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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

To address this disconnect, IDEO worked with the Drucker Institute to design a system that would instill a culture of lifelong learning in cities across America. It’s being piloted in South Bend, Indiana and will launch in June.

Part digital and part place-based, Bendable connects people with opportunities to learn for free from a range of leading online content providers, as well as local educational and training institutions. It serves up “Community Collections”—learning playlists curated by residents on topics of wide interest. And it offers sets of courses that help people build skills that match employers’ needs. Local businesses vet these “Career Collections” and even put their name and brand on them. Learners who complete the courses in a Career Collection can earn digital badges, which they can then share with an employer during the application or hiring process.

In South Bend, months of on-the-ground research and rapid prototyping helped to get the experience right. The public library in South Bend played a pivotal role in supporting the system’s development, and it will be in charge of Bendable locally going forward. Meanwhile, participation from local businesses signaled awareness of the mutual benefit of a new approach to learning: it’s in every leader’s best interest to help their community build the skills needed to be resilient in the face of change.

To learn more about how this lifelong learning platform came to be, The IDEO Journal spoke with two people very close to Bendable’s origin story: Sarah Zaner, a Senior Director who led the IDEO project team; and Rick Wartzman, Head of the KH Moon Center for a Functioning Society at the Drucker Institute.

First, what exactly does ‘lifelong learning’ mean?

Sarah Zaner: The model of going to school in your youth and then being sustainably employable for the rest of your life is outdated. It hasn’t worked for a lot of people for a long time and we’ve entered an era where it’s not going to work for anyone soon. In order to be resilient in the face of today’s rapid change, you’ve got to be able to turn to learning again and again throughout your life. And it’s not enough to simply want to learn, you also need access to valuable opportunities to learn. You’ve got to have the belief in yourself, and the support you need. Lifelong learning requires an understanding of how to make learning a lever for personal change that ultimately forges resilience.

SZ: Whereas our formal education system has clear structures, roles and responsibilities, it’s not as clear who the responsible parties are for making lifelong learning accessible to those who need it the most. We’re hoping that Bendable can shine a light on what it looks like to start filling that gap.

Rick Wartzman: To build on what Sarah said, one reason that we’re excited about the prospects for Bendable is that people in South Bend—and, we suspect, across the country—have told us over and over again that they’re hungry to learn new things. Many people recoil from the word “education” because they may have had a bad experience in public schools. But most people see themselves as learners. That’s partly because they recognize the need to keep refreshing their skills for work. But in many cases, it’s simply because they’re curious. Learning new things is fundamental to being human.

In fact, there’s a theory baked into the Bendable platform: Nobody is one-dimensional, and different types of learning will reinforce each other—learning for work, learning things to help you and your family thrive (like personal finance or cooking healthy meals), or just learning something because you’re passionate about it. By making sure we cover all of these areas, we hope to instill in people the habit of lifelong learning.

It seems there’s a struggle to shift the current educational system from within, and it might be necessary to build entirely new ecosystems. What’s it like to create and activate a new model that emphasizes lifelong learning?

SZ: We’re seeing a new sector emerging at the intersection of education and the future of work. Some call it lifelong learning or “Pre-K to grey,” but just like with any education reform, disruptor, or intervention that’s aiming to improve the current system, we’ve got to approach change with a “both/and” and not an “either/or” mindset. City services, industries, libraries, existing educational organizations, and others need to come together to innovate. Whole new ecosystems need to be designed, which is what we tried to accomplish with Bendable.

RW: For sure. You won’t make a community more resilient through a lifelong learning system alone. It’s not a silver bullet. There are many other necessary ingredients that must work in parallel—from a city generating enough good-quality jobs, affordable and accessible childcare and transportation options, safe neighborhoods, and much more. Lifelong learning is essential. But it’s just one piece of the puzzle.

In terms of fitting into the educational ecosystem in South Bend, Bendable was never intended to challenge or replace the city’s existing institutions. Rather, it was designed to complement and serve them. To that end, we’ve heard from public high school teachers who plan to use courses on Bendable to augment what’s happening in their classrooms. The local community college, Ivy Tech; and Indiana University South Bend have worked with us to feature some of their courses on the Bendable platform. They see Bendable not as competition but as an avenue to expose more people to what’s happening on their campuses. We likewise have collaborated with local job-training organizations, like Goodwill. They all see Bendable as a tool they can leverage to help them meet their own objectives.

