For more than 40 years, Sage has helped businesses of all sizes navigate complex business environments. While many of its larger customers have the means and the structure to support climate initiatives, many of its smaller customers do not.

Sage wanted to help its SMB customers get ahead of future climate regulations and meet consumer expectations. And building carbon-footprint evaluation and mitigation tools would also dovetail nicely with Sage’s own climate aspirations: cutting its own emissions in half by 2030. Together, Sage and IDEO investigated how the company could leverage the data in its platform to calculate its customers’ emissions, both direct and indirect, and how that information could spur action as they aim to hit net zero.

‍

To get started, the design team went deep with customers running all kinds of businesses—from a taxi company to a champagne bar to a falconry center. Business owners shared that their focus often has to be on the day-to-day, a series of small decisions that, when added together, lead to business success. For many, tackling a problem as complex as climate change felt overwhelming. IDEO and Sage synthesized those insights and began working across verticals and products, bringing together experts from marketing, technology, sustainability, and operations to build out new concepts. With the help of two carbon accountants, the team worked to figure out how existing data could inform customers about both their direct and indirect emissions, which can be harder to track. Given how tight SMBs’ margins are, they focused on how that knowledge could fuel emissions-cutting changes that also save money, giving businesses extra incentive to take action. Together, the team created a roadmap of customer outcomes and experience guidelines to help shape future products.

Sage has taken that work forward, launching Sage Earth, a platform that aims to help businesses measure, manage, and mitigate emissions—even across supply chains. With carbon accounting now built directly into all Sage Accounting and Sage for Accountants products in the UK, Sage has made climate action practical and accessible for millions of SMBs. By automating emissions measurement and reporting, Sage Earth removes barriers of cost and complexity, empowering business owners and their accountants to stay competitive in supply chains where up to 95 percent of emissions occur. 

From co-developing the UK Voluntary SME Carbon Reporting Standard to launching a Carbon Accounting API, which gives banks, fintechs, and other platforms access to Sage’s Carbon Engine, Sage is embedding sustainability into the systems people already trust—helping hundreds of thousands (and rapidly increasing) small businesses turn climate ambition into everyday action.

Small- and medium-sized businesses—companies with fewer than 500 employees—make up about 90% of the world’s businesses, according to U.N.-backed SME Climate Hub.

Two thirds of small businesses don’t know how they’re going to reach net zero, and lack the resources to do so, according to a recent survey by SME Climate Hub. Still, the majority reported they want to act on climate, recognizing it can help them become a more resilient business.

Large companies may be the biggest emitters of greenhouse gasses, but an estimated 80% of those emissions come from supply chains—often made up of smaller enterprises.

Scaling rapidly

in the three years since the launch of Sage Earth, which is now being used by hundreds of thousands of businesses

World's 1st

open-source hybrid emissions factors dataset, Carbon Commons, led by Sage, helps SMBs calculate carbon footprints using existing data

Menopause is much more than a biological transition—it is a profound shift that often arrives just when people experiencing it start to feel invisible. Because it has long been shrouded in darkness as an unmentionable female affliction, those going through menopause often feel unprepared and alone.

Recognizing that its customer demographic makes QVC uniquely positioned to surface conversations and provide support to those dealing with menopause, the video commerce retailer partnered with IDEO to figure out how it could not only meet customer needs, but also flip the conversation on midlife. To learn more, a team of female design researchers held in-depth interviews with folks experiencing it firsthand. The people they spoke to had limited information about what was going on with their bodies, and in some cases, it took years before they understood that symptoms they were experiencing were related to menopause. Respondents also reported that midlife brought a change in social status and the feeling of being boxed in by stereotypes.

QVC and IDEO worked together to design an integrated suite of offerings that could give customers a safe space to discover and share more about menopause. That included an on-air programming series called “Menopause Your Way,” where QVC could support those going through menopause in the privacy of their own homes, a digital landing page with useful solutions, and social media campaigns to help women share and learn more about each others’ experiences. Because people experience menopause and choose to manage it in many different ways, the team wanted to create an integrated ecosystem of content that women could access according to their unique journeys. The new offering helped QVC  reach its core audience with solutions and relevant products, and created a space where menopause is out in the open and part of an ongoing conversation. And in the process, QVC evolved to become a more customer-centric company, putting its audience and their needs at the heart of its offerings.

