hope akello

experience design / systems thinking / facilitation

MACs appointment service blueprint

UBC Pharmacists Clinic

Designing services and interfaces to support patient-centered care.

Overview

OUTPUTS

Appointment Booking Process
Appointment Booking Portal
Patient Communication (Graphics, UX Writing)
Billing Process
Website

ROLE

Service Designer and UX Lead

TIMEFRAME

3 months

Context

The UBC Pharmacists Clinic is a university-affiliated, pharmacist-led clinic. Unlike traditional pharmacies, pharmacist-led clinics dispense information instead of drugs. They help patients better understand, manage, and sometimes reduce their medications.

In 2023, a provincial initiative enabled pharmacists in British Columbia to prescribe medications for 21 minor ailments and contraceptives (MACs). For the clinic, this meant rethinking workflows across every level: how patients accessed care, how intake data was collected, how clinicians documented and billed, and how staff coordinated across systems. All of this had to happen without disrupting care for existing patients.

The front desk of the UBC Pharmacists Clinic

Problem

A new provincial policy allowed pharmacists to treat minor ailments and contraceptives (MAC), but the clinic had no infrastructure for:

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Booking

How patients book appts for MAC services

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Billing

How the clinic bills the government for MAC services

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Admin Workflow

How the clinicians and office assistants work together to treat more patients

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Patient Communication

How patients discover the new service offering

Objectives

  • Integrate MAC services into existing workflows
  • Avoid disrupting care for current patients
  • Build for scale across all 21 eligible ailments

Solutions

the initial MACs booking portal

Booking Portal

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Service Redesign

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Website + Graphics

Booking flow for virtual MAC appointments

Process

I facilitated a meeting with the leadership team, where we defined the requirements for integrating the new MAC services. This meant determining:

  • Channels of care: which ailments required in-person vs virtual care.
  • Patient data collected: what patient data needed to be collected for charts and government billing.
  • New booking system: how the booking logic would need to distinguish between MAC and existing appointment types.
MACs whiteboarding

Mapping the current state

Using journey maps and service blueprints, I quickly documented both the patient experience and admin/clinical processes to understand how patients, staff, and clinicians interact.

The goal of this was to gain a deep understanding of current operational processes and build alignment with the clinical leadership team.

Identifying friction points

Additionally, the maps helped pinpoint where the new MAC services would create friction within existing processes.

Initial Pilot Plan

The MAC services was piloted by initially offering appointments one day a week, with one available clinician, supporting a subset of 10 out of the 21 eligible minor ailments.

Over the first two months, several improvements were made to the service. Training sessions and regular clinical staff meetings helped build clinician confidence in assessing minor ailments, and the service grew from having a single dedicated clinician to all clinical staff being available for MAC appointments. By the two-month mark, the clinic was able to expand to the full 21 minor ailments.

My Roles

Pilot Lead: I acted as the primary point of coordination between the clinical team and developers, ensuring clear communication across both sides throughout the pilot.

Patient Advocate: In technical discussions, I advocated for patient needs while also communicating system constraints and implementation considerations back to clinic staff.

Service Decision-Making: I led decision-making around service updates and workflow changes, ensuring feedback from the clinic was translated into actionable, human-centred improvements.

MACs pilot project timeline

Impact

210

Patients treated during the pilot period

~105

Appointments completed per month

4 Weeks

From pilot to full adoption

Services Expanded

The MAC service expanded beyond the initial 10-ailment pilot to support the full range of eligible conditions.

Uninterrupted Care

New services were integrated without disrupting care for existing patients.

Staff Workload Improved

Online booking adoption reduced inbound phone calls, lightening the administrative load on the medical office assistants.

Website Improvements

While integrating the MAC services, I identified gaps in how the clinic communicated with patients, specifically around how patients found information and prepared for visits.

After piloting MACs, I began redesigning the clinic's website and created a dedicated patient information section, including suggested questions to ask the care team and a resource for downloading personal prescription history. Both remain live on the clinic's website.

A clinician with a patient who booked their appointment through the new process