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.

For years, I’ve watched smart companies buy into big data. Yet despite huge investments, some of them fail to reap the rewards. A 2017 MIT study revealed that 63% of executives expected to see a large impact on their offerings from AI in the next few years. But of the 14% of executives who reported already seeing a large impact, most cited examples in automation, decision-making support, and operational diagnostics for internal capabilities. Those kinds of advances can contribute to higher profits and short-term differentiation, but operational efficiencies do not generally help organizations grow beyond their peers. They also aren’t the deciding factor that will carry you through a yo-yoing economy. So how, exactly, do successful organizations unlock sustained and differentiated value in an AI-enabled world, at a time when immediate change may seem necessary just to survive?

It starts with experimenting and iterating with data—in a responsible way— to find your organization’s unique value proposition. Intentional experimentation mitigates the risks of failure by ensuring that you learn which data skillsets are critical to your organization, while at the same time identifying product-market fit. It’s a process that can happen before, during, or after a broader digital transformation, and there are three different ways to approach these intentional experiments: scaling internal offers, piloting to stretch, and purposeful venturing.

Scaling internal offers

In 2004, a web design company called 37signals needed a project management tool to keep all of its work streams on track. Initially, its solution—Basecamp—was meant to be a tool that would help the company be more efficient, and serve as a single source of truth for all its projects. But the more valuable it became internally, the more the company realized that it could be valuable externally. Eventually, Basecamp became 37signals’ core business; it adopted Basecamp as its name, and folded other offerings under the new brand.

Scaling internal offers is a smart way to create new revenue streams that can also help drive an organizational purpose. It’s a particularly good approach for companies that value creating internal capabilities and investing in their employees.

Another example comes from a liability insurance company that had recently gone through quarterly reviews. The company took a deep dive into large lawsuits, setting case direction and identifying where liability existed and standards had been breached. These observations were used to set financial reserves and, after months of manual curation, create risk-management training materials. While this company had already developed a technique for improving best practices, leveraging data to create a digital tool would give them an opportunity to scale up dramatically. The resulting in-house product allows the company’s claims and risk management representatives to rapidly identify new and emerging trends, as well as strategize case management on the portfolio level, saving thousands of human hours and much more in lawsuit expenses over the course of a year. With a bit more refinement, the firm could offer a version of its tool directly to policy owners, which could allow them to adopt best practices in real-time.

Piloting to stretch

A classic example of this approach comes from Netflix, which started offering streaming video services in 2007, alongside their penalty-free mail order DVD rentals. When the streaming service was born, it was a digital replica of the video store experience, browsing and selecting movies from a wall. But as Netflix accumulated ever more data about what people watched and their preferences, the streaming service became a data-driven way to personalize and recommend content, better fulfilling its purpose of “entertaining the world.” In fact, developing this data-driven capability in-house has given them sufficient insights into viewers’ preferences, which they are now using to create their own content, dramatically shifting the entire media landscape because of the data they own.

Piloting to stretch is a method of launching a new venture that brings in cash and stretches the organization to more intentionally fulfill its purpose. Often, that can require an entirely new business unit, with a new culture and team, so that it can grow without absorbing existing constraints. This approach is particularly appropriate for organizations that are seeking a new lever for growth, or are looking to disrupt their industry.

For Ascensia Diabetes Care, it was about recognizing a service gap for patients newly diagnosed with type 2 diabetes. Most people, shortly after receiving their diagnosis, are scheduled for a brief consultation with a certified diabetes educator (CDE) who helps them learn the basics of managing the disease. But the short time a CDE spends with a client isn't nearly enough to establish new habits and enable sustained lifestyle changes. Ascensia saw an opportunity to create a new remote care service that would allow people with diabetes to interact with CDEs over a prolonged period of time through a telehealth platform, helping them better acclimate to their condition. To design the right program and path for each patient, Ascensia created data-driven tools that would help CDEs know how and when to interact with users. Initially, the company piloted the app with 60 people, and early results showed that users were willing to adopt and adhere to the program. Only two participants failed to complete the study—a stunning success rate when adherence to therapy for chronic illnesses in developed countries averages around 50%.

