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Boston's new citizen-centered site

Designing a welcoming, intuitive platform for Bostonians.

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More than 7 million people each year came to the Boston.gov site to tap into all sorts of city services: reporting a pothole, learning the assessed value of their property, paying a parking ticket, checking recycling schedules.

Boston wanted to create a beautiful platform that would make the process of finding and navigating information easy and intuitive, one that prioritized the needs of its people.

The Boston.gov site had outgrown its existing structure and needed an overhaul. The user experience was mired by the fact that Boston City Hall has nearly 50 different departments, each with its own microsite, navigation and content standards that feed into a centralized site.

So the City of Boston hired IDEO to design its new digital home, Boston.gov. IDEO designers worked with the major stakeholders—department heads, employees, and Boston residents, with a focus on those in underserved communities and those with varying levels of technical proficiency—to gather insights into what users needed.

The objective was to design something that would simplify how people navigate the site, to make it easier for residents to find answers to common questions, and, in the process, serve as a community facilitator—an up-to-date, reliable resource that makes life in the city more manageable.

The site is organized by topic, and the building blocks of a topic page are modular pieces of functionality, called components. This makes the design infinitely flexible for the city—so it can continue to iterate and combine components in new, citizen-centric ways.

Rather than organize the site by the city’s departments, the design solution was rooted in illuminating relevant content by topics—people’s life moments—many of which overlapped through different branches of government. Owning a car in the city, for example, is closely related to preparing for winter, so bridging those common threads allowed for a more intuitive organizing principle.

In the process of the site redesign, IDEO also helped to create a visual identity system that underscores Boston’s strengths: the city’s confidence, humility, personality, and optimism.

From the new typography (clear and clean) to the use of space (uncluttered and structured) to the color palette (bright and contrasted) to a photographic scheme that focuses on moments of connection, the new IDEO designed visual identity is bold, clear, and most of all, Boston.

In addition to the web architecture and redesign, IDEO also produced a comprehensive style guide to help maintain design consistency, so departments can add content without compromising the overall integrity of the site, as well as a brand look that the city has decided to adopt across nearly all of its consumer-facing media. Now you’ll see the famous underlined B on T-shirts, banners, and even snow shovels.

Holding true to its mission to include Boston residents and all site users in its design process, the new Boston.gov site was piloted for six months, and the process document on the city’s blog (including the IDEO designed brand guide), before a full launch was rolled out in July 2016.

“The website should act like a helpful human. This is one of the big differences between the old site and the new site,” said Jascha Franklin-Hodge, the city’s chief of information technology in a Boston Globe article. “Oftentimes, when you looked at something on the old site, it would feel like you were interacting with some sort of lawyer-robot that was speaking to you in government-speak, using very formal language. We are trying to move away from that so your experience is akin to a person.”

The City of Boston was in need of a new digital home—one that emphasized a shift to a more welcoming tone and commitment to its citizens.

City of Boston
City of Boston
Boston's new citizen-centered site, robotics, human robot interaction, City of Boston, public sector innovation, government services, civic innovation, technology innovation, digital products, digital transformation, digital experience, digital product design, UX design, civic design, government innovation, citizen experience, understanding user needs, how to design a digital product, innovation, user experience, product design, transformation, learning, government

Growing an American brand in China

How an outdoor retail company found a new audience through digital and physical shops.

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Consumer Products & Retail

In the Western Hemisphere, The North Face brand has long represented an active, sporty lifestyle that’s filled with challenges and adventures. But appreciating “the great outdoors” in China is less about extreme sports and more about connecting with nature in a communal, spiritual way. This research-based insight led the team to identify new opportunities for The North Face to better target its messaging.

Designers found a key opportunity: Encourage Chinese consumers to escape the pressures of hectic city life by enjoying the freedom and renewal that comes with spending time outdoors.

Today, as people find less time to enjoy the benefits that lie just beyond China’s large cities, there’s a tangible desire to return to the outdoors to refresh, reassess, and renew oneself. The North Face aims to help consumers do exactly that.

To create a compelling new brand vision for The North Face in China, the team’s design research tapped into Chinese ways of spending time outdoors. IDEO’s insights and creative brief provided the essential brand story for The North Face in China and informed the tagline of the company’s current marketing campaign, “Go Wild” (去野). The North Face brand’s new messaging links “old nature” and “new outdoors” through a combination of digital, retail, and interactive community channels.

IDEO also collaborated with the company on designs and prototypes for a new digital platform and an updated store-within-a-store merchandising display. The digital community aims to attract newcomers and connect them with more experienced outdoors enthusiasts and clubs. As the platform evolves, it will help aspiring adventurers plan trips, learn skills, and share their experiences through photos.

