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.

To answer that question, we teamed up with Healthworx Studio to run an intensive five-week sprint and design a business that would address issues of access in rural health, leaning on AI to supercharge the process.

We kicked off with a lot of questions: Could we produce more rigorous, higher-quality results if we used gen AI tools to augment our team? Would it come up with innovative ideas for how to make healthcare more equitable? Could we get further faster? The answer was yes—with a lot of caveats. (For a deep dive into our approach, principles, and learnings, check out our Designing with AI Report.)

It quickly became clear that while Gen AI tools can’t replace human ingenuity, they certainly fuel it. When it came to generating solutions to a problem this complex, AI had very little to offer in comparison to human teammates. But it did help us innovate much faster and with more depth, bringing us up to speed on initial stakeholder context and synthesizing and incorporating datasets —crucial parts of the process that can take a lot of time. Here’s where we succeeded and failed, and what that taught us about using AI going forward.

Opening the aperture

Did a machine just listen to dozens of podcasts, summarize them, and give us themes in an hour? Yes it did. Thanks to tools like Preplexity.ai, which enables social listening on platforms like Reddit, we were able to quickly synthesize diverse perspectives from varied sources and distill themes that seamlessly integrated into our research process. 

Working with these tools feels like being bitten by a radioactive spider and gaining a suite of superpowers. We can rapidly develop contextual awareness of numerous stakeholders and their pain points in relation to the challenges we aim to address. With our lens widened, the questions we asked became more pointed and the concepts we designed more crisp. “The AI enables efficient pattern matching across massive datasets, unlocking value from information that was previously siloed or inaccessible,” explains Jaime Goff, Product Design Lead at Healthworx Studio. “By leveraging these capabilities, we can incorporate a breadth of knowledge beyond what our team could internalize before. It really expands what we can achieve by connecting us to data in new ways.”

The importance of coming together

But as our use of AI tools increased, there were unexpected sandtraps, too. For one, we noticed a steep decline in the quality of our team interactions. We thought that getting an AI boost would be “like having an extra designer in the room with us.” But the reality was we each retreated into our corners with our own AI assistant, forging ahead with new ideas. When it was time to reconvene, we were on wildly divergent tracks, and re-aligning to move forward as a team was an enormous undertaking. 

Another caveat: While generative AI tools helped us gather new forms of data, it was still critical to hear directly from the people who would be using these solutions. 

Nicole lives on a ranch the size of the City of San Francisco. After her husband broke his leg in a freak accident, she had to make a harrowing journey, traveling two hours to the nearest hospital. Stories like Nicole’s taught us a lot about what it’s actually like to access healthcare in rural areas, and the resilience it requires. It was the people we spoke with who brought nuance to the problem our team was trying to solve, inspiring our most critical insights and building confidence in our concepts. As much as we tried, we could not find an artificial substitute that could come close.

It was the people we spoke with who brought nuance to the problem our team was trying to solve, inspiring our most critical insights and building confidence in our concepts. As much as we tried, we could not find an artificial substitute that could come close.

Smelling the AI B.S.

When reviewing a few AI-generated venture concepts with the Healthworx team, the room fell silent. The concepts were all variations of the same idea, repeated and rehashed. “Generative AI can rapidly spin up concepts that seem good enough at first glance,” Goff says. “But when you scrutinize them, the limitations become obvious.” Even after extensive prompting with our AI co-pilots, we were still back to the same place, with a bunch of repetitive concepts. 

But when the team mined our own insights, we were able to find a truly compelling venture idea.

Late into the night, when the team was riffing, we shifted our approach from working alongside AI to guiding it. We had ChatGPT review and improve on its own ideas, asking it to strengthen the overall concept as it went. The tool acted like jet fuel, helping us add rigor and build out the venture, ultimately producing a successful pitch presentation that included high-fidelity mockups, early working AI prototypes, and an in-depth pitch deck.

Supercharging our process

We’re in the caveman era of generative AI, and there are plenty of unintended consequences to be concerned about. But we’re optimistic about how a human-AI partnership that leverages human creativity and nuanced subject matter expertise alongside AI tools allows us to quickly outsource parts of the process, add rigor, and iterate faster, supercharging design and innovation.