Purposeful venturing

Google may have started as a search engine, but in 2015 Alphabet emerged as an umbrella organization that made space for Google to pursue other ventures, some that might seem far beyond the scope of the core business. Alphabet’s interests— everything from life science (Calico) to transportation (Waymo)—are all in service of doing the right thing, and separating Alphabet’s other ventures from Google kept them from getting mired in particulars of the Google organization. This nimbleness has allowed Alphabet to fulfill its broader purpose, even during the extreme uncertainty of a global pandemic; the company quickly launched one venture, Verily’s Project Baseline, to research COVID-19, while Google and Apple have partnered to develop an exposure notification system.

Purposeful venturing is a way for an organization to create new business lines that drive growth. These ventures operate independently, with their own teams and cultures, and may require dramatically different ways of working that would be distracting for the core business’ operations. It’s a good fit for companies that might have many different ways of achieving their purpose, or for firms that can create symbiotic effects with auxiliary offerings.

In practice, it can also look like this: A nimble venture firm called 1848 Ventures (a subsidiary of Westfield Insurance) recognized that staffing is one of the biggest uncertainties business owners grapple with. Over-staffing eats into their already razor-thin margins; under-staffing means long lines and lost revenue. By rooting their innovation efforts in their purpose—to help their customers mitigate risk and uncertainty—the firm saw an opportunity to create a service that would help small businesses better manage their expenses through a tool that combines large data sets and an intuitive interface to optimize operational decisions. This new product was piloted with restaurants to help them offset the thin margins they need to survive.

Regardless of whether you experiment by scaling internal offers, piloting to stretch, or purposeful venturing, there are ample opportunities to simultaneously unlock product-market fit while getting a better grasp of the capabilities your organization needs to grow. Design offers a way to mitigate the risk of missing product-market fit and improve your odds of success in a way that dovetails with your existing capabilities and long-term vision. So after you pick your path, get out there and start prototyping early and often with data products, just like you would with anything else. It’s the best way to make sure that your data investment will push you past operational efficiencies, to sustained and real growth.

Illustrations by Nate Kitch

Over the past six months, the pandemic and the economic uncertainty it ushered in have sent companies in every industry flailing; to survive, many have leapt to major digital transformations. Scrambling CEOs have bought into the hype around data and AI that has been swirling for the last decade, all in hopes of making it to the other side. It’s a smart move. Even in a moment as stark as this one, with no sure path to a return to normalcy, data has the potential to ethically deliver unprecedented value to consumers, organizations, and shareholders. But just because the potential is there doesn’t mean the full value of these investments is being realized.

But we recognize that convergence, too, is an opportunity for creativity. These moments can contain sensemaking—the finding of patterns or shifting of perspectives that brings your team to a new, shared understanding of what you have and what lies ahead. In making choices, you are collectively committing to a common vision of what the future could be. It can feel optimistic, unifying, and clarifying. And we know it can be extra challenging to converge when you’re not all in the same room.

I started writing this piece a few months ago, before COVID-19 forced a lot of folks to shift from working in offices to working at their kitchen tables. I’m of the mind that every meeting deserves a warm-up, and I believe it’s even more true today. If your team is working remotely, they’ll be (virtually) walking in from a greater diversity of physical and mental places (for example, perhaps they’ve only taken 72 steps today and their brains and bodies have turned to video-call-induced oatmeal), so creating the conditions for focused, convergent work is even more important.

Here are 4 warm-ups to help your team creatively and remotely converge:

1. Rank this

Instructions: Before your meeting, using a live collaboration tool, set up a spectrum (a simple horizontal line will do) in the virtual space. On the left, write “least”; on the right, write “most.” Pre-create 3-4 Post-its or colored squares per person. Place them off to the side.

To begin, have everyone type a noun in each of their stickies. Then have one person propose an adjective and add it to the top of the spectrum. (If your adjective is crunchy, your spectrum would be least crunchy on the left to most crunchy on the right.)