The retail community space aims to integrate this digital community with in-store shoppers and an effort to turn the “buy-a-product moment” into a “join-the-outdoors moment.” Both will be integrated to provide a holistic brand experience in China centered on nature and community.

In the West, The North Face, with its decades-long history, has long symbolized an adventurous, active lifestyle. In China, however, the outdoor market only began accelerating in the early 21st century.

Success in this growing market depends on building strong and deep connections with Chinese consumers.

20% sales growth in China

from 2012 to 2013—the year the project was completed—propelling the brand from sixth place to a market-leading position
In the US, many know The North Face as an innovative, technically-advanced outdoor apparel, equipment, and footwear company. For more than 40 years, it has partnered with the world’s highest-achieving climbers, skiers, snowboarders, mountaineers, alpinists, and endurance athletes to test its products’ boundaries. Once the brand was established in Asia, The North Face wanted to expand its presence as a market leader in the region. The company partnered with IDEO to discover how The North Face brand story could resonate more deeply with consumers in China.
An outdoor retail company finds a new audience through digital and physical shops.
The North Face expands its digital and physical presence.
The North Face
China
The North Face
Growing an American brand in China, sports performance, athlete experience, The North Face, consumer products, retail, consumer experience, retail innovation, brand strategy, brand design, brand identity, brand experience, digital transformation, digital experience, digital product design, UX design, creative leadership, leadership development, retail experience, store of the future, future strategy, strategic futures, designing for the future, how to build a brand, how to design a digital product, innovation, strategy, product design, research, prototyping, transformation, leadership, creativity

Nearly 40 years of designing pharmaceutical excellence

How a decades-long collaboration with Eli Lilly has transformed patients' lives and health outcomes.

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Health

Over the last 36 years, IDEO and Lilly, along with the pharmaceutical giant’s other design, development, and manufacturing partners, have collaborated on more than 250 projects. During this time, Lilly has not only honed its engineering-focused internal device-development team but also transformed into a human-centered organization with extensive, robust in-house innovation capabilities.

Early in the relationship, a team of IDEO designers and Eli Lilly leaders traveled the world to understand how people with diabetes live with the disease. Their findings led to the design of a series of award-winning insulin injection pens like SAVVIO. Portable, aesthetically pleasing, and discreet, the pens are suitable for use in both medical and personal settings. Combined with Lilly’s technical design prowess, this human-centered focus allows the devices to seamlessly integrate into patients’ lives and routines, making a challenging disease like diabetes feel more manageable.

Fast forward to today, Lilly’s innovative, easy-to-use auto-injectors are not only continuing to provide life-saving treatments to people with diabetes but also enabling the adoption of the popular GLP-1 weight-loss drugs Mounjaro and Zepbound, which together accounted for the majority of the company’s annual revenue in 2025. Perhaps most importantly, patients consistently rate the experience of using Lilly’s auto-injectors as relatively pain-free, easy to use, and preferable to competitors’ brands, improving adherence, satisfaction, and health outcomes.

This unwavering focus on driving innovation through a patient-first mindset is evident in some of the most impactful projects Lilly and IDEO collaborated on over the years:

GLP Auto-injectors
Convenient and cutting-edge, the first Trulicity injection device was originally designed to deliver the GLP-1 drug to treat type 2 diabetes. Today, it has been adapted for use with other GLP-1s, Mounjaro and Zepbound, which are increasingly popular weight-loss drugs and are also administered once weekly via fixed-dose injections. A wide base enables the pen to be held securely against the injection site, and the device automatically regulates the dose and needle depth.

Taltz Injectors

For most patients, living with severe plaque psoriasis means being your own medical technician—metering your drug dosage each time, and attaching and removing needles by hand. Taltz provides patients with clear visual and auditory feedback throughout the injection process through simple icons, bright colors, a translucent material, and clicking sounds. The devices are available in both autoinjector and prefilled-syringe formats and are adapted for Emgality, a preventive monthly migraine treatment, and Ebglyss, which helps treat eczema or atopic dermatitis.

HumaPen SAVVIO Injection Pen
Key insights informed the design of SAVVIO, including patients’ preference for insulin pens that look less like medical devices and more like everyday objects you’d find in a backpack or purse. The sleek, colorful device was created to help patients feel comfortable and confident about fitting mealtime injections into their everyday lives.

IDEO designed reusable HGH injector pens that address young users’ desire for reassurance, trust, and approachability while appealing to their aesthetic tastes.