9/10 of British menopausal women say society and brands overlook them.

‍

1 in 2 women in the UK admitted they didn’t know what was happening to them during perimenopause.

‍

Nearly 40% of menopausal women are being prescribed antidepressants to help manage their symptoms, despite 4 out of 5 describing the treatment as “inappropriate.”

Season 2

a series focused on menopause is now in its second season

‍

Healthcare is a complex web of institutions, interaction, relationships, and services. In England, the National Health Service consists of thousands of separate organizations spread across the country. This fragmented structure means that rolling out digital tools and using them to their full potential can be difficult.

NHSX approached IDEO and Public Digital, IDEO’s sister company, for help designing user-centered resources that would empower Children and Young People’s Mental Health (CYPMH) practitioners to use digital tools more effectively, shifting service design from a reactive to a proactive process, and allowing each regional organization to create the best digital services for their children and young people.

The team took a human-centered approach, tapping into the perspectives, challenges and needs of NHS practitioners and leaders across the system over months of research. They then designed a set of accessible, straightforward online resources, courses, and templates that would enable a practitioner to start their own local service transformations. These included everything from practical advice on improving users’ experiences of CYPMH, to teaching methods for service design, to content focused on achieving digital transformation at scale.

The resources were easy to implement and replicate, allowing mental health practitioners across the country to seamlessly integrate physical and digital, create firebreaks in the system, and better bridge the gap between seeking care and receiving it. They were designed to evolve over time, and the work is replicable across the NHS, with the potential to touch millions of lives.

By empowering practitioners to utilize these digital tools to ease the burden of care, NHSX plans to create a positive ripple effect across the entire NHS, its partner organizations, and the country at large.

In a study undertaken in July 2020, the first summer of the COVID pandemic, the NHS found that clinically significant mental health conditions amongst children had risen by 50% compared to three years earlier.

More options, more access

digital resources are helping children and young people access more options for their mental health care

It’s not easy to shift the paradigm for an entire industry. But when a company comes along that promises to reinvent air travel, it opens up a blue sky of opportunities. That’s the flight path for Boom Supersonic, which is thinking big about how passengers arrive at their destination not only faster, but also with a greater sense of wellbeing.

To really comprehend the experience of flying in the unique contoured profile of this ultrafast jet, and to help Boom make key decisions about the design of the plane, the IDEO team believed that you had to go beyond algorithms and schematics—you needed to actually board it.

Using a “build-first” approach, the team quickly constructed a full-scale mockup of the fuselage from plywood and foam core. That became a prototyping platform to test multiple seating configurations, galley and lavatory size and placement, luggage storage solutions, and other concepts that would differentiate and add value to the passenger experience. For the first time, the Boom team was able to set foot in its own aircraft and truly understand the experience from the perspective of its clientele. The exercise allowed the Boom team to confidently make decisions by comparing multiple cabin configurations and options in full-scale.

Throughout the project, Boom and IDEO invited future travelers aboard to interact with the prototype and offer feedback. That input culminated in a more refined model, with augmented windows, moonroof, in-flight entertainment screens, and sound design—all further augmented by a Virtual Reality component to allow our future travelers to fully immerse in this new experience.

Together, Boom and IDEO brought a sneak peak to the Farnborough International Airshow, a biannual exhibition for the aerospace, aviation, and defense industries. The event was an opportunity to give the industry and potential customers a preview of Boom’s innovative new jet. In collaboration with the client, an exhibition architect, and a digital production agency, the team created an immersive environment designed to make the Overture experience feel tangible, eliciting the wonder of this revolutionary plane.

Boom’s presence at Farnborough not only underscored the Overture’s progress but provided an inspiring glimpse into the future of air travel. During the air show the company announced the production Overture design, a market-expanding alliance with Northrop Grumman, and agreements with tier one suppliers Collins Aerospace, Safran, and Eaton. Not long after, Boom received its largest order to date, this one from American Airlines. 

The prospect of getting to London in time for dinner just got a little closer.

Boom plans for Overture to get from New York to Frankfurt in just over four hours instead of the eight hours spent on a commercial jet today.

‍

The Overture supersonic jet has a cruising speed of Mach 1.7, about twice as fast as today’s commercial planes. Overture is built to fly on 100% sustainable aviation fuels (SAF).

