Keeping diabetes in check isn’t easy. Between checking blood sugar multiple times a day, keeping a detailed activity record, and logging food intake, staying healthy can be daunting.

But a recent advance in smart diabetes management—Ascensia’s CONTOUR NEXT ONE blood glucose meter and the CONTOUR DIABETES app—can give patients more clarity and control.

The CONTOUR NEXT ONE is the latest product to spring from a multi-year collaboration between IDEO and Ascensia Diabetes Care (formerly Bayer Diabetes Care). In 2009, Ascensia and IDEO developed the award-winning CONTOUR USB blood glucose meter—the first meter to plug directly into a computer, providing patients and their doctors with instant access to blood sugar data and personal trend reports.

Buoyed by the success of the first collaboration, Ascensia asked IDEO to help design a next-generation diabetes management system (and the company’s first internet-connected device).

To help reduce the stigma of checking blood sugar in public, IDEO designed the CONTOUR NEXT ONE to look and behave like today’s modern tech devices. The highly simplified, seamless system allows patients to upload blood glucose readings automatically to the app, which helps guide informed, real-time decisions. The meter’s red, green, or yellow smartLIGHT feature gives instant feedback about whether blood sugar levels are below, within, or above the target range.

Seeing contextual data, which includes physical activity logs and photos of meals, paired with recent and historic blood sugar levels, nudges patients toward healthier lifestyle choices and better control of their condition.

For doctors, the accuracy and quantity of the data combined with the app’s easy-to-read pattern views invites more comprehensive, actionable conversations with patients.

The CONTOUR NEXT ONE hit shelves in Europe in 2016 and is now available in the U.S. Ascensia is poised to develop more products enabled by rich, personalized data to help people with diabetes live longer, healthier lives.

What if we could use the sky to provide alternative solutions to these problems, creating more space for living and transportation? What exciting future awaits us?

At JAXA’s Aeronautical Technology Directorate (ATD), researchers are conducting research and development on aviation science and technology for the future. They are working to affect positive impact through research like noise reduction of airframe and an integrated aircraft operation management system for disaster relief and crisis management.

Normally, JAXA begins their projects by examining the needs of the aircraft industry or comparing themselves against global technology standards. This approach often leads to ideas that are merely an extension of the current technology. JAXA needed a new approach in order to create radical ideas and real change.

The key question was: What solutions would emerge from prioritizing people’s needs over the most advanced technological possibility—taking a human-centered approach to tackling the most pressing societal challenges?

JAXA ATD voluntary partnered with IDEO to attempt to answer this question, identifying new research areas by envisioning people’s needs in the near future. Together, JAXA and IDEO developed four scenarios of future societies.

The scenarios do not necessarily focus on technologies. Rather, the focus is on telling stories that help readers put themselves in the shoes of the four personas. At the same time, the team worked with industrial designers to illustrate convincing demonstrations of the vehicles and machines of the future.

JAXA’s team embraces the belief that “technologies developed at JAXA should incorporate emotional aspects to blend seamlessly into people’s lives.” Driven by this philosophy, the visual design of the four scenarios used a friendly illustration style intended to be approachable and understandable for people of all ages.

In order to develop human-centered concepts from scratch, the IDEO and JAXA team first undertook research and inspiration-gathering. They skydived, observed cities from above, brainstormed with students from the department of architecture at Waseda University. They interviewed airline employees, a former Judo world champion, skyscraper lovers, a business producer who focuses on new working styles. Throughout the research phase, the team explored the possibilities of the sky as a “living space,” not just a place for transportation.

The team was surprised and excited when they learned from a former fighter pilot that old cockpit designs were inspired by the Japanese tea room, highlighting a historic precedent for taking inspiration from real life to inform new technology designs.

The team synthesized their research and developed several concepts, each informed by a different social issue or pressing concern. Each issue was brought to life through a fictional personal narrative.

How might we relieve city congestion and pollution using the sky, while still keeping it clean and blue? Floating public lights, a skyway that regulates air traffic, camouflaged planes that keep the sky blue—concepts introduced in this scenario were the closest to the technologies already being researched at JAXA ATD. They show us how the sky could become an infrastructure that supports our daily lives. Meet Ayame, a girl from Gunma prefecture, ready to begin her college life in Osaka.

