A lot of companies including agencies have put a huge emphasis on building for mobile. However, they leave desktops as an afterthought. The desktop is still widely used by most people. By desktop, we are including laptops (and 2-in-1 convertibles) even though some may consider them mobile devices because of portability.
The web was created for the accessibility of data. With the focus of mobile responsiveness by many, accessibility became an afterthought when even mobile devices, whether it be Apple or Android, are fully capable of making use of federal web accessibility guidelines.
Web developers and graphic designers needs to keep these guidelines in their web site workflow — from concept to wireframe to final product.
Mobile responsive frameworks should and can be modified to support devices by pixel size, not just by type. This means designs should be fluid enough to adapt from phone to tablet to laptop and desktop with a 27” monitor.
Interface designs should also be useable without the heavy need of just a mouse. Keyboard navigation must be a focus in web applications particularly within the medical industry that is huge throughout Nashville.
The point is — know your audience both current and future.