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Decision Preparation for Patients and Caregivers

Decision Preparation for Patients and Caregivers

Carevia overview

Overview

Carevia is a concept exploration developed through rapid prototyping and vibe-coding to examine how patients and caregivers can better prepare for high-stakes medical conversations. The experience focuses on decision preparation, organizing and selectively sharing information with clarity and control.

Rather than automating diagnosis or interpreting medical data, Carevia is positioned around the moment before the appointment, when preparation matters most and clinical liability is lowest.

My Role

On this concept exploration, I owned:

  • Problem framing and research synthesis

  • Experience definition and interaction design

  • Feasibility and scope decisions

  • Risk and trust tradeoffs


The Problem

Patients and caregivers coordinate care across fragmented portals, providers, and documents, often under time pressure and emotional stress.

Existing portals store records but offer limited support for:

  • Preparation before appointments

  • Caregiver collaboration

  • Selective information sharing

In practice, people rely on screenshots, PDFs, and improvised workflows, increasing confusion and privacy exposure.

Research synthesis revealed that preparation, not interpretation, is the most failure-prone moment in the care journey, especially in multi-provider chronic care households.


Strategy: Decision Preparation, Not Automation

Carevia is intentionally positioned around preparation rather than clinical judgment.

Automated interpretation introduces:

  • Clinical liability

  • Hallucination risk

  • False reassurance

  • Regulatory exposure

Preparation supports clarity without assuming medical authority.

Early exploration included AI summaries and longitudinal dashboards. Both were intentionally cut after risk modeling revealed governance complexity beyond MVP tolerance.

Carevia consolidates information around a specific moment of need and gives users explicit control over review and sharing, prioritizing trust over technical novelty.

Why Appointment Preparation Became the Anchor

Appointments are:

  • Emotionally intense

  • Cognitively overloaded

  • Time-bound

  • Error-prone

Rather than build dashboards, analytics, or scheduling systems, I centered the MVP on this constrained, high-value moment where clarity matters most and risk is lowest.

This made the concept focused, defensible, and adoption-ready.


Appointment Preparation Flow

Appointments function as lightweight preparation containers, not calendar events.

Each container supports:

  • Adding documents (uploads, screenshots, PDFs)

  • Attaching notes and questions

  • Curating what will be shared and with whom

The primary entry point, “Get Ready for an Appointment,” reinforces a task-based mental model rather than reliance on external scheduling systems.

Sharing is structured as a controlled set with role-based, time-limited access.

Explore Appointment Prep

Swipe →

Carevia appointment preparation landing page
Carevia appointment preparation landing page

Carevia landing page

Appointment Prep 2
Appointment Prep 2

Appointment Prep 2

Appointment Prep 3
Appointment Prep 3

Appointment Prep 3

Appointment Prep 4
Appointment Prep 4

Appointment Prep 4

Medical records section
Medical records section

Medical records section

Share section
Share section

Share section

Share step 2
Share step 2

Share step 2

Share step 6
Share step 6

Share step 6

Share confirmation
Share confirmation

Share confirmation

Emergency Access
Emergency Access

Emergency Access

Uploads
Uploads

Uploads

Activity log
Activity log

Activity Log

How to guide
How to guide

How to guide

Risk Mitigation by Design

The experience intentionally avoids:

  • Diagnosis or recommendations

  • Predictive outputs

  • Automated interpretation of records

  • EHR write-back

  • Persistent raw medical record storage

Restraint is deliberate, not a technical limitation.

In healthcare, exclusion is often a leadership decision.


Human-in-the-Loop Design

Carevia keeps people fully in control:

  • Nothing is shared by default

  • All actions require confirmation

  • Access is explicit and revocable

The system is designed to fail safely. Users can remove or replace information at any time.


Relationship to Health Systems

Carevia complements existing patient portals rather than replacing them.

It:

  • Lives upstream of clinical systems

  • Requires no clinician workflow change

  • Integrates through user-managed exports

  • Avoids EHR write-back risk

This reduces procurement friction and respects real-world integration constraints.

Leadership & Organizational Impact

The core leadership decisions on this project were about what not to build.

Shifting from AI-driven interpretation to decision preparation was a deliberate scope call, not a technical limitation. It produced a lower-liability entry point with clearer adoption pathways. Defining explicit product boundaries upfront, no diagnosis, no predictive outputs, no EHR write-back, meant every subsequent design decision had a clear guardrail to work within.

Anchoring the MVP on appointment preparation rather than

building dashboards or analytics kept the concept focused and defensible. The impact hypothesis is measurable: structured preparation reduces downstream coordination friction, a real operational cost in fragmented care systems.

AI accelerated internal prototyping and research synthesis. It was deliberately excluded from clinical-facing functionality. The phase progression is intentional: preparation infrastructure first, constrained summarization second, governed insight layers only after validation and compliance readiness.

In regulated domains, disciplined scope is leadership.

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