Strategic Design · Project 03
Design-driven solutions for enhancements in patient care navigation at one of the world's leading cancer care institutions.
Role
Design Researcher & Service Designer
Skills
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
Design Brief
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
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
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.
The Analysis
The team deployed four analytical frameworks to synthesise research findings into actionable design insights.
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 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
Research findings were clustered by theme, revealing recurring patterns across patient experiences and highlighting the highest-impact areas for design intervention.
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
Structured interviews with specialist physicians provided first-hand insight into the barriers patients face when navigating complex care pathways.
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.
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
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
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
James, 48
Primary caregiver, spouse
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
Care journey touchpoints
Diagnosis
Information overload, first contact with care team
Treatment planning
Coordination challenges, decision fatigue
Active treatment
Peer support needed, caregiver involvement
Post-treatment
Transition anxiety, community rebuilding
Recovery
Peer network becomes primary support
Idea Selection Workshop
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
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.
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.
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.
Dedicated programming for caregivers, a group often overlooked in the care process, addressing their distinct emotional and informational needs throughout the treatment journey.
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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