How did South Bend leaders and employers realize Bendable represented a strong investment opportunity? What economic returns will come to stakeholders as a result of their investment?

RW: The world is changing because of automation, artificial intelligence, and so on. People need to keep upskilling and reskilling. And so learning for work is the center of the bullseye for Bendable.

For their part, employers want a well-trained workforce, and Bendable is a way to ensure that they’ll have one. In South Bend, many of the biggest employers in town are putting a lot of effort into helping us create career-oriented collections of courses—learning pathways that show someone exactly what they should study if they want to become the operator of a computer numerically controlled machine at a factory, say, or a medical coder at the hospital. Bendable then gives them the opportunity to take those classes, either online or at a local college or training facility.

RW: Bendable can serve as a mini learning and development platform for employers. The manager of a big distribution plant in South Bend, for example, is planning to rejigger the schedule for his 300 workers so they can go on Bendable for an hour per week and obtain new skills. He’s already told us that it would be beneficial for some of his workers to take courses on logistics. And he has his eye on one employee who might be a strong candidate for a managerial position if he gets some computer training on Bendable. We think that over time, a good number of employers will hack the system this way.

SZ: In terms of the city’s investment, former mayor Pete Buttigieg, Mayor James Mueller and his office of innovation are looking for multiple levers to ensure that they have a healthy, economically vibrant community. Bendable’s funders, like Walmart.org and Google.org, are very interested in the connection between learning and work. They’re asking themselves, “How do we ensure that we have diverse, well-equipped pipelines,“ “How do we make promising career paths accessible? “How do we help people forge their own resilience?” Bendable is helping to reveal answers.

How can cities set the right conditions to leverage lifelong learning as a strategy for weathering automation’s impact?

RW: Having a mid-sized city like South Bend is a great place to start. A population of 100,000 means it’s big enough to have a decent amount of social and economic infrastructure, but small enough to get things done, to really engage a huge part of the community in a deep way. In South Bend, for example, there are 15 to 20 employers who do a significant chunk of the hiring across the city. That’s a small enough number that we’ve been able to involve many of them in building out Bendable. Community is both the unit and agent of change for a platform like Bendable. It’s our secret sauce.

How do you customize a platform for a local community while allowing it to be applicable in other contexts?

RW: We built Bendable to be a system that runs on trust and belonging—and that means that we need to listen closely and carefully to every city that adopts the system. The content curation and customization must happen all over again in each location. If a local learner wants to move from earning $8/hour to $18/hour, they need to know what skills are most meaningful and valuable to local businesses. And that means we have to be present on the ground, digging in and figuring that out.

Another important thing to keep in mind, in terms of localizing Bendable, is that a lot of the classes and other activities provided by the system happen in the physical world in a specific city—not online. As magical as the digital platform may seem to some, Bendable users have made clear that they don’t just want to learn through a phone, tablet or computer. Learning is highly social; people want to learn with each other, and from each other. And so designated brick-and-mortar spaces—in the form of Bendable learning centers—offer face-to-face onboarding to the system, study sessions, learning meetups and other in-person educational opportunities.

SZ: Bendable intentionally leverages technology to foster real-life connection. Of course a digital app provides convenience, access, flexibility, and scale. But the place-based component of Bendable supports the person-to-person connection that learners crave. The app also provides a way of organizing and connecting people to the resources that already exist in South Bend. It’s a community-powered system that’s co-designed with the people we’re trying to serve. This is why it can both scale and be relevant to a local community.

Every prototype and pilot has a moment when its creators know they've proved feasibility. What was that moment in South Bend? What indicators signaled it might scale?

RW: We've actually thought about scale from the beginning. We've always viewed South Bend as our pilot city—the place from which, if things worked out well enough, we'd take the model and then replicate it elsewhere. The question we didn't know, of course, was whether things would "work out well enough." And, in many respects, we still don't. We won't have real results, in terms of whether we're bettering people's lives, until we launch the system and it's up and running for a while. But we are very confident that we're on the right track. By co-creating Bendable with a wide variety of stakeholders from across South Bend, we know that the community is excited about what we're building and ready for it to be unveiled in June.

