In 1987, the three companies that would later form IDEO worked together with Microsoft to create the world’s first ergonomically designed mouse. IDEO’s human factors research suggested a small but significant change: Moving the location of the mouse ball forward, from under the palm to under the fingertips, enabled more precise control and resulted in measurable performance differences compared with earlier models.

The industrial design effort examined and tested dozens of shapes in comfort and aesthetic studies that led to the famous “Dove Bar” form, a significant advance over the boxy mouses prevalent at the time. The resulting clean appearance, enhanced control, and improved reliability created enormous consumer appeal that replaced all earlier versions, and Microsoft sold more than 2 million units in its first two years.

With approximately 55,000 Americans waiting to receive kidneys and a list that could double in the next 10 years, there is an acute and urgent need for new technology to increase the quality and number of organs available for transplant. Using the conventional method of organ storage and transportation—a cooler filled with ice—doctors and nurses needed to accompany the organ to ensure proper handling.

IDEO and Organ Recovery Systems created the LifePort Kidney Transporter to provide a new high-tech alternative. The LifePort gently perfuses, or pumps, the kidney with a cold liquid solution to improve its condition before transplantation, which can nearly double storage time and may increase the number of usable kidneys and improve patient outcomes. The device also provides critical data to monitor and evaluate kidneys during transport.

Organ Recovery Systems believes that perfusion has the potential to remove tens of thousands of patients from the waiting list and dialysis, and save the healthcare system more than $1 billion annually. In 2006, the LifePort Kidney Transporter was used to transport 350 kidneys per month in 12 countries, and was included in the permanent architecture and design collection at the Museum of Modern Art in New York City.

Pediatric healthcare system Nemours provides primary, hospital, and clinic-based specialty care, prevention and health information services, and medical education programs in Delaware, Florida, New Jersey, and Pennsylvania. When Nemours wanted to strengthen its brand, it faced two challenges: Empowered patients had more access to information and choice than ever before, and new players—alternative-care centers, retail-based care clinics, and urgent-care centers—were entering the marketplace, diverting market share.

Nemours approached IDEO for help in creating an innovative, differentiated, and patient-centric experience for a new hospital in Orlando, with the goal of establishing Nemours as a destination care provider and industry leader. Together, they identified and clarified both family needs and key experience touchpoints in the patient journey, resulting in the state-of-the-art-designed, 60-acre, $400 million Nemours Children’s Hospital in Lake Nona Medical City, Florida. “The design team’s approach to defining key moments in the patient journey was highly instructive,” said Dr. David Milov, chief of clinical informatics at Nemours. “They captured insights otherwise unavailable to us.”

Concepts that were realized in the hospital’s final design include:

• Care Team Room ID: Patients and families are introduced to each member of their care team to ensure continuity of care.
• Floor Greeters: Concierge-like greeters welcome and orient families and answer questions.
• Family Lounges: Private dining rooms have kitchenettes, so families can cook and eat together.
• Emergency Department: Patients are greeted, sorted by medical condition, and immediately checked into rooms.
• Patient Information Screens: Doctors and nurses can access patient information prior to entering an exam room to enable informed conversations and build trust.
• Smart Bracelets: Personalized RFID-enabled bracelets keep track of the care team.
• Smart Rooms: Triggered by the Smart Bracelet, Smart Rooms “welcome” the patient upon entry.

To arrive at these designs, IDEO sought inspiration via analogous kid-friendly environments, such as museums, schools, toy stores, and zoos. Designers also conducted in-context interviews with patients, parents, families, doctors, nurses, support staff, and outside physicians. One key insight that led to the final design: Patients and families came to Nemours with varied levels of experience—first-timers, occasional visitors, and those who were chronically ill—but the hospital treated them all the same.

To address these needs, the team created an experience blueprint focused on welcoming, guiding, and supporting patients and families through unique environments, integrated service moments, and market-differentiating spaces and tools. To test the look, feel, and value of the designs, designers built full-scale foam core prototypes of welcome stations, waiting lounges, and exam rooms.

The results appeal to patients, families, and caregivers. According to Dr. Lane Donnelly, Nemours chief medical officer, “all the amenities at Nemours focus not only on the child but their parents and families as well.”

The hospital won two awards at the International Interior Design Association’s 2013 Best of the Best Gala (Georgia Chapter), one for the Healthcare Design category and one for best overall out of all 11 categories. Parenting.com writer Shawn Bean noted, “Set amidst a wooded expanse of central Florida, with theme park roller coasters peppering the horizon, Nemours Children’s Hospital is arguably the new high water mark for pediatric care in the United States.”

