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Kaiser Permanente

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Kaiser Permanente

The care was great.
Getting to it wasn’t.

When COVID-19 moved care into people’s homes, Kaiser Permanente’s app became the front door to it. I led the redesign that rebuilt that door around members: fewer dead ends, plain language, and every task one clear step from the moment you need it.

Mobile app redesignVideo visitsDesign systemResearch to launch
What we kept hearing
Scheduling
“I spent twenty minutes looking for where to book a follow-up.”
Danielle, 36 · Working parent
Refills
“The reminder said my refill was due. Then it dropped me on the home screen.”
Marcus, 58 · Managing diabetes
Billing
“I got a bill and honestly couldn't tell what it was for.”
Priya, 29 · New member
Results
“My results came in. I just want someone to tell me if that's normal.”
Kevin, 44 · After a lab visit
Access
“My mom can't use the app on her own. I end up doing it for her on speakerphone.”
Rosa, 41 · Caregiver for her mom
Sign-in
“Why do I have to sign in again just to read one message?”
Jamal, 33 · Frequent user
Scheduling
“I spent twenty minutes looking for where to book a follow-up.”
Danielle, 36 · Working parent
Refills
“The reminder said my refill was due. Then it dropped me on the home screen.”
Marcus, 58 · Managing diabetes
Billing
“I got a bill and honestly couldn't tell what it was for.”
Priya, 29 · New member
Results
“My results came in. I just want someone to tell me if that's normal.”
Kevin, 44 · After a lab visit
Access
“My mom can't use the app on her own. I end up doing it for her on speakerphone.”
Rosa, 41 · Caregiver for her mom
Sign-in
“Why do I have to sign in again just to read one message?”
Jamal, 33 · Frequent user
Video visits
“I don't want to drive in sick just to ask one question.”
Aisha, 31 · Working parent
Navigation
“Everything is in there somewhere. That's the problem.”
Tom, 62 · Member since 2004
Video visits
“Is the visit on my phone or my computer? Which link do I use?”
Lena, 27 · First video visit
Accessibility
“The text is tiny and the buttons are everywhere.”
Harold, 74 · Retiree
Care plan
“By the time I got home, I'd forgotten half of what the doctor said.”
Mei, 52 · After a visit
Messaging
“I asked my doctor a question and had no idea if anyone saw it.”
Carlos, 39 · Waiting on a reply
Video visits
“I don't want to drive in sick just to ask one question.”
Aisha, 31 · Working parent
Navigation
“Everything is in there somewhere. That's the problem.”
Tom, 62 · Member since 2004
Video visits
“Is the visit on my phone or my computer? Which link do I use?”
Lena, 27 · First video visit
Accessibility
“The text is tiny and the buttons are everywhere.”
Harold, 74 · Retiree
Care plan
“By the time I got home, I'd forgotten half of what the doctor said.”
Mei, 52 · After a visit
Messaging
“I asked my doctor a question and had no idea if anyone saw it.”
Carlos, 39 · Waiting on a reply
Every one of these became a design brief. Here’s how we answered them.
Work 3
Home
Medication reminder
Kaiser Permanente
My health finally fits into my hectic schedule.
Having video appointments and the tools I need right at my fingertips makes it easier to put my well-being first. Since COVID, quality care feels accessible and personal when I need it most.
Melissa Rudner
San Francisco, California
01The gap between visits

Care doesn’t stop when the visit ends. The app experience did.

Most of a patient’s health work happens at home: taking meds, refilling them, following a plan and asking follow-up questions. I started from the published research on where that work breaks down, then mapped where our app was adding friction instead of removing it.

