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Designing a better onboarding experience for an AI symptom checker at clinics

Enabling doctors to spend less time on paperwork and more on patient care.

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Case study
Case Studies
Breakthrough Products
Health
AI & Emerging Tech

D4V is a Tokyo-based early stage Venture Capital in partnership with IDEO. Two years ago, D4V invested in healthcare startup Ubie, which develops a service called AI Monshin Ubie. The digital service was created with the goal of reducing the burden on healthcare professionals working long hours, under harsh conditions. AI Monshin Ubie automates a number of patient registration and documentation processes through digital tools, enabling doctors to spend less of their time on manual paperwork, and to dedicate their valuable skills and attention to the patients themselves. Currently, the service is installed in 200 medical institutions in 41 prefectures across Japan.

With AI Monshin Ubie, patients fill out preliminary forms on a tablet, rather than paper, entering information about their health history and current symptoms directly into their digital medical record. As patients fill out the questionnaire, the Ubie AI generates questions in real-time according to patients’ responses, which results in more appropriate and accurate data. The patient’s responses are automatically formatted for the doctor to review prior to and during the consultation. As a result, doctor consultation times and facility operation times are drastically reduced.

With the Coronavirus raising fears of a possible health system breakdown, Ubie has made improvements to anticipate and possibly prevent in-hospital infections. Until recently, Ubie’s services have been primarily used by large hospitals; but in light of the global health crisis, Ubie approached D4V—who partners with IDEO—to help rethink the onboarding experience and quickly facilitate the introduction of AI Monshin Ubie in regional clinics across Japan. D4V and IDEO have been working with Ubie for many years to collaborate in various areas, including UX, rebranding, international research, and more. Therefore, they had a foundation of knowledge from which to build these new features.

Typically, AI Monshin Ubie has been introduced to new hospital clients through direct, in-depth instructional visits from Ubie sales staff. This approach has worked well for rolling out the product to Japan’s 8,000 large hospitals; but for the 100,000 smaller clinics, Ubie needed a more efficient onboarding method to enable staff to get set up smoothly and independently.

During research, D4V and IDEO team members engaged with many different clinic staff members, including full-time doctors, part-time doctors, nurses and receptionists. The researchers found that staff tend to react skeptically to new tools and services, with a common preconception that they will add to their workload. One clinic director’s first impression of AI Monshin Ubie was, “It looks complicated.” But once he actually used the service, he realized that it was very user-friendly.

The team quickly understood that it was important to remove preconceptions by clearly communicating Ubie’s benefits and ease of use. They created a two-minute animation and designed three separate guidebooks. The animation adopted a friendly tone and expressed empathy for doctors, staff members and patients, highlighting how Ubie can bring benefits to each of them. The animation showed how Ubie fits into the existing workflow and explained complex systems in a straightforward and accessible way.

WATCH: A short video clip explains the benefit of their product and service to avoid the users’ concerns in advance.

The guidebook for doctors and directors explains how Ubie’s AI smooths the patient consultation experience and greatly improves the quality of medical care. It also introduces concrete how-tos around set-up, implementation, and ideal workflow. FAQs were also included, addressing concerns about whether or not elderly people would be able to use it.

Ubie business development leader Kenji Yamada says, “D4V and IDEO have a deep understanding not only of design, but of our entire business. They provide inspiration by bringing experience and knowledge that comes from working with other industries and clients outside of healthcare. We appreciate that they can share the knowledge that they’ve obtained with our business.”

Read the Japanese-language version of the Ubie case study here.
When You Feel Unwell, Ask Ubie: Check your symptoms for free
Learn more about Ubie: Global Company Website

Enabling doctors to spend less time on paperwork and more on patient care.
Enabling doctors to spend less time on paperwork and more on patient care.
Ubie, Inc.
North America
Ubie, Inc.
Designing a better onboarding experience for an AI symptom checker at clinics, infection prevention, hand hygiene, Ubie, Inc, healthcare, health innovation, patient experience, AI, artificial intelligence, emerging technology, AI strategy, AI product design, responsible AI, designing with AI, healthcare design, digital health, patient-centered care, understanding user needs, how to use AI, innovation, strategy, product design, research, startup, rebranding

An improved airway intubation system that helps physicians save more lives

The GlideScope Core offers elevated visibility and a seamless workflow for intubation, allowing doctors to better conduct routine procedures and respond to health crises.

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Case study
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Strategic Futures
Health

In the emergency room, an intervention that’s administered too slowly could cost a patient their life. With COVID-19 fueling a surge in acute respiratory conditions, intubation—a procedure that involves inserting a tube through the mouth or nose and into the airway—is more common than ever. For patients struggling to breathe, the tube can be connected to a ventilator that pumps oxygen to the lungs, keeping them alive.

