The challenge

The U.S. Department of Veterans Affairs (VA) is working to improve the confusing experience many Veterans have when navigating multiple VA sites built on a mix of legacy technologies.

Having launched a reinvigorated VA.gov in 2018 as an important step to a unified Veteran-first digital platform, the agency still needed to build out a common content management system (CMS), establish consistent descriptions for services, and organize the information in an accessible way for Veterans in need of health care.

Client goal

The large-scale pilot effort focused on using one of the regional VA Medical Centers as a model for all future VA.gov content. This would empower the VA to:

• Provide better healthcare management and scheduling online
• Explain benefits clearly and provide intuitive paths to apply for them
• Help minority and women Veterans find services specific to their needs
• Provide online connection with care coordinators
• Establish a model for content publishing and governance VA-wide

We integrated the new CMS with the existing site architecture and helped create standards for content and design that make it easier for VA staff to do their jobs—while directly improving quality of life for millions of Veterans seeking health care and benefits.

Our approach

Working alongside our partners Agile Six and Nava in collaboration with the U.S. Digital Service at VA and other organizations, our team was one of many moving parts in a complex project. We provided technical leadership and modeled transparent communication practices that helped the various teams work effectively together.

The technical strategy shifted to a “decoupled” approach partway through the project, requiring us to integrate the new CMS backend with the VA’s existing frontend system so that Veterans and caregivers could access content across multiple platforms. Agile practices helped us navigate this and other evolving priorities in a large ecosystem undergoing significant changes.

Smooth the technical transition

We managed the move to the new CMS without “pausing” the old site so the VA could re-use their existing front-end technology instead of starting from scratch. This meant we had to juggle content being served from two sources (GitHub and Drupal) during the transition, while training VA staff to use the new CMS effectively. We also set up a CI/CD pipeline for automated testing to ensure healthy functioning systems.

Find out what people need

To make sure health services and benefits are easy to find and understand, we tested navigation and content with real people, including unique groups like women, minority, and LGBTQ Veterans. We also interviewed VA staff responsible for maintaining the website, to understand their pain points and develop authoring and approval processes that make their jobs easier.

Empower a Veteran-first approach

The VA has been working to pave the way for a Veteran-focused digital experience, and this project was a landmark moment in propagating that approach throughout the organization. Human centered design and plain language are no longer the sole purview of digital experts — we developed systems that allow VA staff across the country to participate in the modernization of service delivery.

CivicActions, along with our partner Fearless, facilitated Drupal 10 upgrades across the Centers for Medicare and Medicaid Services (CMS) suite of websites, bringing improvements for editors, better security and accessibility, and community contributions to streamline upgrades for large- scale Drupal. The new Claro administration theme is cleaner, clearer, and more accessible.

The new rich text editor CKEditor 5 provides many UI enhancements and an improved user experience. The most significant change from previous versions of CKEditor is that editors must now use a predefined set of elements to configure the content, which leads to fewer instances of invalid markup patterns making their way into the published site. Since invalid or non-semantic markup is often the cause of accessibility issues, this is a major upgrade. In addition, the improved Layout Builder experience makes it easier for content editors to control more complex layouts, while still keeping consistent with CMS Design System standards.

The 8 sites included in the upgrade, which occurred ahead of schedule, were: CMS.gov; Medicare.gov; Openpaymentsdata.cms.gov; Data.medicaid.gov; Data.healthcare.gov; SDIS.medicaid.gov (internal CMS site); PFS.data.cms.gov (internal CMS site); QIC.cms.gov (internal CMS site); and Provider Data Catalog (data.cms.gov/provider-data).

The Defense Security Cooperation Agency (DSCA) uses the GlobalNET platform to facilitate secure training and collaboration among partner organizations. Thousands of military, diplomatic, law enforcement, and civilian government personnel around the world use GlobalNET to connect with and learn from each other. They work on topics from security cooperation to humanitarian operations; counter-terrorism to public diplomacy; leadership development and more.

Faced with aging technologies and a complicated collection of digital content and microservices, DSCA initially engaged CivicActions to develop a quality assurance program and to ensure system stability during code updates. At the end of that contract, we were tasked with redesigning and rebuilding GlobalNET to create a more personalized, secure, and responsive experience for users.

Years later, we continue to provide agile development, modern IT implementation, and DevSecOps services to keep everything running smoothly and to continuously improve GlobalNET systems.

