FEB 26
ENT visit
Congestion + mouth breathing
Follow-up open
CONTEXT
phamly
An AI-powered family health system designed to carry the context and coordination that falls to parents between moments of care.
CASE STUDY
Phamly
WHAT I BUILT
AI-powered family health system that carries context, priorities, and next steps between moments of care.
WHY IT MATTERS
Turns fragmented family health information into continuity and action, reducing what parents have to remember and coordinate themselves.
MY ROLE
Founder / Product Designer. Led strategy, product and system design, AI behavior, and hands-on development.
STATUS
Working product. Built end-to-end with AI-assisted product development; actively evolving through real scenarios and evaluation.
THE REALITY
A child’s health is a journey of moments, not just visits.
FEB 26
ENT visit
Congestion + mouth breathing
MAR 3
At home
“Still congested at night.”
MAR 18
Allergy visit
Test negative
APR 12
At home
“Congestion gone, thinking pillow helped.”
AUG 8
PCP visit
Acute sinusitis, antibiotics
AUG 20
At home
“Now he has a cough, is it related?”
MAR 3
At home
“Still congested at night.”
MAR 18
Allergy visit
Test negative
APR 12
At home
“Congestion gone, thinking pillow helped.”
Felt resolved
AUG 8
PCP visit
Acute sinusitis, antibiotics
AUG 20
At home
“Now he has a cough, is it related?”
The record captures the care.Parents carry what it means.
PROBLEM
Between moments of care, parents become the system.
The burden isn't just remembering. It's carrying the responsibility to notice what matters and know what to do next.
CARE
PARENTS
NEXT
Pediatrician
Specialist
Urgent care
Pharmacy
Dentist
School
REMEMBER
Keep the complete story
NOTICE
Recognize meaningful change
CONNECT
Understand what belongs together
TRACK
Carry what still needs attention
WAIT
Keep watching
FOLLOW UP
Schedule or check back
ACT NOW
Seek care
Care
Pediatrician
Specialist
Urgent care
Pharmacy
Dentist
School
Parents
Remember
Keep the complete story
Notice
Recognize meaningful change
Connect
Understand what belongs together
Track
Carry what still needs attention
OUTCOME
The goal wasn’t less information. It was less to carry.
TODAY
“I have to remember everything, connect the dots, and keep watching so I don’t miss something.”
WITH PHAMLY
“I know what’s important is being carried, even when I’m not thinking about it.”
TODAY
“I have to remember everything, connect the dots, and keep watching so I don’t miss something.”
WITH PHAMLY
“I know what’s important is being carried, even when I’m not thinking about it.”
Less to carry. More confidence nothing important gets missed.
JOBS
To carry less, the system has to carry more.
Parent
REMEMBER
Keep the complete story
NOTICE
Recognize meaningful change
CONNECT
Understand what belongs together
TRACK
Carry what still needs attention
GUIDE
Help determine what happens next
phamly
Parent
REMEMBER
Keep the complete story
NOTICE
Recognize meaningful change
CONNECT
Understand what belongs together
TRACK
Carry what still needs attention
GUIDE
Help determine what happens next
phamly
Every interaction creates context the record doesn’t have.
Every interaction creates context the record doesn’t have.
DESIGNING AUTONOMY
We give the right work to the right actor.
jobs
more autonomous
SHARED
more human
REMEMBER
NOTICE
CONNECT
TRACK
GUIDE
Tommy has a new cough.
Phamly does
Connects it to the sinus journey, recalls the antibiotic course, recognizes monitoring criteria and prepares the relevant next step.
Parent decides
Reviews the guidance and decides whether to act.
AutonomousSharedHuman
REMEMBER
NOTICE
CONNECT
TRACK
GUIDE
“Tommy has a new cough.”
Phamly
Connects the history, recognizes what matters, and prepares the next step.
Parent
Reviews the guidance and decides whether to act.
Good autonomy knows who should act.
ENCODING INTENT
Agents execute the work. We define what good means.
AGENTS
EVALS
Agents plan, build and take action within intent
Evals determine whether the result meets the intent.
INTENT
Keep the complete story
BELIEF
Recognize meaningful change
SIGNAL
Customer/biz outcomes and insights
JOBS
Remember · Notice · Connect · Track · Guide
AUTONOMY
What system own, shares, leaves to humans
BOUNDARIES
What must not happen
Agents
Agents plan, build and take action within intent
INTENT
Keep the complete story
BELIEF
Recognize meaningful change
SIGNAL
Customer/biz outcomes and insights
JOBS
Remember · Notice · Connect · Track · Guide
AUTONOMY
What system own, shares, leaves to humans
BOUNDARIES
What must not happen
Evals
Evals determine whether the result meets the intent.
Intent is authored by people. Agents execute it. Evals test if they did.
EVALUATING BEHAVIOR
Evals make intent testable.
SCENARIO
Tommy is developing a cough.
What we know
Fever + facial pressure with sinusAcute sinusitisTreated with Augmentin for 10 daysFever + facial pressure resolvedMild congestion lingering
WHAT WE EXPECT
EVAL RESULT
REMEMBER
Carry the exiting sinus journey and treatment forward.
NOTICE
Distinguish a new symptom from evidence of worsening.
CONNECT
Recognize the cough in context of recent illness.
TRACK
Establish what would make this need reassessment.
GUIDE
Give parent appropriate next step and eliminate unnecessary alarm
CONTEXT
Uses relevant history
REASONING
Makes the right connections
ACTION
Recommends right next step
COMMUNICATION
Clear, calm and helpful
CARRY
Adds follow-ups to keep track
SCENARIO
Tommy is developing a cough.
What we know
Fever + facial pressure with sinusAcute sinusitisTreated with Augmentin for 10 daysFever + facial pressure resolvedMild congestion lingering
WHAT WE EXPECT
REMEMBER
Carry the exiting sinus journey and treatment forward.
NOTICE
Distinguish a new symptom from evidence of worsening.
CONNECT
Recognize the cough in context of recent illness.
TRACK
Establish what would make this need reassessment.
GUIDE
Give parent appropriate next step and eliminate unnecessary alarm
EVAL RESULT
CONTEXT
Uses relevant history
REASONING
Makes the right connections
ACTION
Recommends right next step
COMMUNICATION
Clear, calm and helpful
CARRY
Adds follow-ups to keep track
Evals define the behavior a good answer must satisfy.
LEARNING THROUGH BUILDING
The product improves. So does the system that builds it.
Every build teaches us something. We turn real experience into durable knowledge that future agents can use.
Promote
Learning becomes durable
Failure → Eval
Repeated judgment → Skill
Design decision → Principle
Customer evidence → Intent update
Regression → Test
Boundary → Guardrail
INTENT
What we believe should happen.
BUILD
Agents execute against it.
EVALUATE
We test behavior against the intent.
DISCOVER
Failure, edge case, or better pattern appears.
A STRONGER NEXT BUILD
Intent
What we believe should happen.
Build
Agents execute
against it.
Evaluate
We test behavior against the intent.
Discover
Failure, edge case, or better pattern appears.
Promote
Learning becomes durable
Failure → Eval
Repeated judgment → Skill
Design decision → Principle
Customer evidence → Intent update
Regression → Test
Boundary → Guardrail
loops back to intent
Every build teaches us what should happen next time.
THE EXPERIENCE
The system carries the complexity. The parent gets the next step.
A conversation becomes context, priority, continuity, and action.
Phamly product screens
Capture
Record what's happening in the moment.
Prioritize
See what needs attention across the family.
Carry
Keep the complete story and evidence together.
Act
Move forward with everything you need ready.
