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 the design world, the practice of critique relies on a universal language learned in art school. Students routinely pin their work up on a wall, and offer feedback in the same way that was modeled for them. From industrial to graphic design, students learn a shared form of expression that allows them to engage with each others’ work and make suggestions for how it could be better.

Perhaps leaning back, stroking one’s chin, and groupthinking creative work is like dancing about architecture, but at least in art school, everyone knows the steps to the dance.

In the modern world of design work, that’s no longer the case. I joined IDEO more than 10 years ago. Since then, the number of disciplines we practice have mushroomed from around 10 to 33. Our backgrounds vary wildly, as do our outputs—from artifacts to interventions, micro to macro, processes to systems. And we’re not the only ones working this way. Multidisciplinary teams are more and more common across industries, and each discipline or practice brings its own jargon—and methods of critique.

In other words, the language barriers teams have to deal with are increasing.

So, how does a data designer critique a teammate’s copywriting? How does a graphic designer articulate her intuition about business design? How does a multidisciplinary team find a universal language to discuss the strengths and weaknesses of a proposed solution?

These questions sent me and a few coworkers off on a assignment. We set out to create a shared vocabulary for critique that would be broad enough to serve the challenges of today. We started by asking: What qualities do we most associate with creative excellence in our work? And, how might critique help ensure our solutions have the desired impact? We came up with an initial prototype, and tested it with teams in the wild.

That experiment illuminated a few things:

• Different disciplines do use different language for talking about their work
• What good looks like is about both process and outcome
• Designers are hungry for this conversation

So, we continued to test the vocabulary. The list diverged and converged until we landed on a set of seven key words, knowing that each is but a doorway into a world of meaning with many interpretations.

1. Beauty
2. Brains
3. Bravery
4. Destiny
5. Heart
6. Magic
7. Mastery

(You can download the cards here.)

The qualities are intentionally open-ended so that all designers (err, all humans) can relate, and so that they can be interpreted in ways that are appropriate in a given context.

The vocabulary was immediately valuable, helping designers move beyond binary sentiments of what is “working” and “not working,” to a more honest and nuanced discussion about the strengths and weaknesses of the work.

Imagine a critique that goes something like this:

Lauren (Software designer): How are you feeling about the content?

Jason (Writer): A little bored.

Lauren: Well, it’s a dry subject.

Jason: But people are people. If I’m bored writing it, they’ll be bored reading it.

Lauren: True. But if you’ve nailed the technical aspects maybe we can play a little...what do you think it needs?

Jason: Heart...maybe some Bravery...

Feels a little like dancing, right?

And that is just a snippet. The vocabulary provides an entry point into deep craft critiques that go well beyond aesthetics, or anything we can pin on a wall. As one coworker remarked to me, “We started thinking about beauty in relationship to an org chart—how it could be graceful and smart.”

The shared language is also useful outside of a design team.

Team member: We use this vocabulary to make sure our work is as bold, innovative, and effective as possible. How do you think your organization might respond to these prompts?

CMO: We are all about data...so that sounds like rigor. Teams are paralyzed until they have all the data. I don’t expect that will change over the course of this project, but I would love for you to help us see the value of beauty and bravery.

With a shared language, we are able to not only name our tendencies (as this CMO did), but identify strengths and weaknesses across the seven qualities, both specific to each discipline’s contribution, and as a whole. This builds empathy and understanding for individual efforts on a team, and creates agreements for how to further develop the work.

In our New York studio, we have been using the vocabulary as a way to reflect on our entire portfolio. As a community of intense New Yorkers, we had assumed that rigor and brains would surface. But as we critiqued our work from 2017, we realized that the work that embodied magic and heart in equal parts was what catalyzed clients and made us most proud.

Realizations like this brought up some compelling questions:

How do we embrace magic and heart in our business development process?

What does the resonance of magic and heart say about New York (and the world) today?

How do we want to stretch and grow in 2018?

In just over a year, the critique vocabulary has helped us reach a new level of discourse and awareness. It has pushed us in new ways, as individuals, teams, and a community. It has opened up new conversations with our clients, and given them language to more deeply engage in our work together.

And this is just the beginning.

Vocabulary is never fixed. It is a living organism that will evolve with time. We hope you will take this critique vocabulary and make it your own.

As we face increasingly complex design challenges, and creative, multidisciplinary teams are called upon to solve them, rigorous critique will be essential.

We can only hope it feels like dancing.

Shout out to IDEO Cambridge, Chicago, and New York for collaboration on these cards. Download the cards here.

Writing about music is like dancing about architecture. The adage has been used in countless ways since the early 1900s, and it’s still the best way I know to describe the challenge of critiquing creative work. What it means to me is, we’re using the wrong language, but it’s all we have.

