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ERbuddy : Senior Care, Simplified

CASE STUDY | HEALTHCARE

OVERVIEW

ERbuddy is a healthcare startup based in New York City that offers personalized healthcare management for seniors and their caregivers through an integrated smart pillbox technology.

SCOPE

Product Design

Visual Design

User Research

Website Design

ROLE

Product Design Manager

Full-time role at ERBuddy Inc.

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YEAR

2022-2024

THE PROBLEM

Seniors with chronic illnesses struggle with medication adherence, and require more effective ways to manage their medication. 

The medication adherence rate among seniors with chronic illnesses is below 50%, leading to $100-$300 billion in preventable healthcare costs and 125,000 annual deaths (WHO, CDC).

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Beyond medication management, seniors and their caregivers face additional challenges with accessing urgent care due to fragmented and incomplete medical records.

14% Patients (6+ comorbid conditions) = 46% of Annual Medicare  Spending 

U.S 65+ population projected to grow from 14% (2012) to 20% (2030)

Total 65+ Population in 2015 was

50M (US) and 617M Globally

Source: World Bank, CMS

How might we create a simple, personalized solution to improve medication adherence for seniors, help caregivers manage schedules, and ensure better access to urgent care by addressing fragmented medical records?

CONTEXT & RESEARCH 

Transition of Care Workflow for Non-Scheduled Procedure

Flowchart illustrating the steps involved in patient care transitions within existing medical structures.

Critical

Data Transfer: Patient Profile, Insurance Details, Prior History 

Registration

Admission, Discharge or Transfer

ER

Health Episode

If Severe

Non-Critical

Urgent Care Center

(If mild)

Data Transfer: Patient Profile, Insurance Details, Prior History 

Registration

Treatment or Discharge

Patients as gatekeepers of future health

Release Records to Patients

Specialists

Specialists

PCP

Healthcare at Home or Nursing Home

Patients are custodians of their own care and medical records from here on

Major Stakeholders in Healthcare

TARGET AUDIENCE

Persona 1: Senior Patient (User)

Name

Helen Carter

Occupation

Retired teacher

Location

New York City

Living Situation

Lives alone, daughter lives in another state

Health Status

Chronic hypertension, Diabetes

Tech Savviness

Moderate, uses a smartphone for basic tasks

Goals

  • To better manage her medication schedule without confusion

  • To have easy access to her health information in case of an emergency

  • To feel supported and connected to her healthcare providers and family

Pain Points

  • Struggles with remembering to take medication on time

  • Has difficulty keeping track of her medication history and doctor's advice

  • Is concerned about emergency situations where she can't communicate her health status quickly

Needs

  • A simple, user-friendly system for tracking medication

  • Timely reminders for medications and health check-ups

  • Easy-to-access personal health records to share with her doctor or in case of an emergency

"I just want something that will help me stay on top of my health without too much hassle."

Persona 2: Caregiver

Image by Vitaly Gariev

Name

John Miller

Occupation

Software Developer

Location

New York City

Living Situation

Lives with wife and kid; cares for his elderly father

Health Status

Healthy, but has a high-stress job

Tech Savviness

High, frequent use of tech for work and personal life

Goals

  • To ensure his father's medication schedule is being followed

  • To stay informed about any missed doses or health emergencies in real-time

  • To manage his father’s health records efficiently for easy access during doctor visits

Pain Points

  • Can't always be physically present to remind his father about medication

  • Often feels uncertain if his father is following his health plan correctly

  • Finds it hard to keep track of all his father's medical appointments and health data

Needs

  • A centralized system to monitor his father's medication adherence

  • Notifications and alerts about missed doses or emergencies

  • Secure access to his father's health records and medical history

"I need a way to make sure my dad’s health is being managed properly, even when I’m not around."

GOALS & OBJECTIVES

To empower seniors and caregivers with an easy-to-use, integrated solution that enhances medication adherence, improves access to urgent care, and addresses fragmented medical records for better health outcomes.

ERbuddy will introduce a digital health app alongside a smart pillbox solution to address medication non-adherence in seniors.

 

Its user-centric approach will simplify healthcare, empower users, and enhance overall healthcare management, serving as a gateway to improved well-being for seniors and their caregivers.

Core objectives the digital solution must fulfill:

  • Pill Reminder System: Sends timely medication alerts.

  • Alerts for Caregivers: Notifies caregivers of missed doses.

  • Secure Medical Records: Ensures safe and accessible health data.

  • Health and Wellness: Supports overall well-being management.

Pill Reminder System

Audio and visual alerts are designed to assist in locating the specific pills that need to be taken.

Alerts for Caregivers

Family and caregivers of the patient are notified if a crucial medication dosage has been missed.

Secure Medical Records

Store all of your medical records securely in one place for easy access in case of an emergency.

Health & Wellness

A monthly newsletter to explore articles and access authenticated health and wellness information.

ERbuddy Smart Pillbox Attributes & Features

The pillbox and app ensure secure medication management and real-time communication between seniors, caregivers, and healthcare providers

End-to-end Encryption

Designed and manufactured in the USA, ensuring HIPAA and GDPR compliance for user privacy and data security.

Reminder System

Audio and visual reminders to assist users in locating the pills that need to be taken.

Pill Identification

Pill descriptions displayed on screen with soft push buttons for easy navigation through the menu.

Health History Storage

Secure storage of medication and personal health history on the pillbox, accessible for sharing with healthcare providers during emergencies.

Alerts

Notifications sent to family and caregivers if a medication dosage is missed.

Accessibility

User-friendly design accessible via both the web app and mobile app.

What are we looking to create?

