```cv
gallery
{"layout":"hscroll","images":[{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2F4Udi9x7I3dq7spNCaxAW%2Fb71655b5-6bc3-4e88-8800-cd0bb97625f3.jpg?alt=media&token=d2150ca4-2003-43e6-9cde-18c70db66b63","id":"b71655b5-6bc3-4e88-8800-cd0bb97625f3","width":2574,"height":3745,"filename":"squawkin_android_full-1_opti.jpg","type":"image/jpeg","caption":"","border":false}]}
```

At Squawkin I worked as the designer on a team that shipped a cross-platform, asynchronous messaging app for iOS and Android. As a freelancer, I was tasked with 'a la carte' UI changes. As my role expanded, I served as a full-time interaction designer tackling problems related to the product as whole.

Follow the links below to learn more about my design work on the product.

* **[Android Material Design UI](https://design.awalker.info/squawkin-material-design-ui)** — A comprehensive update to the visual design of Squawkin Crowd Messenger's user interface using Google's Material Design framework.

* **[Feature Integration](https://design.awalker.info/feature-integration) —** My approach to scoping and integrating new functionality into an existing product: developing app flows, composing static mock-ups, and creating interactive mock-ups.

* **[iOS Style Guidelines](https://design.awalker.info/style-guidelines)** — Implementing a consistent visual style throughout the iOS app that adheres to the specifications detailed in Apple's iOS Human Interface Guidelines.

* **[App Master Flow](https://design.awalker.info/master-flow)** — End-to-end documentation of the structure and flows for Squawkin Crowd Messenger.

Squawkin Crowd Messenger

[Cal-ITP](https://calitp.org) is multi-year project within Caltrans whose charter is to help transportation agencies throughout California shift from closed-loop payment systems—where riders essentially buy prepaid gift certificates to ride transit—to an open-loop system where riders use their existing debit and credit cards to pay for transit rides, just as they would for any other purchase.

```cv
gallery
{"layout":"hscroll","images":[{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2Fcal-itp-benefits%2F65d9eb18-99a1-4f8b-86e9-74503678c123.png?alt=media&token=92703abc-0e02-4916-94fd-bed0d9a1e47b","id":"65d9eb18-99a1-4f8b-86e9-74503678c123","width":4294,"height":2656,"filename":"Apple Macbook Pro 15_ Space Grey.png","type":"image/png","caption":"Landing view for the Cal-ITP Benefits web application","border":false}]}
```

I'm the product lead for [Cal-ITP Benefits](https://benefits.calitp.org), an open source software application that streamlines the process for Californians to verify their eligibility to receive federally-mandated fare discounts and register their contactless debit or credit card for reduced fares. The service requires partnership, collaboration, and coordination with several public and private stakeholders.

* [Login.gov](https://login.gov) (digital identity and age verification)

* [California Digital ID Framework](https://digitalidstrategy.cdt.ca.gov/) (facilitates benefit eligibility checks and rider data management)

* [US Veterans Administration](https://va.gov) (API providing Title 38 Veteran status)

* [Littlepay](https://littlepay.com/contactless-payments/) (fare processor handling transit payments)

Cal-ITP Benefits

Virtual Care Web Application

After the acquisition of SnapMD by VirTrial, we began transforming a telemedicine product built for healthcare to serve new use cases in the clinical trial industry. The virtual visit remained at the product's core. However, we now had new personas, including *study participants* rather than patients, *principal investigators* rather than clinicians, and various new roles, including *study coordinators* and *study monitors*. We supported unique needs with the existing product by expanding user permissions and modifying core workflows.

To truly serve the needs of this industry, however, it became clear that we needed new tools to supplement the virtual visit. Before a study could begin, the sponsor needed to assess all clinical sites for that study to ensure compliance and readiness. Before participants could begin the study, they needed to complete the informed consent process. In addition to investigators entering assessment data, studies require periodic input directly from participants. Thus we set out to develop a line of products, all running on the same platform to serve the different phases of a clinical trial throughout its lifecycle.

