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.

That was a key message we took from our time at the second annual TED AI conference, hosted in our own backyard of San Francisco. Two days full of panel sessions, robot demos, and classic TED Talks had us considering the nature of time, the power of language, and transcending human cognitive limitations. The biggest theme: The urgency for bringing human centered-design to AI is only getting stronger.

Here are five key takeaways from our time on the ground.

1. Beware the black box

The black box approach to AI’s foundational models are the root cause of issues around ownership, copyright, credit—and in the case of certain industries like healthcare—exclusion of entire userbases.

Not knowing what the training data was, where it came from, or who it originally belonged to, means that:

1. We’re not able to give credit or reimbursement to the original creators of that data.
2. There are unknowable but impending legal ramifications from a copyright perspective.
3. Healthcare professionals are unable to use models such as ChatGPT, because without being able to verify or validate the training data, they’re unable to confidently (or even legally) use the answers the models provide.

Already, though, some companies are pioneering more transparent and more widely-usable data sets and model developers. HOPPR, for example, is building the first multimodal AI foundation model for medical imaging and radiology, while the non-profit Fairly Trained is based on the belief that that many consumers and companies “would prefer to work with generative AI companies who train on data provided with the consent of its creators.”

The concept of designing for transparency is reflective of a lot of research we have done in the past with users and data. Our 2019 work with Mozilla exploring more ethical and user-centered solutions to the Surveillance Economy highlighted the pitfalls of data collection, and the opportunities for tech companies to build value by handling user data in more human-centered ways. Combine that with our blockchain work at IDEO CoLab, and there are lots of interesting spaces to explore and draw inspiration from—including individual and collective control, consent, and value generation.

2. Consider the human consequences

A lot of industry specialists are focused on the near-future of the technology, as opposed to the mid-term opportunities and AI’s long-term effects on humanity. Some speakers were concerned that we're spending too much time worrying about what the technology will do for us, while others think we're too concerned about what it will do to us. There was a lot of focus (for better or worse) on the productivity benefits, but relatively few people were thinking about the consequences for humans.

Eugenia Kuyda, founder and CEO of Replika, noted that we should “stop designing for productivity, and start designing for joy,” which is a lovely provocation. We don’t need to forsake one for the other, but designing for joyous experiences can make productivity far more desirable. Our work with Ethiqly around integrating AI and writing exercises in schools focused not on the power of the technology or how many more essays kids could write, but on making the process of getting your creativity on to paper more joyful and rewarding, and focusing on the relationship between teacher and student.

There were also several conversations around the idea that technology will free up time for us to spend with our families instead of working. As romantic as this sounds, it’s not realistic. Organizations will simply reduce headcount, and then increase the other workloads for employees. Articles like this one from the BBC hint at a workforce feeling more burnt out due to AI implementation, showing a glimpse of the human consequences we should be designing for at the application layer.

3. Embrace quality over quantity

Several people spoke about the exponential growth of investment in computing power for large language models (LLMs). Currently, 70 cents of every dollar invested in AI models goes into crunching the data.

As an alternative to this massive use of resources, several speakers brought up the concept of small language models. SLMs are literally smaller models, trained on just 1 billion tokens. (LLMs can require upwards of 1 trillion tokens.) These SLMs can be created with a fraction of the time and energy, and offer great specific utility. Consider the example of the telecom call center. Its model doesn’t need to be exposed to the nuances of Shakespearean sonnets; it just needs to know the words and phrases needed to operate a call center, so you can spend less time, money, and energy on creating your model.

With the tens and hundreds of millions of dollars we’re spending to train LLMs, how much are we willing—or is financially feasible—to spend on models? If we continue down this path, the financial / physical / electrical requirements are going to become unsustainable. One panelist mentioned that “we should be feeding the machine the right information vs. all the information.”

The potential futures for more intentional and nimble SLMs seems much more approachable and both financially and ethically feasible.

