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Leading Accessible Telehealth for Deaf and Hard-of-Hearing Patients


From Exclusion to Access: A Telehealth Transformation in 3 Months

Breaking a Critical Barrier Sparked Platform-Wide Change

 

My Role

Led UX research and design to implement interpreter access, redesign video calls for accessibility, and improve real-time patient-provider communication—directly impacting patient access to care.

Timeline: From Research to Implementation: Delivered in One Business Quarter


The Problem

A hard of hearing patient was denied care due to a lack of captions, exposing a critical accessibility and legal compliance failure.

This failure led to appointment drop-offs, patient frustration, and potential legal risks.


Research

Conducted usability testing, analyzed support data, and reviewed compliance policies to uncover telehealth barriers for deaf and hard of hearing patients.

Key Finding: Patients lacked visibility into language support, leading to pre-appointment anxiety and high drop-off rates.

They needed clear, upfront accessibility options to confidently book appointments—without friction.


Exploring Design Solutions: Weighing Trade-Offs

Challenge: Balancing Access Without Overuse

Make interpreter access easy to find without driving unnecessary requests or costs.


Solution: A Smartly Placed Language Support Toggle

Clearly visible on the first screen—without overwhelming users or inflating requests.


Designing an Inclusive Video Consultation Experience

Before: Video calls only supported two participants, making interpreter access impossible.

Solution

  • Redesigned the video experience to seamlessly integrate interpreters—without disrupting patient-provider interaction.

  • Optimized for desktop, tablet, and mobile to ensure accessibility across devices.


Usability Testing

Ensuring the Toggle Was Seen & Understood

  • Tested placement, usability, and discoverability.

  • Color & Visual Impact: 80% of users found the teal toggle easier to find and more trustworthy—confirming the importance of contrast.

  • Removed explicit 'deaf and hard of hearing' labeling after testing showed patients understood the feature—and some found the wording unnecessary or offensive.


Usability Challenge: Preventing Costly Cancellations

Half of participants overlooked the 48-hour interpreter notice—leading to costly last-minute cancellations.

Solution: A Clear, Unmissable Confirmation Step

Understanding jumped to 87% after launch, significantly reducing last-minute cancellations.


Breaking Barriers: The Measurable Impact

From Inaccessible to Accessible: Immediate Adoption

Before launch, deaf and hard of hearing patients were blocked from telehealth.

Within the first weekend, 10 patients successfully booked accessible appointments—demonstrating this was a critical healthcare fix, not just a feature update.

Proven Visibility: Patients found and used the toggle without assistance, validating its placement on the Confirm Patient screen.


Expanding Beyond ASL: Unlocking a New Patient Population

Beyond ASL: The toggle’s placement unexpectedly addressed another gap—patients with limited English proficiency also began using it to request spoken interpreters.

Business Impact: This insight drove a platform-wide expansion of interpreter support—reaching an even broader patient base.


Fast Execution: From Concept to Critical Accessibility Fix in One Quarte

  • Slashed development time in half while ensuring full accessibility compliance.

  • For the first time, deaf and hard of hearing patients had full, independent access to telehealth—without barriers.