The Care Plan Series

Overwhelmed. It is how most patients feel at one point or another as they leave that sterile-smelling, fluorescent-lit doctor’s office. They have just spent 10-25 minutes being hastily examined, diagnosed, and, if they are lucky, educated about how to address their medical problem. They either leave the office empty-handed, or they walk out holding a generic pamphlet, which will likely end up under an unmanageable pile of papers or in the trash. Unless there was a major change in their treatment plan, many patients go home, forget what the doctor ordered, and continue on their usual journey of whatever harmful behaviors landed them at the doctor’s office in the first place. And without a clear, tangible plan for how to better their health, how are they supposed to behave any differently?

There is a loose, under-utilized semblance of a "plan of care" in most health data sets. You'll find them mentioned in the standard Continuity of Care Document (CCD), the FHIR framework, and CMS's recent chronic care management code documentation. Yet, somehow no one really knows what you are talking about when you say the words "care" and "plan" together in a sentence. So, with the help of designers, engineers, and field experts, we set out to understand everything we could about care plans to then visualize our findings in a 3-part feature series.

Our feature series has three goals. We aim to spread both awareness to the general public about the benefit of care planning, as well as empowerment to demand such practices from doctors. We aim to inspire healthcare designers, entrepreneurs, and providers to prioritize care plans in their innovative products and practices. And we aim to encourage health policymakers to both establish a care plan database, and examine the cost of incorporating care planning into standard practice. Only in a new era of digital, standardized, adaptive care plans can we truly promote preventative self care.

Want to Work Together?

Want to take your healthcare or care plan product to the next level? Contact the authors at GoInvo:


661 Massachusetts Ave, 3rd Floor, Arlington MA, 02476

At GoInvo, we’re known for our unique, industry-leading approach to healthcare user experience. We design, build, and ship beautiful software for companies of all sizes, from the market leaders of today — including Apple, Johnson and Johnson, Partners HealthCare, and Walgreens — to the micro startups that will create the markets of the future.

Founded in 2004, we specialize in design for genomics, healthcare IT, mHealth, wearables, and other emerging technologies. We’ve produced high- quality, usable, beautiful applications that are used every day by over 150 million users.



Beckett Rucker, MPD

Beckett is designer, product strategist, and researcher. She concentrates on designing beautiful and surprising health services and systems from the skintop to celltop to desktop. She holds bachelors of arts in psychology and studio art from Rice University and a master of product development from Carnegie Mellon University. She has worked on design and service strategy for companies such as Seniorlink, Johnson & Johnson, and Updox Patient Portals.


Edwin Choi, MA

Edwin is a biologist turned designer. Combining the sciences and art, he orchestrates healthcare software experiences to be beautiful and clinically refined. Edwin is a graduate of Washington University, and has a masters in biomedical design from Johns Hopkins University. He has worked on projects for companies including Partners Healthcare and Notovox.

Health Hats

Danny van Leeuwen, RN, MPH, CPHQ

Danny is an action catalyst empowering people traveling together toward best health (patients, caregivers, clinicians). He wears many hats in healthcare: patient with MS, care partner for several family members’ end-of-life journeys, a nurse for 40+ years, an informaticist and a QI leader. Danny’s current work focuses on communication at transitions of care, person-centered health planning, informed decision-making, and technology supporting solutions created with and for people at the center. He has collaborated with PCORI, AHRQ, and MassHealth among others.


Web Designer & Developer

Yanyang Zhou

Web Designer & Developer

Jennifer Patel

GoInvo, MIT

Juhan Sonin

University of Missouri |

Jeff Belden, MD

University of Michigan

​​Joyce Lee, MD, MPH

THINK-Health | Health Populi blog | Huffington Post

​​Jane Sarasohn-Kahn, MA, MHSA

Healthcare Provocateur

​​Harry Sleeper