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.

We met a beer and sausage vendor in Germany who keeps an array of hats stored on his gearshift, a humorous-looking makeshift hat hook. When we asked him more about it he explained that he often sells his wares at football games, so it’s important that he wear the right football club’s hat. “One time, when I wore the wrong one by accident, they called me an ass and tipped the van over,” he said. “You always have to howl with the wolves.”

Human-centered design requires us to observe human behavior with beginner's eyes, so that we can spot the innate ways people interact with the world around them. We call these intuitive and unconscious reactions Thoughtless Acts, and IDEO designers collect photos of them to inspire their work.

You can’t beat the smell of fresh ink, the texture and weight of high-quality paper, and the sound as you flip through the pages. When holding a magazine, I’m not simply reading it—I’m immersed in it.

I asked my fellow designers which publications they find the most exciting, and I’ve included a few of my favorites, too:

1. Apartamento

Yes, I suppose it’s an interior design magazine, but instead of focusing on beautiful, minimalist, multi-million-dollar houses (not that there's anything wrong with that), Apartamento covers real, lived-in homes and the creative people who occupy them. Raw portrait photography, cluttered spaces, and intimate interviews show how people really choose to live. Based in Barcelona, Spain, it’s survived through subscription revenue and a higher newsstand price, and has bucked the trend of featuring numerous ads or sponsored content. Plus, its perfect novel size, centered layout, patterned spine, and chunky typography are delightfully raw and unfussy. —Lindsey Turner, IDEO Cambridge

2. B

B magazine is published in South Korea. Every issue, it takes an advertisement-free, documentary approach to a single iconic brand. It’s covered many amazing brands, from the luxury to the mundane, including LEGO, Ray-Ban, and Bic. Each issue goes deep into the people, history, evolution, products, experiences, and philosophies of the brand it covers. Fans and collectors are also often included. I recommend it to anyone who likes branding and brand strategy, or just loves products and design. The many ways it looks at a brand and all its expressions goes far beyond simple identity and logo. —Clark Scheffy, IDEO San Francisco

3. Banana

In 2014, first generation Asian-Americans Vicky Ho and Kathleen Tso launched Banana magazine, a lifestyle magazine dedicated to exploring the intersection of Eastern and Western cultures. Ho and Tso are not claiming to be experts in Asian culture, but rather are discovering it right alongside their readers. Their goal is to understand what this third identity—neither Asian nor American, but Asian-American—means. As a designer, I think it’s fascinating to understand how cultures can blend together. With the growing influence of Asian countries on design trends, this magazine is relevant, vibrant, and bold, and offers great graphic design inspiration. —Coline Prevost, IDEO Palo Alto

4. [BranD]

[BranD] is a Hong Kong-based magazine that explores communication design in visual art, advertising, products, graphic design, and architecture. It brings together designers, artists, art directors, marketing specialists, and business-minded people of all stripes to share new ways to express ideas and brands visually. I'm an avid reader of [BranD] for inspiration in my craft; it's a great vehicle to stay connected to the ways other designers are stretching their own skills and building their crafts in a discipline—comms design—that is always evolving. —Joshua Lavra, IDEO San Francisco

5. Cat People

Cat People is an English-Japanese bilingual magazine featuring interviews and works by cat-obsessed artists, designers, photographers, and writers. It’s only in its first issue, but it’s already sold out. I’m very excited for future editions because this magazine promises magnificent inspiration for design and feline die-hards (like me). —Camden Foley, IDEO Palo Alto

6. Cereal

Cereal is a biannual travel and style magazine based in the United Kingdom. Each issue highlights engaging interviews and stories about unique design, art, and fashion on a specific theme, such as sustainability or desire. I’ve followed this magazine since its inception in 2016 and have every issue to date. Cereal’s publisher offers beautiful magazines, city guides, art prints, and even a children’s book—all with some of the best photography and design I’ve ever seen. —Camden Foley, IDEO Palo Alto

7. The Collective Quarterly

The Collective Quarterly is a magazine about travel and creativity across the U.S. The magazine staff—a rotating team of writers, photographers, illustrators, and other creatives—visits small towns or regions around the country to interview artists, creators, and other cornerstones of local life. As a photographer, the exceptional photography caught my eye, particularly that of one of the co-founders, who still shoots film photos like I do. It’s inspired me to get out with my camera more often. I recommend the magazine to anyone who seeks a deeper appreciation of creativity in intimate communities, hopes to explore non-urban corners of the country, or wants to bask in the magic of film photos. —Tara Safaie, IDEO San Francisco

