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Nick Walkowicz
(Case study 01)
Sector
Academic health system
Focus
Information architecture, content strategy, UX
Scope
7 sites · 12 domains · ~9,400 pages
Timeline
2024–2025
Agency
Primacy

Thirty-seven entities, one front door.

Unifying an academic medical center’s hospitals, colleges, and research enterprise into one navigable digital ecosystem — and moving roughly 9,400 pages to get there.

One brandsystemHealthEducationCollegesChildren’s HealthCancer CenterEnterpriseResearch37 ENTITIES7 SITES● 18 hospitals ○ 6 colleges · 13 other units
Fig. 1Thirty-seven entities, including 18 hospitals and 6 colleges, brought into one ecosystem of seven sites under a single brand system.
(By the numbers)
37entities united in one digital ecosystem
7sites under one brand system
~9,400pages mapped and migrated
1,708tree-test responses across 4 audiences
§ 1 · The challenge

One institution, experienced as many.

The organization had grown more connected internally, but online it still looked like dozens of separate entities — hospitals, colleges, a research enterprise, a cancer center — each with its own navigation, naming, and content.

Some service lines carried more than 100 linked pages in their first two levels of navigation; others had no intuitive category structure at all. To find care, patients effectively had to understand the org chart.

The org chart is how an institution sees itself. It shouldn’t be the map people have to read.

§ 2 · Approach

Research first, then structure, then content.

Four tree tests and fifteen moderated usability sessions grounded the structure before design began, and every decision after it.¹

  1. ResearchTree tests, usability, SME interviews
  2. StructureSeven-site architecture, four-tier IA
  3. ContentLeveled effort, 34-module library
  4. ValidateTest, refine, train authors
§ 3 · Key decision

A four-tier path to care.

Health content was reorganized into one consistent hierarchy — category, service line, service detail, condition — so every specialty works the same way. People can reach care four ways: by search, category, specialty, or condition.

CategoryWomen’s Health
↳ Service lineObstetrics & Gynecology
↳ Service detailPrenatal care
↳ ConditionGestational diabetes
Four ways in
  • Search
  • Category
  • Specialty
  • Condition
Sub-sections per service line, today → tomorrow
Heart & Vascular20 → 11
Primary Care20 → 10
Eye Care15 → 10
Orthopaedics12 → 9
Neuroscience12 → 7

Eleven service lines were restructured side by side, today versus tomorrow, alongside 28 naming recommendations that brought labels in line with how patients actually search.²

§ 4 · Content at scale

Not every page deserves the same effort.

Content was leveled by impact. The highest-traffic, highest-stakes pages were fully rewritten and redesigned; the long tail moved 1:1. That let a small team spend its craft where it mattered most.³

L1 · AdvancedFull rewrite, modules, imagery~60 pages
L2 · IntermediateRestructure and edit~60 pages
L3 · BasicLight edit and map~1,500 pages
L4 · Direct1:1 migration~4,850 pages

Bar length on a square-root scale so the smallest tiers stay visible.

34content modules in the library
21recorded author training videos
5step content-mapping workflow
§ 5 · Outcome

Clarity at the scale of an institution.

The new ecosystem launched seven homepage experiences on seven shared templates, a unified content hub for news, podcasts, events, and blogs, and directories for service lines, conditions, and academic programs — all under one brand system.

Post-launch performance data will be added as it becomes available.