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Designing the connected future of diabetes management

Expanding IDEO's partnership with Ascensia to develop an engaging, internet-enabled blood glucose monitoring system.

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Health
AI & Emerging Tech
Technology

Keeping diabetes in check isn’t easy. Between checking blood sugar multiple times a day, keeping a detailed activity record, and logging food intake, staying healthy can be daunting.

But a recent advance in smart diabetes management—Ascensia’s CONTOUR NEXT ONE blood glucose meter and the CONTOUR DIABETES app—can give patients more clarity and control.

The CONTOUR NEXT ONE is the latest product to spring from a multi-year collaboration between IDEO and Ascensia Diabetes Care (formerly Bayer Diabetes Care). In 2009, Ascensia and IDEO developed the award-winning CONTOUR USB blood glucose meter—the first meter to plug directly into a computer, providing patients and their doctors with instant access to blood sugar data and personal trend reports.

Buoyed by the success of the first collaboration, Ascensia asked IDEO to help design a next-generation diabetes management system (and the company’s first internet-connected device).

To help reduce the stigma of checking blood sugar in public, IDEO designed the CONTOUR NEXT ONE to look and behave like today’s modern tech devices. The highly simplified, seamless system allows patients to upload blood glucose readings automatically to the app, which helps guide informed, real-time decisions. The meter’s red, green, or yellow smartLIGHT feature gives instant feedback about whether blood sugar levels are below, within, or above the target range.

Seeing contextual data, which includes physical activity logs and photos of meals, paired with recent and historic blood sugar levels, nudges patients toward healthier lifestyle choices and better control of their condition.

For doctors, the accuracy and quantity of the data combined with the app’s easy-to-read pattern views invites more comprehensive, actionable conversations with patients.

The CONTOUR NEXT ONE hit shelves in Europe in 2016 and is now available in the U.S. Ascensia is poised to develop more products enabled by rich, personalized data to help people with diabetes live longer, healthier lives.

Ascensia Diabetes Care
Ascensia Diabetes Care
Designing the connected future of diabetes management, diabetes care, diabetes management, Ascensia Diabetes Care, healthcare, health innovation, patient experience, AI, artificial intelligence, emerging technology, technology innovation, digital products, systems thinking, systems design, service ecosystem, healthcare design, digital health, patient-centered care, future strategy, strategic futures, designing for the future, innovation, strategy

Designing the city skies of tomorrow

Designing the city skies of tomorrow.

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Strategic Futures
Breakthrough Products
Mobility
Technology

What if we could use the sky to provide alternative solutions to these problems, creating more space for living and transportation? What exciting future awaits us?

At JAXA’s Aeronautical Technology Directorate (ATD), researchers are conducting research and development on aviation science and technology for the future. They are working to affect positive impact through research like noise reduction of airframe and an integrated aircraft operation management system for disaster relief and crisis management.

Normally, JAXA begins their projects by examining the needs of the aircraft industry or comparing themselves against global technology standards. This approach often leads to ideas that are merely an extension of the current technology. JAXA needed a new approach in order to create radical ideas and real change.

The key question was: What solutions would emerge from prioritizing people’s needs over the most advanced technological possibility—taking a human-centered approach to tackling the most pressing societal challenges?

JAXA ATD voluntary partnered with IDEO to attempt to answer this question, identifying new research areas by envisioning people’s needs in the near future. Together, JAXA and IDEO developed four scenarios of future societies.

The scenarios do not necessarily focus on technologies. Rather, the focus is on telling stories that help readers put themselves in the shoes of the four personas. At the same time, the team worked with industrial designers to illustrate convincing demonstrations of the vehicles and machines of the future.

JAXA’s team embraces the belief that “technologies developed at JAXA should incorporate emotional aspects to blend seamlessly into people’s lives.” Driven by this philosophy, the visual design of the four scenarios used a friendly illustration style intended to be approachable and understandable for people of all ages.

Sketches of the Skybus by our industrial designer; the final design.

In order to develop human-centered concepts from scratch, the IDEO and JAXA team first undertook research and inspiration-gathering. They skydived, observed cities from above, brainstormed with students from the department of architecture at Waseda University. They interviewed airline employees, a former Judo world champion, skyscraper lovers, a business producer who focuses on new working styles. Throughout the research phase, the team explored the possibilities of the sky as a “living space,” not just a place for transportation.

