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.

At IDEO's Play Lab, we spend all year making and testing toys, games, and experiences for kids—and grown-ups who used to be kids. Here are some of our best recommendations for everything from storytime play to game night with your pals. Some come from our very own Play Lab, and others from toy and game makers we admire.

Ready to make it official? You can find a link to our store here. (Please note that IDEO makes a commission off of affiliate links.)

1. Incohearent Family Edition by Relatable

A hilarious party game guaranteed to get a laugh with the fam during the holiday season! Each turn, one player draws a card with a gibberish phrase on it (i.e. “sa male leaf heat”) and the rest of the players race to sound out the gibberish and be the first to guess the hidden message in the garble (in this case— “smelly feet”) and collect that card. First to 13 cards wins! Tons of content, quick to learn, and quick to play, this game will have your whole family shouting pure playful gibberish at each other in no time.
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Who will love it: family and friends ages 10+, or check out the spicy version for cards with humor geared toward adults
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—Matt Callahan

2. So Clover

In So Clover, you’re given four pairs of random words. Then you have to come up with clues connecting each pair for your friends to decipher and discover which words go with which. Imagine CodeNames, but nobody gets angry or upset at you for giving weird clues! While it has a competitive element to it, ultimately this is a super fun word association/logic game that I can’t get enough of.
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Who will love it: Pretty much everyone, but for the adults, it’s extra fun as a drinking game
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—Andrew Stewart

3. FreeSkates

Skateboarding is the perfect combo of athleticism and artistry. It has parents like me holding our breaths and hoping that our kids avoid injury, but there’s nothing like the magic of seeing your kid flying across the asphalt, building confidence to try bigger and better tricks. FreeSkates introduce a whole new challenge with a separate board for each foot, bringing a fresh elegance and rhythm as your feet glide independently of each other, snaking in and out underneath you. There’s a bit of a learning curve, but it’s worth the effort and the scrapes!
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Who will love it: Adventurous kids of all ages, though the younger ones tend to heal faster…
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—Michelle Lee

4. Flipslide

We bought our son a Rubik’s Cube, but it was just a little too monotonous for him to stick with it. Enter Flipslide! You have to flip, slide, and match the lights against the clock, and it’s wild how addictive it gets. It’s fast-paced, super portable, and great for challenging yourself or competing with one another to get the best time. Perfect for road trips or whenever you want a fun, screen free distraction.
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Who will love it: Puzzle fans and anyone 8+ who loves quick reflex challenges
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—Diana Tobey

5. Lights from Anywhere (Marvin’s Magic)

A classic, off-the-shelf illusion perfect for anyone getting into magic but looking for something beyond card tricks! Conjure magical lights between your hands, pulling them out of thin air and making them disappear in the blink of an eye. Without giving away any secrets, I can say this is a brilliant, timeless effect that deserves two thumbs up! 👍👍
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Who will love it: Any kid interested in magic (it does require some dexterity), but also parents too! It’s the ultimate party trick.
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—Neal Boyer

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6. DC Comics Batman Ultimate Transforming Batmobile Playset

This one is for the little Batman fans in your life that love getting lost in their own storylines.  One minute, you’re driving around Gotham; the next, the Batmobile opens up into a full-on Batcave with gadgets, a jail cell, and tons of cool spots for action figures. It’s the Batmobile that keeps giving.
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Who will love it: Batman fans 4+ and any kid who loves action-packed play
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—Elise Granata

7. Mantis

There are only two rules in this family board game for kids and adults. One, steal or score your way to victory by collecting matching cards. Two, the first player to reach 10 cards in their score pile is crowned the winner. The game is easy to learn and fast-paced. Ready for the emotional rollercoaster of stealing from your opponent—or being stolen from yourself?
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Who will love it: Family, and friends age 7+
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—Jeremy Chen

8. Sticker Wow! From Melissa and Doug

During our research talking to families with young kids, we discovered just how much they love stickers. But peeling and sticking can be hard for little fingers. So we came up with this super fun, fidgety way to stamp stickers. The best part? They stick tightly to activity books and paper, but are easily removable if kiddos stick them to other things. The stickers are refillable (and collectible), which means you never run out, and it’s not wasteful. All the kids we’ve seen play with this are instantly obsessed. (This toy is a patent-pending IDEO + Melissa and Doug invention.)
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Who will love it: Kids age 3-7
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—Vlasta Komorous-King

