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Designing a better onboarding experience for an AI symptom checker at clinics

Enabling doctors to spend less time on paperwork and more on patient care.

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Case study
Case Studies
Breakthrough Products
Health
AI & Emerging Tech

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

Enabling doctors to spend less time on paperwork and more on patient care.
Enabling doctors to spend less time on paperwork and more on patient care.
Ubie, Inc.
North America
Ubie, Inc.
Designing a better onboarding experience for an AI symptom checker at clinics, infection prevention, hand hygiene, Ubie, Inc, healthcare, health innovation, patient experience, AI, artificial intelligence, emerging technology, AI strategy, AI product design, responsible AI, designing with AI, healthcare design, digital health, patient-centered care, understanding user needs, how to use AI, innovation, strategy, product design, research, startup, rebranding

An improved airway intubation system that helps physicians save more lives

The GlideScope Core offers elevated visibility and a seamless workflow for intubation, allowing doctors to better conduct routine procedures and respond to health crises.

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Case study
Case Studies
Strategic Futures
Health

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.

Designed around a high-definition, touchscreen monitor and comprehensive workstation, the GlideScope Core delivers elevated visibility and improved workflow.

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.

Verathon Medical
Verathon Medical
An improved airway intubation system that helps physicians save more lives, Verathon Medical, healthcare, health innovation, patient experience, systems thinking, systems design, service ecosystem, healthcare design, digital health, patient-centered care, innovation, mobility

Transforming a community hospital from the inside out

Designing for caregivers to create world-class care for patients.

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Case study
Case Studies
Creative Capabilities
Breakthrough Products
Health

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.

The pop-up design studio, dubbed Project Phoenix, was centrally located on the main thoroughfare of the hospital.

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

A team of surgeons, anesthesiologists, nurses, and hospital executives headed to JetBlue seek out inspiration around analogous themes of teamwork, coordination under pressure, and customized pathways for patients.

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.

The team produced several live prototypes in the hospital, gathering feedback and learnings directly from patients and staff. The first prototype launched was a series of experience kits selected by patients at check-in. Each kit represented a different mindset for patients—productive, serene, or enlightened—and a visual cue to signal different scripting and pathways from care providers.

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.

Designing a clear framework for caregivers to interact with and provide world-class care for patients.
Designing for caregivers to create world-class care for patients.
Newton-Wellesley Hospital
Newton-Wellesley Hospital
Transforming a community hospital from the inside out, Newton-Wellesley Hospital, healthcare, health innovation, patient experience, business transformation, organizational transformation, culture change, healthcare design, digital health, patient-centered care, innovation, design thinking, research, prototyping, transformation

Helping a historic museum prepare for the future

Using design thinking to improve access, experience, and culture.

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Case study
Case Studies
Strategic Futures
Breakthrough Products
Learning & Work
Public Sector

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.

Museum of Science and Industry, Chicago
Museum of Science and Industry, Chicago
Helping a historic museum prepare for the future, voting experience, voting machine, accessible voting, Museum of Science and Industry, Chicago, education innovation, learning experience, future of work, public sector innovation, government services, civic innovation, human centered design, design thinking, customer centricity, future strategy, strategic futures, designing for the future, innovation, strategy, research, prototyping, transportation, education, learning, government

Six qualities of a great data scientist

And how to cultivate them.

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Some of these you may know, but others may surprise you. These six hard and soft skills are not just things to look for in a data science hire, but are also things to cultivate in yourself to prepare for a successful and fulfilling career in data science. We made this list to help identify ideal students for our data science bootcamp, people who will make great students and great hires.

1. Statistical thinking

Data scientists are professionals who turn data into information, so statistical know-how is at the forefront of our toolkit. Knowing your algorithms and how and when to apply them is arguably the central task to a data scientist's work. However, to do this well can be an art and a science.

A good data scientist can model any data he is given and implement a toolbox full of algorithms to make statistically-informed predictions and recommendations. A great data scientist can smell something 'fishy' in the results she gets, senses that he needs to ask the client or stakeholder a few more questions before retreating to the code cave, and can make the difference between a game-changing insight and an expensive blind hunch.