The team was surprised and excited when they learned from a former fighter pilot that old cockpit designs were inspired by the Japanese tea room, highlighting a historic precedent for taking inspiration from real life to inform new technology designs.

The team invited a group of students from the Architecture Department at Waseda University for a brainstorm session. We asked ourselves, “What if cities were in the sky?” and “What if we could make something using the sky?”

The team synthesized their research and developed several concepts, each informed by a different social issue or pressing concern. Each issue was brought to life through a fictional personal narrative.

The characters from each of the scenarios—Ayame, Toshi, Yuri, and Naoto. Each story presents a day-in-the-life of these characters to illustrate how the new technological concepts blend into our everyday lives.

How might we relieve city congestion and pollution using the sky, while still keeping it clean and blue? Floating public lights, a skyway that regulates air traffic, camouflaged planes that keep the sky blue—concepts introduced in this scenario were the closest to the technologies already being researched at JAXA ATD. They show us how the sky could become an infrastructure that supports our daily lives. Meet Ayame, a girl from Gunma prefecture, ready to begin her college life in Osaka.

How might we make travel feel easy for people of all ages, no matter how far they need to go? While the researchers at JAXA ATD are working to improve the mobility of aircraft, like reducing air friction or increasing the engine efficiency of aircraft, this scenario explored how people could travel door-to-door through the sky with or without aircraft. A day-in-the-life of Naoto, a 72-year-old man who commutes twice a month from Tottori to Tokyo for medical checkups.

How might we leverage the sky as a resource for reusable energy and economic growth? One of the criteria of JAXA’s R&D activities is to improve the environment. While JAXA has been focusing on “protecting” the environment, this scenario focused on “creating” new environments. A day-in-the-life of Toshi, who runs a “sky-to-table” farming business.

How might we help people live with peace of mind, even during a disaster? JAXA’s disaster relief technologies have been extremely valuable in countries like Japan, which frequently suffers from natural disasters. In this scenario, we approached the problem from victims’ point of view while exploiting the potential of a network of aircrafts and other flying objects. Here's the story of Yuri, a victim of an earthquake in Tokyo who reunites with her family after evacuating to the sky.

The purpose of the project website is not to present answers, but to introduce new directions towards an exciting future. By presenting JAXA ATD’s vision through these four scenarios, the team invited people from all industries and of all ages to participate in co-creating the future.

Just like movies, cartoons, and novels from childhood stimulate the imagination, this project aims to spark new conversation and vision for a radically different, positive future.

By illustrating and communicating a more human-centered future to a wider audience, Japan’s top aeronautical technology development agency may already be changing the future of the sky for the better.

The speed and scale of change in our world are unprecedented. As more people relocate to cities, our lives are impacted by urbanization problems such as pollution, congestion, depopulation of rural areas, resource, and energy deficiencies.

JAXA
JAXA
Designing the city skies of tomorrow, tea, tea packaging, tea brand, JAXA, mobility, transportation innovation, technology innovation, digital products, growth strategy, business growth, scaling innovation, civic design, government innovation, citizen experience, innovation, strategy, research, sustainability, transportation, government

Preparing an industrial leader for the digital future

Changing the culture, mindset, and way of working at a global manufacturing firm.

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Industrial & Manufacturing

For factory operators, a smart valve is a game-changer. It gathers data on how smoothly the system is running and feeds it to an app, making it easier to troubleshoot from anywhere. And when things get overheated, it can automatically shut down the machinery, avoiding a meltdown.

Georg Fischer (GF), the Swiss-based, B2B industrial manufacturer collaborated with IDEO to design that valve, along with a system that adds value for generations of engineers to come.

And there were some surprises along the way. When the team set out to interview customers, they learned a lot about their real needs. “We showed a customer a sacrificial concept of a smart valve and asked, what do you think about this?” says Laura Barrabia, GF’s Head of Corporate Design Thinking. “The customer answered, we don’t want your valve to be smart, we want to be smart. If GF is providing a smart valve, where is my value?”

For GF Piping Systems, these insights helped shape initial prototypes and guided the direction of the design to something that would tie parts together into smart systems and more efficient industrial facilities—a competitive advantage.

Yves Serra, GF’s CEO, recognized early on that his company needed to strengthen its customer-centricity and digital capacity, so he approached IDEO to begin shifting GF’s culture from engineering-led and procedural to customer-focused, multidisciplinary, collaborative, and flexible. That kicked off a decade-long relationship that would help GF take a design-based approach.

