Giving food assistance is about more than handing over a box of groceries. It’s about allowing people to make their own choices.

But the pandemic only narrowed people’s choices. Undeterred, Northern Illinois Food Bank (NIFB) put people’s needs above everything else, leading to innovations that could improve food banks everywhere. IDEO recruited neighbors to co-design a new digital tool intended to improve people’s access to food. Local residents provided more than insights—they steered design decisions and helped transform the relationship between NIFB and the community.

Northern Illinois Food Bank’s My Pantry Express app allows people to browse and order groceries online and to choose a pickup time and location that works for their schedule. We designed the app to provide useful information on dietary preferences and to be inclusive of cultural differences. The result allows choice and flexibility, helps prevent food waste, and preserves the dignity of shoppers throughout the process by making My Pantry Express feel like any other grocery site.

Ultimately, Northern Illinois Food Bank and IDEO’s strategy for success relied on new metrics. In addition to measuring effectiveness in pounds of food distributed, we found new ways to measure shoppers’ satisfaction—a solution that works better for all parties involved because it was designed by all parties involved.

An estimated 1 in 8 Americans experience food insecurity.

‍

The food insecurity rate is 2-3x higher for persons of color than for white households.

‍

60% of food insecure households do not use food pantries.

1.9M

meals distributed through My Pantry Express in 2021

50%

increase in distribution from prior year

To create Bendable, IDEO worked alongside the people closest to the problem, so every important decision grew out of their experience.

IDEO and the Drucker Institute aligned with the library system and city leaders in South Bend, Indiana, on a single objective: build a learning platform that offered education opportunities to people affected by the decline of manufacturing in the region. But even the earliest phases of research revealed that there’s no common profile that matched the diversity of learners. There are innumerable reasons why people seek to learn and as many barriers holding them back.

Knowing this, South Bend residents were the acknowledged authority for this work, and a design consultancy all their own. This radically simplified crucial decisions. Negative associations around traditional education led people to seek knowledge from those they already trusted. And they often lacked awareness about or the ability to access the many free resources already available.

The residents of South Bend helped the entire consortium see that the city wasn’t under-resourced but under-connected. That insight, and the power the community and the library system held to rectify it, made Bendable into the people-driven, connection-based learning platform it is today.

By 2025, as many as 85 million jobs will be displaced by automation, yet 97 million new ones could emerge.

‍

More than a third of adults pursuing postsecondary education before the COVID-19 pandemic were forced to abandon those plans.

25

programs and other resources offerings are now available to residents of South bend

4

states have begun to integrate Bendable into library systems

Protecting the right to vote means ensuring that all citizens can cast their ballots privately, independently, and easily.

With that principle in mind, Los Angeles County sought out a design strategy firm to create a next-generation, customizable system that would meet the needs of its large and diverse voter population while satisfying myriad voting regulations. The result: an accessible, self-enclosed ballot-marking device with a touchscreen that allows any voter to easily navigate, mark, verify, and submit a paper ballot. We also worked to improve the entire voting experience, including vote-by-mail ballots, interactive sample ballots, and the tally process.

As with any inclusive design, details matter. Voters with vision impairment or reading disabilities can opt for audio and tactile experiences with the push of a few simple buttons. And for voters who prefer to read the ballot in their native language—Spanish, Chinese, Korean, or any one of the 11 others supported by the county—the device lets them select their preference.

After extensive research and testing with constituents, we designed a solution that makes voting easier for anyone. And knowing that the only constant is change, we made the system flexible enough to adapt to emerging needs and technologies, protecting voters’ rights now and in the future. Read the full case study here.

26% of American adults have some type of disability. In the 2020 election, 18% of disabled voters nationally reported difficulty voting, about twice as many as non-disabled voters.

‍

In 2020, national voter turnout among disabled people was 7% lower than among non-disabled people in the same age group.

"Intuitive & secure"

was the sentiment most Los Angeles County voters expressed about the new voting system after the 2020 primary election

Conservation International is made up of conservation experts. To bolster its work, we bring a focus on scale, speed, and the human element to every project.