Refillable Human Growth Hormone (HGH) Injector and Reconstitution Device
Designed to be kid-friendly, the Refillable HGH Injector leverages insights into pediatric treatment adherence to create a more integrated, systematic approach to treatment, while the Reconstitution Device makes mixing Lilly’s powder-and-liquid drug easier and less intimidating for parents and healthcare professionals alike.

KwikPen Insulin Pen
KwikPen is a next-generation, prefilled insulin injection pen that builds on the success of two previous designs, reducing its size to 5.7 inches and enhancing ease of use for patients.

HumaPen(R) Luxura™ Insulin Pen
HumaPen Luxura combines several innovations into a robust yet elegant pen that can be carried and used anywhere—an insulin pen solution that improves dosing accuracy, dose setting, and injection force.

In addition to designing products to meet the needs of people with diabetes, IDEO and Lilly have developed innovations in areas of oncology, autoimmunity, and men’s health. The results of this collaboration and expansion have won numerous design awards and produced one of the longest and most fruitful innovation relationships in IDEO’s history.

In the 1990s and early 2000s, Eli Lilly had a number of new, life-changing medications and two big challenges: Most of its drugs were self-injectables, not pills, so patients were hesitant to take them. And its drug-delivery device platform lagged behind its drug pipeline.

99%

of Trulicity users reported the auto-injector was “easy” to “very easy” to use in a JDST study

$36.5B

of Lilly’s $65.2B 2025 revenue came from sales of its auto-injectable GLP-1s, Mounjaro and Zepbound, a 45% increase from 2024
Since Eli Lilly and IDEO’s initial collaboration in 1990 on the groundbreaking Humalog/Humulin insulin pen, the first disposable injector to offer single-unit doses, the partnership has redefined the connection between patient, health, and treatment. By listening to and learning from patients’ experiences firsthand, Lilly and IDEO completely changed how many people think about their condition and treatment. The result? A category of drug delivery that once faced significant hurdles has now become a routine part of millions of people’s lives.
Eli Lilly and IDEO revolutionize the injectable medicine experience by taking a patient-first mindset, turning intractable adoption and adherence challenges into a routine, acceptable form of treatment.
Eli Lilly and IDEO revolutionize the injectable medicine experience with a patient-first mindset.
Eli Lilly and Company
Eli Lilly and Company
Nearly 40 years of designing pharmaceutical excellence, diabetes care, diabetes management, pediatric care, children’s healthcare, Eli Lilly and Company, healthcare, health innovation, patient experience, digital transformation, digital experience, digital product design, UX design, product design, industrial design, new product development, business transformation, organizational transformation, culture change, healthcare design, digital health, patient-centered care, education innovation, student experience, future of education, understanding user needs, how to design a digital product, innovation, product development, transformation, education, learning

Reimagining San Quentin

Bringing together many voices for a report for the Governor of California.

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“…the Advisory Council will recommend transformational programmatic, cultural, and physical change to San Quentin that can serve as a practical model that can be replicated and scaled to other institutions.”

Source: Office of Governor Gavin Newsom: Governor Newsom Names Leading Criminal Justice and Public Safety Experts to San Quentin Transformation Advisory Council, May 05, 2023  https://www.gov.ca.gov/2023/05/05/san-quentin-transformation-advisory-council/


The Advisory Council included the expertise of established criminal justice, public safety, healthcare, academic, reentry, and rehabilitation professionals, along with system-impacted/formerly incarcerated community leaders, and representatives of crime victims/survivors. The premise of IDEO’s involvement is to augment the Advisory Council Co-Chairs’ and members’ expertise in evidence-based best practices and lived experience living and working in prisons, with expertise in collaborative design, synthesis, visualization, storytelling and bringing visions to life.

Specifically, IDEO was brought in to facilitate input-gathering, and assist with incorporating the many viewpoints into a single, cohesive report of recommendations to the Governor. This included meeting the challenge of bringing together the viewpoints of 21 people on the Council (17 members, three Co-Chairs and an advisor to the Governor); incorporating the views of people who are most impacted (those incarcerated at San Quentin, San Quentin staff, community-based organizations, victim/survivor groups, among others); and formatting and designing the final report.

IDEO’s facilitation included workshops with the full Advisory Council, individual interviews and check-ins with Council members to gather their input to inform the recommendations. Each Advisory Council member was asked to speak with, and record feedback from, no fewer than five people at San Quentin or in affected communities and to share this feedback with IDEO. IDEO integrated this information and feedback into this report.