9. Story Time Chess

A way to teach kids (and adults!) how to play chess through fun, engaging stories. Each chess piece is turned into a unique character with a personality and movement pattern that aligns with that piece's actual rules in chess. For example, King Chomper can only move one step at a time because he loves to eat so much and his pockets are stuffed with food. The game comes with mini-games and workbooks to help kids practice specific skills as they get more advanced with their chess strategy and tactics. The perfect pick if you enjoyed The Queen’s Gambit and secretly aspire to raise your own chess prodigies—or better remember the rules yourself.
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Who will love it: Any age will benefit from the memorable story and characters, but especially younger kids 3+
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— Diana Tobey

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10. DJ Bouncin' Beats

This toy knows how to PARTY! I have spent hours of my life hanging out with DJ Bouncin' Beats and my two-year-old niece as it sings us ABCs, counts with us, and plays back custom recordings of phrases or sounds we make. It’s a combination teacher, boombox, and dance partner. Maybe even better than having a sibling?
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‍Who will love it: Kids 12-36 months
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—Elise Granata

11. Disney Princess Carriage to Castle Playset

So much play value in one play set! With Carriage to Castle, kids can act out both magic princess vehicle play AND full castle doll house play with all their favorite princesses. This playset comes with four figures, tons of accessories, and an exciting transformation to help them story play. Parents will love that this castle can transform back down to a carriage size for easy storage.

Who will love it: Young kids that love princess play! Best for ages 3+
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— Rikki Devlin

12. Drop Trivia

If you love some competition with your play, this game is perfect for a post-dinner or drinks moment with friends. The questions are a mix of pop culture, random facts, and fun surprises, so there’s something for everyone to shine at (or totally blank on). Think Trivial Pursuit with the countdown urgency of disassembling a bomb.  
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Who will love it:  Trivia buffs ages 10+—and anyone who loves a good challenge
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—Matt Callahan

13. Wild Flowers by Moose Toys

The ultimate chill board game! Wild Flowers features stunning graphics that transport you to a serene flower field. Players use tiles to grow and claim flowers, and complete task cards related to the flower board. Perfect for one to four players, it strikes the ideal balance between strategy and luck, making every game fun and engaging. The perfect way to end your day!
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Who will love it: 8+
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—Inna Yankelovich

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14. Illusion

Illusion is a quick and fun card game where players test their perception of color and patterns by arranging cards in order of the percentage of a specific color they contain. Each turn, you can challenge the lineup if you think someone made a mistake—revealing dramatic surprises when the cards are checked. It’s a fast-paced mix of strategy, observation, and the thrill of calling someone out, making it perfect for parties or family game nights!
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Who will love it: Kids 6+ (but it’s also great for adults)
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—Sam Hobish

15. Scout

This card game is easy to pick up and learn with a ton of depth. Unique cards have different values on their top half and bottom half. At the start of each round, you can decide whether to play with the top set of numbers or flip your entire hand to play with the other set. But player beware, your hand is now fixed for the rest of the game. Play cards to make new combos or take another card to make your hand even stronger. To win, play a hand no one can beat or get rid of your hand.
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Who will love it: kids (8+) and adults
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—Weishan Liao

16. CoComelon Transforming School Time Bus

The perfect gift for any CoComelon lover, this classic school bus play set transforms into a tiny classroom and playground. Kids can drive around on the ground in school bus mode, then easily open up the bus to find tons of play inside. The chairs magically pivot into a classroom setting.
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Who will love it: Kids 3-6, but also Cocomelon lovers of any age
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—Weishan Liao

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17. The Magic Puzzle Company

Think you’ve mastered all the puzzles out there? Welcome to the enchanting world of the Magic Puzzle Company. These puzzles are designed to challenge even the most seasoned puzzlers, with whimsical scenes, quirky characters, and a surprise twist that will leave you in awe. Packed with hidden Easter eggs and playful vignettes, every piece you place brings a touch of joy. With such captivating designs, it’s nearly impossible to step away. (And check out this puzzle by IDEO alum Felicia Chiao.)
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Who will love it: Kids 15+ to adults
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—Lauren Schreiber

18. Barbie Dog Duo With Wheelchair

This set offers such a sweet way to expand storytelling opportunities, with Barbie caring for her pup who’s using a wheelchair, bringing inclusion and creativity into playtime. The little accessories are a great touch, and it’s been a hit for sparking imaginative, heartwarming adventures.
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Who will love it: Kids 3+
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—Keren Wong

Stumped about which toys or games to add to your list this year? We’ve got you covered.