How does that look in the field? To restore the forest of Fiji, Conservation International paid a cash incentive to the community to buy, plant, and care for new trees and foliage. But once those cash incentives stopped flowing, the work ground to a halt. Taking a human-centered-design approach, one employee uncovered an insight: Fijians are more motivated to help in exchange for longer-term, noncash incentives like building infrastructure in villages. Small projects such as footpaths, repairs to communal trucks, beehives, or sports programs for youth continually reminded the community that the environment is a provider for their families, imparting a feeling of shared ownership in its conservation.

Stories like this, repeated around the globe, are how we hope to help Conservation International find sustainable outcomes. Our work together, including a six-month fellowship to help emerging leaders develop new capabilities, and a series of strategic, future-focused events for executives, has brought more tangibility and deeper collaboration to the organization.

Together we hope to create businesses, food solutions, and energy alternatives that conserve nature, and improve human health—because humans are a part of nature, too.

The scientific community overwhelmingly agrees that we have ten years to drastically cut greenhouse gas emissions or humanity will suffer devastating consequences.

‍

We need to conserve one third of the global ocean using area-based measures and ensure at least 75% of seafood is harvested using socially responsible, environmentally sustainable methods by 2030.

‍

75% of the world’s poor rely on agriculture for their livelihoods, which in turn depends on nature for pollination, irrigation, and soil replenishment.

20

leaders integrated human-centered design into annual goals, project pipelines, and fundraising efforts

20%

of the organization is now involved in design-thinking projects

But where is “here” exactly? Here is a tense political environment amidst a divisive battle over “woke” values. It’s a challenging business climate with companies deprioritizing DEIB budgets and sometimes removing entire teams. It’s a design community questioning when and where to push on inclusive practices, in service of moving all of us forward.

Even amidst these hurdles, many of us are still seeking a world where our commercial systems reinforce the world we want to live in. That’s our “there.” To those who believe, the path to more inclusive design practices is not some cherry-on-top afterthought; it’s an imperative facet of our evolving global culture. And for some designers, it’s why we wake up and go to work every day.

Responsible design (or inclusive design, ethical design, or even respectful design, as design leader Dr. Dori Tunstall has dubbed it) has been an emerging focus of design for decades, most often helmed by BIPOC and marginalized folks at design-led organizations. At IDEO, it’s been a movement most recently organized by the Inclusive Design Collective (IDC), a fast-growing crew that meets regularly to discuss design, interrogate our processes, and consider the potential consequences of our work, socially and environmentally.

The IDC has been experimenting with design tools and resources to use throughout the design thinking process (many of these interventions build on tools and best practices from across the worlds of design, engineering, and business). Most of the tools we’ve developed and adopted make space in the project journey to question privilege, power dynamics, biases, and access—all to unlock better outcomes for people and the planet.

Meanwhile, we can feel business shifting. Not all decisions are being driven by profit and shareholder value anymore. We see in our research and in our client work that commerce is becoming more values- and responsibility-driven choice-making. (And in many cases, it’s already there.) Here are five reasons we believe centering inclusive practices in design is the way things are going:

1. Inclusive design is at the heart of global scaling

Capitalism is built on a premise of continual growth. Increasingly, businesses are looking globally to find that growth—but doing so requires that we design thoughtfully and inclusively for consumers and producers in those new markets. For decades now, emerging markets have produced goods for the world, leading to a wave of consumerism. The internet accelerated this change in consumption and exacerbated a trade imbalance that does not serve the needs of people in emerging markets.

But now, we're seeing a shift, especially as historically marginalized countries are experiencing population and economic gains that far outpace the rate of change in other markets. Companies have begun trying to sell products and services to people in emerging markets, delivering to an entirely new set of customers with different values, systems, cultures, needs, and motivations. The businesses that will win—as always—are the ones that deeply understand their customers and how the products they deliver meet those customers’ needs. That means the businesses that will win will be the ones who design alongside them.

We’ve seen this firsthand. Our Last Mile Money program, funded by the Gates Foundation, was a great use case for responsible design. Our work focused on helping companies launch more inclusive products and greater financial access in emerging markets at what is called “the last mile”—underserved women, people in rural areas, and others facing barriers like literacy and internet access. Even companies that were committed to designing for underrepresented users were facing a challenge: Products were often designed with urban, tech-savvy, mostly-male users in mind. Despite pouring money into marketing, promotions, and rebrands, new users weren't adopting their wares. To unlock real growth, these companies needed to expand far beyond their existing users.