Learn what it means to move from being technology-driven to being truly customer-centric.

To help GF identify clients’ pain points and address them with new digital offers, IDEO proposed three “lighthouse” projects, one for each of GF’s divisions: Piping Systems, Casting Solutions, and Machining Solutions. Lighthouse projects (also called “Beacons”) are proofs of concept that light the way for an organization and help it shift its way of working.

For example, GF Machining Solutions built a prototype for an application that uses real-time data to help customers identify and fix problems in the machines, laying the foundation for truly predictive maintenance. Making data streams more transparent for customers also simplified life for the GF service engineers, who keep the machines running.

Learn how Georg Fischer is moving from hardware offerings to digital solutions.

For GF Piping Systems, the design team developed the GF Digital Line, a set of products, apps, dashboards, and other services that help customers plan, install, and maintain water and chemical piping systems. GF teams went back to customers to test several prototypes and gather feedback on the Digital Line and make sure it addressed current and future needs. They also built internal capabilities to support product development, laying the groundwork for future innovation.

Lastly, IDEO helped GF Casting Solutions escape the “commodity trap” of competing with foreign automotive suppliers. To better understand the pressures car manufacturers face, the design team explored the development cycles of two car manufacturers. They learned how challenging it is to implement solutions to reduce vehicle weight—essential for cutting fuel consumption. As an expert in aluminum die casting, GF was well positioned to help manufacturers meet that challenge, not just with quality parts, but also with digital engineering to deliver cutting-edge lightweight casting solutions, which are harder to replicate.

By the end of these lighthouse projects, GF had rolled out a global design thinking training program that had touched more than 1000 employees. After the training, employees throughout the organization adopted a new way of working and became passionate ambassadors. The enthusiasm spread from the R&D department to HR to finance and many other departments.

Today, GF has permanent design thinking and digital teams to continue this work. All three divisions aim to launch the first releases of their lighthouse projects by early 2019. And with every project, GF’s business—and solutions—get smarter about how to meet the needs of a fast changing world.

Georg Fischer
Georg Fischer
Preparing an industrial leader for the digital future, Georg Fischer, manufacturing innovation, industrial design, digital transformation, digital experience, digital product design, UX design, business transformation, organizational transformation, culture change, creative leadership, leadership development, future strategy, strategic futures, designing for the future, how to design a digital product, innovation, strategy, product design, design thinking, prototyping, product development, transformation, leadership

Reimagining everyday travel for America and beyond

Designing a new hotel experience that feels just right, every time.

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Strategic Futures
Hospitality

IHG’s ambition is to grow in service of its guests around the world. IHG’s Atlanta-based team had identified a major opportunity for hotels in the midscale space—a market segment known for its inconsistency.

Alongside colleagues at London-based forpeople, IDEO was invited to help IHG shepherd that business opportunity into a human one, by asking how IHG might reimagine the everyday travel experience for people relying on this category of hotel. What kind of offer might resonate equally with guests and with the owner/operators who’d need to buy into a new brand and bring it to life?

IDEO began by talking to travelers to better understand their lives, values, and needs—travelers who spend one or two nights on the road a few times every year; travelers who regularly take short trips to small cities or away from city centers; and travelers who live on the road, moving from hotel to hotel. These included court stenographers, medical technicians, consultants, conference-goers, and more.

Early research insights evolved into two distinct concepts for a new hotel brand, which were built out into two full-scale physical prototypes at IHG’s design center in Atlanta. Over three weeks, IDEO and its IHG partners led potential guests and hotel owners through each model, gathering their feedback on new formats for breakfast offerings, service details, booking experiences, and overall tone.

Rendering, prototype, and final incarnation of avid’s “Good all round” breakfast. Based on customer insights, IDEO designed a confident departure from the expected—and often disappointing—morning fare on offer at other affordable hotels. Focused on exceptional quality and fair value above all else, the offering features free packaged options, fresh baked goods, and seasonal fruit, set within a breakfast beacon that animates the hotel’s public space in an unexpected way. After breakfast hours, the beacon transforms into a communal table for working or waiting, complete with outlets for charging personal devices.

