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.

What they found through their conversations took them a bit by surprise. There was a deeper malaise afflicting everyone they spoke to—something under the surface, under the symptoms.

Loneliness.

Months into a pandemic, the isolation that’s always been below the surface is even more extreme. It was in this context that I had the pleasure of talking with Dr. Murthy. We spoke about what leaders can do to facilitate connection, and why it is mission-critical for organizations to address loneliness and support relationship-building, even when we’re physically distant. Especially when we are physically distant.

I'm sharing some excerpts from our conversation here. I hope they inspire you and prompt useful explorations into the health of your communities.

Three types of loneliness

The feeling of being isolated from each other, Dr. Murthy discovered, is at the root of so many of our deepest ailments. He reminds us that we are social creatures, and that community heals us. Especially in these divided times, the way to a more happy and healthy society is both obvious and profound: human connection.

Connection in the workplace

Our professional lives—the experience of working and the quality of what we do—is heavily influenced by what’s going on in their rest of our lives. Yet there’s a hesitance to be vulnerable, share challenges, and ask for help. As a result, colleagues sometimes miss opportunities to help one another. It’s a loss, because through helping each other, we deepen our bonds. Empowering employees to help each other can be one of the most powerful ways for organizations to strengthen their teams.

The potential for something better

While our present moment lays bare how technology can isolate us and ideologies can divide us, it also shows us that new ways are possible now and in the future. My conversation with Dr. Murthy explored the role design can play in creating human-centered systems that make us all feel more connected—from the scale of individuals and teams, all the way up to systems, institutions and governments. We all have the power to design conditions that prevent loneliness, cultivate community, and foster good health.

The strain on our systems caused by COVID-19 reveals an opportunity to take new approaches to our work and our infrastructure— from how the government sets policies to how businesses empower employees. In rebuilding the world post-pandemic, we need to keep in mind the tangible benefits that human connection can support: mental health, physical wellbeing, academic and professional success. We can design policy to optimize human connection, ensuring our government recognizes these principles when thinking about housing, public health, or education, for instance. The question for leaders is, what changes are required to create connection and maintain cohesion, even as our structures and processes shift? The opportunity for leaders now is not to go back to how things were, but to imagine something better…and make a new “normal” built upon what supports us as, as Dr. Murthy points out, social creatures who need care and connection.

Original photograph by Meredith Nierman

There’s a story in Dr. Vivek Murthy’s book, Together: The Healing Power of Human Connection in a Sometimes Lonely World, about the tour he made across America in 2015, while he was U.S. Surgeon General. One of my colleagues at IDEO, Ann Kim, served as his Chief Design Officer and joined Dr. Murthy’s team as they set out to learn about the health crises gripping the nation—opioid addiction, chronic disease, violence—from the people who were suffering the most.

As pixels become a hidden quality, what would it be like to expose and celebrate this tiny landscape? Maybe it’s some sort of nostalgia for the pixel, but I thought it would be fun to prototype a game where part of the gameplay is uncovering this “hidden world” of pixels inside these new displays—and so the world’s smallest pixel art game was born.

Looking through the loupe

To start the project, I needed to see these tiny pixels up close. I bought a cheap jeweler’s loupe—basically a magnifying glass—and pressed it up against an iPad. Things looked promising with a 10x loupe. The level of magnification allows you to see the individual pixels, but still see a decent amount of the play area around the character. However, if your eye is pressed against the eyepiece of the loupe, it would make touch controls a challenge because you can’t see anything but the small area in the magnifying glass. To work with this constraint, I wondered if I could make the loupe itself the controller for the game.

The way iPads and most tablets sense touch is using a “capacitive touchscreen.” This type of display creates a grid of areas that hold electrical charge. When a fingertip touches the screen, the charge at and around the point of contact decreases, communicating where the finger is to the tablet. Electrically conductive gloves and styluses are able to work on these screens because they allow the properties of your finger to extend through the conductive material. So using the same idea as a conductive stylus, I put some aluminum tape on the loupe to transmit the capacitance from your fingers to the display. This allowed a player to move the loupe around the screen, and through doing so, interact with the game.

Exploring a tiny world

Next, I needed to develop the game. I borrowed from some of the classic role-playing-game tropes from games I played as a kid, building out a landscape that included many different climates—a desert, a lake, a forest, a deep forest, an ice tundra, and more. I created a tiny character that the player guided around the landscape by moving the loupe.