8. Drift

Back when I was a barista, my mornings were spent adjusting the espresso machine's grind and my tamp to each bean's age and provenance. I learned that coffee is ubiquitous, yet highly circumstantial; you can find it in virtually any city, and yet each urban environment and its inhabitants have radically different rituals, cultures, and methods of consumption for this most essential drink. Drift transports its readers to different cities and their respective coffee cultures, allowing readers to intimately engage with new adventures in new places through a common cup of joe. —Adam Cristobal, IDEO Palo Alto

9. The Gourmand

As we reach the peak of our food media zeitgeist, The Gourmand has emerged as one of the leading alternative voices in the space, covering everything from new ways of visualizing food emoji to Georgia O'Keeffe's strict diet. Boasting both witty writing and distinct art direction, the magazine offers a unique perspective and inspirational fodder to foodies, designers, and creatives of all stripes as we look for more visually appetizing ways to engage with the world. —Adam Cristobal, IDEO Palo Alto

10. Offscreen

Offscreen is a print magazine published three times a year, as well as a weekly newsletter, that takes a thoughtful, human-centred approach to technology. It’s is a slow counterbalance to the fast pace of popular media, exploring creativity and design through introspective writing and thoughtful human stories. Offscreen is a proponent of the “slow web,” celebrating the idea that not all that is instant and convenient is necessarily good for us. —Nathan Paterson, IDEO Tokyo

11. Surface

Surface is a New York magazine that covers a little of everything—design, architecture, fashion, culture, and travel. I picked it up because I judge magazines by their covers. Each cover features a great close-up portrait of a creative person—an architect, musician, industrial designer, etc. The portrait is paired with restrained, Swiss-style black typography and a grid well versed in white space. The magazine examines culture through the lens of design and has a whiff of one of my favorite blogs, Sight Unseen. It's conspicuous consumption for sure, but sometimes that's what magazines are for. —Lindsey Turner, IDEO Cambridge

Next time you want to explore cutting-edge design—or just enjoy a little eye candy—crack the cover of one of these magazines for an inspiring read.

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Thanks to the digital revolution, fewer and fewer of us are getting our hands on paper copies of books, magazines, or newspapers these days. Online subscriptions and digital versions can fill the void, but sometimes, picking up a glossy magazine is simply the best way to absorb inspiration.

As a data scientist, this idea got my gears turning: What if I could use machine learning to build a laugh-detecting algorithm?

Prototyping is a great way to explore how emerging technologies will play a role in our connected future. But instead of focusing on how we will teach our machines to sense human behavior, I’m interested in designing what we will do with the information our devices are learning. In a world filled with machines that learn and interact with us, it’s important that they are able to respond to all parts of our humanity—including the things that make us laugh.

I wanted to see what kind of laugh detection prototype I could build in a few weeks. Here’s how I did it:

1. Building the algorithm

To build the laugh-detecting algorithm, I knew that I wanted to use deep learning, so I turned to Keras, a programming library which makes creating neural networks fast and simple. To train the laugh detector, I needed to use sequences of audio as the input and predict whether or not laughter would result as the output. Fortunately, I found Audioset, a collection of over two million 10-second audio clips with labels from over 6,000 categories. Using a subset of the Audioset collection that is half laughter and half speech, I was able to get a laughter detection model running with 87 percent accuracy within a few days.

After creating a training dataset, I got started on the machine learning challenge. The Audioset data does not contain the extracted raw audio, only a 128-length feature vector for each second of input, which is created using a convolutional network operating on the raw audio spectrogram. These feature vectors will be the input for the machine learning algorithm, and the output will be a binary label of whether the input contained laughter. Since I am working with a relatively large dataset, I wanted to use some deep learning methods, so I turned to keras, an API that makes creating and training neural networks extremely simple, while still leveraging the computational efficiency of optimized tensor computation libraries like TensorFlow and Theano.

Since the model input is sequential, I wanted to try a recurrent neural network first. I started with a single layer LSTM model that quickly converged to 87% accuracy. Learning from the code in a very similar project, I found that applying batch normalization to the LSTM input was very important for getting the model to converge. One of the headaches of deep learning is that seemingly trivial details like this can have a large impact on convergence. I was happy with the performance of my first LSTM model, but I decided to try out a couple more options before moving on. I tried a 3-layer LSTM (because if one layer is good, three must be better), then I tried a simple logistic regression model to see if the fancy RNN architecture made a difference. The models performed with 88% and 86% accuracy, respectively, which showed me that, in this case, more layers did not equate to more power.

Ultimately, I ended up choosing the single layer LSTM, even though it was larger than the logistic regression model, because it was able to handle variable length input. The training data was all sequences that were 10 seconds long, but I wanted the laughter detector to be able to respond quicker than that. While the logistic regression could only operate on input that was the same length as the training data, the LSTM model can still operate on any input length, as long as it is split into one-second chunks.