The investment in prototyping paid off with surprising and actionable insights. Despite wide variation in occupation and income, these guests are sophisticated and self-reliant; they know what’s out there, and they know what’s reasonable to expect. In fact, many describe a syndrome IDEO dubbed “anticipation anxiety:” the sense of dread that comes from not knowing whether a lower-priced hotel is going to be clean or safe, or provide a bed that enables restful sleep. Many have so little confidence in the cleanliness of hotels in this price range that they travel with their own packs of wet wipes.

IDEO, along with the IHG team, recognized these behaviors as an unanswered cry in the market. The purpose of the new brand crystallized around extinguishing that anxiety and rewarding guests with something much better. avid hotels exceeds its competition by doubling down on quality in just a few select areas: an extraordinary mattress; rigorously high standards of cleanliness; a focused, high-quality, grab-and-go breakfast and coffee experience; and an overall tone of warmth and straightforwardness.

The first avid hotel opened its doors in Oklahoma City in August 2018.

These guests made clear that for trips like this, they aren’t interested in bells and whistles, or communication that isn’t frank or to the point. That led to an insight that upends an industry truism: for these guests—and there are many of them—choosing a hotel is rarely only about the price of the room. avid guests can often afford to stay in a more expensive place for a honeymoon or a vacation or a trip with friends; they’ll spend more when they need more. But for functional stays of one or two nights, it just feels wasteful. It goes against their values and their principles.

IHG and IDEO heard a clear call for a sense of focus and affordability—but never at the expense of quality. Guests should be able to access a simple booking process, rooms designed for sound sleep, and a quality breakfast, all at a fair price. And hotel owners ought to be able to deliver that experience with confidence and consistency, at costs that build a compelling case for their own business.

That’s what avid hotels is designed to deliver, every single time. Early traveler reviews have been exceedingly positive and have noted specifically the unique differentiating offers avid brings to the market.

Within a year of partnering with IDEO, IHG had issued 150 avid hotels licenses to franchisees in the US, Mexico, and Canada, and announced a development deal for 15 avid hotel locations in Germany over the next five years—a scale of success that came at unprecedented speed for the industry. The collaborative, inclusive design process is now serving as a model for how to develop robust, guest-centered hospitality brands that deliver where it matters for people.

Intercontinental Hotels Group
Intercontinental Hotels Group
Reimagining everyday travel for America and beyond, sleep health, sleep analytics, hotel design, hotel experience, Intercontinental Hotels Group, hospitality innovation, guest experience, travel experience, hospitality design, future of hospitality, innovation strategy, business innovation, design innovation, how to innovate, innovation, strategy, inclusive design, research, prototyping, how do we innovate

When Building a New Venture, Friction Isn’t Just Inevitable—It’s Invaluable

Nine lessons from the front lines of corporate venturing

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with a new venture friction isn't just inevitable-it's invaluable, venture design, entrepreneurship

The 4 “Love Languages” of Design

Techniques to ensure your audience will fall in love with your idea

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I must say: Designers have an advantage when it comes to communication. We have the benefit to use not only our words, but also visualizations, from sketches and 3DCAD to infographics and physical objects. Designers are capable of making words real, expressing an idea in form, color, material, and finish. We truly are tangible storytellers. But having the means to make ideas tangible doesn’t necessarily solve all communication issues—we all speak nuanced languages and carry biases toward the things we already love to hear, see, or experience.

You may have heard of the 5 Love Languages, a tool to help characterize the ways we give and receive love. What if a similar tool could be built for designers? What if, before sharing an idea, you could learn the “design love language” of your audience? You learn your romantic partner’s love language to better connect with them; you might learn your colleague’ design love language to better collaborate, or a client’s design love language so you can craft the perfect presentation.

Here are 4 “languages” to help you communicate the value of your design straight into the hearts of your audience:

1. Storyteller’s Circle

For many people, it’s the story behind your idea that will really make it sing. This goes far beyond how the idea solves a problem for people and the business; that should be a given. It’s about the thoughtful descriptions of how the idea came about, why it will make a positive impact in the world, how it was better than other ideas, and why you feel confident about that.

The team we worked with at PillPack did this masterfully. During the research phase of the process to redesign how patients engage with pharmacies, we heard personal, painful stories about dealing with the US healthcare system. Standing in long lines, keeping up with expiration dates, making sure you take this medicine with food and that one on an empty stomach—patients told us it's overwhelming. We could immediately tell there was a huge opportunity to design something to solve for these problems, and the stories we heard inspired the team to create a single vision, strategy, experience, and identity that consumers quickly understand.

