Coordinating a transplant, against the clock.
A multi-role platform for a US transplant network, where a slow screen costs outcomes, not conversions. Roughly one in four kidneys recovered for transplant is never transplanted — the search for a recipient outruns the organ’s shelf life. The engagement is under NDA, so what you can open is my own rebuild of it: same problems, same decisions, none of their data.
The constraint inverted the architecture. The registry that governs allocation has no API for anyone outside it. So the product runs beside it rather than through it, and the coordinator alerts centres directly. The scramble was always manual; a layer over a manual process is the truer fit, not the compromise.
The decision I’d defend. The brief listed favourite centres drive prioritisation as a feature — the precise mechanism the equity literature criticises. I replaced it with criteria centres declare in advance, matched per donor. Same speed, nobody chosen by hand, and every centre left off says why.
The window closed before this center answered. The OPO has been told, and can reopen it by phone.