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.

To better understand the madness of the focus group, I decided to do a bit of research on how it came to be.

The story begins in 1938, when a psychoanalyst named Ernest Dichter left Vienna to escape the Nazis and headed for the US. When he arrived in New York, he made an interesting career decision. Instead of helping individuals understand their problems, he decided to offer his psychoanalytic services to corporations.

One of Dichter's first clients was General Mills, which had a problem with its Betty Crocker cake mix. Its food scientists had formulated a dry mix that required only the addition of water. Once placed in the oven, it miraculously blossomed into instant cake. But after a good start, sales flattened. The executives were baffled: The product was more convenient. Why weren’t the housewives buying it?

Dichter gathered groups of women and put them through exercises derived from Freud’s methods of probing the unconscious, including free association and Rorschach tests. He explored their feelings about relationships and their role in the family. And then he started asking them about cake.

What he took away from these sessions was that cake was more than just a sweet baked product. It was loaded with sexual symbolism. He was particularly fascinated by the ritual of the wedding cake, which featured the husband taking a long knife and plunging it into the white cake.

His conclusions, like a good cake, were multilayered. First, the cake was symbolic of the wife’s relationship to the husband, and so she felt guilty making it by just adding some water to powder. Second, the sexually charged nature of the cake meant that it had associations with fertility, even childbirth.

Ernest Dichter and a Betty Crocker ad from the 1950s that anoints cake as the great unifier—almost as good as make-up sex.

His solution to these complex issues was simple: General Mills should remove the powdered egg from the formulation, and instead require housewives to add their own fresh eggs.

It’s hard to know whether the executives were swayed by Dichter’s Sexual Theory of Cake, or whether they liked the fact that removing the eggs would save money. Either way, they took his advice. And, sure enough, sales soared.

In the following decades, Dichter imitators turned his methodology into a hackneyed formula, and the focus group lost its way. We wondered if we could bring emotion and surprise back with a 21st-century reboot of the technique. Here are the five principles we followed:

1. Break the mirror

Hiding in a dark room behind a two-way mirror distances you from the consumer. If you want to find out what makes people tick, get eye to eye with them in the room. If you find this uncomfortable, suck it up: Discomfort is a sign that you’re learning something.

2. Lose the clipboard

The dynamic of “moderator and participant” creates an authority relationship in the room, which can lead to participants saying what they think they are “supposed” to say. Try having the questions served up differently—such as pulling them at random out of a jar. People will share more when they feel they’re having a natural conversation.

3. Think dinner party, not jury service

The original idea of focus groups was to create an environment in which people encouraged each other to share their feelings. Today’s sessions are often stiff and with the same amount of social interaction you’d expect from people doing jury service. So, do whatever you can to create a warm social environment. In our recent experiment, we started the session with 30 minutes of improv exercises, run by a trainer from Second City.

4. Record video confessionals

When Dichter ran focus groups, he would make all the interpretations and deliver a report to the client. These days, the client needs to feel some empathy themselves. The best way to achieve this is video, but an intrusive camera lens can cause people to clam up. We solved this by running interviews using a hidden-camera technique pioneered by the documentary filmmaker Errol Morris (see below).

5. Talk about the why

All the clever methods in the world won’t help if you don’t have the core goal in mind: understanding the motivations behind human behavior. We live in an age of data: We have more information than ever before that will tell us what people are up to. But the greatest inspiration comes when you can form theories about the why. Despite being more than a half century old, the focus group is still one of the best techniques for achieving this.

The Errol Morris–pioneered "Interrotron" puts interviewees at ease by giving them the impression they're speaking to another human, not a camera lens.

‍

Focus groups suck, right? Bored people sitting in front of a mirror, delivering canned opinions on demand. Everyone from Silicon Valley to Amy Schumer pokes fun at them. But it wasn’t always this way: When focus groups started in the 1950s, they represented an exciting new way to probe the emotions and motivations underpinning human behavior. How did they get so staid and safe?

How did it all begin, you ask?

Long-time IDEOer Alan Ratliff was using the loo in Santa Cruz a few years back and took note of the graffiti on stall walls. He was struck by how openly and honestly strangers could share their most heartfelt feelings—in a public space. Combining this insight with the pause for thought that often strikes while seated on the throne, we thought we'd try inviting the same behavior on our own walls.

