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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
Case Studies
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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Case study
Case Studies
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

3 Inspiration Tips for Designers

Why you need to to create surprises in your schedule

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Korean scrub tables.

Being a design researcher, I’m constantly conducting real-world research on a subject area or problem. Researchers travel widely, and spend weeks interviewing, observing, shadowing, and prototyping. But even when a trip seems full of scheduled activities, there should always be room for opportunistic inspiration. Because that is the thing I value the most.

The price of true fanhood is never wrong.

I am an inspiration hunter. When I see 45-minutes of travel time between interviews, what I actually see a window of opportunity for a real-world experience. As well as naked scrubbing, on recent research trips, I’ve subjected my teammates and myself to:

  • Screaming like rabid fans to appear on a game show in Los Angeles.
  • Having our fortunes told by psychics in Hong Kong.
  • A workout class only described to us as “cathartic” and a “nonstop endorphin surge” in New York.
  • Getting too close to the ring at a lucha libre match in Mexico City.
Lucha libre match in Mexico City: more fun than a focus group.

So how exactly can one justify this as inspiration? Well, it depends on your definition of inspiration. I like to see design inspiration as something that lives in the intersection of three things: Satisfying a curiosity, Defying the expected, and Touching an emotion.

1. Satisfying a Curiosity:

How many times have you thought to yourself, I should take that Cantonese / personal finance / fermentation course in my free time? When you’re working a design project, you’re often looking to help others adopt a new behavior or learn a new skill. You can empathize with that experience by doing something yourself that gets you outside your comfort zone.


The Class, aka scream-cardio.

2. Defying the Expected:

Of course we should be inspired by new approaches, that’s what we’re here to design. But finding people or things that truly disrupt your equilibrium can positively influence a project in all sorts of unexpected ways.

The McDonald’s Next restaurant in Hong Kong diverged slightly from our McMental Model.

3. Touching an Emotion:

Seek places, people, and experiences that bring out a real human emotion that you want to design for. Then surround yourself with what you find, as not to lose it. You might end up with entire mood boards or inspiration shelves from your trip, labeled “joy” and “empathy”. Keeping these artifacts in your workspace will let you feel what you first did.

Herbal doctor readying a prescription.

On a recent research trip in Asia, I found myself naked in a spa, being vigorously scrubbed by an elderly Korean lady. She removed whole layers of my epidermis, all the while grunting in disapproval. The experience was agonizing but also completely amazing.


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3 inspiration tips for designers, creativity, creative confidence

Designing for Burning Man: the Shrumen Lumen

The hows and whys of the sequel to the Blumen Lumen installation

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Now, two years later, we’re pushing the limits of our skills by building the project’s next iteration: Shrumen Lumen. This time around, we’re skipping flowers in favor of 12 to 18 foot-tall kinetic mushrooms. Thanks to a totally different geometry, this project is a lot harder to build. But with hard work from an enthusiastic team of volunteers and help from a Burning Man Arts grant and our Kickstarter campaign, the Shrumen Lumen will soon be ready for the Playa. Here is how we’re making it happen.

The vision

To kick off the design process, we looked back at what made Blumen Lumen work so well. Several principles stood out.

  1. The flowers had a minimal footprint on the ground but created a huge interactive space.
  2. The grouping of flowers was beautiful from afar, but people could also interact with a single flower.
  3. The structure was scalable. We were able to build one prototype quickly to figure everything out, then mass-produce as many as we could afford, both in terms of time and money.
  4. The flowers were quick to install, and packed up neatly in a shipping container.
  5. Mechanical interaction made the flowers interesting during the day, while lights added a new element at night.

We folded a lot of those takeaways into the design, sketching out a garden of five mushrooms that are big enough to provide shade during the day, and can also change shape and light up at night. Just like the flowers, we wanted people to be able to interact with individual mushrooms, but also wanted to add an interaction point that controls all the mushrooms together.

A rendering of the finished installation.

Origami at scale

The geometry of the mushrooms is based on the folding pattern of an origami magic ball. The beauty of that structure is its ability to expand and contract; the challenge is that it’s much harder to control, and, as we found out later, much harder to fold at scale.

The Blumen fold pattern is way less complicated than the Shrumen pattern.

The more fold lines meet at the same point, the harder it is to fold. With the Blumen, only four lines met at each intersection; with the Shrumen, six.

=

We jumped straight into prototyping, and planned to use the same method we had used to build the flowers: Route the patterns in corrugated plastic, fold them so that they would “memorize” the fold lines, unfold them, then weld them together. But while each flower was made of only two 10 by five foot pieces, the mushroom heads were made of 12. We’d also never worked with this origami pattern at this scale.

