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.

Creativity Challenge # 10: Help your group understand innovation thinking

If you attend a class or an executive program at the d.school, the first day will most likely include a fast-paced, hands-on activity we call Design Project Zero, or DP0 for short. Rather than try to explain our process for innovation, a DP0 is intended to give people an overview by experiencing it in a microcosm. Faced with a simple innovation challenge, you have a chance to start with empathy, create new ideas, and then build some rapid prototypes, all within about 90 minutes. DP0 projects focus on everything from the gift-giving experience to the ramen-eating experience. The original DP0, explained very briefly here, is called The Wallet Exercise.

The exercise uses a simple object that most people carry with them as a prop to discover needs, design and prototype solutions, and get user feedback. It gives everyone a chance to cycle quickly through the human-centered design process.

Tool: The Wallet Exercise
Participants: Pairs in groups of any size
Time: 90 minutes, plus preparation
Supplies: The facilitator’s guide (available on the d.school website) includes a complete list of instructions, worksheets, and prototyping materials. The instructions and worksheets can be printed out for each participant or projected on a screen. Provide prototyping materials (essentially basic craft supplies, which may include markers, colored paper, aluminum foil, tape, pipe cleaners, etc.).

Instructions

Step 1: Participants pair off, with one starting as the interviewer/anthropologist, while the other plays the part of the prospective customer. The interviewer spends a few minutes understanding and empathizing with the other person. The interviewee/customer takes out his or her wallet or billfold, and they have a discussion about the items inside and the meaning attached to them. The interviewer asks questions to see how the wallet fits into the customer’s life, looking especially for problems or friction points associated with the wallet. For example: "Have you ever lost your wallet?" "Do you use it differently when traveling internationally?" "Which items do you take out most often?"

After just a few minutes, the facilitator calls time, and the team members reverse roles, with the interviewer in round one becoming the customer in round two.

Step 2: After the participants have had a chance to understand the customers and their wallets, the next step is to develop a point of view about their latent needs and missed opportunities with regard to their wallets. Those need-based points of view can take the form of a sentence like, “My customer needs a way to ... [user needs] ... in a way that makes them feel...[meaning/emotion] ... because ... [insight].”

For example, “My customer needs a way to keep track of the contents of their wallet in a way that makes them feel secure, because if they lose their wallet, the anxiety of not knowing what has gone missing can be worse than losing the cash inside.”

Step 3: In a form of mini-brainstorming, each participant generates a few concepts for new objects—they may not be physical wallets at all—that satisfy the needs highlighted by their point of view developed in step two.

Step 4: In the most kindergarten-like phase of the wallet exercise, participants create the roughest of prototypes to bring their ideas to life. Using an eclectic mix of materials like construction paper, duct tape, pipe cleaners, and binder clips, each person will build a prototype just good enough to make the idea tangible so that they can get feedback from their future customer.

Step 5: Using their storytelling skills, a selection of participants “pitch” their new-to-the world wallet concept to their customer and/or to the room at large.

Tips from the Field

The wallet exercise is all about the journey, not the destination. Reading about the wallet exercise doesn’t deliver experiential learning. The value is in the doing.

Much of what people take away from this experience happens when debriefing the wallet exercise with the whole group. Ask a few pairs to share their prototypes with the larger group. You might ask, “Has anyone’s partner come up with a solution that is so great that you need it right now?” or “Is there an idea so ingenious that it should be backed on Kickstarter?” or “Has someone designed something that is incredibly personal?” Have each pair come up and describe the need they discovered and the prototype they built. Use these shared stories to drive home lessons about empathy, prototyping, getting feedback early and often, and so forth.

This fast-paced format can work for many kinds of challenges. Once you have mastered The Wallet Exercise, think of other innovation challenges to tackle, like redesigning your daily commute or exercise regimen.

