Allscripts Care Director

Research • Accessibility • Product Strategy

Introducing human-centered design into a legacy outpatient care coordination platform


When I joined Allscripts, the team wasn't struggling because they lacked talented engineers.

They were struggling because no one had ever watched care coordinators use the product in their daily work.

What began as a usability redesign became an effort to transform how an engineering-driven organization understood its users.

The Starting Point

Rethink the Foundation

Years of feature additions without user-centered design had created an increasingly difficult product to learn and navigate.

Simplify Complex Work

Navigation and layouts changed between workflows, increasing cognitive load and slowing experienced users.

Build for Everyone

Accessibility wasn't considered as part of the product strategy.

"We don't have blind users."

Discovery

Understanding Care Director in the context of real patient care.

Contextual Inquiry

Observed Care Managers at several locations to discover their real work and gain a real-world assessment of what was and was not working.


Users spent more time working around the software than working within it.

Affinity Mapping

Observations and notes were consolidated across all subjects to uncover themes.




Biggest insights came from how Care Director didn't model real-world needs. "It doesn't think like a nurse."

Flow Diagrams

Flow models visualized each user's service ecosystem, revealing common breakdowns.

Flow diagram illustrating how interface friction compounded organizational communication breakdowns.

Shift

The hardest part wasn't redesigning the interface.
It was helping an engineering organization see the product through the eyes of their users.

Built Empathy

All team members, including product management and development, "walked the wall" to experience user research firsthand.

Team-wide visioning

Participants identified key problems, then worked in mixed-role groups to storyboard solutions informed by research.



Research-driven Personas

Behavioral personas grounded agile user stories in observed behavior rather than assumptions.

Improve Today

Embedding user-centered practices into everyday product development.

Embedded UX in Agile

Focused entire team on user-centered thinking. Created regular dialog with development teams, integrating UX into the agile sprint cycle.

Addressed Accessibility

Presented user feedback directly relating to accessibility issues to build teamwide empathy. Accessibility check established as part of user testing and QA processes.

Consistent User Testing

New feature testing built into agile cycle so we could consistently deliver updates that improved users' experience and made their workflow smoother.

Invent Tomorrow

The next generation of Care Director: Care Director Plan

Explored New Possibilities

Think through work choices and content possibilities

Established a Design System

Outlined complete design tool set to ensure consistency across features.

Validated an Interactive Prototype

Validated with product teams whose tools would integrate with Care Director Plan, ensuring the design worked within the broader ecosystem.

Impact

Rapid Adoption

The new Care Director Plan launched with immediate adoption: 30% of existing customers onboarded rapidly.

Fewer Hospital Visits

Outcomes included a 40% reduction in utilization, higher program participation, and improved patient experience.

Market Growth

Due to improved accessibility and usability, Care Director expanded into international markets with stricter accessibility standards.