While a laser-focus on the present is critical for successful patient outcomes, hospitals and physicians often don’t have time to look ahead and anticipate the future of the operating room experience. As technology rapidly improves, there is a ripe opportunity and pressing need to evolve medical equipment to be more innovative and intuitive. Verathon Medical, a global medical device manufacturer, is supporting health care providers at the cutting-edge of care.

Verathon approached IDEO to redesign the existing product system for laryngoscopies and bronchoscopies—procedures that examine parts of the throat through intubation. During these examinations, a tube with a camera embedded in the tip is inserted through the patient’s nose or mouth. The doctor can then see inside the throat on a video monitor, and therefore more easily and quickly intubate and perform the exam.

To create a groundbreaking device, the team observed over a dozen laryngoscopies, bronchoscopies, and intubations. They noticed that many anesthesiologists relied on fixed equipment during the procedures. For example, some had grown accustomed to looking over their shoulder—away from the patient—to view the monitor.

During interviews, physicians and residents expressed difficulties with the current technology, sharing that the small screens aren’t conducive to team viewing or student instruction, and they must often use a separate computer to record patient notes. Others reported frustrating workflows, needing to constantly divert their attention and move their hands between the patient, prep tray, monitor, sterile bin, and disposal bin. These inconveniences and inefficiencies are not only cumbersome, but can increase the risk of infection and fatality.

The team relied on these insights to start designing a next-generation product. Through sketching, storyboarding, and building in real-time alongside doctors and clinic staff, designers quickly teased out additional findings and validated concepts.

This work led to the creation of the GlideScope Core: an all-in-one, portable product system that supports both video laryngoscopies and bronchoscopies. The base of the device—a wheeled cart—has built-in storage units for tools and a disposal bin, offering more mobility and accessibility for medical professionals.

Designed around a high-definition, touchscreen monitor and comprehensive workstation, the GlideScope Core delivers elevated visibility and improved workflow.

The product’s tagline, “see more, do more,” points to the improvements made to the video system, including a large 10- or 15-inch high-definition touch screen monitor. Displayed images can be enlarged and rotated 180 degrees for improved visualization, team viewing, resident training, and classroom demonstration. To help doctors keep both the patient and monitor in their line of sight, the detachable screen can be secured to an adjustable arm that can be positioned directly over the patient. Additionally, the monitor’s patient annotation feature gives staff access to more of what they need in one device.

The product has been especially valuable for providers and patients during the coronavirus pandemic, when it’s imperative for doctors to keep their distance from patients’ mouths and noses. The GlideScope Core’s movable, detachable, and large, high-definition monitor makes it easier to take this precaution and intubate more quickly. This usefulness is reflected in the 5-fold increase in cart-based device orders for Verathon. While most providers typically order anywhere from 1 to 20 devices for airway procedures, one hospital system requested 600 GlideScope Core systems to meet current intubation demands.

Through modern technology and a focus on human needs, the GlideScope Core supports improved patient outcomes and creates a more seamless operating experience for medical professionals. The product underlines the key but often overlooked fact that often, in order to ensure the healthcare industry is patient-centered, medical device manufacturers and hospitals must also focus on improving the experience of providers.

Verathon Medical
Verathon Medical
An improved airway intubation system that helps physicians save more lives, Verathon Medical, healthcare, health innovation, patient experience, systems thinking, systems design, service ecosystem, healthcare design, digital health, patient-centered care, innovation, mobility

Transforming a community hospital from the inside out

Designing for caregivers to create world-class care for patients.

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Creative Capabilities
Breakthrough Products
Health

Healthcare is notoriously difficult to change. Rules and regulations present complex barriers; health practitioners and organizations often have entrenched ways of working; and lives are literally on the line. Despite these significant barriers, the leaders at Newton-Wellesley Hospital (NWH) boldly committed to improving patient care through a new approach.

NWH is a community teaching medical center in Newton, Massachusetts. Because of its proximity to Boston—a city known for world-class healthcare institutions—NWH needed to differentiate itself. The hospital's new president, Dr. Michael R. Jaff, reached out to IDEO for help: "I knew that providing an unparalleled patient experience would set us apart from our competitors." But, Dr. Jaff’s particular approach was unique. He and Dr. Jodi Larson, Chief Quality and Experience Offer (CQXO), saw an opportunity to drive better patient outcomes through cultural and organizational change.

"You cannot learn any more than when you get to listen to your potential patients say why they would never walk into your place." —Dr. Michael R. Jaff

IDEO partnered with NWH for a year of work together, kicked off by defining the vision for NWH and ramping up to in-hospital prototyping and the launch of several new initiatives. A pilot project with the Women's Imaging Center (WIC) focused on solving departmental and employee challenges to provide a better experience for women getting mammograms.