How might we make travel feel easy for people of all ages, no matter how far they need to go? While the researchers at JAXA ATD are working to improve the mobility of aircraft, like reducing air friction or increasing the engine efficiency of aircraft, this scenario explored how people could travel door-to-door through the sky with or without aircraft. A day-in-the-life of Naoto, a 72-year-old man who commutes twice a month from Tottori to Tokyo for medical checkups.

How might we leverage the sky as a resource for reusable energy and economic growth? One of the criteria of JAXA’s R&D activities is to improve the environment. While JAXA has been focusing on “protecting” the environment, this scenario focused on “creating” new environments. A day-in-the-life of Toshi, who runs a “sky-to-table” farming business.

How might we help people live with peace of mind, even during a disaster? JAXA’s disaster relief technologies have been extremely valuable in countries like Japan, which frequently suffers from natural disasters. In this scenario, we approached the problem from victims’ point of view while exploiting the potential of a network of aircrafts and other flying objects. Here's the story of Yuri, a victim of an earthquake in Tokyo who reunites with her family after evacuating to the sky.

The purpose of the project website is not to present answers, but to introduce new directions towards an exciting future. By presenting JAXA ATD’s vision through these four scenarios, the team invited people from all industries and of all ages to participate in co-creating the future.

Just like movies, cartoons, and novels from childhood stimulate the imagination, this project aims to spark new conversation and vision for a radically different, positive future.

By illustrating and communicating a more human-centered future to a wider audience, Japan’s top aeronautical technology development agency may already be changing the future of the sky for the better.

The speed and scale of change in our world are unprecedented. As more people relocate to cities, our lives are impacted by urbanization problems such as pollution, congestion, depopulation of rural areas, resource, and energy deficiencies.

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For factory operators, a smart valve is a game-changer. It gathers data on how smoothly the system is running and feeds it to an app, making it easier to troubleshoot from anywhere. And when things get overheated, it can automatically shut down the machinery, avoiding a meltdown.

Georg Fischer (GF), the Swiss-based, B2B industrial manufacturer collaborated with IDEO to design that valve, along with a system that adds value for generations of engineers to come.

And there were some surprises along the way. When the team set out to interview customers, they learned a lot about their real needs. “We showed a customer a sacrificial concept of a smart valve and asked, what do you think about this?” says Laura Barrabia, GF’s Head of Corporate Design Thinking. “The customer answered, we don’t want your valve to be smart, we want to be smart. If GF is providing a smart valve, where is my value?”

For GF Piping Systems, these insights helped shape initial prototypes and guided the direction of the design to something that would tie parts together into smart systems and more efficient industrial facilities—a competitive advantage.

Yves Serra, GF’s CEO, recognized early on that his company needed to strengthen its customer-centricity and digital capacity, so he approached IDEO to begin shifting GF’s culture from engineering-led and procedural to customer-focused, multidisciplinary, collaborative, and flexible. That kicked off a decade-long relationship that would help GF take a design-based approach.

Learn what it means to move from being technology-driven to being truly customer-centric.

To help GF identify clients’ pain points and address them with new digital offers, IDEO proposed three “lighthouse” projects, one for each of GF’s divisions: Piping Systems, Casting Solutions, and Machining Solutions. Lighthouse projects (also called “Beacons”) are proofs of concept that light the way for an organization and help it shift its way of working.

For example, GF Machining Solutions built a prototype for an application that uses real-time data to help customers identify and fix problems in the machines, laying the foundation for truly predictive maintenance. Making data streams more transparent for customers also simplified life for the GF service engineers, who keep the machines running.

Learn how Georg Fischer is moving from hardware offerings to digital solutions.

For GF Piping Systems, the design team developed the GF Digital Line, a set of products, apps, dashboards, and other services that help customers plan, install, and maintain water and chemical piping systems. GF teams went back to customers to test several prototypes and gather feedback on the Digital Line and make sure it addressed current and future needs. They also built internal capabilities to support product development, laying the groundwork for future innovation.

Lastly, IDEO helped GF Casting Solutions escape the “commodity trap” of competing with foreign automotive suppliers. To better understand the pressures car manufacturers face, the design team explored the development cycles of two car manufacturers. They learned how challenging it is to implement solutions to reduce vehicle weight—essential for cutting fuel consumption. As an expert in aluminum die casting, GF was well positioned to help manufacturers meet that challenge, not just with quality parts, but also with digital engineering to deliver cutting-edge lightweight casting solutions, which are harder to replicate.

