D4V is a Tokyo-based early stage Venture Capital in partnership with IDEO. Two years ago, D4V invested in healthcare startup Ubie, which develops a service called AI Monshin Ubie. The digital service was created with the goal of reducing the burden on healthcare professionals working long hours, under harsh conditions. AI Monshin Ubie automates a number of patient registration and documentation processes through digital tools, enabling doctors to spend less of their time on manual paperwork, and to dedicate their valuable skills and attention to the patients themselves. Currently, the service is installed in 200 medical institutions in 41 prefectures across Japan.

With AI Monshin Ubie, patients fill out preliminary forms on a tablet, rather than paper, entering information about their health history and current symptoms directly into their digital medical record. As patients fill out the questionnaire, the Ubie AI generates questions in real-time according to patients’ responses, which results in more appropriate and accurate data. The patient’s responses are automatically formatted for the doctor to review prior to and during the consultation. As a result, doctor consultation times and facility operation times are drastically reduced.

With the Coronavirus raising fears of a possible health system breakdown, Ubie has made improvements to anticipate and possibly prevent in-hospital infections. Until recently, Ubie’s services have been primarily used by large hospitals; but in light of the global health crisis, Ubie approached D4V—who partners with IDEO—to help rethink the onboarding experience and quickly facilitate the introduction of AI Monshin Ubie in regional clinics across Japan. D4V and IDEO have been working with Ubie for many years to collaborate in various areas, including UX, rebranding, international research, and more. Therefore, they had a foundation of knowledge from which to build these new features.

Typically, AI Monshin Ubie has been introduced to new hospital clients through direct, in-depth instructional visits from Ubie sales staff. This approach has worked well for rolling out the product to Japan’s 8,000 large hospitals; but for the 100,000 smaller clinics, Ubie needed a more efficient onboarding method to enable staff to get set up smoothly and independently.

During research, D4V and IDEO team members engaged with many different clinic staff members, including full-time doctors, part-time doctors, nurses and receptionists. The researchers found that staff tend to react skeptically to new tools and services, with a common preconception that they will add to their workload. One clinic director’s first impression of AI Monshin Ubie was, “It looks complicated.” But once he actually used the service, he realized that it was very user-friendly.

The team quickly understood that it was important to remove preconceptions by clearly communicating Ubie’s benefits and ease of use. They created a two-minute animation and designed three separate guidebooks. The animation adopted a friendly tone and expressed empathy for doctors, staff members and patients, highlighting how Ubie can bring benefits to each of them. The animation showed how Ubie fits into the existing workflow and explained complex systems in a straightforward and accessible way.

WATCH: A short video clip explains the benefit of their product and service to avoid the users’ concerns in advance.

The guidebook for doctors and directors explains how Ubie’s AI smooths the patient consultation experience and greatly improves the quality of medical care. It also introduces concrete how-tos around set-up, implementation, and ideal workflow. FAQs were also included, addressing concerns about whether or not elderly people would be able to use it.

Ubie business development leader Kenji Yamada says, “D4V and IDEO have a deep understanding not only of design, but of our entire business. They provide inspiration by bringing experience and knowledge that comes from working with other industries and clients outside of healthcare. We appreciate that they can share the knowledge that they’ve obtained with our business.”

Read the Japanese-language version of the Ubie case study here.
When You Feel Unwell, Ask Ubie: Check your symptoms for free
Learn more about Ubie: Global Company Website

In the emergency room, an intervention that’s administered too slowly could cost a patient their life. With COVID-19 fueling a surge in acute respiratory conditions, intubation—a procedure that involves inserting a tube through the mouth or nose and into the airway—is more common than ever. For patients struggling to breathe, the tube can be connected to a ventilator that pumps oxygen to the lungs, keeping them alive.

