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Instead of “empowering” and “informative,” we tend to associate today’s health records with some not-so-fun things like:"}],"markDefs":[],"style":"normal"},{"_key":"2ac45fd59f6e","_type":"block","children":[{"_key":"2ac45fd59f6e0","_type":"span","marks":[],"text":"The clipboard"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"deab00631d33","_type":"block","children":[{"_key":"deab00631d330","_type":"span","marks":[],"text":"The “patient portal” with UI from 1995 (with a login you never seem to get right)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"70a6c86923f3","_type":"block","children":[{"_key":"70a6c86923f30","_type":"span","marks":[],"text":"The awkward sexual history questions no one really knows how to answer."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0f4298e685c3","_type":"block","children":[{"_key":"0f4298e685c30","_type":"span","marks":[],"text":"In designing a new health record for the Tia Clinic, we turned not only to Tia users, but to women’s health providers to understand what is broken about health records today, and how we might create something more valuable for patients and providers alike. 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Why can my doctor see it, but I can’t?”"}],"markDefs":[],"style":"large"},{"_key":"2c54345c1b71","_type":"sectionHeader","title":"What women’s health providers hate about health records today"},{"_key":"1fa68ab2bb31","_type":"block","children":[{"_key":"1fa68ab2bb310","_type":"span","marks":["em"],"text":"“It feels like there is never the right amount of information… there’s always too little or too much information to be useful.”"}],"markDefs":[],"style":"large"},{"_key":"e12c652e3bfa","_type":"block","children":[{"_key":"e12c652e3bfa0","_type":"span","marks":["em"],"text":"“My patient intake forms are too ‘one-size-fits all.’ There’s no way customize based on a patient’s particular needs.”"}],"markDefs":[],"style":"large"},{"_key":"990200665594","_type":"block","children":[{"_key":"9902006655940","_type":"span","marks":["em"],"text":"“I don’t have time to review a patient’s full health record when I’m in back-to-backs all day. 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But, all too few of these products are designed by women, and even fewer of these products connect to care."}],"markDefs":[],"style":"large"},{"_key":"9a10ed32825b","_type":"block","children":[{"_key":"9a10ed32825b0","_type":"span","marks":[],"text":"In designing our own tracking product amidst a sea of (generally bubble-gum pink and flower-filled) period trackers in the App Store, we asked ourselves:"}],"markDefs":[],"style":"large"},{"_key":"c47110744b20","_type":"sectionHeader","title":"What would a tracker *actually do* if it was designed by women and for women?"},{"_key":"29386ec07c01","_type":"block","children":[{"_key":"29386ec07c010","_type":"span","marks":[],"text":"In typical Tia style, we turned to our users to find out what they like and didn’t like about tracking today. 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Trackers don’t work for me anymore.”"}],"markDefs":[],"style":"large"},{"_key":"d696cde40abd","_type":"block","children":[{"_key":"d696cde40abd0","_type":"span","marks":["em"],"text":"“I spend all this time tracking stuff on my phone, and when I go to the doctor, there’s no good way to show her this information!”"}],"markDefs":[],"style":"large"},{"_key":"14f845d3c476","_type":"block","children":[{"_key":"14f845d3c4760","_type":"span","marks":["em"],"text":"“My period is the least of it — I want to track my moods, my stress and understand how my lifestyle impacts how I feel everyday.”"}],"markDefs":[],"style":"large"},{"_key":"49b0347bd667","_type":"block","children":[{"_key":"49b0347bd6670","_type":"span","marks":[],"text":"And this time, we turned to doctors to get their read on trackers, too:"}],"markDefs":[],"style":"normal"},{"_key":"ccefddcab729","_type":"block","children":[{"_key":"ccefddcab7290","_type":"span","marks":["em"],"text":"“The single biggest thing differentiating a female patient from a male patient is her cycle and related hormone fluctuations. Yet, all of this data is trapped in my patients’ phones and inaccessible to me as a provider!”"}],"markDefs":[],"style":"large"},{"_key":"4a8f2f395b63","_type":"block","children":[{"_key":"4a8f2f395b630","_type":"span","marks":["em"],"text":"“I struggle to treat women based on a snapshot moment in time — like the length of her last cycle or how bad her cramps were last week. I need, but lack, longitudinal data to accurately diagnose & treat my patients.”"}],"markDefs":[],"style":"large"},{"_key":"c0591435461a","_type":"block","children":[{"_key":"c0591435461a0","_type":"span","marks":["em"],"text":"“Everyone is obsessed with data these days. 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Here’s how it works."},{"_key":"13ea31acb7ca","_type":"block","children":[{"_key":"13ea31acb7ca0","_type":"span","marks":[],"text":"Meet Maria — she’s 29 and self-describes as generally “healthy,” but has been experiencing bad headaches lately."