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Helping Veterans access care and benefits online

Description
We joined the modernization effort at VA to implement a modern Drupal content management system and empower a Veteran-first approach to online healthcare.
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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.

Outcomes

Improved customer experience

Veterans and caregivers can navigate the new VA medical center websites with ease. With 1 - 2 clicks, they can apply for benefits, schedule appointments, refill prescriptions, or learn more about VA services.


 

Secure data

The VA handles a lot of personally identifiable information, so we used an “API-first” approach that encapsulates data access behind an API that requires authentication.


 

Plain language

Service descriptions across VA websites were previously inconsistent and confusing. We helped analyze and restructure legacy content into user-friendly language, which was then applied across VA medical centers nationwide.


 

Informed product strategy

We worked with product designers responsible for the long-term digital modernization at VA, so they can better understand how to involve Drupal (their chosen CMS) in their product strategy.


 

Empowered content editors

Staff responsible for updating VA online content can do their jobs better with the new CMS. Smart governance processes powered by Drupal help content authors maintain consistency across VA-wide benefits information.


 

Increased usage of benefits

This work, as part of the large-scale modernization of VA.gov, has resulted in more Veterans interacting with VA services online. This means Veterans have more control and easier access to critical benefits and healthcare.


 

Proof points
Value
2,019
Description

health services audited and consolidated

Value
38
Description

research sessions with VA content authors

Value
1 - 2
Description

clicks on any device for Veterans to find what they need

A global professional networking platform for security practitioners

Description
We redesigned and rebuilt the GlobalNET platform to enable secure international collaboration, and now we provide ongoing DevOps and IT support services.
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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.
 

Outcomes

Accessible, responsive platform

We applied user-centered design to modernize the look-and-feel of GlobalNET. The multilingual functionality and fully responsive design make it easy to participate from any device, anywhere in the world.


 

Empowered global partners

Customized, branded landing pages were created for partner organizations, so administrators can share news and publications with GlobalNET members and the public. They can also manage event listings and calendars for their groups and courses.


 

Professional development

We improved functionality for GlobalNET learners so they can participate in discussions, access research databases, and upload coursework for review. Professors can share their course content and announcements through an intuitive interface.


 

Personalized experience

Participants can find what they need among GlobalNET’s vast resources through a personalized dashboard, where they can receive messages, connect with contacts, and navigate quickly to their groups, courses, events, and saved content.


 

Minimal disruptions to users

We carefully planned a rolling launch schedule that allowed us to successfully migrate hundreds of thousands of files and user accounts into the modernized site — with very little downtime for GlobalNET participants during the transition.


 

Open source for public benefit

We use open source technologies for the majority of our work on GlobalNET systems. The entire codebase is released as an open source project for review, comment, or forking by other agencies who might benefit from a similar system.


 

Proof points
Value
1M+
Description

content artifacts migrated to modern platforms

Value
100,000+
Description

practitioners use GlobalNET to learn and connect

Value
110
Description

countries represented in the GlobalNET community

Modern learning platforms for adult education practitioners

Description
We streamlined a mix of legacy federal websites into a modern, secure platform to support the adult education community — and now we provide ongoing support and improvements.
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The challenge

When we first engaged with the Department of Education, they needed help consolidating and updating their collection of websites for the Literacy and Information Communication System (LINCS), which supports adult education practitioners in their goal of helping adult learners transition to post-secondary education and 21st-century jobs.

LINCS offers support to individual practitioners as well as U.S. community, state, and Federal programs that promote literacy, making it a unique resource for both individual educators and government-funded programs alike.

LINCS gives educators and learners access to resource libraries, discussion groups, and self-guided courses — but these were located on various websites that were outdated and confusing to navigate. LINCS needed to be restructured with modern, secure technical architecture. LINCS users also needed reliable, friendly support to resolve technical and login issues and get back to helping adult learners.

Client goal

To provide a valuable and secure learning platform for thousands of education practitioners, the Department of Education needed to:

  • Update and consolidate numerous LINCS websites and resources
  • Provide prompt helpdesk support for the large user community
  • Improve site navigation with user-centered design
  • Maintain a secure and reliable platform

Our approach

Our engagement with LINCS began as we transitioned the service’s website hosting to secure Amazon Web Services (AWS) cloud servers, then used a modern Drupal content management system to consolidate the overabundance of outdated websites that LINCS had inherited from other departments. We used the U.S. Web Design System to make the updated websites easy to navigate and mobile friendly.