In response to these challenges, IDEO developed tools like Designing for Digital Confidence, the Gender Evaluation Framework, and the Financial Confidence Playbook. We centered underserved users throughout the design process, constantly going back to them for feedback to help product teams understand a range of barriers that have kept many people from using and benefiting from digital products. We listened and then took action, redesigning and improving products for needs that have often been ignored.

In India, major e-commerce platform FlipKart (owned by Walmart) redesigned its app to be more intuitive for first-time internet users, helping them serve hundreds of millions of customers. In Kenya, a startup called Leja streamlined its product’s onboarding experience for female small-business owners, leading to 30 percent more sign-ups, and more than quintupling transaction growth. We're seeing many more companies integrate responsible design into how they operate, not just because it’s the right thing to do—but because their own future growth depends on it.

2.  Gen Z won’t mess with anything that’s not inclusive—no cap

‍The number of Gen Z workers—those born between 1997 and 2012—is projected to grow to 51 million by 2030 (overtaking Boomers, who had long reigned as the largest generation of full-time workers, from the late 1970s-2011). Gen Zers are digital natives who grew up in the era of rapid technology development, possess a unique set of skills and perspectives, and are the most diverse generation of our time. Gen Z's strong sense of social awareness and values-driven choice-making guides everything they do. It now has begun to guide business. Companies are shifting their calculus—lack of inclusivity means fewer customers. And businesses who don’t heed this may go the way of Crystal Pepsi.

Meanwhile, external signals reflect a similar sentiment, like the rise in demand for environmental, social, and corporate governance-related investment (82 percent of Gen Z have exposure to ESG investments, and 40 percent say their investment decisions are driven by companies with purpose), or the way Gen Z has redefined consumption from ownership to access, show that they're demanding more from the companies, products, and technologies they adopt. Gen Zers hate labels, love “slow fashion,” and more than half of them identify as “not straight.” For them, DEIB needs to be built in, and authentic, and their loyalty will follow.

As many companies are scrambling to build AI products as quickly as possible, we took a different approach: working directly with Gen Zers to learn more about what they really want from AI. As we tested and prototyped product concepts, they sent us a clear message: They only want products that align with their values. Too many of us assumed that as digital natives, they would take to all-new tech like ducks to water; instead their preferences have many folks really considering the ethical and climate consequences of emerging technology.

3. In many sectors, responsible design won’t be a choice—it will be an obligation

‍‍We all know that businesses today are not nearly as motivated as they need to be to make the changes our planet will need. When we worked with H&M’s CEO at the time, the company had made aggressive sustainability goals, driven by their own aspirations for the business. However, they were also aligned with global regulations, calling for less plastic and less waste in manufacturing processes, and placed them ahead of the market in this transition by streamlining their supply chain, and cutting excess inventory, and producing less waste.

It’s too early for this latest AI growth spurt to have spurred much regulation—but it is coming. IDEO’s Emerging Tech Lab is putting ethics first and sees AI and climate at an intersection, ripe with opportunity for designing more responsibly—for the good of the world, but also because one day, companies simply won’t have a choice.

4. Consumer preferences are changing, and businesses that only care about shareholder growth may be penalized

‍Values-based consumption is not just having a moment—it has redefined consumption. More people are choosing to support companies that align with their values. In fact, in a McKinsey survey, 70 percent of Gen Z respondents said they try to purchase products from companies they consider ethical. Nielsen tells us that 75 percent of Millennials are so eco-conscious, they’ll change their buying habits to favor environmentally-friendly products.

Consider Patagonia. With an estimated value of about $3 billion dollars, and $1 billion in annual revenue, the outdoor company announced in 2022 that Mother Earth would be its only shareholder, and “every dollar that is not reinvested … will be distributed as dividends to protect the planet.” Patagonia has made a name for itself with aggressive environmental goals, like completely eliminating virgin petroleum material in its products by 2025, and becoming net zero by 2040. Patagonia products aren’t cheap, yet sales have quadrupled over the past decade, and it has also expanded offerings into food. The company is a great example of how a brand can be very clear about what it stands for, and still find that people will pay for quality—even at a time when consumers are feeling the pain of inflation. Meanwhile, fast fashion, which offers customers lower quality goods at a much cheaper price point, has seen a steady decline in sales. If businesses continue to only value cost savings, they may learn: Cheap isn’t cheap when it loses you a customer.