4. Spoken language is irreplaceable

One of our favorite speakers was Jessica Coon, the linguist who consulted on the movie Arrival. She argued that human language is rich, nuanced, and endowed with the histories of our cultures. An input text box attached to a keyboard populated with Roman characters is never going to be able to express a fraction of it.

Rikin Gandhi, the co-founder of Digital Green, a company using AI to provide agricultural information and guidance, spoke about the company’s work with farmers in rural India, where illiteracy and nuanced local dialects and translations make-text based offers unviable. But AI models’ abilities to understand spoken language, locational context, and nuances of a given agroecology and a given time of the year means those farmers can interact through images, video, and spoken word.

This perspective shines a spotlight on the potential for more diverse and inclusive design principles, and our spoken language is a key part of that future.

5. Discover a new impetus for responsible design

We also heard from Pratyusha Sharma, a leading researcher and member of Project Ceti, who shed light on how we might be able to leverage generative AI to understand the unsolved mysteries of the ecological world.
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Sperm whales communicate through clicks, or codas. While researchers for decades have understood that this is the primary communication pattern by which this social species coordinated, it had been impossible to untangle the spoken language and what it meant. Sharma spoke about a novel use of generative AI—using a generative adversarial network, or GAN, to surface both the alphabetic principle and deeper understanding of coda meanings. With this technology, not only could we hear the sperm whales’ communication—we can understand what it means and predict from their communications what they might do next, whether that’s diving for food or coordinating childcare.

As AI tools become more and more powerful in helping us understand the language of the world around us, the impetus for responsible design will become clearer and clearer. If we can start to interpret the language plants, animals and earth use to communicate, how can they not be a stakeholder in everything we design?

Curious how human-centered design could help you make more desirable AI products? We’d love to chat.

We need to start pulling the human signals from the technological noise, and weaving them together.

A good purpose statement articulates a passion to boldly make an impact. It can differentiate you from competitors, grounding your work in deeper meaning. It can serve as a beacon to draw like-minded individuals to your company—as consumers or employees. And it can align and motivate leaders, guiding strategic choices.

To do all that, a good purpose has to make you FEEL something.

But too often in crafting a purpose statement, marketing and business jargon sneaks in, adding extra bloat. Or conversely, the language gets watered down to the point where it doesn’t mean anything anymore. The emotional gets sacrificed for the intellectual.

If you feel yourself or your team starting to slip into the weeds—or floating too high above the clouds—here are three ways to re-inspire and re-calibrate your thinking around purpose.

1. Get out of your own head: Collect love letters.

‍If you’re feeling lost at where to even begin, start with some on-the-ground research. Approach employees, end users, stakeholders—whoever interacts with your brand or company—and ask them to write a love letter to your organization, talking about what they’re most proud of, or what they appreciate most.

How we’ve used it: Last year, we were working with the team at Dartmouth Library to develop its strategy, starting with a clear articulation of its purpose. As part of a series of co-design workshops with faculty, staff, and students, we asked participants to write a letter to their library: What did they treasure most? How did it make them feel? While the stories we gathered covered a broad range—encompassing everything from intellectual exploration to belonging—they revealed the deep connections people had with their library, an attachment that was central to both its purpose and strategy.

2. Push past “what” and “how” to uncover your “why.”

‍If you’re feeling like your purpose is stuck in details and logistics, try the classic Golden Circle from Simon Sinek. Draw three concentric circles: the biggest should be WHAT you do; the next, HOW you do it; and the center WHY you do it. Brainstorm your answers to each and put them in the appropriate sphere. Focus on what landed in your center circle—your whys start to articulate your purpose.

How we’ve used it: The Boston Society for Architecture reached out to us to help the organization shift from being program-driven to being impact-driven. In a series of collaborative workshops, we had stakeholders list all the practical and emotional benefits for member architects, partners, community leaders, and students. Together, the team mapped these examples on the Golden Circle, setting aside functional positioning statements to focus on elevating the why—the emotional purpose that the organization could rally around.