While a laser-focus on the present is critical for successful patient outcomes, hospitals and physicians often don’t have time to look ahead and anticipate the future of the operating room experience. As technology rapidly improves, there is a ripe opportunity and pressing need to evolve medical equipment to be more innovative and intuitive. Verathon Medical, a global medical device manufacturer, is supporting health care providers at the cutting-edge of care.

Verathon approached IDEO to redesign the existing product system for laryngoscopies and bronchoscopies—procedures that examine parts of the throat through intubation. During these examinations, a tube with a camera embedded in the tip is inserted through the patient’s nose or mouth. The doctor can then see inside the throat on a video monitor, and therefore more easily and quickly intubate and perform the exam.

To create a groundbreaking device, the team observed over a dozen laryngoscopies, bronchoscopies, and intubations. They noticed that many anesthesiologists relied on fixed equipment during the procedures. For example, some had grown accustomed to looking over their shoulder—away from the patient—to view the monitor.

During interviews, physicians and residents expressed difficulties with the current technology, sharing that the small screens aren’t conducive to team viewing or student instruction, and they must often use a separate computer to record patient notes. Others reported frustrating workflows, needing to constantly divert their attention and move their hands between the patient, prep tray, monitor, sterile bin, and disposal bin. These inconveniences and inefficiencies are not only cumbersome, but can increase the risk of infection and fatality.

The team relied on these insights to start designing a next-generation product. Through sketching, storyboarding, and building in real-time alongside doctors and clinic staff, designers quickly teased out additional findings and validated concepts.

This work led to the creation of the GlideScope Core: an all-in-one, portable product system that supports both video laryngoscopies and bronchoscopies. The base of the device—a wheeled cart—has built-in storage units for tools and a disposal bin, offering more mobility and accessibility for medical professionals.

The product’s tagline, “see more, do more,” points to the improvements made to the video system, including a large 10- or 15-inch high-definition touch screen monitor. Displayed images can be enlarged and rotated 180 degrees for improved visualization, team viewing, resident training, and classroom demonstration. To help doctors keep both the patient and monitor in their line of sight, the detachable screen can be secured to an adjustable arm that can be positioned directly over the patient. Additionally, the monitor’s patient annotation feature gives staff access to more of what they need in one device.

The product has been especially valuable for providers and patients during the coronavirus pandemic, when it’s imperative for doctors to keep their distance from patients’ mouths and noses. The GlideScope Core’s movable, detachable, and large, high-definition monitor makes it easier to take this precaution and intubate more quickly. This usefulness is reflected in the 5-fold increase in cart-based device orders for Verathon. While most providers typically order anywhere from 1 to 20 devices for airway procedures, one hospital system requested 600 GlideScope Core systems to meet current intubation demands.

Through modern technology and a focus on human needs, the GlideScope Core supports improved patient outcomes and creates a more seamless operating experience for medical professionals. The product underlines the key but often overlooked fact that often, in order to ensure the healthcare industry is patient-centered, medical device manufacturers and hospitals must also focus on improving the experience of providers.

Healthcare is notoriously difficult to change. Rules and regulations present complex barriers; health practitioners and organizations often have entrenched ways of working; and lives are literally on the line. Despite these significant barriers, the leaders at Newton-Wellesley Hospital (NWH) boldly committed to improving patient care through a new approach.

NWH is a community teaching medical center in Newton, Massachusetts. Because of its proximity to Boston—a city known for world-class healthcare institutions—NWH needed to differentiate itself. The hospital's new president, Dr. Michael R. Jaff, reached out to IDEO for help: "I knew that providing an unparalleled patient experience would set us apart from our competitors." But, Dr. Jaff’s particular approach was unique. He and Dr. Jodi Larson, Chief Quality and Experience Offer (CQXO), saw an opportunity to drive better patient outcomes through cultural and organizational change.

