Plexi

Every act of care, accounted for

Senior Product Designer

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Founding team

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2018–23

Veterinary practices ran inpatient care across whiteboards, paper notes, kennel clipboards, and word of mouth. As part of the founding team, we built a real-time clinical workflow layer alongside the practice management system — capturing care as it happened and ensuring what was delivered could be charged for. The product was built for practices of different sizes, from independents to corporate groups representing over 1,000 practices.

Product Design

Design Systems

UX Research

Interaction Design

Understanding patient care meant assembling information from wherever it happened to be recorded. Five sources. No single view.

Understanding patient care meant assembling information from wherever it happened to be recorded. Five sources. No single view.

Clinical work could not be designed on assumption. Domain knowledge came from the founding vet and ex-nurse CX staff; pilots, demos, events, and clinic visits exposed the edge cases the product had not yet accounted for.

Clinical work could not be designed on assumption. Domain knowledge came from the founding vet and ex-nurse CX staff; pilots, demos, events, and clinic visits exposed the edge cases the product had not yet accounted for.

Each admission appears here first. A shift could begin with a full ward: patients at different stages, with different care needs and different teams responsible. Every act of care had to be captured.

Each admission appears here first. A shift could begin with a full ward: patients at different stages, with different care needs and different teams responsible. Every act of care had to be captured.

The ward sheet is the primary surface for nursing staff. It plans and records each patient’s care on a 24-hour timeline.

The ward sheet is the primary surface for nursing staff. It plans and records each patient’s care on a 24-hour timeline.

Tasks map to chart boxes on a row. A feeding check needs a yes or no; a fluid bag tracks rate, volume, and additives.

Tasks map to chart boxes on a row. A feeding check needs a yes or no; a fluid bag tracks rate, volume, and additives.

Paper accepts any writing in any box, but fails at continuity, legibility, and audit. The timeline keeps care persistent across shifts and legible to whoever picks it up next, while the audit trail preserves what was done for clinical review, insurance, and regulatory inspection.

Paper accepts any writing in any box, but fails at continuity, legibility, and audit. The timeline keeps care persistent across shifts and legible to whoever picks it up next, while the audit trail preserves what was done for clinical review, insurance, and regulatory inspection.

Plexi recorded every action, timestamped and complete, but practices billed differently. Mapping the workflow showed where clinical actions became billable charges: a manual, end-of-shift process that varied by practice. Missed charges could account for 10–20% of practice revenue.

Plexi recorded every action, timestamped and complete, but practices billed differently. Mapping the workflow showed where clinical actions became billable charges: a manual, end-of-shift process that varied by practice. Missed charges could account for 10–20% of practice revenue.

We defined charges as templates at the point of care rather than reconstructing invoices afterwards. Items sit under a parent charge, each with its own pricing rule, then export to the PMS as a single entry.

We defined charges as templates at the point of care rather than reconstructing invoices afterwards. Items sit under a parent charge, each with its own pricing rule, then export to the PMS as a single entry.