The pop-up design studio, dubbed Project Phoenix, was centrally located on the main thoroughfare of the hospital.

Fueled by this potential, the WIC team redesigned key work processes and created a set of experience principles that inspired new service prototypes. Guided by principles like "Express mutual gratitude" and "Honor every voice," the WIC team tested ways for patients to acknowledge outstanding caregivers and created tools to gather better feedback from patients and adjust quickly. The experience of designing better services inspired the WIC staff to become ambassadors for the power of design thinking across other departments inside NWH and they continue to build on the work through new prototypes and experiments.

Next, IDEO partnered with NWH’s ambulatory surgery group. They took an analogous research trip to Boston’s Logan airport to see with fresh eyes how other high-touch customer service organizations provide customer value in a complex setting. Insights from the trip were applied through live prototyping of several new experiences inside the hospital, including a pre-surgery visit summary and pre-operation care carts.

Analogous research helped us realize that we can learn from other industries and incorporate some (cool) best practices if we allow ourselves to get over the ‘that would never work in the hospital’ mentality. - Dr. Jodi Larson

A team of surgeons, anesthesiologists, nurses, and hospital executives headed to JetBlue seek out inspiration around analogous themes of teamwork, coordination under pressure, and customized pathways for patients.

One of the most impactful prototypes was Care Modes, a tool to empower the NWH care teams to tailor their approach and interaction with patients based on the patients’ unique needs, beyond simply their clinical requirements. Four distinct approaches were identified for engaging a patient before surgery—Explain, Partner, Embrace, and Encourage. The Care Mode is determined based on the provider's understanding of a patient's degree of self-advocacy and their confidence that surgery is the best solution to their issue.

The team produced several live prototypes in the hospital, gathering feedback and learnings directly from patients and staff. The first prototype launched was a series of experience kits selected by patients at check-in. Each kit represented a different mindset for patients—productive, serene, or enlightened—and a visual cue to signal different scripting and pathways from care providers.

Historically, care providers have been trained to deliver consistent care above all else. However, Care Modes powerfully acknowledge that patients respond differently to different types of care. The Care Modes empower the team—from surgeon to nurse to anesthesiologist—with a clear framework for how to interact with and provide care for patients so they feel most comfortable. Based on the prototype's success with patients and impact on the staff culture, NWH has incorporated Care Modes into EPIC, the hospital's electronic medical record.

The importance of being patient-centered has been central to the healthcare conversation over the past thirty years; but new explorations reveal that there’s far more potential for innovation and improvement when the provider experience is considered in tandem with the patient’s. Each enables the other, and design for both together yields stronger solutions and better outcomes. IDEO's work with NWH demonstrates this vital shift in user-centered healthcare—one can't design services and experiences for patients without designing for their providers’ culture as well. When these go hand-in-hand, meaningful institutional change in healthcare is more than possible.

Designing a clear framework for caregivers to interact with and provide world-class care for patients.
Designing for caregivers to create world-class care for patients.
Newton-Wellesley Hospital
Newton-Wellesley Hospital
Transforming a community hospital from the inside out, Newton-Wellesley Hospital, healthcare, health innovation, patient experience, business transformation, organizational transformation, culture change, healthcare design, digital health, patient-centered care, innovation, design thinking, research, prototyping, transformation

Helping a historic museum prepare for the future

Using design thinking to improve access, experience, and culture.

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Case study
Case Studies
Strategic Futures
Breakthrough Products
Learning & Work
Public Sector

The mission of Chicago's Museum of Science and Industry (MSI) is to inspire children to achieve their full potential in the fields of science, technology, medicine, and engineering. Leaders at MSI realized they needed to drive day-to-day operations and maintain historic exhibits while focusing on where to go next. To prepare for its next decade, MSI worked with IDEO to create a new business focus to support the museum’s aspirations for the future. The plan would allow MSI to respond to the demands of the marketplace and raise the funds to get there.

At the beginning of the project, MSI laid out its priorities: improve equity of access, enhance the museum experience, and create a more innovative culture. To dive into each of these areas, IDEO conducted immersive research with families, teachers, donors, and staff.

IDEO brought together 60-plus donors, board members, and staff members to engage in a design thinking exercise to unpack and address the tensions that come with choosing a new strategic trajectory. Instead of having a standard ballot vote, the IDEO team encouraged participants to get up and vote with their feet, helping the group of stakeholders physically align on the museum’s new direction.

