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.

In one sentence, who are you?

I am Paul, and I run S.E.H Kelly, which is a menswear company based in London.

What do you do? How did you learn it?

We make clothes for men, every aspect of which—the cloth, the buttons, the buckles—is made by suppliers from around the British Isles. There are two of us at the company, and the other one, Sara, learned the trade in a tailoring house on London's Savile Row. I have a background in retail and design and other things, and together we cover most bases.

3 favorite possessions?

I don't really cherish possessions. I like my watch, which was a Christmas present, and—well, my bag is very much appreciated, being as it carries half my life without much complaint. My third favourite possession eludes me, sorry.

What does a typical work session look like?

Wake up, reply to emails, get train to workshop, pick up things, get train to a factory, drop off things, reply to emails, run around chasing up problems with cloth or patterns or making, eat, reply to emails, wrap and pack orders, print order documentation, walk to post office to send orders, walk back to factory, tie up loose ends, tidy up, get train home, eat, update or fix website, reply to emails, bed. Oh—and fit in some design if chance permits.

The workshop is our headquarters, and is first in a row of very small workers' units built at the end of the 1800s. It has a downstairs where we hang a selection of our garments and store various components such as buckles and horn buttons; and an upstairs, where we use a makeshift office and undertake the various more moribund duties of running a business.

It is a good little space—although rather dark—and is difficult to locate even when you're standing nearby. Visitors often remark, "Not easy to find, are you?" which I take as a compliment, since I've always enjoyed visiting places which are off the beaten track, or require some effort to discover. Always more fun, I think, and exciting, and hopefully brings a tinge more interest and character than a typical shopfront.

How do you get over creative block?

I don't force anything. If I struggle for a solution—be it a design solution or some written words—I leave it alone and do something else. I find the best ideas are those that at least appear to come naturally, even if they're the result of days or weeks of subconscious thinking.

What was the last item on your to do list?

"Remove collar from shirt for man in Norway."

How do you see the world in 2078?

Much more convergence of culture facilitated with cheaper travel, cheaper and more widely available communication technology, and hopefully much more mutual appreciation of one another rather than squabbling.

What’s your number one bucket list item?

Be absolutely, fully, and entirely satisfied, without caveat or "to-do," with every piece of our collection.

Who are you creative crushin’ on lately?

The game developer Ojiro Fumoto.

Shopping online often feels like work. To find one shirt, you have to slog through dozens of pages of boring photos of boring people wearing boring clothes. This isn't true of S.E.H Kelly. A visit online feels like a tour through their hidden, rain-damp workshop—from photos of button jars and bolts of cloth to the quirky ways that they describe their proper attire. I absolutely adore it. For this installment of Creative Crushes, S.E.H Kelly founder Paul Vincent shared some details about his label and design process.

I’m not alone in turning to mindfulness during the design process. Here’s how my colleagues and I use mindfulness to move from overwhelmed to optimistic, even during the toughest projects.

1. Adopt a beginner's mindset

When you're approaching a new design challenge, it’s easy to bring your biases and baggage to the table. But this is the moment to stay open: The root of creativity is embracing the millions of possibilities at your fingertips.

The “beginner's mindset” is a Buddhist principle we practice at IDEO. It means starting fresh, assuming nothing, and living the question. We see a lack of deep expertise in a new topic as an opportunity to get creative. Anyone can adopt a beginner’s mindset—all that’s required is openness and receptivity.

2. Practice radical acceptance

When I first learned about acceptance, it seemed to me it was just another word for complacency. As if to say, “That’s the way things are! Why bother trying to change them?” But on closer reflection, I realized that accepting the world as it is today requires a willingness to sit with uncomfortable truths and to see problems from all angles before jumping in to solve them.

By accepting a situation, you’re able to design a better approach from a place of non-resistance. At IDEO, we have a bias toward action: We make lots of tangible designs as a way of imagining the future. But action can be so much more impactful when it’s grounded in reality and driven by clear intentions.

