D4V is a Tokyo-based early stage Venture Capital in partnership with IDEO. Two years ago, D4V invested in healthcare startup Ubie, which develops a service called AI Monshin Ubie. The digital service was created with the goal of reducing the burden on healthcare professionals working long hours, under harsh conditions. AI Monshin Ubie automates a number of patient registration and documentation processes through digital tools, enabling doctors to spend less of their time on manual paperwork, and to dedicate their valuable skills and attention to the patients themselves. Currently, the service is installed in 200 medical institutions in 41 prefectures across Japan.

With AI Monshin Ubie, patients fill out preliminary forms on a tablet, rather than paper, entering information about their health history and current symptoms directly into their digital medical record. As patients fill out the questionnaire, the Ubie AI generates questions in real-time according to patients’ responses, which results in more appropriate and accurate data. The patient’s responses are automatically formatted for the doctor to review prior to and during the consultation. As a result, doctor consultation times and facility operation times are drastically reduced.

With the Coronavirus raising fears of a possible health system breakdown, Ubie has made improvements to anticipate and possibly prevent in-hospital infections. Until recently, Ubie’s services have been primarily used by large hospitals; but in light of the global health crisis, Ubie approached D4V—who partners with IDEO—to help rethink the onboarding experience and quickly facilitate the introduction of AI Monshin Ubie in regional clinics across Japan. D4V and IDEO have been working with Ubie for many years to collaborate in various areas, including UX, rebranding, international research, and more. Therefore, they had a foundation of knowledge from which to build these new features.

Typically, AI Monshin Ubie has been introduced to new hospital clients through direct, in-depth instructional visits from Ubie sales staff. This approach has worked well for rolling out the product to Japan’s 8,000 large hospitals; but for the 100,000 smaller clinics, Ubie needed a more efficient onboarding method to enable staff to get set up smoothly and independently.

During research, D4V and IDEO team members engaged with many different clinic staff members, including full-time doctors, part-time doctors, nurses and receptionists. The researchers found that staff tend to react skeptically to new tools and services, with a common preconception that they will add to their workload. One clinic director’s first impression of AI Monshin Ubie was, “It looks complicated.” But once he actually used the service, he realized that it was very user-friendly.

The team quickly understood that it was important to remove preconceptions by clearly communicating Ubie’s benefits and ease of use. They created a two-minute animation and designed three separate guidebooks. The animation adopted a friendly tone and expressed empathy for doctors, staff members and patients, highlighting how Ubie can bring benefits to each of them. The animation showed how Ubie fits into the existing workflow and explained complex systems in a straightforward and accessible way.

WATCH: A short video clip explains the benefit of their product and service to avoid the users’ concerns in advance.

The guidebook for doctors and directors explains how Ubie’s AI smooths the patient consultation experience and greatly improves the quality of medical care. It also introduces concrete how-tos around set-up, implementation, and ideal workflow. FAQs were also included, addressing concerns about whether or not elderly people would be able to use it.

Ubie business development leader Kenji Yamada says, “D4V and IDEO have a deep understanding not only of design, but of our entire business. They provide inspiration by bringing experience and knowledge that comes from working with other industries and clients outside of healthcare. We appreciate that they can share the knowledge that they’ve obtained with our business.”

Read the Japanese-language version of the Ubie case study here.
When You Feel Unwell, Ask Ubie: Check your symptoms for free
Learn more about Ubie: Global Company Website

In the emergency room, an intervention that’s administered too slowly could cost a patient their life. With COVID-19 fueling a surge in acute respiratory conditions, intubation—a procedure that involves inserting a tube through the mouth or nose and into the airway—is more common than ever. For patients struggling to breathe, the tube can be connected to a ventilator that pumps oxygen to the lungs, keeping them alive.

While a laser-focus on the present is critical for successful patient outcomes, hospitals and physicians often don’t have time to look ahead and anticipate the future of the operating room experience. As technology rapidly improves, there is a ripe opportunity and pressing need to evolve medical equipment to be more innovative and intuitive. Verathon Medical, a global medical device manufacturer, is supporting health care providers at the cutting-edge of care.