As a group, as fast as you can, collectively sort all the noun stickies along the spectrum of that adjective. (For example, sort all nouns according to where they fall on the scale of least to most hairy, grumpy, or miraculous). Attempting to do it all at once should feel like joyful chaos.

Pick out a new adjective and re-sort, reminding folks that anyone can move any Post-it, not just their own. Go through a few rounds until laughs abound.

Why it works: Prioritizing is a critical and challenging part of convergence. And it is made even harder when the options you are deciding between feel like they exist on diametrically different axes. This warm-up will help you get comfortable in the ambiguity that is comparing apples and oranges (or perhaps even apples and orange shoes).

2. Goodbye, hello

Instructions: Ask everyone to come prepared to the meeting with a pen and something to write on.

Before you dive into the content of your meeting, have everyone reflect on something they let go of last year and capture a quick sketch of it. Then, separately, have them draw something that was able to fill that newly open space. Have everyone go around and share their drawings by holding them up to the camera.

Why it works: Saying no can feel like the hardest part of convergence, especially when people feel ownership over or connection to the ideas on the table. This reflection exercise will help folks remember there’s power and opportunity in choosing what not to do—because it allows us to focus more energy on the things we do choose to do.

3. Object convergence

Instructions: Ask everyone to come prepared to the meeting with a pen and something to write on.

Have everyone sketch a noun—things like a stapler, a mother-in-law, a glass of water—then go around and share. Pair people up and give them 30 seconds to brainstorm and find a new noun that connects what each individual drew (for example, stapler + glass of water = anchor). Have them do this using the chat function on your video call platform. Multiple conversations will be happening in the chat. But don’t worry, that adds a laughable challenge. Once each pair finds their linking noun, have one person sketch it, then go around and share.

Pairs pairs into quads and have them repeat the process, finding what connects those new things (anchor + lemon = scurvy). Repeat until the collective group has arrived at a single object that has united them entirely. (Hint: like in a game of telephone, this will likely look nothing like any idea anyone started with.)

Why this works: The way forward may not look like choosing person A’s idea or person B’s. It may require finding a third way that draws from the best of both. This warm-up will help you avoid the Frankenstein compromise, where, rather than making decisions, the team mashes all of the ideas together, and dilutes them all to uselessness in the process. In this exercise, teams practice the skill of looking beyond individual ideas to a higher connecting goal or purpose, and collectively aligning on this new vision.

Convergence can feel heavy. This will bring a bit of levity to the process, allowing your team to find the optimism and energy to build on one another’s ideas moving forward.

4. Shake it out

Instructions: Have everyone stand up and close their eyes. Then give these directions, while doing it with them: Reaching out all around you with your hands, shake them vigorously to manifest into the space the multitude of what if’s, what could be’s, and fears of the future. Now, use a pushing motion, clear a bubble of safe, fresh air around you. All together, let’s take a deep breath in and ground ourselves in this space.

Having everyone close their eyes creates an important sense of safety. No one can look like an idiot if they can’t be looked at. Worried that people have stopped wearing pants to video calls, and won’t want to stand up in front of their camera? Have everyone turn off video first, then give the instructions.

Why this works: Our physical state is intricately connected to our mental state. So often at work we ignore our physical bodies, thinking them a distraction, nuisance, or simply irrelevant. In the world of working remotely many of us spend our working hours glued to a screen, ceasing to exist in the three-dimensional plane. Getting your body in the right place (and remembering it exists at all) will help get your mind right too.

It is not infrequent that a team gets to a point of convergence and all feels like a swirling mess of hypotheticals. This warm-up will help create the mental clarity and space to step back and find the broader picture.

Go forth and prototype

Decision-making can be hard and stressful. You’ll probably have to kill some darlings. But you don’t want your team to walk away feeling unheard because the phrase most commonly used in your meeting was “we can’t.”

If instead you can galvanize them—catalyze their creative, collaborative brains in finding and forging the path forward—you will leave with teammates bought into a future they want to build together.

Take these warm-ups and hack them, make them your own, and iterate on them. How can you prime your collaborators to optimistically say “no” to make way for “yes,” find a third way forward, and see past the chaos to clarity?

