Case Study • NYU Langone

Making healthcare easier to access and understand

As NYU Langone launched telemedicine, many patients couldn’t activate accounts. We rebuilt the activation experience—clarifying language, steps, and feedback—so patients could access care with confidence.

0→1 Healthcare Regulated Workflows Design Systems Accessibility
Role
Senior Product Designer (Lead)
Team
Design • Eng • PM • Compliance • Translation
Timeline
12 weeks discovery → design
Scope
Research • IA • Forms • Email • WCAG AA
Activation flow overview

Problem

Only 14% of patients were completing account creation when trying to schedule a visit. Patients got stuck at validation and treated the verification email like a receipt.

Patient validation

63% stuck. Unclear requirements; form errors.

Email verification

82% missed. “Thank you” implied done; weak CTA.

Account creation

10% completion. Late rules; repeated retries.

Key point: Clear steps, clear feedback, and clear communication are non-negotiable—uncertainty drives abandonment.

Design Process

Discovery
User interviews • Analytics review • Service blueprint

Observed patients completing activation flows to uncover friction and mental models. Mapped challenges and aligned on improvements.

Definition
Problem framing • HMWs • Success metrics

Focused outcomes on completion, clarity, and confidence with measurable signals.

Design
Prototyping • Workflow mapping • DS integration

Guided activation flows using standardized components and clear language; prototyped and documented for reuse.

Validation
Usability testing • Iteration • Accessibility

Refined copy, form behavior, and visual cues to prevent errors and improve comprehension.

Implementation
Collaboration • QA • Documentation

Partnered with engineering and PM to hand off designs, resolve constraints, and ensure accessible implementation.

What we wanted to learn

Research goals

  • Pinpoint friction across activation (validation → verification → creation).
  • Compare comprehension and effort on mobile vs. desktop.
  • Clarify mental model of “activation” and next steps.
  • Evaluate copy, labels, and rationale for data requests.
  • Understand why verification emails are ignored.

Participants (sample)

8 current patients (EN/ES) • Age 20s–40s • Mixed devices • Varied tech literacy • Across NYC boroughs.

Solutions

Thesis: Reduce cognitive load by making activation visibly guided, language-clear, and error-preventive.

Guided activation example

A more guided experience

Step tracker, proactive help text, and instructive language to prevent errors.

Accessible communication example

Inclusive communication design

Clear, direct language and status cues so people know where they are and what to do.

UX writing guidelines

UX writing guidelines

Standardized accessible language, formatting, and a helpful voice across products.

Forms DS

Forms component library

Owned, improved, and documented a reusable forms system adopted across patient access flows.

Impact

Higher completion

Activation success improved after launch; verification clicks increased with new email subject/CTA.

Design system adoption

Form + copy patterns integrated into the DS and reused across patient access workflows.

Resilience in COVID

Improvements enabled rapid telemedicine scale-up during COVID.

Reflections

  • Predictability is a usability feature in regulated workflows—guidance must be visible and consistent.
  • Systemized forms + copy turn one win into many; DS integration multiplies impact.
  • Within Epic/MyChart constraints, language, sequence, and verification clarity were the biggest levers.