Amanda Lopez
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HIV-AIDS Learning
​Goes Mobile

At Clinical Care Options, Amanda designed a mobile app's user flows, functionality, and test process to speed time-to-market, all while managing 2 vendors and the overall project's timelines, scope, budget, and risks.
The Ask

1. The South African Teaching Cure

In 2013, South Africa suffered from the world’s biggest epidemic: 6.3 million of its citizens were living with HIV. The South African government needed a quick way to educate healthcare workers and also test their HIV/AIDS knowledge using shared Windows, iOS and Android devices. I managed the InPractice Africa project and two vendors—a website developer and a mobile app developer—to help internal teams build a SiteCore content management system (CMS).

Our client’s medical educators in South Africa wrote all the training modules, which were then edited, published online, and continually updated by our content team in the United States.
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Figure 1. To support web and mobile users in remote South African clinics and city health centers, we needed to push/pull the certified training updates, test data, and drug details to/from servers located on the African continent.

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Figure 2. During testing, our mobile developer failed to check its work on all devices, which significantly slowed our internal test cycles. Ultimately, we added more internal testers to improve the mobile’s app quality and quickened the vendor’s pace of fixes.
The Answer

2. Location, Location, Location

Geography presented a unique challenge early on when our Product Manager moved to South Africa to support our client full-time. Working closely with our Chief Technology Officer and internal developers, I embraced the product ownership role by designing a wireframe that depicted the mobile app’s interface, user flows, features, functionality, messaging, and mobile account binding process. In addition to managing the overall project and vendors, I also identified missing functionality; wrote user stories; and supervised mobile testing efforts. 

“Amanda's project management, documentation, and design contributions were a significant factor ​in the success of our project.” 
​
~ Ira Baron. Director, Chief Technology Officer at Clinical Care Options

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Figure 3. To speed time-to-market, I created a wireframe to validate the ever-changing design features and functionality. The wireframe helped me guide the mobile vendor, train new testers, and obtain final approval from our Product Manager in South Africa.

3. A Geographic Cure: More Time Zones

​Geographically dispersed teams became the norm with our web vendor located in Boston, Massachusetts; our mobile developers in Vietnam; our Product Manager and medical writers in South Africa; and our internal teams in Reston, Virginia. During the testing phase we leveraged different time zones by coordinating with mobile app developers in Vietnam. They built as we slept; we tested as they slept.
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Figures 4-6. Each page, scrolling menu and drop-down looked unique. Mobile developers used Sencha Touch for their cross-platform design.
“I came to rely on Amanda as an ally in ​thinking through and managing project risks.”
 
~ Ira Baron. Director, Chief Technology Officer at Clinical Care Options

4. Mobile Security By Design

Building security into the system from the start was of utmost importance. The application needed to securely track the test scores of multiple users on the same device—and track a single user across multiple devices. Since each user could re-take a test only once, we developed a mobile binding process to track exam credits and prevent cheating.
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​Figure 7. The Certification Manager kept track of a user’s passed tests and total credits awarded. ​
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Figure 8. Users chose how often mobile test data and content were synced.
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Figure 9. InPracticeAfrica users—even those without internet—could search training modules, drug facts, and medical guidelines.

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Figure 10. Our mobile binding process (see cylindrical green arrows) ensured user test scores were accurate, even when users shared the same device or when a single user switched between a computer, smartphone or tablet. Since connectivity was unpredictable, users needed offline access to the medical content and quizzes. The binding process would sync an offline user’s test scores with previous grades at login.

The Results

5. HIV Help at Point-of-Care, Everywhere

Our client, the South African government, loved the look and feel of both the inPractice Africa website and mobile application. The client also appreciated our content team’s flexibility when publishing training modules, government guidelines, and frequent updates.
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Figures 11 and 12. Knowing which drug to prescribe (based on the latest government guidelines) was integral to improving point-of-care medical interventions, and ultimately slowing the HIV/AIDS epidemic.

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Figure 13. Thanks to a variety of government-funded programs, including inPracticeAfrica, after only two years AIDS-related deaths decreased by 20,000 annually and a significant increase of affected adults (from 41% to 48%) are now on antiretroviral treatment.

6. Lesson Learned: Prescribe Technology

The South African government partnered with Clinical Care Options, the U.S. Agency for International Development (USAID) and drug companies to find a technical solution to their epidemic. We all learned that “in resource-constrained settings, the use of digital medical education and decision support systems is hampered by lack of Internet availability, poor reliability, low bandwidth, and/or cost of service.”

The InPractice Africa learning platform provided both structured training and a reliable point-of-care reference. Doctors, nurses and healthcare workers nationwide could now treat patients and earn HIV/AIDS learning credits in the most remote areas of South Africa, with confidence using the latest health guidelines.

“Amanda's background in user-centered design and user experience also gives her the ability to communicate the needs of the customer and product direction with a wide variety of stakeholders."
 
~ Paula Lawley. Director, User Experience at Sprint Nextel
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Figure 14. Our internal content team enjoyed the special attention given to their unique CMS publishing needs. We dedicated extra time to understand, prioritize, and implement our content team’s special requests to customize the SiteCore CMS, which they used daily.

"Amanda was persistent in managing the processes engaging stakeholders in completing designs/requirements and in signing off on project deliverables, allowing us to
make significant and steady progress in the face of evolving project scope.” 
​ 
~ Ira Baron. Director, Chief Technology Officer at Clinical Care Options

 Amanda Lopez is a Product Management consultant ​​living in Sterling, VA.
When not blogging about the Internet of Things,
Amanda is having fun dancing or skiing. 
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  • Analyze
  • Design
  • Manage
  • About Me