SZ: In addition to thinking about scale from the beginning of the initiative, we’ve also been aware that Bendable will only be effective in a community if we are able to scale in a hyper-local way. We’ll learn a ton from South Bend, not just about the ways it will (hopefully) help build resilience in the community, but also about the ways that South Bend—the learners, the library, the employers, the city—make it their own. We’re developing a proof of concept platform to pilot in South Bend, and we’re also working on creating a scalable model through building tools, processes, and relationships that will allow every instantiation of Bendable to be truly community bred, led, and fed.

This initiative got a lot of institutional support, mainly from organizations based on the coasts. What types of sensitivities must outsiders develop before they attempt to tackle problems in communities of which they’re not necessarily a part

SZ: No learning product of any kind works if it’s airdropped in. Ultimately, local adoption and implementation are key to success. In Bendable’s case, each new city will need to take ownership and evolve it for their communities. One of our core strategies is to support the creation of a local Bendable team in each location. Like Rick said, Bendable runs on trust. During the design phase of the project, we turned to and empowered South Bend residents to conduct user research with their community. They would show our early prototypes to their friends and family and provided us with valuable feedback. They improved our designs and in the process became advocates for the product within the community.

RW: This also speaks to why having the library steward the system—in South Bend and hopefully in future cities—is so incredibly valuable. These are very trusted and welcoming places. Librarians increasingly see their role as not just shushing people and checking out books, but also providing social services and employment resources. It’s natural for the library to be the backbone of Bendable. Its mission is lifelong learning.

What have you learned about serving under-resourced communities from this project?

SZ: I love this question because communities like South Bend are not actually under-resourced; they’re under-organized and under-connected. This was one of the biggest insights for us. There are tons of opportunities and resources in places like South Bend to support and help people in the greatest need or furthest from opportunity. Through Bendable, we’ve learned how technology can play a role not just in scaling lifelong learning systems, but actually connecting people to the resources that already exist in their community, to the people in their community, and to their own agency.

RW: To echo that, there’s no shortage of great learning content out there. It’s not a supply problem, it’s an organizational and distribution problem. A regular person doesn’t know where to start. This project has taught us how to be good curators.

What’s the process like for selecting the cities you’ll expand to next?

SZ: A certain level of social capital needs to be leveraged within the community. There needs to be an interested group of employers and buy-in from informal community leaders. But honestly, a huge one is patience. We will not come into the next city and say, “Here’s the software, here are your guidebooks, and here are some posters. Good luck.”

RW: Yes, they have to be patient. Bendable isn't an off-the-shelf, plug-and-play product. It may well take a full year of research and preparation—perhaps even longer—before Bendable is up and going in a new city. We need to be on the ground and really listening. We have to replicate the process of building trust and belonging each and every time. I can’t foresee any shortcut around this, ever. This is what makes it all work.

What will nationwide expansion and rollout look like in the coming years?

RW: Our plan is to expand Bendable to 15 or so cities over the next five years. We’ll aim for places that are of a similar size to South Bend (with 100,000 to 250,000 residents) and that stand alone geographically. We know that we can wrap our heads and arms around a place of this size, truly understand the local labor market and bring together key stakeholders to help us grasp, at a deep level, what residents want to learn and need to learn.

RW: With the Drucker Institute serving as the hub of a network of cities of lifelong learning, we can then make technical improvements to the digital platform that we'll share widely, convene leaders from all Bendable cities to exchange best practices, and assess from a broad standpoint what's working well and where we need to improve.

The amazing thing is that, even though we haven't launched yet in South Bend, we've been contacted by more than a dozen other places eager to be "Bendable City No. 2." Word is out.

Illustrations by Thanawat Sakdawisarak

The ever-changing nature of work has redefined what it means to be hireable and to build a career. The need to acquire new knowledge and skills is constant. Yet in many communities, opportunities for continuous learning are scarce.

In this case, the kid is my daughter, Quinn. As face-squeezingly awesome as this was for her, it was an adventure driven by design. My team’s design researcher didn’t want us merely to observe; she wanted us to feel this place—its buildup, its storytelling, its magic—as a kid feels it. And for that, we needed a Quinn.

But aren’t there already plenty of kids at the Wizarding World of Harry Potter? Well, yes, one or two. But it's a different experience when it’s your sleeve being tugged. As a designer, you can observe what others are feeling—but you get a richer kind of fuel for design when you feel it for yourself.