"You cannot learn any more than when you get to listen to your potential patients say why they would never walk into your place." —Dr. Michael R. Jaff

IDEO partnered with NWH for a year of work together, kicked off by defining the vision for NWH and ramping up to in-hospital prototyping and the launch of several new initiatives. A pilot project with the Women's Imaging Center (WIC) focused on solving departmental and employee challenges to provide a better experience for women getting mammograms.

Fueled by this potential, the WIC team redesigned key work processes and created a set of experience principles that inspired new service prototypes. Guided by principles like "Express mutual gratitude" and "Honor every voice," the WIC team tested ways for patients to acknowledge outstanding caregivers and created tools to gather better feedback from patients and adjust quickly. The experience of designing better services inspired the WIC staff to become ambassadors for the power of design thinking across other departments inside NWH and they continue to build on the work through new prototypes and experiments.

Next, IDEO partnered with NWH’s ambulatory surgery group. They took an analogous research trip to Boston’s Logan airport to see with fresh eyes how other high-touch customer service organizations provide customer value in a complex setting. Insights from the trip were applied through live prototyping of several new experiences inside the hospital, including a pre-surgery visit summary and pre-operation care carts.

Analogous research helped us realize that we can learn from other industries and incorporate some (cool) best practices if we allow ourselves to get over the ‘that would never work in the hospital’ mentality. - Dr. Jodi Larson

One of the most impactful prototypes was Care Modes, a tool to empower the NWH care teams to tailor their approach and interaction with patients based on the patients’ unique needs, beyond simply their clinical requirements. Four distinct approaches were identified for engaging a patient before surgery—Explain, Partner, Embrace, and Encourage. The Care Mode is determined based on the provider's understanding of a patient's degree of self-advocacy and their confidence that surgery is the best solution to their issue.

Historically, care providers have been trained to deliver consistent care above all else. However, Care Modes powerfully acknowledge that patients respond differently to different types of care. The Care Modes empower the team—from surgeon to nurse to anesthesiologist—with a clear framework for how to interact with and provide care for patients so they feel most comfortable. Based on the prototype's success with patients and impact on the staff culture, NWH has incorporated Care Modes into EPIC, the hospital's electronic medical record.

The importance of being patient-centered has been central to the healthcare conversation over the past thirty years; but new explorations reveal that there’s far more potential for innovation and improvement when the provider experience is considered in tandem with the patient’s. Each enables the other, and design for both together yields stronger solutions and better outcomes. IDEO's work with NWH demonstrates this vital shift in user-centered healthcare—one can't design services and experiences for patients without designing for their providers’ culture as well. When these go hand-in-hand, meaningful institutional change in healthcare is more than possible.

The mission of Chicago's Museum of Science and Industry (MSI) is to inspire children to achieve their full potential in the fields of science, technology, medicine, and engineering. Leaders at MSI realized they needed to drive day-to-day operations and maintain historic exhibits while focusing on where to go next. To prepare for its next decade, MSI worked with IDEO to create a new business focus to support the museum’s aspirations for the future. The plan would allow MSI to respond to the demands of the marketplace and raise the funds to get there.

At the beginning of the project, MSI laid out its priorities: improve equity of access, enhance the museum experience, and create a more innovative culture. To dive into each of these areas, IDEO conducted immersive research with families, teachers, donors, and staff.

IDEO brought together 60-plus donors, board members, and staff members to engage in a design thinking exercise to unpack and address the tensions that come with choosing a new strategic trajectory. Instead of having a standard ballot vote, the IDEO team encouraged participants to get up and vote with their feet, helping the group of stakeholders physically align on the museum’s new direction.

At the end of the research and prototyping phases, MSI and IDEO developed a vision called Provoking Minds, Inspiring Futures, creating six detailed design briefs to equip MSI teams to bring initiatives forward. The briefs laid out everything from recommending a new Department of Next, dedicated to ensuring that the future is at the heart of everything the MSI does, to MSI Runway, a place for experimental, small-scale, and limited-run exhibits. The ideas were brought to life with an interactive exhibit, built quickly with everyday materials like plywood and circuit boards, to demonstrate that creating an inspiring vision of the future doesn’t have to be an expensive endeavor.

