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.

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?”

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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.

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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.

As designers who love toys and games, we set out to explore how we might reduce the environmental impact across the whole industry.

The toy industry’s environmental impact is the flip side of the joy of play. The $90 billion toy industry is a highly plastic-intensive sector, using 40 tons of plastic for every $1 million in revenue. It contributes significantly to the 11 million tons of plastic dumped into the world’s oceans each year, causing widespread damage to marine life and ecosystems.

If the toy industry can reduce its plastic usage by half, it would mean millions of tons less plastic entering the oceans, mitigating the harmful effects on marine life and helping to preserve ocean health. It would also be an opportunity for the industry to serve as a beacon, setting a new standard and demonstrating that significant reductions in plastic usage are achievable and impactful. 

We’re looking to help create a transformative leap that propels our industry forward. That means we need to design better play experiences that are inherently more sustainable, joyful, and viable for kids, families, and the companies that manufacture them. “Consumers are asking for it, and toy companies are starting to feel the need to do something about it,” says Lynn Rosenblum, Professor of Toy Design at Otis College of Art & Design. “They are finally understanding that they must take urgent action.”

To take action of our own, we conducted an internal design project to understand how kids and parents feel about their toys, what would make more sustainable toys a viable option, and how we could not just make a non-plastic alternative, but something even better. We spent four weeks with parents and their kids, as well as industry experts who are working to address this design challenge. We also rapidly prototyped our ideas both digitally and physically, turning concepts into testable experiences the kids could play with. With their help, we surfaced insights that point the way to a better future for the toy industry—and the planet. 

‍Sustainability alone won’t sell toys.

Most families do not view green toys with the same pride as they do STEM toys. (Not yet, at least.) To make sustainable toys more appealing, they will need to provide additional value, like affordability, enhanced educational benefits, or support for children's development. Jessica, a mother of a 5 year-old, told us that to her, the ideal definition of sustainability would be toys that last long enough for all of her kids to play with them, and when they’ve outgrown them, the chance to pass them on to another family. “When I think of sustainability I think of getting a lot of use more than the sustainability of the environment,” she says. 

‍Plastic lasts longer than kids’ attention spans

Families often prioritize durability when they’re buying toys. But according to a study with  2,000 UK families, parents estimated that 15 percent of toys their kids receive for Christmas are neglected within days, 23 percent within a month, and 50 percent within six months. Children often tire of specific toys long before they wear out. So unless we can increase the amount of playtime with toys from the outset, they’re destined for a quick trip to the landfill.

‍Children love natural materials

As 10-year-old Jude was playing with some of our prototypes, he told us, “Plastic toys are a scam.”  He preferred his wooden toy train tracks because “They won’t break.” Jude and many of the other kids we talked with were clear that they preferred the tactile and sensory experiences of natural materials, even if they aren’t consciously aware of their material preferences when they select toys. Often, the dominance of plastic in the marketplaces is less about kids' preferences—it's about the convenience and affordability that plastic provides.

Being resourceful is fun and sustainable—but you can’t unwrap it

Children love to make their own toys, repurposing Amazon boxes as backdrops or using face masks as doll dresses. They’re often happy just coming up with their own ways to play. But, as Jessica said to us, “The grandparents just want to see them open a present.” Extended families tend to prefer buying a new physical toy that can be wrapped and unboxed. The surprise and reveal are part of the appeal. At the same time, it's worth noting that there is a thriving, if informal, secondhand market in places like Facebook or Buy Nothing where parents and children are perfectly happy with pre-loved toys.

Nixing is easier than fixing

Most toys are designed to be disposable, fostering a culture where repair is uncommon. As Jessica told us, “In today’s culture, everything is just thrown away because it’s so cheaply made. It’s cheaper to buy a new one. If you are buying quality toys then it makes sense to invest to maintain, to take care of it, to repair it rather than throwing it away.” Unlike high-quality sustainable toys, many plastic toys lack durability and repairability, making them more likely to be discarded.

From insights to action

How, though, do these insights translate to opportunity areas for toy companies, and joyful and more sustainable toys for families? We created a set of quick  concepts to help us learn quickly about how we can have an impact on the future of sustainable toy design. Here’s what some of of our prototypes look like, and the opportunities they helped us uncover.

Create non-plastic toys with superior functionality

There’s a big opportunity in designing  trendy yet sustainable toys using alternative materials, and enhancing their appeal by incorporating vibrant colors, exciting designs, and interactive features. By emphasizing durability and engaging play experiences, we can make non-plastic toys the preferred choice for both children and families. Picture a unique collection of toys crafted from natural materials sourced from the very environments where kids love to play, like seaweed beach toys, or bamboo car tracks.

Design toys for circular play models

Another option? Creating systems to make existing toys function within a circular economy to minimize their footprint. Introduce easy-to-use, repairable, re-sellable, and shareable toys designed for longevity and multiple users, built on children's natural play behaviors like constructive and collaborative play. These systems should seamlessly integrate with parents' existing rituals and day-to-day activities, making sustainable play convenient and practical for families. Think new platforms that transform toy repair into a fun and educational experience, or a second-hand toy purchasing experience where kids and parents can discover gently used toys ready for new adventures.

Offer play as a service

Revolutionize play with toys designed for maximum imaginative impact and minimal environmental footprint. By embracing alternative business models beyond the traditional pay-for-product approach, we can unlock new ways for kids to engage in meaningful and sustainable play. Focusing on access rather than ownership to reduce new toy production, minimize waste, and extend play time or use technology to breathe new life into existing toys through AI-enabled or VR experiences. 

Already, we’re building concepts and new toys based on these opportunities, and we’re excited to make them real. If you want to work together to build a more sustainable future for toys, get in touch. 

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This project was informed through conversations with numerous experts, and families all around the US. We're grateful to them for their contributions.

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While the toy industry has thrived by delivering joy and play to kids worldwide, the scale of plastic production has led to real environmental challenges.

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.