To gauge whether your story will resonate, try rehearsing it as if you were speed dating. If people understand your concept in a single sentence or get excited in the first 30 seconds, you’re on to something.

2. Make it Zing

There are some ideas that make us express feelings that are beyond words—“oooohs” and “aaaahs.” For people who need that ah-ha moment to really make a new idea click, it’s your job to make them say, “Oh, wow.”

When sharing IDEO’s vision for the future of mobility, I’ve heard people remark, “So that’s what our city could look like.” The project explores the many ways that we imagine transportation—of people, places, ideas—evolving over the coming years. Though they’re purely conceptual, the ideas are brought to life through visual renderings and context clues that make them feel tangible—they transport the viewer to The Future. Try not to gasp when you realize that.

To get started, think about which of the senses you want to appeal to, then work to amplify them. Use visual cues or sound to your advantage—the “zing” happens when the idea flirts with us and tickles our senses, gut instinct, and imagination. Lean into the unpredictable, the whimsical. Make someone sigh or shout.

3. Straight to the Heart

What was the last performance you gave a standing ovation? When was the last time you cried at a movie? Which book moved you so much that you bought all your friends copies for the holidays?

This love language is about emotional resonance—tapping into the power of human emotion to impact your audience on a deep, personal level. I’ve found that it works particularly well for helping people build empathy for the human elements of large, complex systems and structures.

Our approach to telling the story of IDEO's work to design the voting system in Los Angeles County was to tug at the heartstrings, which helped make complicated and bureaucratic topic more accessible. The photos, videos, and audio stories were designed to highlight the humans who are casting ballots—the hardships, the triumphs, and everything in between.

Body language and word choice are key to nailing this one. Take cues from your audience—when you see someone lean in, nod, let themselves smile, you know you’ve landed on a moment that made things click. Practice your story with a friendly audience and observe those moments, then design your storytelling experience around them.

4. Lights, Camera, Action

For some, actions speak louder than words, and they can only fall in love with the idea after seeing or trying it. They want to use it over time, test it, live with it, break it, and have others do the same. For these people, ideas need to be on a movie set, including the actors, the scene, and the props.

For this audience, make sure to bring your idea to life as a prototype, and allow them to experience it out in the wild. That’s what we did when we helped Swarovski build a new chandelier. We didn’t just look at renderings—we built a whole living room in our office to test our prototype.

Prototypes don’t have to be perfect. In fact, they shouldn’t be. Showing up with a prototype made of cardboard and Legos is better than arriving empty handed. Do whatever you can to make your thing real and I guarantee you’ll see lightbulbs go off over people’s heads.

As designers, our job is to create things that improve people’s lives. To do so, designers must learn how to speak the languages of the various audiences we design for. It’s important for us all to recognize our own biases towards our favorite language, and have the empathy to listen and adapt to the other ones. Your design love language might be different from the person using your design.

Language matters. That’s an obvious statement for anyone working across cultures, and it especially holds true in design. As a designer, I’ve always used my skills to create tools that enable shared understanding. This mainly came about out of necessity: I was born and raised in the Netherlands, and I’ve also lived in Sweden, the UK, and for the past seven years, the US. In my 14-plus years as an industrial designer, I’ve collaborated with clients from almost every continent, from Saõ Paulo to Seoul. By working closely with people from different countries, I’ve learned first-hand how language connects us to our cultures and to one another.

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the 4 love languages of design, product design

To Become a Better Designer, Make Time for Make Believe

Silly as it sounds, it’ll make you better at your day job

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Every other week, I host a creative playdate for our studio called MakeBelieveTime (MBT). We always come up with something different. Maybe we’ll combine magnets and mirrors to invent our own games. Maybe we’ll use a needle and thread to learn the basics of computer coding, or fold our hopes and fears into paper airplanes. MBT has become one of the tentpoles in our community’s calendar—a ritual that brings our bodies out of project spaces and our minds out of design mode. It’s playtime for adults.

How do you fingerpaint a scent? Without getting yellow up your nose, hopefully.

The value of these exercises has become clear to us, but when visitors happen to be around for MBT, all the natural questions bubble up. Sounds fun, but you do this during work hours? (Yes.) Are these exercises used with clients later? (Sometimes, but not always.) How does this apply to paid project work? (It doesn’t.) So what’s the point?