Research activities included visits to San Quentin to speak with and facilitate conversations with:

  • San Quentin residents (100+) including the Citizens/Inmate Advisory Council, focus groups with Spanish-speaking residents, former gang members, ACT (LGBTQIA+), Voices Heal, People in Blue, San Quentin Citizens Advisory Council.
  • San Quentin staff (100+) including interviews with numerous officers.
  • San Quentin staff and residents together.
  • Current participants and staff at Amistad (MCRP) and Beacon (former lifer) campuses (many who were previously incarcerated at San Quentin).

IDEO also organized listening, information sharing and feedback sessions, both at San Quentin and in the community, between Co-Chair representatives and various stakeholder groups, including victim/survivor groups, labor unions, and advocacy organizations. These perspectives were also brought into the report.  


San Quentin State Prison—the oldest and most notorious prison in California—is in the process of being transformed from a maximum-security prison into a rehabilitation center focused on improving public safety. In March 2023, Governor Gavin Newsom announced this plan, and in May 2023, he convened the San Quentin Transformation Advisory Council to deliver a report with recommendations on how to make this happen.
6 funders, coordinated by The Governor of California’s Office
North America
6 funders, coordinated by The Governor of California’s Office
Reimagining San Quentin, 6 funders, coordinated by The Governor of California’s Office, business transformation, organizational transformation, culture change, innovation strategy, business innovation, design innovation, how to innovate, innovation, strategy, research, transformation, healthcare, how do we innovate

These two designers published a visual guide to gender fluidity

It’s about more than bathrooms and pronouns, but the freedom to choose how to identify.

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Many people share these same questions but are afraid to ask. They don’t want to be rude or make a misstep—which can generate more missteps and even cause harm simply due to being uninformed.

Solving this issue is exactly what IDEOer Stuart Getty set out to do with their new book, How to They/Them. Stuart, who uses they/them pronouns, wanted to create a guide that answered a lot of the questions they commonly get asked, and find a way to educate people in a friendly way. Far from being a niche topic, gender is an important part of the human experience and its landscape is ever-expanding as we learn new ways to describe our most innate identities. It’s important to realize that everyone has a gender identity—not just those whose identity diverges from traditional norms. In Stuart’s brilliant words, “Gender is for everyone and we all get to decide who we want to be in this world.”

We sat down (virtually) with Stuart and Brooke Thyng, a former IDEOer who helped bring Stuart’s story to life through illustration, to talk about the book—the role of humor in the story, the pair’s collaboration process, and why the timing of the book was so important. Read on for a peek behind their creative process.

This book approaches talking about gender from both an educational perspective, as well as through humor. Why was that balance so important?

Stuart Getty: There's a hidden audience with this book and for me, it's my mom who's in her 70s and lives in Kentucky. I think that jokes are what get her to be like, “Oh, okay! I'll keep reading.”

Stuart Getty: I think that people get really uptight when these kinds of subjects around gender are being talked about. People are worried they’re going to mess up and use the wrong words like “transgendering,” for example. What I'm saying is, I like to add a little levity, because it makes people relax into the learning process. It’s about access to the information.

Brooke Thyng: I wanted to follow Stu’s lead and make sure that everything that I created was in service of their message. So as much as I wanted to make myself laugh, as a cis-person, it was important for me to come to this project very humbly and with the utmost respect.

The whole time, we’d ask, “Is this pushing people, but in a way that's authentic and respectful, and not just doing it to be a jerk?” There's a time and place for joking around. And I think it was clear that Stuart’s message wasn't a joke, but that it needed to come across with some levity, or just some openness.

I was really conscious of finding that nice balance of, yeah, it’s not a joke and we're fighting for rights and we're fighting for exposure and visibility, but at the same time, when we take ourselves so seriously I think we block out people from coming into the message. And so I really wanted to use humor as access, and use the visuals as access.

How does this book connect to what’s going on in our society right now?

Stuart Getty: If you look at the stats for Gen Z, 35 percent of them know someone who uses they/them pronouns, and something like 20 percent of them also identify as gender neutral, even if they don't use they/them. People are stepping into these places of breaking binaries, and I think the binaries of sexuality have been crumbling over the last couple years. People are now asking, “Why do we have to be only gay or straight?”

What I also love about this book is it means cis-people get to look at their gender and the way that they've been told to be a man, a woman, an American, a human, whatever—and decide what they actually believe and what they actually want to be. And I think that is the thesis statement of the whole book. “They” is for me, and I want to explain it to you, but also, gender freedom should be for all of us.

Tell us more about what your collaborative process was like.

Stuart Getty: I came to Brooke with pages that looked like this, and then we would sit down and go page by page. I do think that I had a really good idea of the story, but it was on a level seven or eight when I turned it to Brooke, and then she kicked it up to the, “It's a 10, everyone!” She just made it such a better story.