Cultivating statistical thinking: Quantitative thinking sinks in the fastest when it is relevant to you. At Datascope, we keep our statistical thinking sharp by calling each other out on our bold claims, sometimes making friendly bets, and figuring out how to resolve it with statistics. For example, here’s one you can try on your friends: how many wikipedia articles contain the word “the”? All of them? Nearly all of them? We put the over-under at 90%, wrote a script to calculate the wikipedia document frequency of the word “the”, and shocked ourselves to find out the word “the” only appears in 85% of wikipedia articles.

2. Technical acumen

Data scientists write code and work with teams to produce tools, pipelines, packages, modules, features, dashboards, websites, and more. We write code on the back end and the front end. We do structured and unstructured. We sift through unfamiliar formats and legacy code, and "roll our own" tools when we can't find the solution we need.

A great data scientist has a hacker's spirit. Technical flexibility is as important as experience, because in this field the gold standards change with an alarming rate. Data scientists work together, love open source, and share our knowledge and experience to make sure that we can move at the speed of demand. If your data scientist is a quick study, you've made a sound investment beyond the current trend cycle.

Cultivating technical acumen: Write code, every day if possible. Learn about the tools you want to use, but don’t just read about them, try them. Follow a tutorial. Change it and see what happens. Break it. Check out someone’s projects that are written in a language you don’t know. If you read about a new tool or service that interests you, start by just making a “hello, world”. Work in small bites.

3. Multi-modal communication skills

When the analysis is finished running, most of the time the results aren't pretty. That's not to say they are unhelpful, but they are often trapped in opaque readouts, or in plots that are sensical to the expert's eye but hieroglyphics to the rest of the team and stakeholders. Algorithmic output has to be interpreted and communicated to make the leap out of the data science team and into the hands of the rest of the company to be put to service in alignment with their usefulness.

A great data scientist can contextualize and translate a problem and its solution to interested parties of wildly varying backgrounds using common ground, metaphor, skillful listening, and storytelling. This includes the written communication that goes into a statement of work or a report, visual communication for clear and intuitive plots and visualization, and spoken communication for presentations, project specifications, check-in meetings, and iterative design. If your data scientist can stop a meeting when it's clear that not everyone is on the same page, draw a sketch on the whiteboard and elicit consensus from a diverse team, you have a deeply valuable person on your team.

Cultivating multi-modal communication: Practice writing and talking about your technical projects to “normal” people. Edit yourself down to the important parts. Learning to edit yourself is key. Practice visual communication with “crayon wireframes”—we use these all the time, and they help us to think visually and iterate quickly. Sketches are also a great way to gut check if everyone is on the same page. If the words you’re saying seem to match each other, but the pictures don’t jive, you may have nipped some future problems in the bud.

4. Curiosity

So your data scientist is a technical and statistical whiz who can explain a Markov chain to a supermarket checker. What else separates the elite? The first of our trio of invaluable soft skills is curiosity. Many who are drawn to data science find most alluring the opportunity to work on a constant stream of new and challenging puzzles. They are people who have been asking "why" and "how" since their mouths could form the words.

A good data scientist will take a request, implement it, and deliver the prediction or analysis with confidence. A great data scientist will come back asking for access to more data, or to interview users, or to try something new in the next iteration, because something he did triggered that curious itch. Curious data scientists might have a disdain for machine learning competitions because they can't access all of the levers and choice points to ask questions and dig deeper. Masters of curiosity are quick to question their own assumptions.

Cultivating curiosity: Are there stupid questions? Actually, probably… yes. But who cares? In our experience they are largely indistinguishable from really great questions that no one has bothered to ask yet. So we don’t discriminate, and we ask many many questions that may or may not be stupid. Ask enough stupid questions and eventually you’ll land on something brilliant. Seek out people different than you to talk through ideas. Let your mind wander. Raise your hand and ask questions. And never assume that the experts see everything that you do -- don’t ignore that inner voice when it’s telling you something isn’t adding up. You might ask a stupid question (and learn), or you might ask a brilliant one (and discover).

5. Creativity

Creativity goes far beyond the obvious applications in communication and project design. Of course, a data scientist who can create an attractive and easy-to-grasp report or visual out of results that would take a couple of master's degrees to fully understand is a skill with enormous returns. Creativity provides the fuel for skillful communication, and that is not a hard sell.