A Personalized Healthcare Management Hub

The digital solution must enable communication and data interoperability between the user, caregiver for routine updates, ER personnel during emergencies, and the primary care physician during routine visits.

Caregivers

ER/Paramedics

Primary Care Physician

Medication schedule management to avoid emergency episodes

Quick and secure access to personal health information digitally

Two-way transfer of medical notes and medication adherence reports

The goal is to empower seniors and caregivers with seamless support, enhancing independence, confidence, and overall health outcomes.

INFORMATION ARCHITECTURE

As the Product Design Manager for ERbuddy, I was responsible for designing and building a digital health-tech product to solve our identified design problem:

How might we create a simple, personalized solution to improve medication adherence for seniors, help caregivers manage schedules, and ensure better access to urgent care by addressing fragmented medical records?

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After researching statistics on seniors with comorbidities, analyzing stakeholders in senior care at both micro and macro levels, and developing user personas to understand our target audience's goals and needs, I crafted a comprehensive list of app requirements essential for delivering ERbuddy's 360° care.

 

I then designed an information architecture flow outlining the app’s key sections and sub-sections:

Frame 32 (1).png

ERbuddy Homepage Components

Personalized Greeting with the User's Name

Enclosed Profiles: Basic Info, Health Stats, and Medical History

Medical Data Vault: Prescriptions, Diagnostic Reports, and Doctor Summaries

Important Contacts: Pharmacies, Doctors, Synced and Custom Contacts

Bottom Navigation Bar Quick for Access to Key Sections from Any Screen.

Home screen II.png

Hamburger Menu: Settings, Privacy, and Language Options

Reminders Overview: View Today’s and Upcoming Reminders

Medication Tracker: List of Medications with Add/Edit Options

Calendar: Schedule Appointments and Refill Reminders

Today's Reminders: Checklist to Mark as Taken Here or with Push Notification Alerts

Timed Medication Reminders: Disabled Until Scheduled Time

How Does ERbuddy Work?

Frame 35.png

VISUAL DESIGN

I designed the new logo for ERbuddy Inc. While medical brands often use green or generic iconography, I chose a distinct color palette to make ERbuddy’s logo stand out. This aligned with the founders' vision of positioning ERbuddy not as hospital care but as a healthcare management solution.

 

The deliberate use of 'digital blue' reflects the tech-driven nature of ERbuddy's digital solution, while the logo's design—a combination of a heart and pill—symbolizes care as the startup's foundation.

Frame 33 (1).png

DESIGN SYSTEM

Frame 34 (1).png

DESIGN SOLUTION

Design is an iterative process. After launching the beta version (v1) of ERbuddy in 2023, I gathered user feedback and redesigned the initial screens to enhance the user experience in 2024 (v2).

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Key changes included adding essential features to the home screen and navbar for improved accessibility, along with redesigning the overall UI to enhance clarity and functionality.

v1 (2023)

v2 (2024)

Start Screen.png
Intro Screen - 1.png
Home screen.png
Search Medication (1).png
My Medications-1.png
+Add New Medication.png

USER FLOW: ONBOARDING 

Intro Screen - 1.png
Intro Screen - 2.png
Intro Screen - 3.png
Start Screen.png

USER FLOW: ADDING A NEW MEDICATION

Home screen.png
My Medications 2.png
Search Medication copy.png
Search Medication (1).png
+Add New Medication01.png
+Add New Medication 2.png
+Add New Medication00.png
My Medications II.png

X

WEBSITE DESIGN

The ERbuddy informational website is now live, featuring these newly designed web sections. Visit myerbuddy.com to view. 

Reminiscing
Friends On A Walk
Playing Games with Grandpa
Elder Couple
Loving Couple
Scroll-3.gif

Recent Key Developments (2024)

TEFCA

Epic and other organizations are collaborating with the federal government to establish the Trusted Exchange Framework and Common Agreement (TEFCA), which will allow patients to access their health information through apps that interface with Electronic Health Records (EHRs).

 

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Crowdstrike, AT&T and Change Healthcare Security Incidents

Recent security incidents with centralized data systems have prompted us to reconsider the need for cloud backups, as opposed to storing data locally on devices like smartphones or the pillbox, particularly when emergency access for users is critical.

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NIA Feedback

Feedback from the National Institute on Aging (NIA) grant application reviewer emphasized focusing on the Care Management platform, suggesting that the physical device be a separate focus for a future project.

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REFLECTIONS & KEY LEARNINGS

Designing the UX and UI for ERbuddy was a meaningful challenge, particularly as I’ve seen firsthand how senior care impacts quality of life. Working with a talented team allowed me to deepen my design, research, and strategy skills.

Here are some key takeaways:

Product Design is a Work in Progress
While the goal is to deliver an MVP, product design is always evolving through incremental improvements.
 

UXD is Vast
There’s always more to learn, read and design. The more I worked, the more I discovered, which inspired me to pursue a master's in this field at Pratt.
 

Value for All
We received feedback from a wide range of users, and while ERbuddy targets seniors, the health record system and reminders can benefit everyone.
 

911 Health Summary
We found a new way to transmit critical health info in emergencies. Future versions will include a health summary card for emergency personnel.
 

Accessible UI & Design Systems
There’s room to improve the UI and meet accessibility standards for healthcare apps.
 

Usability Testing & Fringe Cases
Usability testing with target users helped us address issues and consider fringe cases, like injectable medications. Overall feedback systems for the UX need to be improved.
 

HIPAA Compliance
Collaboration with tech developers was key to ensuring HIPAA compliance and secure patient data management.
 

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I hope ERbuddy evolves into a product that truly transforms the way senior care is managed and used, ultimately improving lives across different demographics.

Image by Tatiana Zanon
Enjoying a Meal
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