The Work Northwell Health · 2014–2022 · New York's Largest Health System

Northwell
Health

Eight years building design at New York's largest health system — from Senior Designer to Director reporting to the CMO, and two designers to fifteen-plus.

Role Director, UX & Creative Direction · Reporting to CMO
Growth Senior Designer → Director · Team: 2 → 15+
Scale 2014–2022 · 23 Hospitals · 750+ Outpatient Facilities
Result Brand NPS 12.9 → 25.2 · 37 Properties Unified Under One System
Role
Director, UX & Creative Direction, reporting to the CMO.
Team
Joined as one of two designers. Grew the team to fifteen-plus across UX, product, DesignOps, brand and research.
Timeline
2014–2022. Senior Designer → Lead → Manager → Director: three promotions in eight years.
What I owned
The enterprise design system, northwell.edu end-to-end, and creative direction across digital, print, video, motion and wayfinding.
Outcome
37 properties unified into one system, 5× lower content creation cost, Brand NPS 12.9 → 25.2.

I joined Northwell Health in 2014 as one of two designers. Over eight years, I grew from Senior Designer to Director of UX, ultimately reporting directly to the CMO and owning the creative vision for one of the largest health systems on the East Coast. What started as a digital UX mandate expanded to encompass the full Northwell brand experience: digital, print, video, motion, wayfinding, and the enterprise design system that unified 37 previously disconnected hospital and outpatient properties.

By the time I left in 2022, Northwell had a mature, system-wide design practice it didn't have when I arrived, an enterprise design system governing every brand touchpoint, and northwell.edu serving as the unified digital front door for one of the largest health systems on the East Coast. Brand NPS rose from 12.9 to 25.2, and a 5× drop in content creation costs made consistency the cheaper option, not the harder one.

Design Leadership Enterprise Design System Platform Consolidation Healthcare UX Brand Architecture AI / ML DesignOps Accessibility
Impact & Outcomes
12.9→25.2 Brand NPS across the 8-year tenure — source: NRC Data, Core Market Survey
37→1 Disconnected hospital properties unified under one enterprise design system
1.5→19.1 Community Hospital NPS — from near-zero brand advocacy to system-wide lift
29→71% Brand momentum — share of consumers who said Northwell was "really on the way up"

North Shore-LIJ Health System was one of the largest hospital networks on the East Coast, but its digital presence didn't reflect its clinical reputation. Thirty-seven hospital and outpatient properties operated with independent websites, disconnected brand identities, and no shared design infrastructure. There was no centralized UX function. No design system. No unified patient digital experience.

The organization was rebranding to Northwell Health: a new name, a new ambition, and an expectation that the digital experience would match. The challenge was structural, not cosmetic. How do you create a consistent, trustworthy patient experience across a system the size of a small city, with no design organization to build it, in a regulated healthcare environment where every word and interaction carries clinical and legal weight?

That was the mandate I was brought in to answer.

I joined in 2014 as one of two designers, reporting to the AVP of Digital Strategy. Over eight years I progressed from Senior Designer to Lead Designer, Manager, and Director — with each step expanding both the team I led and the scope of what design owned inside the organization.

As Director of UX, I reported directly to the CMO. My mandate had grown well beyond UX. I partnered with the Creative Director and took on creative direction responsibility across the full brand experience — digital, print, brand identity, video, motion graphics, and wayfinding. I was the creative vision behind Northwell's enterprise design system and the person responsible for ensuring design consistency across every surface the organization touched.

Vendor & agency governance — overseeing marketing campaigns, digital web projects, and brand activations system-wide

Team training — building and running training programs for Marketing, Graphic Design, and Multimedia teams on design tools and brand standards

Digital platform ownership — owning northwell.edu end-to-end as the system's primary patient acquisition and navigation surface, from IA and UX through visual design and content strategy

Team building — grew the design team from 2 to 15+, spanning UX, product design, DesignOps, brand and digital, and research. Built the hiring bar, the practice standards, and the design culture from scratch.

Eight years of transformation started with a commitment to understanding the patient before designing for them. In a health system of Northwell's scale — spanning 23 hospitals and 750+ outpatient facilities with millions of patient interactions annually — the risk of designing based on assumption is high and the consequences are real.

We built a research practice that matched the complexity of the organization: deep qualitative work with patients navigating the system for the first time, journey mapping across the full care continuum, and synthesis sessions that brought clinical, operational, and digital stakeholders into the same room to align on what patients actually needed versus what the institution assumed they did.