And how have people at IDEO responded?

Though the wait has admittedly increased, which brings no one joy, designing the bathroom as a place to intentionally linger and gin up ideas has become a point of pride.

Curious to learn more about how we nurture a culture of creativity? We tell the whole bathroom story, and many more, in Leading for Creativity, a new course taught by Tim Brown at IDEOU.com.

There's one stop we always make on our office tour: the john. Walls blackened by chalkboard-paint, every month presents a new opportunity to pose a controversial question and weigh in with controversial answers. Indeed, our bathroom has become one of the most—forgive us—productive places on the premises.

Unless I’m at a gig or a concert, it’s rare that I listen to music in the presence of other people. There’s background music, sure, but that feels different—I’m not really listening. Here in New York, there’s always live music on subway platforms, but we don’t listen by choice (and while it’s often great, it can also grate).

Listening to music with others need not be limited to experiences of live music, though. Deliberately listening to recorded music with other people can be a magical experience. That’s especially true if you’re hearing it in a context that's a little unexpected, such as a conference room.

It’s a luxury to be in the same space as others and not need to talk—to just be present.

In our New York studio, we’ve been gathering for a series of shared listening sessions, called the Sonic Shower. It’s a really simple format:

• every month or so
• we spend 15 minutes
• first thing in the morning
• listening to 3 to 5 pieces of recorded music
• from around the world
• that are selected and ordered around a theme
• and played on speakers in a room
• while people listen over coffee
• and glance at light program notes, if they so choose

Three things we like about the Sonic Shower

1. IT SUPPORTS OUR COMMUNITY

It’s just a lovely thing to start the day with music. And it’s lovely to be in the company of colleagues without the pressures of drumming up conversation. Listening together creates a delicate, light experience of community that works for everyone, even if you don’t feel much like chatting first thing in the morning.

2. IT’S A SOURCE OF INSPIRATION

At IDEO, it’s our job to seek inspiration wherever we can find it. It fuels great design by keeping our teams engaged. We’re great at hunting down visual inspiration in art, type, and digital experiments. But it’s easy to forget to open our ears up in the same way—to expose our brains and hearts to sounds we’ve never encountered before. Music is sonic storytelling—it opens up imaginative doors that we’d be crazy not to go through. Each Sonic Shower is a mix of songs that are somewhat easy (or familiar) and somewhat challenging (or likely different to what you might normally hear).

3. IT ENGENDERS GRATITUDE

In so much of our work, we’re interrogating experiences—figuring out what underpins them and picking out aspects that we can replicate or evolve. But during a Sonic Shower we just listen to the music. We don’t feel an obligation to discuss it or derive meaning from it there and then. It’s a luxury to be in the same space as others and not need to talk—to just be present. And, while it does help our work, we don’t treat the Sonic Shower like work. That gives us permission to receive the music as a precious gift. And gratitude feels good.

Sample a Sonic Shower

Here’s what we listened to at a winter-themed session in December. You can find the music on Spotify here.

Hvild (2009) by Hugi Gudmundsson

Now based in Denmark, Gudmundsson is one of the bright lights of contemporary Icelandic composition. A few years ago, in a neat nod to IDEO, he was awarded one of the country’s most prestigious arts prizes: the Optimism Award.

Hvild means "rest." It was written for a friend’s funeral and includes text about carrying water over a mountain...

Snow (1954) by Irving Berlin; performed by Rosemary Clooney and The Mellomen

This is one of the stand-out songs from Bing Crosby’s White Christmas. The movie version features the four leads—Clooney, Crosby, Danny Kaye, and Vera-Ellen—singing the song together on a train. As you do.

Der Leiermann (1828) music by Franz Schubert; poem by Wilhelm Müller; performed by Jonas Kaufmann (tenor) and Helmut Deutsch (piano)

This is the final song of Winterreise (Winter Journey), Schubert’s monumental song cycle for voice and piano. Grab a whisky and listen to the whole thing sometime—it’s an intimate, crystalline marvel.