Verathon approached IDEO to redesign the existing product system for laryngoscopies and bronchoscopies—procedures that examine parts of the throat through intubation. During these examinations, a tube with a camera embedded in the tip is inserted through the patient’s nose or mouth. The doctor can then see inside the throat on a video monitor, and therefore more easily and quickly intubate and perform the exam.

To create a groundbreaking device, the team observed over a dozen laryngoscopies, bronchoscopies, and intubations. They noticed that many anesthesiologists relied on fixed equipment during the procedures. For example, some had grown accustomed to looking over their shoulder—away from the patient—to view the monitor.

During interviews, physicians and residents expressed difficulties with the current technology, sharing that the small screens aren’t conducive to team viewing or student instruction, and they must often use a separate computer to record patient notes. Others reported frustrating workflows, needing to constantly divert their attention and move their hands between the patient, prep tray, monitor, sterile bin, and disposal bin. These inconveniences and inefficiencies are not only cumbersome, but can increase the risk of infection and fatality.

The team relied on these insights to start designing a next-generation product. Through sketching, storyboarding, and building in real-time alongside doctors and clinic staff, designers quickly teased out additional findings and validated concepts.

This work led to the creation of the GlideScope Core: an all-in-one, portable product system that supports both video laryngoscopies and bronchoscopies. The base of the device—a wheeled cart—has built-in storage units for tools and a disposal bin, offering more mobility and accessibility for medical professionals.

The product’s tagline, “see more, do more,” points to the improvements made to the video system, including a large 10- or 15-inch high-definition touch screen monitor. Displayed images can be enlarged and rotated 180 degrees for improved visualization, team viewing, resident training, and classroom demonstration. To help doctors keep both the patient and monitor in their line of sight, the detachable screen can be secured to an adjustable arm that can be positioned directly over the patient. Additionally, the monitor’s patient annotation feature gives staff access to more of what they need in one device.

The product has been especially valuable for providers and patients during the coronavirus pandemic, when it’s imperative for doctors to keep their distance from patients’ mouths and noses. The GlideScope Core’s movable, detachable, and large, high-definition monitor makes it easier to take this precaution and intubate more quickly. This usefulness is reflected in the 5-fold increase in cart-based device orders for Verathon. While most providers typically order anywhere from 1 to 20 devices for airway procedures, one hospital system requested 600 GlideScope Core systems to meet current intubation demands.

Through modern technology and a focus on human needs, the GlideScope Core supports improved patient outcomes and creates a more seamless operating experience for medical professionals. The product underlines the key but often overlooked fact that often, in order to ensure the healthcare industry is patient-centered, medical device manufacturers and hospitals must also focus on improving the experience of providers.

Healthcare is notoriously difficult to change. Rules and regulations present complex barriers; health practitioners and organizations often have entrenched ways of working; and lives are literally on the line. Despite these significant barriers, the leaders at Newton-Wellesley Hospital (NWH) boldly committed to improving patient care through a new approach.

NWH is a community teaching medical center in Newton, Massachusetts. Because of its proximity to Boston—a city known for world-class healthcare institutions—NWH needed to differentiate itself. The hospital's new president, Dr. Michael R. Jaff, reached out to IDEO for help: "I knew that providing an unparalleled patient experience would set us apart from our competitors." But, Dr. Jaff’s particular approach was unique. He and Dr. Jodi Larson, Chief Quality and Experience Offer (CQXO), saw an opportunity to drive better patient outcomes through cultural and organizational change.

"You cannot learn any more than when you get to listen to your potential patients say why they would never walk into your place." —Dr. Michael R. Jaff

IDEO partnered with NWH for a year of work together, kicked off by defining the vision for NWH and ramping up to in-hospital prototyping and the launch of several new initiatives. A pilot project with the Women's Imaging Center (WIC) focused on solving departmental and employee challenges to provide a better experience for women getting mammograms.