## **Virtual Site Monitoring**

### Product Summary

VSM was a innovative concept for the clinical trials industry that became especially relevant when study monitors could no longer travel to and inspect physical clinics in person during the COVID pandemic. In the traditional model, which is both time-consuming and expensive, a study monitor physically visits each site being considered for a study.

Our product consisted of a kit that contained a mobile device and a pair of proprietary glasses with a camera. We shipped this kit to a site. The study monitor scheduled a virtual visit and, during the visit, a study coordinator onsite wore the glasses and acted as the "eyes of the study monitor."

```cv
gallery
{"layout":"hscroll","images":[{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2FUEgykiufH8vXNJEcwjHd%2F56c39f9a-1921-4895-9821-dce3afcc1b5d.png?alt=media&token=bb2415e2-167c-4f4d-8c2f-491abc3e41a4","id":"56c39f9a-1921-4895-9821-dce3afcc1b5d","width":768,"height":677,"filename":"vm-768x677.png","type":"image/png","caption":"Proprietary camera glasses designed in Belgium. For people that already wear glasses, we offer an attachment for the camera itself.","border":false},{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2FUEgykiufH8vXNJEcwjHd%2Fc56778b1-0ada-470f-8d62-eb7b12986f64.png?alt=media&token=0b1238ac-bf57-41b6-8db7-3c2f660d62bd","id":"c56778b1-0ada-470f-8d62-eb7b12986f64","width":2402,"height":1810,"filename":"Screen Shot 2023-02-01 at 10.29.27 AM.png","type":"image/png","caption":"Simple product overview","border":false},{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2FUEgykiufH8vXNJEcwjHd%2Fe7efd24a-124b-4e4a-8096-778464794187.png?alt=media&token=a5b4f88f-921b-4846-966b-50f496dfb9ba","id":"e7efd24a-124b-4e4a-8096-778464794187","width":2404,"height":1438,"filename":"Screen Shot 2023-02-01 at 10.30.12 AM.png","type":"image/png","caption":"In addition to visits that happen ahead of study start, we uncovered additional use cases for the product throughout a clinical trial.","border":false},{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2FUEgykiufH8vXNJEcwjHd%2F15e8dada-ff5f-4520-875d-fdfd8868783a.png?alt=media&token=6d32eb27-074f-47cc-a12d-d56ce7526453","id":"15e8dada-ff5f-4520-875d-fdfd8868783a","width":2406,"height":1526,"filename":"Screen Shot 2023-02-01 at 10.29.52 AM.png","type":"image/png","caption":"Once the core workflow was in place, we began building key enhancements discovered during discussions with customers after initial testing.","border":false}]}
```

```cv
youtube
{"url":"https://www.youtube.com/watch?v=A9eX_5m2IgM","width":200,"height":113,"thumbnail":"https://i.ytimg.com/vi/A9eX_5m2IgM/hqdefault.jpg"}
```

### Product Accomplishments

When I began work on this project, our engineering team had completed a proof-of-concept. The next step was productizing the technology and finding product-market fit. My role was primarily as design lead and product owner. I worked closely with Deric Frost, the general manager of the initiative. He handled the effort's commercial, marketing, and product management aspects. **Together we launched a beta of the product within eight months.**

My role in the evolution of this product:

* Design and prototyping for the mobile app on devices shipped to sites.

* High-level design concepts and prototypes for the web app used by study monitors to complete and manage site assessments

* Design lead for product designers designing high-fidelity mock-ups

* Design input during design reviews with the firm in Belgium designing the eyeglasses with a camera

* Maintained feature roadmap, wrote requirements, and negotiated trade-offs to keep us on track to realize a beta version of the product.