3. Drop your ego

Mindfulness teaches us that the ego—the part of us that demands to be “right”—is not our true self. Our true self is found in the in-between moments when we’re able to just be—the times when we take in what’s around us, quiet our minds, and open ourselves up to feedback from the people we’re designing for.

One way we try to drop our egos at IDEO is by creating “sacrificial concepts”— prototypes that we design but ultimately cast aside in service of learning. Critiquing a sacrificial concept is an invitation for people to share their reactions without hurting anyone else’s feelings.

I sometimes suffer from the “disease to please,” wanting people to like everything I’ve made. But as I’ve leaned into mindfulness, I’ve realized that my ego can slow me down, and I've learned how to set it aside.

4. Listen deeply

Have you ever noticed during a conversation that the person you’re talking to is mimicking your posture? If you put your hands on the table, so do they; if you sit up straight, they follow suit. In conversation, people are often looking for an opening to make their next point, rather than paying attention to what’s being said. But if you focus on your own replies, you miss out on the words, tone, and body language of the people around you.

In The Power of Now, Eckhart Tolle says that when you practice judgement-free listening, you’re giving another person the power of your presence. At IDEO, every project starts with listening. Our human-centered, interdisciplinary design approach means that the whole team learns empathy skills and joins in the design research process. Listening elevates the voices of the people we’re designing for and ensures that their dreams and worries are our starting point.

5. Meditate in order to create

One of the biggest misconceptions about creativity is that creative people always wake up feeling compelled to create. The truth is that this compulsion is often blocked by insecurities or external pressures. In The Untethered Soul, Michael Singer describes these as “samskaras,” or energy blockages, which can be cleared by acknowledging them and focusing on your breathing. Tolle suggests that when you want to be creative, you should go back and forth between breathing and the task at hand every few minutes. Only when you’re clear-headed can you make.

At IDEO, we have a meditation group that meets every day, and any designer is welcome to be in the presence of others and connect inward. This ritual, and the support of the wider IDEO community, are wonderful reminders that everyone still has room to learn and improve.

By making mindfulness a regular part of my design practice, I’ve not only become a better designer, but hopefully a kinder, more patient, and more empathetic person. It’s been a journey well worth taking.

Illustrations by Cassandra Fountaine

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When I start to feel overwhelmed at work, with too much information to take in and too little time to process it all, I rely on mindfulness. Dr. Jon Kabat-Zinn, one of the fathers of modern mindfulness, describes the practice as “paying attention on purpose, in the present moment, and non-judgmentally.” It’s all about tuning into your sense of inner calm so you can be a better conduit for new insights and solutions.

A San Franciscan, Jimmy worried that California’s blue state status might make residents apathetic about voting, even though there were important state and local issues on the ballot that were hardly being covered. “Luckily, there was a proposition requiring porn stars to wear condoms,” he says. “I felt I could help make the local ballot a little more interesting.”

Jimmy created a site called ballot.fyi, an online voter guide dedicated to explaining the issues in a nonpartisan way. To his surprise, it reached 125,000 people in 24 hours, and a million over the course of the election.

For the last year, he and his cofounder Yvonne Leow have been working on the next iteration, By The Bay. Thanks to a grant from the Knight Foundation, they’re helping inform younger voters. “We’re committed to turning residents into citizens by educating them on local issues and elections,” he says.

We chatted with Jimmy about how he and Yvonne designed the guide, what he’s working on for November, and how you can replicate the process.

1. Your guide looks a lot different from the boring, I mean, um, more basic, civic materials we’re used to seeing. What can design bring to a voter guide?

By putting design first, and pairing it with a casual voice, we’re hoping we can make topics like legislation engaging. As consumers, we expect a user experience to have thought behind it, but that’s not something we’re used to seeing in voter guides. We want to make this information digestible, first by making the guide as beautiful and usable as possible, and second by using approachable language.

We assume the reader is smart, but isn’t yet familiar with all the wonky terms in politics, like general obligation bond. Other guides tell you how to vote. We want people to understand what they’re voting on and make their own decision.

Proposition 7: Makes permanent daylight savings, meaning we don't change the clock twice a year.