20 Overture deposits

made by American Airlines, joining current customers United Airlines and Japan Airlines

Most captains today are choosing to rearrange the deck chairs, and draft strongly worded memos about maritime safety. Meanwhile, the iceberg looms.

Let's be clear: Changing course isn't easy. The crew is comfortable with their routines, the shareholders expect their smooth-sailing dividends, and frankly, it's hard to be the captain who ruins dinner. But we know what happens to ships that prioritize temporary comfort over necessary action.

The environmental challenges we face—from biodiversity collapse to climate injustice—aren't distant threats on the horizon anymore. They're here; we are living it. Yet in many boardrooms across the globe, the response remains painfully predictable: another strategy document, another net-zero pledge, another set of targets conveniently set for 2030, 2050, and beyond.

Yes, we have global treaties in place. Yes, we have ESG goals. And yes, humankind has the technological prowess to get us to net zero. But let's face it—what's holding us back isn't a lack of solutions. It's a lack of decisions. Decisions that can only come from bold, brave leaders.

We need leaders daring enough to plot an entirely new course, challenge the fundamental assumptions of modern business, and pioneer ways of creating value that serve both planet and profit. We need leaders who have the courage to turn the ship now, even if they are the first captain to break formation. 

An uncomfortable truth 

Today, most sustainability initiatives fail not because of a lack of technology or resources, but because of leadership paralysis. We're witnessing three critical traps that keep organizations stuck.

The first is the quarterly trap, where even well-intentioned leaders find themselves caught between climate commitments and earnings expectations. Watch any earnings call, and you'll hear the tension: ambitious sustainability goals carefully balanced against short-term financial targets. It's like trying to change course while keeping everyone's champagne glasses from spilling; this balancing act keeps us frozen in place.

Then there's innovation theater, where organizations launch sustainability programs that look transformative, but stop short of making fundamental change. The bottled water industry is a perfect example; it highlights recycled plastic bottles and "eco-friendly" packaging, but doesn't address the fundamental waste of bottling and shipping water globally when most developed nations have clean tap water. It's like tying down those deck chairs while avoiding the bigger conversation.

Finally, there's delegation delusion. Over the past year, I've met dozens of brilliant CSOs with ambitious plans, but sustainability can't be delegated to a department, no matter how capable its leader. Imagine trying to digitally transform a company by creating a "digital department," while everyone else works on paper. Real transformation requires sustainability to be woven into every decision, from the boardroom to the factory floor.

The new leadership imperative

Despite all these traps, change is happening. There are brave leaders out there—few, but growing—who are making incredible impact. At IDEO, we're fortunate to partner, work, and be friends with some of these pioneers, and I've noticed distinct patterns in how they lead. Here's what brave climate leadership looks like:

1. Embracing discomfort

When Allbirds stamped all of its products with their carbon footprint—like a nutrition label for the planet—the company made their environmental impact as visible as their price tag. This radical transparency forced the company to completely rethink its design and manufacturing, leading to the world's first carbon-negative EVA foam in footwear. And Allbirds didn't stop there. The company open-sourced its carbon footprint tools to other companies, making it possible for other companies to share their impact.

2. Reinventing the core business 

Recently, I sat down with a leader from a world-leading consumer technology company who told me, "The future I see looks nothing like our current product line. And I'm ready to build that future, even if it means dismantling what drives our profits today." This willingness to reimagine the company’s foundation extends to how it operates. Smart leaders are putting sustainability targets on equal footing with financial ones in executive compensation—because real change happens when missing a climate goal hurts as much as missing a profit target.

3. Creating better products that happen to be sustainable 

Method's concentrated cleaning products show how sustainability can drive innovation. By removing the water (which consumers have at home, anyway), the company created products that save money through reduced shipping and storage costs, while simultaneously cutting carbon emissions from transportation and using less packaging material. Customers choose their products because they're simply better, and they happen to use less water and plastic. There’s no compromise—only added benefit. 