Client goal

The goal of GlobalNET is to ensure that international legal and security practitioners can easily engage each other for collaborative work. Ease of use and top-notch security are essential to the success of the platform. DSCA uses GlobalNET to:

• Provide professional development and training for practitioners
• Facilitate connection among practitioners and their sponsoring organizations around the world
• Provide a responsive, multi-lingual, intuitive user experience that respects the cultures of individual participants
• Comply with strict security requirements, from FISMA to FedRAMP

Our approach

When we first engaged with DSCA, the agency wanted to bring a better experience to the tens of thousands of legal and security practitioners in the GlobalNET community. DSCA challenged the DoD contracting status quo by choosing a fixed-price agile contract, moving away from the waterfall approaches that doom many government IT projects to failure. We partnered closely with agency stakeholders in an agile process throughout the complex process of redesigning GlobalNET and the massive migration to a FedRAMP-certified platform. Daily collaboration and the ability to adapt to evolving needs helped us complete the rebuild on time and on budget.

Understand the needs

We conducted onsite user research in three cities to initially assess the needs of the GlobalNET community, then followed up with remote consultations. As new features were built, usability testing with site users helped us collect feedback, identify problems, and prioritize future needs for ongoing product iteration. The initial discovery phase uncovered more than 600 user stories, which were then prioritized and tracked to completion.

Automate and test

From confident code deployment to faster Authority to Operate (ATO), we have focused on providing GlobalNET with stability and security from the start. A platform for international security practitioners deserves no less. Our DevOps activities include continuous monitoring, network optimization, and a three-tiered on-call support system to make sure the platform is always up and running. We also apply regular security updates and automated testing.

Quality and security control

We implemented a mechanism for updating, testing, and deploying hardened server instances and application code in a way that is generally invisible to end-users. Server instances are subjected to SCAP and ZAP scans for system compliance, while automated “smoke tests” ensure the code is ready to deploy. All new code is subjected to more than 600 automated tests (and scripted tests by humans) prior to being approved for deployment. This rigorous quality control minimizes surprises and downtime.
 

The challenge

The Centers for Medicare & Medicaid Services (CMS) help millions of people every year find and enroll in health care programs. Planning a large-scale web and content management project to improve the customer experience of their multiple websites, the agency launched a design challenge for the vendors that were finalists for the contract.

We did a fast-paced collaboration with our partners Fearless and KPMG to submit deliverables in just 8 business days (including page designs, content recommendations, an API, and a clickable prototype with a smart chatbot). Our team won the challenge because the agency saw we could help them achieve their goal to better serve Medicare beneficiaries.

Client goal

The task was to redesign the Medicare Part D section of the medicare.gov website, which helps people understand insurance options for their medication needs. For all their digital platforms, CMS needs to:

• Meet public expectation for easily navigable online services
• Securely manage personal info and transactions for millions of beneficiaries
• Provide friendly online experience for people facing stressful health situations
• Serve diverse groups of users with competing wants and priorities
• Support agency staff in publishing clear and accurate public-facing content

Our approach

Within the time constraint for this compressed agile design sprint, we conducted lean versions of the activities we would normally do to make sure the site was effective for Medicare recipients. Daily collaboration among all team members, from Design to DevOps to Developers, allowed us to quickly test and iterate on every step.

We used Drupal as our preferred open source platform and the CMS design system, which builds on the U.S. Web Design System. Together, these tools provide a solid foundation for accessible government websites — a key goal for agencies like CMS that serve diverse and aging populations.

Human Centered Design played a critical role in our process of building a site that would be intuitive and useful to older Americans seeking information about their drug coverage options.

Understand the needs

We talked to real Medicare beneficiaries to understand the challenges they faced in navigating the site. Based on what they said, we created a key persona to drive our scenario-based approach — ensuring that our work solved real problems and created value for users. We also evaluated the existing site to see how well it met standards for usability.

Offer customized guidance

To help visitors feel comfortable navigating complex information about benefits coverage, we created several experience options for them to choose from. They could explore the site on their own, use the guidance wizard, or ask questions of the interactive chat bot. We also improved the Search function to deliver more relevant results.

Clear the path to success

We focused on removing obstacles to help more people successfully find the information they needed. This was done through intuitive navigation and labels, scannable and actionable content, and a refreshed, accessible design. We tested our solutions with users and iterated based on their feedback.

