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.

This toolkit guides you through design thinking so you can start coming up with solutions to everyday challenges within the library. Design thinking, or human-centered design, is all about starting with people—the users that visit your library.

IDEO has been using similar methods to envision new products, services, spaces, and experiences that bring them to life. IDEO created this toolkit specifically for the library setting and is looking forward to seeing how you might create impact by seeing your work through a fresh perspective: the design thinking lens!

Learn more here.

Design Thinking for Libraries is an approach to improving libraries through creative problem-solving.

Apparently I’m not the only one. Aya Jaffar’s exploration, “Introvert at IDEO”, reveals that I am healthier and far less freakish than I ever could have dreamed. As an intern, Aya took on the task of asking her fellow IDEOers how they embrace their introversion in such an extroverted environment.

IDEO is filthy rich with fascinating people. Every week we have stimulating lunch-hour talks and raucous happy hours. Our office is the ultimate embodiment of an extroverted workspace. We think out loud! We brainstorm together! We eat in teams! We have walk and talks, just like in The West Wing!

That’s all well and good for about half the population. But the best work cultures make space for those of us who seek occasional refuge from the chatter.

Here are a few comforting things I learned from Aya’s “Introvert” piece:

There's a spectrum
Carl Jung was a pretty smart fellow. He suggested that everyone falls somewhere on the Introvert <---> Ambivert <---> Extrovert scale, so none of us are purely one thing or another. Big Bird? Michelle Obama? Your bus driver? Probably all extroverts with introverted traits. Just like me.

Introverts recharge with solo time
Introverts aren’t shy! They’re exhausted and they need to step away from others to think things out or recharge. That’s also why they have monstrously large noise-cancelling headphones on. Always.

They've got skillzzzzz
While extroverts’ positive qualities are easy to identify and praise, we should be quick to notice the greatness and strengths of introverts too. They are world-class listeners, thoughtful synthesizers, and often gifted at lifting others up. They also thrive when working independently so they can get just about anything done if you leave them alone for a bit.

Introverts need thoughtful workspaces
While our colorful, collaborative work style might suggest otherwise, our office actually considers introverts more than we know. We have phone booths built for one, the hushed Lighthouse workroom, enclosed project spaces, and breakout couches that allow anyone to focus in a way that works best for them. Plus, IDEO expects us to manage our own space and schedule, allowing us the freedom to work from home on occasion without ever being judged.

So bring on that big dinner! And some wine! And a cheese platter!

You’ll find me in the bathtub, gearing up for tomorrow.

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Hi. My name is Tal. I have to go home and hide in a bathtub. That’s not exactly a socially acceptable thing to say at a client dinner, but as an introvert in extrovert’s clothing, the thought has scurried through my head many times.

OpenIDEO is an open innovation platform where people from all corners of the world collaboratively tackle some of the toughest global issues through launching Challenges, programs, and other tailored experiences.

A Challenge is a three-to-five month collaborative process that focuses attention on the topic and creates a space for community members to contribute and build off each other. This approach is modeled on IDEO's design thinking methodology.

You can learn more about it here.

Active Challenges

Beyond the Bag Challenge

The Beyond the Bag Challenge, launched in partnership with Closed Loop Partners and leading retailers, seeks to identify, test, and implement innovative new design solutions that serve the function of today’s single-use plastic retail bag. Winning Ideas are eligible to receive a portion of $1 million in funding, participate in a Circular Accelerator program to receive further assistance in scaling, and access testing and potential piloting opportunities. Find out how you can be involved in the Beyond the Bag Challenge and sign up to receive email updates‍

‘Agents of Change' Atopic Dermatitis Challenge: Navigating Uncertainty

The ‘Agents of Change' Atopic Dermatitis Challenge: Navigating Uncertainty aims to find creative ways to help people with atopic dermatitis navigate through the ambiguity surrounding the condition with confidence while building awareness and empathy among those around them. Sign up to receive email updates and join the Challenge starting on September 14 to help change the way people think and feel about atopic dermatitis.‍

The Food System Vision Prize

The $2M Food System Vision Prize is an invitation for organizations, institutions, companies, governments, universities, and other entities across the globe to develop a concrete and actionable Vision of the food system that they aspire to see in the year 2050. Together, we’re seeking answers to the question How might we envision regenerative and nourishing food futures for 2050? $2M will be distributed to the Top Visionaries, who will be eligible to receive a prize of $200,000 each.

