Hero image of a prescription list on mobile and desktop
OVERVIEW

Closing usability gaps for better prescription management for 60 million users

While a prescriptions list MVP had an overwhelmingly positive reception among existing users, there were gaps and usability painpoints that needed to be addressed before scaling it to 100% of the population. My contributions influenced positive trends for key conversion metrics across prescription refills and renewals and validated product usefulness, reinforcing it as the highest visited digital pharmacy experience for users looking to fill their prescriptions with home delivery.

  • MY ROLE: As lead designer, I worked closely with stakeholders across Business, Product, and Engineering, and partnered with teams in Research, Content, and Accessibility to align and deliver data-informed solutions that enhanced a core digital pharmacy product.
  • PROJECT TIMELINE: 6 months
  • SKILLS APPLIED: UX strategy, Research planning, UI and Interaction design

Undeniable value

The online pharmacy website used to be a cumbersome experience that forced users to navigate multiple webpages to manage their prescriptions. The business recognized needs for improvement, so the team launched a minimum viable product (MVP) to 10% of the user population. It solved the problem of a fragmented web experience with a comprehensive prescriptions list where people could find all of their medications in one place. It received an overwhelming positive reception.

"Love the new site. I can now go to one page to see all my active medications. This can be printed and presented to a new doctor. Thank you!"
Image left: fragmented product navigation flow for prescription management. Image right: Prescriptions list MVP streamlining prescription management
Image left: fragmented product navigation flow for prescription management. Image right: Prescriptions list MVP streamlining prescription management

Flaws that couldn't be ignored

While the MVP was undeniably valuable, there were performance setbacks that couldn't be ignored. The most critical of them were the refill and renewal metrics, which had performed better before the MVP rollout. The team saw this as concerning and wanted to prioritize addressing it before considering scaling the product with more features.

  • Decreases across key metrics
    Prescription refill conversions decreased by 9%, and renewals decreased by 17% against their benchmarks
  • Pattern of customer complaints
    Complaints ranged from usability issues such as difficulties finding prescriptions or a lack of features and functions like filtering or removing prescriptions

Why was this important?

The risk of not addressing these problems and understanding user needs meant continued confusion, frustration, and inaccessibility among people who relied on the digital pharmacy service for prescription refills. Not only that, it added negative impact and cost to business and healthcare outcomes. For added context, in 2021, out of 21 million prescription fills initiated by patients, 17 million of those fills were initiated digitally (82%), which was a striking perspective of how dependent people were on digital tools to get the medications they needed, especially as there were over 60 million eligible digital pharmacy users.

"How might we better guide users to complete their refill and renewal tasks, leading to higher rates of conversion and better medication adherence?"

Targeting existing painpoints

I reviewed the current state of the MVP, focusing on refill and renewal experiences to understand where and why those capabilities fell short against their benchmarks. I had an idea why.

Identified painpoints on Prescriptions list product
Identified painpoints on Prescriptions list MVP

The gaps people were falling through

  1. "When I hit the ready for refill button nothing happens"
    Users misperceived the "ready for refill" status for a button, causing confusion and likely leading to lower refill conversions.
  2. Too much detail and variety
    There were multiple renewal status messages. It was likely creating confusion, stumping users from engaging. Updated content strategy efforts to bring forward specific status messaging variants seemed to have backfired, leading to lower user engagement than before the MVP was launched.
  3. Visual icons lacked clarity
    The pill bottle icons lacked text support, leaving too much room for interpretation and forcing people to guess it's meaning. It was an accessibility issue.
  4. Poor information hierarchy
    On responsive web mobile experiences, prescription statuses appeared after action buttons instead of before, reducing its effectiveness in guiding people to take action.

Opportunities to drive more clarity, less ambiguity

My content partner, Jacob, and I teamed up to tackle the problems around refill and renewal experiences. We had reasons to believe why our recommendations and enhancements would lead members take confident action, resulting in more favorable outcomes.

Key enhancements made to targeted painpoints on Prescriptions list
Key enhancements made to targeted painpoints

Four key enhancements

  1. Differentiated information from action
    By making the prescription status look less clickable, users will be more apt to differentiate actionable and non-actionable content, improving task completion and conversion.
  2. Simplified renewal status
    Because oversharing detail risks confusion and decision making paralysis, a clearer and more concise renewal message will keep users focused, reducing negative friction and increasing renewal actions.
  3. Clarified visual elements
    Adding support text like "# of refills remaining" next to the pill icon provides context and better accessibility, plus much clearer and intentional meaning. Less guesswork for users.
  4. Improved content structure
    Placing prescription statuses before action buttons helps users make informed and timely decisions, leading to higher task completion.