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When I say “creative meeting,” what comes to mind? What’s the energy like? What are you and your colleagues doing? My bet is that you’re imagining a brainstorming session. Generating ideas. If you’re lucky, it’s joyful, full of potential, and exhilarating. What I’m guessing you’re not thinking of? Those moments where you have to make decisions. Prioritize, say no, and shut some doors. At IDEO, we call this part of the process convergence: the refining and focusing of options to move forward with a strategic set of choices.

Many say the food system is broken. But the problems that people, the economy, and the environment suffer as a consequence of the system aren’t so much a sign that it’s broken as that it wasn’t designed to generate good outcomes for the world we live in today. We shouldn’t try to fix the existing system but rather design new structures that nourish us.

Design unites what is necessary and desirable from a human point of view with what is technologically feasible, economically viable, and environmentally regenerative. We live in a world of intertwined, inequitable systems—food, education, health, and more—where the problems are dynamic, multifaceted, and inherently human.

By designing for adaptability, trust, dignity, and agency, we can build a more resilient food system.

Designing for Adaptability and Trust

Today’s system was designed for efficiency: We’ve built machines to harvest rows of a single crop, consolidated farms and processing facilities to achieve economies of scale, and established highly specialized supply chains.

COVID-19 has revealed that this efficient system is rigid—it can’t adapt to new conditions. People are trying to help: Grocers are buying produce from farmers and donating it to food banks, and restaurants are repackaging their bulk purchases into household meal kits. But it’s not sustainable to purchase extra food to donate or convert 50-pound bags of onions into smaller one-pound bags.

An adaptable system requires many changes, from digitization of operating systems, to more transparent data sharing, to improved distribution of food to where it’s most needed. Investment in processing and logistics infrastructure closer to farms is key, thus designing redundancy back into our highly consolidated system.

There’s also value in examining what makes the current system work and carrying these elements into a new structure. One positive enabler of today’s efficiencies is the network of trusting relationships that farmers have built over time.

Due to COVID-19 and other factors, it’s impossible to build new relationships in person. Farmers can’t travel to meet buyers. Instead, building on existing trust, farmers need innovative ways to establish new partnerships rapidly. Farm2People is helping farmers and fighting hunger by designing for adaptability and trust. The platform enables produce to be directed toward those who need it by connecting farmers to buyers and donation recipients.

• How might we design for trust in a contactless world?
• How might we look to circular economy models to rethink the supply chain?
• How might we apply technology to rapidly build relationships?

Designing for Dignity and Agency

The system’s resilience depends on the resiliency of those who power it. The essential workers who make the food system run are at the greatest risk of illness and the lowest paid. Many are people of color. Society’s racist systems—including the food system—have marginalized Black, Indigenous and people of color and left them more susceptible to the health and economic challenges of COVID-19.

The pandemic demonstrates how essential these individuals are and how tenuous their livelihoods are. Given the nature of their work, it’s impractical for farmers to maintain the social distance necessary to protect themselves, and for some employers, personal protective equipment is too expensive to provide.

Solutions have been swift and well-intentioned but short-term. Some restaurants created campaigns raising money to cover employee costs, and Portugal extended temporary residency to migrant farmers so they can access health care. Workers will need employment that can withstand advancing technologies, like automation, which will require training in a new set of skills. This is not just a food crisis but an education crisis. The interlinked nature of our systems means that solutions must have broad scopes and address multiple factors to be sustainable.

We have an opportunity to design for dignity and agency.

• How might leaders share the responsibility for worker livelihoods?
• How might we empower workers by having them design solutions for what they face?
• How might leaders help the industry become one of continuous learning to enable professional resilience?

No one knows what will happen. But as today’s system demonstrates, we know our actions will have impact for years to come. By designing for adaptability, trust, dignity, and agency, we can build a more resilient food system.

This essay first appeared in the Milken Institute’s Power of Ideas collection focused on building and rebuilding lives in the face of the COVID-19 pandemic. The essay series features insights from thought leaders across industries.