There are few parts of the industry we haven’t touched. Why? Because few sectors offer so many possibilities for making a positive impact in people’s lives, if we can ask the right questions, and innovate our way to the right solutions.

Last month, we headed to HLTH to learn more about the trends, hurdles, and paradigm shifts companies, hospitals, and other care organizations are coming up against in this space. Here are some of the things we took away from our time on the ground.

‍1. Design can help us move beyond point solutions

Right now, we’re seeing a lot of standalone digital platforms tailored for different diagnoses, different age groups, and different patient populations. While this approach can better align with the way payments work in the healthcare system and result in more easily-proven health outcomes, it often feels like we’re reinventing the wheel over and over. You see this especially in mental health—solutions for youth, solutions for kids, solutions for employees, etc. Larger organizations across payers, medtech, and pharma, are starting to ask, “What is actually generalizable here?” And, “Can a connected experience better fit the patient's needs?” “Does everything have to be custom-built for every drug, every piece of equipment, and interventions?” That’s costly, not only to operate but also to sustain. Why don’t we already have frameworks that are broad but adaptable? With all the research and data we have, we could create a shared understanding that we can tune to fit specific needs. Theoretically, we have the data; we know what works and what doesn’t. There are systemic reasons—proprietary systems and data hoarding come to mind. But still, if we could create a more universal approach, we could make an enormous difference.

‍2.  We need to use AI to upskill healthcare workers, not replace responsibilities

‍The way we’re using them now, AI tools primarily aim to speed up workflows and improve operational efficiencies—whether it’s faster prior authorizations or streamlined documentation through AI scribes. But without careful implementation, these efficiencies could merely increase volume without enhancing care quality. Accelerating prior authorizations might lead to more requests and denials, rather than improved outcomes. Saving time on documentation might enable doctors to see more patients, but it doesn’t necessarily mean better patient interactions. We need to look beyond low-hanging fruit to achieve lasting impact. The industry must ask itself: Will widespread AI adoption genuinely drive health outcomes? And crucially, how do we encourage buy-in in a field where practitioners—trained over decades to rely on their own expertise—may resist technology-driven changes? At IDEO, we recently worked with a large payer organization to develop an internal AI strategy, focusing on how to foster acceptance across all employee levels. Building comfort with AI requires thoughtful design that respects existing expertise while gradually upskilling, rather than displacing, responsibilities.

‍3. “Practical innovation” may just be a buzzword

‍On the ground, we heard a lot about the challenge of sustaining innovation as budgets tighten across the healthcare landscape. Our conversations with people driving innovation at health systems and large organizations revealed not only budget cuts, but also a shift toward tactical, outcome-driven approaches. Organizations that we spoke with are increasingly looking to “practical innovation” to kick start their innovation cycle. Practical innovation in its original definition ensures a focus on commercial impact vs. innovation theater–a concept that we bring to each of the challenges we take on–but we shouldn’t allow the push for pragmatism to result in innovation falling into a trap. In this climate, innovation teams are expected to tie their work to key metrics prematurely, and reach scaled efficiency too quickly. This results in fewer bets, lower tolerance for risk, and a short runway to demonstrate outcome-focused results. Design has a crucial role to play in avoiding potential traps and increasing impact. For instance, by leaning into co-design and creating products alongside providers and patients, we can significantly de-risk innovative products and services. During our partnership with Kooth to create a mental healthcare app for youth in California, we worked directly with a youth council of 50 diverse young people to launch and validate a proof-of-concept, before then getting full investment for a state-wide launch.