The challenge

The Centers for Medicare and Medicaid Services (CMS) provide healthcare benefits to millions of people every year. But the websites and digital tools that help people find and enroll in these programs were built on a myriad of aging technologies and were confusing to navigate. CMS needed to streamline and update its online platforms to improve the customer experience while establishing more efficient backend workflows for agency staff.

This is an enormous and complex task, involving the modernization of Medicare.gov, CMS.gov, CMS open data portals, and many other public facing apps that serve multiple user groups — including beneficiaries, caregivers, health providers, data professionals, and government stakeholders.

WECMS helps more than 100 million Americans every year apply, find, and enroll in healthcare programs. The information and tools provided are essential components in supporting CMS' goals of creating a truly consumer-focused, streamlined, efficient, and omni-channel experience for beneficiaries and their caregivers. The overall intent for this contract is to ensure continuity of operations for the Americans it serves and the WECMS program, which maintains, designs and implements open source software digital services for CMS’ flagship websites, tools, components and applications on Healthcare.gov, Medicare.gov, CMS.gov, and 7 Open Data catalogs. In addition to engineering and design continuous improvements on these established websites, this contract provides security compliance, devops, system infrastructure, content strategy, information architecture, training, documentation, content editor support, public call center dev support, Section 508 improvements, mobile application development, and tooling and systems expertise.

Client goal

When this multi-year transformation is complete, CMS will be able to deliver on its mission more effectively. CivicActions is providing agile development, DevOps, and human-centered design (HCD) services to help the agency:

• Improve the content editing experience for staff
• Modernize legacy systems and tools
• Replace proprietary technologies with open source
• Support active, informed healthcare consumption

Our approach

Collaboration is the key to success in a project of this scale and complexity. With multiple partner vendors (including our primary partner Fearless) and disparate stakeholders across many organizational layers, we work hard to keep lines of communication open and be up-front about potential problems.

Balancing stakeholder priorities, user needs, technical complexity, and CMS deadlines, we created a roadmap that minimizes risk and maximizes opportunities for success. Then we went to work on “quick wins” — tasks we could complete right away that would make the biggest difference for users.

Address the holistic customer experience

We knew that each CMS application is part of a huge public-facing ecosystem of digital tools, with many touchpoints. To address the entire experience that a person would have in navigating the systems, we drew on the agency’s own knowledge of their beneficiary community, working with them to refine and document how each person interacts with CMS online. The resulting holistic view helped us identify how we could improve that experience iteratively.

Adopt a data-driven strategy

To make sure we built the right solutions, we immersed ourselves in the CMS mission from the operational, technical, and UX perspectives. We dug into existing user research, reviewed analytics reports, conducted stakeholder interviews — then created user personas and journey maps to refine the project scope and goals. All this data is managed in a shared repository of user insights and project knowledge, which we refer to as we prioritize the work to be done.

Replace proprietary software with open source

We are “reverse engineering” multiple custom-built Microsoft.NET applications (such as the Medicare Eligibility and Premium Calculator and the congressionally-funded Physician Fee Schedule (PFS) Lookup Tool with modern, open source solutions. As we recreate all these applications in Drupal, we’re making guides and code documentation that outline the entire system — allowing CMS to maintain control of its own technologies and avoid vendor lock-in. We are also migrating CMS open data platforms from Socrata (proprietary) to an open source solution using DKAN 2.

The challenge

The Georgia Board of Health Care Workforce (GBHCW) serves communities in the state with a focus on medically underserved areas. The agency provides data reports on the physician, physician assistant, and nurse workforce and funds loan repayment programs to recruit healthcare workers to underserved parts of the state. However, healthcare workforce planners were having trouble estimating and meeting demand for practitioners across counties --especially as the COVID-19 pandemic drew many of them out of Georgia and into various hotspot states. Additionally, without publicly-available data on healthcare workers, GBHCW struggled to inform medical facilities with potential funding and staffing needs."

The agency saw an opportunity to leverage the DKAN open data platform where they were already hosting their data, combined with custom data services from our team. We worked with GBHCW to create data visualizations and tools that make it easy for staff, medical practitioners, and the public to access the information needed to build a resilient and responsive state healthcare workforce.