4. Making bold bets on the future

Let's be honest—it's daunting to reinvent an entire supply chain or revamp your existing infrastructure to become sustainable . But when CVS Health, Target, and Walmart decided to create the "Beyond the Bag" challenge, aimed at eliminating plastic bags, they showed the entire retail industry what's possible. But taking bold bets isn't just about changing your own operations. Over the past years, I've met incredible young female leaders like Dr. Anne Schauer-Gimenez from Mango Materials and Julia Marsh from Sway, who are revolutionizing how we think about materials. Smart leaders aren't waiting for these solutions to be proven at scale—they're actively investing in and scaling them themselves. Because one day soon, the choice won't be whether to change, but whether you still can.

5. Having fun doing It 

Look at Rewiring America's approach to electrification. Instead of another doom-and-gloom climate message or boring, beige-colored Times New Roman ESG reports, they're making home electrification feel electric. Their tools—including an easy-to-use calculator and a personal electrification planner—don't just show carbon savings—they show families how much money they'll save by switching to heat pumps and induction stoves. When I recently connected with their VP of Product Tom Mercer, his energy about electrifying millions of low-income houses was contagious. And it's no accident that the company's head of marketing cofounded Upworthy and served as managing editor of The Onion—this fresh perspective brings wit and humor to what could be a dry technical topic. Sometimes saving the planet is fun.

6. Listen to customers—for real

As a design director at IDEO, I spend countless hours supporting our design teams in research sessions, listening to people talk about their everyday choices. And let me tell you—the narrative that "people don't care about sustainability" is not just wrong, it's dangerous business thinking. The next generation isn't just asking for better options—they're demanding them. They're reading labels, questioning materials, and calling out greenwashing on social media. Deloitte's 2024 research shows 64 percent of Gen Z will pay more for sustainable products, and 25 percent have cut ties with businesses over unsustainable practices. This isn't about a small group of eco-warriors anymore—this is mainstream consumer behavior shifting before our eyes. Miss these signals, and you'll miss the future of your market. Just ask the fashion brands being called out daily on social media, or the consumer goods companies watching their market share shift to sustainable alternatives.

The real work starts now

It's inspiring to hear about startups and innovators blazing new trails. But the real challenge—and opportunity—lies in transforming century-old organizations. We don't need more sustainability strategies. We need leaders from every industry to become the brave new captains of the climate era

The climate crisis offers a stark choice for leaders: Be brave enough to transform your organization now, or watch it become irrelevant in a world that's already changing. At IDEO, we're energized by leaders ready to make this transformation. If you're ready to design solutions that will define the next era of business, we'd love to work with you to bring that vision to life. Let's create meaningful change together.

‍

Imagine you're the captain of a massive ship. You've spotted dangerous waters ahead, but changing course means disrupting your passengers' champagne dinner.

At IDEO's Play Lab, we spend all year making and testing toys, games, and experiences for kids—and grown-ups who used to be kids. Here are some of our best recommendations for everything from storytime play to game night with your pals. Some come from our very own Play Lab, and others from toy and game makers we admire.

Ready to make it official? You can find a link to our store here. (Please note that IDEO makes a commission off of affiliate links.)

1. Incohearent Family Edition by Relatable

A hilarious party game guaranteed to get a laugh with the fam during the holiday season! Each turn, one player draws a card with a gibberish phrase on it (i.e. “sa male leaf heat”) and the rest of the players race to sound out the gibberish and be the first to guess the hidden message in the garble (in this case— “smelly feet”) and collect that card. First to 13 cards wins! Tons of content, quick to learn, and quick to play, this game will have your whole family shouting pure playful gibberish at each other in no time.
‍
Who will love it: family and friends ages 10+, or check out the spicy version for cards with humor geared toward adults
‍
—Matt Callahan

2. So Clover

In So Clover, you’re given four pairs of random words. Then you have to come up with clues connecting each pair for your friends to decipher and discover which words go with which. Imagine CodeNames, but nobody gets angry or upset at you for giving weird clues! While it has a competitive element to it, ultimately this is a super fun word association/logic game that I can’t get enough of.
‍
Who will love it: Pretty much everyone, but for the adults, it’s extra fun as a drinking game
‍
—Andrew Stewart

3. FreeSkates

Skateboarding is the perfect combo of athleticism and artistry. It has parents like me holding our breaths and hoping that our kids avoid injury, but there’s nothing like the magic of seeing your kid flying across the asphalt, building confidence to try bigger and better tricks. FreeSkates introduce a whole new challenge with a separate board for each foot, bringing a fresh elegance and rhythm as your feet glide independently of each other, snaking in and out underneath you. There’s a bit of a learning curve, but it’s worth the effort and the scrapes!
‍
Who will love it: Adventurous kids of all ages, though the younger ones tend to heal faster…
‍
—Michelle Lee