Beyond aesthetics and communication, however, the best data scientists are creative problem solvers and have a peculiar relationship with the word "no." Your data scientist really wants to include those user-level data sets in the algorithm, but they are locked down in another silo within the company? She figures out a way to model their effects from the population statistics, or she generates a simulated report using dummy data to convince the c-suite that building a bridge between departments is well worth the risk or effort. The client wants to know how much foot traffic their potential new outlets will see, next Friday, and those data don't exist or aren't available? He uses publicly available transit data to build informed estimates and proposes a small and inexpensive sample-gathering project to build a turnstile-count-to-total-pedestrians conversion heuristic.

Great data scientists get annoyed by “no,” so annoyed that they find a way to get around it, over it, or through it, or they back up and take another path altogether. Design constraints are infuriating and intoxicating. A data scientist who says "no," followed quickly by "wait, hold on… let me think," just might be a great creative thinker.

Cultivating creativity: When you have an idea, do it, and let go of judgment. Foster an environment that invites questioning, thinking outside the box, and a “yes, but” conversational atmosphere. Creativity is ingrained in culture: give people around you the safety to “fail,” without judgement or criticism, and they’ll likely grant you the same. When you’re surrounded by people thinking and working creatively, you’ll find your own creativity flourishing, too.

6. Grit

In all of the characteristics and skills above, we've talked about technologies that appear, demand attention, and fade faster than songs on the top forty, messy data that should but don't quite fit into the model the client had in mind, dead ends, wrong turns, roadblocks, and red tape, teams full of mixed agendas and personalities; budgets, deadlines, clients, teams, and contractors; and the unicorn-magician-programmer-statistician who is supposed to bring it all together. Those who survive have a healthy inner store of grit.

All of these challenges and roadblocks could drive a reasonable person to an unplanned leave of absence. Grit is that inner drive that pulls us over obstacles, recasts setbacks as design constraints, propels us through fear of failure, keeps us walking through actual failure, helps us to resist the impulse to take things personally, and brushes that dirt off our shoulders. When grit is working, we’re less competitive so we can encourage and learn from each other. We get the taste for tackling the new and the unknown.

Cultivating grit: Let go of perfectionism. We encourage ourselves to think of quick and dirty ways we can resolve problems or test solutions. We share our early efforts and listen to the feedback we get. Keep in mind that every expert has to start as a beginner, and a beginner trying to masquerade as an expert fools no one but himself. Don’t be afraid to let your warts show—what seems like a weakness, handled properly, is a powerful tool for leadership and growth.

What does it take to be a great data scientist? We thought long and hard about this while we were designing a data science bootcamp for Metis.

Technology
six qualities of a great data scientist, technology, digital innovation

Design Thinking in Harvard Business Review

Tim Brown writes about how thinking like a designer can transform the way we do business.

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Read the article online at Harvard Business Review.

Leaders now look to innovation as a principal source of differentiation and competitive advantage; they would do well to incorporate design thinking into all phases of the process.

~Tim Brown

Want to dive deeper? Learn more about design thinking with IDEO U.

In an article for Harvard Business Review, IDEO CEO Tim Brown shows how thinking like a designer can transform the way we develop products, services, processes—and even strategy.

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design thinking in harvard business review, strategy, design thinking

Inside our effort to make design careers more accessible

Introducing IDEO and RepresentEd's Color by Design fellowship.

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Article
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“While I had done a good deal of research and was familiar with evidence-based design in an academic setting, I had little knowledge about design-related career paths,” she explains, a scenario she sees as typical for a lot of BIPOC (Black, Indigenous, people of color) students. “I think there are only certain paths presented to you as viable,” she says, “which is unfortunate because I think a lot of the systems and things that need redesigning disproportionally affect people of color.” And yet less than three years later, the public health and sociology major would find herself working on an IDEO design-research team.

She got there viaColor by Design (CxD), RepresentEd’s newest fellowship designed for BIPOC in partnership with IDEO. The first cohort of design-research fellows will finish the program in June, and the experience has been groundbreaking: for IDEO and, we think, for the fellows, fewer than five of whom came to the fellowship with any previous design experience. That’s, well, by design.