Brooke Thyng: Stuart came with all of these pages printed out, and I would meet up with them at IDEO. We’d sit in the communal area and we'd go through the pages, and they'd be like, “Oh, I was thinking about this here. And this is sort of what I meant here.” I would just take notes and try to take it in.

I'm always so taken aback when Stuart asks me to be a part of things like this. I really felt like I was helping make the vision come to life, like I was Stuart's visual hands for this project. I just wanted to amplify the text that was written. As I read through their draft, it was an immediate, “Oh, this is what it's making me think of.” Either I am slightly out there and can just see weird images come to life, or Stuart is really good at crafting their words. I think maybe it's both.

Want to read How to They/Them and learn more about gender identity? Get your hands on a copy here, or wherever books are sold!

Animations by Louisa Liu and Devin Peek

Ever wondered what “nonbinary” and “gender nonconforming” really mean? Or if it's grammatically correct to use “they” as a singular pronoun? You’re far from alone.

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these two designers published a visual guide to gender fluidity, spaces, experience design

The line between work and play is garbage

What rock stars have taught me about my job.

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A founding member of the alt-rock band Garbage, Steve Marker had generously agreed to an interview on one condition: that he could read an advance copy of my book, Two Beats Ahead, before we talked. This made me sweat, not because he was a rock star—my co-author and I had spoken to many of them while writing—but because he was the first rock star reading the book about the inventive mindsets of musicians. It was like waiting on Julia Child for feedback about the omelet you just served her.

“I’m enjoying your book so far,” Steve said. My shoulders relaxed.

I first heard Garbage on college radio in the mid 90s. The band had an unmistakable sound—a combination of shoegaze, hiphop, and electronic dance, with the pouty attitude of the Cure reinvented by a feminist fatale. It was an unexpected direction for the band given that Butch Vig, another founding member, had rocketed to fame as the producer of Nirvana’s major label debut, Nevermind. Grunge—as that Seattle sound was called—was nowhere to be found on Garbage’s debut. And it turns out, that was by design, or as Steve implied, maybe an un-design.

“You know, it was interesting reading about the intention that so many artists have had in making their music,” Steve told me. “It wasn’t like that for us. We didn't have a written-out plan or even something we really talked about that much. It was just a combination of everything that we loved.” He shared a story about Butch seeing My Bloody Valentine in New York and being blown away by their white noise and pop melodies. He mentioned Public Enemy and their gritty noise loop samples. He talked about 60s rock.

“Garbage could have turned into a totally pop thing. Or it could have turned into a noise experiment that would have been an interesting album to listen to once or twice. Luckily, we found a combination that worked for us. A lot of that had to do with Shirley [Manson], as she brought this whole other thing into the mix that we couldn't have planned. The combination of all our different influences is what the band became.”

Well, maybe there wasn’t a plan, but there was definitely a principle of designing the conditions for creativity and letting the outcome emerge from that. Steve and the band had figured out how to bring together all the things they loved, and at the same time, reject all the things that were popular in the mainstream. They chose a new path, which became their own path to mainstream success. Their debut sold 4 million copies in its first 12 months.

As I reflected upon how this happened, I was thinking about the numerous client teams that I’ve worked with under rapid deadlines and inflated expectations.“We want to be the next iPod of banking!” they say. The bygone days of Bell Labs open briefs feel like business mythology now. And yet, that was exactly the situation Garbage had. “We were lucky enough to have somebody say, ‘Okay, go make a record,’ mainly because Butch had a great reputation. We had the luxury to take as much time as we wanted to figure out what we were going to be.”

In Two Beats Ahead, Panos Panay and I interviewed Imogen Heap and Steve Vai about music and product breakthroughs they had in their own careers. We also spoke with folks at Amazon’s PillPack about launching their startup idea. What ties these stories together are mindsets of curiosity and learning. Experimentation wasn’t confined to any single part of a workflow or to particular roles. It was more like a cultural attribute, the water they swam in. For Garbage, that culture looked like persistent play. Steve illustrated this with a story about making Garbage's first record.

At the time, they were often just sampling other people’s songs to find elements they liked. During one session, he grabbed a handful of CDs looking for a beat and happened to play “Train in Vain” by the Clash. “Right there, we had a good four-bar loop to use as a click track...I put down a bass line and that was the foundation of the song right there.”

The next day, Butch came up with the lyrics:

you stupid girl
pretend you’re high
pretend you’re bored

“It can take minutes or months to make a song,” Steve continued, “and you’ve just got to stay open to letting it make its own path.”

