Google

Population Scale Health Management Platform

Overview

In September 2022, I participated in an ambitious project at Google that aimed at establishing digital health records for an entire population in the state of Tamil Nadu.


This endeavor sought to create a centralized repository of health data for 18 million individuals, encompassing geographic, demographic, and social determinants of health.


Employing participatory design principles, we developed a purpose-built cloud-native platform. This initiative aligns with national digital health transformation plans, serving as a model for similar economies seeking to enhance population health.

My Role

User Experience Designer

Design Systems

Wireframing

Usability Testing

Participatory Design

Rapid Prototyping

Design Frameworks

Status

2022—2023

The TN-PHR App continues to be implemented in the state of Tamil Nadu by the government.

What did we solve for?

What did we solve for?

Burden of non-communicable diseases

Burden of non-communicable diseases

Burden of non-communicable diseases

NCDs contributed significantly to morbidity necessitating timely intervention for effective management

De-centralized & fragmented healthdata

De-centralized & fragmented healthdata

De-centralized & fragmented healthdata

The fragmentation of health data hindered efficient resource allocation and preventive care delivery to the beneficiaries

Manual data entries & duplication of data

Manual data entries & duplication of data

Manual data entries & duplication of data

Lack of a digital health infrastructure led to a strain on community health workers & poor health management

How did we solve it?

How did we solve it?

How did we solve it?

Creation of an offline capable, cloud native, interoperable Population Health Registry (PHR) with a creation of unique health IDs for beneficiaries and their families. The data was collected from 17 different databases such as the Public Distribution System (PDS) and Integrated Child Development Scheme (ICDS).

Creation of an offline capable, cloud native, interoperable Population Health Registry (PHR) with a creation of unique health IDs for beneficiaries and their families. The data was collected from 17 different databases such as the Public Distribution System (PDS) and Integrated Child Development Scheme (ICDS).

Creation of an offline capable, cloud native, interoperable Population Health Registry (PHR) with a creation of unique health IDs for beneficiaries and their families. The data was collected from 17 different databases such as the Public Distribution System (PDS) and Integrated Child Development Scheme (ICDS).

This enabled:

This enabled:

Door-to-door preliminary health check ups and preventive care services

Screening of NCDs such as hypertention, diabetes, cancer and kidney ailments

Expansion and digitization of the existing public healthcare system in low resource settings

Elevating the burden on Community Health Workers (CHWs)

Door-to-door preliminary health check ups and preventive care services

Screening of NCDs such as hypertention, diabetes, cancer and kidney ailments

Expansion and digitization of the existing public healthcare system in low resource settings

Elevating the burden on Community Health Workers (CHWs)

Success of Design. Built in cross-collboration with delivery teams at Google,Tech Mahindra & Lattice

Atomic
Design Principle

Designed modular and reusable components for a complex system with large database allowing the product to be inter-operable.

Comprehensive
Design System

Enabled consistency, efficiency and scalability in product development by providing a unified set of design principles, components, and guidelines.

Build for a Marathon
Not a Sprint

Used principles like progressive disclosure to reduce information density, elevate cognitive overload and reduce the working memory required for a task for a health worker

Color as a tool

for at-a-glance orientation

Used colours to culturally connect, guide attention for enhanced usability and enhance recall value by facilitating easier recognition and memory retrieval

Custom made,
unique Iconography

Primary goal of using iconified design was to enhance quick communication and readability. Iconified design promotes ease of navigation and universal adoption.

The Outcome.

16 Billion

Data points were collected

Data points were collected

Data points were collected

By the end of 2023, 80million unique individuals were screened with the TNPHR App, allowing rich population health insights

30,000

Community Health Workers Adopted TNPHR

Community Health Workers Adopted TNPHR

Community Health Workers Adopted TNPHR

Rapid iterations based on usability tests allowed adoption with a Net Promoter Score of 31.5

$100 Million

Worth of drugs delivered across the state

Worth of drugs delivered across the state

Worth of drugs delivered across the state

The streamlined triaging process allowed the delivery of medical interventions in low resource settings

Constraints

Constraints

Constraints

It was a challenge to develop a low latency infrastructure to store and access such a large database in low resource settings.


There were also concerns surrounding privacy. Health records are considered sensitive, private information and India doesn't have a data protection law yet.

Let's work together.
Connect with me today.

Let's work together.
Connect with me today.

Let's work together.
Connect with me today.