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

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.

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.

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.

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

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.

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.

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.

Fifteen years have now passed, and in that time, I’ve developed a sincere passion for the medium. I’ve worked with many photographers both in the studio and on location, and also have shot my own work, both at IDEO and personally. Though I consider myself a designer first and a photographer second, I realize now just how much this art form has influenced the way I work. The overlapping values in each discipline have sharpened my focus and demanded a constant reassessment of line, color, and composition.

Here’s how photography can help you become a better...

1. ART DIRECTOR

Being able to identify not only the subject but also the photographic styles that will work with your concept adds richness to the message. For example, is the experience that you are creating intended for families or teenage fashionistas? Should the audience feel like they’re part of the story, or like they’re being challenged by the subject? Does the graphic design feature geometric lines or organic shapes? Try answering questions like these and choose appropriate imagery with consideration for lighting, color, tone and camera perspective to help define the experience.

2. UI & UX DESIGNER

Photographic composition translates well to design composition. In photography there are many ways to draw the viewer’s eye to the intended subject or to communicate a message. In UI/UX, it is often beneficial to limit your color palette and reduce visual noise. In photography, creating an image with areas of equal tonal values or color helps to simplify and focus. You are making conscious decisions to help the viewer (or user) make choices. Interestingly, when photography is used in conjunction with UI elements, designers often have to figure out how to maintain the legibility of text, important links, and buttons. You can sometimes get away with using a dark tint (usually an opacity of black) over the image, although this can appear dark and muddy. Use a gradient overlay rather than a full tint. It will look less heavy. Video tends to be more forgiving as your eye can distinguish the type more easily against the moving content.

3. DESIGN RESEARCHER

Most people aren’t comfortable in front of the camera, and I don’t blame them — it can feel awkward and vulnerable. Creating a good rapport with a subject can ease their stress, and is essential to capturing their true character. This is my favorite aspect of portrait photography — connecting with people — and it can be hard to do in a limited period of time.

Getting to know a person before you just start shooting away is a lot like breaking the ice before diving into an interview . As Ann Kim, a design researcher at IDEO, says, “Building trust is essential to successful design research.”

As an exercise, try photographing a colleague or acquaintance. Spend time getting to know your subject before shooting their portrait. Share your final image with a few people. Ask them who they think your subject is, and what they are like. It will be interesting to compare their feedback to the experience you had with your subject.

4. STORYTELLER

Use photographs to document each stage of a design project to visually enhance your story. Capture images of your experiences during research and inspiration trips. Record user interactions through video and photography. These tools build trust by placing the user front and center, bringing focus back to the intended audience. Build your narrative by introducing the components of your design first. For the big finale, show the human response to the product or prototype as a holistic system or journey.

Photographing your process also ensures that you have assets for sharing work with colleagues or collaborators which helps to inform and inspire.

I would love to hear how other designers and creators connect with photography — both the process and the perspective it gives. How has it influenced your work? What has it helped you to see more clearly? What hurdles has it helped you to clear? Direct message me your responses on Twitter.

Have fun shooting!

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Many moons ago, when I was a couple of years out of college working at a digital agency in London, they handed me the responsibility of directing my first photo shoot. Cue anxiety. As a junior designer, I had limited experience with professional photography. I didn’t understand enough about the medium to give adequate direction to a photographer. On the day of our shoot, it seemed like magic watching the photographer and his assistants make it happen — the combination of their technical knowledge and efficient process was fascinating.

Kelly masterfully weaves together what he calls the 12 forces, tech trends driving us into the future. In Kelly’s view, the forces—Becoming, Flowing, Filtering, Remixing, etc—lean on and reinforce each other. Each is a combination of technologies and societal factors that give us a preview of what the future will look like. In the Cognifying chapter, Kelly details the ways artificial intelligence is already catalyzing technological disruption, and imagines the infinite ways it will continue to change our experience. What happens when physical objects aren’t just smart, but also constantly learning? Like many of the chapters in the book, Cognifying is both entirely relatable and totally mind bending; you unpeel layer after layer, occasionally pausing to savor the individual seeds.