4. Flipslide

We bought our son a Rubik’s Cube, but it was just a little too monotonous for him to stick with it. Enter Flipslide! You have to flip, slide, and match the lights against the clock, and it’s wild how addictive it gets. It’s fast-paced, super portable, and great for challenging yourself or competing with one another to get the best time. Perfect for road trips or whenever you want a fun, screen free distraction.
‍
Who will love it: Puzzle fans and anyone 8+ who loves quick reflex challenges
‍
—Diana Tobey

5. Lights from Anywhere (Marvin’s Magic)

A classic, off-the-shelf illusion perfect for anyone getting into magic but looking for something beyond card tricks! Conjure magical lights between your hands, pulling them out of thin air and making them disappear in the blink of an eye. Without giving away any secrets, I can say this is a brilliant, timeless effect that deserves two thumbs up! 👍👍
‍
Who will love it: Any kid interested in magic (it does require some dexterity), but also parents too! It’s the ultimate party trick.
‍
—Neal Boyer

‍

6. DC Comics Batman Ultimate Transforming Batmobile Playset

This one is for the little Batman fans in your life that love getting lost in their own storylines.  One minute, you’re driving around Gotham; the next, the Batmobile opens up into a full-on Batcave with gadgets, a jail cell, and tons of cool spots for action figures. It’s the Batmobile that keeps giving.
‍
Who will love it: Batman fans 4+ and any kid who loves action-packed play
‍
—Elise Granata

7. Mantis

There are only two rules in this family board game for kids and adults. One, steal or score your way to victory by collecting matching cards. Two, the first player to reach 10 cards in their score pile is crowned the winner. The game is easy to learn and fast-paced. Ready for the emotional rollercoaster of stealing from your opponent—or being stolen from yourself?
‍
Who will love it: Family, and friends age 7+
‍
—Jeremy Chen

8. Sticker Wow! From Melissa and Doug

During our research talking to families with young kids, we discovered just how much they love stickers. But peeling and sticking can be hard for little fingers. So we came up with this super fun, fidgety way to stamp stickers. The best part? They stick tightly to activity books and paper, but are easily removable if kiddos stick them to other things. The stickers are refillable (and collectible), which means you never run out, and it’s not wasteful. All the kids we’ve seen play with this are instantly obsessed. (This toy is a patent-pending IDEO + Melissa and Doug invention.)
‍
Who will love it: Kids age 3-7
‍
—Vlasta Komorous-King

9. Story Time Chess

A way to teach kids (and adults!) how to play chess through fun, engaging stories. Each chess piece is turned into a unique character with a personality and movement pattern that aligns with that piece's actual rules in chess. For example, King Chomper can only move one step at a time because he loves to eat so much and his pockets are stuffed with food. The game comes with mini-games and workbooks to help kids practice specific skills as they get more advanced with their chess strategy and tactics. The perfect pick if you enjoyed The Queen’s Gambit and secretly aspire to raise your own chess prodigies—or better remember the rules yourself.
‍
Who will love it: Any age will benefit from the memorable story and characters, but especially younger kids 3+
‍
— Diana Tobey

‍

10. DJ Bouncin' Beats

This toy knows how to PARTY! I have spent hours of my life hanging out with DJ Bouncin' Beats and my two-year-old niece as it sings us ABCs, counts with us, and plays back custom recordings of phrases or sounds we make. It’s a combination teacher, boombox, and dance partner. Maybe even better than having a sibling?
‍
‍Who will love it: Kids 12-36 months
‍
—Elise Granata

11. Disney Princess Carriage to Castle Playset

So much play value in one play set! With Carriage to Castle, kids can act out both magic princess vehicle play AND full castle doll house play with all their favorite princesses. This playset comes with four figures, tons of accessories, and an exciting transformation to help them story play. Parents will love that this castle can transform back down to a carriage size for easy storage.

