
Hey there! 👋 Welcome to my portfolio.
I'm Niki, a registered nurse who got tired of watching great ideas die in committee meetings.
So I became a clinical operations leader turned product strategist. I bridge 7+ years of frontline healthcare experience with proven ability to build and scale technology solutions that improve patient outcomes and operational efficiency.
Navigate ⤵️
Hey there! 👋 I'm a registered nurse who got tired of watching great ideas die in committee meetings.
So I became a clinical operations leader turned product strategist. I bridge 7+ years of frontline healthcare experience with proven ability to build and scale technology solutions that improve patient outcomes and operational efficiency.
Navigate ⤵️
🧋 About Me

Niki Pham
Fueled by boba. Probably asking "How does it work?" about everything.

Niki Pham
Fueled by boba. Probably asking "How does it work?" about everything.

Niki Pham
Fueled by boba. Probably asking "How does it work?" about everything.
I'm a nurse who accidentally became an entrepreneur and realized I'm pretty good at building things that solve real problems. I currently split my time between clinical work (because staying connected to the actual work matters) and innovation projects that move healthcare forward.
When I'm not designing solutions or facilitating connections, you'll find me interviewing nurse founders, writing about healthcare innovation, or probably teaching myself some new tool that promises to make everything easier.
Want to chat about healthcare innovation, building products that don't suck, or why nurses make great innovators? Let's talk.
I'm a nurse who accidentally became an entrepreneur and realized I'm pretty good at building things that solve real problems. Currently splitting time between clinical work (because staying connected to the actual work matters) and innovation projects that move healthcare forward.
When I'm not designing solutions or facilitating connections, you'll find me interviewing nurse founders, writing about healthcare innovation, or probably teaching myself some new tool that promises to make everything easier.
Want to chat about healthcare innovation, building products that don't suck, or why nurses make great innovators? Let's talk.
Case Studies
RN Forward: Building the Healthcare Innovation Community Nurses Needed (2025)
The situation: Nursing school teaches you how to save lives, not how to build scalable businesses. While MDs often get dual degrees or business training, nurses trying to solve healthcare problems through entrepreneurship are flying blind. How do you sell to health systems? Navigate FDA regulations? Structure equity? Build a business model that actually works in healthcare's messy reimbursement landscape?
I learned all this the hard way during my founder journey, and kept thinking: there have to be other nurses struggling with the same knowledge gaps.
What I did: Built RN Forward, a nurse-led blog and newsletter that breaks down industry jargon and delivers the healthtech intel nurses actually need. Instead of just surviving my own learning curve, I turned it into a collective resource.
The process:
Assembled a network of independent nurse founders, innovators, and experts who'd already figured some of this out
Researched and analyzed 100+ nurse-founded healthcare startups across funding stages, market niches, and scalability metrics using systematic evaluation criteria
Launched bi-monthly newsletter content that translates healthtech trends into actionable insights for nurses
Created the Nurse-Founded Company Database - the comprehensive resource of nurses founders who are scaling their companies
Facilitated business model design sessions with 20+ nurse entrepreneurs using Lean Canvas methodology to refine GTM strategies and product concepts
Results that matter:
76.59% newsletter open rate (3x industry average) with 56 engaged subscribers
99,319 LinkedIn impressions with viral content reaching 42,175 nursing professionals
Database recognition as go-to resource (featured on industry platforms)
1,830 total LinkedIn engagements driving meaningful conversations in nursing innovation
Real connections between founders who are now collaborating instead of struggling alone
The bigger picture: We're not just sharing news - we're advocating for nurse inclusion in healthcare technology and empowering nurses to lead innovation instead of just implementing other people's solutions.
What I'm improving on: The current database has limited filtering. Nurses want to find companies by funding stage, therapeutic area, and business model. More sophisticated search functionality will make the resource even more valuable.
The situation: Nursing school teaches you how to save lives, not how to build scalable businesses. While MDs often get dual degrees or business training, nurses trying to solve healthcare problems through entrepreneurship are flying blind. How do you sell to health systems? Navigate FDA regulations? Structure equity? Build a business model that actually works in healthcare's messy reimbursement landscape?
I learned all this the hard way during my founder journey, and kept thinking: there have to be other nurses struggling with the same knowledge gaps.
What I did: Built RN Forward - a nurse-led blog and newsletter that breaks down industry jargon and delivers the healthtech intel nurses actually need. Instead of just surviving my own learning curve, I turned it into a collective resource.
The process:
Assembled a network of independent nurse founders, innovators, and experts who'd already figured some of this out
Researched 100+ nurse-founded companies and curated the 30 most scalable ones
Launched bi-monthly content that translates healthtech trends into actionable insights for nurses
Created the Nurse Company Database - the resource I needed when I started
Built partnership opportunities because collective knowledge beats individual struggle
Results that matter:
59 subscribers who actually open the emails (fellow founder-curious nurses)
Database that's become the go-to resource (even got listed on Adni.co)
8.6K impressions because nurses share practical knowledge
Real connections between founders who are now collaborating instead of struggling alone
The bigger picture: We're not just sharing news - we're advocating for nurse inclusion in healthcare technology and empowering nurses to lead innovation instead of just implementing other people's solutions.
Code Blue Co-Pilot: When clinical pain meets AI solution (2025)