With hotels and schools closed, farmers are destroying millions of pounds of produce they can’t sell. Despite this waste, the number of people with food insecurity could rise from 130 million to nearly 300 million due to COVID-19. This estimate doesn’t address the millions whose means of making a living have evaporated. These challenges, while exacerbated by COVID-19, existed long before.

Tobin Terry: Hi, this is Professor Terry from Lakeland. I’m just checking in to see if I can help you with anything. I hope you are well!

Erica: I’ve been fine staying safe & healthy. After this semester I was supposed to apply for the RNs program since I’m finishing up stats. Can’t reach out to counseling. So maybe you can tell me how to go about that.

Tobin: Counseling is still available! You can call 440-525-7200 or email counseling@lakelandcc.edu. They’ve been working remotely either by video chat or phone call. I can hel set you up! Sorry it’s taken me awhile to get back to you, my kids are pretty much sick of each other and fight like stray cats

Erica: Please schedule me a video chat or meeting with a counselor this coming Monday or any day next week please & thank you! 😊😊

Tobin: You got it! I’ll have the details in your email!

“My approach is to just be myself—typos and all—but I'm ready with the info when the student needs it,” says Professor Terry. “Mostly, it feels like the students are just glad to hear from someone. The way I see it, if we're helping at least one student get through this crisis, it's all worth it.”

This level of student support might seem unusual, but at Lakeland Community College, it underpins everything the leadership, staff, and faculty do. For the past four years, president Morris Beverage and his team have been working with IDEO to become radically student-centered. So far, this has resulted in a more timely financial aid process, dedicated maker space, collaborative community of teachers from across the district, and improved first-year experience courses. Their aspiration is to drive resilience both within the organization and local educational system.

Many organizations are currently navigating unprecedented levels of complexity, and can’t help but feel paralyzed or wish that things will return to normal in a few months. It’s natural, when circumstances are uncertain, to delay action or downplay the implications. But what if, instead of waiting or planning for the return of “business as usual,” we used this time to redesign our systems for the better? Rather than constantly making small tweaks, we rebuild comprehensively.

Lakeland Community College is leaning into this moment, not only meeting students’ needs in a proactive way, but also discovering opportunities to redesign their student experience altogether. The following design-led strategies from Lakeland Community College lend inspiration to leaders in a moment when we sorely need it.

When their family of six is sharing a single computer with spotty Internet access, is that student going to be able to finish an online assignment on time? Leaders at the College knew that their decisions could not be made in a vacuum when they began the transition to online learning. Student engagement is a strong predictor of student retention and success, just as customer and employee engagement drives retention in other industries. But to meaningfully engage with and support students, leaders first needed to understand how students were experiencing the crisis. In addition to meeting with employees who closely interact with students, the Lakeland team connected directly with students and looked to other industries to gain deeper understanding and empathy for varied individual experiences.

Years ago, Beverage stumbled across a study on the “Enlightened Witness” care provider approach developed by Kaiser Permanente of California. Rather than primarily asking patients about their current symptoms, “enlightened” providers also inquire about patients’ lives beyond their health condition, including their current situations, past experiences, and families. If a patient says that a parent struggled with alcoholism, for example, the provider seeks to understand how this affected the person later in life. Research revealed that this care model led to measurable positive outcomes, including a reduction in doctor office visits.

The approach inspired Beverage to send out an email and video message to all students, providing them with his personal email address and inviting them to reach out to him directly. Based on dozens of responses, the team prototyped a student support program modeled after the “Enlightened Witness” program over the course of just five days—an unprecedented pace for a sector notorious for regulation and bureaucracy.

We are building this as we go and there will be bumps, but good education can’t wait. _{MORRIS BEVERAGE, PRESIDENT OF LAKELAND COMMUNITY COLLEGE}

Beverage and a small crisis response team made up of employees across Lakeland began prototyping what they called the “Enlightened Navigator” Program. (The term “navigator” originated from an existing role some Lakeland employees hold, which is dedicated to helping students navigate the college’s resources.) This core group hypothesized that by letting students know that they are cared for, Lakeland employees could gain empathy for their challenges, eliminate barriers, and better design how they serve them.