Promising uptick in refills and renewals

Fast follow refill and renewal enhancements proved to be influential. We tracked a 5.2% increase in refill conversions and a 3.9% increase in renewals against benchmarks, indicating a change in direction that was positive enough for the business to move forward with scaling the product with more features for more users.

"How might we help users better manage their prescription lists, ensuring that the experience is more relevant and useful for their needs?"

What people wanted

Despite how successful of a concept and direction the MVP was, it was minimal and limited. It revealed opportunities where the product could grow. There was plenty of customer feedback and patterns found, for example, expressing demands for more features to better navigate and manage prescription lists. We were ready to listen, learn, and deliver on the most common feature requests and experiences.

"I now see my entire family which makes it more difficult when trying to find prescriptions that I want to refill for just myself."
"You still list a script ready for refill I no longer use. But I don't see a way to delete it. It's been a year since I used it."

Discoveries through analysis and insights

The customer feedback I encountered and collected focused largely on challenges with finding and managing prescription information. Because I was curious about what other competitors were doing, I evaluated their sites. What I immediately discovered were shared and conventional patterns across: Search, Filter, Sort, and Categories. Features were also consistently placed in side panels, horizontal bars, or modals for intuitive navigation.

Image of competitive anaylsis
Review of competitor sites and identification of common patterns
Two approaches of new prescription management tools that include: Search, Filter, Sort, and Archive
Two approaches of new prescription management tools that include: Search, Filter, Sort, and Archive
Two approaches of new prescription management tools that include: Search, Filter, Sort, and Archive

Moderated usability research. After exploring various possibilities with wireframes referencing competitor sites, I narrowed my prototype explorations down to two for usability research, focused on Search, Filter, Sorting, and Archiving capabilities. My research partner and I planned a moderated usability test to learn and understand feature desirability, usefulness, and usability. Here's what we learned:

  • 70% majority of participants had no strong preference between the design approaches, while 30% favored B. Participants expressed an overall neutral stance of the Search, Filter, Sort, and Archiving features. They recognized their usefulness when those tools were needed.
  • Participants were not likely to use search and filter tools if they had less than 15 medications on their prescription list. "I would just scroll because it's easy enough."
  • Participants were confused with filtering by pharmacy. Most reported having one or two go-to pharmacies. There was a low likelihood of use for this feature.
  • 100% of participants expressed importance and usefulness towards an archiving capability, helping them file away inactive prescriptions to stay focused on managing only relevant prescriptions that mattered to them.
Favorable iteration based on usability research and stakeholder alignment
Favorable iteration based on usability research and stakeholder alignment

Guidance with common tools

I designed an experience with familiar tools that could give users more confidence and control to better manage their prescriptions and complete tasks. Research provided insightful takeaways such that while many features were designed with good intentions, they weren’t always used by people. For example, 'filtering by pharmacy' was a nice thought but very unlikely to be used. Here's what 60 million digitally eligible users of the pharmacy had access to:

1. Search-as-you-type

The prescription list dynamically corresponded to a string of letters or prescription numbers entered in the search field by users, making it quick and effortless to narrow down or pinpoint medications within prescription lists.

2. Filter and sort

The "Filter by Member" and "Sort" features let users tailor their prescription lists, making it easier to manage medications for themselves or their family members. Users could now filter by a member and sort by relevance, alphabetical order, or recent orders to suit their needs and preferences.

3. Categories

Category filters grouped similar prescription types like refills and renewals for quick and effortless selection. Plus, it enabled discoverability of plan-recommended benefits and opportunities for cost savings and convenience home delivery options.

4. Archive

Archiving and unarchiving was a highly requested feature among users. It allowed people to organize their prescription list and focus on medications that mattered most to them and store away irrelevant ones.

More control for better prescription management

After the MVP updates and new feature enhancements, the product remained as the most visited experience in the digital pharmacy, reinforcing its value for users and the business.

New feature enhancements I delivered - Search, Filter, Sort, and Archive - had varied utilization rates. What was evident was that these tools improved discoverability and streamlined navigation, leading to a better self-service experience for users to manage their prescriptions.

"I didn't like the site the last time I got on. I don't remember why, just confusing is all I remember. Had no problems this time getting to my refills and understanding the ordering of them."
"Thank you for adding the ability to filter by member."
Image-left: initial 'Prescriptions' MVP launched to 10% of user population, Image-right: enhanced 'Prescriptions' MVP rolled out to 100% of users
Image-left: initial 'Prescriptions' MVP launched to 10% of user population, Image-right: enhanced 'Prescriptions' MVP rolled out to 100% of users

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