At the end of the research and prototyping phases, MSI and IDEO developed a vision called Provoking Minds, Inspiring Futures, creating six detailed design briefs to equip MSI teams to bring initiatives forward. The briefs laid out everything from recommending a new Department of Next, dedicated to ensuring that the future is at the heart of everything the MSI does, to MSI Runway, a place for experimental, small-scale, and limited-run exhibits. The ideas were brought to life with an interactive exhibit, built quickly with everyday materials like plywood and circuit boards, to demonstrate that creating an inspiring vision of the future doesn’t have to be an expensive endeavor.

The team also focused on insights that highlighted accessibility issues some families brought up early in the design process—travel across the city via public transportation can be lengthy, and the cost of admission to special exhibits could be prohibitive. To address these concerns, IDEO came up with the Mission Accessible brief: Inspired by casino buses, MSI bus stop signs would be posted in various low-income neighborhoods, signaling a way to take kids and families to the museum for free.

During the project, the IDEO team identified some low-hanging fruit, like rethinking ticketing and improving the student field trip experience, and helped the museum create cross-functional innovation teams to apply design thinking skills towards solving those challenges. They researched, brainstormed, and pushed forward new concepts, meeting weekly to share and build on ideas. At the end of the four week period, each team prototyped their ideas—new outdoor programming, software tools for visiting tour groups—and pitched them to each other.

In 2019, two years after the conclusion of the project, the collaboration paid off. With its new strategic plan and additional resources, the museum has renewed its commitment to serving youth, and MSI’s team, including donors, are aligned on a collective vision of the future. MSI raised more funds than in any previous year, including the single largest gift in its history—$125 million, nearly half of its $380 million fundraising goal—that will help ensure the years ahead.

Museum of Science and Industry, Chicago
Museum of Science and Industry, Chicago
Helping a historic museum prepare for the future, voting experience, voting machine, accessible voting, Museum of Science and Industry, Chicago, education innovation, learning experience, future of work, public sector innovation, government services, civic innovation, human centered design, design thinking, customer centricity, future strategy, strategic futures, designing for the future, innovation, strategy, research, prototyping, transportation, education, learning, government

How Design Taught Me to Be a Human-Centered Lawyer

IDEO's general counsel on the importance of empathy in legal processes

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During the project shareback, one of the designers held up a piece of paper with this quote:

“Interacting with legal was one of the worst experiences of my life.”

Full stop.

Maybe the commenter was talking about me. Maybe she was talking about another lawyer. Maybe she was commenting on the legal process generally. It didn’t matter. For the first time in my career, I thought about the impact I have on the people I interact with in my role as a lawyer, and how that impact might be quite negative.

We never discussed anything like this in law school. Instead, we focused on “making cases,” “winning arguments,” and “clerking for the right judge.” Later, as Biglaw associates, we talked about “billing hours,” “closing deals,” and “working with the right partner.” But I don’t recall ever being asked, “How did your client feel about how you handled that matter?” or, “How did the lawyer on the other side of that call feel about the interaction?” Or, for that matter, “Are you providing a colleague or client with one of the worst experiences of his life?” We talk about these issues all the time at IDEO when it comes to our clients and their customers, but they aren’t things I ever talked about with fellow attorneys.

In that moment, I made a decision: There was no reason I couldn’t do my job — and do it well — and care about the experience of the people I was affecting.

Fast forward to 2014. I took my mother to see a neurologist at Stanford University. He confirmed our family’s worst fears: My mother had Alzheimer’s, and it was advancing. Rapidly. This was devastating, hard to hear news. And yet, in the car on the way home, I felt strangely positive. Why? Because the doctor took the time to translate the complexity of her disease into language we could understand as non-medical professionals. He walked us through very difficult territory with honesty and compassion. He was respectful of her even as she repeatedly asked him the same questions. And he highlighted the factors we could control. We couldn’t change her disease, but we could approach it proactively and honestly, while giving her as much dignity and comfort as possible.

What if the experience of working with a lawyer felt more like this?

Even though law and legal processes are designed by humans for humans, the reality is that most interactions with legal professionals don’t feel very good.Interactions are often harsh, transactional, and bereft of transparency, emotion, or humanity. Touch points are filled with frustration, confusion, and disempowerment. Lawyers may resort to aggressive tactics as a way to navigate conflict or out of fear they will be taken advantage of in a given situation. Worse, many lawyers I talk to seem to accept this status quo. That’s just the way law is practiced. That’s just the way it is.

But it doesn’t have to be this way.

Instead, we can practice what my colleague, IDEO partner Chris Domina, in 2011 termed “human-centered” lawyering (when he asked me if I knew “any human-centered lawyers outside of IDEO?”). Human-centered lawyers are those who can treat legal problems as human problems, translate legal complexity into relatable frameworks, and navigate tension and conflict with skill, patience, and respect for all stakeholders involved.