## **eConsent**

### Product Summary

While we had an excellent foundational product for running decentralized clinical trials in Virtual Visits, it became clear that we also needed a product to facilitate the informed consent process. Informed consent is a critical compliance process that ensures the study participant understands what is required of them by agreeing to participate in a study. Participants must consent before any other activity in a study takes place. While clinical sites traditionally manage this process using paper, we saw an opportunity to complete the process electronically.

Rather than rebuilding existing consent documentation as new content in a system, we took the approach of uploading a PDF of the existing consent documentation and using controls to activate aspects of the document that were needed, such as text input, selections, and signatures so that site staff and participants could complete the consent process using a web browser or mobile app from any device with an internet connection. We aimed to offer an expedient, affordable solution that reduces errors and improves compliance.

```cv
gallery
{"layout":"hscroll","images":[{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2FUEgykiufH8vXNJEcwjHd%2F39f10843-2c92-4eb4-99c4-d32acfda7091.png?alt=media&token=7e7ae295-c2d2-4a6f-ac5f-ee6825266a17","id":"39f10843-2c92-4eb4-99c4-d32acfda7091","width":1264,"height":1029,"filename":"SmartSignals eConsent.png","type":"image/png","caption":"","border":false},{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2FUEgykiufH8vXNJEcwjHd%2F8eec1035-62d6-4540-919b-6e05cfe863e9.jpg?alt=media&token=ba082a9b-7caf-4288-9a9c-a2f075fda68b","id":"8eec1035-62d6-4540-919b-6e05cfe863e9","width":2440,"height":3157,"filename":"Tiered-eConsent-Clinical-Trial-Solutions (1)_Page_1.jpg","type":"image/jpeg","caption":"","border":false},{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2FUEgykiufH8vXNJEcwjHd%2F1fa9f868-90b0-4465-b0ad-2519f32cf23c.jpg?alt=media&token=055d5d26-7b02-49dd-9a13-cc8c125ca941","id":"1fa9f868-90b0-4465-b0ad-2519f32cf23c","width":1700,"height":2200,"filename":"Tiered-eConsent-Clinical-Trial-Solutions (1)_Page_2.jpg","type":"image/jpeg","caption":"","border":false}]}
```

### Product Accomplishments

We launched our consent product as *eConsent Silver* shortly after Signant acquired us in March 2021. **I shepherded our eConsent product from concept to launch in ten months.** I functioned as the product manager, design lead, and product owner throughout the evolution of this product.

* Researched compliance and industry needs to develop product requirements.

* Created high-level design concepts, flows, and web app prototypes during the research and scoping phase.

* Design lead for product designers bringing designs to high fidelity.

* Maintained feature roadmap and negotiated trade-offs to keep us on track to realize a beta version of the product.

* Wrote 21 CFR part 11 compliance documentation and managed effort to complete validation of the product before launch.

See the press release for details:

[Signant Health Announces the Release of Expanded and Enhanced eConsent Solutions](https://www.signanthealth.com/company/newsroom/item/signant-health-announces-the-release-of-expanded-and-enhanced-econsent-solutions/)

The VirTrial Platform

```cv
gallery
{"layout":"hscroll","images":[{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2FVVfSkdmPpByl98SjrZEO%2Fc8538819-edbb-4f7b-a247-b203d99ccd7b.mp4?alt=media&token=2ed00e39-f841-474b-b006-b4c2b41c4e54","id":"c8538819-edbb-4f7b-a247-b203d99ccd7b","width":1280,"height":696,"filename":"VCM_Marketing_Full.m4v","type":"video/mp4","caption":"A SnapMD marketing video showing the patient video encounter room in the Virtual Care mobile app available for both iOS and Android.","border":false}]}
```

[SnapMD](https://www.crunchbase.com/organization/snapmd) built both a web and mobile application to support virtual patient visits. As part of the standard product offering, all customers could provide a native mobile patient experience using the Virtual Care app. Providers interested in offering their own branded app in Google Play and the Apple App Store purchased the white-label app. When Virtrial acquired SnapMD in late 2020, we had over 25 instances of white-label apps available in the stores.

