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.

Here are four titles on Tim’s list of highly recommended reading:

1. Leonardo da Vinci by Walter Isaacson

Walter Isaacson, the biographer behind Kissinger and Steve Jobs, turns his attention to the original Renaissance man, whom Brown describes as “perhaps the most curious person who ever lived.” Isaacson draws from 7,200 pages of the artist’s notebooks to trace his journey as inventor, painter, doctor, sculptor, and scientist. Da Vinci was both a procrastinator and a perfectionist, both exuberant and introspective—and his life holds valuable lessons for creatives today. Read the book.

2. Scale: The Universal Laws of Growth, Innovation, Sustainability and the Pace of Life in Organisms, Cities, Economies and Companies by Geoffrey West

Presenting something of a “theory of everything,” West says we can apply the same mathematical principles that govern growth in nature to complex political, corporate, and civic systems. What they all have in common is their response to a rapid increase in size. As cities, companies or human beings grow, they require more resources, which leads to innovations like higher wages and new products, but also negative consequences like waste and overcrowding. As he unpacks the physics of modern systems design, West cautions that growth must be matched by greater sustainability.

3. Heroic Leadership: Best Practices from a 450-Year-Old Company That Changed the World by Chris Lowney

Before he became an investment banker at JP Morgan, Chris Lowney spent seven years as a Jesuit priest. That background in the cloth helped him realize that the issues he faced in nurturing new leaders at JP Morgan were the same ones the Jesuit order had faced over its 450-year history. The Jesuits focus not on what leaders should do, but on who they are. They contend that leadership springs from within and involves a never-ending process of self-examination and learning. The four pillars of leadership that inform the Jesuits’ “corporate culture” are: self-awareness (understanding your strengths, weaknesses, and values), ingenuity (innovating and adapting to a changing world), love (engaging others with a loving attitude), and heroism (energizing yourself and others with heroic ambitions). Can you imagine if every corporate leader embraced these principles? Read the book.

4. Doughnut Economics: Seven Ways to Think Like a 21st-Century Economist by Kate Raworth

Doughnut analogies do a lot to sweeten economics. What, Raworth suggests, if we positioned society within a “doughnut” made of two rings: an inner ring that represents the minimum amount of food, shelter, and other necessities a person needs, and an outer ring that represents the point at which greater consumption begins to damage the Earth beyond repair? That question, along with the author’s case for a more compassionate, sustainable economic model, dovetails with our interest in advancing the circular economy. Tim calls it “a book about economics that makes sense to designers.” Read the book.

Want more? Here are 10 graphic novels we give a thumbs up. And here’s a list of more than 75 books we love, from East of Eden to Exit West.

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When he’s not on the road, teaching, or tinkering in his garage, our CEO Tim Brown can often be found immersed in a good book. Histories, biographies, creative nonfiction—for someone who leads a company that approaches problems from multiple angles, it’s often books that have nothing to do with design that offer the most useful insights.

The exercise wrapped up a three-day workshop with The Nature Conservancy, focused on finding new ways to track entangled whales. Whales often get caught in fishing lines, and responders can’t always free them on the first try. The Conservancy was looking for an easier way to find the whales after they swam away, so that they could complete their rescues.

When designers take on a new challenge, we start by talking to people to gain empathy for their needs. But how do you do that when the user is a whale? Along the way, we found a few workarounds.

Here are our top four lessons on designing for non-humans:

1. Understand the entire ecosystem

We were designing for an unusual ecosystem—an underwater one—and we needed to understand it from all angles. So, we took a day-long field trip to Monterey Bay and Moss Landing, where we really focused on getting a sense of the marine environment. We went kayaking among wildlife, visited a whale disentanglement boat and checked out all of its knives, buoys, and equipment, and talked to several locals. We wanted to understand everything we could about a whale’s journey and behaviors—even if we couldn’t talk to the whales themselves.

Tip: When you can’t physically ask users about their environment, you have to get creative to put yourself in their shoes (or fins). Getting a first-hand look at the users’ surroundings helps you gain empathy for them and gets you into the right mindset.

2. Get visual

Knowing that we’d never be able to experience entanglement from a whale’s perspective, we had to find our own scrappy ways to understand how it happens. We watched whale rescue videos, got a collection of whale posters (illustrated by the man who did the special effects for Free Willy), and asked a rescuer to tie string around miniature whale models to help us visualize the entanglement process. We also bought crab fishing gear, rope, buoys, flippers, and lifejackets to decorate our project space. When our clients arrived for the workshop, we set up kiddie pools and inflatable orcas on our patio. This may sound excessive, but it was a really important part of the project; not only did the equipment set the right scene and mood for the workshop, but it also allowed us to quickly and easily test our ideas.