The team also focused on insights that highlighted accessibility issues some families brought up early in the design process—travel across the city via public transportation can be lengthy, and the cost of admission to special exhibits could be prohibitive. To address these concerns, IDEO came up with the Mission Accessible brief: Inspired by casino buses, MSI bus stop signs would be posted in various low-income neighborhoods, signaling a way to take kids and families to the museum for free.

During the project, the IDEO team identified some low-hanging fruit, like rethinking ticketing and improving the student field trip experience, and helped the museum create cross-functional innovation teams to apply design thinking skills towards solving those challenges. They researched, brainstormed, and pushed forward new concepts, meeting weekly to share and build on ideas. At the end of the four week period, each team prototyped their ideas—new outdoor programming, software tools for visiting tour groups—and pitched them to each other.

In 2019, two years after the conclusion of the project, the collaboration paid off. With its new strategic plan and additional resources, the museum has renewed its commitment to serving youth, and MSI’s team, including donors, are aligned on a collective vision of the future. MSI raised more funds than in any previous year, including the single largest gift in its history—$125 million, nearly half of its $380 million fundraising goal—that will help ensure the years ahead.

That time you built a spreadsheet for collecting data from your team and adjusted it based on their feedback? That was prototyping. When you ran your big presentation with a couple colleagues and swapped out a few slides because someone said it didn’t quite flow? Also prototyping.

At its simplest, we'd argue that prototyping is the intentional testing of ideas. The key is to do it quickly and thoughtfully. Need a little help figuring out where to begin? Here are four resources to get you started.

1. When you're at the very, very beginning

Kicking things off can be the hardest part. If you’re still trying to figure out exactly how prototyping will fit into your or your team’s creative process, try pulling some ideas from this story of one IDEO team’s experiment with early-stage prototyping.

READ: Why You Should Start Prototyping—Right Now

2. When your next project isn’t designing a thing, but designing a service

Many of our everyday transactions—everything from paying for coffee to selecting airline tickets—are highly designed processes. But where do you start when your project is creating a service, not an object? Dive in with these tips.

READ: 3 Tips to Help You Prototype A Service

3. When the constraints of your project feel like they’re testing you

Been there. If (and when) you’re feeling stuck, lean on the how might we questions in this piece about leveraging design constraints to get you moving.

READ: The Bright Side of Design Constraints: 3 Tips for Leveraging Limitations

4. When you need an example

Itching to see prototyping in action? Follow one of IDEO’s designers as he experiments with 360˚ video.

READ: How to Experiment With 360˚ Video

Say you're not necessarily a designer (raises hand), and you're a little intimidated by what you think of as the ultra-technical practice of prototyping (raises hand again). Here's the thing: You may not realize it, but you've prototyped before.

Listening effectively requires unlearning how we typically have a conversation. We have to reorient why we converse in the first place—away from the urge to validate ourselves and toward our curiosity about the other person. Krista Tippett, an entrepreneur who studies wisdom and compassion, calls this practice “generous listening.” To practice generous listening with others, Tippett says, is to release your assumptions about them, embrace ambiguity, and be willing to be surprised.

Sound radical? In this day and age, starting any dialogue assumption-free might feel like a challenge, but as designers, we often practice generous listening. Our process is powered by finding inspiration in people’s lived experience. In order to create something new, we have to be listening closely and openly enough to hear the unexpected.

We often see how transformative listening is for the people involved in our design research process. At the start of a project, we sit with people for hours, listening as they share their stories. It’s humbling when, on their doorstep later, they thank us. We know we’re grateful for the wealth of knowledge and ideas they have given us, but our presence as listeners must have been a gift too.

Whether it’s to aid one another’s understanding of ourselves or generate new ideas, these are my favorite exercises to practice, as Tippett calls it, generous listening.

