Seattle, WA — Open to Contract & Full-Time

Product design for complex clinical workflows

I'm a senior product designer who's spent three years as the sole designer on a healthcare EHR, owning everything from research to design systems to the interaction model for AI agents inside a HIPAA-constrained product.

Currently

Senior Product Designer, Open to Work

Specialization

Healthcare, EHR & AI Agent UX

Background

3 yrs sole designer, healthcare EHR

End-to-end ownership

Research, UI, QA, design systems, and dev tickets , as the only designer on a live clinical product

Regulatory fluency

HIPAA isn't a constraint I work around. It's design material I've shipped inside, repeatedly.

AI product experience

Defined the interaction model for a multi-agent clinical system before a line of code was written.

Case Studies

The legacy image of Therasoft's calendar

The Legacy Problem

Enterprise UX · Design Systems · EHR

A clinical platform with thousands of daily users, built over years without a design system, by whoever was available. New users couldn't find their footing, and the team was buried in support calls that were really just onboarding failures in disguise.

View Case Study

Designing Trust First

AI Interaction Design · Clinical Workflow

In a clinical product, AI touching patient data isn't a feature decision — it's a trust decision. There was no spec, no scope, and no framework for how AI should behave across the product. I wrote one before anyone built anything.

View Case Study
Mobile application for the client portal viewed on a phone

Patient Portal Clarity

Mobile UX · Patient-Facing Product

The patient portal showed everything — session costs, insurance payments, per-appointment charges — on the assumption that more visibility meant more value. Working with clinicians who knew exactly what their clients struggled with, I cut it down to the two things patients actually came for: see the next appointment, pay the balance.

View Case Study

About

Why I design for the people who care for everyone else

I grew up with a mom who was a nurse, so I saw early what the job actually costs, and I always knew I wanted to do something that lightened the load for people like her. I also knew my gift wasn't in my hands the way hers was. It was in how I see and explain things. Visual thinking was how I could help; design became the tool.

What pointed me at healthcare wasn't the industry, it was watching the people in it. I saw clinicians exhausted and swamped, burning hours on notes and overtime instead of the patients they got into this to help. I wanted to give some of that time and attention back. That's the work I spent three years on as the sole designer on a clinical EHR used by thousands of mental health clinicians, where I was promoted to Senior as my scope grew from interface redesign to the design system, the AI interaction model, and the dev-ready specs underneath.

Before I ever opened Figma, years in customer service and training taught me to hear past what someone says to what they actually need. That turned out to be the whole job. When clinicians told me the software just needed to "look better," the real problem was speed; when they asked for more on a screen, the real problem was hierarchy. Finding the gap between the stated complaint and the underlying need is the instinct I lean on most, and it's why I don't just execute a brief, I interrogate it first.

My craft took shape in an intensive lock-step design program, four years of curriculum compressed into two, where I stopped treating visual design and human-computer interaction as separate things and learned to make them serve each other.

"Tristan was always willing to listen to concerns and brainstorm ways to solve the underlying thing you're trying to do."

- Group Practice Owner

Let's Talk!

Open to contract and full-time roles in product design & UX/UI Design

Healthcare is where I've gone deepest, but the work I care about is any complex, high-stakes problem where the cost of confusion is real. If you're building something like that, or just want to talk through how I'd approach a problem you're facing, I'd like to hear from you.