* This "generic" mobile application is still in production under a new name and branding: Virtual Care Management ([App Store](https://apps.apple.com/us/app/virtual-care-management/id1035220141?platform=iphone) / [Play Store](https://play.google.com/store/apps/details?id=com.snap.connectedcare.production))

* A handful of white-label versions of the app are still live. See Telescope Health ([App Store](https://apps.apple.com/us/app/telescope-health/id1442197033?platform=iphone) / [Play Store](https://play.google.com/store/apps/details?id=com.snap.connectedcare.TelescopeHealthProd)) and Ambient Care ([App Store](https://apps.apple.com/us/app/ambient-care/id1167944481?platform=iphone) / [Play Store](https://play.google.com/store/apps/details?id=com.snap.connectedcare.ambientcare)) as examples.

## **Interface design**

In the fall of 2019, we began a rebuild of the mobile experience from scratch in React Native. We delivered a code-complete app in five months and iterated for another six to achieve a release candidate. I was the lone product designer on the team. I handled the visual design of all views, creating and managing components in Sketch and Abstract, and articulating flows.

```cv
gallery
{"layout":"hscroll","images":[{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2FVVfSkdmPpByl98SjrZEO%2F8eb1bb7d-9b8d-4361-a4c0-83417f29e605.jpg?alt=media&token=01684ecf-49cb-466b-82e1-401cc42693ab","id":"8eb1bb7d-9b8d-4361-a4c0-83417f29e605","width":5600,"height":2750,"filename":"Onboarding.jpg","type":"image/jpeg","caption":"","border":false}]}
```

```cv
gallery
{"layout":"hscroll","images":[{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2FVVfSkdmPpByl98SjrZEO%2F13f0e44a-1f80-475b-9693-62f2a99f14d7.jpg?alt=media&token=4a33b613-1bc2-494d-8fb3-4a2c2ff404f1","id":"13f0e44a-1f80-475b-9693-62f2a99f14d7","width":5600,"height":2750,"filename":"App landing.jpg","type":"image/jpeg","caption":"","border":false}]}
```

```cv
gallery
{"layout":"hscroll","images":[{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2FVVfSkdmPpByl98SjrZEO%2F6e7a8943-1fdb-437a-8c5c-c891a42897e1.jpg?alt=media&token=ccd8d26b-b18f-40eb-8f42-7aeaa762c85a","id":"6e7a8943-1fdb-437a-8c5c-c891a42897e1","width":5600,"height":2750,"filename":"Visit management.jpg","type":"image/jpeg","caption":"","border":false}]}
```

```cv
gallery
{"layout":"hscroll","images":[{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2FVVfSkdmPpByl98SjrZEO%2F669ba73f-d0f9-4892-910a-e1a8fc9f4025.jpg?alt=media&token=a51cb91e-bede-4917-b733-191d3c3b5483","id":"669ba73f-d0f9-4892-910a-e1a8fc9f4025","width":5600,"height":2750,"filename":"Encounter Room.jpg","type":"image/jpeg","caption":"","border":false}]}
```

## **Interaction and flows**

Building a SaaS platform for the healthcare industry requires support for many specific use cases. We achieved flexibility in the product to address different customer needs by making it highly configurable. The client success team enabled or disabled functionality modules, customer by customer, via a backend admin utility. Different configurations produced a wide range of states in the interface. Flows through the application also differed significantly from customer to customer, so the design team had to design for variability by understanding numerous branches for core flows in the application.

```cv
gallery
{"layout":"hscroll","images":[{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2FVVfSkdmPpByl98SjrZEO%2F65eed228-87e4-4c89-a4d7-633b5215ce60.jpg?alt=media&token=db00256d-5485-435a-a7b9-de8e5bc1903c","id":"65eed228-87e4-4c89-a4d7-633b5215ce60","width":7031,"height":2275,"filename":"Intake & Scheduling (Patient) - Patient Intake v2 (Custom Forms _ Up-to-date).jpg","type":"image/jpeg","caption":"A map of functional modules in the context of the virtual visit workflow. (Created in Miro.)","border":false}]}
```

