A structured diagnostic for healthcare organizations where patients and clients are leaving between first contact and committed care.
A structured diagnostic for design organizations that can't yet translate their work into the revenue outcomes executives act on.
A structured diagnostic for banks, wealth managers, and institutional financial firms where high-value clients slip away between first contact and a funded relationship.
Your design team is doing real work that the executive team isn't reading as strategic value.
The mandate is there. The people are in place. The architecture connecting design decisions to business outcomes is missing. That gap is costing your organization revenue, patient retention,client acquisition, conversion,client acquisition, funded relationships, and the seat design deserves at the table.
Design is being asked to prove it drives growth.
Most teams struggle with that question. Not because the work isn't good because the connection between design decisions and business outcomes hasn't been integrated or supported at the executive level. Design keeps getting relegated to UI production, which is now being cannibalized by AI.
The design organizations in healthcare that want to survive and thrive need to pivot to design as strategy and risk mitigation, and that means confronting the disruption AI is introducing to the equation.
The design organizations that want to survive and thrive need to pivot to design as strategy and business growth driver, and that means confronting both the AI disruption and the internal credibility gap head-on.
The design and digital teams in financial services that want to survive and thrive need to pivot to design as strategy, trust, and risk mitigation, and that means confronting both the AI disruption and the internal credibility gap inside a regulated institution.
"The system that connects design work to growth outcomes is MIA due to ownership fragmentation."
Shanelle isn't coming in to run the acquisition program. She's coming in as a researcher and systems thinker who has worked inside these environments, who understands the internal politics the Head of Design is navigating, and who can produce an externally credible diagnosis that gives the design team the evidence and the roadmap they need to build political capital, strengthen working relationships, and win the argument they've been right about all along.
The audit is the unlock. The team is the execution.
"The Growth Signal Audit diagnoses where a company's client acquisition system is leaking revenue and filtering poorly qualified leads, quantifies what those gaps are costing the business, and delivers a 90-day test-and-learn roadmap the internal design team can execute against to start closing those gaps."
What Shanelle is not doing
- Building the qualification system
- Redesigning the acquisition experience
- Running the 90-day experiment
- Managing the team's execution
What Shanelle is doing
- Arriving as a researcher and systems thinker with cross-industry experience in the environments these Heads of Design are navigating
- Conducting a structured diagnostic against the acquisition system
- Translating the findings into revenue terms the executive team will engage with
- Handing the team a roadmap scoped small enough to test, learn from, and iterate on without requiring organizational transformation upfront
Clarity before
commitment.
This is a structured diagnostic engagement. I map exactly where your organization's design-to-growth architecture is broken and quantify what it costs you annually to leave it that way.
The Audit is not a generic consulting pitch. It's a standalone deliverable with a specific output: a clear picture of the design-to-business gap, what it's costing the business, and the strategic roadmap that defines what to address first. The implementation is not included, that belongs to your team, or to a separate engagement if needed.
The methodology behind the Audit is the same thinking that translated design decisions into eight-figure outcomes at T-Mobile.
In January 2026, I began researching patient acquisition in healthcare. Since then, I've researched 200+ healthcare organizations. I know what broken looks like, what it costs, and what fixes it. This Audit tells you what's broken, what it's costing you, and the steps to take to fix it.
Two deliverables.
One clear path forward.
The Audit produces two concrete outputs your organization can act on not observations alone, not a list of generic recommendations. A written diagnostic and a working session designed to turn findings into organizational momentum.
- Key findings across every assessed area of your patientclientclient acquisition and conversion architecture, grounded in the design team survey, cross-functional interviews, and architecture review
- Quantified revenue recovery opportunity: what the gaps are costing you annually, in specific dollar terms
- Prioritized gap analysis identifying the highest-impact structural disconnects in your organization
- 90-day growth architecture roadmap: strategic priorities in sequence, what to address first and why. The how is for your team or a separate engagement.
- Live walkthrough of every finding in the Diagnostic Report with your leadership team present
- Architecture roadmap discussion: sequencing, ownership, plus what needs to move first and why
- One C-suite sponsor is required to ensure the findings carry organizational weight beyond the design team
- A working session that turns a diagnosis into a decision
See a sample
before you decide.
The Diagnostic Report is 15–20 pages. This anonymized sample — based on a composite institutional banking and asset servicing firm — walks through the actual structure: executive summary, key findings, recurring-revenue quantification, gap priority matrix, and 90-day roadmap. Designed to be read by both design leadership and the C-suite.
View Sample ReportOpens in a new tab · Anonymized · No form required
Four possible outcomes.
All of them useful.
The Audit doesn't produce a recommendation to act. It produces a finding grounded in what the data shows. That finding takes one of four forms, and every one of them gives the organization something concrete to act on.