Making New Habits

Some psychologists claim that you have to practice a new behavior for twenty-one days before it begins to become a habit. The operative word is “practice.” The weeks, months, or years spent thinking about new behaviors don’t count. So pick your favorites from this chapter or create some new experiments of your own. Start accelerating down the runway now if you want your new skills to take flight.

This post was taken from Chapter 7 of Creative Confidence. Purchase the book for more on how to use creativity to solve problems, or read more from this series of creative exercises on the IDEO blog.

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Everyone is creative. This belief runs through everything we do at IDEO, and in 2013, it led my brother David and me to write a book that would help others—even those who don’t think of themselves as “creative types”—to unleash their creative potential. Creative Confidence has inspired thousands of people to adopt a creative mindset and apply it to the diverse real-world challenges they face. In this series, we’ll share some exercises from the book that can help you approach your challenges from a new perspective.

In this post, I'll be sharing a method that I've developed to help IDEO designers prototype immersive media experiences for our clients. But first, let's think about the emerging medium we're designing for.

Tools enable, storytellers enthrall

Early filmmakers in the 20th century had a new tool in the motion picture camera, but had yet to fully explore how to use it to maximum effect. The closest frame of reference for film was theater, so in the silent era, many directors placed the camera “fifth-row center,” and filmed movie scenes as if they were sitting in a theatrical audience—no cuts, close-ups, zooms, or pans.

Over time, filmmakers experimented with and ultimately developed an established visual language for the new medium. Think of it as the film equivalent of grammar—sentences, paragraphs, and so on.

Early attempts at 360° videos were effectively in the same place as traditional film was 120 years ago. Since the camera can see in all directions—and the user can look in any direction at any time—the classical visual language of film no longer applies. Creators are having to experiment all over again to develop a new visual language that works in this medium.

360˚ video is great for first-person-like views of extreme sports, but it poses a number of challenges for producing narrative content. If the camera can see in all directions, what do we do with the background? How do we direct the viewer's attention?

In response to these challenges, the creators of some first-wave 360˚ videos have chosen to plunk the camera down and orchestrate a performance around it. In other words, if the camera can look everywhere, let’s put the action everywhere.

It’s one way to deal with the format, but I’ve been exploring other ways we might begin to tackle the storytelling challenges of 360˚ video, and also address some of the production hurdles we encounter when we shoot in 360˚.

One of the first instincts creators might have is to buy a 360˚ camera. But that’s a lot of money you really don’t need to spend, and I’d even argue that in some cases, a 360˚ camera may actually limit creative possibilities. Instead, we can repurpose our existing tools.

A partial view of the world

To address this challenge, I’ve created techniques that use traditionally-shot 2D film footage to create composite, immersive 360˚ video worlds. These GIFs showcase a quick overview of the technique, in which four traditional shots are blended into a single 360˚ scene.

So what exactly is happening here?

To start, let’s look at what a spherical 360˚ scene looks like when it’s unwrapped.

This is called an equirectangular grid, and it is one of the standards that Facebook and YouTube have aligned around. As you can see, there is significant distortion at the top and bottom of the image. These are the the poles that, when spherized, represent the top and bottom of the view. The centerline, however, remains relatively distortion-free, and luckily for us, that’s the horizon line in all directions.

When wrapped, this distorted grid becomes a clear shape.

Creating your first 360˚ scene

This workflow uses Adobe Premiere Pro, but if you prefer another video editing suite without native VR export, don’t worry, there’s a workaround at the end.

First, let’s get the tech specs out of the way. You’ll want to set up your project and sequence with these settings:

• For best results, I recommend editing in a 4K workspace (3840x2160px) at either 30p or 60p.
• When compositing 2D shots into the scene, I recommend sticking to the equator of the image as it will have the most predictable results.

