All work
Trusted Health, 2021

Designing 0 to 1 SaaS for Healthcare Systems

Trusted Works: a vendor management platform where hospitals request staff and suppliers fill those requests. Designed from zero, then piloted with three hospital systems.

Role

Lead Product Designer

Team

Tina, PM
Thiago, EM
Marcelo, Spensor and Aaron, Full stack engineers

Timeline

6 months

Platform

Web app

Trusted Works screens: a candidate profile, an onboarding compliance checklist, and the reports dashboard
Fig. 00Candidate profile, onboarding compliance, and reports. Sample data throughout.
01

Fragmented workflows

Trusted Health is a marketplace that matches healthcare workers (supply) with open job requests from various healthcare systems (demand). To do so, we partner with multiple MSPs (managed service providers) to source demand and each company employs some combination of VMS (vendor management software) and CRM tools to track job requests and manage supply.

The current workflow across three swimlanes: outside the VMS or CRM by SMS and calls, inside the VMS, and inside the CRM
Fig. 01How a staffing request moved before Works: across a CRM, a VMS, and email, calls and texts in between.
02

Identifying opportunities

In its two years of operation, we identified:

  • Many of the tools were very outdated and created without the end-users in mind
  • Machine learning and AI could help healthcare systems predict and plan for staffing shortfalls
  • Some of the MSPs have cobbled together various tools to manage jobs, candidates, billings, and reporting, e.g. CRM, VMS
  • Many of the smaller healthcare staffing firms, like Trusted, or MSPs are using VMS tools not meant for healthcare, e.g. Wand
Four existing tools: ShiftWise, Simpli-Fi, Medefis and Workforce 2.0
Fig. 02The tools suppliers and hospitals were using: ShiftWise, Simpli-Fi, Medefis, and Workforce 2.0.
03

Where we see ourselves in a year

  • Enable best-in-class time-to-fill for flexible labor, less than 5 weeks
  • Fill staffing needs most efficiently by leveraging predictive analytics to manage float pools and supplier networks.
04

Where do we start?

Our head of product at the time had experience building out a VMS software platform from 0 to 1 during his time at Magnit (formerly called ProUnlimited), where he helped create Wand. This was primarily a platform to manage the contingent workforce for companies like Facebook, Google, etc. Although we had an idea of what features and flows our VMS should have, we needed to further narrow the scope to what we could design, build, and launch with our partner hospital in six months.

To help narrow our feature set and develop empathy for suppliers and hiring managers I interviewed Trusted internal employees and clinical leaders at Texas Children’s Hospital.

Such conversations allowed me to understand the ins and outs of how a staffing request is created and managed from a hiring manager’s viewpoint, and how suppliers try to fill such requests by submitting and managing potential candidates.

Actionable insights

  • Program managers are sometimes used in lieu of hiring managers
  • Suppliers have a different workflow altogether

Synthesized insights

After chatting with both sets of users, I mapped out the flow for creating and filling a staffing request.

The synthesized flow across hiring manager, supplier and agency candidate: staffing request creation, submission, candidate review and offer, onboarding, and team view
Fig. 03The synthesized flow: who does what, and where Works sends an automated email instead of a person.

Additionally, I identified four key personas to consider when designing.

Four composite personas: Ronald, a program manager; Nancy, a hiring manager; Brenda, a recruiter; and Manual, a registered nurse
Fig. 04Composite personas: program manager, hiring manager, recruiter, and travel nurse.
05

What should we build first?

Client admin experience

For client admins, hiring managers and program managers, we identified that our MVP product needed to:

  • Create new staffing requests
  • View qualified nurses
  • Have visibility on interviewing and onboarding funnel
  • Request an interview, extend an offer

Supplier experience

For the supplier experience, based on research the team had done before I joined and my own user interviews, we decided at the very minimum a supplier user needed to:

  • Add new nurses to the pool
  • Add nurse details: name, licenses, etc
  • View open jobs
  • Submit qualified nurses
  • Accept or reject interview requests and offers
06

Hiring manager experience

From left to right, it demonstrates an end-to-end experience from opening a new staffing request to viewing qualified candidates to requesting interviews and managing their onboarding to analyzing data.

Hiring manager flow: create request, view qualified candidates, request interview, extend offer, manage onboarding, manage ongoing compliance, extend contract
Step 1 of 8The hiring manager flow, from a new staffing request to extending a contract.
Staffing request, step 1 of 2: choosing a template
Step 2 of 8Start a staffing request from a template.
Staffing request, step 2 of 2: details such as start date, length, shift and hiring leader, with the position details alongside
Step 3 of 8Fill in the request details, with the position summary alongside.
Candidates list with application statuses
Step 4 of 8Every candidate across open requests, with their application status.
Candidate profile with summary, work experience, licenses and certifications, and offer actions
Step 5 of 8A candidate profile, with Send Offer and Reject at the top.
Onboarding and Team members tables
Step 6 of 8Onboarding progress, then the team once they start.
Onboarding compliance for a single worker, with approve and reject on each document
Step 7 of 8Compliance for one worker: approve or reject each document.
Reports: overview, hiring pipeline, spend, speed and market rate comparison
Step 8 of 8Reports: pipeline, spend, speed, and market rates.
07

Supplier experience

Below are the final screens that we shipped for the MVP supplier experience. Thankfully, before joining the Works team I had audited the Marketplace style guide and components, which I had translated into a separate visual system for Works.

Supplier flow: view staffing requests, submit qualified candidates, manage submitted candidates, accept or reject offers, submit onboarding documents, manage ongoing compliance, accept or reject extension offers
Step 1 of 6The supplier flow, from viewing a request to accepting an extension.
A staffing request with its submission funnel and the Submitted tab
Step 2 of 6A staffing request, with every candidate submitted against it.
Candidate submissions with the staffing request details panel open
Step 3 of 6A candidate’s submissions, with the request details alongside.
Offers list with the offer confirmation panel, showing accept and reject
Step 4 of 6Review an offer and accept or reject it.
Create profile form: basic info, licenses, certifications and references
Step 5 of 6Add a nurse to the pool: details, licenses, certifications, references.
A worker’s compliance checklist across background, licenses, certifications, assessments, references and health documents
Step 6 of 6Keep each worker’s compliance documents current.
08

Impact

We piloted Works v1.0 with Texas Children’s Hospital, Mercy Hospital systems, and Parkview in Indiana. After the pilot, we added two more designers to work on new features such as on-demand and billing. Once Mercy, our biggest client, signed a three-year deal I was given a new challenge to work on our marketplace platform, which included the mobile app.

5

Paying customers

$4.2M

Annual recurring revenue (ARR)