By the end of these lighthouse projects, GF had rolled out a global design thinking training program that had touched more than 1000 employees. After the training, employees throughout the organization adopted a new way of working and became passionate ambassadors. The enthusiasm spread from the R&D department to HR to finance and many other departments.

Today, GF has permanent design thinking and digital teams to continue this work. All three divisions aim to launch the first releases of their lighthouse projects by early 2019. And with every project, GF’s business—and solutions—get smarter about how to meet the needs of a fast changing world.

IHG’s ambition is to grow in service of its guests around the world. IHG’s Atlanta-based team had identified a major opportunity for hotels in the midscale space—a market segment known for its inconsistency.

Alongside colleagues at London-based forpeople, IDEO was invited to help IHG shepherd that business opportunity into a human one, by asking how IHG might reimagine the everyday travel experience for people relying on this category of hotel. What kind of offer might resonate equally with guests and with the owner/operators who’d need to buy into a new brand and bring it to life?

IDEO began by talking to travelers to better understand their lives, values, and needs—travelers who spend one or two nights on the road a few times every year; travelers who regularly take short trips to small cities or away from city centers; and travelers who live on the road, moving from hotel to hotel. These included court stenographers, medical technicians, consultants, conference-goers, and more.

Early research insights evolved into two distinct concepts for a new hotel brand, which were built out into two full-scale physical prototypes at IHG’s design center in Atlanta. Over three weeks, IDEO and its IHG partners led potential guests and hotel owners through each model, gathering their feedback on new formats for breakfast offerings, service details, booking experiences, and overall tone.

The investment in prototyping paid off with surprising and actionable insights. Despite wide variation in occupation and income, these guests are sophisticated and self-reliant; they know what’s out there, and they know what’s reasonable to expect. In fact, many describe a syndrome IDEO dubbed “anticipation anxiety:” the sense of dread that comes from not knowing whether a lower-priced hotel is going to be clean or safe, or provide a bed that enables restful sleep. Many have so little confidence in the cleanliness of hotels in this price range that they travel with their own packs of wet wipes.

IDEO, along with the IHG team, recognized these behaviors as an unanswered cry in the market. The purpose of the new brand crystallized around extinguishing that anxiety and rewarding guests with something much better. avid hotels exceeds its competition by doubling down on quality in just a few select areas: an extraordinary mattress; rigorously high standards of cleanliness; a focused, high-quality, grab-and-go breakfast and coffee experience; and an overall tone of warmth and straightforwardness.

These guests made clear that for trips like this, they aren’t interested in bells and whistles, or communication that isn’t frank or to the point. That led to an insight that upends an industry truism: for these guests—and there are many of them—choosing a hotel is rarely only about the price of the room. avid guests can often afford to stay in a more expensive place for a honeymoon or a vacation or a trip with friends; they’ll spend more when they need more. But for functional stays of one or two nights, it just feels wasteful. It goes against their values and their principles.

IHG and IDEO heard a clear call for a sense of focus and affordability—but never at the expense of quality. Guests should be able to access a simple booking process, rooms designed for sound sleep, and a quality breakfast, all at a fair price. And hotel owners ought to be able to deliver that experience with confidence and consistency, at costs that build a compelling case for their own business.

That’s what avid hotels is designed to deliver, every single time. Early traveler reviews have been exceedingly positive and have noted specifically the unique differentiating offers avid brings to the market.

Within a year of partnering with IDEO, IHG had issued 150 avid hotels licenses to franchisees in the US, Mexico, and Canada, and announced a development deal for 15 avid hotel locations in Germany over the next five years—a scale of success that came at unprecedented speed for the industry. The collaborative, inclusive design process is now serving as a model for how to develop robust, guest-centered hospitality brands that deliver where it matters for people.

It was a result of her own tenaciousness, her creativity, and the support of RepresentED, a small organization with a big mission to prepare students for careers in industries where they are underrepresented. The organization uses a human-centered approach to diversify the next generation of leaders through training, mentorship, and internships. RepresentED’s founder, Rashida Hanif, met Cisneros when she was a transfer student at UC Berkeley. Hanif notes that transfer students—particularly Black, Indigenous and People of Color (BIPOC) young adults—are missing out on what she calls the “hidden curriculum of life.”

