Streamlining Referral Processing by 86%

Shipped

Shipped

Desktop Design

Desktop Design

0 to 1

0 to 1

Accessibility

Accessibility

Overview

Perlman Clinic’s referral processing system couldn’t keep up with growing patient volume. Staff faced fragmented tools, inconsistent medical group rules, and difficulty matching patients to the right specialists. I led the design of a 0 to 1 internal desktop tool from conception to launch to streamline this workflow.

My Role

As the sole UX designer, I led end-to-end design ownership from staff research through successful implementation. My key responsibilities included:

  • Conducted comprehensive user research and 20+ hours of shadowing the referral coordinators

  • Collaborated with stakeholders across marketing, PM, and development teams

  • Designed the complete experience that directly addressed both patient needs and business objectives.

Results

By consolidating multiple systems into a single, intuitive interface, the custom-built directory reduced referral processing time by 86%.

Role

Role

Perlman Clinic

Skills

Skills

4 weeks

Timeline

Timeline

Product Designer

Tools

Tools

Figma

85%

Faster processing

40%

Increase in accuracy

86%

Reduction in time spend

Research

Through 20+ hours of shadowing the referrals coordinators, I discovered staff frustrations went beyond just using multiple systems:

Key insight #1

Incomplete Information

Staff had to Google providers due to missing or scattered subspecialty details.

Key insight #2

Geographic Confusion

Unfamiliarity with locations led to inaccurate travel estimates and rejected referrals.

Key insight #3

Training Gaps

Each medical group had different rules and portals, making training difficult.

Problem Statement

How might we consolidate essential referral information into a single, easy-to-navigate tool?

The problem statement highlighted three key requirements: accurate subspecialty matching, geographical proximity, and formatting the information to send to the patient, all accessible within a unified interface that would reduce cognitive load and training complexity.

Wireframing

I created an impact/effort matrix to prioritize which pain points we want to solve with this project. I aligned with stakeholders (CEO and project manager) to ensure that this also fits their vision.

Then I created the wireframes where I made sure to check the stakeholders also aligned with this design. And I also met with the engineer to ensure that my designs were technically feasible.

Usability Testing

To evaluate whether the directory tool truly improved speed and accuracy, I ran 7 moderated usability tests with referral coordinators across different regions and experience levels.

Research Setup

I structured the sessions around two goals:

  1. Understand pain points in the current workflow

  2. Test whether the new tool improves efficiency, accuracy, and usability

Each participant completed referral scenarios using both their existing method (Epic + portals) and the new directory. I timed both workflows and asked structured questions before and after each task.

Impact Snapshot

🕐 Time Comparison

Referral time dropped from an average of 3:31 to 29 seconds

→ That’s an 86.2% reduction in task time

✅ Accuracy Boost

40% of tests found a closer or more appropriate specialist using the directory

🟢 “Saves me 3 websites”

🟢 “Love the copy button”

🟢 “Super easy”

Usability Testing Questions

Contextual Task Flow Can you walk me through the full process of placing a referral, from Epic to MyChart? How long have you been working in referrals? What are the biggest challenges you face when trying to place referrals quickly and accurately? Scenario-Based Tasks (Run twice: 1st with current method, 2nd using the directory) Can you find the closest urology specialist in Solana Beach (92014) from Perlman Medical Group? Can you find the closest orthopedic/knee specialist in La Jolla (92122)? Can you find the closest orthopedic/foot specialist in Lemon Grove (91945)? Can you go through your usual process to place a referral in Epic? Now use the referrals directory to place the same referral. Time both methods to compare efficiency. Usability & First Impressions On a scale of 1–10, how intuitive is the directory? What was your first impression of the tool's layout and navigation? Were you able to use it without help or training? Are there any labels, buttons, or sections that were unclear or confusing? What kind of questions do you think new staff would have about using this? Feature-Specific Feedback Which features were the most helpful? (e.g., distance sorting, provider notes, copy button, subspecialty filter) Which features did you not notice or found unhelpful? Was anything missing that would make your job easier? Did the tool allow you to capture everything needed to inform the patient? Edge Cases Were there any situations where the directory didn’t work as expected? What do you normally do if you can’t find the right specialist? Are there specific provider types or scenarios where the tool falls short? Post-Test Reflection On a scale of 1–10, how easy was it to: Learn how to use the directory? Place an accurate referral? Transfer info into a MyChart message? Would you use this tool in your daily workflow?