‍4. Hospitals are recognizing their power as innovative forces in the healthcare ecosystem

‍Shaking off the antiquated image that they’re bureaucratic dinosaurs, hospitals across the country are setting their sights on innovation and beginning to think of themselves as engines of impact across the healthcare ecosystem. Whether that’s lending their space and access to incubate startups or giving their skilled medical talent the time and resources they need to conduct research and development activities, hospitals are eager to deploy their assets in new ways to unlock new value and drive exponential impact by improving healthcare experiences and outcomes.

‍5. The time for good health is (always) now

‍Every year, we see, hear, and feel a sense of urgency around solving large, intractable problems, and every year we feel the collective disappointment that we are falling short of the progress we hope to see. Over the course of our week in Las Vegas, we spoke to thousands of people from across the healthcare ecosystem about novel ideas, genuine patient needs, product innovation, and promising new therapies. Each and every person wants to make an impact to improve the lives of those we serve—and it is true that we are seeing some remarkable progress. But good health remains elusive for many. We are working with clients in every corner of the sector to make good health a reality—innovating patient care, supporting carers to deliver on the purpose that drove their choice in vocation, partnering with life science companies to deliver innovative care to patients, and digital health companies to make huge leaps in how we deliver care. Our goal? To make healthier human futures a reality of today, not the hope for tomorrow.

We dedicate a lot of our time to making healthier human futures, from working with healthcare providers to create a culture of innovation, partnering with pharmaceutical companies to create new drug delivery approaches, and co-creating new digital solutions with disrupters.

This initiative, aimed at exploring what the next 10-15 years might bring, allowed me to leverage the full spectrum of a futurist's tools as well as those of an organizational designer—simultaneously exploring their design question while teaching and integrating foresight capabilities.

Being a futurist means spotting signals that may only be whispers today, but could become profound shifts tomorrow—shifts that companies will have to be prepared to navigate. When playing this role we use a mix of facilitative, creative, and analytical tools that not only identify emerging patterns, but also embed foresight into the organization itself, helping shape the culture to be more forward-facing. Our techniques range from examining historical patterns to scanning for signals of change to telling stories of multiple plausible futures—each designed to bring clarity to a complex environment and make emerging opportunities actionable for an organization as a whole.

What do those tools include?

Hunting for signals in the noise

Identifying and tracking signals of change is the primary activity of any foresight work. It’s focused on spotting glimpses of the future that exist in the world today. A signal might be a new idea, behavior, technology, social context, or business model that may seem insignificant now, but could redefine industries or the world at large if it scales. Recent examples I uncovered for clients include everything from the resurgence of “dumb” phones to the emergence of four-day work weeks to big tech’s greenhouse gas emissions surges fueled by the expansion of AI. Grasping these subtle shifts enables teams to broaden their perspectives and think beyond what’s currently happening.

Mapping drivers of change

Tracking and mapping broader trends and underlying drivers of change — like the climate crisis or the rapid rise of LLMs —gives further context to signals and reveals potential structural shifts influencing social, technical, environmental, economic and political systems—ultimately shaping how organizations adapt, innovate, and respond to emerging opportunities and risks in the future. Understanding the why behind these changes allows teams to build flexible strategies grounded in deep awareness of external forces.

Considering different futures

Imagining a range of possible futures challenges teams to consider different potential outcomes and to design tangible steps the company can take to either grab opportunity or avoid risk. Although it's important to imagine ideal or preferred future scenarios to create a transformative vision for the future, it's just as critical to explore potential futures with extreme uncertainty or disruption to stress-test ideas. Imagining “what if” scenarios like, “What if AI became the standard for all customer service?” or, “What if customers demand ownership of their data?”stretches a team's thinking to identify resilience strategies and become more nimble.

Preparing for disruption

Identifying and interpreting emerging paradigms helps organizations to anticipate market or strategic shifts before they disrupt, making it possible to proactively invest in nascent opportunities or manage the decline of legacy approaches or systems. It minimizes risks associated with abrupt change and encourages continuous innovation, ensuring the organization remains competitive and able to seize new growth opportunities as they arise. It’s all about building confidence in making strategic choices.