That is the point. MakeBelieveTime is actually most valuable when it does not directly relate to project work in a typical, measurable way. It’s play for the sake of play, and that’s okay—in fact, it’s essential. Here’s why.

It’s about process, not product

I once had an art teacher who would sketch all over my work to show me different techniques. At first, I was frustrated because my brilliant piece was being scribbled on. But then I recognized his assumption—that an artist will do it again and again and again. That learning a new technique meant focusing on the hand, not the paper.

In our design work, we rely on our own experiences and intuition, so it’s essential that we become fluent in exploring our memories and feelings. MakeBelieveTime gives us a chance to practice that with new and unfamiliar tools. That’s why, whether it’s colored sand or temporary tattoos, the real materials of MakeBelieveTime are our personal joys, hopes, and fears.

It preps the mind for design

When I was a kid, my grandfather told me about Louis Pasteur’s belief that “Chance favors the prepared mind.” Show up and do the work, Grampa explained, so that when the magic happens you’ll be sharp enough to recognize it. Making space for “sensorial, analog, hands-on radness”—that’s how one colleague described MakeBelieveTime—gives designers a much needed mental reset.

Blind contour drawing is an intimate exercise, but all of the portraits end up being silly and disarming.

Plus, MBT actually has made an impact on client work. A handful of insights and concepts that originally came out of MakeBelieveTime actually made it into an experience we designed for a major NYC landmark.

But that’s not really the point. It’s about helping our designers spread their nets as wide as possible, and to lighten things up with a moment of pure, playful joy, so that when inspiration comes they’re ready to grab it.

It broadcasts both values and value

Most designers will sing the praises of play. It opens you up and makes you braver, more optimistic, and more creative. We pepper client meetings with pipe-cleaner sculptures or a little improv to get the blood and imagination flowing. We put a lot of thought and energy into those activities, thinking about our clients’ needs and the best way to get them comfortable with being uncomfortable.

Taking advantage of pareidolia—the human eye's tendency to see familiar patterns in inanimate objects—we combed the pillar forest of IDEO New York's office, searching for faces or characters.

Most designers will also admit that when deadlines loom, proposals beckon, or clients push back, play is not always top-of-mind. That’s a problem. An organization’s beliefs come through in their actions. To show that play is worth the time, you have to make time for it.

How to build your own MakeBelieveTime

We want MBT to be much more than a free-for-all with glue sticks and googly eyes, so we use three key design principles to guide the activities:

  1. Make the familiar unfamiliar. To think about senses we take for granted, we infused finger paints with essential oils and asked everyone to visually illustrate the experience of smelling that scent.
  2. Explore safe danger. Blind contour drawing is a great example. We all sit and draw the person across from us—without lifting the pen or looking down at the drawing. It’s always a mess, which guarantees a joyful, public fail, but also allows us to look deeply at each other and practice seeing and being seen.
  3. Dig deep. We used Halloween as a prompt to create a mask that evokes a moment we were horrified by our own behavior. This allowed us to acknowledge the full spectrum of our feelings, exorcise that shadow, and leave it to the past.

The first, despairing thought that hit one of my colleagues when he first saw MBT in action was, “IDEO’s gone soft.” And, quite frankly, that's not an unfair concern when you see a room full of world-class designers finger painting.

But MBT serves as an opportunity to nourish a perspective rather than achieve an objective. It’s less about the scented fingerpaints, and more about exploring new ways of understanding and sharing an experience. It’s also about laughing together. It’s about exposing our soft side so that we can trust each other more when we take those lessons back to our project spaces and have a hunch about trying something untested but exciting.

That’s why we believe that designing a cocktail that tells the story of your first kiss doesn’t cost you your edge. It’s how you keep it.

Think back to your first kiss. Remember the place, the smells, the nerves, the lips. If you had to create a cocktail to tell the story of that experience, how would you do it? Would you make Jolly Rancher–infused vodka to conjure the candy-loving kid next door? Would a popcorn garnish nod to the movie you barely watched? Answering these questions is how the designers of IDEO New York spent a Valentine’s Day afternoon.