‍5. Responsible design creates better products

‍We're big admirers of the healthtech startup Kasha, which has leaned into responsible design to unlock pent-up demand with healthtech. Founder Joanna Bichsel saw that millions of women lacked access to health products in Rwanda. So, Kasha listened to customers’ needs and pain points, and it designed a service that delivered tampons, contraceptives, and other women’s products in accessible and responsible ways. Kasha tapped into massive demand by offering unprecedented product choice, high quality, and perhaps most importantly, confidentiality to its customers, who are 65 percent low-income women. Kasha has seen 10 times revenue growth, and has now expanded to multiple markets across Africa. The woman-led startup isn’t stopping there: It’s adding pharmaceuticals, telehealth, and credit services—all to help women better access quality health care. Kasha learned that centering the unmet needs of the voices that are so often unheard was not just the path to more inclusivity, but also to create products specifically tailored for their customers, and succeed as a company.

The opportunities ahead

Whether it’s the values-based consumption habits of the next generation, new opportunities in growth markets, a coming wave of regulations in climate and Gen AI—Bob Dylan said it best—“the times, they are a-changin.”

Companies that plan for this future, this “there,” with value-loving consumers, more diverse needs, more access, more expansive geographies—will not only get “there,” they will reap the benefits, too. If you’re trying to make it through this tough, ever-changing market—inclusive design might be the best way to survive, and we’d love to help.

‍

(The figure for Patagonia's annual revenue has been updated for accuracy.)

We won’t get “there” by doing what got us “here.”

The question was a daily prompt, an experiment to help teams to have more candid conversations and increase their ability to collaborate with each other. Instead, an awkward silence followed.

The exercise was part of a partnership exploring the power of making with a global healthcare company. Together, we were designing for the organizational culture the company wants to have to achieve their strategic ambitions. This team’s role was to instill new ways of working for the whole company. They wrote the culture code. But they couldn’t quite articulate how they themselves were living it. Yet.

Their trouble answering the question wasn’t a failure—this work is hard. And it requires changing ingrained behaviors every day. So together, we worked with the team to make culture change tangible through real-world experiments (not just decks and frameworks) that helped ignite new behaviors through actions, not words.

What does that mean, exactly? As Roger L. Martin, strategy advisor to some of the world’s most successful organizations, explains, “The truth about culture is that the only way you can change it is by changing the way individuals work with one another. If you can change that, then you will find the culture has changed.” Changing how individuals work takes more than words, or artifacts, or processes (although those things definitely have a role to play). It requires action. That’s where design comes in. And that’s where our team started, by making a series of cultural experiments.

The goal was to learn about how we can change people’s behaviors and enable them to work differently. We collaborated with key teams and people who identified themselves as culture ambassadors. Together, we created tools and activities that would inspire action, and teach us how to change culture in this specific environment, because every org is different.

Here are some of the experiments we used to ignite action.

Unblocking decisions and flex support styles with a card deck

The organization wanted to become “networked”— meaning people would work more autonomously, with high accountability and clear communication between teams and their leaders (rather than linear, siloed teams). But if communication is lacking, and accountability isn’t clear, decisions in a network are made by consensus, and people don’t feel empowered to take ownership and use their ingenuity to solve problems. So we created two sets of cards to prompt better conversations between people and their managers.

One set of cards focused on unblocking decisions, by sharing questions (Is there psychological safety within the team making decisions?) and assigning clear roles that defined the level of involvement people have in making different decisions. Is someone supposed to drive a decision, or simply consult on it?

The other set of cards helped people articulate the type of support they need from their managers in a given moment, like coaching vs. problem solving—facilitating more open conversation about the type of leadership they need to thrive. These cards empowered managers to better support their teams, while empowering teams to be clear about what they need to drive good outcomes. They also proved that specific structure and language could prompt desired behaviors at scale.

One participant shared that after an initial conversation where she told her boss she was looking for a coach, he helped her strategize to draw on her strengths to achieve her goals. And when she wanted to share her “value with a broader group outside of customer-facing work and my immediate team,” she felt empowered to put that into action, which “would've never happened if it weren't for the initial coaching.”