“The program is about increasing access to design—not just to IDEO but the design industry as a whole,” says RepresentED CEO and founder Rashida Hanif. “CxD has served as a proof of concept that someone can go from zero design knowledge to designer and bring value from day one.”

After completing a three-month part-time professional training course that ran from September through November 2021, the 14 fellows have been integrated as full members of the IDEO community during their six-month fellowship. They’ve been working alongside IDEO employees on key client projects, among them engagements with a major tech company, projects around access to abortion, and the reimagining of the student experience at colleges like NYU.

They’re a month away from wrapping up, and IDEO had planned to keep the ball rolling by launching the application process for the next round of fellows this month. But we’ve decided to take a beat and will be postponing the next cohort until 2023. It’s not hesitation, it’s preparation. Together with RepresentED, we have a shared eagerness to keep growing and expanding, but that’s paired with a shared commitment to scale the program in a thoughtful way.

So many rich learnings have emerged since September. Rather than try to synthesize them and make adjustments in real time, we want to spend more time with our questions and give ourselves space to put our insights to work.

One of the biggest ones is that the fellows only participated in design research. We want to expand and scale CxD to other disciplines—perhaps communications design and experience design—and other divisions of IDEO have made it clear that they’d love to welcome fellows of their own. The opportunity is there, but it’ll take some additional work to put the pieces in place.

We’d also like to finesse the bootcamp aspect, the three months of training that precede the paid, full-time fellowship. As it stands, the bootcamp is largely focused on design thinking as a whole, with modules about design research, methodology, etc. We realized some of our fellows need deeper design research support, and we’d like to get ahead of that earlier in the bootcamp.

Getting the foundation right is important, and we are glad to be able to provide it. One fellow in this cohort was a freelance graphic designer who worked as a bartender. He told me CxD has changed the trajectory of his career and his life—and that’s a real gain for the industry. The fellows may not have deep design backgrounds, but they bring rich and varied experience to the table. Another worked as a doula and felt ready for a career change. Yet another worked on the White House’s National Economic Council. Others did content marketing for international fragrance companies, spearheaded community initiatives to inspire change, and co-founded creative agencies.

The reality is that if not for a program like this, IDEO would have probably overlooked their applications. There are so many barriers to entry within the design industry, and Sasha puts it so well: “It’s not that the fellows don't have experience that would make us successful designers, but that what is seen as relevant experience is often so narrow.” RepresentED has an uncommon ability to take a wide view, which has in turn allowed us to welcome folks whose perspective is missing.

The design industry has long been a homogeneous one (IDEO is no exception, with a U.S. community that is still only 5 percent Black, less than 1 percent Indigenous, and less than 7 percent Hispanic/Latinx.) We needed to expand access, and RepresentED excels in recruiting non-traditional candidates and among communities of color.

“Our sweet spot is people who studied the social sciences and humanities, the ones always told, ‘What are you going to do with that major?’ The ones who are told they have to get a graduate degree, or go into academia,” says Rashida. “They often aren’t aware of how vast their options are and how to present their skills to the job market as viable candidates. English students are incredible writers. Anthropologists understand people and culture. Transfer students bring an amazing life context to the table. We teach them how to use human-centered design to their advantage.”

She thinks of these candidates in a striking and insightful way: “I often feel like we live in a society where we like to throw away the beautiful things. I see them as this collage of beauty. There’s more of that than there is of the status quo.”

And CxD is proving to be a viable way to shift that status quo. It has also shifted things in IDEO’s internal structure. The program touches so many different parts of IDEO—the marketing team; team building, which oversees project teaming and staffing; IDEO’s Research and Insights cohort; and IDEO U, IDEO’s online learning platform. In the process of building up the program we’re learning how to create more equitable structures and thinking about how we onboard employees differently, too.

The fellows very intentionally have a strong network of support. In addition to their interactions with the CxD leadership team, each is assigned a manager and a craft mentor as well as a steward, an IDEO designer who holds a non-evaluative role and creates a safe space for the fellow to take any challenges to. As Sasha puts it, “It helped with building creative confidence. The attitude is, ‘You’re supposed to be here, but if you have a question you know where to go.’”