1. "What's holding your attention?"

We all carry the baggage of our messy, human lives to our jobs. Starting your team’s day by answering this check-in question can help alleviate the tension people carry into the workplace, whether it’s lingering anxiety about an argument with a spouse or worry over a child’s first day at school.

Give everyone a minute to reflect on the question. Ask each person to share for two minutes. When someone else is sharing, listen, and if it feels appropriate, think of a follow-up question to ask them later.

Listening is not about silently waiting your turn to speak, but about asking more curious questions. Once each person is done, thank them for sharing.

2. Creative Tensions

In this exercise, people reveal how they feel about a nuanced issue by where they stand in the room. You can create tension to probe everything from company culture to the value of social connection.

To begin, pose a tension—an open-ended statement with two opposing responses—to the group. A good tension has a spectrum of answers between the two poles. For example: Working on a deadline makes me feel: Energized ↔ stressed. When preparing tensions, ask yourself: Is this a balanced tension? Am I being generous to each side? Writing tensions, just like asking insightful questions, is a skill. Revise yours until it feels balanced.

Now comes the physical part. Ask everyone to distribute themselves from one end of a room to the other based on where they stand on the tension. In this example, those on the far left feel energized by deadlines; those on the far right feel intense stress. Folks in the middle are or a mix of the two.

Once people have arranged themselves, invite those on the far ends to share why they stood there. Invite others to move if something someone else says changes their point of view. Repeat this process for people standing in the middle—why are they toeing the line?

Creative Tensions is a tool developed by IDEO and the Sundance Institute Theatre Program. You can learn more about running Creative Tensions here.

3. Hopes and fears

This activity is an opportunity for a team to share the hopes and fears that underlie certain behaviors, but often go unsaid. It’s a useful exercise for alleviating anxiety and rallying a team around common goals.

In a small group, have everyone write 1 to 3 hopes and 1 to 3 fears about the start of a project, a new initiative, or another discrete topic. A volunteer shares a fear first. People with similar responses share next to surface common themes. Repeat this style of sharing for people’s hopes (to end on an optimistic note).

4. “Tell me more about that.”

This is every curious person’s favorite conversation starter. Did someone just get wide-eyed and describe their weekend as “odd?" Or sigh describing their first job as a server as “wild?"

“Tell me more about that” is an open-ended, fail-proof phrase that gives people permission to talk about what they’re holding behind an unusual word or cryptic statement. It’s a powerful gesture that signals you are ready to follow wherever someone’s inner monologue is taking them.

The fruit of these exercises hinges on your commitment to listen differently. For The Civil Conversations Project, an organization Tippett founded to create compassionate civic discourse, becoming a generous listener is part of the individual “human change that makes meaningful social change possible.” The project begs the question: If listening is at the root of collective progress, what then is the cost of not hearing each other?

“What’s holding your attention?” is an exercise created by Alexis Gonzalez Black. Special thanks to Tracee Worley, Simo Stolzoff, and Jayme Brown for their contributions.

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Listening spurs personal transformation. You might’ve guessed that’s true for the listener—hearing new ideas can create sparks of inspiration or revelations about one’s own beliefs. But being listened to can also be transformative. Research has found being heard can shape a speaker’s emotions, help them grapple with complexity, and even temper extreme perspectives.

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But in organizations wired for efficiency, it can be difficult to quickly adapt—a potentially fatal shortcoming in a world where disruption and technological change are constant. We often see these organizations unravel and reassemble abruptly, resulting in jarring employee experiences and decreased productivity; or change course entirely, building something new that causes more damage than value. As a result, companies are dying more quickly than ever: Today, the average age of an S&P 500 company is less than 20 years old; in the 1950s, it was nearly 60.

