Scaling healthcare UX for public impact

Scaling healthcare UX for public impact

Scaling healthcare UX
for public impact

Lombardy vaccination ecosystem

Lombardy vaccination ecosystem

Lombardy vaccination ecosystem

Client
Client

Lombardy Region / ARIA SpA

Lombardy Region / ARIA SpA

Role
Role

Senior Product Designer

Senior Product Designer

I lead a team of three designers and collaborated with engineers, developers, product owners and stakeholders.

I lead a team of three designers and collaborated with engineers, developers, product owners and stakeholders.

Time span
Time span

July 2023 - November 2024

July 2023 - November 2024

Challenge
Challenge

Before our work, vaccination in Lombardy was fragmented across legacy tools, paper forms, and multiple operators with conflicting workflows.


The system lacked agility, coordination, and emergency resilience, especially under COVID-19.

Before our work, vaccination in Lombardy was fragmented across legacy tools, paper forms, and multiple operators with conflicting workflows.


The system lacked agility, coordination, and emergency resilience, especially under
COVID-19.

Our goal
Our goal

Enable a scalable, coherent digital ecosystem to support healthcare professionals and citizens through efficient, safe, and inclusive vaccination experiences.

Client
Client

Lombardy Region / ARIA SpA

Lombardy Region / ARIA SpA

Role
Role

Senior Product Designer

Senior Product Designer

I lead a team of three designers and collaborated with engineers, developers, product owners and stakeholders.

I lead a team of three designers and collaborated with engineers, developers, product owners and stakeholders.

Time span
Time span

July 2023 - November 2024

July 2023 - November 2024

Challenge
Challenge

Before our work, vaccination in Lombardy was fragmented across legacy tools, paper forms, and multiple operators with conflicting workflows.


The system lacked agility, coordination, and emergency resilience, especially under COVID-19.

Before our work, vaccination in Lombardy was fragmented across legacy tools, paper forms, and multiple operators with conflicting workflows.


The system lacked agility, coordination, and emergency resilience, especially under
COVID-19.

Our goal
Our goal

Enable a scalable, coherent digital ecosystem to support healthcare professionals and citizens through efficient, safe, and inclusive vaccination experiences.

Enable a scalable, coherent digital ecosystem to support healthcare professionals and citizens through efficient, safe, and inclusive vaccination experiences.

The invisible structure that enabled everything else

The invisible structure that enabled everything else

Strategic activities

Strategic activities

Strategic activities

I connected UX strategy and product thinking to guide impactful design outcomes.

I connected UX strategy and product thinking to guide impactful design outcomes.

I connected UX strategy and product thinking to guide impactful design outcomes.

Vision anchoring

Product discovery

Strategic benchmarking

Stakeholder orchestration

Prioritization

Roadmap planning

Design process governance

Vision anchoring

Product discovery

Strategic benchmarking

Stakeholder orchestration

Prioritization

Roadmap planning

Design process governance

Vision anchoring

Product discovery

Strategic benchmarking

Stakeholder orchestration

Prioritization

Roadmap planning

Design process governance

Strategic research

UX research

Design cycles

Strategic research

UX research

Design cycles

Strategic research

UX research

Design cycles

Timeline

Timeline

Timeline

I led the design stream end-to-end while staying close to the ground.


Iterations partially overlapped: while one cycle was ending with usability testing, the next phase would start in parallel.

I led the design stream end-to-end while staying close to the ground.


Iterations partially overlapped: while one cycle was ending with usability testing, the next phase would start in parallel.

I led the design stream end-to-end while staying close to the ground.


Iterations partially overlapped: while one cycle was ending with usability testing, the next phase would start in parallel.