~0%
of medications for chronic conditions aren’t taken as prescribed
Viswanathan et al., Annals of Internal Medicine, 2021
0%
of new prescriptions are never picked up from the pharmacy
Fischer et al., American Journal of Medicine, 2021
40–0%
of what a clinician says is forgotten almost immediately
Kessels, Journal of the Royal Society of Medicine, 2022
~0%
of what patients do remember from a visit is remembered incorrectly
Kessels, Journal of the Royal Society of Medicine, 2022
Pain themes from research synthesis
Each theme maps to one journey below
Reminders with no next step
A push says a refill is due, then drops you on the home screen. Members had to hunt for the pharmacy tab, sign in again and find the right medication.
T1Answered by: Refill reminder
New meds, no context
A new prescription shows up as a line item. What it’s for, how to take it and whether it auto-refills lived in three different places.
T2Answered by: New prescription
Instructions forgotten by the parking lot
After-visit guidance arrived as a dense summary. When questions came up at home, there was no obvious path back to the doctor.
T3Answered by: Treatment plan
Records and messages in silos
Labs lived in one tab and messages in another. Asking ‘what does this result mean?’ meant copying numbers between screens.
T4Answered by: Doctor + records
02Sketching my ideas

Before the wireflow, a wall of sticky notes and one rough phone.

I ran a working session to pull the research into how-might-we questions, then sketched the Care Hub idea and a first pass at the refill reminder on paper before opening Figma.

Most health work happens at home. Where does it break?
9:41Hi, NeilRefill dueAtenolol 50mg3 days leftMailPickuporderedconfirmedfilled
at home, members need to...
what gets in the way
how might we...
idea: one Care Hub
first sketch: refill reminder
Care Hub
T1 Refill
T2 New Rx
T3 Treatment plan
T4 Doctor + records
hand off to pharmacy + care team, where the task lives
status reports back ✓ nothing left half-done
the push deep-links HERE, not the home screen!
mail or pickup? decide right in the card
pharmacy status comes back to the hub
next: map all 4 journeys
Refill my meds
Start a new prescription
Follow the treatment plan
Ask my doctor a follow-up
Refill push → lands on home screen
Hunt for the pharmacy tab...
Sign in AGAIN?!
New Rx = just a line item
Instructions forgotten by the parking lot
Labs in one tab, messages in another
HMW make a reminder open the exact task?
HMW explain a new Rx in one place?
HMW keep the after-visit plan close at home?
HMW ask about a result without copying numbers?
reuse the hub pattern from GMW onboarding!
Focus on
I recreated this board from the workshop notes and sketches we took.
03Mapping the journeys

One hub, four journeys, every task where it natively lives.

I extended the hub pattern from my GMW onboarding flow. Rather than rebuilding pharmacy and messaging inside the app, a doctor-triggered reminder deep-links into a Care Hub task. The hub hands the member off to the system that owns the task, then reports progress back so nothing is left half-done.

✓ PREFERRED CARE HUB STRATEGYKEY ACTIONS:Doctor-triggered reminders open the exact task, not thehome screen. The Care Hub tracks progress and handsmembers off to pharmacy and care team systems wherethose tasks natively live, then reports status back.- Start of user flow- Outside the app- Member will see- Decision point- Two-way handoffT1 · REFILL REMINDERT2 · NEW PRESCRIPTIONT3 · TREATMENT PLANT4 · DOCTOR + RECORDSOutside app · PharmacyOutside app · Care teamYesNoMailPickupYesNoYesNoBack and forthUpdates recordHub refreshes progressSIGNED INLAST 30 DAYS?DELIVERYMETHOD?AUTO-REFILL?ANYQUESTIONS?Send updatedprogress status(Complete orincomplete)BPush notification(Doctor-triggered)9:41Quick sign-in(Face ID)Care Hub(Tasks w/ progress)ARefill detail(Days left, copay)T1Mail delivery(Free, 3–5 days)Pharmacy pickup(Choose location)Order confirmed(Tracking + auto-refill)Pharmacy fills(Status sync)New prescription(What it’s for, how to take)T2Auto-refill(Every 90 days)One-time fill(Send to pharmacy)Dose reminders(Set schedule)After-visit plan(Plain-language steps)T3Message doctor(Context attached)Mark understood(Task complete)Doctor replies(Care team inbox)Reply + next step(Back in thread)Medical record(Labs, meds, visits)T4Lab result(Trend + what it means)Ask about result(Record attached)Record updated(Meds + visit notes)
A
Deep links, not dead ends
Every reminder opens its task in the Care Hub. Members sign in with Face ID only when their session has expired.
B
Status flows back
Pharmacy and care team systems report complete or incomplete, so the hub’s progress bar reflects what actually happened.
↔
Records and messages talk
A lab result can be sent into a message with one tap, and a doctor’s reply can update the medication list it refers to.
04High-fidelity wireframes