Cisneros immediately saw the opportunity to help other Black and Brown transfer students like herself attain university education and gain visibility into concealed opportunities for their futures. Cisneros first learned about RepresentED in 2017, when she applied to join the first cohort of fellows. As part of the fellowship, she participated in a design thinking workshop led by former IDEO designer Scott Shigeoka. Later, she and her team competed in OpenIDEO's Future of Higher Education Challenge and designed an app that connected transfer students with much-needed community and resources. The experience and process introduced Cisneros to an industry she had never considered before. “Learning about design was absolutely pivotal for me,” she says.

Making change from within

After the competition, Cisneros was encouraged to apply to IDEO, and was hired as a recruiting coordinator before being promoted to her current role. Today, she leads Color by Design (CxD), which she helped launch in the wake of the rise in activism for social justice last year. She also helps facilitate internal programs at IDEO like business and inclusive leadership trainings, which seek to support IDEO’s senior leaders (and eventually all employees) to better understand how to create a culture of belonging. “In these trainings, we’re going to provide tangible leadership skills which help build awareness of where people are in their own personal journey,” she explains.

Shifting the power dynamic

This month RepresentED and IDEO are opening application submissions for the fall session of CxD. The program is open to all BIPOC students from backgrounds that have been historically underrepresented in design.

“It was important to shift away from the typical ‘company-intern’ power dynamic,” said Hanif. “It’s about an equal exchange of value that shifts the long-held power dynamics between the company and the fellow.” Following a bootcamp in design thinking, the cohort will receive placement on a six-month full-time IDEO project and have the opportunity to pursue a career at IDEO. Whether they decide to continue a design career or not, fellows will leave the program with a deeper understanding of design that they can apply to nearly any line of work.

Fellows will also be trained holistically for entry into culturally white-dominated industries, preparing them for challenges that are likely to come up, like imposter syndrome. “Having the ability to name things like imposter syndrome enabled me to step into my own authenticity,” explains Cisneros, “while understanding that institutions need to do their own work in order truly create a culture of belonging.”

A signal to the industry

Looking forward, there’s a lot of potential for programs like CxD to drive lasting change within other companies and industries. “This isn’t just a pipeline program, it’s a signal to the industry,” Hanif notes. Companies that have more diversity in their staff will have a greater competitive edge, and the design skills fellows bring to the table can be applied to more than just traditional design work—they can be used anywhere.

“It's not about checking DE&I boxes,” she adds, “When you build products and services, you want the people who buy those products to be represented in the design process—there’s a real business case for that.”

The first cohort has been invited into IDEO in January 2022 for a 6-month period, and an iteration of the program will launch by the end of 2023. We will share more updates as we get closer to the recruitment season. If you have any questions, please contact cxdinfo@ideo.com.

For Jordan Cisneros, a Senior Specialist on IDEO’s Global Learning and Development Team, access to a career in design was not a given.

Many people share these same questions but are afraid to ask. They don’t want to be rude or make a misstep—which can generate more missteps and even cause harm simply due to being uninformed.

Solving this issue is exactly what IDEOer Stuart Getty set out to do with their new book, How to They/Them. Stuart, who uses they/them pronouns, wanted to create a guide that answered a lot of the questions they commonly get asked, and find a way to educate people in a friendly way. Far from being a niche topic, gender is an important part of the human experience and its landscape is ever-expanding as we learn new ways to describe our most innate identities. It’s important to realize that everyone has a gender identity—not just those whose identity diverges from traditional norms. In Stuart’s brilliant words, “Gender is for everyone and we all get to decide who we want to be in this world.”

We sat down (virtually) with Stuart and Brooke Thyng, a former IDEOer who helped bring Stuart’s story to life through illustration, to talk about the book—the role of humor in the story, the pair’s collaboration process, and why the timing of the book was so important. Read on for a peek behind their creative process.

This book approaches talking about gender from both an educational perspective, as well as through humor. Why was that balance so important?

Stuart Getty: There's a hidden audience with this book and for me, it's my mom who's in her 70s and lives in Kentucky. I think that jokes are what get her to be like, “Oh, okay! I'll keep reading.”

Stuart Getty: I think that people get really uptight when these kinds of subjects around gender are being talked about. People are worried they’re going to mess up and use the wrong words like “transgendering,” for example. What I'm saying is, I like to add a little levity, because it makes people relax into the learning process. It’s about access to the information.

Brooke Thyng: I wanted to follow Stu’s lead and make sure that everything that I created was in service of their message. So as much as I wanted to make myself laugh, as a cis-person, it was important for me to come to this project very humbly and with the utmost respect.

