Memorial Sloan Kettering, Dave Remedios

Strategic Design  ·  Project 03

Memorial
Sloan
Kettering

Design-driven solutions for enhancements in patient care navigation at one of the world's leading cancer care institutions.

Project Details 03

Role

Design Researcher & Service Designer

Skills

Service Design Desk Research Stakeholder Interviews Persona Development Journey Mapping Co-design

Challenge

Design scalable experiences along the care navigation journey that improve patient support, reduce barriers to information, and empower an increasingly diverse patient population.

Partner

Memorial Sloan Kettering Cancer Center, Manhattan, NY

Team

Dave Remedios, Arunima Sinha & Jo Sabavala

Year

2024  ·  Parsons School of Design, NY

Type

Service Design Research

Institution

Parsons School of Design, NY

Disciplines

Healthcare Design · Service Design · Research

Duration

One semester · 2024

Memorial Sloan Kettering Cancer Center

Design Brief

How might we improve
care navigation?

How might we design scalable experiences along the care navigation journey that improve patient support, reduce barriers to information, and empower an increasingly diverse patient population at the institute.

Design Process

Nine stages from
brief to delivery

A structured, evidence-led process, from framing the right problem through to final delivery of the MSK Connect+ proposal.

Framing
the problem

Primary desk
research

Partner
activity

Synthesis
of data

Secondary
interviews

Persona
development

Journey
mapping

Idea selection
workshop

Final
delivery

Framing the right problem, establishing the team agreement and defining the scope of the care navigation challenge.

Partner Engagement

Working directly
with the institution

A series of in-person engagement activities brought the team into direct contact with MSK staff, building empathy and grounding the research in real clinical contexts.

Engagement activity 1
Engagement activity 1
Engagement activity 2
Engagement activity 2
Engagement activity 3
Engagement activity 3

The Analysis

Four analytical
lenses

The team deployed four analytical frameworks to synthesise research findings into actionable design insights.

Ecosystem mapping

Ecosystem mapping

A full mapping of the care ecosystem, identifying every touchpoint, stakeholder and information channel a patient encounters along their journey at MSK.

Emotional mapping

Emotional mapping of 'Fear'

A deep investigation into fear as the dominant emotional state across the care journey, mapping its triggers, escalation points and opportunities for design intervention.

Clustering

Clustering

Research findings were clustered by theme, revealing recurring patterns across patient experiences and highlighting the highest-impact areas for design intervention.

Question formation

Question formation

Clusters were translated into focused design questions, setting the direction for interviews and giving the team a structured framework to guide partner conversations.

Interviews

Clinician perspectives
on patient navigation

Structured interviews with specialist physicians provided first-hand insight into the barriers patients face when navigating complex care pathways.

Dr. Sasha Menon

Anaesthesiologist

Dr. Sasha Menon

Insights on the pre-operative patient experience, communication gaps during preparation for surgery, and the emotional burden carried by patients entering unfamiliar clinical settings.

Dr. Vinay Deshmane

Oncologist

Dr. Vinay Deshmane

Perspectives on the information overload patients experience at diagnosis, the challenges of personalising care communication, and the systemic gaps in post-treatment support pathways.

Persona Development

Understanding
the patient

Research findings were synthesised into two representative personas, a primary patient and a caregiver, capturing the emotional arc of the MSK care experience and the distinct needs of each.

Maria, 54

Recently diagnosed patient

Primary
"I just want someone to explain what comes next. I don't know where to look or who to ask."

Background

First-generation immigrant, limited English, navigating MSK without prior hospital experience

Goal

Understand her treatment options and feel in control of her care journey

Frustration

Information overwhelm at diagnosis, inconsistent communication between departments

Emotional arc

Diagnosis Fear Support Treatment Recovery
Clear communication Language support Peer connection Guided navigation

James, 48

Primary caregiver, spouse

Caregiver
"I'm trying to hold everything together for her, but nobody tells me anything either. I'm invisible to the system."

Background

Working full-time while managing care responsibilities, attending most appointments

Goal

Stay informed about his wife's care and find support for his own emotional wellbeing

Frustration

Overlooked by clinical communication, no dedicated support resources, fear of burnout

Emotional arc

Diagnosis Overwhelm Adapting Advocacy Resilience
Caregiver recognition Emotional support Information access Peer community

Care journey touchpoints

Shock Fear Coping Advocacy Resilience
01

Diagnosis

Information overload, first contact with care team

02

Treatment planning

Coordination challenges, decision fatigue

03

Active treatment

Peer support needed, caregiver involvement

04

Post-treatment

Transition anxiety, community rebuilding

05

Recovery

Peer network becomes primary support

Idea Selection Workshop

Co-designing
with the partner

A facilitated workshop with MSK stakeholders brought the team and the institution together to evaluate, prioritise and select the most viable design directions for implementation.

Strategic Recommendation

MSK Connect+
peer-to-peer support

Over 30 interviews, six months of intensive research and co-design workshops with patients, caregivers and clinical staff at MSK produced a comprehensive strategic document: a complete implementation guide for a self-sustaining peer-to-peer support network. MSK Connect+ is not just a service concept, it is a fully evidenced guide for why peer support is critical to cancer care, how to build it, and how to make it financially independent from day one.

The guide covers every dimension: the clinical case for peer support, a step-by-step implementation roadmap, volunteer and patient enrollment frameworks, a buddy-matching methodology, caregiver-specific programming, and a business model designed to ensure the programme generates its own operational funding, placing zero burden on the institute's core budget.

MSK Connect+ screen
01

Buddy System

Matched pairing of new patients with experienced peers who have navigated similar diagnoses, providing emotional support and practical guidance from someone who truly understands the journey.

02

Regular Meetups

Structured in-person and virtual group sessions facilitated by trained volunteers, creating a safe space for patients and caregivers to share experiences and build community.

03

Caregiver Support

Dedicated programming for caregivers, a group often overlooked in the care process, addressing their distinct emotional and informational needs throughout the treatment journey.

04

Self-sustaining Model

A business model designed to keep the programme financially independent from the institute's core operational budget, ensuring longevity and scalability across MSK's diverse patient population.

Outcome

A peer network
that puts people first

Six months of intensive research, workshops and stakeholder interviews uncovered a systemic gap at the heart of cancer care: patients and caregivers were navigating one of the most emotionally demanding experiences of their lives without structured peer support.

MSK Connect+ was designed to fill that gap, a self-sustaining peer network featuring a buddy system, regular meetups and dedicated caregiver programming. The programme was developed with a business model that keeps it financially independent, and was formally endorsed for piloting by MSK's leadership.

6

months of research

4

design interventions

30+

interviews conducted

1

endorsed pilot proposal

"I am very impressed by your suggested improvements. With your permission, I would like to begin conversations with our stakeholders to implement your recommendations."

Senior Staff Member, Memorial Sloan Kettering Cancer Center

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