IDEO New York has been inviting Quinn to share her opinion, inspiration, and feedback since she was 5 years old. The first time, she helped a team designing an alarm clock to make Mondays less dreadful and more delightful. Initially, the team planned to record her laughter, but they enjoyed her input so much that she was asked back to test materials, prototype concepts, and model for their website. Since then, Quinn has helped lead workshops, taught a class of grad students about gender bias when she was in the second grade, and built a fort of umbrellas in our café.

Quinn has earned such favor in our community that it was suggested (not by me) she be offered an official internship. And so, last autumn, when her school let out for half-day Thursdays, Quinn came to the studio and took up the mantle of IDEO’s Kid-in-Residence: The Quinntern.

Again, it wasn't all fun and games. Designers were asking her for help left and right. Here are four reasons why.

1. Kids don’t know the rules

Our project teams grab Quinn for their brainstorms because she listens to the problem and tries to solve it. She doesn’t think about financial viability or the laws of physics—she just thinks. Eventually, it's our job to add those things back in, but in the divergent phase of a project, she's a superstar.

Although she's prone to insert dinosaurs and robots into her concepts, she cuts to the core of an issue and simplifies the needs behind it in a way that can inspire us to develop a dinosaur-free solution.

2. Kids are buzzword bloodhounds

Einstein long ago reminded us that if you can’t explain something simply, you don’t understand it. Tapping a kid is the ultimate way to prove this out: If they’re confused by a concept or question, it usually means we have a lot more work to do.

Quinn will call us out on our assumptions—happily and loudly—and she won’t fall for any design jargon or doublespeak. Getting critiqued by a kid keeps you honest.

3. Kids are full of surprises

Kids see the world from a different perspective and value it with different priorities. Having first-hand access to that unique point of view helps jumpstart creativity.

At one 30-person client meeting, we wanted to establish a sense of play from the start, so Quinn ran a silly-face photobooth for us. As lawyers and Wall Street professionals walked in, she had them pose and make the silliest face possible. Many were hesitant to relinquish their dignity, but couldn’t say no to a kid in a sparkly hat. Then they posed for a second picture. And a third. Others were caught off guard when Quinn asked them to stop wagging their tails or to tilt their heads so the light would flatter their antlers. It took them a minute before it clicked: Oh! Kid imagination!

When an adult asks another adult to do something goofy, it can be hard to summon the vulnerability on the spot. But when a kid swoops in, the game changes. Vulnerability and playfulness beget vulnerability and playfulness.

One more, very important reason:

4. Kids are the future of great design

As part of her internship, Quinn created a project to prototype ways to “stop kids from squashing other kids’ creativity.” She interviewed members of our community about their experiences, hosted a lunchtime brainstorm for the entire studio, and designed exercises with her teacher to help kids be who they are instead of changing who they are to fit in.

Showing a kid that you value their insight arms them with the tools to value themselves. Quinn is at an age where the sphere of creative confidence begins to collapse under the pressures to conform. When you ask a class of second graders, “Who’s an artist? Who’s a dancer?” you get a sea of waving hands. Ask a fourth-grade class and you get a field of crickets.

For Quinn, IDEO has functioned as a force field against flagging creative confidence. Being our Quinntern has empowered her to push back against conformity and make room to be herself. She gets feedback from adults who aren’t her parents or teachers, but who value her creativity, appreciate her point of view, and model what a creative life can look like. I don’t know how long it will last (the teen years are around the corner, after all), but for now, it’s lovely to see her creative bravery continue to flourish.

And, like usual, it was a huge help at Harry Potter World. Quinn and I arrived on the second day of research. On the first day, my teammates had explored the park, enjoyed the rides, watched the crowds, and eaten way too much ice cream. We all expected day two with Quinn to be an encore presentation, with the added benefit of a nine-year-old’s real-time annotation. But after the first ride—after seeing the place through Quinn’s excitement, impatience, and joy, after experiencing the distance of the walk and the length of the wait from her perspective—the team felt how time and space warp when you’re in the orbit of a child.

Our design researcher leaned over to me and whispered, “This is a completely different place with her here.” I had to agree.

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If you’ve never seen a nine-year-old kid grab her own cheeks in overwhelming excitement, here’s how to rectify that: First, have a nine-year-old. Then pull that kid out of school in the middle of the day for a surprise double whammy: not only the chance to do research for a project with the Children’s Museum of Manhattan, but the opportunity to conduct that research at Harry Potter World. Hand the kid her suitcase, get in the taxi, and pray those cheeks survive the trip.