3. Fast forward to the future to ground purpose in greater context.

‍If you’re struggling to make your purpose feel more aspirational and evergreen, consider taking an imaginative journey five, 10, or 15 years into the future. Spend a few minutes generating as many future signals as possible: What are things you observe in your industry, your customers, or your organization today that might indicate bigger trends over time? How might you evolve your purpose to stay relevant amid these changes?

How we’ve used it: In the earliest days of the pandemic, we were working with a large consumer electronics company to design a bold new strategy for the organization. To kick off the work, we spent a couple of hours with the core team generating signals. Even though we had no idea what the impacts of the pandemic would ultimately be, we were looking to uncover and better understand trends that were already starting to emerge in the world around us. These explorations into themes like hybrid work, climate resilience, equity (and more!) helped us paint a picture of the future that gave us a context for defining a purpose that could fit the company for years to come.

Articulating a bold and inspirational purpose is hard. It requires creativity, empathy, and constant iteration. And in the swirl of “are we there yet?” it can be easy to sacrifice the emotion, chopping the “feeling” in favor of generic language that—if said with enough oomph—sounds smart enough. But it’s not worth it.

Finding the right “why” can help give your purpose the power it needs to inspire leaders and employees to work in service of something greater. And when you bring it to life, a great purpose can signal your company’s core ethos to consumers, acting like a beacon to those who seek what you have to offer.

For organizations and brands, discovering purpose always starts with a question: “Why do you exist, beyond profit?”

But where is “here” exactly? Here is a tense political environment amidst a divisive battle over “woke” values. It’s a challenging business climate with companies deprioritizing DEIB budgets and sometimes removing entire teams. It’s a design community questioning when and where to push on inclusive practices, in service of moving all of us forward.

Even amidst these hurdles, many of us are still seeking a world where our commercial systems reinforce the world we want to live in. That’s our “there.” To those who believe, the path to more inclusive design practices is not some cherry-on-top afterthought; it’s an imperative facet of our evolving global culture. And for some designers, it’s why we wake up and go to work every day.

Responsible design (or inclusive design, ethical design, or even respectful design, as design leader Dr. Dori Tunstall has dubbed it) has been an emerging focus of design for decades, most often helmed by BIPOC and marginalized folks at design-led organizations. At IDEO, it’s been a movement most recently organized by the Inclusive Design Collective (IDC), a fast-growing crew that meets regularly to discuss design, interrogate our processes, and consider the potential consequences of our work, socially and environmentally.

The IDC has been experimenting with design tools and resources to use throughout the design thinking process (many of these interventions build on tools and best practices from across the worlds of design, engineering, and business). Most of the tools we’ve developed and adopted make space in the project journey to question privilege, power dynamics, biases, and access—all to unlock better outcomes for people and the planet.

Meanwhile, we can feel business shifting. Not all decisions are being driven by profit and shareholder value anymore. We see in our research and in our client work that commerce is becoming more values- and responsibility-driven choice-making. (And in many cases, it’s already there.) Here are five reasons we believe centering inclusive practices in design is the way things are going:

1. Inclusive design is at the heart of global scaling

Capitalism is built on a premise of continual growth. Increasingly, businesses are looking globally to find that growth—but doing so requires that we design thoughtfully and inclusively for consumers and producers in those new markets. For decades now, emerging markets have produced goods for the world, leading to a wave of consumerism. The internet accelerated this change in consumption and exacerbated a trade imbalance that does not serve the needs of people in emerging markets.

But now, we're seeing a shift, especially as historically marginalized countries are experiencing population and economic gains that far outpace the rate of change in other markets. Companies have begun trying to sell products and services to people in emerging markets, delivering to an entirely new set of customers with different values, systems, cultures, needs, and motivations. The businesses that will win—as always—are the ones that deeply understand their customers and how the products they deliver meet those customers’ needs. That means the businesses that will win will be the ones who design alongside them.

