Approach

I've been doing this a long time, and the thing I keep coming back to is simple: design workflows, not screens.

Most products fail because somebody started in Figma. I start with the people and the problem they're trying to solve. What's actually slowing a nurse down. Why a client never opens the status email. What a sales team is clicking through that has nothing to do with closing the deal. Once that's clear, the interface is the easy part.

I've worked across a lot of industries and a lot of kinds of users — clinicians and patients, but also operators, customers, employees, admins. Healthcare is home base. It's not the only place I know how to work.

I like leading teams. Hiring people, teaching them how to think, staying close enough to the work that I can still tell when we're polishing the wrong thing. I'm not interested in being the person who only goes to meetings.

I also build. Project Pulse is a good example — I scoped it, designed it, and shipped it with AI in the loop. I don't think using Claude makes you less of a designer. I think refusing to use it, when it clearly helps you go from idea to something real, is the weird position.

That's the job as I see it. Figure out the problem. Point the team. Ship something people can actually use.