Our partnership with LINCS is ongoing — we now provide continuous improvements to their platforms using Information Technology Agile Development methods. We work closely with program managers to help them get the most business value from their IT applications. This includes the maintenance and enhancement of LINCS websites, web-based tools, databases, search engines, streaming media, content management, and learning management systems.

Provide a seamless experience

The main LINCS website serves as a central hub and brand for the Division of Adult Education and Literacy’s (DAEL) national leadership investments. To create a unified look-and-feel among the disparate supplementary LINCS websites, we did a visual redesign based on user research — creating a seamless experience for practitioners to access the resources they need.

Of late, our redesign has extended to information architecture, rendering global navigation more intuitive and informative, and revamping the way that site resources are organized and searched for.

Use helpdesk feedback for iterative improvement

Our support team provides fast, friendly resolution of technical and login issues for LINCS users, so they can get back to work quickly. Since our improvement of LINCS products is user-focused, we tie the helpdesk into the agile development process through daily communication between support staff and development teams. This ensures that system improvements are prioritized based on real user needs.

Increase efficiencies for cost savings

We implement automation and efficiency for the LINCS systems wherever possible. This helps prevent the buildup of technical debt and gives the Department of Education the most value for its investment in LINCS. We improve operations through DevOps practices including system administration, continuous integration, code standardization, lifecycle development, and quality control.

A recent highlight of this approach is our campaign toward Infrastructure as Code, or IaC, which automates the management and monitoring of our site architecture. IaC dramatically enhances the security, stability, and scalability of all LINCS sites, and increases both the efficiency and consistency of our development workflows. Following the IaC production deployment, we’ll be able to further consolidate our server and storage architecture, substantially reducing both their complexity and their cost. And following this, the next major phase of this initiative is the use of our automated tools and processes to process and monitor our Compliance documentation, boosting efficiency and scalability in this arena as well.

Outcomes

Empowered educators

The core LINCS community is a passionate group of educators committed to making a difference for adult learners. These web platforms help them access high-quality information and free professional development opportunities.


 

User-centered improvements

LINCS is constantly improved through user feedback via our helpdesk support services. The agency can rest assured that they are prioritizing the right things through an agile and user-informed process.


 

Secure web platforms

By migrating LINCS to secure AWS cloud servers, we can safeguard the privacy of data, accounts, and workloads for thousands of users and agency staff — while ensuring compliance with federal IT security requirements.


 

Technical fluidity

Improvements to technical architecture and the implementation of cutting edge DevOps practices have provided more flexibility for the LINCS systems. This results in rapid improvements and fewer limitations for the user community.


 

Streamlined content

Multiple, outdated websites are consolidated into a modern and streamlined experience for users. Practitioners can quickly find what they need among the vast resources provided by the Department of Education through LINCS.


 

Valuable partnership

Our ongoing work with the Department of Education is a model of true agile partnership. We collaborate with an active and engaged Product Owner who advocates for the agency’s priorities as we work to make them a reality.


 

Proof points
Value
31,000 +
Description

practitioners using these sites for professional development

Value
30,000 +
Description

helpdesk tickets resolved to improve user experience

Value
76
Description

commits made to the Drupal community on behalf of the agency

Improving the online experience for Medicare beneficiaries with WECMS

Description
We are working to re-platform and redesign legacy systems for CMS, making it easier for millions of people to get the benefits they need.
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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.

Outcomes

Clean and useful technology

CMS struggled to make use of technologies built on old, messy code that had been around for years. We are not only modernizing the CMS tech stack, we are documenting how it works and how to use it.


 

Accessible services for all

508 compliance is required, but we consider accessibility as more than a checkbox. Because CMS serves a population with a proportionately higher level of impairments, we put extra emphasis on accessibility best practices.


 

Agile delivery at scale

We are managing this project using the Scaled Agile Framework (SAFe), working iteratively with broad cross-team collaboration and stakeholder input across the organization. Value is delivered with releases every two weeks.


 

Intuitive digital tools

Beyond CMS websites, we are modernizing cost calculators, finders, mobile apps, interactive map models, open data site applications, and lookup tools that are used by providers and beneficiaries to perform critical healthcare tasks.


 

Well-informed solution

We apply human-centered design to understand the goals of end users and CMS stakeholders, while layering in a thorough understanding of the policies that underpin each program — so the end results meet real needs.


 

Ongoing technical support

To improve and maintain the CMS systems, we provide 24x7 operations and maintenance support, editor feature enhancements, guidance content and APIs per executive orders, and new content sections as needed.


 

Proof points
Value
100 M
Description

Americans depend on CMS for health benefits

Value
10
Description

legacy applications migrated and rebuilt in Drupal

Value
24x7
Description

O&M support provided to critical healthcare systems