The whole time, we’d ask, “Is this pushing people, but in a way that's authentic and respectful, and not just doing it to be a jerk?” There's a time and place for joking around. And I think it was clear that Stuart’s message wasn't a joke, but that it needed to come across with some levity, or just some openness.

I was really conscious of finding that nice balance of, yeah, it’s not a joke and we're fighting for rights and we're fighting for exposure and visibility, but at the same time, when we take ourselves so seriously I think we block out people from coming into the message. And so I really wanted to use humor as access, and use the visuals as access.

How does this book connect to what’s going on in our society right now?

Stuart Getty: If you look at the stats for Gen Z, 35 percent of them know someone who uses they/them pronouns, and something like 20 percent of them also identify as gender neutral, even if they don't use they/them. People are stepping into these places of breaking binaries, and I think the binaries of sexuality have been crumbling over the last couple years. People are now asking, “Why do we have to be only gay or straight?”

What I also love about this book is it means cis-people get to look at their gender and the way that they've been told to be a man, a woman, an American, a human, whatever—and decide what they actually believe and what they actually want to be. And I think that is the thesis statement of the whole book. “They” is for me, and I want to explain it to you, but also, gender freedom should be for all of us.

Tell us more about what your collaborative process was like.

Stuart Getty: I came to Brooke with pages that looked like this, and then we would sit down and go page by page. I do think that I had a really good idea of the story, but it was on a level seven or eight when I turned it to Brooke, and then she kicked it up to the, “It's a 10, everyone!” She just made it such a better story.

Brooke Thyng: Stuart came with all of these pages printed out, and I would meet up with them at IDEO. We’d sit in the communal area and we'd go through the pages, and they'd be like, “Oh, I was thinking about this here. And this is sort of what I meant here.” I would just take notes and try to take it in.

I'm always so taken aback when Stuart asks me to be a part of things like this. I really felt like I was helping make the vision come to life, like I was Stuart's visual hands for this project. I just wanted to amplify the text that was written. As I read through their draft, it was an immediate, “Oh, this is what it's making me think of.” Either I am slightly out there and can just see weird images come to life, or Stuart is really good at crafting their words. I think maybe it's both.

Want to read How to They/Them and learn more about gender identity? Get your hands on a copy here, or wherever books are sold!

Animations by Louisa Liu and Devin Peek

Ever wondered what “nonbinary” and “gender nonconforming” really mean? Or if it's grammatically correct to use “they” as a singular pronoun? You’re far from alone.

A founding member of the alt-rock band Garbage, Steve Marker had generously agreed to an interview on one condition: that he could read an advance copy of my book, Two Beats Ahead, before we talked. This made me sweat, not because he was a rock star—my co-author and I had spoken to many of them while writing—but because he was the first rock star reading the book about the inventive mindsets of musicians. It was like waiting on Julia Child for feedback about the omelet you just served her.

“I’m enjoying your book so far,” Steve said. My shoulders relaxed.

I first heard Garbage on college radio in the mid 90s. The band had an unmistakable sound—a combination of shoegaze, hiphop, and electronic dance, with the pouty attitude of the Cure reinvented by a feminist fatale. It was an unexpected direction for the band given that Butch Vig, another founding member, had rocketed to fame as the producer of Nirvana’s major label debut, Nevermind. Grunge—as that Seattle sound was called—was nowhere to be found on Garbage’s debut. And it turns out, that was by design, or as Steve implied, maybe an un-design.

“You know, it was interesting reading about the intention that so many artists have had in making their music,” Steve told me. “It wasn’t like that for us. We didn't have a written-out plan or even something we really talked about that much. It was just a combination of everything that we loved.” He shared a story about Butch seeing My Bloody Valentine in New York and being blown away by their white noise and pop melodies. He mentioned Public Enemy and their gritty noise loop samples. He talked about 60s rock.

“Garbage could have turned into a totally pop thing. Or it could have turned into a noise experiment that would have been an interesting album to listen to once or twice. Luckily, we found a combination that worked for us. A lot of that had to do with Shirley [Manson], as she brought this whole other thing into the mix that we couldn't have planned. The combination of all our different influences is what the band became.”

Well, maybe there wasn’t a plan, but there was definitely a principle of designing the conditions for creativity and letting the outcome emerge from that. Steve and the band had figured out how to bring together all the things they loved, and at the same time, reject all the things that were popular in the mainstream. They chose a new path, which became their own path to mainstream success. Their debut sold 4 million copies in its first 12 months.