}],"markDefs":[],"style":"normal"},{"_key":"f0780d348393","_type":"block","children":[{"_key":"f0780d3483930","_type":"span","marks":[],"text":"With the goal of getting to the bottom of her headaches, Maria downloads the Tia App and tells Tia some key tidbits about her: her birth control (currently on the pill), if she currently gets a period (yes), and why she wants Tia to help her."}],"markDefs":[],"style":"normal"},{"_key":"73092ebd4428","_type":"editorialImageCarousel","items":[{"_key":"1effa89e7149","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-0c68904656816ed72c3cd637a0a00d79dd6e3fdb-800x400-gif","_type":"reference"}}}}]},{"_key":"6736a97fa0a9","_type":"block","children":[{"_key":"6736a97fa0a90","_type":"span","marks":[],"text":"Maria starts tracking her headaches with Tia and a few other things Tia suggests might be related."}],"markDefs":[],"style":"normal"},{"_key":"3bb9c6c4b488","_type":"editorialImageCarousel","items":[{"_key":"95edab37fb7d","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-0daa07d5ce3d4c2e4ac97e0ba84210ea15004691-800x400-gif","_type":"reference"}}}}]},{"_key":"aa2d743e5a46","_type":"block","children":[{"_key":"aa2d743e5a460","_type":"span","marks":[],"text":"After a few days of tracking, Tia sends Maria some info about a potential connection between her headaches and her birth control:"}],"markDefs":[],"style":"normal"},{"_key":"58a6a319e891","_type":"editorialImageCarousel","items":[{"_key":"364d0b5ee728","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-e3bb23922ff24ab91c7c3f36e1f0d29dcef014e1-1644x1096-png","_type":"reference"}}}}]},{"_key":"1cfc55481932","_type":"block","children":[{"_key":"1cfc554819320","_type":"span","marks":[],"text":"But, after seeing Maria report severe headaches repeatedly over multiple months, Tia sends her another insight — this time with a bit more urgency, suggesting that Maria go to the doctor."}],"markDefs":[],"style":"normal"},{"_key":"7f779b317b3c","_type":"editorialImageCarousel","items":[{"_key":"f1a04946ca10","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-b578b3ef5dd3123b9303e3bbdfbf3bb406048a6f-800x400-gif","_type":"reference"}}}}]},{"_key":"c704cc5b2590","_type":"block","children":[{"_key":"c704cc5b25900","_type":"span","marks":[],"text":"Maria books an appointment at the Tia Clinic to discuss her headaches. And when she walks into the exam room, all of her cycle, health and wellness data from the Tia app is visualized to view and discuss with her doctor together."}],"markDefs":[],"style":"normal"},{"_key":"8ce5cf4346c3","_type":"editorialImageCarousel","items":[{"_key":"5b549398f1dc","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-f91d2f1a3d606132ee7a93209ccfc3619c1f29b0-1644x1096-png","_type":"reference"}}}}]},{"_key":"0a8fc5cfffab","_type":"block","children":[{"_key":"0a8fc5cfffab0","_type":"span","marks":[],"text":"Her doctor points out some correlations she sees — like the connection between her headaches and her caffeine intake, and the repeated onset that occurs the week before her period."}],"markDefs":[],"style":"normal"},{"_key":"dca4e9001d9d","_type":"editorialImageCarousel","items":[{"_key":"61e2db9047e3","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-64d6c6abee684575c1cfc9e748b13b31033ef887-1644x1096-png","_type":"reference"}}}}]},{"_key":"06632c7e9c06","_type":"block","children":[{"_key":"06632c7e9c060","_type":"span","marks":[],"text":"Maria and her doctor design a care plan, "},{"_key":"06632c7e9c061","_type":"span","marks":["em"],"text":"together"},{"_key":"06632c7e9c062","_type":"span","marks":[],"text":", to address these headaches head on. 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we reopen the physical doors to the Tia Clinic. We will be providing essential services to women that must be delivered in-person and can no longer be delayed, such as Pap tests, pelvic exams, IUD insertions, and other time-sensitive procedures. We will continue to provide all other services virtually, as a commitment to delivering the highest quality care to women across the continuum (in-clinic, virtual, and all of the moments in-between)."}],"markDefs":[],"style":"large"},{"_key":"ea2bf9ffdd49","_type":"sectionHeader","title":"The decision to close and reopen"},{"_key":"4cb2ffbc1add","_type":"block","children":[{"_key":"4cb2ffbc1add0","_type":"span","marks":[],"text":"The decision to close our doors was deliberate, so too is the choice to reopen. Tia provides essential services, meaning, we never had to close, but as NYC and the world came to a pause, we felt our operations at the clinic needed to pause too. With information changing in real-time, we took an evidence-based approach in our decision-making and elected to temporarily close our physical doors. We were able to effectively divert our care to virtual offerings which enabled us to continue to provide care to our patients. The decision to close was made for the safety of our patients, our staff, and the NYC healthcare system (at the time, inundated by volume and short on supplies). Closing our clinic also meant minimizing the spread of Covid-19 and reserving personal protective equipment for the frontlines."}],"markDefs":[],"style":"normal"},{"_key":"477fb91e8484","_type":"block","children":[{"_key":"477fb91e84840","_type":"span","marks":[],"text":"77 days later, we are grateful to see that the circumstances of the Covid-crisis have changed. 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