Every decision was shaped by real-world use

Every decision was shaped by real-world use

Every decision was shaped by real-world use

Service blueprints to map cross-actor relationships and handovers

Output

Service innovation opportunities

23 interviews, 5 focus groups

Output

15 personas, needs, goals and pain points

Card sorting workshops, AB tree testing

Output

Shared mindset, information architecture

More options of user flows to discuss during

co-creation sessions

Output

Experience hypotheses validation

Weekly co-design workshops with stakeholders

Output

Rapid prototyping and consensus building

7 on-site and remote usability test rounds over 30+ prototypes, 100+ features

Output

Usable and satisfying expriences

Methodology

Service blueprints to map cross-actor relationships and handovers

Output

Service innovation opportunities

23 interviews, 5 focus groups

Output

15 personas, needs, goals and pain points

Card sorting workshops, AB tree testing

Output

Shared mindset, information architecture

More options of user flows to discuss during

co-creation sessions

Output

Experience hypotheses validation

Weekly co-design workshops with stakeholders

Output

Rapid prototyping and consensus building

7 on-site and remote usability test rounds over 30+ prototypes, 100+ features

Output

Usable and satisfying expriences

Methodology

1.

Operators need a way to easily process both vaccination and counseling citizens in queue

2.

Different users need a quick access to different main actions depending on the task they’re doing

3.

Operators want easy ways to recall patient information and fill forms while they welcome them in hospital

Key

research

insights

Key

research

insights

Key

research

insights

1.

Operators need a way to easily process both vaccination and counseling citizens in queue

2.

Different users need a quick access to different main actions depending on the task they’re doing

3.

Operators want easy ways to recall patient information and

fill forms while they welcome them in hospital

Here’s how we moved from insight to impact

Here’s how we moved from insight to impact

Here’s how we moved from insight
to impact.

"Switching platforms is usually a bit of a trauma. But with ARVAX, the transition was easy and intuitive — almost surprisingly so. Sure, there are still some features I’d like to get more familiar with, but I already use it comfortably."

"Switching platforms is usually a bit of a trauma. But with ARVAX, the transition was easy and intuitive — almost surprisingly so. Sure, there are still some features I’d like to get more familiar with, but I already use it comfortably."

Monica, 59, nurse at Bergamo

Monica, 59, nurse at Bergamo

The homepage as a worklist
The homepage as a worklist

The homepage is an intuitive dashboard.

It is ready-to-use for both administratives and physicians.


Here, operators can find all relevant information to vaccine citizens in queue.

The homepage is an intuitive dashboard.

It is ready-to-use for both administratives and physicians.


Here, operators can find all relevant information to vaccine citizens in queue.

Vaccination
Vaccination

The administration of vaccines can be completed in just 8 clicks.

The administration of vaccines can be completed in just 8 clicks.

The persistent anagraphic panel allows the operator to recall citizen information at glance, like Fiscal Code, allergies, pathologies, and vaccination history.

The persistent anagraphic panel allows the operator to recall citizen information at glance, like Fiscal Code, allergies, pathologies, and vaccination history.

The silent anamnesis feature fills all answers with No’s, drastically reducing form filling time.

The silent anamnesis feature fills all answers with No’s, drastically reducing form filling time.

Vaccines stock orders
Vaccines stock orders

Stock orders start from the warehouse page, which is a monitoring dashboard on the progress of dose availability.

Stock orders start from the warehouse page, which is a monitoring dashboard on the progress of dose availability.

Thanks to the suggested orders feature, the supply requests can be completed in just 2 clicks.

Thanks to the suggested orders feature, the supply requests can be completed in just 2 clicks.

Appointment booking via operator
Appointment booking via operator

One of the entry points to book a vaccination is the citizen profile, and it is managed in three short steps.

One of the entry points to book a vaccination is the citizen profile, and it is managed in three short steps.

Citizen self-booking
Citizen self-booking

Citizens can book selected vaccinations on their own from Prenotasalute.

Citizens can book selected vaccinations on their own from Prenotasalute.

"Switching platforms is usually a bit of a trauma. But with ARVAX, the transition was easy and intuitive — almost surprisingly so. Sure, there are still some features I’d like to get more familiar with, but I already use it comfortably."

Monica, 59, nurse at Bergamo

The homepage as a worklist

The homepage as a worklist

The homepage is an intuitive dashboard.

It is ready-to-use for both administratives and physicians.


Here, operators can find all relevant information to vaccine citizens in queue.

The homepage is an intuitive dashboard.

It is ready-to-use for both administratives and physicians.


Here, operators can find all relevant information to vaccine citizens in queue.

Vaccination

Vaccination

The administration of vaccines can be completed in just 8 clicks.

The administration of vaccines can be completed in just 8 clicks.