I can imagine someone reading this and thinking to themselves, “So that’s it? The secret to innovation is to try a bunch of random stuff until it works?” But remember, this wasn’t just any band coming up with songs. This was Garbage. And this led Steve and I to an interesting discussion about team dynamics and experience.

“I guess we were lucky that we all worked with bands for 10-15 years before Garbage. We were in dozens of bands that hated each other. You learn by doing that.” He went on to talk about fluidity, respect, and vulnerability—the essential chemistry of the band.

It would be misleading to suggest that musicians somehow have a more natural ability to collaborate than others. It's not about an inherent gift. We all know the stories of a band breaking up over creative differences, sometimes with incredible public meltdowns. The reason musicians have so much to teach us is that the conditions in which they work are the ideal classroom for these mindsets.

Great creative talent is in every company, but the structures and social norms of the organizations often dictate who is permitted to collaborate. I’ve been in situations where clients have asked me not to talk to their colleagues because they didn’t trust them. I’ve seen departments make competitors of one another because they were incentivized to do so. I’ve been in buildings that have rooms dedicated to innovation rather than cultures committed to it. To get the best teams, it's often left to the creativity of the project leader to work around these organizational constructs and find the ideal contributors, no matter where they are in the organization.

Garbage set themselves up without defined roles—except for Shirley, who always sings. Otherwise, roles and contributions are left up to the person with the best ideas. “Being in a band is the most fun thing I can imagine doing. It's a dream come true from when you were a kid. And I've done it as a job, as my livelihood for a long time. It's amazing,” Steve shared with a smile.

Those words, “I’ve done it as my job,” have stuck with me because they really are the premise of Two Beats Ahead. We often don’t see the musician’s life as a job. And yet the mindsets that Steve and Garbage bring to work are the mindsets that we are regularly striving for in the corporate world. We’ve categorized the rock star life as something else. But on my best days, I’m working just like those legendary musicians, pursuing curiosity, building on new ideas with my teammates, and trying to get the video lighting just right.

Two Beats Ahead: What Musical Minds Teach Us About Innovation, by IDEO partner R. Michael Hendrix and Berklee College of Music Senior Vice President for Global Strategy and Innovation, Panos A. Pany, will be available worldwide in April.

Preorder in the U.S. here and the UK here.

Steve was supposed to be in bright colored lights on stages across the U.S. along with Liz Phair and Alanis Morrisette. Instead, he was on a video call with me, trying to find a camera angle that didn't make him look like he was in witness protection.

Play
the line between work and play is garbage, play, creativity

Every business has a part to play in building better health

First Mile Health supports wellness by boosting economies.

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Yun believes the purpose of food is more than sustenance. Every dish is a cultural story and an ode to generational resilience.

Yun is one of hundreds of women entrepreneurs San Francisco’s beloved food business incubator La Cocina ( "The Kitchen" in Spanish) has supported over the last decade. Graduates from La Cocina have scaled industry barriers to establish restaurants and factories around the Bay Area, served millions of nutritious, multicultural meals, and generated tens of millions of dollars in sales. Yun’s story is one of success for one woman, but also for her family, her culture, and for a business that supports community health.

Business and community health can form a virtuous flywheel. Businesses thrive when their employees lead happier, healthier, and more productive lives. Communities thrive when the businesses that serve them support their health holistically. However, despite considerable investments in the healthcare system, the cycle has sputtered and stalled: every year, $2.6 trillion of productivity is lost to chronic disease. Businesses could play a broader role in addressing these inefficiencies and inequities, but investments in health have largely been limited to the traditional healthcare system and ignored where people live, work, learn, and play—in the space we call The First Mile of Health. By “First Mile Health” we mean making a deliberate effort to design for the patterns of everyday life that keep people well—emotionally, physically, financially, and socially. First Mile Health means creating and investing in businesses that provide compounding health benefits like intergenerational housing, food cooperatives, insurance to combat loneliness, and digital technologies that enhance trust and social cohesion.

What do we mean by the first mile? First Mile Health looks at people living their full life—not just their diet, exercise, insurance—not just things in isolation.

Animation by Claudio Fresneda

Building blocks for First Mile Health exist at the interpersonal, community, and city level.

Interpersonal: Nurture lasting relationships

The first mile of health is built on a basic human need: to relate with each other. As a species, humans rely on each other to survive and thrive. In today’s world where so much of our lives are digitally-mediated, it’s critical that our digital relationships foster mutual care and support.

If social media is the modern public square, today’s digital technology remains far from the agora of Athens or Central Park, places where people from diverse backgrounds gather and build shared understanding. Most social tech is still new in the grand scheme of things, and there's ample opportunity to develop them in a health-centered way. If we are to avoid the “social recession”—a loneliness epidemic exacerbated by COVID—digital experiences must help people spend meaningful time together, moving away from doom-scrolling and toward lasting relationships.