Unfortunately, this fold pattern was much trickier. It took a team of eight people a full hour to fold the first three-piece sheet. The plastic also cracked in several places. To make the process easier, we changed the orientation of the corrugation by 90 degrees, and asked the router shop to make shallower cuts into the plastic. The new the fold lines made the pieces much stronger, and we actually managed to fold an entire sheet of 12 pieces (though it did take 10 people).

Setting the Shrumens in motion

To make the mushroom heads contract and expand, we needed to build a solid mechanical structure, kind of like an umbrella, that would connect the folded plastic to an actuator. We experimented with a 1:12 paper scale model to figure out where to attach the actuator, and prototyped the speed of the movement. Since there will be significant stress on this structure, all the parts had to be machined. We were extremely lucky to have Jim Feuhrer (and his five decades of experience in building) to help us create them.

Building a safe structure

Last time around, when the wind came up on the Playa, we could just close the blooms to prevent the flowers from tipping over. It’s much harder to make the Shrumens more aerodynamic, so they had to be carefully engineered to withstand 60-plus mile per hour winds. To hold the origami structure in place, we mounted 1 1/4 inch aluminum tubes around two aluminum hubs. One of the hubs is mounted to the top of the actuator and can move up and down, while the other one is mounted to the stem.

The inside of the mushroom: The mushroom head is open at the bottom both to allow people to take a look inside, and also to make it easier to install the sub structure and the LED lighting.

Almost 3,000 grommets had to be hammered into the 90 sheets of plastic.

The entire head assembly slides into a 6-inch, thin-walled steel tube that is mounted onto a 3.5-inch-thick wall pipe. Luckily, with some minor modifications and reinforcements, we were able to recycle the base we used for the flowers to anchor the system.

Designing the digital interaction

Not only are we installing 1560 LED lights in each mushroom, we are also designing ways for visitors to interact with the mushrooms. By standing on certain pads, burners can change the color and movement of the Shrumens. Each pad can also measure weight, so, for example, if two people hop on a certain pad, more of the structure will turn red.

To make this work, we are using a network of Raspberry Pis in each stem. Powered by 12 volt batteries, the minicomputers control both light and movement. Each of the 1560 LEDs in the stem and cap are independently addressable, and the chip in each LED only uses one pin for data input and output, so they must be controlled with precise timing. The team chose to use a Pixel Pusher microcontroller because of its power (it can control 4000 LEDs) and built-in libraries. Processing, running on the Raspberry Pi, pushes color combinations and scenes. The Raspberry Pi also monitors the load cells, which are placed in those lighted platforms at the base of the mushroom. When visitors step on, these load cells can trigger the mushrooms to change shape or color.

The team

Of all the projects I’ve worked on, this one required the most manpower (by far). Thanks to 40-some weekend warriors—a mix of highly specialized experts and enthusiasts who picked up new skills like soldering, metal cutting, or drilling—Shrumen Lumen is about to happen. It has turned into a highly sophisticated installation, and I can’t wait to see it in the desert.

Special thanks to everyone who helped bring Shrumen Lumen to life: Ali Hasanbeigi, Anthony Wainman, Angie Kim, Annette Diefenthaler, Blake Durtsche, Bomani McClendon, Britta Durtsche, Dali Yu, Dave Sumberg, David Brody, David Good, Diem Ho, Gabrielle Fulco, George Joseph, Gilles Roux, Gina Romero, Hannah Williams, Henry Hsiung, Janko Potezica, Jazz Tigan, Jesse Silver (production lead), Jessica Pastor, Jim Feuhrer, Jimmy Chion, Joerg Student, Justin Chang, Kalan Kircher (digital lead), Lauren Fundora, Leo Marzolf, Nathalie Collins (digital co-lead), Nicholas Leverone, Nivi Ramesh, Olivier Notteghem, Peter Bronk, Rachel Frey, Remy Pieron, Sam Starr, Steve Moore, Victoria Cao

Two years ago, I worked with a team of IDEOers and IDEO alumni to create an interactive art installation for Burning Man that we dubbed Blumen Lumen. Drawing inspiration from a foldable yurt I’d made for the art festival a few years before, we built massive, kinetic origami flowers that responded to their environment by changing color and opening and closing.

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designing for burning man the shrumen lumen, designing for burning man, the shrumen lumen, flowers, nature-inspired design, creativity, creative confidence

5 Improv Exercises Every Designer Should Know

Using improv to get in the mood to collaborate

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1. To create a happy group atmosphere… Hello & High Five

Everyone walks around the room in random directions. At intervals, the facilitator instructs them to interact with a person they are passing. At first, the instructions are to say, "Hello." Then, it’s a high five. And finally, it's a compliment about some aspect of their appearance. Even though you know it’s an exercise, it’s impossible to receive greetings and compliments and not feel a little better about life.

