Nobody left early
Clinicians can only absorb so much change at once. Staying close after discovery means designing how a release lands, as well as what ships.
Design Outcomes Weekly reflections on the real-time work of supporting a design org.
Latest work from the portfolio
The index
Everything, organized by how you read.
Category
Audience
TRThe ReframeOct 24, 2026
Your Customers Have a Change Budget
How we stay connected to clinicians after discovery ends, why every release spends their limited attention for change, and 4 books on helping people take on something new.
TBToolboxOct 24, 2026
Say What You're Not Doing
A 3-line follow-up post for after design crit, why the most important line is the feedback you decided not to take, and why it belongs in the channel the whole product team reads.
CNCrit NotesOct 24, 2026
What the Simple Rule Costs
A crit on 2 surfaces that both reminded people what to do, the table that settled which one should, and the work a simpler rule moves somewhere else.
TBToolboxOct 24, 2026
Don't Let the Design System Become Pluto
Two habits that pulled a small design system team out of isolation when I led one at Intuit, a weekly lead check-in and a quarterly bug bash with collectible stickers, and how to start one small.
TDThe DecisionOct 24, 2026
Maybe Chat Is the Wrong Word
Why I’d rather design AI features that hand clinicians finished work to accept than a conversation to have, and 2 calls we made about our AI patterns while the use cases are still forming.
TRThe ReframeOct 10, 2026
Context Doesn't Travel on Its Own
What changes when the person approving your work wasn’t there when it started, and 5 moves for bringing a new decision-maker along without stopping the work.
TBToolboxOct 10, 2026
A Roadmap Slide Is an Interface
The question executives asked in almost every planning review I sat in this week, 5 ways to design a roadmap so it answers that question first, and 4 books on showing how sure you are.
CNCrit NotesOct 10, 2026
The Small Ask Inside the Big Questions
A review that opened with 10 minutes of silence, the one critique I had for a strong doc, and how to make sure a room knows what you need from it.
MLMaker's LogOct 10, 2026
Debating The Code
Two design leaders who took their craft into the codebase this month, why fixing the component beats fixing the screen, and where agent-assisted fixes ran out of road.
SCState of the CraftOct 10, 2026
The Pile Nobody Owns
A rule for work that has an owner, the larger pile of work that doesn’t, and what design leaders can do about shared problems without claiming them forever.
TDThe DecisionOct 10, 2026
Why A Great Homepage Is So Hard To Build
Why the first screen of a product is so hard to get right, the sentence that settled a debate between 2 surfaces, and 4 books on deciding what deserves someone’s attention.