Kiani Davis: What I Would Start With in the Fertility Patient Journey
Kiani Davis, Medical Assistant at Kaiser Permanente, shared on LinkedIn:
“If I could redesign the fertility patient journey, I wouldn’t start with the treatment plan.
I’d start with everything surrounding it.
My perspective on family-building care comes from more than one side.
I’ve spent over a decade working in healthcare, supporting patients, providers, teams, and the operational processes that connect them.
I’ve also experienced family building personally as an egg donor and surrogate.
Those experiences have taught me something:
Some of the biggest opportunities to improve fertility care aren’t clinical. They’re operational.
Imagine a fertility journey where patients always know what happens next.
- Where they have one clear place to turn when they have a question.
- Where success rates and treatment information are explained in a way patients can actually understand – not simply presented as percentages.
- Where someone proactively communicates about authorizations, medications, appointments, labs, benefits, and next steps instead of leaving patients wondering whether something has fallen through the cracks.
- Where financial expectations are discussed as clearly and as early as possible.
- Where emotional support is woven throughout the journey – not offered only after something goes wrong.
- And where follow-up after an unsuccessful cycle, pregnancy loss, canceled cycle, or unexpected outcome is treated as an important part of care.
But there’s another part of this conversation that matters just as much:
The people providing that support need support, too.
Give care advocates, coordinators, nurses, medical assistants, providers, benefits teams, and support staff the tools, training, information, staffing, and psychological safety they need to do their jobs well.
Because patient experience and employee experience aren’t separate operational problems.
They’re connected.
Technology can make care easier to navigate.
Data can identify gaps.
Processes can create consistency.
But none of those things should replace the human connection that makes someone feel seen during one of the most personal and vulnerable journeys of their life.
If I had the opportunity to help redesign the fertility and family-building experience, I wouldn’t want to build only a more efficient system.
I’d want to build one where fewer people have to chase answers.
Where patients feel informed instead of confused.
Supported instead of alone.
Empowered to understand their care instead of overwhelmed by it.
And where the people helping them navigate that journey feel equally supported to do their best work.
Because better healthcare isn’t just about what care we provide.
It’s also about how people experience every step of receiving it.
If you could redesign one part of the fertility or family-building journey, what would you change?”
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