Improving Design Process
LeadershipCVS HealthJune 2023Sr. Experience Design Manager

Improving Design Process & Product Collaboration

Interviewing both Product and Design to find the real friction points, then co-creating a new working agreement that cut delivery time by 35% and won a CVS Excellence Award.

Outcomes
35%
Fewer sprints needed to deliver features
20%
Fewer design stories needed per feature
81→90%
Visit Manager conversion rate increase
🏆
CVS Excellence Award, Summer 2023
Sr. Experience Design Manager
I co-led this initiative equally with Jordan Williams. I conducted 1:1 interviews with Product team members, facilitated the design team listening workshop, synthesized findings, developed recommendations, and presented to Design and Product leadership for approval before working with the full team on a new working agreement.
Jordan Williams and Product
Jordan Williams (Sr. Design Lead, co-lead on all parts of this project). Interviews with five Product Managers, one Product Director, and one Executive Product Director. Design Director Ethan and Product Director Aviel aligned on goals before we began.
Process plus Change Management
Process Improvement, Stakeholder Interviews, Affinity Mapping, Change Communication, Working Agreements, Workshop Facilitation
The Problem

A new model with no guidance on how to make it work

CVS's design org shifted from a "consulting" model where Design and Product worked separately, to an "embedded" model where designers joined individual Product teams. It was the right direction — but there was very little guidance on how to actually collaborate in this new structure.

Pain points surfaced quickly: ambiguous feature requirements because Design wasn't included in planning, repeated feedback loops because Product only saw work late in the process, and growing frustration on both sides even though the relationships were genuinely strong. We knew we could fix this if we approached it the right way.

Old process

Old process: Design and Product working in separate lanes, causing late-stage feedback and misaligned expectations.

New process

New process: collaborative checkpoints throughout, getting Product involved early and Design informed from the start.


Our Strategy

Getting both sides to the same table

Jordan and I set up a meeting with our Design Director (Ethan) and Product Director (Aviel) to align on what we were trying to fix. We agreed on three goals: identify the pain points everyone was experiencing in the new model, understand what an ideal collaboration process looked like from both sides, and put together a working agreement that would clarify a new process with clear roles and responsibilities.

Our strategy for getting there had five steps: 1:1 interviews with each Product team member to understand their perspective, a design team "listening" workshop to hear from our designers, analysis of the feedback from both groups, a set of recommendations for each step in the process, and finally a working agreement created together with the full team.

Strategy diagram

Our strategy for understanding both sides and arriving at a shared working agreement.


Research

Interviewing both sides of the table

Jordan and I conducted 1:1 interviews with seven Product team members and facilitated a listening workshop with the full design team. Four questions guided every conversation: How do you define "high-quality design"? Efficient timing? Being "involved" in the process? And what does the ideal collaboration look like to you?

We traded off interviewer and notetaker roles in every session. The design team workshop was specifically framed as a "listening" session — a signal that this was about hearing concerns openly, not defending the current state.

Product director interview feedback

Notes from our Product Director interview — capturing their definition of quality, timing, and ideal collaboration.

Synthesis of interview feedback

Affinity mapping synthesis — grouping themes from both sides to find patterns and common ground.

Design team feedback

Design team listening workshop — what they wanted and didn't want from Product at each stage.

Efficient timing themes

Synthesized themes on what "efficient timing" meant to both sides.


The New Process

New checkpoints and a working agreement built together

Based on our synthesis, Jordan and I proposed new checkpoints throughout the design process — bringing Product in earlier and more consistently, rather than only at the end:

We presented these recommendations to Design and Product leadership, refined based on their feedback, then ran a workshop with the full team to co-create the roles and responsibilities for each checkpoint. The final working agreement was published in Confluence and became our new standard.

Final new process

The finalized process — clear checkpoints, clear ownership, and no more late-stage surprises.


Success Stories

What the new process made possible

Sports Intake form — faster stakeholder approval

When designing a new "Sports physical" health form for students, our new "Strategy align" checkpoint let us share early design thinking with Product. Product then brought this thinking directly into Legal review — which meant we got Legal approval on design concepts much earlier than usual, saving the whole team significant time.

Sports intake success

Sports Intake: our Strategy Align checkpoint led to faster Legal approval and a smoother process overall.

Sports Notice of Self-Pay — fewer feedback loops

Our new "Lo-fi review" checkpoint let Product see early options and give feedback before we invested in high-fidelity work. For the Sports Notice of Self-Pay, we walked through multiple options for parent/guardian consent at the wireframe stage — and didn't have to go back and do costly rework later.

Sports notice success

Sports Notice of Self-Pay: Lo-fi review eliminated the rework that would have happened later.

Next Gen Visit Manager — Product in research from the start

Sharing research during our new "UXR review" checkpoint gave Product the context of real user pain points that they otherwise wouldn't have seen until much later. This opened the door to much deeper explorations of how we could simplify the patient check-in experience.

Next Gen VM success

Next Gen Visit Manager: UXR review gave Product the context to think bigger about the check-in experience.

In-Clinic Tablet — clearer requirements for a tight deadline

When an urgent feature needed to be completed in one sprint, our "Feature Intro" and "Strategy Align" checkpoints ensured Design understood the "why" behind the business request from day one. This made our communication smoother and our designs more on-target from the very beginning.

In-Clinic Tablet success

In-Clinic Tablet: new checkpoints made a one-sprint turnaround feel smooth instead of chaotic.

Check-in SMS — a content decision made in 30 minutes

In the old process, updating a single line of content might have required multiple Rally stories and multiple rounds of reviews. With our new "Feature intro" checkpoint, Jordan set up a 30-minute brainstorm, and we made the decision with Product in a Teams chat within an hour. The new process freed us to move at the speed the work actually required.

Check-in SMS success

Check-in SMS: a content decision that would have taken days in the old process took 30 minutes in the new one.


Impact

Results the team felt right away

Both Design and Product noticed the difference immediately. Here's what Product leadership shared with us directly:

"I love the real time collaboration and iteration."
"You're too fast! From insight to solution in under 4 hours. Who has time for a user story?!"
"Omg that turnaround time."
"Trust among all team members increased and our frustration in the process was now gone."
35% fewer sprints
Features delivered in one fewer sprint on average due to clearer requirements and fewer feedback loops
20% fewer stories
Designers estimated work more accurately when requirements were clear from the start
90% conversion rate
Visit Manager increased from 81% to 90% through faster iteration enabled by the new process
Happier team
Both Design and Product happiness scores improved after the new process took effect
CVS Excellence Award, Summer 2023
Recognized for large-scale team and business impact
Design Director Ethan Maehl nominated Jordan and me for the CVS Excellence Award for these changes. The award is given to colleagues who "demonstrate a deep commitment to CVS behaviors, evidenced by a successful idea, action, or recent accomplishment that has a large impact on CVS teams, the business, or customers." We were honored to win it that summer.
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