One positive example of this appears in IDEO data science research supported by the Robert Wood Johnson Foundation, which revealed that social media posts tagged as “inspiration” strongly correlate with posts about health. This signals that health can be a unifying topic that catalyzes positive conversation and builds social cohesion. Talking about health can lift people up, motivate them, and activate them toward taking care of their own well-being, sometimes just by giving the words to describe how they feel.

Health is also strongly correlated with personal identity, especially among younger people still in the process of learning and affirming who they are. When the pandemic hit, the social innovation organization Hopelab had been working on a tool called Nod, an intervention for loneliness among young people. At first, they determined that getting young people off their devices was the top intervention for tackling loneliness—but when COVID happened, they took a step back and asked, “What are the underlying principles of social connection?” and, “How can we build a tech-mediated intervention that will catalyze meaningful social connection digitally?” Nod shifted from a tech-centered framing—get kids off devices—to identity-centered framing based on principles such as positive psychology and mindful self-compassion to equip young people with the skills to nurture meaningful connections both online and offline.

How might digital products and services better support positive self-awareness and well-being?

How might we create digital experiences that feel like being in proximity with those we love? And importantly, how might we foster connections among those we don’t already know?

How might we design policies and regulations to ensure that digital experiences create reciprocal value for people and businesses?

Communities: Support local economic resilience

An inclusive local economy supports health: grocery stores that stock fresh produce, shared bikes and scooters to help people get around the neighborhood, small businesses and local services that connect and convene community members, and more.

Co-investments build strong, resilient local communities. Organizations that share economic power with communities at the local level are, in turn, more resilient themselves. Through co-investment, organizations and communities form a virtuous cycle. In the aftermath of the 2008 financial crisis businesses that diversified their community of co-investors were not only able to weather shocks, they were better set up to support the health and economy of the communities in which they operate in the long-run.

Businesses new and old are now taking part in a cooperative renaissance. Project Equity, a member of the Ashoka network of changemakers, is helping businesses transition to employee-ownership. Start.coop, a national accelerator for cooperative entrepreneurs, is advancing new business solutions addressing all of the social determinants of health. From creating affordable housing to increasing access to nutritious food, cooperatives have equity built into their DNA. These are examples of businesses that engage their community members beyond pure consumerism to become active decision-makers and co-designers of their local economies.

This cooperative renaissance is part of a bigger conversation to imagine a political economy that’s not centered on short-term value extraction but rather community health and wealth. From Platform Cooperative to Zebras Unite to RadicalxChange, the movement to build a new economy grounded in steward-ownership and long-term purpose is gaining momentum around the world.

How might we supercharge local entrepreneurship, starting with women and minority-owned businesses?

How might large businesses build local enterprises and steward-ownership models into their ecosystem in ways that create value for all?

How might innovations in the distributed web and decentralized governance enable alternative ownership and exit models?

Cities: Build multi-city coalitions

American cities are places of extremes: the most diverse places in the country and also the most unequal—a deadly intersection as shown by the disproportionate impact of COVID. Over the past few years, an experiment has been in the works in Stockton, California, the most diverse city in the country. For two years, Stockton’s former mayor, Michael Tubbs, gave $500 per month to 125 randomly selected residents living with low income. As the Stockton Economic Empowerment Demonstration (SEED) website describes it, “the cash was completely unconditional, with no strings attached and no work requirements.” Two years later, the data collected on the project has been released, and among other striking findings, one stands out: recipients of the funds were “healthier, showing less depression and anxiety, and enhanced well-being.” COVID demonstrated the compounding effects of an economic crisis on top of a public health crisis. In showing a way forward that solves for both, Stockton’s success story has catalyzed a coalition of mayors to launch guaranteed income pilots in 29 cities across the country. When decisions center on the diverse voices of those who live closest to the problem, cities can rise the tide and lift the health and wealth of all of their people.

Cities are effective units of change, where people could work on challenges that are big enough to matter and small enough to make things happen. When diverse partnerships of organizations rally around a shared purpose, cities become containers for collective imagination. One example of this shows up in Cities Changing Diabetes, a 36-city network advised by Gehl that conducts research, crafts strategy, and collaborates across cultures and geographies. The coalition creates neighborhood-level strategies for health that are unique to local conditions but offer lessons that can be applied across the network.

