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.

If you live in an American city, big or small, there's a decent chance that Sanborn had a map (or a hundred) of your town. And best of all, the entire collection is open-source and available for download in high-resolution images. The Library of Congress database isn't exactly the easiest in the world to search, but keep at it.

I live in San Francisco and was curious to see how my neighborhood was depicted by these amazingly-talented, fire insurance bureaucrats. I was delighted to find this map that shows my San Francisco neighborhood—the Lower Haight—in all of its 1899 glory. The colored rectangles form a grid, each pointing toward another map somewhere in the Sanborn collection that zooms in for much greater street-by-street detail.

I kept banging away at the rudimentary search function on the LOC website and eventually located Map 306, which visualizes my block in the year 1899.

San Francisco is not the oldest of cities when it comes to architecture, and there was that little thing called the 1906 Earthquake (and subsequent fire), which destroyed a lot of the city as well. So I wasn't too surprised when I didn't recognize many of the buildings on my block. That said, it did get me curious: Were there any buildings that were visualized on the 1899 Sanborn map that are still present on my block in 2019? I decided to make a map to find out. See, being an ameteur cartographer is actually useful in 2019! Google Maps hasn’t ruined all of the fun.

First, I set about converting the Sanborn map of my block into a file that I could manipulate in Adobe Illustrator. The original map is a JPEG, which means that it contains pixels. But since I wanted to have the freedom to tweak the map as I saw fit, I needed to convert the map to a vector version of the file. Why? A vector file (which, instead of pixels, is all about math coordinates) can be scaled infinitely large. What's more, it's much easier to change the colors on a vector-based map or make other modifications that I might need to later.

I'd like to say that there was some fancy way that I converted the map. I could have tried a Live Trace, but with a map this detailed, I wasn't optimistic. So I just rebuilt the file by tracing over the Sanborn map layer with new lines and fills and strokes. Detail by detail. This was mostly an act of love and definitely not a fast process. I recently had a kid and this turned out to be a fantastic New Year's Eve activity as we counted down the tired hours till midnight.

One unique challenge I encountered — there's no clear font out there that replicates the Sanborn hand-lettering. I spent too much time with the Adobe Typekit database and landed on Zeitung. It's not an exact match by any means, but close enough to pass the squint test.

That’s the original map on the left, in all of its pixels glory. And that’s the vector file on the right, built from scratch. How'd I do?

Okay. With the Sanborn map from 1899 more or less created, I turned my attention to the 2019 version of the map. I needed a detailed lot-by-lot map of San Francisco. My first go-to in moments like this is the Stanford University Earthworks website. The search function works quite well, and it links to open source maps from lots of other universities (like Tufts). After a quick search, I located a lot-by-lot map for the Bay Area and opened it up in QGIS, everyone’s favorite free and open-source cartography tool! Here’s what I had.

Totally overwhelming and, not surprisingly, it was actually quite tough to even find my block in all of that detail. So I loaded Google Maps, entered our home address, created a KML file with that single data point, and added it to the QGIS map. Once I zoomed way in, there was our block and our loft (represented by that little purple dot).

As I’ve mentioned before, QGIS is a wonderfully-powerful mapping tool, but mostly the pits when it comes to designing anything that would measure up to the esthetic standards of the average designer. So I zoomed way in to just our block, then exported the file as a vector file and opened it in our old friend Illustrator.

What I quickly realized is that this lot-by-lot map shows the property lines for each parcel on our block, but not the actual shapes of the buildings that sit inside each lot. Although I was getting close, I needed to go a step deeper to actually match the detail of the 1899 Sanborn map, which shows the outlines of individual buildings.

I opened Google Maps again and toggled to the satellite view of our block. If you zoom in as far as possible, you can see the outline of individual buildings. It's not perfect—shadows must get projected in weird ways when you snap photographs from orbit—but this was starting to get more interesting.

I snapped a fully zoomed-in screenshot of each building on the block, then traced them one-by-one using the Pen Tool in Illustrator. Once I had the outline of an individual building, I pasted it into the spot where it belonged inside the lot-by-lot map I’d exported over from QGIS. Then I repeated this process 31 times, for each of the buildings contained on my block.

With the buildings in place, my next task was to figure out when they were built so that I could determine if any of them had been around back in 1899. After much poking around, I found this site from the San Francisco Planning Department that had exactly what I needed—the construction date for each of the 31 buildings on my block. Once I did the research, I discovered that three buildings can be found on the map in both 1899 and 2019, all of them clustered on the southwest corner of the block. One of them is my local bodega, home to Tiger the cat and famous (in the neighborhood) for the time that the Warriors eccentric three-point maestro Klay Thompson visited the bar to buy a bottle of Grey Goose. Super cool also to know that the building was built in 1890 and survived the 1906 Earthquake and Fire.