Tip: Keep your designers and clients immersed in the project with visual cues that represent the subject matter. It keeps morale high, and can even help you quickly iterate and test concepts—the kiddie pools at the workshop came in handy when it was time to try out prototypes.

3. Bring all the players to the table from day one

Since we couldn’t talk to any whales during the project, we conducted our design research with the people who knew them best—marine biologists, researchers, fishermen, and rescuers. We also brought in people with backgrounds in design, technology, government, and academia, and collectively discussed the problem and potential solutions. With the help of so many experts, we were able to fill in all of our gaps in knowledge, whether it was about whale anatomy or government funding.

Tip: When you’re designing for animals, you’re also designing for the people that work with those animals (similarly, if you’re designing for kids, you’re also designing for their parents). To make sure your solutions work for them, too, bring a wide range of voices into the room—even if they have to dial in.

4. Test prototypes in context

After brainstorming and sketching out early concepts, we headed to the IDEO Shop to create prototypes for the whale trackers. We couldn’t test the devices in the shallows of the kiddie pool, so we set up a rig in a neighbor’s swimming pool to see how they’d perform above and below water. This context helped us immensely in understanding what improvements could be made and how much each tracking device would burden the whale. We were able to measure how smoothly the devices moved through water (to minimize drag), and how well they stayed afloat. After each trial run, we were able to refine the prototypes on the spot, and continue testing.

Tip: Before you finalize any concepts, create a test environment that’s as close as possible to the user’s environment. This helps you understand how the concepts will work in context, and gives you the ability to record and measure what you've learned.

Next time we have to design for whales, though, we'll probably just channel our inner Dory.

Special thanks to Dali Yu for being a thought partner for this article, Rachel Tobias, Joerg Student, and Brooke Thyng for taking these photos, and the rest of the team for hosting an amazing workshop!

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On a Thursday afternoon, I found myself with a team of whale biologists, product designers, mechanical engineers, and public policy directors, all standing by a gigantic pool, throwing handmade contraptions into the water. Above us, aerial drones were flying around capturing the scene. Below us, GoPros on selfie sticks moved back and forth under the water. Typical day in the office.

In one sentence, who are you?

A hard-headed idealist, who revels in the start and finish of every project, but curses throughout the process.

What do you do? How did you learn it?

I am a curator of architecture and design. I always wanted to work in a museum, and so I studied art, architecture and curatorial history, and then worked in several galleries and museums.

3 favorite possessions?

1. A pour over coffee maker
2. A pair of small ink drawings of imaginary landscapes
3. Handwritten notes tucked into my suitcase from my sons and husband

What does a typical work session look like?

A typical work session includes too many people and little is accomplished, but a productive work session includes 1-2 colleagues, an inspiring setting, and a knotty idea.

How do you get over creative block?

Deadlines. My father always said to think of a deadline as an opportunity to submit a draft. If you are truly interested in going further you will or you may never return to a subject, but one shouldn’t think that you need to know everything at the time of a deadline. It is a moment that reflects what you do understand at that time.

How do you see the world in 2078?

More tax money is spent on public education and the arts than on the military. Society needs to value education and the arts. SFMOMA understands the value of arts in culture, in making sense of issues, as well as complicated issues. I am hopeful humanity will come to its senses on what to prioritize.

What is the biggest challenge in curating "design"?

I’m not sure there is a singular big challenge to curating design. There are smaller challenges, such as how to exhibit interactive software or ubiquitous commercial products or representations of buildings meant to be experienced in person, etc, but no one specific challenge. Challenges make work interesting, no?!

What’s your number one bucket list item?

I don’t have a bucket list, but I understand the concept and my interests are always shifting, but this week, I’d like to be sure to experience:

• Space travel
• De Maria’s Lightning Fields with my family, New Mexico
• Piamio Sanatorium, Finland
• I am too late since it is destroyed, but would have loved to have visited the Operations Room for Project Cybersyn, Chile

Who are you creative crushin’ on lately?

The ladies of today—Neri Oxman, Tatiana Bilbao, Nathalie du Pasquier, but especially ladies who paved the way, Esther McCoy, Lina Bo Bardi, Barbara Stauffacher Solomon, Susan Kare, Ruth Asawa, Anna Halprin, Clara Porset, and the list continues

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Capturing the world of design is a tall order. It means constantly considering the now, questioning the promise of future technology, and looking across the historical register for patterns and mishaps. Jennifer Dunlop Fletcher does just that, and as the curator of Architecture and Design at SFMOMA, she goes one step further and puts it all on view. Her work asks tough questions for us and, in turn, to us. I took a moment to catch up, get a bit of background, and figure out what motivates her day to day.

Smartly curated by Jennifer Dunlop Fletcher, the show features objects dating back to the late 1950s, from the Eames Office to the first iPod to a home CRISPR kit.