And while the AI hype is founded, its limitations, which became patently clear in the ways it addressed a complex challenge like rural healthcare, made us appreciate how important humans are to this equation. Goff says it best: “This project showed the value of individuals bringing their unique brains and nuance to the table to work alongside AI. Our minds provide the spark that drives real progress.”

For those who crave the details, learn more about our approach, principles, and experiments with our transformative collaboration with Healthworx Studio here or reach out to ai@ideo.com

Visuals created with Midjourney.

Healthcare has a lot of big problems to solve. Could AI help?

At a recent business roundtable, the topic was how to set product innovation up for success. I spend the bulk of my days helping organizations stretch to tackle business challenges by coming up with breakthrough ideas, so it might seem sacrilegious to allow those ideas to fail.  But since that breakfast, I found myself scrutinizing not only what failure looks like, but also how it feels.

There’s a saying that’s usually applied to writing: “Kill your darlings.” It’s a nudge to let go of a much-chewed-over clever phrase that doesn’t help the overall story.

We use the saying at IDEO, too. But our “darlings” are hypotheses or “sacrificial concepts” that we quickly put to the test and are willing to abandon. Iteration is the lifeblood of the design process—and the magic of it is that it allows for what Harvard Business School professor Amy Edmondson calls “productive failure.”

When companies face business challenges that require innovation, the instinct is to look for and land on a solution and sell it internally, so you secure permission to move forward. And what if the path you’ve chosen doesn’t pan out? We have a natural instinct to persist: The company has allocated money and resources, and it’s easier to hang onto the hope that a turnaround is just ahead than to pivot. 

But hope isn’t enough in an era of new baselines like disruptive AI and climate change. Companies must stretch further, build resilience, and find ways to meet an ever-evolving new customer. 

To keep pace, we have to reframe  business challenges as human challenges: What is desirable from a human point of view? What do people really need? How can we help a brand like H&M meet its customers’ desire to use less plastic? And also help the retailer meet its climate goals by reducing waste from its supply chain? Insights drawn from in-depth interviews with and observation of customers and other stakeholders combined with data already collected by the organization help us generate hypotheses that we can quickly test. 

In the case of H&M, we suggested replacing the plastic packaging they used to ship online orders with paper. But there were many hurdles to clear to make sure that would work across a global supply chain with multiple brands. It ended up taking several months and multiple pilots to ensure the more sustainable packaging would work.

Finding out that something doesn’t work—and, crucially, why—sets you up to more deeply understand the constraints you're operating within. And reframing an abandoned concept as a learning rather than a failure allows you to prioritize continuous improvement, keep teams motivated, and build stakeholder confidence . 

Organizations may feel like they don’t have the luxury of time to test innovative ideas. But proof of concept needn’t take more than one to two weeks and can be done at low-cost. One timesaver is to test hypotheses in parallel. That approach also allows teams to let go of darling concepts and view the goal as learning rather than validation. 

By one estimate, 95 percent of new products fail, and baking failure into the exploratory phase helps ensure the product or service that emerges has been battle-tested. A hypothesis that doesn’t work out isn’t a Failure, it’s a failure, and that feels different. In the case of H&M, prototyping packaging options not only led us to a paper solution that cut plastic, it led to us digging deeper on climate goals and ultimately redesigning their supply chain to cut millions of tons of waste.  

At the roundtable, we talked about the challenge of working within a company culture that doesn’t tolerate failure. I’ve worked in a number of those environments and cultures; they’re tough. Failure carries emotional baggage. If you got a taste of it as a child and were a diligent but mostly average student like me, you did everything you could to avoid seeing that red letter atop a test ever again.  

I’m currently working within a culture that makes room for failure. Some of that is inherent in the design process, which is optimistic and pragmatic. But my colleagues also share an important mindset. They focus more on impact than the idea or activity that produces it. There is a deep respect for diversity of perspective and a shared belief that if there’s a better way to do it, we’re going to do it that way. 