Those things drive us nuts too. But those tiny moments of frustration can become fodder for a totally new way of thinking. What if the card reader sung the ABCs? What if pen caps locked? What if water balloons tied themselves? (Luckily, someone has already put some time into solving that last one.)

At IDEO, we spend a lot of time rethinking everyday life, from tiny pen caps to the giant, bureaucratic process of applying for a visa. Like we said in 2017: This kind of thinking is our bread and butter. Back then, we asked the IDEO community what they were dying to redesign, and the answers were so provocative that we decided to do it again. Here are 24 more things we want to redesign, if only we had the chance.

Work
The timecard. With a little AI juice attached to email and calendar, there’s no reason that anyone should have to create a timecard: They just need to review it. —Joe Brown

Corporate training. Every organization needs the ability to grow new and adaptive capabilities. Those skills won’t be coming in from an external job board, and definitely not at scale. —Peter Hyer

I want to take a hack at reimagining the experience of identifying and applying for a job. At scale, it's currently a dry, massive vortex of duplicative job boards, cluttered search engine results, and mounting self-doubt and uncertainty. What if we had a universal tool that could help point a candidate to a strong-fit company, job family, industry, or job title based on a series of filters they could manipulate? Job security can prompt a domino effect with a host of other social issues, so let's put candidates back in the driver's seat and make the process of getting there more personal and human-centered. —Chloe Partelow

Networking. It's uncomfortable, awkward, daunting, and surface-level. No one wants to do it, but everyone feels like they need to. —Melissa Lobato

I spend a lot of time thinking about the future of the actual places where we work. I think the workplace should allow more flexibility and choice and generally be more global. I’d like to see deconstructed offices in neighborhoods where people live and like spending time. It will reduce commuting costs, improve productivity, lifestyle, geographical choice, create more diverse and dense neighborhoods, and allow for more creative collisions. —Kateryna Romanova

Education
College, especially a liberal arts education. Turn it into something much more relevant to close the skills gap in the marketplace, and make it much more about life-long learning. —Suzanne Gibbs Howard

Vocational school. I’m not sure that “everyone needs to (and can) go to college” is the right narrative. That’s the message I got growing up, and vocational schools or trades were either implicitly or explicitly judged. I think we are in a time when we need to take a good, hard look at alternative forms of education. —Meg Rice

The lower part of the k-12 education system. Why isn't it more globally aligned and translatable? Why does it assume that you live in one country for 12 years? —David Sjunnesson

Our approach to digital literacy. When our 70-plus year-old dads accidentally tweet a search query, we make fun of them instead of recognizing that behavior like that is indicative of large, looming societal problems between those who have tech know-how and those who don't. —Rachel Young

Cuddling
Cuddling. Seriously: what are you supposed to do with your bottom arm?!?! —Santiago Seira

Breakups
The breakup: Ow. It hurts. I don't know how to go about redesigning this, but I know there’s a lot of room for reflection and plenty of nuggets of truth to be gleaned from any moment that rips you apart. I have reflected on how to create a scaffolding for yourself that helps you walk out the other side with a sense of gratitude and growth—but still, ow! —Leah Jarrett

Breakups. And I’d start with an interesting provocation from Star Trek. —Lisa Tacoronte

Health
Electronic medical records (EMRs). Some doctors spend up to 50 percent of their days doing admin work, mostly in EMRs, and they are notoriously not user-friendly, not interoperable across companies, and even can cause medical errors. —Jessica Watterson

Single-Use Plastics
Unnecessarily one-time use and/or made of plastic: floss. Coffee cups. To-go containers. Toothbrushes. Plastic water bottles—or anything that holds water. Makeup packaging. Tampons. —Shuya Gong

Recycling How-Tos
Every single recycling/garbage/composting receptacle on the planet. I challenge you to find anyone who can understand and follow those rules. —Chioma Ume

Our Relationship With the Environment
How we make decisions that impact the environment. I'm inspired by seeing calories on food in restaurants, which helps me make informed choices. Why don't we have something similar for electronics, ordering on Amazon, food in the grocery store, to show the impact of a product on the environment? —Dean Malmgren

Time Itself
Time travel. It’s just too difficult currently. —Sean Hewens

Getting Towed
It’s scary, financially exploitative, and just generally terrible. —Tara Safaie

The News
I would like to redesign our concept of what news is. I’ve tried many different sources, and have found none to offer adequate choice, curation, or quality. Most of what passes as news is superficial, salacious, irrelevant, and/or extremely upsetting. I find I’m constantly disappointed. The news needs a total overhaul. —Betsy Fields Smith

