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.

Throughout all those years, from the machine shop to the digital shop, regardless of the technology we’re using or the problem we’re trying to solve, what has really gotten things done is ingenuity and creative thinking—especially in the face of dire cost and time constraints. A little bit of luck never hurts either.

So without further ado, here are my four favorite workarounds of my last decade and a half at IDEO.

2001: Using an Oscilloscope to save the sunroof

The challenge: The sunroof in your car is an invitation to luxury—catch some rays, feel the wind in your hair. The problem is, when driving at certain speeds with the sunroof open, a distinct and unpleasant booming noise can occur, making the experience rather less glamorous. The sound, a quick, repetitive thumping, is called “buffeting.”

Carmakers couldn’t figure out what to do about it. A luxury automobile company hired IDEO to find a way to make it stop.

IDEO’s workaround: My colleague Thomas Enders and I borrowed a brand new Mercedes-Benz and went for a ride! We brought along an oscilloscope (or “O-scope”) to measure the frequency and intensity of the sound waves of the buffeting effect at various speeds. With Thomas at the wheel, I held the O-scope, connected to a barometric sensor. This way, we were able to measure what was happening every time the buffeting started up.

What we discovered was that closing or opening the sunroof a small amount would change the dynamic of the air space in the car, and the buffeting noise would stop. So we designed a circuit that could detect buffeting and automatically adjust the opening of the sunroof to get rid of the annoying noise. Cruise on, in unimpeded luxury!

2002: Turntable-testing stylus materials

The challenge: Handspring, a company that produced hand-held PDAs (remember those?), looked to IDEO to find the best, most durable material to use for their stylus pens. We narrowed it down to a few polymers of various densities, but we had to figure out how to effectively test the materials for wear and friction over time.

IDEO’s workaround: We bought an $8 record player at the local Salvation Army, and replaced the needle with the various materials we were testing. Then we started it up and used a tachometer to track revolutions and measure distance and speed. Now we can brag about our DJ skills.

2012: Making the functional fashionable with paracord

The challenge: We worked with Vodafone and fashion designer Richard Nicoll to create a purse that could charge a mobile phone, while also being stylish enough to work the catwalk at the London Fashion Show. Part of the design was a small charm that hung outside the purse and flashed LED lights to signal incoming calls and text messages. We needed to find a coating for the charm that would protect the LEDs without being a fashion faux pas.

IDEO’s workaround: While we were brainstorming materials, I looked down at the bracelet I was wearing. It was made of paracord, commonly used for the strings of parachutes. Paracord is extremely durable, and it’s sold in a plethora of colors and patterns. We ordered a few strands online and found that we could remove the sheathing from the outside of the cord. We dressed the charm’s electrical cord with the sheathing from paracord, and voilà ! It gave the high-tech handbag a clean look and feel that was fit for the catwalk.

2013: Cooking circuit boards in a toaster oven

The challenge: Today’s electronics can be minuscule, and that means soldering up a printed circuit board (PCB) by hand can take forever. People who build a large number of PCBs use reflow soldering technology, but the necessary equipment is extremely expensive.

IDEO’s workaround: We decided that, given the type of rework electronics we do, it would be a good idea to tap into the mindset of the DIY community. Taking a page from their book, we bought a standard toaster oven. We fired it up and tested different temperature profiles and various types of solder paste, and soon came up with a working reflow soldering system.

Illustrations by Ina Xi

In my 15 years at IDEO, I’ve had a hand in roughly 130 projects. Some of the technologies I’ve worked on have become obsolete, like component research that required dozens of part catalogs (now, we just use the Internet). Many, though, have become the foundation for newer technologies, like discrete components, which were developed into MEMS sensors. And some, like the first Olympic torch to use LEDs rather than a flame, have been the very first of their kind.

IDEO New York developer Francis Tseng is—in his spare time—searching for a solution to the problem by exploring its root: the relationship between content and code. Tseng received a grant from the Knight Foundation to develop Argos*, an online news aggregation app that intelligently collects, summarizes and provides contextual information for news stories. Having recently finished version 0.1.0, which he calls the first “complete-ish” release of Argos, Tseng spoke with veteran journalist and documentary filmmaker Jason Cohn about the role technology can play in our consumption—and comprehension—of the news.

How would you describe to my mom, who just got her first smartphone, how Argos works and why it’s useful?