In working toward becoming more human-centered, I’ve come to understand the value of making emotional connections with individuals I’m interacting with and not treating legal matters and the people connected to them as purely transactional. Empathy, the key to human-centered design, is the same key that opens the door to human-centered lawyering.

For example, instead of being frustrated that opposing attorneys are “rejecting” my proposals or “not seeing it my way,” I’ve learned to try to put myself in their shoes. If I were representing their client or working for their in-house legal team, what would I be most concerned about? What problems are they trying to head off, and what problems have they had in the past in these types of situations? Are they frustrated because this is just one of too many things they have to deal with today? From this very human place, I can be a collaborative problem solver, rather than someone engaging in an argument to win a point or “push back” because that’s what lawyers are “supposed to do.”

In being human-centered, am I any less firm when it comes to working through difficult legal challenges? No; my colleagues generally refer to me as “strong” and “confident.” Do I “just give” on issues during a challenging negotiation? Not at all. IDEO doesn’t compromise its people or its business, no matter how big the deal or how aggressive the opposition. But neither do we compromise our compassion.

Most legal professionals I know have had interactions with other lawyers who use anger, hostility, power tactics, aggression, and rude or belittling behavior to try to navigate legal situations (and most of us have also been guilty of the same at times). In addition to harming the relationships their clients are trying to build, those behaviors leave their mark on people. They leave people fearful or resentful of lawyers, and of course they tarnish the profession’s reputation. That’s not the kind of impact I want myself or my team to have on the world.

Is the legal team at IDEO perfect? Do we succeed in making every legal interaction with people inside and outside of IDEO positive? Of course not. But as a team, we have a clear purpose: to provide human-centered legal support and solutions to the IDEO community and to the broader legal industry.

Stay tuned—and stay human—lawyers.

This story was originally published on Medium. For more on the subject of human-centered lawyering, read this story by legal designer Sean Hewens and this interview with IDEO's general counsel Rochael Adranly.

Not long after I began working with IDEO, I had the privilege of taking part in a project to design how its new internal legal group would operate. For those unfamiliar with IDEO’s process, each project begins with a “looking in” phase in which the design team interviews project stakeholders and shares their feedback.

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how design taught me to be a human-centered lawyer, empathy, feedback, creative feedback, team collaboration, creative careers

Using Code and Wood to Make Data Tangible

How an industrial designer built a digital/physical interface, without knowing how to code

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Because usage is tied to a period of time, a digital calendar with interactive feedback seemed like the perfect way to represent a year in the life of the Chicago studio. There would be three elements to it: a milled piece of wood whose undulating shape would represent changes in energy usage over time; an interactive display that would show usage in more detail; and a set of buttons that would let users call up specific data on the display.

The Code

This is a tricky project for someone who doesn’t know anything about coding let alone a programming language. I had to figure out how to manipulate the usage data using tools from my life as an industrial designer. I started with Grasshopper, a visual programming language and a plugin for the 3-D modeling software Rhinoceros that I learned how to use as an undergrad. Instead of writing code, you connect boxes of different abilities to each other. By connecting the boxes with each other, I was able to pull in the data from my Excel spreadsheet and convert it into 3-D shape; then it was ready to work within Rhinoceros. Because Grasshopper is a plugin for Rhinoceros, you can see what you’re doing as you go. After some long nights, I figured out how to display the data in a 3-D shape.

The code translates the data from an Excel sheet into a 3-D shape in Rhinoceros. It is completely parametric. The surface can be scaled, the length can be changed, and data can be displayed in different methods.
This is the code I created to display one month’s data as a curve in Rhinoceros. Check out the code on Github here.

Prototyping

The Grasshopper code displayed in Rhinoceros, which is translating the energy data into the surface shae. The black piece in front is a 3-D printed test piece.

With the code all set, I moved on to creating the touchable surface. I made some quick 3-D prints of the data I created in Rhinoceros, then made a low-fidelity video prototype to display how the installation would look and work. The idea was to let the user feel the changing data via a touchable surface, and give him/her a visual representation of the data on the screen.

Build Phase

Step 1: Milling the wood

The touchable interface was the main piece of my installation, so it was crucial to get it right.

The black test pieces are 3-D prints and the others are CNC-milled.

I bought one long piece of walnut and used the table saw to cut it to the length I needed, then glued the resulting pieces together. I created the undulating surface with a CNC table mill, which took roughly 10 hours. It was loud and dusty, but worth it. To get the perfect finish, I had to sand it — a lot. I probably could have stopped earlier, but I wanted to have a perfect piece. Then, I rubbed it with Danish oil to protect the surface and bring out the wood grain.