In IDEO’s London studio, we have a framed, handwritten quote: “I don’t hate you, I just hate your idea.” It was never intended to be framed, but it’s a fabulous reminder about not taking failure personally. If we truly share a collective goal of doing well and doing good, we need to generate and test as many ideas as we can—and be okay with killing our darlings to get there. It’s the only way to make real change.

Is your intolerance for failure holding you back? I’d love to hear more.

Should we allow new ideas to fail?

Two of those shifts? Generative AI, and our rapidly changing climate.

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Together, these two forces are moving both the people side of the equation—what we need and how we behave—and the how side of design: what’s possible.

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Welcome to the Climate Era

A new age is upon us. Steam propelled the original Industrial Revolution; electricity powered the second; preliminary automation and machinery engineered the third; and cyberphysical systems—or AI-powered computers—are shaping the Fourth Industrial Revolution.

But the universal context is our climate. The Climate Era is our time-windowed opportunity to reverse the costs of the industrial and digital eras—creating a more abundant future for all. The way through it is to find ways to reinvent our economies, in part by turning necessary choices (like conservation and circularity) into desirable ones.

To the degree that the climate crisis can be solved, we already have solutions and technologies. The central question of the Climate Era is not can we do it? It’s will we do it?

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Hello, generative AI

If the challenges of the Climate Era have been building up over centuries, the transformative power of generative AI seems to have hit the world in a flash.

And this is a critical moment to interrogate our relationship with technology. At IDEO we do that through the tools and habits of design: building to think, taking time to understand people deeply, investigating the farthest consequences we can imagine, and embracing new skills, disciplines, and ways of being in the world through experiments.

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Combined forces

These two forces—AI and the Climate Era—have the potential to change everything for everyone. And in some ways, they already have. More often than not, AI and Climate thought live in different conversations. But what might happen when they’re brought together?

The pull of personality

Here’s an example of how AI might help us be climate-friendly manufacturers and consumers: It can help you get to know your clothes before you buy them.

We want and we need to build a circular economy. But its biggest challenge is scale: getting to the necessary infrastructure and processes, and—maybe the most challenging—getting enough people to participate.

There are signs of shifts at the policy level: You see it in Europe, for example, where the EU has a regulatory framework to promote (and require) circular behaviors from both businesses and consumers alike. And more and more people are participating in circular-like ways, such as thrifting. We see younger consumers pushing brands to become more active in developing and promoting sustainable versions of their products (so long as they’re not more expensive).

All that made us think about a pair of jeans.

Jeans lack the physical traits necessary for conversation. But, for an exhibit of speculative design at IDEO, we imagined them capable of communication. 

For starters: We might ask the jeans about their (un)life story, what went into their creation, or how they like to be treated. We might learn about where they were manufactured, their previous owners, and how to fix them if they ripped. Knowing all this about your jeans would give you a much better sense of whether they were a good fit.

Through AI, all of us will soon be conversing regularly with non-humans. And what else might “speak” through AI? Vehicles that remind us that they’re happier when filled with passengers and bound for the carpool lane?

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Speaking for the trees

Most of the sustainability problems we seek to fix were created in the design and strategy choices that were made early on in a product’s journey. The lifecycle analysis is a robust process. But it’s costly and generally retrospective, analyzing only those products and practices that already exist.

What about when we’re exploring different potential options and what could be, not what is? 

AI can help us incorporate a real sense of the “true cost” of a product and give nature a seat at the table early on. AI that draws on scope 1,2, and 3 datasets could help protect nature’s best interests in the decision-making phase. To be credible and useful, such an AI would need to synthesize scientific data, cultural data, and archives of experiments. And it would need to have some ability to understand the ground truth of things: learning from both human and technical inputs how things really are, right now, in the soil, in the ocean, in the community, and on and on.