Implementing a daily ritual to prompt collective reflection and candor

One of the most critical behaviors for creating a collaborative culture is regular, honest feedback between people. Done well, it builds trust and psychological safety among teams, leading to better performance. In this organization, teams rarely found time and space to give or gather informal feedback on the way they work. When it was positioned as a mandatory, formal task, it could feel exhausting.

Intead, we wanted to prompt small, regular conversations about collaboration. So we created a fun reflective tool based on a spin-the-wheel format:, an online generator that surfaces topical questions (like the one at the beginning of this article) to prompt candid chats. The questions run the gamut from silly to serious, and taught us the importance of making something fun if you want teams to build it into their existing routines. Questions like, “When has a new perspective helped you make a decision recently?” encouraged people to feel safe in opening up and reflecting on their behavior as a group.

Over time, reflection moments became something teams looked forward to. The questions changed the narrative so that employees could surface issues without fear of consequence, and resolve issues before they became problems. As one participant told us, “The energy was palpable in our group. It got to five minutes before the end of the session, and they still wanted to talk. Everyone wanted to do it again. It’s turning into something wonderful that we needed.”

Introducing an action journal to increase leaders’ self awareness

Many leaders recognize the importance of regular reflection and feedback sessions, but competing priorities get in the way.

To address that need, we designed a personalized action journal that fit into leaders’ daily work flow. The goal was to learn whether a tool that prompts regular self-reflection will result in an increase in leaders' self-awareness, helping them identify how they want to grow, and prompting them to seek more support.

Through this simple experiment, we were able to learn that creating dedicated space and time for reflective practices not only boosts leaders’ confidence, it models the value of continual learning and growth for others. One participant told us, “I've found it a nice and simple way to reflect on the things I've been doing, and connect that back to conversations with my own manager.”

Each of these experiments made new behaviors tangible by giving form, fun, and structure to otherwise abstract concepts. They helped people experience the potential value of new ways of working for themselves, demonstrating their function, and connecting theoretical culture change concepts with day-to-day work.

Culture change at any scale requires more than words; it requires action and application in people’s everyday experiences. Making change tangible through experiments is the quickest way to surface stories, build belief, and gather the evidence to support change at scale. Not every organization is trying to solve the same problem, and the same experiments won’t work everywhere. But for every culture problem at every company, there are tangible ways to drive change.

In a recent meeting with a new client, we asked the team, “What smart risks have you or your team taken recently?”

‍

We believe that period of time is fleeting and precious; it demands action, now.

We’ve jumped into the work with our clients, like Conservation International, Sage, The Earthshot Prize, and the Rockefeller Foundation. We’ve also headed to critical events, like COP 27, and, just a handful of days ago, New York Climate Week 2024 (NYCW). This year’s theme, It’s Time, reflected a clear focus on progress and case studies over goal-setting, both exemplifying the urgency of the work and highlighting the places where it’s actually in motion and making a difference.

On the ground, a group of IDEO design leaders hosted events at the kyu House to share how we can explore opportunities to tackle the climate crisis with creativity. We also heard from companies large and small, governments, activists, scientists and more about the state of the planet, the places where the damage continues, and brilliant and creative ways people are fighting to turn the tide.

Here are five insights from our time at NYCW.

1. The power of imagination was everywhere

The scale of the climate crisis demands action that matches its magnitude. Much of that progress is slow and deliberate for good reason. (It allows for thorough research, careful policy development, technological advancements, and proper stakeholder engagement to ensure effective and equitable long-term solutions.) But there’s also a need for bold, paradigm-shifting moves that can propel climate action forward at speed—and that requires imagination.

This year at New York Climate Week, I witnessed incredible creative solutions in spaces where regulation often leads the conversation. Hearing Vermont’s Attorney General, Charity Clark, share how the state used consumer protection laws to win its lawsuit against Exxon for greenwashing demonstrated how existing legal frameworks can be repurposed to address climate challenges. The state also created the nation’s first "Climate Superfund" to hold Big Oil accountable. This law empowers Vermont's Attorney General to pursue payment from major oil companies for a share of climate change costs incurred by the state since 1995, based on their products' global contributions to the problem.

This case exemplifies how challenging the status-quo with courageous creativity can make a real impact on climate challenges. Imagination isn't just a tool—it's a catalyst for real change.