Left: The two walnut pieces glued together. Right: The wood piece post-milling.
The long axis of the wooden piece represents 12 months of the year in 2015. The short axis represents the days. The higher the surface the more energy is used, and vice versa.

Step 2: The visual feedback

To create the visual feedback, I used a Raspberry Pi, a capacitive touch board (MPR121), a 7” HDMI screen, wires, and some copper rivets. With no experience with Raspberry Pi or electrical engineering, I had to catch up quickly. To display the data on the screen, I used a handy piece of code I found on the internet called PiPresents. For input, I used capacitive touch buttons, which I linked to specific images that display the data.

Copper rivets used as capacitive touch buttons.
A drilled-down explanation of one month of energy usage data.

Step 3: Panel assembly

This step was one of the harder parts. I had to bring all the different pieces together and create the framed panel. I started with a cheap frame from an art supply store, then created an acrylic, laser-etched back panel, spray painted it black, and sanded it to make it matte. Next, I attached the wooden panel to the screen, and connected the 12 capacitive touch buttons, one for each month, arranged along the long axis of the wooden surface. Once everything was in place, users could feel the wood to get a sense of our changing energy usage, then touch the buttons to see a drilled down explanation of the data by month. About a month and a half after I first came up with the idea, it was finally ready to present to the studio.

A big thank you to the whole studio, especially to Chris Gold for helping me during the milling process, Rob Rehrig for giving me a Raspberry Pi 101, and Sophie Feng for taking awesome final pictures and video. Want to recreate the project? Check out the code on Github.

As an industrial designer, I’m always eager to bring together the digital and the physical. So when I discovered that the Chicago studio was collecting data about their energy usage, I decided to create a project that would make that information feel real, teach me more about other disciplines, and serve as a gift to the studio that had hosted me as an intern for half a year.

Technology
using code and wood to make data tangible, technology, digital innovation, product design, energy, coding

Thoughtless Acts: Hot Rod

Thoughtless Acts: Hot Rod. The intuitive ways we adapt and react to things in our environments

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"Arrivo!," I shout to the taxi driver as I close the gate of the building with my foot. I speed walk towards his car, parked 50 meters down the road, drag the suitcase on the back seat and ask the driver to take me to the airport. My holiday in Napoli—my hometown—is over. I'm already shivering at the idea of setting foot back in London.

Halfway through the trip, my eyes catch on an unusual detail. A tennis ball cut in half to fit the top of the taxi's gearstick. I can't help but investigate.

"Ascolta (Listen)," he says in the gruff voice of a longtime smoker, "with this heat, my job gets very challenging." Despite air conditioning, he explains, the sun makes the gearstick slippery and hot, which makes for a rather unpleasant driving experience.

To tackle this problem, he decided to carefully slice a tennis ball in half and place over the gearstick's handle. "It's a precise job," he explains. "You need to make sure it won't move once it's placed." The texture of the tennis ball allows for a better grip, and doesn't get hot in the sun—ta-da!

He brakes lightly to come to a stop at the departures terminal. As he rummages for my change, he surprises me with a Steve Jobs-style "And one more thing ..."

"You know, it's not just about the function of the tennis ball, it's also the excitement of getting a new one every year. That bright yellow marks the start of a new season—it's something I look forward to!"

I gently close the cab door, roll my suitcase to the entrance and, out of the corner of my eye, catch him smiling in the dense, departing traffic.

Human-centered design requires us to observe human behavior with beginner's eyes, so that we can spot the innate ways people interact with the world around them. We call these intuitive and unconscious reactions Thoughtless Acts, and IDEO designers collect photos of them to inspire their work.

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thoughtless acts hot rod, thoughtless acts, hot rod, human centered design, design thinking, photography, visual design

Meet the Badass Brooklyn Art Collective You've Never Heard Of

If you like rainbows, cats, and textiles, you'll love Cassandra Joy Fountaine

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In one sentence, who are you?

A queer, shapeshifting, creative cat mama with a big heart.

What do you do? How did you learn it?

I am currently an illustrator and a textile designer. When I was a kid, I used to draw little doodles on dinner napkins and give one to everyone at the table. I loved sharing my art with everyone.

When I was around six, my mom enrolled me in a summer program at The Baum School of Art in Pennsylvania. There, I learned all the technical aspects of drawing and painting. I went to Baum every summer for 10 years. Then I got an academic scholarship to Pratt Institute.

The next thing I knew, I was living in Brooklyn and working my ass off. During my senior year, I focused my thesis on textile design. I always liked the idea of bringing my designs off the page and applying them to T-shirts, pillows, hats, chairs, bedding, etc.