Usability Testing Questions

Contextual Task Flow Can you walk me through the full process of placing a referral, from Epic to MyChart? How long have you been working in referrals? What are the biggest challenges you face when trying to place referrals quickly and accurately? Scenario-Based Tasks (Run twice: 1st with current method, 2nd using the directory) Can you find the closest urology specialist in Solana Beach (92014) from Perlman Medical Group? Can you find the closest orthopedic/knee specialist in La Jolla (92122)? Can you find the closest orthopedic/foot specialist in Lemon Grove (91945)? Can you go through your usual process to place a referral in Epic? Now use the referrals directory to place the same referral. Time both methods to compare efficiency. Usability & First Impressions On a scale of 1–10, how intuitive is the directory? What was your first impression of the tool's layout and navigation? Were you able to use it without help or training? Are there any labels, buttons, or sections that were unclear or confusing? What kind of questions do you think new staff would have about using this? Feature-Specific Feedback Which features were the most helpful? (e.g., distance sorting, provider notes, copy button, subspecialty filter) Which features did you not notice or found unhelpful? Was anything missing that would make your job easier? Did the tool allow you to capture everything needed to inform the patient? Edge Cases Were there any situations where the directory didn’t work as expected? What do you normally do if you can’t find the right specialist? Are there specific provider types or scenarios where the tool falls short? Post-Test Reflection On a scale of 1–10, how easy was it to: Learn how to use the directory? Place an accurate referral? Transfer info into a MyChart message? Would you use this tool in your daily workflow?

Usability Testing Questions

Contextual Task Flow Can you walk me through the full process of placing a referral, from Epic to MyChart? How long have you been working in referrals? What are the biggest challenges you face when trying to place referrals quickly and accurately? Scenario-Based Tasks (Run twice: 1st with current method, 2nd using the directory) Can you find the closest urology specialist in Solana Beach (92014) from Perlman Medical Group? Can you find the closest orthopedic/knee specialist in La Jolla (92122)? Can you find the closest orthopedic/foot specialist in Lemon Grove (91945)? Can you go through your usual process to place a referral in Epic? Now use the referrals directory to place the same referral. Time both methods to compare efficiency. Usability & First Impressions On a scale of 1–10, how intuitive is the directory? What was your first impression of the tool's layout and navigation? Were you able to use it without help or training? Are there any labels, buttons, or sections that were unclear or confusing? What kind of questions do you think new staff would have about using this? Feature-Specific Feedback Which features were the most helpful? (e.g., distance sorting, provider notes, copy button, subspecialty filter) Which features did you not notice or found unhelpful? Was anything missing that would make your job easier? Did the tool allow you to capture everything needed to inform the patient? Edge Cases Were there any situations where the directory didn’t work as expected? What do you normally do if you can’t find the right specialist? Are there specific provider types or scenarios where the tool falls short? Post-Test Reflection On a scale of 1–10, how easy was it to: Learn how to use the directory? Place an accurate referral? Transfer info into a MyChart message? Would you use this tool in your daily workflow?

Challenges

Prioritized for Impact

The most significant challenge was technical feasibility. We couldn't immediately integrate all eight medical groups due to API limitations and data access constraints.
So, I identified the top 3 groups causing 65% of staff pain points using stakeholder interviews and usage analytics.
We prioritized those for launch and created a roadmap for the rest.

Validated Through Iteration

To evaluate whether the directory tool truly improved speed and accuracy, I ran 7 moderated usability tests with referral coordinators across different regions and experience levels.