To finish up the map, I built out a key, borrowing inspiration from another Sanborn map visualizing neighborhoods in Honolulu, Hawaii.

Then I tweaked the colors, sticking to the Sanborn color palette, but borrowing some of the brighter colors found across the collection. I also added some polka dots to both maps to call attention to the three buildings that survived from 1899 to 2019. These last couple of tweaks are just two of the many benefits to working with vector files instead of pixels.

And voila, here is the final version of the map. What do you think? Now you can do the same for your city block.

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Do you have a few hours on your hands and want to head down a wormhole of unbelievably striking maps? Mosey on over to the Sanborn map collection at the Library of Congress. Originally created as a means for issuing fire insurance across major American cities, the quality of hand-drawn detail in these maps and the color palette used by the cartographers are stunning.

The role of an engineer on a product team may not exactly involve saving the world, but the scene has some origin in reality: Engineers and other team members often have to come together creatively to solve a problem, and they each have their own language and jargon for describing solutions. As teams practice leaner and leaner development cycles, the process of defining and agreeing on requirements, challenges, and solutions needs to be an ongoing conversation, where everyone comes away with a shared understanding and a feeling that their role’s needs have been met.

So how do you start that conversation, and keep it going successfully throughout the life of a product? Here’s a roadmap to get you started.

Start by developing a common language

Do some level-setting at the beginning of the project to agree on general terminology that everyone can understand. Sometimes, this piece can even be as small as defining your individual product’s features in a way that allows you to speak clearly about your product roadmap.

Early in a recent project, when we were going over wireframes, people were throwing around a lot of terms that referred to the same thing: Was a “folder” the same as a “collection”? What differentiated an “item” from an “object?” By coming together in the product’s infancy and agreeing upon these terms, we were able to define our system architecture and have meaningful database model names that we still use.

Share your vision for the product

Build in time to ask your team members how they feel about the product, and share your vision as well. Try to think outside the smaller details of what everyone’s currently working on, and find opportunities to share thoughts and feelings about the product at large. You might be surprised to hear that an engineer is anxious because they’re worried that the latest feature build is getting way more complicated than they originally planned, or that a designer is excited because users have been clamoring for the feature you’re working on. These small, casual interactions build a sense of trust and shared knowledge about the larger vision that each functional team has for the product as a whole.

Leverage disagreement to come together

It can often feel like product managers, designers, and engineers are at odds with each other. Between wanting to meet deadlines and stakeholder needs, pushing for a joyful and user-centric interface, and working toward robust and uncomplicated code, things can get tricky. The key is to take this source of potential conflict and turn it into a shared learning opportunity. Make sure that every side is not just arguing for a solution, but actually communicating the “why” of a solution. If an engineer understands the user research and decision-making that went into a proposed feature, it will help them communicate all the possible solutions that can meet that particular user need, and then the team can prioritize and make better decisions.

Find opportunities to translate for each other

This opportunity often presents itself when you’re integrating new members onto the team. For example, new engineers with fresh eyes often want to jump in and optimize and uncomplicate things. While that can be a good thing, there may be situations where the more experienced team member needs to explain the design decisions that led to certain features being a certain way—and suddenly the engineer is empowered to speak for the UX designer because they understand the shared vision.

Once you find your conversational rhythm, you’ll find that team members begin to understand each other’s roles better. Because the designer now understands why the engineer pushed back on a certain complicated feature, and the engineer understands why users have been wanting a different feature, both roles on the team are now better equipped to advocate for each other and push toward a common goal—whether that’s defusing the bomb on the bus, or building a successful product.

Illustrations by Cassandra Fountaine

We’ve all seen the action movie trope where our hero needs to defeat a ridiculously complicated doomsday device, and the plucky engineer has to explain how to reverse the polarity or engage the spatio-temporal hyperlink. The hero inevitably responds, “In English, please?”

Work friends are very important, and different types of work friends can fill different needs. We’ll cover three: the confidante, the inspiration, and the frenemy. Understanding how and why you relate to these people will help you commit appropriate mental resources to developing workplace relationships that can bolster your motivation (and maybe even help get you out of bed on that Friday morning).

1. The confidante

This is the work friend who will commiserate when you’ve had a rough conversation with your boss, rush you to the bathroom when you’re about to cry, and give you honest feedback when you need it most. Confidantes make us feel like we can conquer the world—or at least ace a presentation and finally ask for that raise.