Once you have that workspace, import your desired 2D footage. In my example above, I used footage composited on a black background that blends seamlessly into the (also black) background of the 360˚ world, resulting in invisible edges around each of the shots. I was also able to luma-key (effectively a form of green screening) the background so I could overlay several shots to create large scenes composed of multiple individual shots. In my real-world shoots, this technique allowed me to composite multiple individual shots, helping a tiny set to punch well above its weight.

The secret sauce: 360˚ metadata

Now you’ve got your 360˚ scene prepared and are ready to export it for upload. Here’s where the magic happens: To get YouTube or Facebook to see your 360˚ video as such, you must include the proper metadata.

This is much easier than it sounds. If you are using Adobe Premiere Pro CC (2015 or above) this feature is built in. Find it in the export settings at the bottom of the “Video” tab here:

If you do not have native VR export in your video editing software, don’t worry, there is a workaround:

1. Export your 4K video to H.264 as you normally would.
2. Inject the required metadata using the YouTube Spatial Media Metadata Injector. This is not as scary as it sounds, and it will enable both YouTube and Facebook to detect your video as 360˚ content.
   — First, download the YouTube Injector tool for Mac or Windows.
   — Unzip the file, then use the application to open up your video export.
   — Select “My video is spherical (360)”.
   — Process your file.

That’s it. Just a simple press of a button, and your video will be recognized as 360˚ content on all the major platforms.

Happy uploading!

This story was originally published on IDEO Labs.

Thanks to native support on Facebook and YouTube, virtual reality and immersive 360˚ video have reached a tipping point in which production, distribution, and consumption are now available to almost everyone. There’s one problem, though: Many creators are still struggling to find the best way to tell stories with this medium.

As an adult, it's been important to me to use my design skills to recognize how much my father and my time in nature helped shape who I am. In college, my thesis project “FLOA” was a tribute to flowers and my father (FLOA = flower + appa—“dad” in Korean.) It was a small flower garden with different sizes of flower pots filled with lilies, dandelions, and roses. Working on the project created a special moment for me and my dad.

That was the first time I created something to honor the impact my father and our time in nature had on me. Years later, at IDEO, I started working on a project to redesign flowerpot systems and plant care instructions for consumers. Through the design research process, I got to observe how people take care of thousands of plants, how they are nurtured, and how they travel to consumers. I started to feel like a flower doctor, figuring out how to create a flowerpot that would best help them grow. I wanted to communicate that message to others, that caring for flowers isn’t entirely unlike caring for our own human bodies. To share that message, I decided to create a font system that combines the visual styles of botanicals and x-ray imaging. It would be a tribute to my dad and the connection I feel to nature, and hopefully inspire others to feel that same connection.

Instead of relying on existing x-rays of flowers, I decided to use the flowers from my memories to make the font. I went back to the journal of flowers I’d kept for 20 years and scanned them to convert them into a digital format, then applied the x-ray effect and arranged them into an alphabet. I named the font Small Forest.

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I then connected with my IDEO colleague Todd Vanderlin, who is a genius creative coder. He used the flower scans to create an interactive digital experience that allows people to draw with flowers, stems, and leaves. Lines drawn by the user turn into beautiful botanicals before their eyes.

The program does not use any fancy machine learning algorithms or computer vision techniques. Todd wanted me to choose the direction, orientation, and type of each flower, building my own library of botanicals.

The software starts by analyzing the line stroke, search for long continuous segments based on the change in angles. The segments then source flower parts based on their tags and configurations.

When Todd showed me how he created the coding system, it was mind blowing. I felt like I was on a spaceship traveling to the future. We unveiled the digital experience at an event that IDEO Cambridge and MIT Media Lab hosted earlier this year called Future Fest, an interactive art show that invited guests to explore the interactions of art, technology, and humanity. I loved watching guests interact with the botanicals and create their own nature-inspired art.

Small Forest is a project that ties me to my dad and my childhood. But thanks to Todd, it became something much bigger—something that can delight others, and inspire them to take on art projects of their own. As you think about your own journey, don't forget to recognize the people and experiences that got you here, and to use your skills to create something that just might inspire someone else.