This is an audit.
Not an open-ended consulting engagement.
Healthcare organizations have hired consultants. They've sat through the discovery sessions, received the slide decks, and watched the recommendations get shelved. The Audit is structurally different, not because the work is better, but because the scope, the starting point, and the output are designed to avoid the failure modes that make consulting expensive and inconclusive.
Design organizations have hired consultants. They've sat through the discovery sessions, received the slide decks, and watched the recommendations get shelved. The Audit is structurally different, not because the work is better, but because the scope, the starting point, and the output are designed to avoid the failure modes that make consulting expensive and inconclusive.
Banks and wealth firms have hired consultants. They've sat through the discovery sessions, received the slide decks, and watched the recommendations get shelved. The Audit is structurally different, not because the work is better, but because the scope, the starting point, and the output are designed to avoid the failure modes that make consulting expensive and inconclusive.
Four things most design organizations
haven't quantified well.
The Audit doesn't produce observations. It produces a diagnosis specific, quantified, and sequenced so your team knows exactly what to do with it on day one. These are the four areas every engagement covers.
Get a first look at where your acquisition system may be leaking.
Based on what your organization's online content is signalling — your website, your positioning, your digital acquisition architecture — I'll identify the primary gaps showing up before a formal engagement begins.
This is not a generic audit checklist. It's a preliminary read, specific to your org, delivered within 5 business days.
- No cost. No obligation.
- Based on your public-facing digital footprint.
- Specific to your org, not a template.
Why a Head of Design brings in someone
who's been inside it.
You already know what good design looks like. You likely already know something in the system is broken. What you don't have is a diagnosis from someone who spent 20 years watching this gap operate across verticals and is now outside it.
That's the specific position this engagement requires. Not just a third party. Someone who knows the organizational dynamics from the inside, knows why the gap persists, and can speak to leadership in the language it takes to move the needle.
"I've sat in the rooms where design gets relegated to output instead of strategy. Twenty years of that gives me the credibility to name what's broken and the distance to say what leadership needs to hear."
Twenty years inside the problem.
Now outside it.
I spent 20 years in design and tech watching the same gap show up across every vertical I worked in. Design teams doing real work with no architecture connecting it to business outcomes. I lived it from the inside long enough to understand exactly how it happens and why it's so hard to fix from within. Now that I'm outside of it, I can see the system clearly, diagnose it without political constraint, and advocate for the change that organizations can't drive for themselves. The credentials below are the foundation the Audit methodology is built on.
This engagement is selective.
I work with 2 organizations each month to ensure the quality. The Audit works best when the conditions are right, and I'll tell you honestly in the 30-minute call if they aren't. If timing doesn't align, I maintain a short waitlist.
I work with 6 organizations each quarter (2 per month) to ensure the audit quality. The Audit works best when the conditions are right, and I'll tell you honestly in the 30-minute call if they aren't. If timing doesn't align, I maintain a short waitlist.
I work with 6 organizations each quarter (2 per month) to ensure the audit quality. The Audit works best when the conditions are right, and I'll tell you honestly in the 30-minute call if they aren't. If timing doesn't align, I maintain a short waitlist.
- Your organization wants another vendor or tool to solve your growth problems, not a strategic partner.
- You're looking for validation of a decision already made.
- You're not yet ready to connect design to a business outcome you can measure.
- Your organization is focused on replacing humans with AI rather than using AI to make the humans in the room significantly better at their work.
The Audit requires existing infrastructure to diagnose against.
Specifically, two things need to exist before the engagement begins. Without them, there is no acquisition system to audit — only inputs waiting to be organized into one. That's a different engagement with a different timeline and a different cost structure.
The organization that has a mapped journey, a documented persona, and basic acquisition performance data is operating at a fundamentally different level of maturity. They've already done the foundational work. That's the buyer this audit is built for. If any prerequisite is missing, the honest answer is: what you need comes before what this audit does.
Questions before
the call.
Not ready yet? Stay close.
I share research findings, pattern observations from the field, and thinking on patient acquisition, design strategy, and AI in healthcare. No pitch cadence. Just work worth reading.
I share research findings, pattern observations from the field, and thinking on design strategy, client acquisition architecture, and AI integration. No pitch cadence. Just work worth reading.
I share research findings, pattern observations from the field, and thinking on design strategy, client acquisition architecture, and AI integration in financial services. No pitch cadence. Just work worth reading.
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It's not just about what I can do for you.
It's about what you're trying to solve.
The 30-minute call is a diagnostic conversation, not a pitch. We talk about what your organization is navigating, whether this engagement is the right fit, and what you'd walk away with. If it's not the right fit, I'll tell you that too.
Engagements begin at $35,000, scoped to organization size. The 30-minute call determines fit before any commitment is made.