Given all the factors threatening the vitality of companies, what factors can instead contribute to their longevity? One source of inspiration comes from cities—and the planning and development that underpin their resilience. While the best cities do seem to function like fine-tuned machines, their systems are in fact much more adaptable, flexible, and resilient—more like a living organism than a machine. In his book Scale, theoretical physicist Geoffrey West asks, “if cities are indeed some sort of superorganism, then why do almost none of them ever die?“

The reason is that they learn to evolve in response to changing conditions—a quality that is equally critical to companies. Every business leader stands to glean some adaptive tools by taking a page from urban leaders who’ve deployed adaptive responses to their local challenges.

The “just enough” strategy

After the massive 2010 earthquake destroyed 80 percent of buildings in Iquique, Chile, architect Alejandro Aravena was tasked with developing a new city plan for Iquique. His solution was unexpected: he designed a replicable house that would be half-complete when handed over to the inhabitants. On one side, the home would be move-in ready, sufficient to meet the legal requirements for low-income housing; on the other side, a vacant frame would give residents agency in determining how their own home would ultimately be. Concrete foundations, plumbing, insulation, and electricity were all provided for inhabitants, who could expand on the basic design by taking workshops and buying building materials through the city. This design gave residents a starting point to design their future, rather than a mandate. In the end, they each owned their homes.

This kind of “just enough” strategy could help businesses adapt, too. In times of change, organizations tend to set new visions in multi-year timeframes — forecasting three, five, or even 10 years ahead. Leaders develop detailed road maps explaining how every part of the organization must change in order to reach these goals. But these macro-level and long-term mandates often don’t feel tangible or attainable to employees, especially when they’re asked to report on progress every three months. This results in a lack of momentum, support, and internal innovation.

Instead, organizations can think about creating a “minimum viable organization” (MVO)—the basic foundation and tools needed in order for talent to step in to help create and shape the company’s future innovation and growth.

Zalando, Europe’s largest fashion retailer, is one of the companies that has successfully employed this approach. To more quickly adapt to industry changes, and carry out their new vision to reimagine fashion for the good of all, IDEO designers and Zalando employees established a dedicated product innovation team and lab. Rather than devoting months to strategizing or establishing an entirely new innovation department, the lab offered the MVO conditions to yield faster, more tangible progress on a long-term vision that the company could internally rally around and take to the market. In the three years since its launch, the lab has built and sent to market multiple new products like Seen At, a mobile app that allows members to upload street-style photos; and Collabary, a digital tool that connects online fashion influencers with brands.

A nimble plan for scaling

Curitiba, Brazil, is considered one of the best examples of urban planning in the world. When the city’s population exploded in the 1960s, residents worried that overcrowding and traffic congestion would threaten the city’s history and character. To address the issue, architect Jaime Lerner rolled out the Curitiba Master Plan. The plan introduced a public bus system, and required all new development to be concentrated along the bus routes to maximize use. He also introduced the Trinary Road System, which features dedicated bus lanes at the center of the thoroughfare, with parallel streets on either side for private vehicle traffic.

Rather than primarily investing in new infrastructures, Lerner focused on innovating within existing conditions, focusing on roads, public spaces, and downtown areas. As a result, he designed a system that facilitated the city’s scale while still preserving its culture.

What can businesses learn from Lerner’s approach? When organizations scale, many companies rely on structural reorganization to address challenges with stakeholders, process, and other complexities. But while that approach adjusts the high-level org chart and shifts reporting lines, it does not change informal human dynamics, relationships, and emotions, which largely influence workplace culture, engagement, and productivity.

In his TED talk, designer Alastair Parvin tells the story of an architecture firm that was working with a school to help address narrow hallways in light of a growing student population. In between classes, the corridors became congested, resulting in difficulty monitoring student behavior and bullying. But rather than expanding the hallways or building a new space for the school, the firm redesigned the school bell system. “Instead of having one school bell that goes off once, have several smaller school bells that go off in different places at different times, and distribute the traffic through the corridors,” says Parvin. “It solves the same problem.”