2. What was your process, and how did you avoid partisanship?

Like any good journalist, we’re first focused on understanding as much as possible, from as many sides as possible. This means reading all relevant materials and talking to people in the orbit of each issue.

Local issues are less polarizing and ideological than national politics, so avoiding bias is easier than you might think. After we’ve done all the research, my cofounder and I are often more conflicted on where we stand on the issues personally.

We design the information to make it easy to process. If it makes sense to visualize something, we’ll create a graphic rather than explaining it with words. After I published ballot.fyi and it blew up, I received many emails suggesting corrections. As stressful as it was, I took it as an opportunity to debate the sender and absorb their knowledge and perspective.

3. What did you want to give voters in your community that wasn't already out there?

In the past, I’ve left a voting booth feeling ashamed that I was sometimes guessing on how to vote. I consider myself well-educated, but I needed to be a better educated citizen. I suspect a lot of people feel that way.

Proposition 10: Perhaps one of the most consequential initiatives, it would allow cities to enact rent control laws again. There's a huge fight from all sides about whether this is a good idea.

4. What design constraints did you need to think about?

Brevity is our primary constraint, but we also do our best to make everything mobile-friendly, because 60 percent of people will visit our site on their phone. Even if they don’t read through an entire explainer, we write our content so that people can understand both sides within a few sentences.

Above all else, we design for the busy professional, who is educated and well-intentioned, but may not have time to fully research everything themselves. We try to get to the point as quickly as possible, make navigation as easy as possible, and have fun with the content.

We picture our users as three personas: One is the diligent voter who spends hours on their absentee ballot well before election day rolls around. Another is the voter who knows they have to vote on Tuesday, so they’re going to spend some time looking into it the weekend before. Then there’s the oh-shit voter who, on election day, doesn’t want to feel stupid and researches as much as they can at work, then runs to the polls right before they close.

We actually see the most traffic the day before the election and the day of the election.

5. What was the hardest part about building it, and how long did it take? (San Francisco is a wacky place with a lot to vote on, so I would imagine a while?)

The hardest part of ballot.fyi was maintaining accurate and up-to-date information. It was just me, and it’s all manual, so I was debating people via email, researching as much as I could, and trying to wordsmith it all to be as succinct and understandable as possible.

Ballot.fyi took about three months, from concept to election day—roughly a month of design, a month of coding and design, and a month of maintenance and advertising. Knowing 20,000-30,000 people were seeing my site every day made October 2016 the most stressful and exhilarating month of my life.

Proposition 12: Mandates a minimum square footage for animals sold for meat, but there's a clause in there that makes all eggs in California cage-free (like literally, not just in minimum size) by 2022.

6. What advice would you give people in other communities about creating their own voter guide?

I’d recommend using whatever tool/medium you’re most comfortable using. You don’t have to build a whole website.

We've seen people create voter guides with Google Slides or Sheets, or simply put together a blog on Squarespace. I've also seen long FB posts, or PDFs shared around social media. The week before the election, people will be looking for the information, and different formats find different audiences. I have yet to see someone make a comprehensive and compelling YouTube series—I’d love to see that.

My best advice: Focus on a specific part of the ballot, and do it well. Don’t worry about reaching a wide audience. Write it for the people you know: your close friends, coworkers, or club soccer team. Research your way to nonpartisanship. In terms of resources, Ballotpedia is dense but can be a good starting place. When in doubt, you can also call your city hall or state government and request information. Having friends that can translate legalese is also useful.

7. What kind of feedback have you received, and what are you planning for the general election in November?

Most of our feedback is positive. I think most people want to get more involved in local politics and understand more, but people are busy and other things take priority.

For November, we’re interviewing the Supervisor candidates in San Francisco and posting the videos. We’re hoping it’s an easy way for residents to quickly get a sense of who’s running and what they stand for. We’re also beefing up a feature we released in June—the ability to take notes on our webpages and then share that with your friends via a private link. We’ve noticed that people rely on their friends to vote, and friends typically have one or two people who are their go-to political person. We want to empower those individuals and compile the research and summarize for them, so they can simply add their commentary and recommendations. By The Bay does not give recommendations, but we encourage individuals to—it helps get the vote out.

