Lotus AI

AI-supported communication platform designed to improve clinical handoffs and urgent communication.

In collaboration with

WIX, Base44 and Mount
Sinai Hospital

Tools

Base44, ChatGPT, Perplexity, Figma

Live Prototype

Role

Product Designer
research & design lead

Context

AI Product Sprint
Reichman University

Timeline

6 weeks
Sept 2025

The challenge

In hospitals, the most dangerous moment is the handoff.

Critical information often breaks down during shift changes, transfers, and emergencies, scattered across EHRs, chat, calls, notes, and verbal updates.

01

Fragmented systems

Information lives in EHRs, secure chat, phones, paper notes, and hallway updates — none talking to each other.

02

No urgency tiering

An emergency and a routine update arrive in the same inbox, with the same notification, in the same tone of voice.

03

Hierarchy & location ambiguity

Nurses can't reach attendings directly. Specialists can't be located. The result is delay.

Research

Understanding how clinicians communicate under pressure.

We investigated where communication breaks down, how urgency is communicated, and what clinicians do when existing tools fail.

5

Academic papers

Healthcare communication, ISBAR handoffs, AI in acute care

3

Real interviews

Pediatric PA (ICU), anesthesiology resident, PICU nurse

4

Synthetic personas

GPT-generated to stress-test edge cases and refine protocols

7

Competitors mapped

TigerConnect, Spok, Vocera, Hyro, Trialynx and more

Key findings

What we heard from clinicians.

Four key findings emerged from the interviews and shaped the product direction.

Finding 01

Urgent and routine information look the same.

No shared way to mark a mCritical updates compete with routine messages and are easily missed.essage as critical. A code-blue and a “FYI lunch is here” land in the same chat thread.

“There’s no way to stratify what type of communication is needed.”

— Anesthesiology resident

Finding 02

Information gets buried.

Long notes and overloaded inboxes make essential details difficult to identify quickly.

“I would have a hundred messages — things fall through the cracks.”

— Pediatric PA

Finding 03

Communication depends on finding the right person.

Location uncertainty and organizational hierarchy create delays and unnecessary handoffs.

“I’m reaching out to their resident to then reach out to them — we’re playing telephone.”

— Anesthesiology resident

Finding 04

Clinicians want AI support, not AI decision-making.

AI was welcomed for summarizing, prioritizing, and coordinating information—but not for replacing clinical judgment.

“I like AI and I’m not scared of it — if it’s helpful, I’m open to using it.”

— Anesthesiology resident

Competitive landscape

A clear gap on the map.

Existing tools tended to be either medically focused but reactive, or intelligent but disconnected from clinical workflows. LOTUS explored the space between them.

INTELLIGENT AUTOMATION

MANUAL PROCESS

REACTIVE COMMUNICATION

PROACTIVE COMMUNICATION

DialZara

Trialynx

Hyro

Hello Health

TigerConnect

Spok

Gmail

Epic

WhatsApp

INTELLIGENT AUTOMATION

MANUAL PROCESS

REACTIVE

COMMUNICATION

PROACTIVE

COMMUNICATION

DialZara

Trialynx

Hyro

Hello Health

TigerConnect

Spok

Gmail

Epic

WhatsApp

Scenarios

Three moments the product needed to solve.

Based on interviews and contextual research, we identified three recurring moments where communication breaks down.

Scenario 01

Urgent coordination

Dr. Alex Nguyen

ICU Physician

PROBLEM

Urgent requests arrive through disconnected systems with no clear priority or ownership.

CRITICAL MOMENT

A lab result requires immediate action, but finding the right clinician creates delay.

“Half my shift is spent chasing the right person instead of treating the patient.”

Scenario 02

Routine handoff

Maria Lopez

ICU Nurse

PROBLEM

Important patient updates are scattered across documentation, chat, and verbal communication.

CRITICAL MOMENT

Maria needs to transfer a patient’s status without losing critical details.

“I’ll chart it all — but unless I catch the right person at the right moment, I can’t be sure they’ll see what matters.”

Scenario 03

Hands-free emergency

Maria Lopez

ICU Nurse

PROBLEM

During bedside emergencies, clinicians may not be able to stop, search, type, or call.

CRITICAL MOMENT

Maria needs immediate assistance while both hands are occupied with the patient.

“During a critical bleed, I’m holding pressure with both hands — I have no way to call for help without leaving the bedside.”

Design Direction

Three principles guided the solution.

Three principles guided the solution.

These recurring breakdowns translated into three principles that guided the product.

Make urgency visible

Critical and routine updates should never look the same. LOTUS needed to help clinicians recognize what requires immediate attention at a glance.

Keep context attached

Every update should carry the information needed to act: patient context, urgency, ownership, and the next step.

Make escalation effortless

In critical moments, clinicians may not have time—or free hands—to search, type, or call. Escalation needed to be fast and easy to trigger.

Design Direction

Three principles guided the solution.

These recurring breakdowns translated into three principles that guided the product.

Make urgency visible

Critical and routine updates should never look the same. LOTUS needed to help clinicians recognize what requires immediate attention at a glance.

Keep context attached

Every update should carry the information needed to act: patient context, urgency, ownership, and the next step.

Make escalation effortless

In critical moments, clinicians may not have time—or free hands—to search, type, or call. Escalation needed to be fast and easy to trigger.

Prototype

From research to a working prototype.

From research to a working prototype.

From research to a working prototype.

LOTUS brings messaging, handoffs, prioritization, and voice-based escalation into one clinical communication layer.

Core features

Core features

How LOTUS solves the problem.

How LOTUS solves the problem.

How LOTUS solves the problem.

Urgency-aware messaging

Critical, urgent, moderate, and routine updates are clearly differentiated, helping clinicians identify what needs attention first.

Structured handoffs

LOTUS turns scattered patient updates into a structured handoff with patient status, urgency, next tasks, and ownership.

Hands-free escalation

“Hey Lotus” allows clinicians to summarize, send, or escalate critical information without stopping bedside care.

Let’s connect

MAIL

alina@rachlewski.com

connect

LinkedIn

Pokemon Go Trainer Code

© 2026 · Designed by Alina Rachlewski

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