This research foundation became the through-line for every design decision that followed. The design system, northwell.edu, and the Find a Doctor experience were all built on insights that came from that original investment in listening.

Design Infrastructure · Brand Architecture · 37 → 1

The operating infrastructure for a full-scale brand transformation

Northwell had 37 independently operating properties when I arrived, each with its own website, visual language, and no shared standards. I led the creation of the enterprise design system that unified all of them: a single component library, visual language, and content architecture spanning digital, print, video, motion, and wayfinding. This went well past a style guide — it became the operating infrastructure for a full-scale brand transformation. I trained Marketing, Graphic Design, and Multimedia teams system-wide to apply and maintain standards, turning the design system from a document into a living practice. The result: a 5× reduction in content creation costs and a consistent brand experience across one of the largest health systems on the East Coast.

Patient Acquisition · Search & Navigation · UX Research

The highest-stakes interaction in any health system's digital experience

The moment a patient decides who will treat them is the most consequential interaction in healthcare UX. The existing Find a Doctor experience was fragmented, inconsistent, and difficult to navigate — a direct barrier to patient acquisition. I led a full research, discovery, design, and testing cycle spanning approximately six months, resulting in a redesigned experience that significantly improved findability, clarity, and conversion across Northwell's provider network.

This redesign took approximately 6 months including research, discovery, design and testing.

Primary Digital Platform · Patient Acquisition · northwell.edu

The unified digital front door for New York's largest health system

Northwell's primary digital presence — the site patients use to find doctors, explore services, book appointments, and navigate a 23-hospital system. I owned the UX, information architecture, and design direction for northwell.edu end-to-end, built on the enterprise design system, replacing dozens of disconnected hospital sites with a single coherent experience that reflected Northwell's clinical reputation for the first time.

The call: research before redesign.
Tradeoff: listening first, mid-rebrand, while the organization expected the digital experience to match its new name.
Result: the through-line for everything after. The design system, northwell.edu and Find a Doctor were all built on that research.

The call: 37 properties, one system.
Tradeoff: every property gave up its own website and visual language for a shared component library and content architecture.
Result: a 5× drop in content creation costs, and northwell.edu as the single front door for 23 hospitals and 750+ outpatient facilities.

The call: teach the org to run the system itself.
Tradeoff: design stopped being the only team that could apply the standards, and spent its time training Marketing, Graphic Design and Multimedia.
Result: the system became a living practice, not a document, and those teams kept brand standards on their own.

Brand NPS: 12.9 → 25.2 — A +12.3 point improvement across the tenure (2015–2022). Source: NRC Data, Core Market Survey.

Community Hospital NPS: ~1.5 → 19.1 — Community hospital properties went from near-zero brand advocacy to +19.1 NPS, driven by unified patient experience and consistent digital presence. Source: NRC Data.

Brand Momentum: 29% → 71% — The share of consumers who said Northwell was "really on the way up" more than doubled. Source: NRC Data, 2022 Agency Brand Review.

Content creation costs: 5× lower — Shared components and system-wide governance turned one-off page builds into assembly from a common library.

northwell.edu — Primary patient acquisition and navigation surface for 23 hospitals and 750+ outpatient facilities, unified from 37 disconnected properties under one design system.

These are clinical achievements, not design ones. They're the standard the brand and digital experience had to match. During my tenure, Northwell's average CMS star rating rose from 2.2 to 3.8 and the share of its hospitals meeting national quality benchmarks went from 42% to 92%. The system won the American Hospital Association's Quest for Quality Prize in 2018, and North Shore University Hospital earned the Healthgrades Patient Safety Excellence Award four years running (2019–2022).

Eight years taught me that a design system is a people project wearing a component library. The library was the easy part. Getting 37 properties to give up their own way of doing things took research, training and a lot of patience. What I'd do differently is start the training programs earlier. Every month other teams couldn't apply the system on their own was a month design spent as the bottleneck instead of the multiplier.

I joined as one of two designers. I left as Director of UX and Creative Direction, reporting to the CMO, leading a team of fifteen-plus, and overseeing the full brand experience of a 23-hospital health system.

That arc is the real legacy — not just what I built, but what the organization could do on its own after I left, in a place where design barely had a seat at the table when I started. The design system I defined became the operating standard for every digital, print, and brand surface in the health system. northwell.edu went from a fragmented collection of 37 disconnected sites to a unified patient platform — the primary front door for millions of New Yorkers seeking care. The training programs I established gave Marketing and Multimedia teams the skills to maintain brand standards independently.

I measure the job by what the organization can still do after I'm gone. Northwell can do a lot more than it could in 2014.

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