Special thanks to Todd Vanderlin for collaborating with me on this project.

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My father always told me the most beautiful and creative art in the world can be found in nature. Growing up in Korea, visiting botanical gardens was our family ritual—I even kept a journal where I picked leaves and flowers, and dried them in its pages. These memories and the spirit of nature helped me build my creative world.

It turns out there’s a strong correlation between social media use and nap entrapment. Personally, I found my Instagram use skyrocketed during the first four months of my then-newborn’s life. And during the entrapment days, two Instagram accounts really stood out from the rest. The first was the actor/rapper Will Smith’s energetic, curious, family-friendly account. His posts are a mix of throwback photos featuring Jeff Goldblum, comparisons of his baby pictures to Rhianna, and vintage videos of wife Jada mouthing off to Eazy-E about feminism.

The second belonged to the musician and artist Patti Smith. Her account is poetic, reflective, and sincere. Its posts range from a meditation on the morning light playing upon her “thinking chair,” to fanning out hard over Law and Order: Criminal Intent.

Perhaps it was the sleep deprivation. Or maybe it was a hankering to fit some synthesis—the IDEO designer's process of creating a cohesive narrative from a sea of nuanced human stories—into my maternity leave. But I grew intrigued by their common last name.

Thus came constraint number two: Could one create a captive, compelling Insta feed, one that guides the viewer on an engaging, winding, whimsical journey, featuring only Smiths? What story would come out of weaving multiple online personalities together? It was synthesis, but with other people’s lives.

To make things really interesting, I added two more Smith feeds. Kevin, one of the masterminds behind films like Clerks and Dogma, balances goofball humor with poignant reflections on life and health. Singer Sam, the fourth and final Smith, is a modern day crooner who keeps his posts pithy and punchy.

Together, the four Smith feeds created balance in a random sort of harmony. Squinting from just the right angle, I was surprised to find common threads in their posts. Stills from Sam’s iconographic performance stages flowed seamlessly into Patti’s gently-lit trip to La Recoleta cemetery. Kevin’s collection of Weebles set up Sam’s visit to a trinket-ridden open air market, before handing off to Will’s portrait of an eclectic man’s fashion in Tybee Island, GA.

With nothing more than a ubiquitous last name and fame connecting these four, gestural themes emerged. Parenthood, childhood, dental hygiene, activism, Rhianna.

These are more than Smith themes. These are modern human themes. But Instagram’s real-time format muddied this story. I wondered if there was a way to create a thematic flow—one long, chaptered story—rather than a chronological one. The solution lied in a third, and final, constraint: a fixed feed. One in service of a single story in time, rather than a constantly evolving one.

And so, Selected_Smiths was born. A static Instagram narrative, comprised of snaps from all four instagram feeds. The final edit was made on July 22, 2018. 59 posts total, culled from the original Smiths’ feeds. Best viewed from bottom to top and with 30 minutes to spare, so as to read all comments and hashtags.

What started as a nap-trapped experiment turned into a lesson on the power of constraint. Selected_Smiths was born of three constraints: one situational, one coincidental, and one editorial. If Selected_Smiths is the steel ball, then these constraints were the bumpers in the pinball machine of my mind. Launched with gusto, frantically bouncing past flashing lights and through sound fields, the bumpers present a barrier, ricocheting the ball to loss or victory. Constraint demands perseverance, triggers ingenuity, and every once in awhile helps you execute on a weird idea.

Like creating one story with four people who share the same last name. Funny, serious, flip, human—the internet really does it all.

Nap-trapped (noun): When an infant falls asleep on a person in such a way that they are rendered immobile. As in: On maternity leave, I often found myself nap-trapped in a position that demanded complete stillness of all extremities… apart from my right arm. This constraint inspired a somewhat esoteric design research experiment that I took on—sometimes literally—with one hand tied behind my back.

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.