Creating artifacts from the future

A future news headline, a mock product, or an immersive experience can make abstract concepts concrete, spark discussion and inspire strategic actions that could be aligned with longer-term goals. Sometimes the most powerful stories or artifacts of the future are those that are the most mundane, like a job description or a transportation ticket set 15-20 years into the future. These  visions bring the future to life, and enable teams to embed future-thinking into strategic choice making.

Given the scale of the organization I was working with, we expanded the traditional signals exploration, mapping everything from the future of work and retirement, to the rise of a digitally-native generation, to shifts in human decision-making related to a broad and rapid integration of AI. A collaborative team of consultants and internal staff updated this tool weekly, regularly identifying and tracking trends, drivers, and future scenarios across the tech industry. And we mapped paradigm shifts in critical areas of the company’s operations, spotlighting strategic opportunities to lead change in the space.

Additionally, we developed and deployed a futures-focused curriculum and a program to engage leadership and key cross-functional stakeholders, ensuring lasting impact and sustained capabilities across the organization. Not only did we prepare the organization to anticipate and navigate future shifts, we also embedded a lasting culture of foresight, empowering the organization to lead its industry with confidence and agility.

For companies like this one, having a futurist-in-residence is no longer a nice-to-have—it’s a strategic imperative. This role is critical for two reasons: preparation and opportunity. With so many variables at play—from technological advances to societal shifts—it’s critical to have someone who can filter through the signal noise, identify potential game-changing opportunities, and help those who guide the organization to adopt a more forward-thinking approach. The role can also foster a culture that challenges assumptions, encourages innovative and creative thinking, and equips teams to identify and interpret the forces that are shaping tomorrow.

In today’s volatile and complex world, companies need futurists not just as advisors, but as strategic enablers who build futures literacy across an organization. Investing in the future means investing in the people who can help organizations see a wide array of futures clearly and act on uncertainty with confidence, helping turn that uncertainty into strategic possibility.

As part of a client engagement, I recently stepped into a futurist-in-residence-style role for a major tech company that was eager to infuse futures thinking throughout an already innovative organization.

One of the ways they deliver this value is by being more approachable and responsive to a wide range of user behaviors. Or, seen another way, by being social and emotional by default. Designers of these tools can lean into the power of emotional engagement, or pretend it isn’t actually there at all. Count us on the side of emotional engagement: We believe that designers should understand and intentionally integrate emotion into data analysis tools.

Why does emotional engagement with data matter?

Data is at the heart of decision-making, driving everything from product development to customer service. Every presentation of data is ultimately telling a story, from a dry spreadsheet to Florence Nightingale’s famous casualty diagram. But how effective, impactful and, perhaps most importantly, intentional is that story? Emotional engagement is vital because it not only makes data more relatable, but also invites curiosity and deeper reflection. By intentionally crafting the personality of conversational AI systems, we can create experiences that enhance functionality through emotional connection.

Personality-driven AI interfaces help transform the process of making sense of data into an experience that can spark empathy, understanding, and even enjoyment. This approach offers a way to help AI systems humanize data, making the interaction with that data feel less transactional and more like a conversation.

The role of personality in AI systems

Integrating personality into data presentation systems is more than a party trick to add life to your pie charts. It’s about designing tools that can communicate with users in ways that reflect their mood, tone, and even sense of humor. Large Language Models (LLMs) make this not just possible, but accessible to everyone who needs to present data. By generating natural-sounding dialogue and infusing it with personality, LLMs allow for conversations that resonate emotionally—and at times playfully—rather than just delivering dry data. We believe all data tells a story, and LLMs can help you tell a better one.

What can that look like in practice?

During a recent workshop we hosted at HCI International 2024, we asked participants to design AI-enabled systems using an evolved version of the "Talking to Docs" framework. Our goal was to strip back the LLM interface as much as possible, until it contained just the elements we wanted to explore: a base prompt and a searchable vectorized document set. This simplification let our participants experience how setting intentions around personality and emotional framing through prompt engineering can recontextualize their unstructured data (held in the vectorized document set). Each participant took a unique approach to how their unstructured data could be presented in a more intentionally humanized way, blending functionality with personality. Here are some of our favorites.