As I reflected upon how this happened, I was thinking about the numerous client teams that I’ve worked with under rapid deadlines and inflated expectations.“We want to be the next iPod of banking!” they say. The bygone days of Bell Labs open briefs feel like business mythology now. And yet, that was exactly the situation Garbage had. “We were lucky enough to have somebody say, ‘Okay, go make a record,’ mainly because Butch had a great reputation. We had the luxury to take as much time as we wanted to figure out what we were going to be.”

In Two Beats Ahead, Panos Panay and I interviewed Imogen Heap and Steve Vai about music and product breakthroughs they had in their own careers. We also spoke with folks at Amazon’s PillPack about launching their startup idea. What ties these stories together are mindsets of curiosity and learning. Experimentation wasn’t confined to any single part of a workflow or to particular roles. It was more like a cultural attribute, the water they swam in. For Garbage, that culture looked like persistent play. Steve illustrated this with a story about making Garbage's first record.

At the time, they were often just sampling other people’s songs to find elements they liked. During one session, he grabbed a handful of CDs looking for a beat and happened to play “Train in Vain” by the Clash. “Right there, we had a good four-bar loop to use as a click track...I put down a bass line and that was the foundation of the song right there.”

The next day, Butch came up with the lyrics:

you stupid girl
pretend you’re high
pretend you’re bored

“It can take minutes or months to make a song,” Steve continued, “and you’ve just got to stay open to letting it make its own path.”

I can imagine someone reading this and thinking to themselves, “So that’s it? The secret to innovation is to try a bunch of random stuff until it works?” But remember, this wasn’t just any band coming up with songs. This was Garbage. And this led Steve and I to an interesting discussion about team dynamics and experience.

“I guess we were lucky that we all worked with bands for 10-15 years before Garbage. We were in dozens of bands that hated each other. You learn by doing that.” He went on to talk about fluidity, respect, and vulnerability—the essential chemistry of the band.

It would be misleading to suggest that musicians somehow have a more natural ability to collaborate than others. It's not about an inherent gift. We all know the stories of a band breaking up over creative differences, sometimes with incredible public meltdowns. The reason musicians have so much to teach us is that the conditions in which they work are the ideal classroom for these mindsets.

Great creative talent is in every company, but the structures and social norms of the organizations often dictate who is permitted to collaborate. I’ve been in situations where clients have asked me not to talk to their colleagues because they didn’t trust them. I’ve seen departments make competitors of one another because they were incentivized to do so. I’ve been in buildings that have rooms dedicated to innovation rather than cultures committed to it. To get the best teams, it's often left to the creativity of the project leader to work around these organizational constructs and find the ideal contributors, no matter where they are in the organization.

Garbage set themselves up without defined roles—except for Shirley, who always sings. Otherwise, roles and contributions are left up to the person with the best ideas. “Being in a band is the most fun thing I can imagine doing. It's a dream come true from when you were a kid. And I've done it as a job, as my livelihood for a long time. It's amazing,” Steve shared with a smile.

Those words, “I’ve done it as my job,” have stuck with me because they really are the premise of Two Beats Ahead. We often don’t see the musician’s life as a job. And yet the mindsets that Steve and Garbage bring to work are the mindsets that we are regularly striving for in the corporate world. We’ve categorized the rock star life as something else. But on my best days, I’m working just like those legendary musicians, pursuing curiosity, building on new ideas with my teammates, and trying to get the video lighting just right.

Two Beats Ahead: What Musical Minds Teach Us About Innovation, by IDEO partner R. Michael Hendrix and Berklee College of Music Senior Vice President for Global Strategy and Innovation, Panos A. Pany, will be available worldwide in April.

Preorder in the U.S. here and the UK here.

Steve was supposed to be in bright colored lights on stages across the U.S. along with Liz Phair and Alanis Morrisette. Instead, he was on a video call with me, trying to find a camera angle that didn't make him look like he was in witness protection.

Yun believes the purpose of food is more than sustenance. Every dish is a cultural story and an ode to generational resilience.

Yun is one of hundreds of women entrepreneurs San Francisco’s beloved food business incubator La Cocina ( "The Kitchen" in Spanish) has supported over the last decade. Graduates from La Cocina have scaled industry barriers to establish restaurants and factories around the Bay Area, served millions of nutritious, multicultural meals, and generated tens of millions of dollars in sales. Yun’s story is one of success for one woman, but also for her family, her culture, and for a business that supports community health.