We’ve seen this firsthand. Our Last Mile Money program, funded by the Gates Foundation, was a great use case for responsible design. Our work focused on helping companies launch more inclusive products and greater financial access in emerging markets at what is called “the last mile”—underserved women, people in rural areas, and others facing barriers like literacy and internet access. Even companies that were committed to designing for underrepresented users were facing a challenge: Products were often designed with urban, tech-savvy, mostly-male users in mind. Despite pouring money into marketing, promotions, and rebrands, new users weren't adopting their wares. To unlock real growth, these companies needed to expand far beyond their existing users.

In response to these challenges, IDEO developed tools like Designing for Digital Confidence, the Gender Evaluation Framework, and the Financial Confidence Playbook. We centered underserved users throughout the design process, constantly going back to them for feedback to help product teams understand a range of barriers that have kept many people from using and benefiting from digital products. We listened and then took action, redesigning and improving products for needs that have often been ignored.

In India, major e-commerce platform FlipKart (owned by Walmart) redesigned its app to be more intuitive for first-time internet users, helping them serve hundreds of millions of customers. In Kenya, a startup called Leja streamlined its product’s onboarding experience for female small-business owners, leading to 30 percent more sign-ups, and more than quintupling transaction growth. We're seeing many more companies integrate responsible design into how they operate, not just because it’s the right thing to do—but because their own future growth depends on it.

2.  Gen Z won’t mess with anything that’s not inclusive—no cap

‍The number of Gen Z workers—those born between 1997 and 2012—is projected to grow to 51 million by 2030 (overtaking Boomers, who had long reigned as the largest generation of full-time workers, from the late 1970s-2011). Gen Zers are digital natives who grew up in the era of rapid technology development, possess a unique set of skills and perspectives, and are the most diverse generation of our time. Gen Z's strong sense of social awareness and values-driven choice-making guides everything they do. It now has begun to guide business. Companies are shifting their calculus—lack of inclusivity means fewer customers. And businesses who don’t heed this may go the way of Crystal Pepsi.

Meanwhile, external signals reflect a similar sentiment, like the rise in demand for environmental, social, and corporate governance-related investment (82 percent of Gen Z have exposure to ESG investments, and 40 percent say their investment decisions are driven by companies with purpose), or the way Gen Z has redefined consumption from ownership to access, show that they're demanding more from the companies, products, and technologies they adopt. Gen Zers hate labels, love “slow fashion,” and more than half of them identify as “not straight.” For them, DEIB needs to be built in, and authentic, and their loyalty will follow.

As many companies are scrambling to build AI products as quickly as possible, we took a different approach: working directly with Gen Zers to learn more about what they really want from AI. As we tested and prototyped product concepts, they sent us a clear message: They only want products that align with their values. Too many of us assumed that as digital natives, they would take to all-new tech like ducks to water; instead their preferences have many folks really considering the ethical and climate consequences of emerging technology.

3. In many sectors, responsible design won’t be a choice—it will be an obligation

‍‍We all know that businesses today are not nearly as motivated as they need to be to make the changes our planet will need. When we worked with H&M’s CEO at the time, the company had made aggressive sustainability goals, driven by their own aspirations for the business. However, they were also aligned with global regulations, calling for less plastic and less waste in manufacturing processes, and placed them ahead of the market in this transition by streamlining their supply chain, and cutting excess inventory, and producing less waste.

It’s too early for this latest AI growth spurt to have spurred much regulation—but it is coming. IDEO’s Emerging Tech Lab is putting ethics first and sees AI and climate at an intersection, ripe with opportunity for designing more responsibly—for the good of the world, but also because one day, companies simply won’t have a choice.