To take the trained model and run it as a live laugh detector, I put together a python script that pulled together a few different steps. First, the audio is captured from the microphone using pyaudio and chunked into three-second clips. (The length of these clips is an adjustable parameter.) The raw audio is then fed into the pre-trained vggish network and converted to a sequence of feature vectors with the same parameters I used for creating the Audioset training data. The sequence is then fed into the trained LSTM model, and the laughter prediction score is returned and written to a timestamped .csv file. By default, the raw audio is then discarded, and only the score is saved. That way, there are no concerns about storing or transmitting anyone’s private conversations. By running the audio capture and processing in separate threads, I was able to run this continuously without any lag on my laptop.

2. Designing the experience

Once I had the ability to measure laughter, I had to tackle the real design challenge: How do we implement the laugh detector in project spaces without making it seem obnoxious or creepy?

I enlisted the help of a few smart colleagues to approach the challenge from multiple angles: a software designer experienced in designing for play, an environments designer to explore how the detector would show up in a project space, and a communication designer who’s written on the science of laughter.

We had a brainstorm around what we might be able to do with a laughter detector, and the ideas poured in. Perhaps we could use laughter as a weekly indicator of morale (similar to Bhutan’s gross national happiness), or host a competition between project teams for who laughed the most? If we could determine when people are laughing, maybe we could figure out why they are laughing, too. We could determine when laughter is genuine or just polite, which jokes are the funniest, or even measure who is laughed at the most.

Some of the more wild ideas included a gif of an IDEO Chicago director Jon Wettersten (below) who laughs along with us, or an alert that would play videos of clowns if we went too long without laughing.

Ultimately, we wanted to select ideas that would give teams insight into their laughter, but not be too intrusive or prescriptive.

Information systems shouldn’t overwhelm users—particularly when that information concerns people’s moods. There are times when it’s appropriate to not be laughing; you don’t want your smartwatch telling you to laugh more during your grandma’s funeral. And if we were to build a device that listens for laughter, we'd need to make sure that we communicate and maintain people’s expectations of privacy.

With all this in mind, we narrowed it down to two concepts that we would take forward into the prototyping phase.

3. Hatching prototypes

The first thing we made was a simple information dashboard built in Dash. We referred to this design as a “FitBit for laughter,” as it was meant to help teams set goals and measure their progress towards those goals.

This raised the the question, what if you could track your emotional health in the same way that you tracked your physical health? What kind of goals would you set? What would your “laughter workout” look like?

To start, we measured laughs by time of day over a period of 24 hours, laughs per day over the past week, and how close teams are to achieving a daily “laugh quota.”

The second prototype used the output of the laugh detector to control the color and intensity of a Hue lightbulb. When there is a lot of laughter in a room, the light glows a bright yellow to mirror the warmth that laughter brings to a space. When there is less laughter, it transitions to a dim blue to help teams stay calm and focused. In this way, the environment responds to the activities and emotion of its inhabitants.

What if the smart systems we create could react not only to a user’s presence or interaction, but adapt to the user’s mood? How might we design smart systems or spaces that are emotionally responsive?

4. User testing

We wanted to see how people would react to the laugh-bulb, so we got a few colleagues to sit down and test it out. The original plan was to play funny videos to stimulate laughter, but as soon as people sat down, they started joking so much, the videos were unnecessary.

Laughter is a reinforcing behavior; when you laugh, the people around you laugh too, creating a virtuous cycle that can leave you laughing until you’re sore. Seeing the light grow brighter as the room fills with laughter adds energy to that cycle. The group that came in to test the laugh-bulb ended up laughing so much that you could hear them throughout the studio.

WATCH: Testing the laugh-bulb prototype.

Next up, I’d love to put these prototypes in front of more people to see whether quantifying laughter can affect their mood. And I'm left wondering, which emotional or mental health signals could be measured and recorded next?

As more aspects of our lives are recorded, we are going to be able to quantify and improve our lives in ways we can’t yet imagine. Let’s design these systems not just to make us smarter, but to make us more joyful, too.

Play goes hand in hand with innovation. I learned this from Brendan Boyle, director of IDEO's Play Lab, who says that if you measure the amount of laughter in a project space, the teams who chuckle most are also the most successful.

As soon as the rain stopped, we got on our bikes to survey the damage. We saw the flowers on the horizon: droopy and sad-looking. Then, suddenly, they started illuminating, one after the other—opening up, blooming. To this day, we still don’t know how they came to life. But the sight was exactly what we had envisioned. Better even.

That was 2014: the official start of FoldHaus Art Collective. Since then, our art installations have become bigger and more audacious. Shrumen Lumen, five massive, origami mushrooms, followed in 2016 (they’re now on exhibit at the Smithsonian American Art Museum), and we most recently built a five-story tall, geodesic sphere covered with 42 origami shells called RadiaLumia.

