Getting a trial ready to start is slow, and it is where much of the time goes. One industry survey of clinical research professionals put it at about 61% of a trial's timeline, and 81% still relied on spreadsheets and manual hand-offs. Our product was no different: setup was manual, and it took weeks.
That was about to become a problem. Two new enterprise clients were each about to start 12+ trials a month, more than we could set up by hand. The goal was 24+ trials a month, plus reusable templates we could eventually offer as a product.
Before designing anything, I mapped, step by step, how four client teams had been onboarded. There was no standard process, and the time ranged from 2–3 days to 18–24 months. Returning clients with the same countries and sites were fast, while a new client took 6–10 weeks at best. The more a setup resembled one we had done before, the faster it went. That told me the slowness was not mainly a screen problem. Every team set things up its own way, so a tool that simply digitized today's steps would digitize the inconsistency too. The design had to make setup repeatable.