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to become a better designer make time for make believe, urban design, cities

The Three Qualities Leaders Need in an Uncertain Future

The next era of business demands collaboration, optimism, and a willingness to walk toward the unknown

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It’s time to challenge that notion. The ability to navigate ambiguity—and to guide people and organizations without knowing what’s ahead—will be one of the key leadership qualities of our time. Because, in today’s world, almost nothing is certain. Technological change is drastic and rapid; volatility grips politics, the economy, and the climate; the future of healthcare and education are in question. And much as it would be a relief to land on a quick fix for any number of these challenges, the reality is that solutions are a moving target, and no one leader possesses a silver bullet.

But creativity can help. According to the World Economic Forum, creativity is among the top three skills needed to thrive in 2020, along with other capabilities infused with the human touch: complex problem solving and critical thinking. In a world where thorny challenges have no magic solution, leaders must get comfortable with not having an answer—leaning into the unknown and establishing a leadership style that incorporates many perspectives, sustains optimism, and perseveres through ambiguity.

We call this approach creative leadership. The term has made the rounds in academic circles for decades, but in practice, it’s only now gaining recognition as an effective approach in today’s turbulent times. Creative leadership takes conditions that are anxiety-provoking for many, and turns them into opportunities. In certain industries, where frequent change is inherent, it’s not unusual to find leaders who fit the bill. But now we are seeing that creative leaders can spark change in any industry or on any team, from manufacturing to marketing to finance to food.

So what are those qualities that equip leaders to leverage ambiguity and drive progress? How do they show up in their day-to-day role and move their companies forward? There are three key tactics that creative leaders employ: building diverse, multidisciplinary teams to maximize perspectives; navigating ambiguity with bold ideas; and maintaining forward momentum by sharing optimism, empathy and inspiration.

1. Creative leaders convene diverse groups and rally them around tangible goals.

Among many industries facing uncertainty and change today, healthcare stands near the top. In 2015, Northern California-based Sutter Health hired its first Chief Innovation Officer to help guide its enterprise innovation strategy across their integrated healthcare system, which serves three million people in one of the most diverse regions in the country. Sutter tapped Chris Waugh, then the vice president of design at a young, innovative primary care provider called One Medical Group, to partner with them in transforming the healthcare experience to make it more simple, engaging and human.

As Sutter’s first chief innovation officer, Waugh admits he battled impostor syndrome. He’d worked in the health space for much of his career, but often on the design side (including a decade at IDEO), rather than embedded within a large healthcare organization. “Who was I to tell a surgeon what to do? These people do transplants and save lives. Why would they listen to me?”

His first step was to build a diverse, cross-functional team to pool knowledge and ideas. Every executive—from legal to human resources to operations to medicine—appointed an open-minded, collaborative senior staff member. Next, Waugh and his design and innovation team articulated an optimistic purpose: They would “touch one million lives by 2022,” providing better healthcare and services to patients and their families. Then with this lofty goal top of mind, Waugh identified the right places to start small and set constructive conditions under which they could start making a difference.

They began innovating in non-clinical areas, such as using car sharing services to help transport patients to appointments. The pilots aimed for achievable targets, impacting a small number of people in the first few months, setting the right conditions, then progressing to larger scale. “Starting small with constraints keeps you from thinking you have all of the answers at the beginning. You can be more experimental, test for consequences, increase creative confidence, and discover over time when you’re ready to go full scale.”

2. Creative leaders navigate ambiguity by leading with curiosity.

Through it all, Waugh navigated his way toward solutions even though he couldn’t know the answers at the outset. He assembled the right people to converge on decisions at critical moments. And he shared lessons and stories of progress as a way to continually motivate people across the system.

Waugh asked bold questions, such as how might we reimagine the end of life experience for ourselves and our loved ones? His teams created a simple toolkit for talking about death with loved ones, which led to dozens of events around the globe where people turned an often taboo subject into open conversations called #LetsTalkAboutDeath. They also devised a platform that connects people with physical limitations to people who can vicariously fulfill their wishes, then share those experiences with them virtually. Wins like these kept Waugh’s team inspired, increasing their creativity and confidence as they positively impacted people’s lives.

Over the years, Waugh and his design and innovation team have continued their work and expanded the range of challenges they’ve tackled, as well as the number of lives they’ve touched. Now they are moving toward more clinical experiences, such as leveraging telemedicine to support patients in rural areas. “From the beginning, we knew that medical experts needed more creative problem-solving to better serve patients and their families. Across Sutter Health, we have a culture of innovation and we try new ways of working and thinking. With each success, my confidence and the confidence of teams across Sutter grows.”