Childcare
The process of finding childcare. Every parent seems to reinvent it all over again. —Annette Diefenthaler

Access to Capital
Women entrepreneurs receive about 2% of all venture capital dollars as compared to men. There's a lot of opportunity to reimagine the funding process so that it's more inclusive of women, people of color, and non-US nationals. —Sam Schulman

Winning and Losing
The definition of success. —Ramon Marc

Online Ticketing
You have the ticket price and another $20 in service fees, and sometimes you're required to print out a physical ticket that arrives digitally. Huh? —Miles Holenstein

Life Transitions
Post-job changes, post-move changes, post-high school changes, post-college changes, postpartum changes, post-divorce changes, post-(insert life change here). There’s no blueprint. Help. —Sue-Jean Sung

Hot Dogs
I want them to be healthy. —Michael Hendrix

If your organization would like to work with us to solve one of these problems, you can reach us at octopus@ideo.com.

Illustrations by Jenice Kim

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When was the last time you were annoyed by something small? Like the mean, angry noise a chip reader makes when it’s done with your card? Or the mess a pen makes when the cap pops off in your back pocket? Or how deeply, achingly, frustratingly hard it is to tie a water balloon?

Beyond CSR’s spectacular rise, several other indicators signal a growing belief in the role of business and innovation in addressing societal problems: 88% of millennials say they will only work for values-aligned companies, and Blackrock CEO Larry Fink demanded publicly in 2018 that companies be driven by purpose. Fink calls for a new model of corporate governance:

Society is demanding that companies, both public and private, serve a social purpose. To prosper over time, every company must not only deliver financial performance, but also show how it makes a positive contribution to society.
_{Larry Fink, Blackrock}

That’s the CEO of a company managing $6.5 trillion in assets pushing for the same economic shift demanded by today’s youth: to ensure that innovation serves a social purpose. Mainstream box: check.

But experts are skeptical. In her opening presentation at last year’s Social Innovation Summit, Caroline Barlerin, former Global Head of Social Innovation at Eventbrite, asked, “Is the mainstreaming of social innovation something to celebrate? Is it enough?”

The answer is no. Not enough, not even close. While CSR reporting and growing social innovations are surely positive developments, they also reflect an insufficient response by the private sector, civil society, private philanthropy, and government to today’s global challenges.

Rather than count how many companies have begun to invest in CSR efforts, the real measure of progress is how we’re faring against the challenges of our time. Whether you focus on global climate change, the United Nations’ sustainable development goals, or the health and wellness of the fabric of our society, it’s clear that whatever “mainstream social innovation” is, it’s not enough.

As we enter 2020 and head toward momentous change in the US and the world, we also need to enter a new phase of social innovation. Three important changes will help us get there.

1. From innovations to ecosystems

Just as the complex biological system of a rainforest allows individual plants to flourish, so do complex entrepreneurial ecosystems work to help social innovators succeed. Healthy, diverse, and inclusive ecosystems allow talent, information, and resources to flow quickly. These networks can’t be bought, they have to be built. _{Andy Stoll, Kauffman Foundation}

Today’s societal challenges require vibrant systems of diverse innovators attacking societal problems from many angles. Investment needs not only to support scaling, but also to create the conditions that allow entire fields of innovators to advance. As Managing Director of OpenIDEO—IDEO’s participatory, decentralized innovation platform—I’m inspired every day by the thousands of innovators who we support, a reminder that there’s never been more human energy and creativity directed toward global challenges. After years of leveraging open innovation to create a pipeline of promising concepts and ventures, OpenIDEO now strengthens entrepreneurial ecosystems to address pressing societal challenges collaboratively.

In 2016, OpenIDEO worked with a consortium of partners to introduce the Food Waste Challenge, a program that sought to address the 40% of food that goes to waste in the United States. Rather than selecting a small number of winners, we created the Food Waste Alliance, a virtual network of 80 organizations that proved pivotal to the development of several food waste startups still growing today. Realizing the potential for ecosystems to create greater impact over time, we designed OpenIDEO’s 2018 Early Childhood Innovation Prize to advance an entire sector of innovators in the early childhood development space. After 30 teams of entrepreneurs were selected and received a share of $1 million in grants, OpenIDEO and our partners at Gary Community Investments then launched a virtual accelerator and partner network, which brought together innovator teams and institutional partners to advance winning ideas.