Like Curitiba, organizations can shift the way they operate while maintaining existing structures, rather than creating entirely new ones, which often disrupt workplace culture.

Taking a “regional” approach

Cities also offer guidance for how to work with partners—and even competitors—to achieve a big, important goal. As a part of the Helsinki City Planning Department’s 2009 Strategic Spatial Plan, the city decided to think about serving the needs of the whole region, rather than those only within the city’s boundaries. This meant that Helsinki had to redefine its existing economic, social, and environmental relationships, changing who it served. The city also formed new principles and policies for key issues like business activities, housing, and the city landscape, enabling development beyond Helsinki’s boundaries.

Most companies intentionally define clear boundaries and relationships between themselves and the outside world. To a certain extent, this is expected: Nearly every business school student is introduced to Porter’s Five Forces, a popular model used to inform corporate strategy. As part of the framework, future managers learn that by reducing the number of competitors in the market, a business can ensure long-term dominance. But as a result of adopting traditional business frameworks like Porter’s Five Forces, organizations naturally view their relationship to other industry players as competitive or transactional. This creates boundaries between a company and those outside its walls.

Like Helsinki, organizations are rethinking the boundaries of their responsibility by working to address big issues like climate change. Despite being considered industry competitors, leaders from Danone, Rabobank, Nature’s Path, McDonald’s, and Starbucks recently joined forces through CoLab, IDEO’s platform for collaborative impact. During a week-long design sprint, they worked side-by-side to develop solutions, emerging with one concept that helped food companies access better ingredients; and another that used a circular model to offer food delivery to apartment dwellers.

These companies recognize that there’s an opportunity to both stay ahead of the market and generate broader impact by looking beyond their organization’s own walls and intellectual property. This requires companies to form new collaborative relationships to push industries forward together.

While companies can still benefit from using Porter’s Five Forces—and even sometimes from structural reorgs—fresh, innovative thinking is required to address the complex challenges businesses face today. To that end, cities can serve as inspiration for organizations navigating change, helping them to rethink the efficiency-driven approaches that once enabled success, and orient instead toward nimble, flexible, human solutions.

Illustrations by Ryan Johnson

Organizations have long been engineered like fine-tuned machines: They allocate processes and resources (sometimes human) into specializations, each churning and passing their output to the next group. This efficiency has allowed companies to scale, prevent competitors from entering the market, and dominate their industries.

In the hacking world, capture the flag (CTF) describes a competition that requires participants to complete challenges that vary in topic (hardware, software, social engineering, cryptography, etc.) and complexity to—you guessed it—capture digital flags. Not only does winning these competitions mean bragging rights and great prizes, it’s also a great way to learn and teach new skills while working with others in the community.

To prepare for the competition, we doubled down on the design thinking process we rely on in our work: We built a multidisciplinary team so we had a wealth of resources on our side, and we relied on rapid prototyping to create tools that helped us solve puzzles. Here are our best tips for getting through a challenge like this one, borrowed and modified from the best practices and processes of design thinking.

Assemble a dream team

CTF challenges are usually designed to push the bounds of competitors’ knowledge and abilities, and this one was no different. When we were preparing, we knew we’d need a team that could handle embedded systems and hardware as well as web and networking. Luckily, between the two of us, we have those covered, but we also teamed up with friends at the conference with specialties in cryptography, wireless hacking, and other skills to round out our abilities.

As we thought about the types of challenges we might face, we broke down the kinds of skills we'd need and assigned them among the team. Once the challenge kicked off, we huddled to share ideas and make sure that none of the teammates got stumped on their pieces of the challenge. Even though assigning roles to work efficiently is really important, you can’t get through a challenge without leaning on one another.

Adopt a beginner’s mindset

When you go into a challenge like this, you often face things you’ve never seen before, like long strings of garbled text that make absolutely no sense at first glance; hardware that is completely new to you; antiquated and obscure software that you need to exploit somehow.