Intrigued? Read about the many ways to be involved in the Food System Vision Prize and sign up to receive email updates.

1. "85 percent of cancer can be cured in the next five years."
—Dr. Sanjay Patil

The health care industry missed the PC and internet revolution, but they won't miss the big data and analytics revolution, said Dr. Sanjay Patil, chief medical informaticist at MDLIVE, and John Sculley, a board member. According to the American Medical Association, 75 percent of in-person visits could be handled virtually. But they cautioned that it took 10 years for people to get comfortable with online banking and ATMs. Still, Patil and Sculley believe genomics and precision medicine will trigger massive shifts sooner than we might think, and had some very hopeful predictions. —Betsy Fields Smith, senior design and research lead

2. Robots would be smarter if we didn't interrupt them.

If we want robots to learn from us, we have to design them with the human capability of expressing their intent and emotion said Panellists Leila Takayama, senior UX researcher, Google[x]; product designer Nuri Kim, Fellow Robots CIO Thavidu Ranatunga, and Stanford Center for Design Research executive director Wendy Ju spoke about

For example, a robot often learns that a door is a door by staring at it for hours on end. If a person walks in front of a robot while it is learning, this can compromise the training session and hours of work. We need to design careful and intuitive indicators as to what state robots are in. If, for example, a robot was learning by staring at a door while scratching its chin or tapping its forehead, it would serve as a reminder to not interrupt their lesson.

This relates to work we are doing with autonomous vehicles. We will need to develop a new vocabulary of mobility through which vehicles and people can communicate. What sort of cues, both subtle and bold, have we come to expect drivers that help you anticipate their behavior? How might we thoughtfully design some of these cues into autonomous vehicles to make the future safer and more intuitive to move through? —Danny Stillion, partner/executive design director

3. The Jetson’s-style kitchen of the future is here.

The "kitchen of the future" technology exists and there are businesses being built upon it right now. We heard why in a panel called "From Palate to Plate: Defining a Taste Platform." It was framed as a panel about food data, but spoke more to how we interact with food today and might do so in the future, including replacement cycles for appliances, the lack of a portable “taste profile”, and so forth. We're thinking about these things at IDEO, too. Check out the Concept Kitchen 2025, work we collaborated on with IKEA.

While we've realized much of the Sputnik-era vision of the kitchen of the future, there's a fourth circle—system interconnectivity—that we need to start to consider. —Justin Massa, director of business strategy

4. Data will reform our criminal justice system.

What does the rise of information design for a complex social problem such as criminal justice reform look like? There is a growing movement to use open, public data for political advocacy and reform. And yet, even with a wealth of data, we’re unable to design for more accurate, immediate, and actionable ways of using it.

This panel, made up of experts and innovators using data for policy reform and program development said the most vulnerable in the system—offenders and their families—could benefit from the use of more transparent and actionable data, such as preventing false confessions in interrogation or exonerating prisoners from false convictions with DNA testing. They also spoke about the power of predictive policing in cities, and protecting those who are re-entering civilian life with data privacy so that they can secure a job or a loan. —Yennie Lee, impact manager, IDEO.org

5. Virtual Reality may change your beliefs.

Unsurprisingly, there was a lot of hype around VR at SXSW. But outside of finding a second home outside gaming, the use cases I'm most excited about are empathy building, and overcoming trauma. VR can deliver sophisticated, deep storytelling that stays with you. It puts you very close to being in someone else's shoes.

Planned Parenthood is doing just that, showcasing its seven-minute film "Across The Line", which follows one woman's journey from her car to the abortion clinic as she confronts a sea of pro-life protesters. Some footage is live action, some animated, but the audio is a live recording from outside a clinic in Illinois. It’s upsetting. And it may just change someone's mind on this issue. —Karoline K, communications designer

Huge thanks to Karoline K for the illustrations in this story.

President Obama, the hyperloop, Wired's Kevin Kelly, Microsoft's HoloLens, Twitter's Biz Stone and, wait for it... Pee Wee Herman! Among the thousands of conversations at SXSW, it can be hard to separate the signal from the noise, so we asked IDEO's SXSW speakers to share their greatest hits. What they came back with—robots, genomics, VR, criminal justice, privacy—proves that design is going places it's never gone before.

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.