The idea is that the whole game is played on a single static overworld screen that never moves—you can explore an entire tiny world without ever moving more than a few inches. There are even a couple of fun ways the character interacts with the environment. For example, the player can force the character to fall into the lake, where he splashes around and quickly jumps out. I also created a hidden cave that shows how a game might work with inside and outside spaces that can be explored.

Overall, I’m pretty satisfied with the way the experiment turned out. There’s something about looking through the magnifying glass and into this new world that brings back some of the awe and wonder that came with exploring new worlds on my Nintendo when I was growing up—it just goes to show that screen technology doesn’t need to be pixel perfect to transport us.

Chart your own pixel territory

Want to try it for yourself? Here’s how to get your own version of this experiment up and running:

1. Build the loupe controller

Get a loupe, and some aluminum tape. I made two separate “T” shaped pieces of tape, and wrapped them around the edge of the bottom of the loupe. This metal transmits the capacitance of your body down to the edges of the loupe, simulating two-finger touch.

2. Load the game

There are two ways to do this. First, make sure you have Unity, then download the project from Github. You’ll also want to install the Unity Remote app on your tablet.

To quickly test the project, you can plug the tablet into a USB port on your computer and open the Unity Remote app on the tablet. In Unity on the computer go to Edit > Project Settings > Editor and select the tablet. Then press the play button at the top of the main Unity window and the game will appear on your device. This will let you try things out but it will be very slow to react and move the character because it’s running on the computer and sending each screen as an image over the USB connection. More detailed instructions can be found on the Github project page.

Alternatively, if you want to run the application natively on a device at a reasonable speed, you will need to follow the directions on building for mobile to set up your device with Unity.

Either way, once you’ve gotten the game up and running, you’ll have a good sense of the game mechanics and can go into the project to edit it to create your own tiny world—changing things like the landscape and character actions, creating new characters and interactive objects, and even extending it into an actual game. Happy exploring!

A quick shoutout to some of the great resources I used to create this demo:

• Tiled: A fantastic tool for creating tiled backgrounds for 2D games. This was extremely helpful for putting together the overworld.
• Tiled2Unity: This tool helps bring the tiled data into Unity seamlessly.
• opengameart.org: A great repository for free to use game art assets. My main tiles were modified from surt’s Blowhard Chronicles.
• rm2kdev’s 2D Unity RPG Development series: A super helpful video series on developing 2D games in Unity.

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When’s the last time you had to design for something as small as a pixel? In recent years, with the advance of retina displays on computers, tablets and phones, it’s easy to forget that pixels are still the building blocks for everything you see on the screen. (These new displays still use pixels; they’re just so small they can’t really be seen.) In the past, user interface designers had to build to pixel-perfect precision to avoid blurry aliasing effects and issues with displaying fonts on lower-resolution screens; today, this is all but a thing of the past.

Designers prototype everyday. It’s an essential part of the design and development process that involves translating early ideas into tangible prototypes that we can test in real life with real users. Prototyping is about being able to understand a challenge or an opportunity and find creative ways to move toward a solution, step by step. Essentially homing in on “building the right thing,” before “building that thing right.”

But the prototyping process doesn’t have to be limited to what you do for work. In fact, bringing this approach to your everyday life has the magical effect of turning common challenges into moments of playful exploration. It’s not necessarily about finding the ultimate answer, but enjoying the opportunity to experiment, improve, and learn along the way. You can prototype anything as long as you have the right mindset and get creative with your tools.

Here’s what it looked like when a sous-vide experiment took me down a prototyping rabbit hole (and how it could take you down one too).

Step 1: Get inspired

Inspiration can come from many places, like frustration with tools or objects that are not easy to use or the simple joy of creative exploration. For me, the latter happened when I stumbled across a recipe that used sous-vide, the technique of slowly heating meat or fish to its perfect core temperature so it doesn’t become dry or overcooked.

I thought it would be fun to try out for a dinner party, but didn't want to invest in a professional sous-vide machine. A typical moment where my prototyping obsession kicks in…

Step 2: Start out low-fidelity

An essential step while prototyping is identifying the simplest way to obtain the intended result—to achieve more with less. Isn’t the sous-vide technology just slowly heating up ingredients and stabilizing the temperature over a long period of time? That seemed pretty simple. So I gathered my materials: heat-proof bags, an electric thermostat, and of course, a couple of beautiful steaks.

I sealed the steaks in the heat-resistant bags, put them into a pot of water and used my oven to heat them up to 53°C/127 °F (the perfect core temperature for a medium rare steak). Unfortunately, the thermostat of a regular kitchen oven is relatively inaccurate, with the actual temperature being ±10°C/18°F compared to what it shows! That can make the difference between your meat being bloody as hell and completely overcooked.