2. To get people into an agreement mindset… Yes, Let’s!

Stand in a circle. Someone suggests an activity by saying, “Let’s,” followed by a verb. For example, “Let’s ski!”

Everyone else loudly agrees together: “Yes! Let’s ski!”

Then, everyone mimes that activity, until someone else suggests a new activity. After a few minutes of this, it's much easier to hear ideas from other people and greet them with encouragement and agreement.

3. To stretch capacity for attention and focus… Red Ball

Stand in a circle. (Have you noticed that improv involves a lot of standing in circles?) Pick someone in the group, look them in the eye, say, “Red ball,” and mime tossing them the ball. They say, “Thank you, red ball,” to acknowledge receipt and then throw it to someone else. Once the group has the hang of this, you can add a green ball and blue ball. To make things interesting, these balls can be different sizes and weights. (They could even be a feral cat or a baby.) Pretty soon, the group will be highly alert to one another and focused on cooperating on the task at hand.

4. To free people of their inner censor… Ba Da Da

Everyone in the circle claps to create a beat. The first player says a word to the person next to them. They respond with whatever comes into their head. The entire circle then says both words and then adds, "Ba Da Da” (pronounced in the same rhythm as “potato”). For example, first person: “Crazy.” Second person: “In love.” Everyone: “Crazy in love, ba da da.” Then the second person starts everything again by saying a word to the next person in the circle. By doing everything to a rhythm, people are forced to respond in the moment and not overthink their choices.

5. To get everyone making eye contact and collaborating… Pass the Clap

Look into the eyes of the person next to you and without using words, coordinate so that you both clap together. That person then turns to the next person and does the same. Pretty soon, you’ll have a rhythm going and a clap will move quickly around the circle. See how fast you can go without losing rhythm. If you want to add some challenge, create multiple claps moving simultaneously in different directions around the circle.

Illustrations by Yoshi Yoshitani.

More and more designers are using improv games in order to get groups in the mood to collaborate. There are many of these games, taught at places like Second City and Upright Citizens Brigade. We picked five simple favorites.

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5 improv exercises every designer should know, urban design, public spaces, community engagement, improv, creativity, team collaboration, facilitation

Taste Without Waste

People used to talk about what restaurants produce. Now, it’s what they don’t.

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But dig a little deeper, and McMaster’s restaurant is a modest poster child for a grand ambition: to create a pre-industrial food system. We’re filming Doug as inspiration for a project for IKEA about future solutions for home food waste. His ultimate vision is a tight-knit network of conscientious producers, shops, restaurants and consumers working together to create a healthier, more sustainable, transparent, and financially viable alternative to the industrial food system.

At the heart of that is a principle of zero waste, explains McMaster, who trained at top restaurants like Copenhagen’s Michelin-starred Noma and nose-to-tail stalwart St John, in East London. Zero waste proponents argue that people, and businesses, should aim—as the name suggests—to generate no waste, through refusing, reducing, reusing and recovering the products they use every day. Over a sandwich, McMaster proudly tells us the story of his pop-up precursor to Silo in Australia, Joost, where, over two careful years, his team reduced the entire restaurant’s waste to just one, one litre jam jar.

Doug McMaster (seated) and the staff at Silo Brighton.

He’s similarly conscientious at Silo. All the food and drink served, he explains, comes from local producers with whom he has a strict no packaging policy. Ingenious recipes make creative use of ingredients to minimise waste—a whey ice cream, and pickled rose petals (the byproduct of cheese production and a florist, respectively) are clever examples. Organic waste, from coffee grounds to leftover cake, is fed to ‘Bertha’, the affectionately-named anaerobic composter which takes pride of place on site. The compost it produces goes back to his producers to fertilise their fields. Silo's fittings are all upcycled—from old floor tiles that have become tables, to former school chairs, to the carrier bags that have found new life as colourful, swirl-covered plates.

Silo’s part of a wider movement, though, looking at smart ways to make the food system more sustainable, from farm to table. It’s a pressing problem: by some measures we’ll be 9 billion people by 2050, requiring a 70 percent increase in global food production. We currently waste a third of food produced, consuming land, water, and using pesticides in our insatiable appetite for juicy prawns and plentiful pork chops.

'Bertha', Silo Brighton's anaerobic composter.