I graduated in 2015, and a few of my friends from college and I started Fem Foundry. One of the best things about art school is getting your work critiqued by your peers, and the Foundry lets us continue that. Plus, we do a lot of other fun things, like organizing drink and draws, having gallery shows, and tabling at art fairs.

Like many other twenty-somethings, I had to start paying rent after school. I worked a few odd jobs—did branding for local restaurants, taught painting classes, designed event posters, and helped out at an animation studio. There were many times when I had no idea what I was doing, but I’m a big believer in fake it 'til you make it.

About a year after graduation, I landed a job as a textile designer at Deborah Connolly Designs, a small company in Midtown Manhattan. I went into the interview clueless about the industry, and now, two years later, I can tell you everything you could possibly want to know about designing bath towels, beach towels, kitchen towels—really any kind of towel.

3 favorite possessions?

  1. The first and only quilt I ever made
  2. A white gold locket my mother gave me with our pictures in it
  3. My black denim Fem Foundry jacket that I decked out with pins and patches and my eyeglass collection

What does a typical work session look like?

Right now, I’m designing beach towels for next summer. There’s usually some sort of inspiration or color story for the designs, and then it begins! I work primarily on a Wacom drawing tablet with either Photoshop, Illustrator, or Nedgraphics. Most designs go through a few revisions before I send them out for production.

When I’m illustrating at home, I like using traditional mediums like gouache paint and charcoal pencil. I also enjoy playing around on my iPad in Procreate. It’s exciting what technology is bringing to the table for creative people.

I’m a total podcast junkie while working. Some of my favorites are Reply All, Freakonomics Radio, On Being, Revisionist History, Lovett It or Leave It, Nancy, Death, Sex & Money. If I sit in silence, I tend to overthink things; listening to something keeps my momentum going, and it’s a great way to track how long I’ve been working on a project.

How do you get over creative block?

At work, I’ll just start a new design in order to keep the juices flowing, and then when I’m in my groove, the trickier designs come more easily. With painting and illustrating, I try to step away and come back to it later, or sometimes I flip a drawing backwards or upside-down so I can see it from a new perspective.

What was the last item on your to do list?

Buy cat food at the bodega.

How do you see the world in 2078?

Technology is going to change everything. Hopefully, by 2078, old, white, male Republicans won't be calling all the shots in politics, and there will be peace and happiness among all races and religions.

What’s your number one bucket list item?

Scuba diving in the Great Barrier Reef.

Who are you creative crushin’ on lately?

Oooh… Lauren Callaghan is amazing. She’s such a talented illustrator, I’m very into her use of patterns and bright colors. The designer Ramey Masri is mind blowing, he runs the Instagram @space.ram. Everything is rainbows— everything. I bought some silkscreen prints from Natalie Andrewson at MoCCA Fest a few weeks ago and hung them by my desk. It makes me happy to look at them. I also love Oliver Hibert. His graphic, funkadelic paintings are amazing. But honestly, I’m constantly creative crushin’ on all the talented members of Fem Foundry. I’m so thankful to have them as my friends; they are such an inspiration.

Check out their work on Instagram; or on Facebook.


Cassandra and I first met when we were young, poor, and living in Bed Stuy. As I floundered, she settled into what would become her long-term home. Her art connected her to the people around her, first as a student, then as a freelancer painting murals and business logos for neighbors, and, most recently, as a founder of a local women's art collective called Fem Foundry. Cassandra's work is unflinchingly bright, peculiar, and accessible, even when life and Brooklyn are not. I'll let her take it from here:

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meet the badass brooklyn art collective you've never heard of, education, learning, craft, materials, creativity

Lindsey Turner

I’m passionate about building brands, products, and experiences that help organizations show up with meaning and momentum.

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Leader
Leaders

I help organizations cut through complexity by shaping how they show up, through brand strategy, identity, and storytelling.

Working at the intersection of brand and business, I bring an editorial eye and a bias toward making—turning ideas into tangible experiences that people can understand, trust, and believe in.

My work spans government, healthcare, financial services, media, and consumer goods, from launching Gen Z-focused ventures to building innovation labs and reimagining legacy brands. I relish moments of ambiguity and enjoy translating across teams, perspectives, and priorities to move ideas forward.

I started my career in editorial and digital design, shaping cross-platform experiences and identity systems in publishing and agency environments. That foundation still shapes how I work today: I’m detail-oriented, collaborative, and overreliant on the Oxford comma. I hold a BFA in Visual Communication from the School of the Art Institute of Chicago.

My tween twins teach me more about technology and gen-alpha than the last decade of trend reports.
Making things that matter
Consumer Products & Retail
Media & Entertainment
AI & Emerging Tech

Rachel Young

My work helps organizations see who their products aren't working for—and build the will and the tools to do something about it

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For 25 years, I've asked the same question: Who does this design exclude—and what are we going to do about it?