I typically used Overflow to document master flows in the application to ensure the views we designed covered all possible configurations. *Patient Intake* was one of the most complex flows for which we designed. *Intake,* which displays for the patient before entering a visit, could be disabled entirely or have numerous subcomponents enabled. Below is an overview of the master flow for intake before a scheduled visit. I maintained an alternate diagram for on-demand visits. (For details, peruse the [diagram itself](https://overflow.io/s/NSJOEI/?node=76523a38).)

```cv
gallery
{"layout":"hscroll","images":[{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2FVVfSkdmPpByl98SjrZEO%2Fb44ce38b-749f-4c1f-a1a7-86e6becb06c7.jpg?alt=media&token=5dda34cb-ed1a-483b-bdde-a58f60f10214","id":"b44ce38b-749f-4c1f-a1a7-86e6becb06c7","width":14998,"height":5157,"filename":"Scheduled-visit Intake.jpg","type":"image/jpeg","caption":"The relationship of each view a patient experiences while navigating intake before a scheduled visit.","border":false}]}
```

A key piece of functionality on our platform was a proprietary forms engine. It allowed customers to display customized forms at various points in the application to gather specific data required for their use cases. Designing this engine was an interesting challenge because the content shown was variable rather than fixed. I created specifications for eleven general controls, articulated structures to display those controls, and defined how a person navigated through all states of a form.

```cv
gallery
{"layout":"hscroll","images":[{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2FVVfSkdmPpByl98SjrZEO%2F5d079a04-4473-4d78-b39f-10583651e715.jpg?alt=media&token=a34368b0-bf94-42a9-a0f8-95da84a9c34a","id":"5d079a04-4473-4d78-b39f-10583651e715","width":2400,"height":1800,"filename":"Configurable Forms - Layout and Controls.jpg","type":"image/jpeg","caption":"A Miro diagram of the layout and controls for configurable forms.","border":false},{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2FVVfSkdmPpByl98SjrZEO%2Fa5c25ffd-d4a8-4f1a-be78-db358431b26f.jpg?alt=media&token=76b6c837-66df-4c02-8b53-2121371cb38d","id":"a5c25ffd-d4a8-4f1a-be78-db358431b26f","width":2400,"height":1800,"filename":"Configurable Forms - Interaction Model.jpg","type":"image/jpeg","caption":"Interaction model in Miro showing how follow-up inputs display relative to primary inputs.","border":false},{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2FVVfSkdmPpByl98SjrZEO%2Fc795bc49-86d5-4766-b88c-8a95b78bbc48.jpg?alt=media&token=23601a3a-1521-4f63-9bc5-df2b1c374b15","id":"c795bc49-86d5-4766-b88c-8a95b78bbc48","width":2400,"height":1800,"filename":"Configurable Forms - Section Interaction.jpg","type":"image/jpeg","caption":"Interaction model in Miro for the transition from section to section.","border":false},{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2FVVfSkdmPpByl98SjrZEO%2F76114afa-fff6-43ca-b4b8-9d96da4e29f0.png?alt=media&token=ba31b83a-559a-449a-9579-657959d07ede","id":"76114afa-fff6-43ca-b4b8-9d96da4e29f0","width":4844,"height":4382,"filename":"VCM_Dropdown, Multi-Select.png","type":"image/png","caption":"Interface flow for a dropdown multiselect control, one of eleven different controls available for display in a form.","border":false}]}
```

