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The leadership work · Health Harmony · Connect 2.X

Leading from
the middle.

The part that usually goes uncredited — and the part that decides whether the design survives being built.

I was co-lead on the design and sole lead on production — the design-to-development pipeline that turns comps into shipped software across three surfaces and parallel sprint tracks. This is the machinery: the scope engineering built from, the redlines that answered edge cases before they became guesswork, and the day-to-day of directing the build.

redlines · create-patient, annotated for engineering
Redlines & annotations
Create-Patient — annotated for engineering.
WIREFRAME · Create Patient v1.1
Patient first / last name
3
Social Security Number
1
Date of birth
2
Primary caregiver (FCG)
Care setting
DP comments · designer notes
1
DP

Validate SSN format inline — don’t wait for submit.

2
DP

Required. Block submit until DOB is set.

3
EDGE

Duplicate patient match → prompt to merge, not create.

Every edge case written down before the sprint — so “what happens when…” wasn’t decided in code review.

Sole lead · productionDesign-to-dev pipelineSpecs, redlines & acceptance criteriaUser-story scope & IAEmbedded with engineering
01My role

Co-lead on design. Sole lead on production.

I sat where the work actually converged. That middle position is unglamorous and decisive — it’s where a beautiful design either survives contact with engineering or quietly degrades. I call it leading from the middle: owning the machinery that turns designs into a shipped product.

Co-lead · design

Shaping the role-aware experience across all three surfaces. See the design work →

Sole lead · production

Specs, annotated wireframes, redlines, interaction docs, acceptance criteria — across parallel sprint tracks. The subject of this page.

02The part I owned

The design-to-development pipeline.

What kept fidelity intact across three surfaces and a lot of hands wasn’t more pixels — it was the production layer. The approved scope, the redlines, the edge-case docs, and the cadences between design and engineering. Here it is, made concrete.

The part I owned
The design-to-development pipeline.
Specs & acceptance criteria

Every feature shipped with clear, testable requirements.

Redlines & annotations

Annotated wireframes and interaction documentation.

Edge-case docs

The “what happens when…” answered before it was guesswork.

Parallel tracks, run with PMs
Track A
Live system

Improvements to the shipped product.

Track B
New features

Net-new work, kept from colliding.

What I owned end to end — specs & acceptance criteria, redlines, edge-case docs — run across two parallel tracks (the live system and net-new features) alongside the PMs.

The part I owned · the spec
The scope engineering built from.

An approved, prioritized user-story scope — role by role. Scope arguments happened on paper, before code.

86+
FCG stories (FCG01–86)
16
Functional areas
3
Roles scoped · FCG · PCG · Patient
AuthenticationRegistrationProfileDashboardMedicationsVital StatisticsAssessmentScheduleMessagingFamily Circle FeedContent LibraryJournal+ 4 more
MUSTHIGHLY DESIREDNICE TO HAVE
MUSTFCG29 · Profile · permissions
Should be able to…

Set two levels of permission for who can view, edit, or add to the patient’s dashboard.

So that…

they control who sees the patient’s personal information.

EDGE CASE

Applies only to the appliance patient’s FCG — web-portal patients control their own sharing.

The approved, prioritized user-story scope — role by role, priced MUST / HIGHLY DESIRED / NICE TO HAVE. Scope arguments happened on paper, before code. (A real story: FCG29, two-level dashboard permissions, with its appliance-vs-web edge case written down.)

Redlines & annotations
Create-Patient — annotated for engineering.
WIREFRAME · Create Patient v1.1
Patient first / last name
3
Social Security Number
1
Date of birth
2
Primary caregiver (FCG)
Care setting
DP comments · designer notes
1
DP

Validate SSN format inline — don’t wait for submit.

2
DP

Required. Block submit until DOB is set.

3
EDGE

Duplicate patient match → prompt to merge, not create.

Every edge case written down before the sprint — so “what happens when…” wasn’t decided in code review.

Designer redlines on the Create-Patient flow — the “DP comments” that turned a wireframe into something engineering could build without guessing: inline validation, required fields, and the duplicate-patient edge case.

Managing the engineering work
Directing — and unblocking — the build.

The producer half of the role, made concrete: clearing ambiguity before it became a stalled sprint.

01Align

Visioning sessions pulled client, design & content owners into one agreed picture — before code hardens.

02Spec

Redlines & acceptance criteria — the source of truth handed to engineering.

03Build

Embedded with the engineering leads, translating logic and answering “what happens when…”

04Review

Sprint reviews and QA collaboration — holding what shipped faithful to what was designed.

The producer half, made concrete: align before code hardens, spec it, embed through the build to unblock, and hold the line in review — the loop that kept what shipped faithful to what was designed.

The tension, and how it resolved

Design fidelity doesn’t scale without process.

Three surfaces, parallel sprint tracks, and a lot of hands is exactly the condition under which a polished design turns to mush by the time it ships. What stopped the drift wasn’t a document — it was a process, and staffing it was my job: co-located on site so questions were answered in minutes not sprints, and artifacts genuinely kept current. Fidelity scales on someone owning the connective tissue.

Where it landed & what it taught me

A beautiful comp is a promise. Production is how you keep it.

Connect 2.X launched on schedule and under budget, replacing fragmented systems with a unified, role-aware experience — and left behind durable inter-team cadences between design and engineering. The lesson I carried forward: at scale, owning the seam between design and build is as much of the job as the design itself.

Outcomes here are qualitative — on schedule, under budget, systems unified. No adoption or task-completion figures were captured, so I don’t quote any.

The design this pipeline shipped — wireframe to hi-fi, screen by screen:

The design work