As for Sasha, she spent 14 weeks on the IDEO design research team that partnered with a major baby retailer to reimagine the registry experience. “The video of a Zoom interview I led with a parent—the first interview I had led—was used continually throughout the project,” she recalls. “That always felt like a rewarding moment: being reminded that those were insights I helped to uncover and the affirmation it provided that I had done a good job.” She moves to a new project this week.

“I’ve developed confidence in myself as a designer. I’ve been equipped with this toolbelt of skills that will be useful no matter where I end up,” Orewa says of her experience. “Last week I had a call with someone who saw I was a part of CxD but had a background in public health and reached out on LinkedIn to ask questions. That makes me excited, that there are people like me who are learning that the opportunities are out there. It’s the ripple effect.”

The next CxD cohort will launch by the end of 2023. We will share updates as we get closer to the recruitment season. If you have any questions, please contact info@representedleadership.org.

By the time Sasha Orewa graduated college in 2019, she had been exposed to plenty of things. Design research wasn’t one of them. Ditto UX, interaction design, or experience design.

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inside our effort to make design careers more accessible, user experience, user research, research, design careers, creativity, learning

The secret power of prototyping

How we’re building the future of mobility with cardboard and duct tape.

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What should a passenger’s experience feel like? How much space should be allocated to each passenger? What were the tradeoffs? The folks in marketing had one idea, while the folks in engineering had another. Spreadsheets were involved, but we weren’t making much progress.

Our project team didn’t have all of the answers either, but we thought of one way that we could help. We took over a section of our San Francisco studio and spent a week building a full-scale shell of a plane out of wood, foam core, and cardboard. Our intention was to create a dynamic space for physical and digital experimentation. We then invited our clients to host their next meeting inside the “plane.”

Once inside, the trade-offs were clearer. The team could picture what different seat configurations might feel like; they could move things around as they visualized various options. Prototyping revealed a level of granularity and specificity the team simply couldn’t access over Zoom or through conversation. What started out as a series of abstract questions suddenly became tangible.

When you work in the mobility space, the projects you work on are big—literally. It’s not just the size of a car, but the size of a train, an airport, even a city. While creating low-fidelity prototypes of products and systems of this magnitude might seem impossible, prototypes are a tried-and-true tool for learning about your customers and refining your product design. They are also equally valuable for learning, aligning, and collaborating as an organization. When it comes to larger-than-life challenges in the mobility space, here are three ways prototyping can help.

Prototyping breaks down barriers

Many established mobility companies have spent decades developing processes that have allowed them to build safe, high-quality products at scale. But those methods don’t always work when adapting to a rapidly shifting market. When it came time for our team to work with a leading automaker to rethink the future of the commercial van, we all knew it would demand new ways of working. Together with their team, we built a new collaboration space in the heart of their engineering building to shake people out of their usual workflow. The walls were covered with pictures of vans in action, quotes from potential users, and in-progress work. In the middle of the space sat “the rig,” a purposefully unfinished prototype van made from modular aluminum and hand-cut cardboard parts. This was far from the polished models of car shows.

Instead of putting this space under lock and key, the team put up posters throughout the engineering building inviting folks to join them. When that effort didn’t get much traction, a member of the team proposed an idea. He simply wedged the door open and posted a sign that declared: “open door policy.” The message was simple. We wanted people to build with us. And the people, and the ideas, followed.

Unfamiliar faces started to pop into the space and populate the prototype van with new mirrors, door handles, and smart sensors while other groups debated strategy across the room. What started with a single project space grew, eventually morphing into a dedicated innovation lab that is collaborating across the organization to tackle the future of mobility.

Prototyping challenges assumptions

Several years ago, IDEO worked with Toronto Pearson International Airport to revitalize the airport’s operations from the passenger experience to the baggage handling process. Baggage handling operations are particularly important, as they’re a key metric for measuring airport efficiency, service quality, and performance. They’re also very complicated. Baggage handling involves multiple organizations, thousands of contract workers, and even more suitcases, moving between planes and carousels all around the world.

