Making Symptom Reporting Less Overwhelming
for Oncology Patients at UPMC

How I redesigned the symptom screening experience for gynecologic oncology patients and raised completion rates by 35%

OVERVIEW

An eco-system of disconnected symptom forms

An eco-system of disconnected forms

An eco-system of disconnected symptom forms

Like any medical healthcare center, the UPMC Oncology Center presents multiple, lengthy forms to patients.

Tools used: UX Audits, Expert Interviews + Workshop

Symptoms are data points that shape care

Symptoms are data points that shape care

Symptom data can flag issues early, guide dose adjustments, and help oncologists stay ahead of side effects. Currently, 1 in 3 new patients complete symptom screening forms.

What if symptom screening was simple
enough that patients actually did it?

What if symptom screening was simple
enough that patients actually did it?

A personalized, unified form on the My UPMC app that asks only
what's relevant to where they are in treatment.

KEY IMPACT

50 → 18 Qs

on average through conditional logic and prepopulation

~35% lift

in form completion rates from pilot testing

8/10 users

Found the post screening resources helpful and personalized

SOLUTION HIGHLIGHTS

“There’s an overwhelming number of questions”

Follow-up questions, only when relevant

“Some of these questions are not even relevant to me”

Tailored to patient's treatment journey

“My doctor says call if the pain is >8. 


I don’t know what that means”

“My doctor says call if the pain is >8. 

I don’t know what that means”

Visual indicators to help understand pain better

“I fill these out and never hear
anything back”

“I fill these out and never hear anything back”

Closing the loop so patients know their input matters

“Some of these questions are not even relevant to me”

Tailored to patient's treatment journey

“My doctor says call if the pain is >8. 

I don’t know what
that means”

Visual indicators to help understand pain better

“I fill these out and never hear anything back”

Closing the loop so patients know their input matters

APPROACH

What are we solving for?

To identify the core issue, I led research across these fronts:

APPROACH

What are we solving for?

To identify the core issue, I led research across these fronts:

  1. What do Patients, Clinicians & UPMC need?

Patients: Want a simple, personalized form and want feedback that these forms are informing their care

  • Clinicians: Needed the data to actually be readable and actionable

  • UPMC: Need adoption on the MyUPMC app as they migrate off Epic


This informed the form of the solution: a mobile app with a single personalizable form that feeds into the EHR.

  1. What is even in these forms?

Across 10+ forms, I deduplicated questions and categorized them.

Deduplicating and categorizing questions

Deduplicating and categorizing questions

  1. How do we cut the noise?

Using LATCH principles, we grouped symptoms by organ system, journey phase, and
patient needs - surfacing only the most relevant questions in a way that made sense to them.

  1. How can we personalize them?

Symptoms vary by phase, person, and medication. To identify which questions belonged and in what order. I led workshops with patients, clinicians, and staff to build logic diagrams that informed the form's conditional logic and personalization model.

Ask SOS questions upfront, irrespective of phase

Customize form order based on phase of cancer journey

Define a frequency to ask each category of Qs

IMPLEMENTATION AND TESTING

The UI was built to UPMC's existing design system. Components, color & typography were pulled from their library

Icons for every symptom

Abstract symptoms are hard to parse quickly. Line icons ground each option in something recognizable and reduce cognitive load for patients who may be fatigued or anxious.

Clear affordance of "tap to select"

Clear affordance of "tap to select"

Rewritten symptom definitions

The original language was written for clinicians. I rewrote symptom labels and descriptions in plain language so patients could self-report accurately without guessing what a term meant.

Axillary pain
Underarm pain
Xerostomia
Dry mouth

SLIDERS TO CAPTURE PAIN

SPATIAL MAPPING TO HELP VISUALIZE PAIN AREA

OUTRO

Workshops are about trust, not agendas

Clinicians and patients needed to feel safe enough to be honest before any of the research could actually go anywhere.

Learning to lead

I learnt how to guide team efforts across research planning, synthesis, and stakeholder alignment.

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