Fueled by this potential, the WIC team redesigned key work processes and created a set of experience principles that inspired new service prototypes. Guided by principles like "Express mutual gratitude" and "Honor every voice," the WIC team tested ways for patients to acknowledge outstanding caregivers and created tools to gather better feedback from patients and adjust quickly. The experience of designing better services inspired the WIC staff to become ambassadors for the power of design thinking across other departments inside NWH and they continue to build on the work through new prototypes and experiments.

Next, IDEO partnered with NWH’s ambulatory surgery group. They took an analogous research trip to Boston’s Logan airport to see with fresh eyes how other high-touch customer service organizations provide customer value in a complex setting. Insights from the trip were applied through live prototyping of several new experiences inside the hospital, including a pre-surgery visit summary and pre-operation care carts.

Analogous research helped us realize that we can learn from other industries and incorporate some (cool) best practices if we allow ourselves to get over the ‘that would never work in the hospital’ mentality. - Dr. Jodi Larson

One of the most impactful prototypes was Care Modes, a tool to empower the NWH care teams to tailor their approach and interaction with patients based on the patients’ unique needs, beyond simply their clinical requirements. Four distinct approaches were identified for engaging a patient before surgery—Explain, Partner, Embrace, and Encourage. The Care Mode is determined based on the provider's understanding of a patient's degree of self-advocacy and their confidence that surgery is the best solution to their issue.

Historically, care providers have been trained to deliver consistent care above all else. However, Care Modes powerfully acknowledge that patients respond differently to different types of care. The Care Modes empower the team—from surgeon to nurse to anesthesiologist—with a clear framework for how to interact with and provide care for patients so they feel most comfortable. Based on the prototype's success with patients and impact on the staff culture, NWH has incorporated Care Modes into EPIC, the hospital's electronic medical record.

The importance of being patient-centered has been central to the healthcare conversation over the past thirty years; but new explorations reveal that there’s far more potential for innovation and improvement when the provider experience is considered in tandem with the patient’s. Each enables the other, and design for both together yields stronger solutions and better outcomes. IDEO's work with NWH demonstrates this vital shift in user-centered healthcare—one can't design services and experiences for patients without designing for their providers’ culture as well. When these go hand-in-hand, meaningful institutional change in healthcare is more than possible.

The mission of Chicago's Museum of Science and Industry (MSI) is to inspire children to achieve their full potential in the fields of science, technology, medicine, and engineering. Leaders at MSI realized they needed to drive day-to-day operations and maintain historic exhibits while focusing on where to go next. To prepare for its next decade, MSI worked with IDEO to create a new business focus to support the museum’s aspirations for the future. The plan would allow MSI to respond to the demands of the marketplace and raise the funds to get there.

At the beginning of the project, MSI laid out its priorities: improve equity of access, enhance the museum experience, and create a more innovative culture. To dive into each of these areas, IDEO conducted immersive research with families, teachers, donors, and staff.

IDEO brought together 60-plus donors, board members, and staff members to engage in a design thinking exercise to unpack and address the tensions that come with choosing a new strategic trajectory. Instead of having a standard ballot vote, the IDEO team encouraged participants to get up and vote with their feet, helping the group of stakeholders physically align on the museum’s new direction.

At the end of the research and prototyping phases, MSI and IDEO developed a vision called Provoking Minds, Inspiring Futures, creating six detailed design briefs to equip MSI teams to bring initiatives forward. The briefs laid out everything from recommending a new Department of Next, dedicated to ensuring that the future is at the heart of everything the MSI does, to MSI Runway, a place for experimental, small-scale, and limited-run exhibits. The ideas were brought to life with an interactive exhibit, built quickly with everyday materials like plywood and circuit boards, to demonstrate that creating an inspiring vision of the future doesn’t have to be an expensive endeavor.

The team also focused on insights that highlighted accessibility issues some families brought up early in the design process—travel across the city via public transportation can be lengthy, and the cost of admission to special exhibits could be prohibitive. To address these concerns, IDEO came up with the Mission Accessible brief: Inspired by casino buses, MSI bus stop signs would be posted in various low-income neighborhoods, signaling a way to take kids and families to the museum for free.