To supplement artifacts like the above, I used clickable prototypes to quantify motion design and convey how interactions should feel to guide engineering during development. This early-stage [clickable prototype](https://cloud.protopie.io/p/4opfZvAKJs8?ui=true&scaleToFit=true&enableHotspotHints=true&cursorType=touch&mockup=true&bgColor=%23F5F5F5&playSpeed=1&playerAppPopup=true) brings to life the essential aspects of the interaction model for completing a form.

```cv
gallery
{"layout":"hscroll","images":[{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2FVVfSkdmPpByl98SjrZEO%2F58fa6b71-4ead-4732-b16a-f5d161fa89d5.mp4?alt=media&token=d69909e1-c160-42a8-b3b2-be0c9828bf12","id":"58fa6b71-4ead-4732-b16a-f5d161fa89d5","width":1280,"height":780,"filename":"Configurable form interaction prototype.m4v","type":"video/mp4","caption":"My ProtoPie prototype demostrating the basic interaction model to complete and navigate a configurable form.","border":false}]}
```

While I designed the configurable form views for the mobile application, another designer on my team handled the same views and flows for the web application. We collaborated on the design to ensure the experience was similar for patients using either modality. I liaised with engineering to support building one implementation that either interface could utilize.

This aspect of the application was my deepest dive into systems design. It allowed our solution the flexibility to support a myriad of use cases while ensuring the patient experience was aligned regardless of how they engaged with the product.

SnapMD Virtual Care mobile app

## **Overview**

[Signant Health](https://signanthealth.com) has expanded and evolved by acquiring companies with best-in-class products serving niche aspects of the clinical trial market. These disparate products come together as a unified offering in the [SmartSignals Suite](https://www.signanthealth.com/solutions/). I came to Signant with their acquisition of [VirTrial](https://read.cv/awalker/UEgykiufH8vXNJEcwjHd). The products on our platform served the need to offer a comprehensive DCT (decentralized clinical trial) solution. I managed products in the following buckets:

* Site enablement (Telemedicine and Virtual Monitoring)

* Patient engagement (eConsent)

* Clinical outcome assessments (Sensors & Wearables)

Learn more about each of the products I managed.

* [SmartSignals Telemedicine](https://read.cv/awalker/signant-telemedicine)

* [Smartsignals eCOA (Sensors & Wearables)](https://read.cv/awalker/signant-ecoa-wearables)

```cv
gallery
{"layout":"hscroll","images":[{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2FXuFl6kshj9Aog6Irbr4h%2F04e734a0-92ad-4dbd-a0cb-54543091c46e.png?alt=media&token=73e35767-2f8f-4440-9a66-c5cd446a39df","id":"04e734a0-92ad-4dbd-a0cb-54543091c46e","width":1256,"height":1585,"filename":"SmartSignals (Site Enablement).png","type":"image/png","caption":"Highlighted buckets include products I helped manage at Signant.","border":false}]}
```

Signant SmartSignals

```cv
gallery
{"layout":"hscroll","images":[{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2Fsignant-telemedicine%2F16de7d7d-acd9-420b-8257-349f4d02a703.png?alt=media&token=a805ac51-319f-43e7-a46b-4d2b525cc5c7","id":"16de7d7d-acd9-420b-8257-349f4d02a703","width":2400,"height":1800,"filename":"Video encounter room (v6).png","type":"image/png","caption":"Redesigned video visit encounter room featuring visit recording and configurable visit forms on mobile and desktop.","border":false}]}
```

## **Product Summary**

Traditionally participation in clinical trials required study participants to travel to a physical clinic for a set number of visits outlined in the study protocol. Signant's [telemedicine solution](https://www.signanthealth.com/solutions/site-enablement/smartsignals-telemedicine-telemedicine/) offers the option for a subset of those study visits to be virtual, making it more convenient for participants and improving participant retention for the duration of a study.

Site staff and clinicians conduct virtual visits using a browser-based web application. Study participants join visits via a companion mobile application—available for [iOS](https://apps.apple.com/me/app/smartsignals-telemedicine/id1614905124?platform=iphone) and [Android](https://play.google.com/store/apps/details?id=com.signanthealth.vtl&gl=US)—or the web application.