—Nazlican Goksu

2. The Climate Era calls for integrating AI and nature—not choosing between them

In the early months of 2024, I observed a concerning trend: leaders shifting priorities and budgets toward AI innovation at the expense of climate initiatives, as if the two are mutually exclusive. This is a false choice. The Climate Era demands a transformation where technology and nature are not opposing forces but complementary allies.

However, it was reassuring to see numerous events and active participation on the topic of Climate and AI, with leading organizations from unexpected industries—like big tech—leaning into the conversation with practical applications aimed at tackling complex planetary challenges. AI, technology, and nature will be the foundational building blocks of future organizations.

Good design starts upstream; it begins by questioning why we seek technical solutions and how they can align with sustainable goals. When harnessed thoughtfully, AI can amplify our efforts against climate challenges—from faster wildfire detection to monitoring coral reef health and predicting deforestation. My takeaway is clear: Integrating AI into climate action isn’t just possible; it’s essential. But ensuring that all eight billion people on the planet can participate in designing and benefiting from AI climate solutions in an equitable way remains one of the most critical challenges of today.

—Sergio Fregoni

3. Approaching tipping points underscores the importance of fresh visions

NYCW and the UN General Assembly converged at a moment of realized tipping points. A big one? For the first time, the Amazon rainforest has shifted to a net emissions source. That context flavored a week that felt urgent, deep in execution, and…joyfully rebellious. To meet this shifting moment, we created an experiential journey focused on the question “What if we get it right?” with the Rockefeller Foundation, scientist Dr. Ayana Elizabeth Johnson, journalist Elizabeth Kolbert, and climate change leaders from Amazonia and Latin America.

Design has an immersive power to reach hearts beyond minds, and we explored realistic but proactive climate futures through the senses: tasting Ecuadorian biodiverse forests in a gummy, seeing arid landscapes through a viewfinder, touching seeds of regeneration, and hearing indigenous voices. Inspiration, but also rigorous practicality, driven by those living at the frontlines.

These experiences brought into relief how important it is to make big bets to break and transform consumption, value, and culture. Incredible people are building pathways (lifeboats) to the future on this swiftly tilting planet, but those with the power to change course continue to drive us toward collapse. I’m heartened by those working around this system. Onwards.

—Natalia Vasquez

4. Connecting with inspiration and support beyond your area might be critical...

‍Imagine you could float above New York during Climate Week and take stock of all the people, ideas, and resources present in the city at the same time. Much of what we need to address the challenges of the Climate Era already exists. But it’s extraordinarily difficult for various pieces of the puzzle to find each other—if they even know they’re there at all.

This year, I was privileged to hear about a set of amazing projects being pioneered across Latin America by the first cohort of The Rockefeller Foundation’s Big Bets Fellowship; I was grateful to moderate an energetic conversation among sustainability leaders from the global business travel sector; and I was excited to be in the room as teams from some of the world’s leading businesses advanced their ambitions for climate action by asking themselves seemingly impossible questions.

But what if all these people had met each other, and perhaps helped each other? And what if that happened not just by happenstance, but by design, so that people who perhaps aren’t even aware of each others’ potential can find each other faster and more meaningfully? What might that have unlocked? My takeaway from NYCW is this: We need to design better ways to build the jigsaw puzzle to bring these changemakers together—and fast.

—Alex Gallafent

5. …but exploring new ideas and relationships internally is just as important‍

During our Space Between Urgent and Impossible session, focused on pushing past boundaries to find novel solutions, I was struck by the response from one of the teams. They realized that they never get together to talk about big or new ideas. We all spend plenty of time networking with others outside our organizations on the climate challenge, but maybe there is an opportunity to spend more time having conversations, building relationships, and exploring bigger ideas inside. These conversations benefit from being structured and intentional—a safe space where new thinking can emerge outside the constraints of short term considerations.

—Tim Brown

‍Did we miss you at Climate Week? Need help kickstarting a climate project of your own? Get in touch.

‍

Much of our work at IDEO is framed by the idea of the Climate Era: that we are now in a fixed period of time when humanity's understanding of the challenges of the climate crisis is still matched by its ability to meet them.