But these days, it can be tough to find a confidante at work. Because we tend to switch jobs more frequently, it can be hard to invest as heavily in workplace relationships. To counter that and find your confidente, start by building trust and sharing stories with a coworker you gravitate toward. Or initiate a get-together: People who provide social support to others—by organizing an office event or inviting colleagues to lunch—are ten times as likely to feel engaged at work than people who keep to themselves, says Shawn Achor, author of Before Happiness.

2. The inspiration

The inspiration is your platonic work crush: you don’t want to be with them, you simply want to be them.

This person can either be a colleague you deeply admire or a formal mentor. You probably could've guessed this, but mentors can help improve job satisfaction, teach us how to be effective leaders, and steer us towards the right career moves.

“They’ll bring a field to life for you. They’ll teach you how to find quality material in that field,” advises economist and author Tyler Cowen.

Pro tip: The best way to find a mentor isn't to ask, “Will you be my mentor?” but to start by asking someone for specific advice, then slowly work toward building a relationship.

3. The frenemy

We tend to choose friends who are similar to us, especially at work. But the more we have in common with someone, the more likely we are to compare ourselves to them. The frenemy is both our friend and our benchmark within the organization.

Another pro tip: Don’t feel guilty about experiencing the occasional twinge of envy! Frenemies account for almost half of all important members of our networks.

While frenemy relationships are linked to greater stress, they also motivate us to work harder. In a survey of consultants, those who had a frenemy made more of an effort to succeed and network. Leverage the positives of a tricky relationship by partnering on an important project; you’ll try harder to prove yourself and might end up with a real friendship.

But even the best work friendships have a dark side. Sometimes being close with our colleagues can leave us emotionally exhausted. Managing relationships we care deeply about while giving critical feedback or rushing to meet deadlines takes effort. Talk to anyone who has worked at a startup where coworkers describe themselves as a family, and you’ll inevitably hear how tiring it can be.

And for every friendship, there is also someone outside the friendship. The closer the relationship between two colleagues, the more others might feel left out, even if the friends aren’t actively excluding anyone.

Here are some concrete ways that you can engage with people at work to reap the rewards of having solid work-friends:

• Go for quality instead of quantity. High-quality connections don’t necessarily require deep or vulnerable relationships. Small moments of connection full of trust and engagement can be the beginning of something larger.
• Prevent silos from forming. IDEO structures all of its teams to include designers from different disciplines so each team is cross-functional. Our San Francisco office also has a ritual called tea time, in which people are invited to take a break from their work and mingle with people they don’t work with directly.
• Don’t rely on social events. Studies show that work parties aren’t always effective at helping people make friends. “People don’t mix much at mixers, and at company parties, they mostly bond with similar colleagues,” says Adam Grant.
• Spend casual time together. Google and Facebook plan times for employees to play games and eat meals together. At LinkedIn, the whole family can get in on the fun during Bring Your Parents to work day.

This post was adapted from Mollie and Liz's book No Hard Feelings: The Secret Power of Embracing Emotions at Work.

Choice, meaning, and opportunities for learning all make work more enjoyable. But on rainy Friday mornings when we’re low on sleep and irritated with our managers, research suggests our real motivation isn’t a what—it’s a who. People with friends at work find their jobs more satisfying, and are less affected by stress.

It's my first few hours in Bangkok, and by looking around the train, I can tell it's rainy season. Thin raincoats cover suits, and young mothers juggle both sunglasses and umbrellas.

As I exit the train, I look up, count to three and speed through a very thick rainstorm toward my Airbnb. After a much-needed nap, I open my eyes to a completely different climate. I peek through the shutters of my room and see an indigo sky, birds flying, and I am feeling the heat.

I pick up my fanny pack and leave the Airbnb immediately to explore the neighborhood. On a quiet side road, beside the fence of a wood craftsman shop, a thick black piece of tarp covers a corrugated fence. It’s held in place by a clever set of weights—filled plastic water bottles.

It strikes me that such an old trick can be found everywhere across the world. I start to wonder how can these four small bottles make it through such heavy, rainy days.

I stop to stare at a man approaching me. The woodchips on his shirt make it seem like he must be heading out from the shop nearby. He whispers something, unties a couple of bottles, and brings them to the shop's outdoor sink. These short bursts of sunlight heat must dry the water in them pretty quickly, I thought to myself. Regardless of the one million square meters of water falling over Bangkok each September, nothing beats the strength of a tropical sun, and the dedication of an old craftsman to keep his work tools dry.

Human-centered design requires us to observe human behavior with beginner's eyes, so that we can spot the innate ways people interact with the world around them. We call these intuitive and unconscious reactions Thoughtless Acts, and IDEO designers collect photos of them to inspire their work.

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.