Feature design

B2B2C Healthcare

COVID-19 Response

Telemedicine

Medstar & Medcard24

Medstar & Medcard24

Building a Telehealth Ecosystem

Building a Telehealth Ecosystem

Two platforms. Same patients. Neither knew the other existed. During COVID, that wasn't a gap, it was a risk to patient safety. I had 6 weeks to connect them.
Two platforms. Same patients. Neither knew the other existed. During COVID, that wasn't a gap, it was a risk to patient safety. I had 6 weeks to connect them.

The core challenge was trust across three user types with completely different needs: patients booking remotely, clinic admins coordinating schedules, and doctors managing cases across two systems simultaneously.

Appointments

120K

per day through the scheduling flow
Appointments

120K

per day through the scheduling flow
Offline visits

-48%

reduction
Offline visits

-48%

using the interface I designed

Physicians

37K+

working daily in the doctor dashboard
Physicians

37K+

working daily in the doctor dashboard
App Store

4.8

rating for the patient-facing app
partner clinics across major cities
App Store

4.8

partner clinics across major cities
01 — Business Context

Why This Problem Mattered Now

The Gap

Two established healthcare platforms — Medstar (doctor MIS/EHR) and Medcard24 (patient portal, owned by SK-Telemed) — operated with no connection between them. Neither supported remote workflows. Patients could not consult doctors remotely, request prescriptions online, or communicate outside physical appointments. When COVID-19 lockdowns began, this became critical. Doctors were seeing 48-50 patients per 8-hour shift — around 10 minutes per patient — and regularly staying longer when complex cases demanded more time. High-risk and elderly patients could not access care safely in person, but there was no remote alternative.

Risk & Opportunity

Clinics were overloaded, doctors faced burnout, and patients delayed treatment due to safety concerns. The opportunity was to establish a telehealth ecosystem extending care beyond physical clinics.

Stakeholders

Doctors · Patients · Clinic Administrators · Product Manager · Business Analyst · Development Team

Success Metrics

Enable remote healthcare delivery at scale — measured through adoption of remote consultations, reduction of offline visits, improved accessibility, and supporting doctors under lockdown conditions.

The business needed telemedicine delivered quickly to keep services operational during lockdowns. Users needed accessibility regardless of age, technical literacy, or device limitations. Early assumptions favoured video consultations, but research revealed many patients lacked webcams and elderly users struggled with video technology.

COVID-19 Crisis Impact

COVID-19 Crisis Impact

Lockdowns made in-person care dangerous and unsustainable. Doctors were seeing over 150 patients a day with no remote alternative. Patients stayed home and went without care. The system needed a digital escape route, fast.


Doctor Burnout Risk

Unsustainable patient volume with no way to reduce in-person load

No Remote Option

The platform had no consultation flow outside physical visits

Elderly Patients Stranded

High-risk patients couldn't safely access care

Zero Scheduling Infrastructure

No digital way to manage or redistribute appointment load

02 — Problem Space

The Problem We Were Solving

The Business Problem

Medstar and Medcard24 operated as separate systems with no integrated telehealth infrastructure. Neither platform supported remote consultations, online appointment booking, prescription requests, or doctor-patient communication outside clinic visits.

The User Problem

Patients could not access healthcare remotely, request prescriptions online, communicate with doctors between appointments, or monitor their health over time. Doctors had no way to reduce in-person workload, conduct remote consultations, or manage increasing patient demand efficiently.

What We Assumed

We assumed video consultations would become the primary method and that connecting the two products would solve most lockdown challenges.

What We Didn't Know

We lacked data about patient technology access, consultation preferences, adoption barriers, the needs of elderly users, and how doctors would adapt to telemedicine workflows under crisis conditions.

What Proved Wrong

A large proportion of patients did not have webcams — a video-first experience would exclude many users who needed remote healthcare most.

"I couldn't get an appointment without calling during work hours. By the time I got through, all slots were gone."

Maria K. · Patient, 34

"I had 150 patients a day with no way to triage remotely. Everyone came in, even people who just needed a prescription renewed."