Who will love it: Young kids that love princess play! Best for ages 3+
‍
— Rikki Devlin

12. Drop Trivia

If you love some competition with your play, this game is perfect for a post-dinner or drinks moment with friends. The questions are a mix of pop culture, random facts, and fun surprises, so there’s something for everyone to shine at (or totally blank on). Think Trivial Pursuit with the countdown urgency of disassembling a bomb.  
‍
Who will love it:  Trivia buffs ages 10+—and anyone who loves a good challenge
‍
—Matt Callahan

13. Wild Flowers by Moose Toys

The ultimate chill board game! Wild Flowers features stunning graphics that transport you to a serene flower field. Players use tiles to grow and claim flowers, and complete task cards related to the flower board. Perfect for one to four players, it strikes the ideal balance between strategy and luck, making every game fun and engaging. The perfect way to end your day!
‍
Who will love it: 8+
‍
—Inna Yankelovich

‍

14. Illusion

Illusion is a quick and fun card game where players test their perception of color and patterns by arranging cards in order of the percentage of a specific color they contain. Each turn, you can challenge the lineup if you think someone made a mistake—revealing dramatic surprises when the cards are checked. It’s a fast-paced mix of strategy, observation, and the thrill of calling someone out, making it perfect for parties or family game nights!
‍
Who will love it: Kids 6+ (but it’s also great for adults)
‍
—Sam Hobish

15. Scout

This card game is easy to pick up and learn with a ton of depth. Unique cards have different values on their top half and bottom half. At the start of each round, you can decide whether to play with the top set of numbers or flip your entire hand to play with the other set. But player beware, your hand is now fixed for the rest of the game. Play cards to make new combos or take another card to make your hand even stronger. To win, play a hand no one can beat or get rid of your hand.
‍
Who will love it: kids (8+) and adults
‍
—Weishan Liao

16. CoComelon Transforming School Time Bus

The perfect gift for any CoComelon lover, this classic school bus play set transforms into a tiny classroom and playground. Kids can drive around on the ground in school bus mode, then easily open up the bus to find tons of play inside. The chairs magically pivot into a classroom setting.
‍
Who will love it: Kids 3-6, but also Cocomelon lovers of any age
‍
—Weishan Liao

‍

17. The Magic Puzzle Company

Think you’ve mastered all the puzzles out there? Welcome to the enchanting world of the Magic Puzzle Company. These puzzles are designed to challenge even the most seasoned puzzlers, with whimsical scenes, quirky characters, and a surprise twist that will leave you in awe. Packed with hidden Easter eggs and playful vignettes, every piece you place brings a touch of joy. With such captivating designs, it’s nearly impossible to step away. (And check out this puzzle by IDEO alum Felicia Chiao.)
‍
Who will love it: Kids 15+ to adults
‍
—Lauren Schreiber

18. Barbie Dog Duo With Wheelchair

This set offers such a sweet way to expand storytelling opportunities, with Barbie caring for her pup who’s using a wheelchair, bringing inclusion and creativity into playtime. The little accessories are a great touch, and it’s been a hit for sparking imaginative, heartwarming adventures.
‍
Who will love it: Kids 3+
‍
—Keren Wong

Stumped about which toys or games to add to your list this year? We’ve got you covered.

There are few parts of the industry we haven’t touched. Why? Because few sectors offer so many possibilities for making a positive impact in people’s lives, if we can ask the right questions, and innovate our way to the right solutions.

Last month, we headed to HLTH to learn more about the trends, hurdles, and paradigm shifts companies, hospitals, and other care organizations are coming up against in this space. Here are some of the things we took away from our time on the ground.

‍1. Design can help us move beyond point solutions

Right now, we’re seeing a lot of standalone digital platforms tailored for different diagnoses, different age groups, and different patient populations. While this approach can better align with the way payments work in the healthcare system and result in more easily-proven health outcomes, it often feels like we’re reinventing the wheel over and over. You see this especially in mental health—solutions for youth, solutions for kids, solutions for employees, etc. Larger organizations across payers, medtech, and pharma, are starting to ask, “What is actually generalizable here?” And, “Can a connected experience better fit the patient's needs?” “Does everything have to be custom-built for every drug, every piece of equipment, and interventions?” That’s costly, not only to operate but also to sustain. Why don’t we already have frameworks that are broad but adaptable? With all the research and data we have, we could create a shared understanding that we can tune to fit specific needs. Theoretically, we have the data; we know what works and what doesn’t. There are systemic reasons—proprietary systems and data hoarding come to mind. But still, if we could create a more universal approach, we could make an enormous difference.

