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.

Having already used acrylics, oil paints, graphite, and finally moving on to digital art, there was not much left to experiment with to broaden my artistic arsenal.

Or so I thought.

It was 25th of September, 2016, when my artistic alter ego was born. During that period of my life, I was searching for a way forward, having just returned from university without a job. I spent most of my time ideating and planning my next move.

That afternoon, I sat down to take a break and illustrate my state of mind. I started what was meant to be a 20-minute drawing session with a 0.5mm fine liner. That pen, plus an old notebook that I had used back in university, became my weapon of creativity.

When I was done, I had a character that I named “the relentless dreamer”—a tiny figure with a peculiar helmet that shielded his wandering heart from reality as he knew it, granting him the ability to see far beyond the clutches of a life he deemed to be limited. This tiny figure reminds me that it is crucial to be idealistic, ambitious, and forever creative.

Drawing this character gave me an emotional release unlike anything I had experienced before through art. Though I was often plagued with a sense of anxiety around what my drawings would mean or stand for, this time, I felt weightless.

I began focusing on these black and white ink drawings, and the experience was cathartic. Each one entwined with the stories that brought them to life. Even though most of the figures I drew were imaginary, I was taking my life and experiences and expressing them through my illustration. I would envision part of the figure in my mind and let the rest appear.

My intention was for viewers to move their eyes constantly as they looked for meaning in the drawing or simply made out the shapes.

Some of my work is dark, some full of mystery—a mystery I hoped that others would try solve as they navigate the intricacies of the line work.

Amidst all the visual chaos, there was one constant: A human element. The figures would serve as my connection to the pieces, and I hoped they would resonate with the audience, too.

These days, you will probably find me seated in the corner of a cafe with a fine liner pen. To many, I am just an artist, ardently sketching away. But what I’m actually doing is getting a little dose of sanity, as I move the images in my mind onto the pages of my book.

And in that very moment, I am dreaming… relentlessly.

Want to see what other IDEOers are drawing and doodling? Take a peek inside more designers' notebooks.

Two years ago, after spending most of my life mimicking artwork that appealed to me, I assumed that I had reached my artistic peak. I had been drawing since 1999. I still enjoyed working on portraits and surrealist compositions, but creatively, I felt stuck. After starting university, my product design work proved to be quite fulfilling, but my personal work was feeling uninspired.

Creativity Challenge # 6: Warm up a group

Creativity thrives amidst free-flowing social discourse. To get a roomful of strangers to innovate, you may want to begin by breaking down some social barriers. When this exercise is done right, the room will be abuzz with chatter and laughter, and participants will be more open to what comes next.

Tool: Speed Dating
Participants: Pairs in groups of any size
Time: 15-20 minutes total, 3 minutes per round
Supplies: Paper printed with a set of questions for each participant. Several different sets of questions will be needed to accommodate the entire group.

Instructions

Step 1: Give each person a list of open-ended questions. Several different sets of questions should be spread throughout tables in the room so that people aren’t continually being asked the same questions.

Examples of possible questions:

• How would your closest family members describe you?
• If you had a million Euros to spend in a way that benefits humanity, what would you do?
• What do you wish your parents had told you?
• What was a live performance or show you really loved, and why?

Step 2: Ask each person in the room to pair up with someone they don’t know very well or have never met. This may involve getting up and moving seats.

Step 3: Have one person in each pair ask a question from the list. Allow three minutes for the other person to answer.

Step 4: Have each pair switch roles and repeat, asking a different question on the list

Step 5: Tell everyone to find a new partner and repeat the process for a couple more rounds.

Tips from the field

You want to keep people moving to create a well-orchestrated round-robin. Be proactive about timekeeping. Assign someone to be a facilitator or timekeeper. To add a little fun, use a buzzer or gong to announce that time is up.

Depending on the nature of the working session that will follow the Speed Dating exercise, you can tailor some of the open-ended questions to be inspirational and loosely related to your topic. For example, if the objective of the meeting is to discuss the future of workspace for the organization, one of the prompts may be, “Describe an inspiring space you have worked in.”

Give a little thought to the type of questions you use. Meaning-of-life questions and superlative questions (the most, the best, the worst) can cause people to stall out or draw a blank. The whole purpose is interaction. So if your question stumps your partner for even a handful of seconds, it’s not quite right. Try the questions out on someone before you use them in a group setting.