Squint hard enough and you can spot a view of the future: one where we use fewer raw resources, waste less, and build new businesses mopping up what’s left from the supply chain. One underpinned by digital, where we care more where things come from, grow things more economically, closer to where they’re eaten. Where we connect with a network of fellow foodies, making a little extra money on the side, and talk to our neighbours more. Where we’ll be more conscientious about where our food comes from, and how we dispose of it, too.

What’s shaping this? First, people’s attitudes are shifting. Alongside a longstanding, and growing segment of society choosing sustainable products, a more radical, quiet zero waste movement is emerging. Influential bloggers like 42-year-old Californian Bea Johnson and her book Zero Waste Home: The Ultimate Guide To Reducing Your Waste are championing a very different approach to consumption, and inspiring followers worldwide. Expect their expectations to move sustainability from a nice-to-have to a central part of their buying decisions, and shaping brands accordingly.

Bea Johnson's family’s trash for the year 2015

The first signs are perceptible at every turn. Take packaging: long a problem, the EU produces 15 million tons of plastic a year, or 156.9kg per person. We’ve been geeking out about Ooho, from Skipping Rock Labs, which is pioneering a seaweed-based spherical container that’s hygienic, biodegradable, and even edible. Going one step further, Berlin supermarket Original Unverpackt, has done away with food packaging entirely.

One big source of food waste, meanwhile is supermarkets’ drive for ‘perfect’ produce. According to the Soil Association, a whopping 20-40 percent of fruit and veg is thrown away for not looking right, despite one survey finding 65 percent of people would buy it, for a discount. Supermarkets like Asda, Intermarche and Tesco have capitalised: you can now buy ‘Ugly’, Inglorious’, or ‘Perfectly Imperfect’ parsnips, potatoes, apples and strawberries that once would have been discarded, for 30 percent cheaper.

Original Unverpackt, a Berlin supermarket that sells food without packaging.

But one man’s trash is another’s treasure. There are also smart opportunities for businesses to capitalise at every stage of the farming, distribution, and disposal chain. As part of the IKEA project we also met Londoner Tom, who runs a small company called Rejuce. We joined him as he collected surplus fruit and veg heading for the rubbish from the vast New Spitalfields market, to turn into juices and soups to sell at festivals like Green Man, Bestival and Field Day. Companies like Regrained, and BTTR, meanwhile, take used wheat and coffee grounds, respectively, and turn them into cereal bars or compost.

Closer to home, we’ve seen a raft of companies exploring urban farming and in-house hydroponics at a consumer level, as a way to dramatically cut down food miles and water, and make use of underutilised urban plots. Those include INFARM, which is building digitally-controlled microfarm units, and Growing Underground, a startup in London growing microgreens in the old World War 2 tunnels under Clapham, in South London. Further out, efforts by biofabrication companies like Memphis Meats and Modern Meadow to grow meat in labs might end up as machines on our kitchen countertops, eventually.

Growing Underground, a startup growing micro greens in the old World War 2 tunnels under Clapham, in South London.

Technology isn’t just providing the hardware, though, but a platform to connect. Startups like Farm Drop and Farm Direct are using digital as a way to build more peer-to-peer systems, exploring ways to connect farmers to foodies more directly. The likes of Cassoulet, AmpleHarvest.org, Leftover Swap and Olio are cutting food waste by sharing or selling surplus produce, or leftovers person to person in cities. The Pare Up app, meanwhile, allows New Yorkers to find bargains from local stores on about-to-expire food. For the laziest among us, perhaps we’ll be sending our leftovers off via autonomous delivery robots like Starship Technologies.

Grass roots as these efforts are, zoom up to 30,000ft, and organisations like the Ellen Macarthur Foundation are taking a system’s level view, specifically the radical shift to a more Circular Economy. Partnering with huge multinationals like Unilever, Nike, IKEA, and many others, they’re arguing for eliminating waste from the supply chain, and every byproduct fuelling another part of the ecosystem within in which it exists, mimicking nature. Companies like Patagonia are successfully pioneering how these new businesses might put sustainability at the heart of their company, and be wildly profitable in doing so. Take their new bison jerky, sourced to foster better grasslands, as well as provide delicious food.

Back in Brighton, looking around at the ingenious zero-waste solutions in the restaurant, McMaster muses on what has made Silo a microcosm of a sustainable business, and a glimpse of a more circular future. It’s creativity. “Waste,” he says, “is a failure of the imagination.”


Tucked in the quiet backstreets off Brighton’s lanes, Doug McMaster’s restaurant Silo is a typical modern eatery in many ways: industrial-chic fittings, chalkboard menu of vegetarian fare, white brick walls, chipboard tables and world music soundtrack.

Food
taste without waste, food innovation, music

Lindsey Turner

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

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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.
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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.
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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.

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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.
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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.

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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.

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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.

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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.

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