‍2.  We need to use AI to upskill healthcare workers, not replace responsibilities

‍The way we’re using them now, AI tools primarily aim to speed up workflows and improve operational efficiencies—whether it’s faster prior authorizations or streamlined documentation through AI scribes. But without careful implementation, these efficiencies could merely increase volume without enhancing care quality. Accelerating prior authorizations might lead to more requests and denials, rather than improved outcomes. Saving time on documentation might enable doctors to see more patients, but it doesn’t necessarily mean better patient interactions. We need to look beyond low-hanging fruit to achieve lasting impact. The industry must ask itself: Will widespread AI adoption genuinely drive health outcomes? And crucially, how do we encourage buy-in in a field where practitioners—trained over decades to rely on their own expertise—may resist technology-driven changes? At IDEO, we recently worked with a large payer organization to develop an internal AI strategy, focusing on how to foster acceptance across all employee levels. Building comfort with AI requires thoughtful design that respects existing expertise while gradually upskilling, rather than displacing, responsibilities.

‍3. “Practical innovation” may just be a buzzword

‍On the ground, we heard a lot about the challenge of sustaining innovation as budgets tighten across the healthcare landscape. Our conversations with people driving innovation at health systems and large organizations revealed not only budget cuts, but also a shift toward tactical, outcome-driven approaches. Organizations that we spoke with are increasingly looking to “practical innovation” to kick start their innovation cycle. Practical innovation in its original definition ensures a focus on commercial impact vs. innovation theater–a concept that we bring to each of the challenges we take on–but we shouldn’t allow the push for pragmatism to result in innovation falling into a trap. In this climate, innovation teams are expected to tie their work to key metrics prematurely, and reach scaled efficiency too quickly. This results in fewer bets, lower tolerance for risk, and a short runway to demonstrate outcome-focused results. Design has a crucial role to play in avoiding potential traps and increasing impact. For instance, by leaning into co-design and creating products alongside providers and patients, we can significantly de-risk innovative products and services. During our partnership with Kooth to create a mental healthcare app for youth in California, we worked directly with a youth council of 50 diverse young people to launch and validate a proof-of-concept, before then getting full investment for a state-wide launch.

‍4. Hospitals are recognizing their power as innovative forces in the healthcare ecosystem

‍Shaking off the antiquated image that they’re bureaucratic dinosaurs, hospitals across the country are setting their sights on innovation and beginning to think of themselves as engines of impact across the healthcare ecosystem. Whether that’s lending their space and access to incubate startups or giving their skilled medical talent the time and resources they need to conduct research and development activities, hospitals are eager to deploy their assets in new ways to unlock new value and drive exponential impact by improving healthcare experiences and outcomes.

‍5. The time for good health is (always) now

‍Every year, we see, hear, and feel a sense of urgency around solving large, intractable problems, and every year we feel the collective disappointment that we are falling short of the progress we hope to see. Over the course of our week in Las Vegas, we spoke to thousands of people from across the healthcare ecosystem about novel ideas, genuine patient needs, product innovation, and promising new therapies. Each and every person wants to make an impact to improve the lives of those we serve—and it is true that we are seeing some remarkable progress. But good health remains elusive for many. We are working with clients in every corner of the sector to make good health a reality—innovating patient care, supporting carers to deliver on the purpose that drove their choice in vocation, partnering with life science companies to deliver innovative care to patients, and digital health companies to make huge leaps in how we deliver care. Our goal? To make healthier human futures a reality of today, not the hope for tomorrow.

We dedicate a lot of our time to making healthier human futures, from working with healthcare providers to create a culture of innovation, partnering with pharmaceutical companies to create new drug delivery approaches, and co-creating new digital solutions with disrupters.

This initiative, aimed at exploring what the next 10-15 years might bring, allowed me to leverage the full spectrum of a futurist's tools as well as those of an organizational designer—simultaneously exploring their design question while teaching and integrating foresight capabilities.