For Rina, these tiny pointillist masterpieces are about more than just a side project. “Because I have a fast-paced, collaborative job, I love having an environment that allows me to slow down and reflect,” she says.

Years after she and I worked together—back when she was an associate art director at Wired—a friend took me to see her show in a Brooklyn coffee shop. Though the concept was simple, the work was incredibly engaging. I caught up with Rina to learn more about her art, her process, and how “_leafiness_” (her handle on Instagram) helps her meditate and stay creative.

In one sentence, who are you?

An art director, artist, and nature lover.

What do you do? How did you learn it?

I was lucky to study at the School of Visual Arts in New York with amazing mentors and teachers.

In my free time, I paint leaves, though that happened by accident. I live in Park Slope, where the leaves are really beautiful in the fall. I started picking them up on walks, and I happened to have some oil-based pens from a glass project I had done. I got inspired by the shapes of the leaves, and started using the pens—it just happened without me even thinking that much about it. I find it extremely soothing. Many people work together to figure out what goes on a magazine page. It requires a lot of communication, understanding, and clarity. But with this, there’s no one else to weigh in. It’s my yoga.

3 favorite possessions?

1. Black and white photographs of my family in Russia, where I was born. I moved here with them from Moscow when I was 18.
2. Jewelry from my grandma that I never wear but always keep.
3. A collection of handmade paper that I haven’t found a project for yet.

What does a typical work session look like?

I usually get the idea for what I want to do with a leaf in the morning, then do the repetitive work in the evening. Most of the time, I don’t listen to music, but if I do, I listen to meditation music. Otherwise, I end up analyzing the music instead of focusing on what I’m doing. It’s important to be fully in control of your process. It really teaches me to make decisions and be confident in them.

How do you get over creative block?

Fortunately with leaves, I haven't encountered creative blocks yet. It really puts me in a different state, and helps quiet my mind when I make decisions.

What was the last item on your to do list?

Go to the New York Botanical Garden Herbarium. I want to learn different techniques for collection and preservation.

How do you see the world in 2078?

I hope that technology will get better at allowing us to manage and do things faster and easier, but I also hope that in the process of getting there, we can maintain the environment that we need to live.

What’s your number one bucket list item?

I want to live in Italy and speak Italian. The language is so beautiful.

Who are you creative crushin’ on lately?

My crush right now is the artist Sheila Hicks. The thing I absolutely love about her is that she’s still inspired and creating art at the age of 83. No matter how small or large her work—big, sculptural balls of wool fiber, or something tiny—it has this amazing impact. She’s so fluid in expressing any possible emotion. It’s so important to have that in your life, especially over such a long period. To me, she is the luckiest person on earth.

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By day, Rina Kushnir works with illustrators and designs layouts for the New Yorker. But on her own time, she paints leaves she collects in her Brooklyn neighborhood, meticulously studying their patterns and adding dots of oil paint, punched holes, and patterns.

I had some time to kill so I asked a few questions. He neatly tied his theory to aliens, a league of physicists, and a deal with China. Crazy, you might say, but research suggests that the majority of us believe in at least one conspiracy theory.

We’re living in a tornado of misinformation, conspiracies, and fake news. But instead of simply lamenting that fact as you continue scrolling through your feed, let’s learn from it.

As a designer who works to help school systems become more innovative, it’s my job to help spread good ideas. Why not borrow from the sticky, sharable methods behind conspiracy theories to get some good ideas out into the world?

After chatting with my friend at the auto shop, I took a long look at what makes conspiracy theories so compelling and came up with a list of five practices we can nab to spread good. (Know Rogers’ Attributes of Innovations that spread? Conspiracies fit right in!)

1. Start with something recognizable

Memorable conspiracies begin with something familiar—an entrenched belief or a curious phenomena.

The “chemtrails” conspiracy, for example, says that planes leave behind biological agents with lasting effects on the population. People saw white lines in the wake of airplanes in the sky and wondered about it. From this, a new belief was formed.

There’s a lesson here for getting new ideas to take off! Try introducing new concepts through existing beliefs, habits or built-in systems. When we talk about design thinking with educators, for example, we often note that prototyping is just like doing a lesson twice in the same day, but differently. This helps educators reconcile a new practice with an old one.

2. Address a common pain point

Most conspiracies offer up a scapegoat.

It’s common to blame Big Pharma, for example, for withholding cures to diseases for profit.

Blaming large groups of people for complex problems isn’t a good habit. But, when sharing good ideas, we can change the script on scapegoats by proposing a partner to help solve a problem. Leaders in the civil rights movement, for example, helped to spur a broader conversation about women’s liberation—both movements were helped by the other.

3. Let people dream

Some of my favorite conspiracies allow farfetched wishes to come true. Tupac and Elvis, they’re still alive! These conspiracies are rooted in desire. To help new ideas take off, connect them with people’s wildest dreams.

