Optimizing for Outcomes: Transformation Design in Systems at Scale
Summary
Moving beyond the service blueprint or user journey map, this case study explores some of the more non-traditional outputs and outcomes driven by service design, particularly through the lens of creating long-term transformational change. Stefanie will overview a variety of recipes for achieving transformative outcomes at three levels within government agencies: the product/service experience, program-wide or platform initiatives, and fundamental agency technology operations. The challenges for each layer are unique, but also offer different opportunities for where service designers can achieve sustainable, real impact. We’ll explore specific examples achieved by a breadth of designers, product managers, and engineers working within government before exploring how this model might be replicated across other partner government agencies to achieve our vision of making more government services become as simple, effective, and accessible as possible.
Key Insights
-
•
Transformation design applies human-centered design at every layer of government service delivery, including technical infrastructure.
-
•
Nava focuses on building better foundations, not just better facades, to create lasting organizational change.
-
•
Agile iteration culture is still not universal in government and introducing it through design can shift entrenched waterfall mindsets.
-
•
Designers embedded within technical teams, like at the VA, enable faster release cycles by identifying friction points and co-developing support processes.
-
•
Program-level service design can unify cross-agency teams with shared language, playbooks, and frameworks to synchronize complex federal initiatives.
-
•
Simplifying processes such as cloud infrastructure onboarding can reduce provisioning from months to 48 hours, saving costs and increasing adoption.
-
•
Using plain language playbooks helps caseworkers across states better understand and administer programs like Medicaid and SNAP.
-
•
Designers at the deepest organizational levels can advocate for policy and procurement changes to eliminate bottlenecks and burnout risks.
-
•
Despite challenges, design advocacy at technical and operational layers can build allies over time and spread human-centered design practices across agencies.
-
•
The scale of government systems means design improvements can have massive impact reaching millions of users and affecting significant portions of GDP.
Notable Quotes
"Build better foundations, not better facades."
"The highest impact levers for long-term transformation exist in technical infrastructure and operations."
"Many federal benefit programs face challenges verifying income, causing stress and leaving billions in unclaimed benefits."
"Injecting a culture of agile iteration sets the precedent that things can and will change as the team learns."
"Designers can help cross-functional teams learn and grow together through building shared understanding and common language."
"Making onboarding easier at the infrastructure layer results in huge efficiency gains and cost savings."
"Designers embedded alongside technical teams can spot unseen issues in the spaces between operational silos."
"An agency developing shared technical infrastructure must market to itself why change is preferred, not just rely on top-down mandate."
"It can be hard for designers to immediately understand or advocate for the real value of design at deeper technical layers."
"What one government agency does often serves as the playbook for success at another."
Or choose a question:
More Videos
"Combining synchronous and asynchronous communication within one session gets us from awareness to action."
Jerome “Axle” BrownHow to Use Self-Directed Learning to Ensure Your Research Insights are Heard and Acted Upon
March 11, 2021
"The Austin studio’s walls can be put up and taken down by a 90-pound person on a Home Depot shopping cart."
Phil GilbertA Consistent Culture of Design
May 14, 2015
"We’re not trying to change behavior, but help researchers in their existing processes to make research faster."
Kate Towsey Basel Fakhoury Oren Friedman Graham GardnerParticipant Recruitment and Management Tools
March 12, 2026
"Machine learning used to be backend technology, but now millions of consumer experiences are decided by machines or algorithms."
Sohit KarolDesigning Delightful Listening Experiences: Mixed Methods Research in the Age of Machine Learning
March 31, 2020
"Pairing is two people with different roles doing an activity together simultaneously, like a driver and a navigator."
Christopher Taylor Edwards Valerie RoskeDesign as a Team Practice, A Practical Guide to Cross-functional Collaboration
September 30, 2021
"Evaluating interventions must loop back to expand understanding of consequences and radiating effects."
Sheryl CababaExpanding Your Design Lens with Systems Thinking
February 23, 2023
"Business is just people who may be working with design but don’t quite get how design helps them."
Francesca Barrientos, PhDYou Need Your Own Definition of Design Maturity
June 8, 2022
"If your purpose is just getting through 2020, that’s okay — survival can be the goal right now."
Allison SandersOperating with Purpose
January 8, 2024
"That's not a prototype."
Saara Kamppari-Miller"Prototype" vs "Prototype"--Breaking Down and Rebuilding Our Understanding of What We Do
October 24, 2019