That meant I had to place myself in front of my oven for over two hours, staring at the tiny LCD display of my electric thermostat and manually balancing the inaccuracy of the oven by turning the temperature up and down.

Step 3: Analyze your results

The good news: the meal was perfect—the meat medium rare—and my friends were impressed. But sitting in front of my oven, watching a thermostat for multiple hours, was less than ideal. This was the perfect starting point for the next iteration—looking into ways to automate and refine the temperature stabilization and improve my personal user experience.

Step 4: Iterate on key features

That’s how I found myself on a Saturday afternoon hooking up a simple heating rod, my electronic thermostat, and a milk stirrer with an Arduino board.

I mounted my thermostat to the top of the pot and coded my Arduino board to activate the heating rod as long as the temperature of the water bath stayed below 53°C/127 °F. Triggering the milk stirrer every once in a while ensured that the temperature stayed consistent throughout the pot. My prototype ran this process every 10 seconds and freed me up to focus on other parts of the dinner preparation while delivering another round of perfectly cooked meat and fish.

Step 5: Repeat until satisfied—or pivot

Each iteration of a prototype will reveal more detailed feedback and help you get closer to an actual solution. That’s why prototyping is the best way to learn while moving forward, and to de-risk decisions on product innovation or bigger investments.

Using my sous-vide prototype several times helped me identify multiple opportunities to improve it, like how to make it as compact as possible for easy storage (a great design and prototyping task in itself!). But most importantly, by using the prototype, I realized that I missed the sensorial experience of cooking. Simply waiting for ingredients to reach their core temperature in the water bath felt like an artificial, chemical experiment and was not the rich sensory experience I was looking for when spending time in the kitchen on weekends.

So I decided to pivot. After not using the prototype for months, I disassembled it and freed up the components for my next prototyping rabbit hole. Even if the sous-vide prototype actually never made it into a final solution, it helped me better understand what I enjoy most about cooking, and taught me something that I’m sure will be applicable to a future experiment—because the prototyping obsessive’s job is never done. Now, on to the next project!

On a Saturday afternoon (pre-COVID), I found myself in my kitchen, hooking up an Arduino board to a heating rod with one hand, and handling an electronic thermometer and a milk-stirrer with the other. How did I end up here? A hunt for the perfectly-cooked steak—and a typical result of my obsession with prototyping.

For years, I’ve watched smart companies buy into big data. Yet despite huge investments, some of them fail to reap the rewards. A 2017 MIT study revealed that 63% of executives expected to see a large impact on their offerings from AI in the next few years. But of the 14% of executives who reported already seeing a large impact, most cited examples in automation, decision-making support, and operational diagnostics for internal capabilities. Those kinds of advances can contribute to higher profits and short-term differentiation, but operational efficiencies do not generally help organizations grow beyond their peers. They also aren’t the deciding factor that will carry you through a yo-yoing economy. So how, exactly, do successful organizations unlock sustained and differentiated value in an AI-enabled world, at a time when immediate change may seem necessary just to survive?

It starts with experimenting and iterating with data—in a responsible way— to find your organization’s unique value proposition. Intentional experimentation mitigates the risks of failure by ensuring that you learn which data skillsets are critical to your organization, while at the same time identifying product-market fit. It’s a process that can happen before, during, or after a broader digital transformation, and there are three different ways to approach these intentional experiments: scaling internal offers, piloting to stretch, and purposeful venturing.

Scaling internal offers

In 2004, a web design company called 37signals needed a project management tool to keep all of its work streams on track. Initially, its solution—Basecamp—was meant to be a tool that would help the company be more efficient, and serve as a single source of truth for all its projects. But the more valuable it became internally, the more the company realized that it could be valuable externally. Eventually, Basecamp became 37signals’ core business; it adopted Basecamp as its name, and folded other offerings under the new brand.

Scaling internal offers is a smart way to create new revenue streams that can also help drive an organizational purpose. It’s a particularly good approach for companies that value creating internal capabilities and investing in their employees.

Another example comes from a liability insurance company that had recently gone through quarterly reviews. The company took a deep dive into large lawsuits, setting case direction and identifying where liability existed and standards had been breached. These observations were used to set financial reserves and, after months of manual curation, create risk-management training materials. While this company had already developed a technique for improving best practices, leveraging data to create a digital tool would give them an opportunity to scale up dramatically. The resulting in-house product allows the company’s claims and risk management representatives to rapidly identify new and emerging trends, as well as strategize case management on the portfolio level, saving thousands of human hours and much more in lawsuit expenses over the course of a year. With a bit more refinement, the firm could offer a version of its tool directly to policy owners, which could allow them to adopt best practices in real-time.