Designer turned educator Kiran Bir Sethi wanted to blur the boundaries between school and life to help young students become aware, enabled, and empowered to effect change in the world. In aiming to spread her message to millions of children across India , Sethi tapped IDEO and the d.school at Stanford to help create a design contest for youth that would show them that they could make a difference in their community.

Together with the d.school, IDEO designed a competition for middle school students called the Design for Change Contest. Adapting the human-centered design approach into a simple process that 10- to 13-year-old kids could follow on their own, the contest included rules, tools, and platforms that would be accessible to children and teachers throughout India regardless of their previous exposure to design.

The team shaped the rules so that students could learn core design-thinking skills such as empathy, brainstorming, collaboration, and reflection through the process of participating in the contest. And together, the group developed a toolkit to walk students through the simple four-step process.

The biggest challenges to the contest were overcoming the lack of infrastructure, language barriers, and a discrepancy in school resources. There was no national database of schools for easy outreach, so Riverside built relationships with NGOs across India to distribute the contest toolkit to more than 30,000 schools.

The contest receives about 2,000 entries from groups of youth in India each year. They have been addressing challenges such as illiteracy, pollution, traffic safety, care for the elderly, alcoholism, and the environment.

As of 2015, the Design for Change Contest has scaled far beyond India, and is being run in 30-plus countries, with millions of children participating. Each contest entry shows that kids really can make a big difference in the world.

Name: Shruti Ramiah
Location: Munich
Role at IDEO: Design Research Lead
Joined IDEO: 2011
Website: www.shrutiramiah.com
Titillating Fact: I travel a lot for work, and one thing that helps me make every new place feel like home is the BBC World Service Radio (plus a healthy dose of BBC Radio 4). My grandfather used to tune into the World Service News every evening on Shortwave Radio. Now I have the digital radio on almost all the time, and I find the familiar voices very grounding. It’s also why so many of my conversations start with “So, I was listening to this show…”

1. Flash Forward

Flash Forward is a podcast about the future. Each episode starts with a little audio story playing out one potential future scenario—from the believable to the bizarre. I love the way Rose Eveleth brings intangible futures to life in these stories and then breaks them down to investigate the elements of the scenario.

2. New Philosopher

I discovered this magazine in Sydney. It’s one of many great independent magazines coming out of Australia. Each issue focuses on one theme that is relevant to contemporary life, and explores it from a variety of perspectives. I am amazed at how they make philosophical questions accessible and understandable. Don’t be put off by the name.

3. Jean Jullien

Jean Jullien is a wonderful graphic artist with a great light-hearted sense of humour in his work. Following him on Instagram ensures that there’s always a smile (or a smirk) waiting for me in my feed everyday. @jean_jullien

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In this series, we ask IDEO designers to share the stuff they're digging right now—tools, books, music, sites, people, places—so you, too, can drink from the fount of inspiration bubbling up here. This week's guest star: Shruti Ramiah.

OUR FIRST TIP COMES FORM NJOKI GITAHI, SENIOR COMMUNICATIONS DESIGNER AT IDEO, WHO RECENTLY LED INDESIGN NOVICES IN NEW YORK THROUGH AN EMAIL-BASED INTRO TO ADOBE'S POWERHOUSE PUBLISHING TOOL.

Sometimes you need to cut to the chase. If you're learning a tool outside your discipline, it's usually because a deadline is looming and your go-to experts can't help. There's no time to luxuriate in lessons. You need Quick + Dirty tips: bite-sized tool tutorials to beef up your skills, one morsel at a time.

Working with hardware enables designers to create more meaningful, situation-specific interactions that might feel cumbersome or be impossible with software alone. Last year, I had the opportunity to work on a project with IDEO.org (a nonprofit design organization that launched out of IDEO with the mission to improve the lives of people in low-income communities through design) that tested my software and physical design skills. The brief: Apply low-cost sensor technology to precision agriculture for smallholder farmers in developing countries.

Informed intuition

Before heading to the field, our small team started by researching precision agriculture practices and technologies for farms and households. We found inspiration in devices like Parrot Flower Power. Even so, we really had no idea what a good precision agriculture device could be, or what challenges farmers faced. But at IDEO, we believe that you learn best by doing. So we quickly ginned up three devices to facilitate conversation with farmers: the Magic Stick, the Ambient Sensor, and the Rice Shoot.

The Magic Stick

Physically, the Magic Stick was inspired by traditional farming tools like rakes and shovels. The tip of the stick was a temperature/humidity sensor that could be stuck into soil or crops that have been harvested and put in storage. Digitally, the Magic Stick created a data table that combined temperature and humidity with GPS location.