Being a futurist means spotting signals that may only be whispers today, but could become profound shifts tomorrow—shifts that companies will have to be prepared to navigate. When playing this role we use a mix of facilitative, creative, and analytical tools that not only identify emerging patterns, but also embed foresight into the organization itself, helping shape the culture to be more forward-facing. Our techniques range from examining historical patterns to scanning for signals of change to telling stories of multiple plausible futures—each designed to bring clarity to a complex environment and make emerging opportunities actionable for an organization as a whole.

What do those tools include?

Hunting for signals in the noise

Identifying and tracking signals of change is the primary activity of any foresight work. It’s focused on spotting glimpses of the future that exist in the world today. A signal might be a new idea, behavior, technology, social context, or business model that may seem insignificant now, but could redefine industries or the world at large if it scales. Recent examples I uncovered for clients include everything from the resurgence of “dumb” phones to the emergence of four-day work weeks to big tech’s greenhouse gas emissions surges fueled by the expansion of AI. Grasping these subtle shifts enables teams to broaden their perspectives and think beyond what’s currently happening.

Mapping drivers of change

Tracking and mapping broader trends and underlying drivers of change — like the climate crisis or the rapid rise of LLMs —gives further context to signals and reveals potential structural shifts influencing social, technical, environmental, economic and political systems—ultimately shaping how organizations adapt, innovate, and respond to emerging opportunities and risks in the future. Understanding the why behind these changes allows teams to build flexible strategies grounded in deep awareness of external forces.

Considering different futures

Imagining a range of possible futures challenges teams to consider different potential outcomes and to design tangible steps the company can take to either grab opportunity or avoid risk. Although it's important to imagine ideal or preferred future scenarios to create a transformative vision for the future, it's just as critical to explore potential futures with extreme uncertainty or disruption to stress-test ideas. Imagining “what if” scenarios like, “What if AI became the standard for all customer service?” or, “What if customers demand ownership of their data?”stretches a team's thinking to identify resilience strategies and become more nimble.

Preparing for disruption

Identifying and interpreting emerging paradigms helps organizations to anticipate market or strategic shifts before they disrupt, making it possible to proactively invest in nascent opportunities or manage the decline of legacy approaches or systems. It minimizes risks associated with abrupt change and encourages continuous innovation, ensuring the organization remains competitive and able to seize new growth opportunities as they arise. It’s all about building confidence in making strategic choices.

Creating artifacts from the future

A future news headline, a mock product, or an immersive experience can make abstract concepts concrete, spark discussion and inspire strategic actions that could be aligned with longer-term goals. Sometimes the most powerful stories or artifacts of the future are those that are the most mundane, like a job description or a transportation ticket set 15-20 years into the future. These  visions bring the future to life, and enable teams to embed future-thinking into strategic choice making.

Given the scale of the organization I was working with, we expanded the traditional signals exploration, mapping everything from the future of work and retirement, to the rise of a digitally-native generation, to shifts in human decision-making related to a broad and rapid integration of AI. A collaborative team of consultants and internal staff updated this tool weekly, regularly identifying and tracking trends, drivers, and future scenarios across the tech industry. And we mapped paradigm shifts in critical areas of the company’s operations, spotlighting strategic opportunities to lead change in the space.

Additionally, we developed and deployed a futures-focused curriculum and a program to engage leadership and key cross-functional stakeholders, ensuring lasting impact and sustained capabilities across the organization. Not only did we prepare the organization to anticipate and navigate future shifts, we also embedded a lasting culture of foresight, empowering the organization to lead its industry with confidence and agility.

For companies like this one, having a futurist-in-residence is no longer a nice-to-have—it’s a strategic imperative. This role is critical for two reasons: preparation and opportunity. With so many variables at play—from technological advances to societal shifts—it’s critical to have someone who can filter through the signal noise, identify potential game-changing opportunities, and help those who guide the organization to adopt a more forward-thinking approach. The role can also foster a culture that challenges assumptions, encourages innovative and creative thinking, and equips teams to identify and interpret the forces that are shaping tomorrow.

In today’s volatile and complex world, companies need futurists not just as advisors, but as strategic enablers who build futures literacy across an organization. Investing in the future means investing in the people who can help organizations see a wide array of futures clearly and act on uncertainty with confidence, helping turn that uncertainty into strategic possibility.

As part of a client engagement, I recently stepped into a futurist-in-residence-style role for a major tech company that was eager to infuse futures thinking throughout an already innovative organization.

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.

‍

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.