Piloting to stretch

A classic example of this approach comes from Netflix, which started offering streaming video services in 2007, alongside their penalty-free mail order DVD rentals. When the streaming service was born, it was a digital replica of the video store experience, browsing and selecting movies from a wall. But as Netflix accumulated ever more data about what people watched and their preferences, the streaming service became a data-driven way to personalize and recommend content, better fulfilling its purpose of “entertaining the world.” In fact, developing this data-driven capability in-house has given them sufficient insights into viewers’ preferences, which they are now using to create their own content, dramatically shifting the entire media landscape because of the data they own.

Piloting to stretch is a method of launching a new venture that brings in cash and stretches the organization to more intentionally fulfill its purpose. Often, that can require an entirely new business unit, with a new culture and team, so that it can grow without absorbing existing constraints. This approach is particularly appropriate for organizations that are seeking a new lever for growth, or are looking to disrupt their industry.

For Ascensia Diabetes Care, it was about recognizing a service gap for patients newly diagnosed with type 2 diabetes. Most people, shortly after receiving their diagnosis, are scheduled for a brief consultation with a certified diabetes educator (CDE) who helps them learn the basics of managing the disease. But the short time a CDE spends with a client isn't nearly enough to establish new habits and enable sustained lifestyle changes. Ascensia saw an opportunity to create a new remote care service that would allow people with diabetes to interact with CDEs over a prolonged period of time through a telehealth platform, helping them better acclimate to their condition. To design the right program and path for each patient, Ascensia created data-driven tools that would help CDEs know how and when to interact with users. Initially, the company piloted the app with 60 people, and early results showed that users were willing to adopt and adhere to the program. Only two participants failed to complete the study—a stunning success rate when adherence to therapy for chronic illnesses in developed countries averages around 50%.

Purposeful venturing

Google may have started as a search engine, but in 2015 Alphabet emerged as an umbrella organization that made space for Google to pursue other ventures, some that might seem far beyond the scope of the core business. Alphabet’s interests— everything from life science (Calico) to transportation (Waymo)—are all in service of doing the right thing, and separating Alphabet’s other ventures from Google kept them from getting mired in particulars of the Google organization. This nimbleness has allowed Alphabet to fulfill its broader purpose, even during the extreme uncertainty of a global pandemic; the company quickly launched one venture, Verily’s Project Baseline, to research COVID-19, while Google and Apple have partnered to develop an exposure notification system.

Purposeful venturing is a way for an organization to create new business lines that drive growth. These ventures operate independently, with their own teams and cultures, and may require dramatically different ways of working that would be distracting for the core business’ operations. It’s a good fit for companies that might have many different ways of achieving their purpose, or for firms that can create symbiotic effects with auxiliary offerings.

In practice, it can also look like this: A nimble venture firm called 1848 Ventures (a subsidiary of Westfield Insurance) recognized that staffing is one of the biggest uncertainties business owners grapple with. Over-staffing eats into their already razor-thin margins; under-staffing means long lines and lost revenue. By rooting their innovation efforts in their purpose—to help their customers mitigate risk and uncertainty—the firm saw an opportunity to create a service that would help small businesses better manage their expenses through a tool that combines large data sets and an intuitive interface to optimize operational decisions. This new product was piloted with restaurants to help them offset the thin margins they need to survive.

Regardless of whether you experiment by scaling internal offers, piloting to stretch, or purposeful venturing, there are ample opportunities to simultaneously unlock product-market fit while getting a better grasp of the capabilities your organization needs to grow. Design offers a way to mitigate the risk of missing product-market fit and improve your odds of success in a way that dovetails with your existing capabilities and long-term vision. So after you pick your path, get out there and start prototyping early and often with data products, just like you would with anything else. It’s the best way to make sure that your data investment will push you past operational efficiencies, to sustained and real growth.

Illustrations by Nate Kitch

Over the past six months, the pandemic and the economic uncertainty it ushered in have sent companies in every industry flailing; to survive, many have leapt to major digital transformations. Scrambling CEOs have bought into the hype around data and AI that has been swirling for the last decade, all in hopes of making it to the other side. It’s a smart move. Even in a moment as stark as this one, with no sure path to a return to normalcy, data has the potential to ethically deliver unprecedented value to consumers, organizations, and shareholders. But just because the potential is there doesn’t mean the full value of these investments is being realized.

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.