The Ambient Sensor

The goal of the Ambient Sensor was to help prevent the growth of a common toxin that spoils crops in storage in many parts of the world. The sensor tested the environment for the conditions that the toxin thrives in: high humidity and temperature. We designed the device to hang on a storage shed wall, and if high humidity and temperature conditions were detected, LED feedback would alert farmers and prompt them to ventilate the space.

The Rice Shoot

We designed the Rice Shoot to measure the water content of rice fields, making the process of rice paddy irrigation more resource efficient, and potentially increasing yields and reducing disease.

We brought our early prototypes to many farms in Kenya, Tanzania, and Myanmar—countries where IDEO.org had existing relationships. During our travels, we spent our days designing, wiring, and programming in the back of bouncing trucks, tidal river boats, and turbulence-prone airplanes. All the people we spoke with were smallholder farmers who need to farm in order to live. Together, we discussed the challenges of growing specific crops in specific regions, as well as any personal challenges they faced. In northern Myanmar's dry zone, we learned that there were no consistent optimal irrigation practices for betel nut, a cash crop that is a big part of the region's economy. Each farmer was watering at different times of day and for different lengths of time, with different yields.

Introducing the Betel Meter

Our time researching with these farmers showed that what they really needed was an upgraded Magic Stick—something with a brain. So we created the Betel Meter, a device that helps farmers create optimal irrigation for betel nut.

The Betel Meter is planted in key positions in a field and takes moisture readings once an hour. Once a day, a farmer presses the meter’s button. A green LED signifies that soil has a healthy moisture level and the farmer can irrigate normally. Red LEDs signify that the soil has been too dry, and farmers should keep irrigation taps open for an additional five or ten minutes. Blue LEDs signify when soil conditions are too wet.

To build the Betel Meter's brain, we used a TinyDuino from TinyCircuits, an Arduino compatible micro-controller with the power of an UNO. The TinyDuino, which is about the size of a quarter, has a brilliant architecture that allows any additional functionalities beyond basic processing to stack on top of each other. This allowed us to keep the core device small, even though it has a real-time clock, a data SD logger, and GPS boards.

Creating the baseline data for the meter turned out to be one of the biggest challenges of the project. Because optimal irrigation for betel nut in an agricultural zone as specific as northern Myanmar is unknown, we had to rely on white-paper research and some intuition. We first researched ideal moisture conditions for all plant life. Then we normalized evaporation rates for water in sandy soil, and cross referenced it against average temperatures for each month in the region.

The physical

The physical design was equally tricky, since the meter needed to withstand extreme weather for long periods of time to protect the sensitive electronics inside. Luckily, we had IDEO.org's Design Director and Co-Lead of the San Francisco studio, Adam Reineck, on the team. He quickly designed a 3D model in Solidworks and printed the form in nylon, which stood up against heavy rain—and even a sandstorm.

Our early prototypes used USB power banks; however, we knew that the Betel Meter had to be an “always-on” device with a reliable and constant power source. We opted for solar power, something the team had experience with. We began by hacking panels out of old solar camping lights and adding a few resistors and extra batteries to the circuit. That way, we could ensure that the device would store enough energy to power the micro-controller and components through the night.

Once we had our prototype, we returned to Myanmar to field test the Betel Meter, planting four of the devices in two fields. Not only did the Betel Meter provide irrigation feedback, it also recorded and created what we believe to be the first-ever dataset around optimal soil moisture for betel nut. People from all over the region came to see and take photos of the meter, and we were continuously asked to come back with the final working product.

From here, our ideal next step is to add machine learning that allows the device's software to evolve from its own data.

Working on the Betel Meter changed my personal approach to design and how I attack problems. Now, on every project, I try to find opportunities to create products that reach deeper into people’s physical lives than pixels on a screen.

Working with such an amazing team, in such a great place and on a product that challenged me the way the Betel Meter did, changed my life. I will be joining the team full time at IDEO.org in New York City this fall, where, hopefully, I will be part of the next chapter of the Betel Meter.

Read more on Fast Company

In my last article, I wrote about a hobby of mine: translating physical objects into digital experiences as a way to test my skills. Like most interaction designers these days, I am fascinated by understanding how digital can connect to our physical reality.

In a studio like ours, with a very distinctive creative culture, where people feel like they have ownership over their workspace, a massive, group art project would help us say goodbye together. Not only would it be one last hurrah for this studio, but it would also help reinforce the idea that our culture would be moving with us to the next space.