At the product's core is a purpose-built video encounter room for the clinician to conduct visits with study participants, and up to four guests, virtually.

* There are two types of virtual visits: scheduled or on-demand.

* Forms allow clinicians to enter assessment data during the visit.

* Support for chat, screen sharing, and in-session screenshots.

* A visit summary for each visit consolidates all data and documentation.

## **Product Accomplishments**

The technology powering Signant's telemedicine solution came with the VirTrial acquisition in late 2020. I led the launch of a new, fully-rebranded platform instance to match Signant SmartSignals marketing standards in the summer of 2022. The launch also included extensive new functionality for our web and mobile applications built in the year following the acquisition. Highlights include:

* Virtual visit recording and playback

* Configurable notifications for study needs that aren't handled by system events, e.g., medication reminders.

* Configurable visit types allow the clinician to complete different forms for different visits, e.g., one form for participant onboarding and another for a follow-up visit for an onsite procedure.

* Privacy controls during video visits, including background blurring and facial obscuring

* Forms for study participant data capture separate from a visit.

* A refined and optimized encounter room user interface

* Azure hosting in Europe to support EU requirements for the physical location of study data storage.

* Improved platform compliance with 21 CFR Part 11 requirements

The press release for the launch captures additional details.

[Signant Launches Major Telemedicine Platform Innovations to Optimize Remote and Decentralized Clinical Trial Operations](https://www.signanthealth.com/company/newsroom/item/signant-launches-major-telemedicine-platform-innovations-to-optimize-remote-and-decentralized-clinical-trial-operations/)

```cv
gallery
{"layout":"hscroll","images":[{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2Fa0dvFBaBxnBov0rq50zF%2F41194949-e11d-44a1-b072-faa4b77a2ac7.png?alt=media&token=f03d1d86-cf42-4041-a05b-e9f4bb533a90","id":"41194949-e11d-44a1-b072-faa4b77a2ac7","width":1264,"height":1234,"filename":"SmartSignals Telemedicine.png","type":"image/png","caption":"Section for telemedicine at signant.com","border":false},{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2Fa0dvFBaBxnBov0rq50zF%2F7ec6bcb7-4dfc-44c2-8c51-c94238afe2aa.png?alt=media&token=4d9decd0-c2fd-4961-be5c-56239d86dc0b","id":"7ec6bcb7-4dfc-44c2-8c51-c94238afe2aa","width":1700,"height":2200,"filename":"Telemedicine-Clinical-Trial-Solution (2)_Page_1.png","type":"image/png","caption":"Signant marketing brochure for telemedicine","border":false},{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2Fa0dvFBaBxnBov0rq50zF%2F25086fa1-8d52-4e87-8ed2-075f75339708.png?alt=media&token=081101b9-5d3b-4e93-8e8f-5c6ad9d04344","id":"25086fa1-8d52-4e87-8ed2-075f75339708","width":1700,"height":2200,"filename":"Telemedicine-Clinical-Trial-Solution (2)_Page_2.png","type":"image/png","caption":"Signant marketing brochure for telemedicine","border":false}]}
```

SmartSignals Telemedicine

## **Product Summary**

Before the COVID pandemic, [Signant Health](https://signanthealth.com/) was a leader in using connected devices to gather objective patient data in conjunction with their TrialMax eCOA application. To address urgent needs in vaccine clinical trials, ongoing investments in these integrations slowed and existing solutions languished.

When I officially joined the product management team at Signant after the VirTrial acquisition, I assumed responsibility for our [sensors and wearables](https://www.signanthealth.com/solutions/clinical-outcome-assessments/smartsignals-ecoa-sensors-wearables/) initiative. I developed a short-term, tactical strategy to revive or retire existing integrations and a multi-year plan to expand the use of connected devices with eCOA and other applications in the product portfolio, such as those in Advisory and Telemedicine.

Rather than researching specific devices to integrate, we focused on identifying the clinical measurements that would benefit the data-gathering needs of most clinical trials.