If your group might be uncomfortable with an activity that includes the word “dating” in the title, call it Speed Meeting—which we have found works with Nobel laureates.

This post was taken from Chapter 7 of Creative Confidence. Purchase the book for more on how to use creativity to solve problems, or view 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.

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1. Design for human capabilities

We are in an uncomfortable place at the moment. Technology has connected us all more than ever, but we are feeling less substantive connection with one another. Human interaction has been reduced to lowest common denominators. Unhappy people click more. Now technology is starting to displace us. In the next few years, deep learning-based AI will take over human activities, from driving to medical diagnosis. The discomfort is increasing as society faces mass redundancy, increased inequality and a crisis of meaning. We can all feel it coming. Design can help.

The amazing thing about good design is that it looks at ambiguity and disruption and sees fertile ground. There is huge opportunity when we focus on things that humans are uniquely equipped to do—empathy, creativity, care, love.

If we do it right, we can conceive and shape new roles for humans in a layer on top of the efficiencies that machines can achieve. We can use those uniquely human traits to re-find and enhance community and depth in our relationships with each other. We can go from Artificial Intelligence to Augmented Intelligence.

—David Webster, Partner, IDEO Palo Alto

2. Design for emotional wellness

The uncertain state of the world is having clear consequences for individual health. You see it in the headlines everyday: Kids paralyzed by anxiety. Suicides by gun. Addiction to opioids. We live in the most technologically connected times, yet our rates of loneliness are increasing. If you dig deep, the common root is an absence of emotional and mental well-being.

I’m not talking about the well-being that’s branded through luxury experiences, like wellness retreats. I’m talking about what Maslow missed at the very bottom of his hierarchy: that sense of inner well-being that is absolutely necessary for our survival as humans.

What’s exciting about our moment now is that science has surfaced the myriad ways we can cultivate emotional and mental well-being—all of which are new channels for design.

Designing ways to get better sleep is also a way of designing for resilience to stress and better ability to manage our emotions. Tackling loneliness and designing for meaningful social connection is also a way of designing for a stronger immune system and brain protection. (Conversely, enabling chronic loneliness is as bad as smoking 15 cigarettes a day.) Designing ways to help people find their sense of purpose and meaning in life is an incredibly powerful way to design for healthier mind and bodies.

More and more, designers will realize their superpowers. Doctors and nurses are key players in facilitating wellness, but let's not forget that designers can be healers, too.

—Ann Kim, Portfolio Director, IDEO Cambridge

[This portion was also featured in Fast Company.]

3. Design for circularity

While it's easy these days to lament the state of the environment and the need for change, there's some hope to be found in the increased momentum towards a more circular economy. Collaborations between industry and design have yielded smart, feasible ideas for redirecting waste streams and reconnecting key stakeholders.

Businesses are investigating new product and packaging design that enables materials to be used again and again; they're asking how to leverage logistics in more efficient ways; and they're conceiving of new ownership models that could extend the lifecycle of the products they make.

The next questions on the horizon revolve around the economic systems that need to be in place to support these circular innovations. For example, we can design buildings so that they can be deconstructed—a circular engineering idea—but the cost of labor makes that reality prohibitive. In 2019, it's time for more applied circularity, leveraging emerging technology, organizational design, human insights, and social networks to create the conditions for the circular economy to take hold.

—Lauren Yarmuth, Portfolio Director, IDEO New York

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With 2018 fading into the distance, we're looking with hopeful eyes toward what the next year may bring. Our ongoing projects and client work help us hold up a mirror to reflect on what’s been happening and make informed predictions about what’s to come. Here are a few forecasts from IDEO leaders on prospective trends in design and tech.

If you know what we’re talking about, you could well be one of the world’s frustrated changemakers. You can see that change is essential, but you’re struggling to light the spark because your business’s indicators are all annoyingly positive. If this is you, what can you do? Should you hope for—or, even, engineer—a crisis?

This was one of the questions a group of business transformation leaders took on recently, at our Make Change Happen event in Munich, Germany.

“It would be a lie to say that a good crisis or a good disruption doesn’t help,” said Roman Lentz, Chief Digital Transformation Officer at global building materials firm Heidelberg Cement. “Because if you honestly look at organizations that change the fastest, they’re the ones with their backs most strongly against the wall… And frankly, that’s my challenge, because we’re not in crisis. We’re producing healthy margins. We’re not seeing cement being disrupted any time soon.”

