Accessibility & Compliance
ADA · Section 508 · WCAG 2.1 AA · IEC 62366-1. In healthcare, accessible design is not a feature — it is the specification.
Accessible design is not retrofit work. It flows from the token level up: contrast ratios, touch targets, focus indicators, and semantic structure are system decisions, not page-level afterthoughts.
The core technical specification. 50+ success criteria across four principles. Level AA is the enforceable minimum for both Section 508 and ADA compliance. WCAG 2.2 (Oct 2023) adds 9 criteria including enhanced focus appearance.
Federal law requiring accessible electronic technology for agencies and federal contractors. The 2018 Refresh formally adopted WCAG 2.0 AA as the technical standard. Applies to Ambient via NIH STTR funding.
DOJ interpretation has expanded Title III to digital interfaces in commercial services. Care facilities deploying Ambient software are responsible for ensuring staff and resident-facing tools remain accessible.
FDA-recognized standard for human factors in SaMD. Section 5.1 explicitly requires consideration of users with physical, sensory, or cognitive impairments. Accessibility barriers in clinical UI are classified as use-related hazards.
Contrast measured against #FFFFFF (page background). Large text = ≥ 18pt (24px) regular or ≥ 14pt (18.67px) bold. WCAG 1.4.11 requires ≥ 3:1 for non-text UI components.
Findings from a review of the login page, primary dashboard, and alert feed against WCAG 2.1 AA. Organized by remediation priority. All critical items are required for ADA and Section 508 compliance.
Compliance Applied
Six accessibility fixes deployed to the Room Dashboard — the primary clinical interface nurses use during rounds.
C1 (login form labels), C2 (color-only severity in auth flow), M3 (push toggle state), M5 (logo alt text), L1 (password recovery), and L3 (focus ring audit) live in the shared dashboard layout and login page — addressed in a separate pass.
Palette Contrast & Motion
The two Foundations palette modes, checked against their own paper. Plus the motion and keyboard rules every surface inherits.
Ratios measured against each mode’s paper. Normal text needs ≥ 4.5:1; large text (≥ 24px, or 18.67px bold) and non-text UI need ≥ 3:1. Clay is a marker and decoration color; never set body text in it.
Honor prefers-reduced-motion. FadeIn reveals, Ella's Lissajous field, and the Siri border must drop to a static state when reduced motion is requested. Never trap the user in essential motion.
Every interactive element shows a keyboard focus ring: outline 2px solid #0A2540, offset 2px, at least 3:1 against the adjacent color. Never outline:none without an equal-or-better replacement.
All functionality is reachable and operable by keyboard alone, in a logical tab order. Skip-to-main is the first focusable element. Nothing traps focus except a modal, which returns focus on close.