The program eventually transitioned to two new accelerator networks fully dedicated to early childhood innovations, Promise Venture Studios and Futurebound—long-term, ecosystem-building initiatives sparked by the initial open innovation program.

To create breakthrough change, all of us must work together. That means platforms and tools like prizes or challenges that transparently support people to develop their best ideas and collaborate.
_{Steffanie Clothier, Gary Community Investments}

2. From delivery to co-creation

Increasingly, funders and innovators alike are recognizing the need for solutions to be truly rooted in the needs of those they’re trying to serve. In their recent Stanford Social Innovation Review article, The New Practice of Public Problem Solving, Tara McGuiness and Anne-Marie Slaughter note this as one of four major trends:

The relentless focus on what users need and how they experience services brings people into the process of providing feedback for services where they have not traditionally had a voice.
_{Tara McGuiness and Anne-Marie Slaughter}

While the growing interest in human-centered design is a positive step forward, the next chapter of social innovation will require another leap. Rather than just gathering user feedback on potential solutions, the people we design for will increasingly become part of design, implementation and evaluation. As technology makes it ever easier to be more inclusive, it will become unacceptable to exclude or overlook people affected by social innovations. True co-creation facilitates a greater sense of community ownership and more grassroots capacity building.

OpenIDEO has been learning about new ways to innovate alongside the communities we serve. Our 2019 BridgeBuilder Challenge—the third annual $1m social innovation prize offered in partnership with GHR Foundation—sought to better include a group that’s more often a recipient than an active participant of social innovations: displaced migrants and refugees.

We began by partnering with former BridgeBuilder Challenge winner NaTakallam to include people with relevant lived experience in creating the brief. Applicants were also expected to show evidence that the voice and perspective of a person currently or previously experiencing displacement was part of the ideation, process, and project. NaTakallam later helped us hire a group of mentors who have experienced displacement to provide feedback and mentorship for applicants, and to support the evaluation process.

3. From disengagement to connection

In 2016, a Gallup poll reported that employee engagement in the United States had returned to its highest level since 2000, when it began studying worker enthusiasm and interest. That high is disappointingly low: just 34% of our workforce feel engaged in their work. Meanwhile, according to research conducted by Opportunity Knocks in 2011, half of nonprofit workers reported either being burnt out or in danger of burn out. Taken together, these studies reflect a failure to create work that is both inspiring and reasonable. As today’s problems can only be solved by dedicating attention to them, this failure is tragic.

Social innovation can play a central role in better aligning talent to our needs by creating new jobs, helping employees become engaged in issues they care about, and fundamentally reshaping the culture of work. To make this true, a reasonable work-life balance is one obvious need. Less obvious, but perhaps just as important, is a sense of connection—both to purpose and to other people.

• Connection to Purpose: It’s important to remember that individual and organizational purpose are separate, and that understanding and supporting an individual’s purpose is as critical as encouraging focus on organizational purpose.
  
  
• Connection to People: Cultures of self-sacrifice, efficiency and competition often impede deep connection with potential allies within teams or sectors. It’s important to combat isolation and loneliness in order to maintain passion for the work.
  

Once or twice a year, the OpenIDEO team gets out of the office and away from our daily responsibilities for a team retreat. We use the time to look inward to better understand the aspirations bringing us all to work every day and how each of us is connected to a shared purpose.

While the challenges facing social innovators are serious, we have reason to be hopeful: today there are unprecedented levels of energy and creativity going toward improving the state of the world. That energy is humanity’s greatest resource, but it’s too often depleted by underinvesting in the ecosystems entrepreneurs need to thrive, ignoring the creative potential of people with lived experience, and failing to help employees connect to purpose and each other. Building the next chapter of social innovation will require new thinking, practices and tools. It'll take bold action and a continuous commitment to pushing boundaries, not settling for a place in the mainstream.

In 2020, OpenIDEO will continue to explore how the social sector can be advanced and adapted to tackle tomorrow’s challenges. Follow along and join the conversation.

Illustration by Antonio Sortino

The once radical notion of leveraging business to address societal problems has become mainstream. As of 2017, 85% of Fortune 500 companies reported their environmental and social impact—an astonishing 65% increase since 2012. By this metric, the notion of corporate social responsibility (CSR) is verging on ubiquitous.

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.