My work spans human-centered strategy, inclusive design, and qualitative research, with clients ranging from Microsoft, Google, and Verizon to the National Science Foundation, and San Francisco Unified School District.

Before IDEO, I taught elementary school in East Palo Alto and spent a decade doing design work with social service organizations—where I learned firsthand what it costs people when systems are built without them in mind.

I am currently writing User Error, a nonfiction book about digital access and the design decisions behind it. I live in Oakland, California.

The greatest project to which I’ve ever contributed is raising my two daughters with my husband.
Uncovering unmet needs
Consumer Products & Retail
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Brian Pelsoh

I lead with craft, ensuring our work is creatively excellent: rooted in deep human insight and imagination, while also grounded in the realities of business and technology.

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My expertise spans brand, communication, and product design across tech, education, the arts, and social impact.

I believe great work demands both high-level vision and obsessive attention to detail, and only happens through collaboration.

I bring an inclusive, hands-on approach and a deep understanding of business, which enables me to consistently deliver excellence while always asking why.

Before joining IDEO, I worked at the brand firms Pentagram and VSA Partners. I began my career as a designer, leading teams at the School of the Art Institute of Chicago and the Milwaukee Art Museum. I hold an MFA in graphic design from Maryland Institute College of Art and a BFA in communication design from the Milwaukee Institute of Art & Design, and have taught at some of the best design schools in the US.

I love a good crit.
An inclusive, hands-on approach
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Tony Wong

I am responsible for IDEO’s long-term success in China and working with clients to use design as a tool to enable growth.

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I am responsible for IDEO’s long-term success in China and working with clients to use design as a tool to enable growth. Specifically, I have helped Chinese companies design holistic brand solutions through the development of their products, communication, services, and innovation teams, and I have helped multinationals expand their presence and influence in China.

I advise global leaders on developing China-led innovation and capabilities.

In over 15 years in IDEO Shanghai, I have worked on projects that use design to elevate the quality of the experience of healthcare products and services, streamline processes that increase productivity, create spaces and programs that promote and enable inclusive communities, and build next generation mobility solutions that are planet-positive.

Before joining IDEO, I worked at Philips Electronics and the Electrolux Group in Italy, the Netherlands, and Singapore on a number of breakthrough commercial products. I am a member of the Young President Organization in Shanghai.

I have a thing for antique maps.
Developing China-led innovation and capabilities'
Consumer Products & Retail
Food
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Industrial & Manufacturing
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Building a personal AI for the messiness of life: Sida Li

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Most AI products today are built for work—a space with clear problems and established systems. One founder noticed a gap: personal life is messier, harder to systematize, and mostly left behind by the AI boom. So she built Cue, a personal AI that lives inside iMessage and group chats, to go where the other tools haven't.

In this episode, Becca Carroll, IDEO's Chief Strategy Officer, talks with Sida Li, co-founder and CEO of Shared Context Lab, about staying anchored to a human need while the technology around her keeps changing shape, why she treats her business model with the same rigor she'd bring to a product, and what it feels like to build a company at this particular, disorienting moment in AI.

The conversation also gets into how Sida makes design decisions: the language Cue uses to describe itself, the tradeoffs behind building inside iMessage instead of a new app, and a real story about a business idea that didn’t pan out.

This is the second in a two-part series profiling founders from IDEO's Startups-in-Residence program. The first conversation is with Johannes Seemann, founder of Sooner, on designing GenAI for the emotional side of money.

Health
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Technology
Learning & Work
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Designing GenAI for the emotional side of money: Johannes Seemann

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Most personal financial tools are built to run the numbers and optimize towards a budget. While that works for some, most people experience money as a lived relationship that does not neatly fit into a spreadsheet. Johannes Seemann and Becca Carroll discuss why money is emotional before it is mathematical, and what a human-centered approach to building a generative AI financial product looks like in practice.

Health
AI & Emerging Tech
Technology
Financial Services
Learning & Work
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The curious leader's edge in uncertainty: Scott Shigeoka

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Mina Seetharaman talks with Scott Shigeoka, author of Seek and Head of Curiosity Cultivation at the Eames Institute, about what distinguishes genuinely curious leadership from performative curiosity, how power dynamics shape curiosity, and why practicing curiosity can restore energy rather than drain it.

Learning & Work
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How constraints make us more creative: David Epstein

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Mina Seetharaman talks with David Epstein, author of Inside the Box and Range, about why total freedom often produces average work, how leaders can design useful limits on purpose, and what organizations such as General Magic and Pixar reveal about the relationship between boundaries and creativity.

Learning & Work
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