Business and community health can form a virtuous flywheel. Businesses thrive when their employees lead happier, healthier, and more productive lives. Communities thrive when the businesses that serve them support their health holistically. However, despite considerable investments in the healthcare system, the cycle has sputtered and stalled: every year, $2.6 trillion of productivity is lost to chronic disease. Businesses could play a broader role in addressing these inefficiencies and inequities, but investments in health have largely been limited to the traditional healthcare system and ignored where people live, work, learn, and play—in the space we call The First Mile of Health. By “First Mile Health” we mean making a deliberate effort to design for the patterns of everyday life that keep people well—emotionally, physically, financially, and socially. First Mile Health means creating and investing in businesses that provide compounding health benefits like intergenerational housing, food cooperatives, insurance to combat loneliness, and digital technologies that enhance trust and social cohesion.

What do we mean by the first mile? First Mile Health looks at people living their full life—not just their diet, exercise, insurance—not just things in isolation.

Animation by Claudio Fresneda

Building blocks for First Mile Health exist at the interpersonal, community, and city level.

Interpersonal: Nurture lasting relationships

The first mile of health is built on a basic human need: to relate with each other. As a species, humans rely on each other to survive and thrive. In today’s world where so much of our lives are digitally-mediated, it’s critical that our digital relationships foster mutual care and support.

If social media is the modern public square, today’s digital technology remains far from the agora of Athens or Central Park, places where people from diverse backgrounds gather and build shared understanding. Most social tech is still new in the grand scheme of things, and there's ample opportunity to develop them in a health-centered way. If we are to avoid the “social recession”—a loneliness epidemic exacerbated by COVID—digital experiences must help people spend meaningful time together, moving away from doom-scrolling and toward lasting relationships.

One positive example of this appears in IDEO data science research supported by the Robert Wood Johnson Foundation, which revealed that social media posts tagged as “inspiration” strongly correlate with posts about health. This signals that health can be a unifying topic that catalyzes positive conversation and builds social cohesion. Talking about health can lift people up, motivate them, and activate them toward taking care of their own well-being, sometimes just by giving the words to describe how they feel.

Health is also strongly correlated with personal identity, especially among younger people still in the process of learning and affirming who they are. When the pandemic hit, the social innovation organization Hopelab had been working on a tool called Nod, an intervention for loneliness among young people. At first, they determined that getting young people off their devices was the top intervention for tackling loneliness—but when COVID happened, they took a step back and asked, “What are the underlying principles of social connection?” and, “How can we build a tech-mediated intervention that will catalyze meaningful social connection digitally?” Nod shifted from a tech-centered framing—get kids off devices—to identity-centered framing based on principles such as positive psychology and mindful self-compassion to equip young people with the skills to nurture meaningful connections both online and offline.

How might digital products and services better support positive self-awareness and well-being?

How might we create digital experiences that feel like being in proximity with those we love? And importantly, how might we foster connections among those we don’t already know?

How might we design policies and regulations to ensure that digital experiences create reciprocal value for people and businesses?

Communities: Support local economic resilience

An inclusive local economy supports health: grocery stores that stock fresh produce, shared bikes and scooters to help people get around the neighborhood, small businesses and local services that connect and convene community members, and more.

Co-investments build strong, resilient local communities. Organizations that share economic power with communities at the local level are, in turn, more resilient themselves. Through co-investment, organizations and communities form a virtuous cycle. In the aftermath of the 2008 financial crisis businesses that diversified their community of co-investors were not only able to weather shocks, they were better set up to support the health and economy of the communities in which they operate in the long-run.

Businesses new and old are now taking part in a cooperative renaissance. Project Equity, a member of the Ashoka network of changemakers, is helping businesses transition to employee-ownership. Start.coop, a national accelerator for cooperative entrepreneurs, is advancing new business solutions addressing all of the social determinants of health. From creating affordable housing to increasing access to nutritious food, cooperatives have equity built into their DNA. These are examples of businesses that engage their community members beyond pure consumerism to become active decision-makers and co-designers of their local economies.

This cooperative renaissance is part of a bigger conversation to imagine a political economy that’s not centered on short-term value extraction but rather community health and wealth. From Platform Cooperative to Zebras Unite to RadicalxChange, the movement to build a new economy grounded in steward-ownership and long-term purpose is gaining momentum around the world.