With such a nature-centered AI in play, deployed ethically, we can imagine it occupying different roles and settings. As an advocate in the boardroom (where it might pose strategic questions or even cast a vote), or as an inventor in the materials lab (where it might suggest radically more sustainable ways to use resources and optimize production). ‍

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Everything in play

When we talk about making great choices in the Climate Era, especially at the policy or regulatory level, we’re talking about something unbelievably complicated. There are so many factors to consider, in so many dimensions.

And AI can help us think systemically. Take something like fishing. To regulate it, we need to understand  the immediate economic impact (such as business profit); the effect on communities and livelihoods; taxation and employment; the effect of granting more or fewer fishing licenses; how to balance production and protection of spawning areas); and biodiversity. AI can synthesize all of that information and data and make suggestions that expand our imagination about what’s possible. 

Another thing artificial intelligence has a knack for is running simulations. What if AI could help you simulate the tradeoffs among biodiversity, job creation/local livelihoods, and business success?

We imagined this kind of thing in a piece of work with our friends at Conservation International.

A simulation is often quite technical, and AI is already great at that. But we can also imagine an AI pushing people to consider their choices in other ways. What if it could point you to the right humans, on island nations for example, to enrich your understanding of potential impacts, far beyond your own frames of reference?

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The age of transformers

There are so many ways the Climate Era and AI, two transformative forces, might collide in service of building better futures. We picked out just three:
• Driving consumer adoption and adaptation by making things that are better
• Optimizing and reimagining production by giving nature a voice and a seat at the table
• Radically reworking how we make climate choices, especially at the largest scale

But, of course, they’re not the only transformers at work. We are, too. Especially those of us in positions of power and influence.

The Climate Era is here.
The Age of AI has arrived.
And it’s still our world to make and remake—for the better, if we choose.

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‍This article is adapted from a session delivered by IDEO in NYC at the 2023 FastCo Innovation Festival. With editing support from Christina Drill.

The problems we’re being asked to solve are changing. It’s less about helping partners innovate in incremental ways, and more about big transformational shifts in how we live and work.

In some cases, we knew nothing about the people we were trying to reach, so addressed them with the default direct marketing salutation, “Dear Valued Customer.” Finding the target audience was like being spun around blindfolded, then praying you were walking in the right direction.

Thirty-seven years later, we know virtually everything about everyone. Thanks to data mining and feeble privacy laws, we can pinpoint your exact location, health status, consumption habits, and, troublingly, what makes you laugh, cry—even think. All of that data is now being poured into the greased pan of generative AI where—we are promised—it will bake the most delicious cake, made just for us.

From direct marketing to AI-driven personalization, I’ve witnessed a transformation in how businesses reach their customers. We've never known so much about people, and yet we've rarely understood them less. In my view, using data alone to understand people has the same flattening effect as “Dear Valued Customer.”

But there is an antidote: Human-centered design.

Goodbye “Dear Valued Customer”‍

Once, at an international conference, I heard a speech by someone who worked for a large social media company. The premise of the talk was that a person’s “likes” could mirror their answers on a personality test. The more likes the social media company could analyze, the better they could predict a person’s personality—and to a level of accuracy that could beat what your friends knew of you; beat your family; and maybe know you better than you knew yourself.  

With that kind of knowledge, companies are able to design user experiences that feel like intimate conversations. But are they, really? Or is it only the illusion of intimacy—the hackneyed output of a data-driven predictive power?

It made me wonder: Is how we appear online—even to ourselves—who we really are?

Of course not. People are not reducible to their preferences. People contain multitudes. People change their minds, regularly and often. They respond to things that feel authentic and responsive to their experiences and identity—especially if they have historically been written off, underrepresented, or marginalized. 

The new customer, if we can imagine them in their infinite richness, has in recent times slogged through a global pandemic; discovered the unwelcome uplands of hiked interest rates and housing shortages; and likely contended with some form of professional burnout. Human lives are necessarily messy: You can’t rely on troves of data and canned messages to reach them, let alone persuade them. People can smell a door-to-door algorithm from a mile away. 

