GARD

Genetic and Rare Diseases Information Center
UX/UI Manager & Lead Designer

Transforming Rare Disease Information into a Scalable, Patient-Centered Digital Platform

Organization
NCATS, NIH
Platform
Public Health
Domain
Federal Health
Engagement
2020-2023
Medical professional interacting with a digital health dashboard screen in a modern clinic.

Impact at a Glance

+11.5%

Increase in Page Views
Restructured information architecture increased discoverability.

+10.4%

Growth in Active Users
Improved clarity and navigation strengthened engagement and retention.

90%

Average Task Success Rate
Validated through structured usability testing and SEQ scoring.

60%

Reduction in Navigation Complexity
Consolidated 50+ fragmented pathways into four scalable user flows.

+10%

Improvement in Ease of Understanding
Plain-language hierarchy and progressive disclosure improved comprehension.

+2.9pt

Increase in Mobile Sessions
Mobile-first design aligned with 55%+ traffic behavior.

100%

Section 508 & WCAG 2.1 AA Compliance
Accessibility embedded into system architecture and governance.

Executive Summary

The Genetic and Rare Diseases (GARD) Information Center serves millions of patients, caregivers, advocates, clinicians, and researchers seeking trustworthy rare disease information. Years of incremental updates had led to structural fragmentation, inconsistent content models, declining SEO authority, and growing accessibility risks. Over a three-year engagement, I led the transformation of GARD from a fragmented legacy system into a research-validated, responsive, accessibility-first digital platform supported by a scalable UX governance model.

This was not a redesign — it was a multi-year UX maturity program.

NIH GARD website on cystic fibrosis displayed on iPhone, MacBook Pro, and iPad screens.

THE Problem

Research and analytics revealed systemic barriers preventing users from accessing critical health information efficiently.

Users often arrived during moments of emotional crisis. The platform needed to reduce cognitive load — not add to it.

Core Challenges

Poor discoverability

Dense, overwhelming text

Confusing medical terminology

Fragmented resources

Hard-to-print disease pages

Incomplete content transparency

Declining SEO performance

Design Challenge

How might we realign GARD's information architecture with user mental models while modernizing usability, accessibility, scalability, and measurable performance?

Website page of GARD with a search bar to find diseases and patient resources on rare diseases.

My Role as UX Design Manager

I directed the full lifecycle transformation — from discovery to post-launch optimization.

Leadership Responsibilities

Owned UX strategy and roadmap alignment

Directed mixed-method research program

Governed GARD 2.0 design system standards

Led stakeholder alignment with NIH leadership

Established documentation, QA, and accessibility checkpoints

Balanced roadmap priorities and cross-functional resource allocation

Mentored a 7-member UX team (3 Researchers, 4 Designers)

This initiative shifted GARD from reactive updates to structured product governance.

Hands sketching mobile app wireframes on paper with sticky notes and markers on a desk.
Documents with charts, user stories, persona, and step-by-step approach on a desk with pens and magnifying glass.

Discovery & Research

From 2020–2023, I led a structured, evidence-based research program.

User Interviews
SME Interviews
Moderated Usability Testing
Annual Survey Analysis
Single Ease Question
Heuristic Evaluations
Google Analytics
Salesforce Support Case Analysis
Competitive Benchmarking
SEO Performance Audits

Core Insight

Newly diagnosed patients and caregivers are often navigating emotional crisis.

01

Fast access

02

Plain language

Person using NIH GARD website on phone to search for genetic and rare diseases.
03

Predictable navigation

04

Accessible content

05

Clear next steps

UX Strategy & System Framing

We aligned on a patient-centered, accessibility-first strategy.

This strategy ensured long-term scalability — not incremental fixes.

Mint green bullseye target with arrow hitting the center.

Strategy 1

Simplify navigation around user mental models

Strategy 2

Reduce cognitive load through structured hierarchy

Strategy 3

Introduce progressive disclosure for dense content

Strategy 4

Strengthen SEO authority through topic clustering

Strategy 5

Embed accessibility at the system level

Strategy 6

Establish governance to prevent regression

Website sitemap diagram showing sections: Diseases, Patients, Resources, News, About, and Contact Us with sublinks.

Information Architecture

We consolidated over 50 fragmented pages into four scalable flows.

Homepage
Browse Diseases
Disease Pages
About
Contact

Outcomes

Navigation shifted from fragmented to structured and intuitive.

60% reduction in navigation complexity

Centralized resource access

Clear, predictable content hierarchy

Topic clustering to restore SEO authority

Improved task predictability

Interaction Design & Content Simplification

Each iteration cycle followed structured UCD methodology.

Phase 1

Wireframe Exploration

Reorganized navigation around user mental models

Simplified primary flows

Validated disease tab structure

Phase 2

Beta Testing & Refinement

Task-based usability validation

Refined filtering and search

Introduced collapsible content to reduce overload

Phase 3

Production & Governance

Delivered accessible high-fidelity UI

Standardized components across thousands of pages

Embedded analytics tracking

Implemented accessibility validation checkpoints

Every cycle included prototype testing, stakeholder review, and metric validation.

Design System & Accessibility Foundation

I owned and governed the complete GARD 2.0 design system.

GARD design system reference showing buttons, color palette, typography, sub links, and icon styles.

Governance Principles

Accessibility-first components

Responsive grid system

Plain-language content hierarchy

Print-optimized layouts

Structured tab patterns

Scalable component documentation

Section 508 & WCAG 2.1 AA Compliance

Semantic content structure

Screen-reader–compatible markup

Keyboard navigation validation

Accessible color contrast ratios

ARIA labeling where required

Pre-release accessibility audits

Responsive Design Strategy

With 55%+ of traffic from mobile devices, we adopted a mobile-first framework.

Responsive grid across breakpoints

Optimized print functionality for caregivers and clinicians

Collapsible content optimized for small screens

Touch-friendly interaction targets

Cross-device usability validation

Mobile readability testing

The result: Seamless cross-device performance with measurable mobile growth.

Mobile screen showing NIH GARD page about cystic fibrosis with summary and disease information.

Outcomes & Organizational Impact

Quantitative Performance (4-Month Comparison)

+11.5%

Increase in Page Views

+10.4%

Active Users

+2.9pts

Mobile Sessions

+11s

Average Time on Disease Pages

+10%

Ease of Understanding

+10%

Navigation Clarity

90%

Task Success Rate

Qualitative Impact

"The site redesign is fantastic — integrative and patient-focused."

"Dramatic improvement."

"The information is clear and easy to find."

Business Value Delivered

Increased engagement and retention
Improved mobile experience
Strengthened SEO authority
Reduced navigation friction
Achieved full federal compliance
Established scalable UX governance model

Visual Transformation

Webpage from NIH GARD about cystic fibrosis, showing summary, symptoms, and related medical terms.
Before
GARD webpage on cystic fibrosis overview, symptoms, causes, and diagnosis information.
After

What This Work Demonstrates

This project reflects my ability to

Lead multi-year UX transformation in federal health systems

Translate research into measurable public impact

Govern accessibility at architectural scale

Align analytics, SEO, and UX strategy

Build and manage high-performing research and design teams

Establish sustainable design governance models

Person typing on laptop with digital health and data icons overlayed, including a heart symbol.
Reflection
Public health platforms serve users at moments of vulnerability.

By embedding accessibility, clarity, and measurable performance into GARD’s architecture, we transformed a fragmented legacy system into a responsive, patient-centered digital ecosystem serving millions with trust and confidence.