How might we supercharge local entrepreneurship, starting with women and minority-owned businesses?

How might large businesses build local enterprises and steward-ownership models into their ecosystem in ways that create value for all?

How might innovations in the distributed web and decentralized governance enable alternative ownership and exit models?

Cities: Build multi-city coalitions

American cities are places of extremes: the most diverse places in the country and also the most unequal—a deadly intersection as shown by the disproportionate impact of COVID. Over the past few years, an experiment has been in the works in Stockton, California, the most diverse city in the country. For two years, Stockton’s former mayor, Michael Tubbs, gave $500 per month to 125 randomly selected residents living with low income. As the Stockton Economic Empowerment Demonstration (SEED) website describes it, “the cash was completely unconditional, with no strings attached and no work requirements.” Two years later, the data collected on the project has been released, and among other striking findings, one stands out: recipients of the funds were “healthier, showing less depression and anxiety, and enhanced well-being.” COVID demonstrated the compounding effects of an economic crisis on top of a public health crisis. In showing a way forward that solves for both, Stockton’s success story has catalyzed a coalition of mayors to launch guaranteed income pilots in 29 cities across the country. When decisions center on the diverse voices of those who live closest to the problem, cities can rise the tide and lift the health and wealth of all of their people.

Cities are effective units of change, where people could work on challenges that are big enough to matter and small enough to make things happen. When diverse partnerships of organizations rally around a shared purpose, cities become containers for collective imagination. One example of this shows up in Cities Changing Diabetes, a 36-city network advised by Gehl that conducts research, crafts strategy, and collaborates across cultures and geographies. The coalition creates neighborhood-level strategies for health that are unique to local conditions but offer lessons that can be applied across the network.

The 2020 census revealed the faces of a changing nation: a pronounced aging population and an increase in diversity among Millennials and Gen Z. Already home to eight out ten people over the age of 65, cities are the ground zero of these macro demographic shifts. Aging is a main risk factor of chronic diseases and COVID has made race-based health inequities abundantly clear. If business-as-usual persists, we will face a grave prognosis: an aging population burdened by chronic disease will be catastrophic for the American economy. The solution is as simple as it is inevitable: just as chronic diseases like diabetes and obesity are risk multipliers that devastate the economy, First Mile Health could be a resilience multiplier for both people’s health and the economy.

How might we create pathways for economic mobility for those who face the biggest barriers of systemic inequities?

How might we build trust between governments, businesses, and residents?

How might networks of cities unite across divisions and heal together?

Every business leader should see an opportunity in First Mile Health

First Mile Health is an “and” to all the work being done today. It’s shifting the mentality from fixing to designing. And we can only do that by seeing one another fully.

Depending on where you stand, you might see a different path toward First Mile Health. Healthier communities make better customers, making them and the businesses who serve them more resilient to unexpected threats such as pandemics; improved mental health and well-being generate higher levels of engagement; extended healthy lifetimes increase the talent and customer pools available to business; healthy family and work life encourages a sense of belonging, which in turn builds organizational knowledge; and lower health costs benefit all. All of these outcomes are examples of First Mile Health.

This week marks the grand opening of La Cocina Municipal Marketplace, the first women-led food hall in the country. This 7000 square foot development in the heart of the Tenderloin will give entrepreneurs who follow in Nite Yun’s footsteps an even bigger platform to innovate, while offering affordable, healthy food to longtime local residents. La Cocina Municipal Marketplace is an exemplar of First Mile Health: it serves as an inclusive gathering space for the community, a catalyst for business leadership from the ground up, and a demonstration project for health-centered economic development to inspire cities around the country.

Runners know that the first mile is always the hardest. When you start out, your body has to adjust to the new demands of physical activity. But as you run, your body adapts and the experience naturally starts to get easier. The same is true for First Mile Health: while the first mile might be the hardest, it will create many happier and healthier miles down the road. As Mark Twain said, “The trick to getting ahead is getting started.”

We wish to thank Steve Downs at Building H for his thought partnership and collaboration that helped shape First Mile Health.

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While having a bowl of soup on a trip to Cambodia, Nite Yun, who was trained as a nurse and is now the chef-owner of the award-winning restaurant Nyum Bai in Oakland, realized that eating could be a way of healing.

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.