Each project takes months to design, prototype, and build. Which means I often get asked: Why do you spend your nights and weekends doing this when you have a fulfilling day job as a creative leader?

For me, it means that I get to work with a bunch of other creative types who pitch in to build something beautiful that’s bigger than what any one of us could do on our own. I get to work with my hands in a way that’s rare in my day job, and every project stretches my own sense of what’s possible.

And because FoldHaus projects are always a group effort, we need to broaden the question: Why do any of us—between five and 30 volunteers contribute to our projects on any given weekend—give up sleeping in to solder? Or skip the beach to code LED patterns? As one of the leaders of the group, I have learned a few things about what it takes to build a strong community and take a bold vision from a Post-it to the Playa.

Here are the 5 principles that have helped this team pull off increasingly ambitious projects:

1. Set an audacious—and contagious—vision

Drawing in a team requires not only that you love your idea, but that others do, too. After all, if you’re asking them to volunteer their time, they’ve got to be pulled in week after week, when they could easily be at the taco truck.

Blumen Lumen was a hit because everybody loves flowers. With the Shrumen Lumen, it took some convincing—many worried about associations with 'shrooms at Burning Man. This year, I made sure to test out the RadiaLumia concept with a few key members of the team, so I knew I had broad support. The buy-in worked, and has yielded our biggest team of volunteers by far.

The bottom line: Pressure-test your idea early—before you get too attached to it—so others will want to join up and help you realize the vision.

2. Stand on your own shoulders

Leading people to a grand vision is impressive only if you can actually pull it off. Ladder up from where you (and your team) actually are to where you want to go. And, acknowledge that it may not all happen at once.

Even before our Blumen Lumen, we built three shade structures for Burning Man. One was a disaster, but we learned from it. Now, we ensure that we are leveraging all we mastered the previous year to create the next installation. People are drawn to us because of our bold vision, but they stay with us because they know we have what it takes to make it happen.

The bottom line: Learn from previous outings that you can get over the mountain, so you can ask people to stretch and meet a new challenge.

Folding the origami pieces looks easier than it is.

3. Make it accessible

Part of the fun of leading a creative team is building camaraderie and community. But that can be constrained if a project requires too much specialized knowledge. Ensuring that part of the project is achievable by those without technical or unique skills is key to drawing a crowd when you need it.

On all of our projects, a big part of the effort is folding the plastic origami pieces. That requires pure manual labor, and anyone can be trained to do it, so we hosted all-hands-on-deck build parties every weekend leading up to Burning Man.

The bottom line: If you want to draw a crowd, create easy ways for people to participate without specialized expertise.

4. Leave room for individual passions

When people are motivated to do something, get out of their way and let them go for it. Given the freedom, teammates will create something together that’s more amazing than what a single creative leader could pull off. Set the vision, then let people self-select into groups to get it done.

With RadiaLumia, no one person knows everything that’s going on at every given moment, which is kind of scary but also amazing, because it’s coming together despite—or because—of that!

When we shared the vision at the kickoff meeting in February, there were a bunch of people who’d only just met. Within minutes, they were already troubleshooting light placement. By the end of the afternoon, they’d demonstrated a cool light show—on day one! We now have several self-directed teams that are loosely connected, but working independently.

The bottom line: If you create a compelling enough vision and rough guardrails, you’ll create the conditions for people to self-organize in a way that will surprise you.

5. Embrace ambiguity

The beauty of large-scale creative endeavors is in all of the unknowns. Try to remain flexible about who realizes the vision (and how).

Each year there are moments of extreme uncertainty. Weeks before installing the Shrumen Lumen at Burning Man, the origami kept getting stuck when we tried to pull the stems over the steel substructure that would anchor them to the ground. This was completely unexpected and took two weekends to debug. (Spoiler alert: We fixed it, but not without panic!). Troubleshooting is part of the process.

The bottom line: Expect the unexpected, and look for the beauty and lessons in it rather than the difficulty.

One of the most rewarding parts of FoldHaus is that while I may set the vision, once we pull off a communal project, the whole team feels immense ownership and pride. Being able to share both the process and the result is what makes the late nights and desert rainstorms worth it.

See RadiaLumia come to life at Burning Man 2018.

Also: We’d love to hear about your ambitious team efforts, at Burning Man or elsewhere, using the hashtag #MakerArt.

Special thanks to Amy Bonsall for her massive help crafting this story.

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We’d been working 16-hour shifts to install our art piece, a series of 10 larger-than-life, undulating, mechanical origami flowers. It was our first big build at Burning Man, and it took way longer than we expected to set up. After days, the flowers still weren’t working. Then came a torrential rainstorm.

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.