During the project, the IDEO team identified some low-hanging fruit, like rethinking ticketing and improving the student field trip experience, and helped the museum create cross-functional innovation teams to apply design thinking skills towards solving those challenges. They researched, brainstormed, and pushed forward new concepts, meeting weekly to share and build on ideas. At the end of the four week period, each team prototyped their ideas—new outdoor programming, software tools for visiting tour groups—and pitched them to each other.

In 2019, two years after the conclusion of the project, the collaboration paid off. With its new strategic plan and additional resources, the museum has renewed its commitment to serving youth, and MSI’s team, including donors, are aligned on a collective vision of the future. MSI raised more funds than in any previous year, including the single largest gift in its history—$125 million, nearly half of its $380 million fundraising goal—that will help ensure the years ahead.

I took this picture last summer while I was back home in Istanbul. Summer in Istanbul is very, very hot. Sometimes the mercury in the city gets up to 113F. It’s pretty unbearable.

On toasty afternoon, I took this picture of a bunch of people capitalizing on the shade in a park to avoid the sun. At that time of day and year, the shadows defined the usable space within the park.

From a design researcher’s perspective, this picture says so much about how the sun and shade affect how we interact with cities and spaces. Sometimes design is all about constraints.

It’s a great reminder of all the factors to consider when we design for urban environments. Or a great reminder that nature is a designer, too.

Human-centered design requires us to observe human behavior with beginner's eyes, so that we can spot the innate ways people interact with the world around them. We call these intuitive and unconscious reactions thoughtless acts, and IDEO designers collect photos of them to inspire the invention of new products, services, and experiences.

In 2015, I spent a month in an Airbnb that doubled as an art studio. Upstairs, there was an airy drawing room where my host taught scientific watercolor classes. In the garage, a multimedia artist named Diego had built his own 3D printer and spent his time creating furiously—everything from ink paintings to cardboard sculptures to warped digital imagery. I started spending my afternoons in the garage, watching him work and quietly editing travel photos, hoping to soak up some of the creative juices.

One day, after over-contemplating whether the photo of three chairs I had just edited was art, I worked up the courage to ask, “What do you do with all of the stuff you make? When does it become art? What does it even mean to be an artist?”

First, he laughed.

Then, Diego opened up his laptop and plugged in his external hard drive. A few clicks later and we were deep inside his folders, files, and spreadsheets. "This," he said, "is what I do with all of the stuff I make." He showed me how he edited and selected images in Photoshop, created cohesive photo series, added titles and captions, wrote artist statements, meticulously noted the date/medium/size of each piece and how they should be displayed, exported PDFs, and organized the files by theme. He showed me his spreadsheet of deadlines and requirements and contact information for calls for entries, residencies, conferences, and shows.

I felt like I had just pulled back the curtain on the Wizard of Oz. The image I had in my head of the artist as natural born creator was just the front end, hiding the logistics of what it takes to really make it work as an artist. Creativity as an effortless, inherited talent was a myth.

I found comfort and familiarity in Diego’s near-obsessive organization and realized that my love of structure and systems isn’t actually at odds with artistry. In fact, formal processes can unlock new ways of thinking and doing. Structure can reduce the mental and digital clutter that often blocks people from actually making things. If categorizing and list-making and data visualization gives me creative confidence, then so be it. Knowing I have an entry point into the world of creativity has made it much easier to dive in.

Today, as a business development associate at IDEO, I sit at the intersection of creativity and strategy, art and operations, design and business. Though I am in near-constant awe of the making and creating that seems to flow from the fingertips of my deeply talented colleagues, I know that design doesn’t just happen. Behind the curtain of creativity, there are layers and layers of order, process, painstaking detail, and hard work. These days, I find just as much beauty (and madness) in the back end.

Diego de los Campos is a multimedia artist from Uruguay who currently resides in Florianópolis, Brazil. His work can be found at diegodeloscampos.wordpress.com

I’ve never considered myself an artist. My handwriting is too neat, I enjoy coloring between the lines, and I don’t always get poetry. I imagine artists as forces of raw, unbridled creativity—messy, like mad scientists, but with more color, magic flowing out of their fingertips like a scene from Fantasia. I, on the other hand, live and die by my Google Calendar.