I’d say that it collects all of the important news and tells you exactly what you need to know about it. Instead of tracking separate publications, it pulls in new articles from a variety of different sources (right now, just a few major publications) and condenses everything into a set of bullet points. Argos uses a technique called “hierarchical agglomerative clustering” (HAC) to organize news stories. HAC takes each individual article and compares it to every other article, and comes up with a number representing how similar they are, on a scale of 0-1. If the similarity is above some threshold—say, greater than 0.7—the articles are considered to be talking about the same event, and they are grouped together into “event clusters.” The same HAC clustering technique is then applied to the event clusters to organize events into “story clusters.”

A sentence ranking algorithm generates a summary of each event cluster by analyzing the text of every article in the cluster and assigning an “informativeness” value to each sentence. It then takes the top five highest-ranked sentences and forms a summary. Right now I have a very simple version implemented, but the long-run focus will be on improving these core algorithms that do the heavy lifting.

Are journalists necessary anymore? Have I been replaced by an algorithm?

I personally don’t think that journalists will be replaced, at least not for a long time. Someone still needs to go out and do the research and the original reporting to get the information that the algorithm uses, which seems like the hardest and most valuable part of journalism.

It seems like some new tech applications derive from the recognition of a new technical capacity, which you then look for novel ways to use. In other cases, it begins with the recognition of a need, and you look for extant technologies that provide a possible solution. Which way did you approach Argos?

Both. I’ve always had a fascination with artificial intelligence, and that fascination has probably made me more sensitive to problem areas where AI approaches could be applicable. Personally, I find information overload, especially when it comes to keeping up with the news, really anxiety inducing and overwhelming, and I think because I was already familiar with some of these text processing techniques, it made sense to try applying them to this particular problem.

I’m glad you brought up information anxiety and overload. I think it’s a huge barrier to understanding the news today. There is so much information and analysis, but I don’t trust any of it, and I don’t know how to begin to get to the bottom of what’s really happening. Do you think Argos, or technology in general, can be an aid in this problem?

That's a particularly good example of the fact that there are different kinds of information overload. There’s one that is just about having too much information, but there’s another that is about figuring out which information you can trust. In general I would say technology has the potential to salve these kinds of anxieties, but it can just as easily do the opposite. More than anything, I hope Argos reduces the problem rather than adds to it, but one of the big failings I’ve felt with this first version is that it doesn’t accomplish that; it ends up generating more noise. Based on the feedback I’ve gotten, I'm looking at new designs and reevaluating techniques in order to rectify that.

What did you learn through building the first version that will influence the next one?

When I originally conceived of Argos, I was (and probably still am) naive about the extent of the issues that plague digital journalism. The more I looked into it, the more problems came up. Initially, the idea was about reducing information overload, mostly by supplying missing context to stories. But after completing this first version, I think that reducing overload and providing context might be really big and different issues. So right now I’m trying to determine how—and if—they can be solved simultaneously.

You mean because providing more context increases—by a lot—the amount of information a news consumer requires?

Exactly. The other main goal was increasing the understanding one got out of reading the news, which is what context is supposed to help with. But that’s kind of useless if all that information ends up driving people away from reading the news in the first place.

What changes are you planning for the next version of Argos?

In the first version the design was focused more on providing an experience similar to a traditional news publication or news reader. The app was organized around different feeds, or streams, presented as full-screen images with the title and summary of each event.

One issue was that the design wasn’t distinct from other news readers—you can’t really tell from looking at it that it’s offering anything different from a traditional RSS reader or news application. And it’s really hard to expect that every news story will come with a nice big image. Also, though, I think that in approaching the app as a traditional news publication, I missed the point of what I was trying to accomplish. The feedback I've gotten has helped me understand that Argos can have a more useful and unique place in being kind of a “daily scan” of the day's news events. So the new designs are more akin to brief updates about events around the world, to provide people with an entry or starting point for reading more and getting involved in discussions.

And you give them avenues for digging deeper into contexts and definitions?

Yes. The original source material is there to read, and context is optionally provided. You can choose to read more about the event itself, or about the people, places, organizations, etc. that are involved.

What about the issue of bias? As journalists, we’ve always had to be wary of our sources. And as consumers of news, it’s always been a good idea to assume that someone with an agenda is feeding reporters their information. How does Argos handle biases and opinions that are embedded in a story?

The issue of bias in journalism is one of those big problems that cropped up when I looked more closely at what I wanted Argos to do. It seems like a perennial issue. One potential solution is that, if you sample a large enough set of publications, bias might “average out,” so that any summary that is formed from their aggregate has less bias than any individual article. I don’t know if that works in practice though. My cop-out answer would be that Argos isn’t really trying to solve the problem of bias, but personally I hope that one day it can. Looking at the history and associations of the author who wrote the piece could actually be a very good technique. In the new version of Argos, I want to incorporate more community dialogue around the events and stories. In my experience, a lot of these issues about bias—being as complex and nuanced as they are—are best hashed out by individuals discussing them.