It’s helping us better understand fundamental biological processes like protein folding, and bringing the open source movement to human gene editing. But as designers and technologists, our focus extends beyond the data to consider how AI can impact the human experience. We are committed to harnessing AI’s potential to not only improve processes, but also to enhance lives.

William Gibson once said, "The future is already here–it's just not evenly distributed." This is particularly true in healthcare, where the adoption and impact of AI varies widely. In some health systems, experimentation with AI is already having an effect on patient and provider experiences. In others, it's primarily a tool to cut back office costs. And in far too many, it’s nowhere at all. Our goal is to smooth this distribution a bit, uncovering the benefits of AI that can address the core human need to be seen, understood, and cared for. Here are some key applications that could move that effort forward.

Close observation 

AI’s ability to be omnipresent, listening, and interpreting is one of its most promising capabilities. Tools like Abridge Inside are transforming patient interactions by summarizing provider-patient conversations and generating care plans in real-time, directly integrating them into medical records. This kind of ambient documentation is changing how both providers and patients relate to care visits by reducing the administrative burden on providers and improving patient understanding of their care plans with clearer and more tailored visit summaries.

In skilled nursing facilities, where high patient-to-staff ratios are common, Care.ai’s Smart Care Facility Platform uses ambient intelligent sensors to monitor patients closely, reducing the workload on healthcare providers. This technology is a step toward integrating AI into clinical settings, allowing for more efficient and personalized care, and making sure that no patients fall through the cracks.

Early combinations of AI and robotics have pushed the possibilities of who—or what—might be able to deliver care. During the COVID-19 pandemic, Boston Dynamics, MIT, and Brigham and Women’s Hospital used a Spot robot equipped with sensors to remotely monitor patient vitals, with the goal of reducing healthcare worker exposure to COVID-19.

We’ve seen similar innovations in more everyday settings, hinting at what might happen when these kinds of ideas scale. At the MIT Media Lab, the Fluid Interfaces group has developed a conversational memory aid designed to assist with daily tasks. This device, which works on commercially-available hardware, offers a glimpse into the future of AI-driven, unobtrusive memory augmentation. It’s a small but powerful example of how AI could be used to support cognitive functions in everyday life, improving everyone’s ability to navigate logistics and to make more meaningful social connections.

At IDEO, we’ve experimented with similar AI in more informal settings. Our colleague Danny DeRuntz developed a Slackbot that helps users catch up on conversations by summarizing messages and even creating whimsical “sauces” that capture the week’s vibe. While this may seem light-hearted, it underscores the potential for AI to bridge gaps in communication and reduce the cognitive load in professional environments.

Hyper dynamic tools

Healthcare has long been plagued by poorly-implemented and difficult-to-use technology, particularly when it comes to electronic health records (EHRs). AI is now driving the development of hyper-dynamic tools that can adapt to the needs of individual patients and providers, from device technicians to specialized neurologists. Epic, the premier EHR provider, is currently trialing more than 60 AI-driven use cases across health systems, with the ambition to significantly improve the user experience by making EHRs more responsive and less cumbersome. Of course, efforts like this to significantly decrease the time burden of using EHRs have been tried before, with very mixed success.

Startups are also using AI to address healthcare’s continued reliance on outdated technology. Tennr, for example, is using AI to interpret and send faxes—which are still used surprisingly often in healthcare—while Hippocratic AI is automating workflow calls like discharging patients, remote monitoring of health conditions, and pre-procedure preparation that would otherwise require human intervention. These innovations suggest that new technology may even be able to solve some of the problems created by older ones.

Beyond healthcare, we’ve seen AI used in similar ways to tackle everyday tasks. Google’s Duplex AI is a prime example, capable of autonomously booking appointments by making phone calls that sound eerily human. This kind of task-specific AI reflects the adaptability we hope to see in healthcare tools, enabling them to meet the unique needs of each user. Importantly, this use case is from 2018, long before our current and much more capable crop of AI tools came to market. Imagine Duplex being applied for appointment scheduling, medical supply chain tracking, and even up-to-date clinical fact-checking. We are likely close to a future of customizable, or potentially even fully-DIY tools that can take on some of our daily health tasks.

Enhancing empathy

One of AI’s most human, and therefore most controversial, potentials lies in enhancing empathy within healthcare. Studies have shown that AI tools, like ChatGPT, can often deliver more compassionate responses than human physicians. This raises important questions about how scalable machine empathy could be and what it means for patient care.