Name: Evin Dempsey
Location: Tokyo
Role at IDEO: Communications Design Lead
Joined IDEO: Freelanced from 2010 to 2012 in IDEO Shanghai; joined IDEO Tokyo in 2013
Social Media: I abstain. Better for the heart and soul :)
Titillating Fact: At the age of 10, I had about 46 hamsters in my garage in cages that I made myself from scrap pieces of timber. I used to breed them and sell them back to the petshop for a quid each.

1. Inside

Inside is a puzzle platform game from Playdead, a small, independent game studio in Denmark. It’s an absolute masterpiece of storytelling, art direction, animation, sound design, and even camera work. Each frame of this game is meticulously designed, from the bubbles in the water to the flicker of the torch. It’s the culmination of a very talented team of designers, programmers, and storytellers. The plot follows a young boy as he attempts to escape from a forest. Along the way, he encounters various puzzles and obstacles that help to reveal more details about his predicament. It's quite possibly the best game I've ever played.

2. Nozawa Onsen

Though it’s not very well known outside of Japan, Nozawa Onsen is a mecca for Japanese snowboarders. Located in the northeast of Nagano prefecture in western Japan, it is home to waist-deep powder as well as several onsens, or natural hot springs. It’s a winter sports enthusiast’s dream come true. The hot springs scattered all over town are also free for anyone to enjoy. I try to go at least twice a season. If you like powder, or japow as we foreigners like to call it, then you'll love Nozawa.

3. Don't Sleep, There Are Snakes by Daniel Everett

A man moves to a country he knows absolutely nothing about, learns a language, changes his outlook on life, and loses his faith. Having spent my life split between eight different countries, and having a special affection for nearly all of them, this tale rings true to me. It’s an amazing account of one man's evolution as he makes his home in the Amazon rainforest. The story is universal, but the book is of special interest to people who are intrigued by linguistics and language. I couldn't put it down.‍

Header image by Mark Solarski.

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

In one sentence, who are you?

I am a human being who creates art, films, and cultural movements that inspire curiosity and connection.

What do you do? How did you learn it?

I do a lot of things, all of which are self-taught. First, I was an art director at Venables Bell and Wieden+Kennedy Amsterdam. Then I became an interactive artist making large-scale community driven projects, like Selfless Portraits, Last Photo, and Snail Mail My Email, and I published a book. And more recently, I’ve become a film director.

A lot of my work explores human connection and connecting with strangers, which comes from getting bullied as a kid and becoming fascinated with how people interact and treat each other. My biggest piece of advice in learning a creative skill is to stay curious, keep experimenting, and try reaching out to those who inspire you. That’s basically what I’ve done over and over again to get to where I am today.

Snail Mail My Email is a community art project where volunteers transform strangers’ emails into handwritten letters, free of charge.

What are your three favorite possessions?

1. My stuffed animal Snuffleupagus, which I’ve had since I was born.
2. Handwritten letters from over the years.
3. My data.

I had a house fire five years ago and lost nearly everything. It showed me that most possessions are replaceable. It’s my creative ideas and material that are most prized.

What does a typical work session look like for you?

I don’t really have a typical work session; my days are split between working in the studio, traveling to give a talk, going out to make a film, or working on-site with a client. I really like this balance of working with a team and working in solitude. I need this constant mix of circumstances to keep me both energized and recharged.

Signs of the Times explores the personal, human stories behind protest signs, without ever showing the sign holders’ faces.

How do you get over creative block?

I can’t really work if I’m in a messy or loud environment. So my studio needs to be immaculately tidy and quiet. That’s the first thing.

Secondly, I’m very sensitive, and so often a creative block means an unresolved emotional conflict. Taking the time to journal, find closure in a relationship, or talk to my therapist are all good things.

Finally, I get over creative blocks by making new work (that may not be great) and not judging myself for it. Creative block happens when my standards get so high that I become fearful of not meeting some expectation and get paralyzed. The important thing I have to keep reminding myself is to have fun and to not take everything so seriously, because nothing really matters and we’re all going to die!