4. Create iconography to build identity

When we see alien iconography out in the world, it gives us a sense—true or not—of how widespread belief in alien life may be. In Roswell, New Mexico, you can pick up all kinds of little green man kitsch—T-shirts with slogans like ALIENS ARE ALIVE and bug-eyed masks at the International UFO Museum. We’re much more likely to believe something when we think lots of other people do, too.

5. Keep it simple

Lasting conspiracies are easily explained in a sentence or less.

The Moon landing hoax, for example, makes a clear and simple argument: Americans wanted to outpace the Russians in space exploration, so they faked the landing on the Moon. The details of how and why may be a wormhole, but the thesis is simple.

Likewise, when you want to share a new idea, make sure that its value is explained simply and unambiguously. The #neveragain movement managed to powerfully convey its message with a simple hashtag.

Conspiracy theories and fake news teach us a lot about how information spreads—and that can be useful as we try to spread good in the world. Here’s one last lesson: All of us believe in something that’s not entirely true. Our shared habit of believing things we want to be true—regardless of what they are—unites us.

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On a road trip up the coast of California, I ended up stuck at an auto repair shop with a man who had some interesting ideas. “The government has a zero-point energy machine that could end our reliance on fossil fuels,” he told me.

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From a very young age, we’re praised for knowing the right answer—and on the quick! But as designers, that’s almost never possible. Our job is to help create a future that is, by definition, uncertain; so we're forced to face ambiguity on every project. There are always times when we don’t know where to go next, don’t have an answer, or get stuck. So how do we deal? What are ways to get more comfortable with being uncomfortable?

Here are three things I’ve learned to help me remain calm in the face of uncertainty.

1. Plan to not know

Imagine you’re in a meeting, surrounded by important clients, when someone hits you with an unexpected hardball question. All heads turn to you, awaiting a brilliant response. You freeze up, your mouth goes dry. You know you should have an answer, but your mind goes blank.

Rather than going into a silent state of paralysis, take a breath and remember that you have an answer prepared for this very moment: “I don’t know yet.”

Obvious-sounding? Sure. Easy to own up to? Not so much.

I used to be afraid to say, “I don’t know yet,” because I thought I’d sound ill-equipped and uninformed. After all, our clients hire us to find answers, so to not have an answer when put on the spot can feel disconcerting.

But by allowing yourself to be vulnerable, you win trust. Owning the process makes you more credible as someone who’s calm and collected in the face of uncertainty. Because let’s be honest: No one has all the answers, not even the experts.

2. Shift from should to could

Let’s go back to the feeling in the meeting room when all eyes are on you and you feel like you should know what to do next (but don’t). You’re getting ready to go into panic mode.

Oh yes, I know the feeling well.

Ever since I was young, I felt the pressure to do things as they should be done. And that pressure has followed me through adulthood.

When I first started leading projects at IDEO, I often thought to myself:

“If I were smart enough, I should be able to impress the client with my answer.”

“If I were a great leader, I should know what to tell my team.”

“If I were talented enough, I should know exactly what to design next.”

Should, should, should. It’s the “shoulds” that block your way forward.

“Should” suggests that there is one way forward, which is a sure way to set yourself up for creative blackout — a high pressure situation where you must find the single, bright and shining solution. There is no one right answer.

So whenever I find myself questioning what should be, I remind myself to ask: what could be?

What could be is a springboard for generating new ideas, brainstorming options for what to do next. It takes me from a place of oppression to optimism.

By shifting my mindset from should to could, I no longer have to come up with a single, right answer; instead, I have endless options for moving forward.

3. Change the context

Even when you are not under pressure, anxiety around not knowing the answer can find a way to creep in.

There are many times I’ve found myself glued to the screen, on the third cup of coffee, hardly stopping for a bite to eat. No matter how hard I try, it feels like I’m doing nothing more than pushing pixels around a screen.

How to get unstuck?

I have to force myself to remember that if I’m not getting anywhere (as hard as it may be to pry myself away from the screen), I need to stop, change my context, and gather new inputs.

Stepping away from the screen and focusing on something else for a while can bring fresh perspective to the problem.

Go for a walk, tour an art gallery, seek out a new experience that takes you out of your comfort zone. Invite another designer to look at your work and offer feedback, revisit stories from your research. By stopping and taking a step back, you create more mental space for unexpected sparks of inspiration to slip through.

Sometimes the biggest barrier to finding a way through the darkness is the pressure we put on ourselves to have all the answers. To break through, make peace with the I don’t knows, the could bes, and take a step back in order to more confidently take a step forward.

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“Embrace Ambiguity.” It's a value we take very seriously here at IDEO. The phrase invites designers to go with the flow in the face of the unknown. On paper, the freedom sounds liberating. But in practice, navigating ambiguity can be downright stress-inducing.

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.