From reminder to resolved, without leaving the thread of care.

Each journey starts with something the doctor did and ends with the member’s task closed in the Care Hub. I designed the screens to answer one question at a time: what is this, what do I do, and is it handled?

9:41
Tuesday, October 28
9:41
KAISER PERMANENTEnow
Refill due: Lisinopril 10 mg
About 3 days left. Order now and it ships free to your home.
Order refill
Remind me tomorrow
1
Actionable push
The reminder carries the action. ‘Order refill’ deep-links past the home screen.
9:41
Refill
Lisinopril 10 mg
1 tablet daily · Dr. Priya Patel
About 3 days left90-day supply
Refills left2
Estimated copay$0.00
How do you want it?
Mail to home
Free · arrives in 3–5 days
Pick up at pharmacy
Oakland Medical Center · ready in 2 hrs
Order refill
2
Refill in one view
Supply left, copay and delivery choice together, defaulting to free mail.
9:41
Order placed
Refill ordered
Lisinopril 10 mg · arrives by Friday
Ordered
Today, 9:42 AM
Being filled
Pharmacy confirms by tonight
Shipped
Tracking sent by text
Turn on auto-refill
Never run low again. Cancel anytime.
Back to Care Hub
3
Confirm + prevent
Order tracking, plus a one-tap auto-refill prompt at the moment it matters most.
9:41
Good morning, Alex
Care Hub
Today’s care tasks1 of 4 done
Refill Lisinopril
Ordered · arrives Friday
Done
Start Metformin
New from Dr. Patel
Review your care plan
From your Oct 28 visit
A1C result is ready
Tap to see what it means
Home
Appointments
Pharmacy
Messages
Records
4
Hub updates
The pharmacy reports status back, so the Care Hub shows the task as done.
Pain addressed
Reminders with no next step
What changed
Notification to order in 2 taps, instead of a hunt through the home screen, pharmacy tab and medication list.
How the patient benefits
Designed so members don’t run out of a daily medication because the reminder was hard to act on.
What I’d measure
Time from push to order · on-time refill rate · auto-refill opt-in
05How patients benefit

Fewer dead ends between the doctor and the medicine cabinet.

I kept four principles in front of the team while we designed, and paired every journey with a metric we could watch after launch. The goal was never more engagement for its own sake, just fewer patients falling through the gaps between visits.

01
Act from the alert
Every reminder carries its primary action. The notification is the first screen of the task, not a pointer to the app.
02
Explain before you ask
Purpose, dosing and cost come before logistics, so members commit to a plan they understand.
03
Close the loop
Pharmacy and care team systems report back. The Care Hub only marks a task done when it actually is.
04
Let context travel
Results attach to messages and replies update records, so nobody re-explains their situation.
Taps from reminder to done
Counted from the wireframes above
T1Refill a daily med2taps
Push Order refill
T2Start a new prescription4taps
Push Continue Start auto-refill Save
T3Ask about a care plan3taps
Push I have a question Send
T4Ask about a lab result3taps
Records Result Ask Dr. Patel
Success metrics to validate
What we’d watch after launch to know it worked
Refill on time
Share of refills ordered before supply runs out
Push to action
Median time from reminder to completed task
New Rx filled
Share of new prescriptions picked up or shipped within 7 days
Auto-refill opt-in
Share of eligible meds moved to auto-refill
Plan confirmed
After-visit plans marked as understood
Questions resolved
Time from patient question to doctor reply
Industry figures come from the published studies cited above. Names, medications and values in the wireframes are illustrative.
06UI kit

A calm, consistent kit built for care moments.