It’s daunting, but it’s not so different from taking on a design challenge. When you rely on the methods and processes of design thinking to find an unknown solution to a complex problem, you don’t know what you’re trying to build until you figure it out. CTFs work much the same way. And to succeed at them, we rely on the same methods we use to create a new product or service, or solve an engineering problem: we adopt a beginner’s mindset. When we start a project, we take significant time researching the client, the industry, and of course, the users. When we sign up for a challenge, we start working to learn as much as we can in advance, thinking about the creators and what kind of challenge they might be looking to hand us. Having little to no idea about what we’ll encounter once the challenge starts, we do our best to prepare.

Build, test, fail… repeat!

Seldom do we participate in a CTF without having to develop custom tools on the fly, like software scripts for cracking cryptography or custom hardware for probing and manipulating physical challenges. Given our time constraints, we have to slap these tools together, focusing on scrappy versions that will last just long enough to help us solve the challenge and find the flag. CTFs tend to last only a couple of days, so time is a valuable resource. It usually doesn’t matter how well a tool is designed, as long as it can be made quickly and help get us closer to the flag.

It’s a strategy straight out of the design thinking playbook. When designers are coming up with a new solution to a problem, we don’t always have time to take one idea from concept to completion. We work on many solutions in tandem, figure out which ideas are going to fail fast, then advance the others forward (or come up with totally new concepts). The tools we develop during hacking CTFs are no different. It’s a cycle of quick development, testing, and processing the feedback in order to inch closer to a solution.

Get out of your head

These challenges are called challenges for a reason. At this point, the two of us have been around the CTF block before—and yet we still get stuck and fail spectacularly.

This time, for example, we ran into an issue with listening to an audio clip that played from our ID badges. We couldn’t make out what was coming out of the tiny speaker, so we started thinking about ways to rip the firmware off the badge and download the file it was playing. That was going to take hours (if not longer), but Rob suggested we just needed a better speaker. We were thinking way too technically—we didn’t need to rip the file, we just needed to hear it better.

By articulating the simplest problem and searching for the simplest solution, we were able to move forward much faster than if we had tried to solve the problem in a much more “correct” way. It’s about knowing when to take a step back and allowing yourself to be curious about other possibilities.

Just like with our other work, failure is part of the process. Sometimes your seemingly perfect solution fails in testing, or your prototype isn’t what a client wanted. You get sent back to sketch out new ideas and start again. After our momentary fiasco with the ID badge speaker, we got the message from the audio file, moved forward to the next challenge, on and on, until we won!

Enjoy sweet, sweet victory

By pulling from our IDEO skills, and with support from some new friends, we ended up winning our first hacking CTF at this competition. We’ve since gone on to compete in other hacking competitions around the country, including winning DarkNet at the notorious DEFCON, thanks to our experience in things like breaking out of handcuffs and having a basic proficiency in Vulcan. (Yes, knowing the fictional language from Stark Trek was an actual part of the competition). Part of the challenge even involved cracking codes to gain access to a secret party—super cool.

If you can’t tell, we’re huge fans of the way CTFs push us to think quickly, pivot fast, and challenge our expectations. And Rob is such a fan that he’ll be heading back to Thotcon this year as an organizer. That's handy for the rest of us, because even though he won’t be sharing any hints as to what’s coming, we already know the way he thinks. We're ready to hit step number two, thinking about the kinds of challenges he might be all too excited to throw at us.

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You’ve infiltrated the other team’s base, found the hidden flag, and are anxiously navigating back to safety in order to score. For many people, this might bring back adolescent memories of playing capture the flag with their neighbors; for the two of us, this was what it felt like to compete in Thotcon, a two-day hacking conference. Instead of running around in someone's backyard, we were gunning for flags over wireless connections, hacking into devices, and deciphering puzzles.

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.