For years, our tradition at the Cambridge studio has been to reinvent our kitchen wall every six months or so. We’ve created everything from a hand-cut monster wall to a science fiction fine art series (think Yoda portraits in renaissance style). Knowing this mural would be the studio’s last, we wanted to create something that made people think and talk about design—reinforcing our values—and, of course, something big enough for everyone to be involved.

We also wanted to leverage our skillsets—Grace’s in drawing and painting, Greg’s in industrial design and fabrication—to pull together the project. At the time, Grace had been working on a series of dot drawings that caught Greg’s eye. They mimicked that phenomenon in nature when many tiny things form a greater whole. That seemed like a great metaphor for celebrating the multidisciplinary magic of the studio. So we decided to create a drawing as a base, and then scale it up into a wooden dowel installation.

To get started, Grace created the dot drawing (below on the left) that served as a guide for the dowels. She makes these dot drawings (one of which the mural is based on) over several hours of repetitive stippling. First, she measures the margins of the paper using a ruler as a guide, then forms all of the dots by keeping her hand as straight as possible.

We then scanned the drawing and used a Processing script that located the coordinates of each dot. Next, we used a custom Grasshopper script to place a circle at each centroid and extrude it up to the 3d surface that we created in Rhino. From there, we just exported the lengths of the dowels in order of installation to a CSV file for Chop-Chop, our cutting machine.

If we could design a method to cut the dowels in order, and then get the installers to place them in that same order, we’d be in business. To do it, we needed some way of organizing the dots into rows for the installers to follow—even though they’re not a perfect grid, since they were drawn by hand. By using Grasshopper script, we were able to find logical rows within the hand-drawn pattern.

Since the rows’ zig-zag route only appears in the software, we needed some type of marker for our installers to follow. By using a dot, double-dot, or no-dot marking scheme, we made it easy for our teammates to to identify and stay in their row, even if it zig-zagged.

The panel production took us seven days. We used a ShopBot Alpha to mill each hole, then made a second pass to mark the hole with the appropriate dot pattern.

Each of the 20,000 dowels is a different length, so we built a CNC bandsaw to help us cut them all. After sketching a few concepts, we settled on a JET bandsaw augmented with a custom digital stop.

We created the digital stop using parts we designed and 3D printed, as well as stock parts from Adafruit, Misumi, McMaster-Carr, SparkFun, and Arduino. Arduino reads the length of each dowel from the SD card, then turns a stepper motor and timing belt, moving the stop to the correct length. Once the dowel is cut, the miter sled hits a switch and tells the stop to move to the next position. Once we were in a rhythm, the process was pretty smooth.

One of the goals of this mural was to maintain the feeling of human touch that’s so obvious in the original drawing once we scaled it up to the mural. So we decided to design a straightforward process for our installers, and then chalk up any misplacements to the artistry of human error. As we chopped the dowels, we slotted them into trays marked with row number, tray number (some rows had up to 6 trays), and the dot scheme, so the installer knew where to start.

Four months later, we were ready for the big install. We invited the entire studio to come in on a Saturday morning, and we were blown away by the number of people who trickled in. Before we knew it, close to 40 people were helping out. Some heroes even stayed until 2 a.m. There were people hammering in dowels, cutting on Chop-Chop, filling trays, documenting with photo and video, and making beer runs. The assembly lines were staggeringly efficient and fun. It was a robot love fest.

We had hoped that there may be some errors in the process and we were happy to see them. You can find these beauty marks where the surface of the dowels gets uneven—that kind of inconsistency is impossible to predict or design, and it completely enhanced the beauty of the piece. Working together with the studio on a piece defined by the installers was a true bonding experience. It was an inspiring weekend for all of us, and we know that we’ll carry that with us in our move around the corner.

Music by Dan Deruntz. Footage by Chris Wright, Tom Kershaw, Dirk Ahlgrim, and Greg Wolos.

Materials: 20,928 birch dowels, 5/16” diameter; 7 MDF Panels, painted white; jet bandsaw; custom linear slide; Arduino MEGA; Big Easy Stepper Driver; Adafruit LED display; stepper motor; timing belt and pulleys; limit switches; custom 3D printed parts

Software: Rhino, Grasshopper, Processing, Arduino

Suppliers: Adafruit, Misumi, McMaster-Carr, SparkFun, Jet Tools

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As we prepare to move from our current Cambridge studio into a new space around the corner, we can’t help but think of it as a place where many of us began our IDEO journey—sneaking up to the roof for sunset cocktails and riding in the freight elevator to the pop-up gallery in the basement. We knew giving it a proper goodbye should mean involving everyone.

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.