As Rodriguez notes in the episode, each chapter almost seems like a book unto itself. “It feels like what we get here at IDEO with a group of people in a project space for six months.” It turns out, some of these chapters started 10 years ago as blog posts, then went through ruthless revisions by magazine editors, and were rewritten again over the years, eventually ripening into this multifaceted fruit.

Some business books are like bananas: easy to consume, bland, too mushy. But when IDEO Futures host Diego Rodriguez dug into podcast guest Kevin Kelly’s latest book, The Inevitable, it felt like something entirely different. Kelly’s book outlines the technological trends that will drive every aspect of business going forward. It’s no banana. It’s more like a pomegranate—layered and fractal. Peeling back the layers requires work, but the rewards are juicy.

That’s the radical promise of the Circular Economy: moving from our traditional take-make-dispose economy, to one that has a closed loop, where materials, nutrients, and data are continuously repurposed.

Working with the Ellen MacArthur Foundation, which aims to inspire a shift to that new model, we’ve designed this guide to meet an emerging need among industry leaders: an alternative, restorative, and regenerative approach to business, one that creates new value and delivers long-term economic, social and ecological prosperity.

Transitioning the Circular Economy into the mainstream will be one of the biggest creative challenges of our time. But we believe design thinking is an ideal approach for tackling this complex, systemic, ambitious challenge.

Created for innovators, entrepreneurs and intrapreneurs, the guide aims to raise awareness of the Circular Economy, nurture a systems perspective, and share practical innovation methods.

We hope these ideas will galvanize readers to start designing tomorrow’s breakthrough businesses.

Get started at circulardesignguide.com.

What if we had a new way to design products, services, and businesses that were good for people, the planet, and business?

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I’ve always loved drawing. I had cool, encouraging parents who’d do things like let me draw an invitation to my 6th birthday party, then go make copies of it so that I had personalized cards to send out.

I remember discovering my mom’s college sketchbook in the basement when I was a teenager, and feeling like it gave me a window into who she was at that time of her life. I started keeping sketchbooks in 10th grade, and have managed to hold on to almost all of them since then.

In my career as a programmer, I live and work inside my computer screen. My professional body of work can sometimes feel so ephemeral—everything I’ve ever made could be wiped out by a really strong magnet. So it feels really nice to have some solid, double-layered bookshelves and bins full of sketchbooks to step back and look at sometimes.

Lately, I’ve been drawing complicated women in the evenings. A woman’s physicality is so much more political than a man’s—and to me, this makes it so much more powerful. A woman has more expectations placed on her physical looks—her clothes, her hair, even her expression—and that only makes it that much more of a provocation when those expectations are thwarted.

When I was a kid, I’d spend hours drawing Ariel from Disney’s A Little Mermaid. I'd sometimes catch myself unconsciously copying her expression with my own face. Even at 9 years old, I’d feel a little embarrassed when I felt a big, fake grin on my face. I liked Ariel and her gadgets and gizmos aplenty, but I wasn’t like Ariel. I was faking it.

Then in high school, when it was time for my exciting locking-myself-in-my-room-and-drawing-self-portraits period, I had to shift into thinking intentionally about what my face was doing while I drew from the mirror. I found that whether I was trying to make a specific kind of face, whatever came out ended up feeling like a character. And that somehow felt instantly more powerful than just the image in the mirror.

The women I like to draw now capture some element of that feeling. They may not be the definition of self-possessed, they may or may not be confident and composed, but they are self-aware, and in control of what they are putting out into the world. They may be performing a little, but they're doing it on their own terms, for their own benefit.

They’re from noir movies and punk bands. They’re artists, journalists, wastoids, and dweebies. I like to think they lived for themselves and as themselves—the most provocative act there is for any human. I admire them and want to see myself in them

“I have been drawing complicated women in the evenings lately.” Cambridge software designer Ashley Holtgraver reveals the secrets of her notebooks.

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.

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.

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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 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.

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.

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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.

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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.

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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.

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.

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.

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.