I think I have to disagree with you on that! My feeling about web comments on news stories is that they rarely shed much light relative to heat.

It is very difficult to pull off correctly. A lot of comments devolve into knee-jerk shouting matches. Occasionally, though, I’ve found something really insightful. On Reddit, sometimes experts will come in and succinctly explain things, and every once in a while you see a very levelheaded discussion about a story. I think the potential is there, but it’s hard to get it right.

One thing I’ve been focusing on is that I’m trying to get my hands mostly on reporting that’s coming from the field. The rest is just analysis, which, in my opinion, is more susceptible to ideological influence.

Yes! I have been thinking a lot about how to incorporate grassroots and community reporting. I’m dissatisfied with Argos’s current approach of relying on major publications, but it’s just easier at this stage.

Do you need to have content licensing relationships with news organizations to harvest the data or can you just… borrow it?

It’s possible this usage of the content falls under the terms of “fair use.” All the original articles are cited, and I’m hoping that these high-level summaries can interest people in reading the original posts. Since things are still quite experimental, I’m not worrying about the potential legal consequences now, but at some point I will want to talk to the publishers.

It seems to me that one really useful type of story for Argos is something like the lost Malaysian airliner. There was a big burst of real news when the plane disappeared, and then there was an endless cycle of conjecture and empty reportage with very little actual “news.” If you were following that story on Argos, would you avoid being updated every five minutes to discover that they still haven’t found the missing plane?

Yes, if the clustering algorithm works well enough, it should be able to recognize that these articles are talking about exactly the same thing as the ones from last week, so it’s not a new event.

It would be nice if cable news worked like that.

Maybe with Argos it will!

*Argos is a personal project of Francis Tseng's and is not affiliated with IDEO.

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Digital journalism has evolved to a point of paradox: we now have access to such an overwhelming amount of news that it’s actually become more difficult to understand current events.

Generative art, or art derived from computer code, is a relatively new format, in which the artist-programmer realizes a vision or idea by defining parameters and commands. But making generative art is, in many ways, just like painting or any other classical fine art.

When you create a painting, you start with an inspiration and sketch it on paper. You then prepare your oils, brushes, and canvas, and you refine the painting until it’s just right. I follow a similar process with generative art. When something inspires me, whether it’s a contour map in a geographic magazine, a chart representing a mathematical formula, or the various mechE tools in my father’s workshop, I sketch it on paper and jot down the keywords that best describe it. Then, I sit down at my computer and compose the code (using the Python programming language) that will “paint” the right “brush strokes.” I run the code to generate images on my computer, and go through multiple iterations until the code outputs the shapes, colors, opacities, and shadows that perfectly express my original idea.

I leverage the power of my computer to generate the artwork. Where a classical fine artist would pull out their oils and brushes to express colors and shapes, I do the same with parameters. For example, I defined a palette of colors for painting waves like this:

As if the computer was a hand holding a brush, I tell it how to paint by defining command codes, like draw_wave:

Delightful randomness

While most of the parameters in my code are set statically, I have also added an algorithm that allows certain parameters to be generated randomly, so the visual elements of the image change randomly within a defined range. This way, the final product is unpredictable; I’ll never know exactly what image will be generated.

This function returns a float number randomly ranging from 0.1 to 0.7:

The random parameters are not only unpredictable, but also non-reiterative, so these images cannot be recreated—they are completely unique.

Algorithm as art

Computer graphics are based on mathematics, so when I paint with code, I am exploring and visualizing the beauty of structure, abstraction, and complexity in mathematics that most of us don’t get to see in our daily lives. It often happens that when I play with a new algorithm and see the images it generates, I'm inspired to develop them into artwork, as was the case with Tsunami, below. The inspiration for this series came while playing with an algorithm named Cornu Curve, which generates a fantastic visual effect of crazy waves. From the same code, I made six different images using a combination of a hundred curves in varying opacities and shades of blue.

Unlimited complexity

Creating art with code allows me to make complex images that I could never have made by hand, such as All Seeing Eye, below. It is composed of millions of lines and hundreds of layers, and each line has its own shadow, blur, and opacity.

My goal was to use the complex texture to create the visual effect of catching or entrapping the audience in the “eye.” The computer is an exciting tool for creating art like this, which requires repetitive, intricate work. A piece of generative artwork composed of millions of shapes can be drawn in just a few minutes. Rendered by hand, the same piece might take a human ten years to accomplish.