Client goal

We were tasked with crafting detailed, easy-to-read visualizations for data provided by the Georgia Composite Medical Board and the Georgia Board of Nursing. We also built robust, multifunctional dashboards that allow data to be searched across physicians, physician assistants, and nurses. The dashboards needed to:

• Host and display data resources with user needs in mind
• Show the number of licensed healthcare practitioners in a given area
• Display data in a clear, user-friendly, and accessible way
• Be easily adaptable and sustainable with the constant influx of new data
• Reflect diverse intersections within the data (gender, race, qualifications, etc.)
• Help legislators make data-based decisions to improve the healthcare field

Our approach

Because other state agencies were already using the open source Drupal framework to publish and manage government content, GBHCW chose the Drupal-based open data platform DKAN for their data dashboards. The agency also saved time and money by utilizing an existing contract with us, adding new digital products to pre-built infrastructure.

As the core maintainers of DKAN, we provided research-based recommendations and custom data design and development services to make sure the dashboards solved the right problems for agency staff and stakeholders. The project was so successful that the client reached out to us with the intent to create more dashboards to display patient care and underserved areas data.

Build for real user needs

We brought a human-centered approach to the data dashboards, and used the React.js library to build intuitive visualizations. We listened carefully to the desired outcomes, researched user needs, then made suggestions for how people could best learn about the demographic makeup and overall distribution of physicians, physician assistants, and nurses throughout the state.

Deliver early and often

For the redesign of the data dashboards, we used agile sprint cycles with daily stand-up meetings to develop and implement small chunks of working software quickly. We used test data provided by GBHCW to create proofs-of-concept, with graphs and charts that made sense of the various elements we knew the client wanted to showcase.

Align and adapt

Meeting regularly with project leaders at the agency ensured that the vision and work remained in alignment. Together we reviewed work that had been done, checked if adjustments were needed, and responded quickly to evolving requests or new data. Staying in close communication ensured there were no surprises and the client goals were met.

The challenge

The Federal Communications Commission (FCC) relies on its website to provide regulatory guidance to millions of visitors across various industries. But the old site was hard for users to navigate and frustrating for employees to manage.

In this rapid engagement, CivicActions worked hand-in-hand with the FCC to build a modern, mobile-friendly Drupal website that was more accessible and easier to update.

Client goal

The FCC’s cumbersome, outdated site was not doing its users or internal content managers justice. On top of antiquated technology, the Commission's waterfall processes made it harder for content managers to keep the site updated and relevant for its diverse audiences. The policies and the product needed a refresh.

• Transition from waterfall to Agile methodology
• Migrate legacy content from various systems to a modern Drupal Content Management System (CMS)
• Ease public access to regulatory information through a mobile-friendly web experience
• Save FCC administrators time and money with more efficient content management
• Provide reliability and stability by implementing Quality Assurance (QA) testing

Our approach

We had to work fast and our deployment options were limited by security considerations, so we rolled up our sleeves and turned up the collaboration. By implementing a modern Drupal CMS and Agile practices, we helped the FCC modernize its approach to content while avoiding disruptions for users and maintaining a secure environment.

Seamless content migration and management

FCC has a very active user community, so we had to move quickly and avoid disruptions. We performed a massive content migration from Drupal 6 to Drupal 7 and consolidated content from various legacy systems into one CMS. To make the content creation and editing more pleasant and efficient, we added a robust text editor and new access controls. This allowed FCC’s many content creators to manage their own content without compromising the integrity of the site’s design.

The modernized FCC.gov is clean, simple, and easy to use for visitors and agency staff.

Accessible content

The FCC is responsible for the accessibility of 21st Century communications, so there was no room for accessibility errors on its website. We scanned the site for compliance issues and quickly resolved them. The current website serves as a model for Web Content Accessibility Guidelines and complies with Section 508 requirements.

The mobile-optimized user experience lets people do business with FCC from anywhere.

Automatic testing for quality code

Knowing that government websites can be subject to degradation over time as new code is added, we also wanted to help FCC achieve sustainability for their site. We used Behat—a behavior-driven development testing framework that can double as user acceptance test criteria—to make sure all new code worked properly. We configured Behat tests to run automatically whenever new code was merged, ensuring a quality codebase for years to come.

Improved practices for better staff experience

The content editors at FCC were drowning in waterfall processes that didn’t let them respond quickly to evolving needs at the agency. To ease content management and improve the employee experience, we worked with key stakeholders to implement Agile practices. Together we curated priorities, made sure the end result met real user needs, and helped the FCC transition to ways of working better suited to the digital age.