Hoping to enlist volunteers from Lakeland faculty and staff, Beverage sent out an email message and video asking them to participate in the program. This led to over 130 Lakeland employees signing up to be navigators and providing consistent personal outreach to a group of students. The program was designed to enable continuous feedback between students, navigators, and the crisis response team, so they could quickly respond and adapt as the student’s situation changed from week to week.

When Tracy Shook, Director of Marketing & Communications, reached out to one of her students, she discovered that the student was homeless. Somehow, despite everything, the student is keeping up with her online course load. Shook checks in with her regularly to see how she can offer help amid the student’s shifting and unusual circumstances, whether searching for shelter, trying to feed her family, or finding reliable Internet access. Shook recognizes that education remains critical, even in the midst of a life-or-death global crisis. For many students, reaching their goals and creating a better future for themselves is also key to survival.

The program’s design offers navigators like Shook the chance to interact with students for the first time, further facilitating an institutional shift towards student-centeredness. To support navigators, the crisis response team designed a playbook with sample questions to ask students, tactical FAQs, and other information navigators might need. Equipped with this resource and leadership support, navigators feel more empowered and confident to take action and provide meaningful care to students.

For other navigators like Gloria Lane who manages the women’s center, the program is an opportunity to develop even more empathy and admiration for Lakeland students. Lane is currently supporting a student who works as an aide at the nearby Cleveland Clinic. Through the early hours of the morning, the student sits with elderly, confused, or suicidal COVID-19 patients. After these demanding, emotional shifts, the student, with encouragement from Lane, pushes herself to flip the switch and study for an upcoming math exam.

Another navigator recently spent an hour on the phone with a student who said he felt lost without in-person classes and had been avoiding a big project on the stock market. “He had lost confidence and nearly shut down,” says Cindy Simerly, a navigator and business management professor. “But after helping him navigate the computer software and giving him appropriate tips for how to approach the project, he is back on track and believes he can do it. He kept apologizing for the time it took, but also kept thanking me.”

Like many organizations, colleges tend to delegate this type of outreach to one dedicated team. The Enlightened Navigator Program brought together employees from across the college—leadership, faculty, deans, financial aid associates, marketing team members, women’s center staff, and others—to achieve the shared goal of supporting students. This design enabled the collaboration, mobilization, and distributed leadership needed to spark a student-centered mindset throughout the college.

We’ve seen how this collaborative approach can benefit other organizations: At Ford, for example, teams from human resources, legal, and manufacturing are currently working together and focusing on people as they prioritize worker protection and safety when reopening their factories.

Every student should have a somebody, especially in the current state of the world. _{CHRISTINA CORSI, ASSOCIATE DIRECTOR OF STRATEGIC INITIATIVES AND CAMPUS ENGAGEMENT}

So far, Lakeland has actively engaged and supported over 600 students. But their work doesn’t stop at graduation. “The core group realized that we should continue this [program] into the fall,” says Christina Corsi, Associate Director of Strategic Initiatives and Campus Engagement. Navigators are focused on supporting their students through the summer and into the fall, doing everything they can to help students make it to day one of fall semester classes. The program has been so successful that Lakeland is planning to integrate aspects of it into the new student orientation. For example, employees will now proactively reach out to new students with personalized messages of support as a part of orientation.

Lakeland’s four-year journey to becoming more student-centered has made them better able to listen, experiment, and quickly adapt to whatever comes their way. This is the type of flexibility and resiliency required to not only respond to a pandemic, but to inspire the redesign of a dated system that’s currently creating barriers for enrollment and degree completion.

“Through this program, we designed and lived in the kind of organization that we want to forever be: collaborative, empathetic, and experimental—all the things that student-centered higher education institutions should be,” says Leah Hartmann, Executive Assistant to the President and Special Projects Lead. “We saw a glimmer of what’s possible and now know it can be done.”

Illustration by Kim Salt

Texting a student who is not in his class just to ask how they’re doing was a first for Professor Tobin Terry. The English professor at Lakeland Community College is part of the Enlightened Navigator Program, a new effort to support students during the coronavirus crisis.

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.