‍The best organizations are able to stretch how they think about their customers. The most successful businesses are able to understand and reflect back to people things that they don’t even know about themselves. ‍

‍The power of starting small ‍

In China, a client once questioned IDEO’s decision to root an entire concept in the preferences and needs of a small group of people. But when the product was delivered, the client recognized a level of human understanding that data alone could not achieve.

My time at IDEO has shown me that understanding people requires research at depth. For us, that often means ethnography, and you don’t have to have thousands or hundreds or even 50 people in the room to do it. What you need is a small sample of people with a diversity of lived experiences whom you get to know very well. 

Starting small requires designing with people and communities rather than for them, too. Innovation doesn’t spring from our heads as Athena from the forehead of Zeus; it's uncovered through the careful and considered use of tools, mindsets, and methods which we share with teams and communities.

‍Great organizations recognize that the work of understanding their customers is never complete. They continuously challenge themselves to listen and respond to what their customers are telling them, not only through data, but also by including them as co-designers.

The brutality of perfection‍

I once had a custom suit made for me for my wedding. To appear cool and unconventional, I asked for a red lining. The tailor wondered if I would still be fond of that red lining in 10 years. A simple question based on lots of experience. Upon a moment of honest self-reflection, my answer was, no, I would not. So, I followed his advice. I still wear that suit today; not once have I wished for a red lining. Of course, a company selling that same suit to me based on tracked preferences would’ve gladly hawked me any lining I wanted. But I am not sure I would trust that company again. I’d move on.

‍The organizations that will endure will be the ones that stretch their ability to deliver long-term, unexpected value to their customers.‍

I am thrilled by the possibilities of generative AI. IDEO’s experiments with emerging technology are as fervent today as they’ve ever been. And one of the qualities of which I’m most proud is our collective hunch that the most interesting opportunities lie in the messiest places.

That runs counter to the brutal attraction of data and AI in the current moment: an implied promise that an objectively “right” answer is within reach. Much of what we love in the world is so wrong it’s right. Perfect is not interesting, it’s not personal. In our pursuit of the spotless and ideal, we lose the essence that makes us human. The truth is, we value imperfection over perfection. 

New customer, new organization, new baselines ‍

I believe we’ve now reached an inflection point where many of us are experiencing a similar moment, only all at the same time. The last few years have changed how we work, how we socialize, how we spend our money, and how we think about our time. And we are being pushed to rethink how we do business, too. 

One of the baselines affecting us all is the arrival of the Climate Era. The planet reminds us daily that we have entered into a new normal. July was the hottest month on human record, impacting anyone who works outside or without AC—such as the drivers and  workers delivering boxes upon boxes to our doorsteps.

We can expect increased absenteeism and reduced efficiency, much more disruption to supply chains, and customers moving away from known polluters and toward brands that reward their conscience and their wallet. Climate regulation is coming too: The EU is working to impose tougher rules on  production and consumption in fast fashion.

Yet, while two-thirds of businesses are affected by climate change, few are doing enough to prepare for it. If we’re to avoid catastrophe, we’re going to have to redesign everything. And, if we want people to adopt Climate Era behaviors, we’re going to have to make things that are irresistible to them.‍

That means creating sustainable products and services that are simply better than the competition. By stretching to meet new and emerging customer needs, organizations can create products that people love and that are fit for the Climate Era.

When the instinct is to contract, great leaders stretch ‍

The SF adman Howard Gossage had this saying: “Nobody reads advertising. People read what interests them. And sometimes it’s an ad.” After 36 years as an advertising executive, I know better than anyone that we can’t always predict what will interest people.

But now, as the leader of an extraordinary community of designers, I know we have ways to help organizations figure it out. Creative, mind-bending ways that leaders and their teams can stretch to meet their markets and the new customer.

How? By continuously reassessing and expanding our understanding of what people want and need, with care, imagination, and sensitivity. We owe that to people, and we owe it to the planet all of us call home. 

Because in the end, the things that make our time here on Earth worthwhile are the things no algorithm can come up with on its own, no matter how much of the internet it’s ingested. They’re the irreducible things that make us who we are.

Early in my career, I worked on direct marketing mailers for British Telecom’s high-value customers.

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.