As contractors, baggage handlers aren’t often brought into the process to help redesign operations. But their perspective is invaluable. So together, IDEO and Toronto Pearson decided to hold a “baggage olympics” for operations employees, passengers, and baggage handlers to test, build, and improve prototypes of early baggage handling ideas. They landed on a simple but effective solution: color-coded signs, clear iconography, and guidance on where baggage should be placed. Not only did the exercise streamline airport operations, but it also changed everyone’s idea of how different groups of people could work together and how operations should work in the future.

As Darin Juby, Director of Baggage Services, told IDEO: “The work to reimagine baggage handling taught us how to prototype and collaborate—it reprogrammed us with a new mindset and way of working. When the pandemic hit two years later, because we had laid the groundwork, we were able to pivot quickly and cost-effectively in the midst of an unforeseen crisis."

Prototyping reveals unexpected needs

Bringing in potential customers to test out prototypes is a pretty common practice among design teams. But often in the automotive space, users do not have a chance to interact with prototypes until much later in the design process. Even then, they are often restricted to testing out highly refined models in tightly controlled sessions.

It’s far more rare to bring parents and children into your design space and invite a range of stakeholders with different perspectives, hypotheses, and critical questions to watch them play in an early prototype firsthand. But that’s exactly what we did with our partners at one of the world’s largest automobile manufacturers.

While we had been talking about bringing people into the lab, it wasn’t until families were engaging with our designs that we realized just how eye-opening it was. In one session, we watched alongside marketing, design, strategy, and product development leaders as a family played a game in the front of the car. Halfway through the game, a child pulled her mom to the back for some one-on-one time, pretending they were looking out at stars.That seemingly simple interaction inspired our team.

The team renamed the prototype Stargazer, and it helped changed the conversation about these vehicles. Decision-makers for this vehicle portfolio were bringing an empathy for the lives of these users into meetings, and talking more about how to foster quality family time than vehicle features and functions. Seeing our prototype in action extended customer empathy and understanding beyond marketing execs, ensuring that teams across the multinational organization were considering user needs from the outset.

Prototyping unlocks possibilities

Throughout my work on mobility projects at IDEO, prototyping has been the best tool for shaking up entrenched thoughts about how teams should work together. It not only provides teams with an opportunity to test assumptions and generate radically new ideas, but it also helps spark alignment and build confidence across disparate stakeholders. In some projects, embracing prototyping has even led to the development of new ways of working and labs that live on far beyond the launch of a product.

For those tackling challenges within the mobility space, and are eager to experiment with prototyping, start small. Take over a conference room, invite different voices in, construct a cardboard model, and watch your organization transform.

Late last year, we sat on a Zoom call with executives at an organization redefining commercial aviation. They had some critical decisions to make about their first commercial aircraft.

Mobility
the secret power of prototyping, mobility, transportation, prototyping, rapid prototyping, testing new ideas

Lindsey Turner

I’m passionate about building brands, products, and experiences that help organizations show up with meaning and momentum.

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Leader
Leaders

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.

My tween twins teach me more about technology and gen-alpha than the last decade of trend reports.
Making things that matter
Consumer Products & Retail
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AI & Emerging Tech

Rachel Young

My work helps organizations see who their products aren't working for—and build the will and the tools to do something about it

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Leader
Leaders
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.

The greatest project to which I’ve ever contributed is raising my two daughters with my husband.
Uncovering unmet needs
Consumer Products & Retail
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Brian Pelsoh

I lead with craft, ensuring our work is creatively excellent: rooted in deep human insight and imagination, while also grounded in the realities of business and technology.

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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 love a good crit.
An inclusive, hands-on approach
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Tony Wong

I am responsible for IDEO’s long-term success in China and working with clients to use design as a tool to enable growth.

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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.

I have a thing for antique maps.
Developing China-led innovation and capabilities'
Consumer Products & Retail
Food
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Industrial & Manufacturing
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Building a personal AI for the messiness of life: Sida Li

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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.

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.

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.

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.

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Designing GenAI for the emotional side of money: Johannes Seemann

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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.

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Financial Services
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The curious leader's edge in uncertainty: Scott Shigeoka

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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.

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How constraints make us more creative: David Epstein

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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.

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