I've now seen the show twice. Here's what’s stuck with me:

So much of what comes out of Silicon Valley today has its roots in the DIY utopianism of the Whole Earth Catalog. Founded in the late 60s by Stewart Brand and a bunch of Stanford longhairs, the Catalog promised “access to tools" that would equip us to break free from our hidebound culture.

The title was inspired by Brand’s 1966 campaign to have NASA release a satellite photo of the Earth as seen from space—the first image we’d see of the "whole Earth." That picture, he believed, would unite humans in our belief in a shared destiny and encourage more peaceful, ecological, and holistic thinking.

When I was in my 20s, the Whole Earth Catalog spurred me to start my own DIY design magazine, ReadyMade, in the back of a used furniture warehouse in Berkeley. Whole Earth made designing a life on one's own terms seem within reach.

That spirit shines through in another standout of the exhibit: the recreated office of Charles and Ray Eames, down to the posters on the wall, the kilim rug, and a looping projection of their film for the World’s Fair (a serenade to industry and systems design). Everything they laid their mid-century paws on exudes a kind of singing-nun joy. Two things I love most about them: their philosophy that “Eventually everything connects—people, ideas, objects,” and that they employed the people they were designing for—Los Angeles locals, war veterans, and housewives.

There’s also the agitprop hijinks of Ant Farm; the stained leather scrappiness and propaganda of Marin’s craft guilds; and Heath Ceramics—the tableware preferred by my avocado toast.

And for us outdoorsy types, the centerpiece of the exhibit is a Bucky Fuller-inspired North Face tent, pitched alongside radically new 1970s climbing equipment made by Yvon Chouinard, the founder of Patagonia.

I had a feeling the iconic "one laptop per child" by fuseproject would be on hand (check!), and was excited to see my friend Eric's (of Stamen Design) dazzling data visualizations.

Having done a tour of duty at WIRED in its third year of publication (1995), it was great to see their eye-popping cyberpunk spreads on display, and I'm always happy to learn of companies like D-Rev that care enough about social impact to design an $80 high-performance knee (80 percent of the world's amputees have no access to modern prosthetics).

California design got swept up in the digital tsunami that WIRED was chronicling and all those "new tools" for connected living now look quaint. The first Apple desktop computer and Handspring Visor sitting under vitrines look like beige relics from a technocrypt.

IDEO’s Dennis Boyle, who led the Handspring Visor design team, told me that its eye module accessory is credited as being the first digital camera on a handheld electronic PDA. "It’s the precursor to today's cell phone cameras," he said.

I'm drunk on Kool-Aid, no doubt, but I walked away from this show marveling at how IDEO appears to be the aortic valve of California design. There are no less than five examples of our work on display: The prototype for the first Apple mouse, Thoughtless Acts? and Method Cards, the Handspring Visor, and the prototype for the Q Concept workstation, designed by David Kelley and Jim Yurchenco, Jane Fulton Suri, Dennis Boyle, and Martin Bone, respectively.

Yurchenco, who repurposed a butter dish and a roll-on deodorant ball procured at a local Palo Alto drugstore to make the earliest mouse, is struck by the crude tools designers had at their disposal back in the day:

“It was done using old techniques: a pencil and paper on a drawing board instead of 3D solid CAD to design the parts; manually machined injection molding tools and pieced together check models instead of 3D printed models. Of course, everything designed at that time was done the same way.”

Though it seemed impossible to design a mouse for less than $10 when Steve Jobs first proposed it, IDEO founder David Kelley and Yurchenco alighted upon a crucial insight:

“The most surprising thing that happened during the process was we were able to make [the mouse] low-cost by realizing it didn't have to be as precise as we first thought," Kelley says. "Because the user's human brain would intuitively move the mouse to exactly the right spot."

Jane Fulton Suri still expresses surprise that a simple deck of cards (Method Cards), which were published in 2003, became the foundation for IDEO's design approach:

“At the time it wasn’t obvious that sharing information about our approach and sensibilities would be a powerful way for IDEO to lead the way. It's now core to IDEO's strategy to create design tools and empower others in the world at large.”

Three of the four designers quoted above still work at IDEO. And that reminds me of another thing I love about California designers:

They never stop trying to make things better by making better things.

Next up: Nick Pajerski interviews "Designed in California" curator Jennifer Dunlop Fletcher.

If my heart were a painting, it would be on permanent loan to California. I love its shaggy optimists who turn drained swimming pools into skate parks. Its fog and fearless politics. Its pioneers and garage inventors and beat poets who came in search of a Golden State. I'm a big believer in the design that was born here, too, which is on display at the SFMOMA’s "Designed in California" exhibit through May 27, 2018.

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.