The problem: During cardiac arrests, someone (often a nurse) has to be the "recorder" - basically frantically scribbling notes while everyone else tries to save a life. It's chaotic, error-prone, and honestly, an unproductive use of human brainpower during critical moments.
My role: Lead Product Designer & Clinical Translator
How we tackled it:
Translated complex clinical workflows for non-clinical engineers and product managers, explaining ACLS protocols, room dynamics, stakeholder impact, and evidence-based guidelines
Designed voice-to-text system achieving <2s latency and >95% accuracy that could handle medical chaos (turns out "epi" sounds different when someone's stressed)
Engineered clinical prompts and training data for AI coaching module, ensuring alignment with AHA ACLS guidelines and real-world emergency workflow requirements
Led UI/UX design and facilitated technical constraint discussions to balance clinical accuracy with technical feasibility
Built in AHA ACLS protocol reminders because guidelines exist for a reason and can coach clinicians on next steps
Created post-event reports that actually help teams improve instead of just checking compliance boxes
The cross-functional collaboration: Worked cross-functionally with developers on keyword spotting and fuzzy term mapping. Basically taught the AI that when someone yells "push another epi!" it means epinephrine, not a casual suggestion. Managed multiple demo iterations and testing cycles.
The win: 3rd place + People's Choice Award at Out Of Pocket Health's Hackathon. But more importantly, the demo worked flawlessly in front of 300+ healthcare leaders, including VCs from a16z and Rock Health, plus startup executives from Ambience and Suki.
Why it matters: We built the exact differentiator that top AI scribe companies desperately need to compete with Epic. While they focus on routine documentation and RCMs, we spotted the high-stakes opportunity they missed - emergency scenarios where documentation errors cost hospitals millions.
Hospitals spend $12.8 million annually just on nursing labor for code documentation, plus malpractice exposure of $250,000 to $5 million per settlement often stemming from documentation failures. We built scalable AI that addresses hundreds of millions in addressable costs and created defensible IP around medical crisis protocols.
What I learned: The biggest challenge wasn't the technical AI piece - it was getting non-clinical stakeholders to understand the workflow complexity. Next time, I'd create visual workflow maps earlier in the process to accelerate buy-in and technical requirements gathering.
The problem: During cardiac arrests, someone (often times, a nurse) has to be the "recorder" - basically frantically scribbling notes while everyone else tries to save a life. It's chaotic, error-prone, and honestly, an unproductive use of human brainpower.
My role: Lead Product & Prompt Engineer
How we tackled it:
Designed voice-to-text that could handle medical chaos (turns out "epi" sounds different when someone's stressed)
Built in AHA ACLS protocol reminders because guidelines exist for a reason
Created post-event reports that actually help teams improve instead of just checking compliance boxes
The engineering part: Collaborated with developers on keyword spotting and fuzzy term mapping. Basically taught the AI that when someone yells "push another epi!" it means epinephrine, not a casual suggestion.
The win: 3rd place + People's Choice Award at Out Of Pocket Health's Hackathon. But more importantly, the demo worked flawlessly in front of 300+ people, including big wigs from tier 1 VC firms and CEOs from top AI Scribe companies as well.
Why it matters: This is what happens when someone who's actually been in a Code Blue designs the solution.
Patient Acuity Tool: Data-Driven Solution for ICU Staffing Equity (2018)
The conundrum: How equitable your shift assignment depended on the charge nurse from the on-going shift. Some nurses got "easy" assignments while others got completely overwhelmed. Only 7% of nurses strongly agreed they were satisfied with their jobs.
Our approach: If we're going to assign patients based on complexity, let's actually measure complexity instead of guessing. I conducted a comprehensive meta-analysis of equitable staffing methods before settling on the patient acuity tool methodology.
What We built:
Patient acuity scoring system based on evidenced-based practice
Training program for 43 clinicians (weekly sessions for both AM and PM shift + specialized charge nurse training)
Implementation process that didn't make everyone hate change management
The process: Started with "why is everyone unhappy with their assignment?" and worked backwards. Turns out when workload distribution is equitable, people are happier.
Results:
Job satisfaction → 5x increase in "Strongly Agree" responses
Tool effectiveness → From 0% to 83% positive agreement (10 out of 12 respondents "Fully Agree" or "Agree")
Co-worker relations → Eliminated all "Strongly Disagree" responses, increased positive responses by 75%
Assignment fairness → Achieved near-universal tool satisfaction where none existed before
Executive buy-in after presenting to 4 hospital leaders
The real win: We went from zero staff agreeing the assignment process worked to 83% positive agreement on the new tool's effectiveness. More importantly, we proved that evidence-based tools can solve real clinical workflow problems when designed by people who understand the frontline reality.
Key Lesson: Change management is harder than building the tool itself. If I were implementing this again, I'd spend more time on stakeholder interviews upfront and create a formal feedback loop during the pilot phase to address resistance faster.
The mess: How good your shift assignment was depended on the charge nurse on the previous shift. Some nurses got easy assignments while others got completely overwhelmed. Job satisfaction was at 14%. Not great.
My approach: If we're going to assign patients based on complexity, let's actually measure complexity instead of guessing.
What I built:
Patient acuity scoring system based on evidenced based practice
Training program for 43 clinicians (weekly sessions for both AM and PM shift + specialized charge nurse training)
Implementation process that didn't make everyone hate change management
The process: Started with "why is everyone miserable?" and worked backwards. Turns out when workload distribution is fair, people are happier. Revolutionary, I know.
Results:
Job satisfaction → 5x increase in "Strongly Agree" responses (1 to 5 respondents)
Tool effectiveness → From 0% to 83% positive agreement (10 out of 12 respondents "Fully Agree" or "Agree")
Co-worker relations → Eliminated all "Strongly Disagree" responses, increased positive responses by 75%
Assignment fairness → Achieved near-universal tool satisfaction where none existed before
Executive buy-in after presenting to 4 hospital leaders
The real win: We went from zero staff agreeing the assignment process worked to 83% positive agreement on the new tool's effectiveness.
Core Skills
Human-centered design: I've been on both sides of healthcare technology. I know what works and what gets ignored.
Stakeholder facilitation: Managed everything from ICU crisis teams to startup board meetings. Different stakes, same principles.
Healthcare innovation: HIPAA, SOC 2, clinical workflows - I speak both languages fluently.
Community building: Building trust in healthcare takes more than good UX. It takes understanding the humans involved.
Cross-functional leadership: Whether it's aligning doctors and nurses or engineers and designers, translation is half the job.
Product Demos
During my founder journey, I learned that wireframes are nice, but working demos get meetings. Here are two that showcase how I think through user workflows and translate complex healthcare processes into intuitive digital experiences:

Aivy Health (Patient Mobile App Demo)
Aivy Health delivers on-demand infusion therapy. This product demo takes you through the typical patient workflow of ordering an infusion, tracking their assigned nurse, and messaging their nurse for care coordination.

Komrad Health (Partner Dashboard Demo)
Komrad Health partners with companies who need a white-label nursing department and nursing workforce. This product demos a partner submitting an appointment referral and navigates other features.
Designs
I've made many designs over the years and am familiar with using Weebly, Wix, Squarespace, Wordpress, Canva, Figma, and Framer to build. These days, I prefer Framer which is a UI/UX industry standard. I taught myself how to use all these programs and continue to improve my skills as RN Forward evolves.
Click on each block to view the live website.
I've made many websites over the years and am familiar with using Weebly, Wix, Squarespace, Wordpress, and Framer to build. These days, I prefer Framer which is a UI/UX industry standard. I taught myself how to use all these programs and continue to improve my skills as RN Forward evolves.
Click on each block to view the live website.

RN Forward
RN Forward is a nurse-led blog and bi-monthly newsletter breaking down industry jargon to deliver you the latest on health tech and innovation news impacting Nursing. Built using Framer.

Komrad Health
Komrad Health is your go-to white-label workforce for vetted, high quality nurses. We recruit, train, and retain nurses so you don't have to. Just refer and grow. Built using Framer.

Aivy Health
Aivy Health delivers on-demand infusion therapy for wellness & specialty infusions. Designed using Figma. Built by front-end SWE.

Nurses Take DC
I volunteered back in 2019 to re-do NursesTakeDC, a non-profit's website. Built using Wix.