Dr. Olena V. · Family Doctor,
Kyiv clinic

"Scheduling was completely manual. Doctors were overwhelmed and I had no visibility into who was coming or when."

Andriy S. · Clinic Administrator

Why Video-First Would Have Failed
Research revealed the gap before we built the wrong thing.
Clinics
District clinics without cameras
At the start of lockdown, nearly a third of clinics hadn't upgraded their hardware. Doctors couldn't go on video either.
29%
of district clinics
Population 65+
Needed a different access path
Standard interfaces weren't accessible. We added phone call consultations and family account access in the app.
17%
of the population
Accessibility
Chat — the only viable channel
Patients with hearing impairments couldn't use phone or video. Chat became their only consultation option — unplanned until research.
+1
channel added, unplanned

A video-first experience would have excluded the patients who needed remote care most. Chat had to become a first-class channel, not a fallback.

03 — My Role

What I Actually Owned

Scope

I worked as an outsourced designer through SDH, embedded across both Medstar and Medcard24. I owned the end-to-end design process: user research, information architecture, user flows, UX design, UI design, prototyping, usability testing, and developer handoff.

Collaboration

1 Product Manager · 1 Business Analyst · 4 Developers · 1 QA Engineer

Products

Medstar (doctor MIS/EHR) · Medcard24 (patient portal) · IDIS2GO (telehealth diagnostic system) · Show2Doc (doctor-to-patient communication platform)

Influence

Beyond execution, I helped shape product direction through research findings. I advocated for making chat a primary consultation method rather than a fallback to video, and introduced an administrator workflow after identifying operational bottlenecks not addressed in the original scope.

The idea for Show2Doc emerged during the project — a dedicated doctor-to-patient communication platform that went from concept to launch in July 2020.

Timeline

Lockdown in 2020

Phase 1: March-April 2020, 6 weeks — Medstar + Medcard24 connected for telehealth

Phase 2: IDIS2GO integration — telehealth diagnostic system added

July 2020: Show2Doc launched — new product, born from research during the project

04 — Direction

What We Decided to Build

We connected Medstar and Medcard24 into a single telehealth ecosystem — allowing patients to book appointments, consult doctors remotely, request prescriptions, and manage healthcare from home, while enabling doctors and clinics to coordinate care through a connected workflow.

05 — Impact

Why This Project Matters

37K+

Physicians on platform

120K

Appointments/Day at peak

4.8

App Store rating

48%

reduction in offline visits

The platform evolved from disconnected healthcare tools into an integrated ecosystem, creating the foundation for future services including wellness tracking and medication delivery. Medstar covers approximately 15% of the Ukrainian EHR market.
Before
Consultations

In-person visits only · Exposure risk for everyone during lockdown

Appointment Booking

Call the clinic during working hours · Long queues, no visibility

Patient records

Paper files · No digtal access for patients or remote doctors

Doctor workload

150+ patients daily · No way to redistribute or reduce load

VS

After
Consultations

Video callor chat from home via Medcard24 app · No exposure

Appointment Booking

Book online anytime. Admin manages schedule via Medstar dashboard.

Patient records

Full EHR in-app. History, prescriptions, and treatment plans in one place.

Doctor workload

Doctor workload: Distributed across remote and in-person. Offline visits reduced by 48-51%.

Clinics — Bethel Hospital Berlin, available booking slots. Patient-side booking infrastructure.

This is the condensed version.

Want the full story?

The deeper sections cover: why video-first was rejected after research (it would have excluded the patients who needed remote care most), how an administrator persona emerged mid-project and changed the entire scope, and what I'd validate earlier next time — patient hardware, accessibility for elderly users, and admin workflows, all of which we discovered too late.

Happy to walk you through the complete story at interview.

Let's talk:
nataliiayarko.pd@gmail.com

+44 78 6724 1715

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Let's connect

If you think we might be a good fit — let's talk.
nataliiayarko.pd@gmail.com

+44 78 6724 1715

© Nataliia Yarko, 2026