Five million children in the US have asthma. Most of them see a specialist every three to six months. In between, families manage a condition that changes daily — shaped by air quality, medication adherence, pollen, weather, and school schedules — with no clinical infrastructure to help them.

Trace Air Quality builds state-of-the-art air quality forecasting technology. The founders' insight: over 85% of asthma attacks have an environmental trigger - and those triggers are predictable 24–72 hours in advance. hat means attacks aren't just treatable - they're largely preventable. The question was whether we could close the loop: connect real-time environmental data to a specific child's trigger profile, keep families engaged daily, and surface structured clinical data to the physician so they could act on it.

My brief was to design a product that would sit between clinical visits — where nothing currently exists — and make that environmental intelligence actionable for the people who matter most:

• The child living with asthma,

• Their caregiver, and

• The clinician managing their care

• There was a fourth stakeholder too: the insurer. They pay for emergency room visits. If this product works, they pay less.

That financial logic is what makes Remote Therapeutic Billing RTM billing — where insurers reimburse clinicians for remote monitoring — the mechanism that holds the whole ecosystem together.

There was no prior product, no existing design system, and no direct competitor doing all of this in one place.