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4TU Design United Dialogues 4: Health & Wellbeing

From Care Pathway Mapping to Data Strategy Implementation

A Data-Driven Decision Support Tool for Reconstructive Surgery After Skin Cancer

The decision-support tool

At Catharina Hospital in Eindhoven, AI was used to redesign the care pathway for patients undergoing facial reconstruction after skin cancer. By learning from past cases, a decision-support tool bridges the communication gap between patient and surgeon, aligning expectations with outcomes.

Bridging patient's expectations and clinical outcomes

Clinicians make complex decisions every day, often guided by experience and personal preferences. Simultaneously, patients struggle to understand treatment options, creating a gap between expectations and outcomes and often resulting in post-treatment dissatisfaction.

In this project, we explored how AI can help to align patient-physician communication and facilitate shared decision-making by redesigning the care pathway of nasal reconstruction after skin cancer removal.

Redesigning the care pathway

We approached the project holistically, combining Multilevel Service Design with Double Diamond innovation. By mapping patient-physician interactions, data flows, and technical systems, we were able to understand the entire process with accommodating pain points and needs. From here, we co-created a service solution with multiple stakeholders like clinicians, designers, and data experts.

The outcome is a predictive decision-support tool that matches patient profiles with past cases to forecast the most satisfying reconstruction option. the tool guides both patient and clinician preparation, standardizes a more patient-centered consultation, and is supported by a data strategy to enable data-informed care.

Human-centered AI

While AI holds great potential to personalise and enhance healthcare, it cannot operate effectively alone. Our work shows that predictive tools succeed only when people, processes, and systems adapt alongside them. Redesigning this care pathway also highlighted a bigger challenge: messy and fragmented healthcare data. We must collaborate toward a solid infrastructure before AI can make a real impact in healthcare.

About Blom van der Toom

As a recent graduate from the Industrial Design faculty at Eindhoven University of Technology, I design at the intersection of people, policy, and systems. My work explores how data and AI can transform healthcare and social services toward sustainable and human-centered futures.
Revising the new care pathway