In simulation environments, AI is being used to model entire hospital systems, where each staff member and patient is represented by an AI agent. These simulations can not only improve AI performance, but also reveal the emotional pressures of a workflow and the impact of misaligned incentives, offering new insights into how we design and manage healthcare systems.

Cultural projects have also explored the concept of AI-driven empathy. For example, Laurie Anderson worked with the University of Adelaide’s Australian Institute for Machine Learning to create a Lou Reed AI that replicates her late husband’s voice and style. While acknowledging that this bot is not her husband, she finds value in the creative collaboration she gets from writing with it. Although this might seem like its applications are a long way from healthcare, this project highlights AI’s potential to engage human empathy through emulating personality and style—an area that could have profound implications for patient interactions in the future.

Escalating negotiations

The automation of prior authorization processes is a double-edged sword. AI can streamline the filing process, making it faster and more efficient, but speed can come at a cost. The recent revelations about Cigna's use of AI to deny claims in mere seconds is a concrete example of how AI can be used to prioritize efficiency over compassion, leading to significant concerns about denial of patient care.

Similar dynamics have played out in consumer markets. Amazon’s Hands Off the Wheel program, which automated pricing negotiations between Amazon and third party sellers, led to significant changes within the company, including layoffs and a restructuring of teams. AI-driven automation can fundamentally alter business processes, a trend that could similarly impact healthcare as AI continues to evolve.

AI is even transforming the landscape in businesses like telemarketing. The Jolly Roger Telephone Co. uses AI to keep telemarketers on the line, wasting their time and protecting consumers from unwanted calls. This creative use of AI highlights the ethical considerations that come with automation—questions that are equally relevant in the high-stakes world of healthcare.

Custom weirdness

Personalized medicine has long been a buzzword, but AI is pushing the boundaries of what personalization can truly mean. Gene therapies, for example, have seen breakthroughs with 36 FDA-approved treatments and hundreds more in the pipeline. AI’s ability to better map our bodies and molecules promises even more tailored treatments, but it also raises important questions about safety, responsibility, and the ethics of such deeply-personalized interventions.

In mental health, companies like Tripp VR are using AI to create hyper-personalized, generative meditation experiences. While this might not appeal to everyone, it demonstrates the breadth of care opportunities that AI is opening up, particularly in areas like anxiety and chronic pain management.

Beyond the clinic, platforms like Character.ai, where users create and interact with custom AI personalities, highlight how quickly consumers are adopting AI-driven personalization. This trend could spill over into healthcare, where patients might soon expect—and demand—highly-personalized AI presenting care solutions.

At the fringes of this trend are biohacking enthusiasts who are pushing the limits of personalized health. Some are experimenting with gene-edited bacteria that produce alcohol instead of lactic acid (preventing cavities), or antibiotics that kill competing oral bacteria. While these innovations are not yet FDA-approved, they signal a potential Cambrian explosion of personalized health interventions driven by consumer demand.

The road ahead

AI has the potential to be a true collaborator in healthcare, helping practitioners see patterns across modalities that are not visible to individual people. It is our responsibility as designers, technologists, and healthcare professionals to ensure that AI tools are developed with the needs and perspectives of all stakeholders in mind.

As we move forward, we must embrace experimentation and collaboration, ensuring that AI not only enhances healthcare efficiency but also contributes to a more humane and empathetic system. The future of AI in healthcare is promising, but it requires us to actively engage with these tools and guide their development to serve the greater good.

For us, that means leaning into human-centered design, and putting people and their needs at the center of the process. That’s how we work with our clients to build desirable and responsible futures, and to understand how our technology choices will impact participants in the health system. It’s also why we believe so strongly in co-design, working alongside the folks we’re building new health tools for, as we did with teenagers in California to build Soluna, a mental wellbeing app for the state’s young people, which we made in partnership with Kooth. Because when we’re building health tools with emerging technologies like AI, it’s critical that we go beyond doing no harm, and build the right solutions for patients and providers. 

(This piece was adapted from a talk delivered at the American Medical Informatics Association®  Clinical Informatics conference.)

AI is broadening how we derive meaning from data, offering new perspectives that were previously inaccessible to most.

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.