3. Creative leaders stay fiercely optimistic to maintain momentum.

In 2015, Valentina Freile, an experienced industrial designer, was hired to join an elite team of technical experts at an Ecuadorian software development company called Bayteq. Her first project focused on advancing mobile services for a large local bank. She was excited to develop digital tools to help Ecuador keep pace with global change.

But Freile’s enthusiasm quickly turned to concern when she saw the initial product concepts. The team was proud to have incorporated cutting-edge technology on par with other international banks, but they’d overlooked a major consideration: how that new tech would add value to real people—the bank’s customers. Freile felt like an outsider on the team. She was the only one ready to admit they didn’t know how to move forward. But she knew she had to intervene before they wasted precious resources.

Freile brought the team together, and didn’t shy away from asking tough questions about how the technology would support customer needs. “After many uncomfortable conversations, the team realized we had not considered our users and had overestimated the need for new technologies.” The features did not support the Ecuadorian customers’ unique needs and behaviors, and it became clear that cutting-edge technology wouldn’t bring value if it was not suited to the people it was meant to serve.

While the developers on Freile’s team realized they would have to rethink their usual approach, they were unsure how to proceed. Meanwhile, the pressure was on—senior stakeholders were asking for updates and sweating the competition.

Amidst this pressure, Freile optimistically motivated the team. She suggested they try a different route to understand local Ecuadorian banking customers. They observed customers—in bank branches, banking from home, and on the go. The team learned quickly about specific local behaviors. “Ecuadorian people move small amounts of money daily between accounts and need to make payments as easily as possible. The population prefers asking relatives for loans rather than resorting to the bank. In our Latin culture, family plays a huge role in how we handle money.” Banks were last resorts.

The team took these insights and hosted collaborative work sessions with all of the stakeholders. In the end, they did not include any technically advanced features—rather, they focused innovations on designing banking processes and behaviors that suited the people they’d serve. “We created an entirely new mobile experience, adjusted to Ecuadorian people’s needs and behaviors. We added the ability to save money among numerous family members and easier ways to transfer money to relatives.”

The results exceeded all expectations. This was a clear instance of creativity elevating the output of the company. On a team of technical experts, it was Freile whose creativity unlocked a new way forward.

A future-fit leader is a creative leader.

Creative leadership is not about avoiding change. It’s about turning vulnerability and complexity into assets, and even leveraging them as tools for speed. While it can be unsettling to dive headfirst into the unknown, modern leaders must build the creative confidence needed to navigate uncertainty with and for their teams. Their agility and positive outlook generates a feedback loop that keeps everyone moving forward with a sense of possibility about what’s to come and how they can shape it. With creative leaders, an ambiguous juncture becomes navigable, and what awaits on the other side could change the game, helping the organization take the lead.

Illustrations by Raymond Biesinger

If you ask executives today whether it’s their job to have the right answer, most would say yes. In fact, most would say that producing answers to critical challenges facing their organization is how they reached their high-level position. Who gets ahead by not knowing?

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the three qualities leaders need in an uncertain future, leadership, team collaboration

Lindsey Turner

I’m passionate about building brands, products, and experiences that help organizations show up with meaning and momentum.

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Leader
Leaders

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.

My tween twins teach me more about technology and gen-alpha than the last decade of trend reports.
Making things that matter
Consumer Products & Retail
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AI & Emerging Tech

Rachel Young

My work helps organizations see who their products aren't working for—and build the will and the tools to do something about it

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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.

The greatest project to which I’ve ever contributed is raising my two daughters with my husband.
Uncovering unmet needs
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Brian Pelsoh

I lead with craft, ensuring our work is creatively excellent: rooted in deep human insight and imagination, while also grounded in the realities of business and technology.

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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 love a good crit.
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Tony Wong

I am responsible for IDEO’s long-term success in China and working with clients to use design as a tool to enable growth.

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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.

I have a thing for antique maps.
Developing China-led innovation and capabilities'
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Building a personal AI for the messiness of life: Sida Li

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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.

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.

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.

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.

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Designing GenAI for the emotional side of money: Johannes Seemann

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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.

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The curious leader's edge in uncertainty: Scott Shigeoka

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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.

Learning & Work
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How constraints make us more creative: David Epstein

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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.

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