Every screen above is assembled from the Kaiser mobile design system I built: pill-shaped actions, quiet filled inputs and status patterns tuned for clarity under stress. The components below are live, so tap around.

Color
Tap a swatch to copy
Typography
8 styles
X-Large Header24 / 30 · Semibold
Large Header20 / 26 · Semibold
Header16 / 22 · Semibold
Body Medium14 / 20 · Medium
Body Regular14 / 20 · Regular
Small Medium12 / 16 · Medium
Small Regular12 / 16 · Regular
Tab Bar Label10 / 12 · Semibold
Buttons
Full width · Dynamic · 7 states
44Fill · radius full14 · SB
Inputs
Text · Date · Dropdown · Time
Visit date
10/28/26
MM/DD/YY
Pharmacy
Dose reminder
8:00
Selection
Toggle · Check · Radio
Chips + nav
Filter · Menu · Tabs
Applied filters
Alex + family
Row headers
Icon · Helper · Chevron · Action
Medications
2 active · 1 refill due
Test results
A1C ready to view
View
Past visits
Care team
Dr. Priya Patel
!Only 3 days of Lisinopril left
!Card on file has expired
iPharmacy closes at 7 PM
✓Refill ordered
Tab bar · tap to switch
Status + empty states
Feedback patterns
Refill ordered
Arrives by Friday. We’ll text tracking.
No messages yet
Questions about your care plan land here.
Data cards
At-a-glance counts
2
Refills due
1
New result
3
Messages
4
Care tasks
Used on the Care Hub to summarize what needs attention before the task list.
05Measurable impact

Care that used to need a phone call, now finished in the app.

What the work was built to move, with targets set against industry benchmarks for the category.

−25%
Calls to schedule
Booking, rescheduling and video visits move from the phone line into a few taps.
+18%
Refills on time
Reminders and one-tap refills close the gap between a prescription and taking it.
< 1 day
Question to reply
Results and messages live together, so follow-ups reach the right doctor with context.
North-star metric
Everyday tasks completed in the app
41%68%Target
Share of routine tasks (booking, refills, results, messages) finished without calling.
BeforeLaunchTarget
07Launch

May 2022. Care went live, right when members needed it.

Building on the desktop platform, I designed the video visit experience end to end, alongside live support, scheduling and billing. Patients could see their doctor face to face from a phone or computer, getting started in minutes while the world kept its distance.

Mobile app
Launch checklist
Video visits & member app
Launch readiness: everything members told us they needed
Prepared by
N. Petticrew
Launch
May 2022
Status
Live
No.ItemDone
01Video visits, face to facePatients see their doctor from a phone or computer.
02Ready in a few minutesGetting started takes minutes, not a trip to the front desk.
03Live supportReal-time help the moment a member gets stuck.
04SchedulingBook, change and join appointments in one place.
05Billing, made clearStatements and payments people can actually follow.
06Prescription refillsThe most common task, down to two taps in the new flow.
07Test resultsResults with context, and a direct way to ask about them.
08Accessible by defaultBuilt for every member, at every comfort level with tech.
09Simple and secureSecurity that never gets in the way of care.
10Tested with real membersUsability sessions on prototypes, refined on feedback.
Notes
A lifeline when everyone had to stay home. All ten done, and it's live.
Design sign-off
N Petticrew
Date
05 / 2022
Recreated for this case studyPage 1 of 1
The checklist

Everything we set out to fix, ticked off.

Most of my time went into balancing simple against secure, for patients and for the care teams on the other end. During the pandemic, video visits became a lifeline, and they put Kaiser Permanente out in front on telehealth when it mattered most.

LaunchedMay 2022
WherePhone or computer
Time to startA few minutes
Care, a few taps away. For every member.

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