Der Leiermann translates as "The Hurdy-Gurdy Man." The hurdy-gurdy is an instrument where, to produce notes, you crank a handle that turns a greased wheel against its strings. Here’s the text of the song:

Behind the village stands a hurdy-gurdy man, cranking his instrument with frozen fingers. His begging bowl is always empty; no one listens to his music, and the dogs growl at him. But his playing never stops. “Strange old man. Shall I come with you? Will you play your hurdy-gurdy to accompany my songs?”

The piano does so much more than simply accompany the voice. Elsewhere in the cycle, it becomes a powerful storm, the rush of water beneath ice, a creaking weathervane, and much more. Listen for how, in this song, it conjures up the sparse drone of the hurdy-gurdy.

Winter Darkness (2014) performed by Nils Økland (Hardanger fiddle) and Georg Buljo (voice)

The Hardanger fiddle is a traditional stringed instrument from Norway. Contemporary players such as Økland have coaxed the fiddle into modern music, working with collaborators near and far.

Buljo has done much the same with joik (pronounced ‘yoyk’), one of the oldest vocal traditions in Europe. A joik is both a style and a song form, deeply rooted in the Sami culture of Sweden, Norway, and northern Finland.

All that said, this is a pretty traditional piece—but modern, close recording lets us hear every crack in Buljo’s voice and every bow across the strings.

Does it sound like "winter darkness" to you?

It’s never been easier to share music with each other: Here’s a link, there’s a playlist, and off you go. At the same time, my experience of music has become more and more private, more and more mediated by headphones.

We thought about the physical context: If looking at a screen put viewers into a mode of judgment, what environment might lead them into a state of openness and wonder? After a few false starts—and ruling out marijuana—we settled on a campfire. Everyone has experienced the magnetism of a flickering flame and its power to open you up to a good story.

Burning wood was going to be a challenge indoors. But then another part of our talk occurred to us, in which we identify iPhone addiction as a scourge that prevents people from engaging in creative daydreaming. What if we took away the audience's phones and used them to stoke up the flames rather than dowse them?

Here’s how the experience played out. We gathered everyone in a conventional classroom setting and ran them through a calendar review exercise (“Look at your last week and count the hours of creative imagination”). Then we shared some recent brain science studies that point to the power of daydreaming to cultivate creativity. Diving deep into the intricacies of neuroanatomy, we could tell we were losing people.

Just before everyone fell asleep, we herded them through a back door to another part of the building. Here, in dimmed light, we had each person load a YouTube video of a campfire and set it on top of a foam-core structure made by our designers in the Chicago office. Soon we had a raging digital bonfire of iPhones, with additional sound effects from having our audience gently crinkle Post-It notes in their hands.

No campfire would be complete without taking turns strumming a guitar and telling stories of things we’d done to rediscover our creativity, so that's exactly what we did. The previously restless audience sat on the floor, gazing at the virtual fire, curious and relaxed.

Look at your last week's calendar and count the hours of creative imagination.

We turned the floor over to the attendees. What strategies did they use in their own practice?

One colleague shared a story of hanging a lamp above his desk to serve as a beacon. When the lamp was on, it let others in the studio know he was available to talk. Another shared her technique of running away from distractions—literally, on foot—until her head was clear. A third announced he would try to change his mindset by drawing for a few minutes each morning when he got out of bed. As the session ended, we asked everyone to write down something they would try in the future to spark their own creativity. Commitments were made and notes were tossed into “flames” as attendees drifted away, dreaming of a new way to work.

In sum, here are 5 ways to design a non-boring meeting:

1. Start conventionally, then lead attendees to an unknown frontier
2. Confiscate phones
3. Commit to a gimmick so they don't complain that you've taken their phones
4. Play music
5. Ask people to share personal stories

*Only one iPhone was lost during the making of this session… but seriously, who took it?

‍

Our quest: to invent an un-boring meeting. My colleague Michael Hendrix (above, immersed in one experiment—a bubble-bath-based brainstorm) and I were preparing a conference session about the importance of putting yourself in a creative mindset. But the way we were delivering it—two dudes standing at the front of a room with a PowerPoint deck—was about as inspiring as the DMV. We needed the audience to experience the thing we wanted to teach.

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.