The 2020 census revealed the faces of a changing nation: a pronounced aging population and an increase in diversity among Millennials and Gen Z. Already home to eight out ten people over the age of 65, cities are the ground zero of these macro demographic shifts. Aging is a main risk factor of chronic diseases and COVID has made race-based health inequities abundantly clear. If business-as-usual persists, we will face a grave prognosis: an aging population burdened by chronic disease will be catastrophic for the American economy. The solution is as simple as it is inevitable: just as chronic diseases like diabetes and obesity are risk multipliers that devastate the economy, First Mile Health could be a resilience multiplier for both people’s health and the economy.

How might we create pathways for economic mobility for those who face the biggest barriers of systemic inequities?

How might we build trust between governments, businesses, and residents?

How might networks of cities unite across divisions and heal together?

Every business leader should see an opportunity in First Mile Health

First Mile Health is an “and” to all the work being done today. It’s shifting the mentality from fixing to designing. And we can only do that by seeing one another fully.

Depending on where you stand, you might see a different path toward First Mile Health. Healthier communities make better customers, making them and the businesses who serve them more resilient to unexpected threats such as pandemics; improved mental health and well-being generate higher levels of engagement; extended healthy lifetimes increase the talent and customer pools available to business; healthy family and work life encourages a sense of belonging, which in turn builds organizational knowledge; and lower health costs benefit all. All of these outcomes are examples of First Mile Health.

This week marks the grand opening of La Cocina Municipal Marketplace, the first women-led food hall in the country. This 7000 square foot development in the heart of the Tenderloin will give entrepreneurs who follow in Nite Yun’s footsteps an even bigger platform to innovate, while offering affordable, healthy food to longtime local residents. La Cocina Municipal Marketplace is an exemplar of First Mile Health: it serves as an inclusive gathering space for the community, a catalyst for business leadership from the ground up, and a demonstration project for health-centered economic development to inspire cities around the country.

Runners know that the first mile is always the hardest. When you start out, your body has to adjust to the new demands of physical activity. But as you run, your body adapts and the experience naturally starts to get easier. The same is true for First Mile Health: while the first mile might be the hardest, it will create many happier and healthier miles down the road. As Mark Twain said, “The trick to getting ahead is getting started.”

We wish to thank Steve Downs at Building H for his thought partnership and collaboration that helped shape First Mile Health.

While having a bowl of soup on a trip to Cambodia, Nite Yun, who was trained as a nurse and is now the chef-owner of the award-winning restaurant Nyum Bai in Oakland, realized that eating could be a way of healing.

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every business has a part to play in building better health, healthcare, health innovation, food innovation, wellbeing, play, creativity

Color by Design (CxD) fellowship

Opening doors to design careers for college students of color.

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This is done by leveraging human-centered design as a tangible skill set for building useful products and services for diverse communities. Students are introduced to internships, professional roles, and entrepreneurial opportunities as trained professionals contributing to positive social change in the marketplace.

Color by Design (CxD) is RepresentEd’s newest fellowship program designed for BIPOC (Black, Indigenous, people of color) in partnership with IDEO that is invested in transforming the boundaries of design. This program provides participants with the necessary professional development skills, mentorship, and on-the-job training to make impactful and empowering career decisions in design. Additionally, fellows will participate in seminars, workshops, and networking events that will expose them to professional designers from various fields who will share their knowledge, provide instruction on design components and support them in successfully completing CxD projects.

It is a 9-month program spanning September 2021 to June 2022.

The 9 months include a 3-month part-time professional training course (September - December 2021), followed by a 6-month paid full-time Fellowship with IDEO (January - June 2022). The Fellowship will have an opportunity to convert to a permanent full-time role after 6 months.

Update, May 6th 2022: We’d like to share our decision that we are postponing the next cohort of the Color by Design program in partnership with ReprentEd Leadership until 2023.

We are about to wrap up our pilot program and we want to take the time to debrief and learn from the experience of our current Fellows and take those inputs into the design of the next cohort. In particular, we want to consider if and how to scale the program to a broader set of design disciplines beyond design research and the impact this will have on the curriculum design, and how to best place Fellows in different communities within IDEO to ensure the most productive experience.

Based on this review, we intend to iterate on the next Color by Design program and launch it by the end of 2023. We will share more updates as we get closer to the recruitment season.

We hope that this has not caused any inconveniences and please know that we welcome your feedback and suggestions as we work to build the next version of the Fellowship.

If you have any questions, please contact cxdinfo@ideo.com.

RepresentEd Leadership builds pathways for college students of color who are harnessing their power as socially conscious leaders.

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color by design cxd fellowship, human centered design, design thinking, leadership, education, learning, community engagement, design careers, creativity

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
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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.
An inclusive, hands-on approach
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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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Episode image

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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Technology
Financial Services
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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.

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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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