4. Consumer preferences are changing, and businesses that only care about shareholder growth may be penalized

‍Values-based consumption is not just having a moment—it has redefined consumption. More people are choosing to support companies that align with their values. In fact, in a McKinsey survey, 70 percent of Gen Z respondents said they try to purchase products from companies they consider ethical. Nielsen tells us that 75 percent of Millennials are so eco-conscious, they’ll change their buying habits to favor environmentally-friendly products.

Consider Patagonia. With an estimated value of about $3 billion dollars, and $1 billion in annual revenue, the outdoor company announced in 2022 that Mother Earth would be its only shareholder, and “every dollar that is not reinvested … will be distributed as dividends to protect the planet.” Patagonia has made a name for itself with aggressive environmental goals, like completely eliminating virgin petroleum material in its products by 2025, and becoming net zero by 2040. Patagonia products aren’t cheap, yet sales have quadrupled over the past decade, and it has also expanded offerings into food. The company is a great example of how a brand can be very clear about what it stands for, and still find that people will pay for quality—even at a time when consumers are feeling the pain of inflation. Meanwhile, fast fashion, which offers customers lower quality goods at a much cheaper price point, has seen a steady decline in sales. If businesses continue to only value cost savings, they may learn: Cheap isn’t cheap when it loses you a customer.

‍5. Responsible design creates better products

‍We're big admirers of the healthtech startup Kasha, which has leaned into responsible design to unlock pent-up demand with healthtech. Founder Joanna Bichsel saw that millions of women lacked access to health products in Rwanda. So, Kasha listened to customers’ needs and pain points, and it designed a service that delivered tampons, contraceptives, and other women’s products in accessible and responsible ways. Kasha tapped into massive demand by offering unprecedented product choice, high quality, and perhaps most importantly, confidentiality to its customers, who are 65 percent low-income women. Kasha has seen 10 times revenue growth, and has now expanded to multiple markets across Africa. The woman-led startup isn’t stopping there: It’s adding pharmaceuticals, telehealth, and credit services—all to help women better access quality health care. Kasha learned that centering the unmet needs of the voices that are so often unheard was not just the path to more inclusivity, but also to create products specifically tailored for their customers, and succeed as a company.

The opportunities ahead

Whether it’s the values-based consumption habits of the next generation, new opportunities in growth markets, a coming wave of regulations in climate and Gen AI—Bob Dylan said it best—“the times, they are a-changin.”

Companies that plan for this future, this “there,” with value-loving consumers, more diverse needs, more access, more expansive geographies—will not only get “there,” they will reap the benefits, too. If you’re trying to make it through this tough, ever-changing market—inclusive design might be the best way to survive, and we’d love to help.

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(The figure for Patagonia's annual revenue has been updated for accuracy.)

We won’t get “there” by doing what got us “here.”

The question was a daily prompt, an experiment to help teams to have more candid conversations and increase their ability to collaborate with each other. Instead, an awkward silence followed.

The exercise was part of a partnership exploring the power of making with a global healthcare company. Together, we were designing for the organizational culture the company wants to have to achieve their strategic ambitions. This team’s role was to instill new ways of working for the whole company. They wrote the culture code. But they couldn’t quite articulate how they themselves were living it. Yet.

Their trouble answering the question wasn’t a failure—this work is hard. And it requires changing ingrained behaviors every day. So together, we worked with the team to make culture change tangible through real-world experiments (not just decks and frameworks) that helped ignite new behaviors through actions, not words.

What does that mean, exactly? As Roger L. Martin, strategy advisor to some of the world’s most successful organizations, explains, “The truth about culture is that the only way you can change it is by changing the way individuals work with one another. If you can change that, then you will find the culture has changed.” Changing how individuals work takes more than words, or artifacts, or processes (although those things definitely have a role to play). It requires action. That’s where design comes in. And that’s where our team started, by making a series of cultural experiments.

