services.

    Solution: Improve the compliance bar with scrolling and tap-to-view routine functionality. Additionally, enlarging compliance dots for better tap targets and displaying seven days at a time uncluttered the UI. Create a home page that visualizes data that’s useful and motivating to users. Leverage assessment metrics, and Healthkit data to generate trends for clients to track their performance progress.

    Failed Outcome: Clients gain program insights upon completing assessment routines through the dashboard. The dashboard incentivizes users to adhere and complete treatment plans by improving streaks and trends. Unfortunately, this MVP solution was not enough. New users or clients not receiving physical training programs were instead left with an empty state, no insights to engage with, and useless app real-estate. In our next iteration, we will need to consider a space that is valuable for any healthcare practice, and create calls to action for engagement with new/empty states.

 
  • Before: A single feed existed that housed event notifications and messaging between clients and providers. For synchronous calls, users would need to leave the app, create an external account in Jane to book and join video appointments with providers.

    Problem: This space quickly became overcrowded with information causing items or context to be lost in an endless scrolling vortex. In regards to scheduling and video calls, using external platforms created a disconnected user experience for all parties involved.

    Solution: Enable better communication channels by separating content into a notification centre, messaging thread, and embed scheduling and video calling in-app.

    Outcome: Users have more intuitive access points for actionable items or content. The historical log for both notifications and messaging improved as each section is independent from each other and not overloading clients. Notifications also now display the system status of read and unread. Push notifications at the device level are more clear since event updates are no longer displaying as a new message. With scheduling and video calling done in-app, no-shows to appointments decrease and user experiences are more seamless.

 
 
 
  • Before: No existing space for users to connect and book with other providers unless they were invited to the app by a practitioner.

    Problem: Integrated clinical services were undiscoverable by users which limited practitioner exposure and healthcare accessibility. From a business perspective, it meant potential loss of clientele and practitioners due to low referral and booking rates.

    Solution: Create a space that can be scaled in the future which allows users to explore Curv’s services and practitioners along with content such as: interactive resources, articles, and free programming.

    Outcome: Clients gain greater autonomy in their wellness journey by curating a personal healthcare team when booking appointments with provider profiles that match their goals and personality. This gives greater comfort and confidence to users when receiving virtual healthcare. It also enables Curv to become a 2-sided marketplace for both clients and providers.


D E P L O Y & T E S T


Since then…

Curv Health’s application was launched on both App Store and Google Play store, received our first 50 clients, and are now partnered with employer groups providing Employee Assistance Programs (EAPs). As traffic has increased, we have initiated analytics tracking: download and engagement metrics, specific funnels following key tasks, drop off and bounce rates. Additionally, our care team has reported that new users are requesting multiple services and provider types which begins to validate both design and strategy teams. As the volume of clients rise, I am looking forward to start user interviews, benchmarking studies and work on improving designs.

 

R E F L E C T I O N S


• Build strong relationships with your teammates- especially developers. I’ve been fortunate to work with such a talented team who have taken the time to teach me about their data modelling, front and back-end processes, API documentation and edge case considerations.

• Constraints are helpful in boosting creativity and not always limitations.

• Understand Human Interface Guidelines and Material Design to leverage native libraries like Swift, and to predict user interactions.

• It’s never too early to start building component and pattern libraries.

• Startups can feel like rollercoaster- and luckily I’m an adrenaline junky. Goals can change quick, and priorities will shift. Working remotely, over-communicating to ensure business-product-development was a must. Also, investing time to refine the product development process will streamline workflows for all parties involved.

• Content everywhere by Sara Wachter-Boettcher is a must read.

 
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