* Vital signs, e.g., pulse rate, body temperature, respiration rate, blood pressure, and blood oxygen saturation

* Actigraphy, e.g., sleep, activity, and movement

* Blood glucose monitoring

* Spirometry

## **Product Accomplishments**

We prioritized vital signs as the most critical measurement domain to support in the near term. While existing integrations covered some of these measurements, we still needed a key measurement to assess and monitor overall patient health: blood oxygen saturation or pulse oximetry.

After researching various devices, we selected the [Masimo MightySat Pulse Oximeter](https://www.masimo.com/products/monitors/spot-check/mightysatrx/). It offered clinical-sensors sensors, a range of additional measurements not supported by other devices, and immediate support in existing studies from some of our largest customers. **We brought support for this device to market in seven months and solidified trust from a critical customer in our ability to execute.**

```cv
tweet
https://twitter.com/SignantHealth/status/1549733328101711874
```

My role in the initiative:

* Interfaced directly with the Masimo commercial team and engineers to obtain access to technical documentation and test devices, then coordinated a plan to procure the device.

* Developed overview and planning documentation, including requirements, user and data flows, assumptions, and customer timelines, to guide engineering and establish consensus on the plan with our commercial team.

* Evaluated feature trade-offs during implementation to maintain aggressive customer timelines.

* Provided design guidance during regular in-sprint reviews, including: copy reviews, potential experience challenges for patients, interface graphics including illustrations from Pablo Stanley's [Humaaans](https://blush.design/collections/humaaans/humaaans) library, in-session animations from [Lottie Files](https://lottiefiles.com/), icon suggestions, and detailed diagrams of the UX flow.

* Prepared the new feature for operational readiness with our existing eCOA product: pricing, device logistics, user support, marketing, compliance, and commercial training.

Cristina Rhoads, a report on my team, was the product manager working on all aspects of sensors and wearables. She supported efforts in each phase of this implementation. Read a blog post she wrote and published shortly after we announced support for pulse oximetry in July 2022: [With Sensors and Wearables, It's Not All About the Hardware](https://www.signanthealth.com/blog/ecoa/with-sensors-and-wearables-its-not-all-about-the-hardware/).

```cv
gallery
{"layout":"hscroll","images":[{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2FwWR1E9rE6ES930NfasVl%2F0a137b1d-5c0a-41c0-ae9e-e05ea4e8a912.png?alt=media&token=003d44b7-8bd0-4266-8a7c-29474477d76e","id":"0a137b1d-5c0a-41c0-ae9e-e05ea4e8a912","width":1264,"height":1086,"filename":"SmartSignals Sensors & Wearbables.png","type":"image/png","caption":"Section for sensors & wearables on signanthealth.com","border":false},{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2FwWR1E9rE6ES930NfasVl%2F55b9b677-baef-487a-8f96-4bae6a9922c4.jpg?alt=media&token=d47fc3f7-3249-4b81-b0c5-a087b87a08fb","id":"55b9b677-baef-487a-8f96-4bae6a9922c4","width":1700,"height":2200,"filename":"Clinical-Trial-Sensors-and-Wearables (1)_Page_1.jpg","type":"image/jpeg","caption":"Signant marketing brochure for sensors & wearables","border":false},{"src":"https://firebasestorage.googleapis.com/v0/b/maitake-project.appspot.com/o/pages%2FWbgV72yRvlZns87wSS2gUiBkuD03%2FwWR1E9rE6ES930NfasVl%2F006e7344-009a-49d0-b807-02a05559bd05.jpg?alt=media&token=07bcd04b-a3e5-4b53-b040-ffa9e211f6c4","id":"006e7344-009a-49d0-b807-02a05559bd05","width":1700,"height":2200,"filename":"Clinical-Trial-Sensors-and-Wearables (1)_Page_2.jpg","type":"image/jpeg","caption":"Signant marketing brochure for sensors & wearables","border":false}]}
```