The goal was to learn about how we can change people’s behaviors and enable them to work differently. We collaborated with key teams and people who identified themselves as culture ambassadors. Together, we created tools and activities that would inspire action, and teach us how to change culture in this specific environment, because every org is different.

Here are some of the experiments we used to ignite action.

Unblocking decisions and flex support styles with a card deck

The organization wanted to become “networked”— meaning people would work more autonomously, with high accountability and clear communication between teams and their leaders (rather than linear, siloed teams). But if communication is lacking, and accountability isn’t clear, decisions in a network are made by consensus, and people don’t feel empowered to take ownership and use their ingenuity to solve problems. So we created two sets of cards to prompt better conversations between people and their managers.

One set of cards focused on unblocking decisions, by sharing questions (Is there psychological safety within the team making decisions?) and assigning clear roles that defined the level of involvement people have in making different decisions. Is someone supposed to drive a decision, or simply consult on it?

The other set of cards helped people articulate the type of support they need from their managers in a given moment, like coaching vs. problem solving—facilitating more open conversation about the type of leadership they need to thrive. These cards empowered managers to better support their teams, while empowering teams to be clear about what they need to drive good outcomes. They also proved that specific structure and language could prompt desired behaviors at scale.

One participant shared that after an initial conversation where she told her boss she was looking for a coach, he helped her strategize to draw on her strengths to achieve her goals. And when she wanted to share her “value with a broader group outside of customer-facing work and my immediate team,” she felt empowered to put that into action, which “would've never happened if it weren't for the initial coaching.”

Implementing a daily ritual to prompt collective reflection and candor

One of the most critical behaviors for creating a collaborative culture is regular, honest feedback between people. Done well, it builds trust and psychological safety among teams, leading to better performance. In this organization, teams rarely found time and space to give or gather informal feedback on the way they work. When it was positioned as a mandatory, formal task, it could feel exhausting.

Intead, we wanted to prompt small, regular conversations about collaboration. So we created a fun reflective tool based on a spin-the-wheel format:, an online generator that surfaces topical questions (like the one at the beginning of this article) to prompt candid chats. The questions run the gamut from silly to serious, and taught us the importance of making something fun if you want teams to build it into their existing routines. Questions like, “When has a new perspective helped you make a decision recently?” encouraged people to feel safe in opening up and reflecting on their behavior as a group.

Over time, reflection moments became something teams looked forward to. The questions changed the narrative so that employees could surface issues without fear of consequence, and resolve issues before they became problems. As one participant told us, “The energy was palpable in our group. It got to five minutes before the end of the session, and they still wanted to talk. Everyone wanted to do it again. It’s turning into something wonderful that we needed.”

Introducing an action journal to increase leaders’ self awareness

Many leaders recognize the importance of regular reflection and feedback sessions, but competing priorities get in the way.

To address that need, we designed a personalized action journal that fit into leaders’ daily work flow. The goal was to learn whether a tool that prompts regular self-reflection will result in an increase in leaders' self-awareness, helping them identify how they want to grow, and prompting them to seek more support.

Through this simple experiment, we were able to learn that creating dedicated space and time for reflective practices not only boosts leaders’ confidence, it models the value of continual learning and growth for others. One participant told us, “I've found it a nice and simple way to reflect on the things I've been doing, and connect that back to conversations with my own manager.”

Each of these experiments made new behaviors tangible by giving form, fun, and structure to otherwise abstract concepts. They helped people experience the potential value of new ways of working for themselves, demonstrating their function, and connecting theoretical culture change concepts with day-to-day work.

Culture change at any scale requires more than words; it requires action and application in people’s everyday experiences. Making change tangible through experiments is the quickest way to surface stories, build belief, and gather the evidence to support change at scale. Not every organization is trying to solve the same problem, and the same experiments won’t work everywhere. But for every culture problem at every company, there are tangible ways to drive change.

In a recent meeting with a new client, we asked the team, “What smart risks have you or your team taken recently?”

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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.

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.