The ‘Last Photo’ Project is an ongoing video series where Ivan asks strangers in different cities to share the last photo on their phones.

How do you see the world in 2078?

Optimistic version: We’ll live in a post-digital age where we've gone back to appreciate the simpler things like nature and meditation. Our lives will still be digitally integrated, but it'll be much more seamless and we’ll place greater value on taking breaks from tech.

Dystopic version: Life will be lived within a virtual reality headset and/or brands will be more invasive than they are now. On cars. On skin. In our homes. We will make money by consuming ads.

Who are you (creative) crushing on lately?

My dancer/choreographer friend Jacob Jonas who is killing it right now.

Moonlight director Barry Jenkins.

Valerie Luu and Andria Lo’s photography project Chinatown Pretty.

American Honey director Andrea Arnold.

Ivan Cash got his first job in advertising by getting arrested—for selling t-shirts advocating for the firing of Knicks coach Isaiah Thomas. No joke. After a stint in that world working for Venables Bell & Partners and Wieden+Kennedy, he set out on his own to explore a different kind of client—everyday people. His projects, whether about protest signs or the last photo someone took on their phone, are a deep dive into how the images we create help tell our stories. In this first installment of Creative Crushes, I caught up with him over coffee to find out what he's been up to.

I help organizations cut through complexity by shaping how they show up, through brand strategy, identity, and storytelling.

Working at the intersection of brand and business, I bring an editorial eye and a bias toward making—turning ideas into tangible experiences that people can understand, trust, and believe in.

My work spans government, healthcare, financial services, media, and consumer goods, from launching Gen Z-focused ventures to building innovation labs and reimagining legacy brands. I relish moments of ambiguity and enjoy translating across teams, perspectives, and priorities to move ideas forward.

I started my career in editorial and digital design, shaping cross-platform experiences and identity systems in publishing and agency environments. That foundation still shapes how I work today: I’m detail-oriented, collaborative, and overreliant on the Oxford comma. I hold a BFA in Visual Communication from the School of the Art Institute of Chicago.

For 25 years, I've asked the same question: Who does this design exclude—and what are we going to do about it?

My work spans human-centered strategy, inclusive design, and qualitative research, with clients ranging from Microsoft, Google, and Verizon to the National Science Foundation, and San Francisco Unified School District.

Before IDEO, I taught elementary school in East Palo Alto and spent a decade doing design work with social service organizations—where I learned firsthand what it costs people when systems are built without them in mind.

I am currently writing User Error, a nonfiction book about digital access and the design decisions behind it. I live in Oakland, California.

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My expertise spans brand, communication, and product design across tech, education, the arts, and social impact.

I believe great work demands both high-level vision and obsessive attention to detail, and only happens through collaboration.

I bring an inclusive, hands-on approach and a deep understanding of business, which enables me to consistently deliver excellence while always asking why.

Before joining IDEO, I worked at the brand firms Pentagram and VSA Partners. I began my career as a designer, leading teams at the School of the Art Institute of Chicago and the Milwaukee Art Museum. I hold an MFA in graphic design from Maryland Institute College of Art and a BFA in communication design from the Milwaukee Institute of Art & Design, and have taught at some of the best design schools in the US.

I am responsible for IDEO’s long-term success in China and working with clients to use design as a tool to enable growth. Specifically, I have helped Chinese companies design holistic brand solutions through the development of their products, communication, services, and innovation teams, and I have helped multinationals expand their presence and influence in China.

I advise global leaders on developing China-led innovation and capabilities.

In over 15 years in IDEO Shanghai, I have worked on projects that use design to elevate the quality of the experience of healthcare products and services, streamline processes that increase productivity, create spaces and programs that promote and enable inclusive communities, and build next generation mobility solutions that are planet-positive.

Before joining IDEO, I worked at Philips Electronics and the Electrolux Group in Italy, the Netherlands, and Singapore on a number of breakthrough commercial products. I am a member of the Young President Organization in Shanghai.