Sandra Schiller, Head of Product Management for Valves and Automation at Georg Fischer Piping Systems, agreed. A crisis, Schiller noted, “can force through faster changes.”

But this doesn’t mean you should wait for a crisis, as London’s black taxis discovered, a few years too late.

“Black taxis were untouchable,” said Ben Terrett, CEO of Public Digital, a firm that partners with IDEO and specializes in digital transformation. “So untouchable that some of their services and ways of operating were protected by regulation. They have special parking spaces in London, special streets only they can go down… certain roads only they can pick up from.”

But then wave after wave of digital disruption flooded in as they sat behind the wheel, watching their dominion ebb away. First, GPS meant that the traditional cab drivers’ knowledge of London’s labyrinthine streets was no longer the golden ticket it had once been.

Then Uber arrived, and its bookable, predictable, low-cost rides started to eat into the black taxi business. So how did London’s cabbies respond?

“Their defense has ended up being reputation,” said Terrett. “That’s basically their only defense: ‘But we’re the black cabs!’”

Turns out customers weren’t as attached to the reputation of London’s cabs as cabbies were—and they couldn’t compete with the convenience and cost-cutting of on-demand services. Now the London Taxi Drivers Association (LTDA) wants to sue Uber for the earnings its 25,000 members lost in the first five years they were operating in the city. The LTDA estimates that cabbies lost £10,000 each per year, and has been taking legal advice to sue for £1.25 billion.

It didn’t have to come to this.

“What’s interesting is that people have been trying to help them—by building services on top of their service,” said James Higgs, Executive Director for Digital Transformation at IDEO London.

In 2011, the year before Uber launched in London—Hailo, now MyTaxi, tried to bring the predictability of a booking app to the black cabs.

“Taxi drivers didn’t even want that,” Higgs said. “They would charge you an outrageous minimum fare… they even resisted companies trying to help them deliver a better service!”

We don’t want to pick on London’s iconic cabs and their drivers. They’re not even employees of a centralized company that one could point a finger at—they’re self-employed. But we think there are lessons here for us all.

“The black cabs are a good analogy for a lot of businesses,” said Terrett. “I can see lots of industrial-era companies who, when digital organizations go after their market, their defense is ‘well, we’re us, we’re the number one brand in this market.’ That’s no longer a good enough defense.”

Here are three key takeaways for businesses looking to inoculate themselves for potential disruption:

1. Don’t wait for a crisis

Just as you shouldn’t wish for a crisis to happen, so you shouldn’t wait for a crisis to happen before you change.

“It’s really nice if you start in a safe environment in order to secure your future business,” says Georg Fischer’s Schiller. “It’s not about securing your business tomorrow, it’s about the business for the next few years. And as we are a 200-year-old company, we really would like to be around for another 200 years: And so we have to start working now.”

2. There’s an Uber for your industry, too

The leaders of large industrial companies like Heidelberg Cement and Georg Fischer are investing in digital transformation programs now—because, while there may be no Uber for cement or pipes or any of their other product lines yet, there’s probably an entrepreneur somewhere pitching an idea that sounds something like that to an investor right now.

And because, however unlikely it might seem to some today, it’s certain that digital transformation—defined by Tom Loosemore, a partner at Public Digital, as “applying the culture, practices, processes, and technologies of the internet era to respond to people’s raised expectations”—is going to disrupt every industry, including the one you work in.

3. Digital is your friend

Instead of thinking of digital disruption as a threat—you’re better off picturing it as a friend.

OK, so it’s a friend who needs a lot of hand holding at first. But as long as you’re prepared to invest the time and approach it from a human-centered point of view, digital transformation will make many things a whole lot better. It will increase your productivity, your pace of innovation, your rate of learning, and your customers’ expectations—and it’ll help you deliver on them.

When Georg Fischer’s design teams, for instance, began creating digital prototypes, so they learned new, more flexible, agile ways of working. And they started producing a new, digitally-enabled ‘smart part’ that alerts machine operators to problems in the system, so their customers now have more control over operations.

So, don’t sit by the curbside, your legacy engine idling, as you wait—hope even—for a crisis to come. Instead of clinging to what is, use digital to prepare for what might be. Welcome change in now, from a position of safety, and maybe you can secure your business’s long-term future—and save a cool £1.25 billion.

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Strange as it sounds, the main challenge for some people today is that their business isn’t in crisis. No blockchain or platform or AI startup is threatening to disrupt their market—yet.

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.