1. Exploring Newton’s Principia Mathematica with an enthusiastic fitness coach

One participant created a conversational system to explain Newton’s Principia Mathematica in the style of an overly-enthusiastic fitness instructor. This personality is rooted in humor and contrast. Principia contains some of the most revolutionary ideas in physics, not to mention that it’s written in Latin–not an inviting combination. By choosing the framing of a fitness coach, the system immediately added a whole different set of cultural signifiers. But, the benefits went beyond style. The system actually framed its explanations of the ideas in the text as fitness metaphors, making them more relatable to a common human experience—like when it explained the concept of gravity.
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"Just like your muscles build momentum during a run, gravity pulls that ball down the hill! Keep up the energy,—you’ve got this!"‍

This example shows how AI can make even the most challenging material feel dynamic and engaging and, perhaps most importantly, welcoming to audiences who might not be seen as the core one for a particular subject​.

What could this mean in real-world applications? Imagine large multinational corporations creating engaging experiences for AI adoption and upskilling their workers; hospitals could explain complex medical treatments to patients in digestible ways, and schools and education companies could make tough subjects more fun and accessible to learners.

2. Demystifying Picasso’s Guernica for the curious

Another participant used a friendly, approachable art teacher personality to explain Picasso’s Guernica to younger audiences. By using relatable language and a conversational tone, the system helped break down the complex themes and techniques of the painting, making art more accessible as a patient teacher might:
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"Picasso broke things apart and put them back together in strange ways to show the confusion and chaos of war. It’s like a giant puzzle, and you’re the detective figuring it out!"‍

LLMs can be prompted to use existing pedagogy techniques (for example, Socratic dialogue or reciprocal teaching) to deepen understanding of topics a user might normally just skim over. This approach could be used by art and fashion players like museums and brands to explain the backstories of their artifacts, or by travel companies to add greater context to a visitor’s experience of a new place. Or, even more provocatively, this technique could be used to create understanding, consent and trust when agreeing to data usage, especially in highly-sensitive but complex areas like genetic data and other personal information.

3. Adapting the approach to user behavior

A third participant introduced a humorous twist to the bureaucratic process of filling out tax forms by creating an interface that changes its entire persona based on the attitude of its user. If the system detects the user’s tone as positive  and polite, it responds with the personality of a bubbly, cheerful government worker right at the start of their career. But if the system sees that the user is grumpy or rude, it replies with a sarcastic and grudging attitude, and adopts the persona of a government worker on their very last day on the job.
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"Ugh, all right. You do not put your ITIN here. Grab a coffee and take a deep dive into section 4 of Pub. 15 if you really want to know more."‍

What happens when you no longer have to design your interface with an assumed user intent, but instead can dynamically adjust it based not just on explicitly gathered user preferences, but on their tone and attitude?

There are many applications where creating some intentional friction when users don’t behave as intended is desirable, from financial planning to medical treatment plan adherence. Instead of building these frictions on a one-size-fits all design, we can use LLMs to estimate user attitudes and create the right behavioral nudges at the right time. And maybe they can even manage to be funny while doing it.

The future of emotionally-engaged AI design

Designing AI-enabled systems isn’t just about efficiency and ease. It’s about creating meaningful interactions that leverage how humans think and feel to make data more accessible, relatable, and even enjoyable. With their ability to understand and transform human language, AI systems naturally evoke emotional responses that differ from those triggered by traditional software or hardware. Even the absence of a defined personality becomes a personality in itself. As designers of these systems, it’s our responsibility to think deeply about how they’ll relate to users, not just how technically accurate their responses will be. The applications of personality-driven, emotionally-infused AI interfaces can span sectors from technology to healthcare, culture, media, education, government, consumer products, and beyond, potentially making data more vital, relatable, and actionable in all of our everyday lives. It all depends on design.

As AI technology advances, so does the potential to reimagine how we experience data—where even the most abstract information can evoke curiosity, empathy, and engagement.

Try it for yourself

We created this process to make engaging with the fundamentals of AI tools more accessible to designers–and that means you too! If you’d like to try your hand at our personality crafting exercise you can find instructions here. We’d love to hear about what you make! And if you’d like to partner with us to help solve an AI problem of your own, get in touch.

AI data analysis tools are promising a lot: efficiency, adaptability—even enhanced comprehension.

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.