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As the 2016 election approached, and the vitriol around the presidential race grew, IDEO alum and engineer Jimmy Chion wanted to do something to keep voters engaged.

A prototype of a physical product is easy to imagine, but the process of leaving the hospital after giving birth, or having a new kind of conversation between a traveler and a flight attendant, is not easily built out of cardboard and foam core.

In my years at IDEO—and at companies like LeapFrog and Virgin Entertainment Group—I’ve seen service prototypes come in many shapes and sizes, but I’ve found the most successful ones are based on real customer needs and co-created with the people responsible for delivering the service. Whether you’re building storyboards and sketches, simulated interactions, or mocked-up physical spaces, these three tips should give you a little inspiration to help you create your own.

1. Design only the details that matter

Keep in mind that with any prototype—service design included—you’re looking to spend a little (effort and money) to learn a lot. This is especially relevant in service prototypes, which can change over time, and often involve components like people, space, and physical and digital objects. Figure out what elements of your service are necessary to show potential users what their experience would actually feel like, and eliminate the rest. For instance, if you want people to feel welcomed to an experience, you might spend more time designing the human-to-human interactions, and less time figuring out the design of the space where the interactions take place. If you want people to feel efficiently handled during a check-in moment, you might spend more time designing the digital interface for the process, and less time designing the artifacts and documents that are sprinkled throughout.

In a project with Kaiser, we created a visual checklist that nurses could use to help parents understand all the steps that needed to happen before they could take their babies home. To make sure that the new tool wouldn’t add to parents’ confusion, we hung paper prototypes in some rooms, and had nurses mark the number of calls they got from each patient. It turned out, parents who had a prototype had 60 percent fewer questions than parents who didn’t. And we were able to pick up all those insights without even worrying about what the space looked like—just a simple prototype.

2. Factor in the before and after

When designing a service moment, consider the user experience not just during the moment, but also before and after. Think about a simple moment, for example checking into a hotel. What happens before? Are guests arriving travel weary and jetlagged? Are they coming to celebrate their honeymoon? As a service provider, it’s important to remember that you’re not the only thing on the user’s mind, they’re processing this moment along with everything else going on in their day. After check in, could they easily find their room and was it clean? Were they able to quickly transition into desired activities whether to celebrate, get pampered, and relax, or get to an event like a conference?

In a project with the hotel chain Crowne Plaza, our goal was to design a lobby space that would work for all business travelers. We created a concept that would include spaces for heads-down time, places for group work, a grab-and-go menu of healthy items, and a staff member who could help with business needs. To test it, we set up a network of sensors and cameras to track traffic flow through the different spaces, and which were used most, and when. With these metrics, and interview answers from guests before and after seeing the prototypes, we were able to gauge how well we were meeting traveler needs at every stage of their journey.

3. Involve users and employees

Prototyping helps us pick apart our assumptions, see where we’ve made progress, and where we’ve failed. Designing services is a process that must be done collaboratively, particularly with those who are ultimately responsible for delivering the service to customers. That ensures that you have the right experience and depth to inform new ideas. And it helps you get crucial buy-in when you’re promoting the future vision of your service.

So who should you invite to create and test your prototypes? Think about employees, end users, even people moving around behind the scenes, and figure out how they should show up in your prototypes. Do you need a real nurse chatting with a real patient? An actual bellman who can try out a new check in process with a million-miler business traveler? What about the executive who is ultimately in charge of the project?

In a project with Lufthansa, we were looking to redesign business class to keep up with modern travelers. Once we homed in on the experience we wanted to create, we built a 1:1 scale mockup of a plane with some foam core and business class seats, then invited real travelers and crew to test it out. Not only could they report on the experience from both sides, execs could check out the experience, too, and sign off on our new ideas.

The best advice for service design prototyping, though, is the same as any other kind of design work: Do it early, do it often, and keep iterating toward the right solution.

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Prototyping is an integral part of design, but when it comes to experiences and human interaction, it can be hard to figure out exactly how to do it.

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.