The persistent anagraphic panel allows the operator to recall citizen information at glance, like Fiscal Code, allergies, pathologies, and vaccination history.

The persistent anagraphic panel allows the operator to recall citizen information at glance, like Fiscal Code, allergies, pathologies, and vaccination history.

The silent anamnesis feature fills all answers with No’s, drastically reducing form filling time.

The silent anamnesis feature fills all answers with No’s, drastically reducing form filling time.

Vaccines stock orders

Vaccines stock orders

Stock orders start from the warehouse page, which is a monitoring dashboard on the progress of dose availability.

Stock orders start from the warehouse page, which is a monitoring dashboard on the progress of dose availability.

Thanks to the suggested orders feature, the supply requests can be completed in just 2 clicks.

Thanks to the suggested orders feature, the supply requests can be completed in just 2 clicks.

Appointment booking via operator

Appointment booking via operator

One of the entry points to book a vaccination is the citizen profile, and it is managed in three short steps.

One of the entry points to book a vaccination is the citizen profile, and it is managed in three short steps.

The dynamic action bar answers the need to always have primary actions at hand supporting different features depending on the webapp section.

Citizen self-booking

Citizen self-booking

Citizens can book selected vaccinations on their own from Prenotasalute.

Citizens can book selected vaccinations on their own from Prenotasalute.

Monica, 59, nurse

at Bergamo

"Switching platforms is usually a bit of a trauma. But with ARVAX, the transition was easy and intuitive — almost surprisingly so. Sure, there are still some features I’d like to get more familiar with, but I already use it comfortably."

What changed, and how we know it worked

What changed,

and how
we know

it worked.

What changed, and how we know it worked

The invisible structure that enabled everything else

50%

50%

50%

increase in vaccinations delivered across the region after launch, demonstrating system-wide adoption and accessibility gains

increase in vaccinations delivered across the region after launch, demonstrating system-wide adoption and accessibility gains

increase in vaccinations delivered across the region after launch, demonstrating system-wide adoption and accessibility gains

↓70%

reduction in task time

and simplified workflows

across 6 user roles

↓70%

↓70%

reduction in task time and simplified workflows across

6 user roles

reduction in task time and simplified workflows across

6 user roles

More outcomes

More outcomes

More outcomes
  • Dismission of two

    high-cost platforms

    by integrating logistics, booking and administration into a single tool

  • Enabled additional services

    with modular IA, like travel vaccination counseling

  • Designed for export

    to other regions and future campaigns

  • Real time monitoring

    at regional level through custom reporting tools

  • Dismission of two

    high-cost platforms

    by integrating logistics, booking and administration into a single tool

  • Enabled additional services

    with modular IA, like travel vaccination counseling

  • Designed for export

    to other regions and future campaigns

  • Real time monitoring

    at regional level through custom reporting tools

The most

valuable

lesson

The most

valuable

lesson

The most

valuable

lesson

The challenge of designing ARVAX was about orchestrating a system that works under pressure, across contexts, and for people with different needs and priorities.

The challenge of designing ARVAX was about orchestrating a system that works under pressure, across contexts, and for people with different needs and priorities.

The challenge of designing ARVAX was about orchestrating a system that works under pressure, across contexts, and for people with different needs and priorities.

Working with a fabulous team to create an experience ecosystem where users, tools, and institutional goals align. And doing it at scale, under real-world constraints.

Working with a fabulous team to create an experience ecosystem where users, tools, and institutional goals align. And doing it at scale, under real-world constraints.

The real

success

The real

success

The real

success

Working with a fabulous team to create an experience ecosystem where users, tools, and institutional goals align. And doing it at scale, under real-world constraints.

Table of contents

Want to collaborate? Share an idea?
Or maybe a great recipe?

Contact me

email

marco.antelmi93@gmail.com

phone

+39 3425084026

©2025

Design & Build by Marco Antelmi

Want to collaborate? Share an idea?
Or maybe a great recipe?

Contact me

email

marco.antelmi93@gmail.com

phone

+39 3425084026

©2025

Design & Build by Marco Antelmi

Want to collaborate? Share an idea?
Or maybe a great recipe?

Contact me

email

marco.antelmi93@gmail.com

phone

+39 3425084026

©2025

Design & Build by Marco Antelmi

Methodology