Like a painter selecting the perfect tool, I used the following piece of code to define a “brush” with just the right characteristics to create the lines I wanted:

Then, just as a painter would use a specific gesture to create a certain visual effect, I used the following code to tell my computer how to hold and draw with the brush I created:

Functional designs

The exciting thing about generative art is that it is not only beautiful, but also usable. We can create new patterns and unique fabrics for the fashion industry, or we can move beyond two-dimensional creations and use generative art to make sculpture, furniture, and even architecture.

Creating art with code, I’m constantly making new discoveries of exciting visual possibilities. Computers have revolutionized countless aspects of human life, and now, generative art has the potential to revolutionize artistic expression, opening infinite space for innovation.

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By day, I code mobile apps and design digital experiences. In my free time, I create art. I recently began exploring both at once with generative art, a sublime combination of computer programming and graphic art.

Wild ideas emerged: a Hug Deli, where patrons might order Ninja Hugs off the menu; a mystery bar, serving up a drink chosen by the previous guest. The big idea was to get people out of their “thinking minds“ in order to freely create.

And that brought us to Fauxtobooth.

A riff on the classic photobooth we all know and love, this version is completely handmade and doubles as a creative confidence booster—forcing people to draw on a deadline.

How it works

The subject takes a seat inside the booth, facing a mirror. Thirty seconds after pressing a button, the subject receives a slip of paper through a slot below the mirror with—whoa!—a hand-drawn sketch of his or her face on it.

Um, how exactly did that work?

When the host brings the subject around to the back of the booth, the inner workings of the machine are revealed: table, chair, paper, Sharpies. The subject was actually posing in front of a two-way mirror and now it's his or her turn to take on the role of fauxtographer—of capturing the next unsuspecting subject.

How it's made

To make a full-scale prototype, you’ll need some foam core and tape. A crude model will help you get a sense of the dimensions and how long it would take to build. The massive black exterior offers an opportunity to advertise your offer. We used vinyl decals for our slogan: “Automatic portraits while you wait!“

Enlist friends: Building a Fauxtobooth takes a village (who likes to cut foam core alone anyway?).

Glue together pieces of foam core to provide structural integrity, and attach the parts using industrial strength velcro, making it possible to easily deconstruct and transport the booth.

Finishing touches

A few key elements bring the Fauxtobooth to life: a two-way mirror, a giant red “Start” button, and graphic flourishes:

• Two-way mirror: The artist can see the subject, but not the other way around. Position the Fauxtobooth under direct light on the subject’s side (you can also use a spotlight), and make sure the curtain is closed on the other side to completely conceal the artist.
• “Start” button: Program an Arduino to keep time (we used an interval of 30 seconds). When pressed, the button lights up for 20 seconds; for the last 10 seconds it blinks and counts down. This serves a dual purpose: the subject knows to hold still for their portrait and the artist knows how much time they have to complete the portrait.
• Graphics: IDEO designer extraordinaire Njoki Gitahi loves bold, vintage signs, and playful, typographic compositions. She took inspiration from Lou Dorfsman’s “Gastrotypographicalassemblage.“ The team vinyl cut and applied the graphics—a tricky process, but well worth it in the end. The white lettering creates a dramatic display against the black backdrop.

What we learned

Once we narrowed in on the Fauxtobooth concept, we realized that (1) you can capture the gestalt of a person in a very short time, (2) people have fun with it, and (3) the collection of images make for an awesome display wall. Here are a few other things we discovered along the way:

• Get back to basics. Building with common materials like foam core, tape, and Velcro reconnects you to basic skills and tools. And the analog experience charmed the pants off people.
• Velcro is your friend. Not only is the sticky stuff forgiving if you don’t get the alignment just right on the first try, it also allows you to disassemble and reassemble structures on location. Consider it the new duct tape.
• Fine-tune light and sound. We were able to position the subject’s side of the booth under a light and keep the artist’s side relatively dark. Check your space ahead of time and use a spotlight if necessary. Also, as the party heats up, the sound of the Start button may be drowned out. Turn up the volume!

Your turn

Up for the challenge? We put together a handy manual so you can learn from our mistakes. If you do build a Fauxtobooth, we’d love to hear about it. Send us a few (real) photos!

Download the replication manual and vinyl graphics

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There was a lot of work to be done. IDEO's New York studio was to host an event to celebrate Tom and David Kelley's new book, Creative Confidence, and whatever we designed had to reflect their ideas. Pressure on, we brainstormed over lunch—tools and sticky notes spread out across the largest room in our office.

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.