

Empowering school leaders to create change through design
How small actions can lead to big shifts in schools.
There’s a lot of excitement in the education sector about the need to equip students with skills like critical thinking, collaboration, and communication, to prepare them for a global, innovation-driven economy. But that’s easier said than done. Major changes are needed to move from a decades-old model towards creating new ways to educate students. Schools and their leaders, particularly in low-income contexts, often lack the necessary resources and support.

But given the right tools, school leaders can be the key to bringing this much-needed change to their schools. Knowing this, The William and Flora Hewlett Foundation partnered with IDEO and the Stanford d.school to create School Retool, a four-month-long professional development fellowship that trains principals to take a do-it-yourself approach to school change by conducting small, scrappy experiments called “hacks.”
The best part: They use the resources they already have available to address their schools’ needs now, without waiting for external funding or assistance. School Retool is available to principals at public schools where 60 percent or more of students qualify for free and reduced lunch, which is a common measure of poverty. The School Retool program provides research-based strategies for improving student outcomes, as well as training and one-on-one coaching on how to redesign school culture through easily achievable changes.

A Scaled Approach
School Retool addresses a common challenge in creating change across schools: Each school has its own people, culture, and needs, so programs need to be flexible. The fellowship helps school leaders define their aspirations, and provides them with inspiration through “Big Ideas” that have proven to be successful in different contexts in education. It then supports them to start small with hacks that help them learn how to implement these ideas in their own school. The program scales through regional cohorts of principals who learn from each other as they go through a process of setting goals, designing hacks, reflecting on the learning and progress, and making improvements to the next iteration.
Small Steps Toward Big Change
As School Retool has rolled out at schools across the country over the past two years, it’s becoming evident that small changes are adding up to major progress, and that the small hacks approach is helping leaders go from planning to doing. Take, for example, Marthaa Torres, the principal of a low-income San Francisco high school who started with a small experiment with one struggling student, trying to create a more personalized learning plan for him. “The hacking approach is a framework that will help me eventually get to the kind of school that I’m trying to create,” Torres said. To build on the learnings of her “hack,” she created and expanded a personalized coaching program for the student’s peer group of older Latino boys. Her goal is to roll out additional advisory support in the next school year. What started as a “hack” to give agency to a single student is beginning to affect the school-wide culture by incorporating student voice into decision making.

Creating a Movement
The School Retool fellowship launched in 2015 with a pilot for 16 principals from seven San Francisco Bay Area school districts, reaching more than 12,000 students. School Retool has since hosted cohorts for school leaders in Washington D.C., Detroit, Virginia, Idaho, and Colorado. By the end of 2016, 164 school leaders of over 114,000 students had participated in the fellowship program.
In addition to the in-depth work with school leaders, School Retool is creating a national dialogue around change in schools. Its first national effort drew more than 1,500 principals in the Shadow A Student Challenge, who spent a day walking in students’ shoes to build empathy and gain insight into their students’ school lives.
Learn more about how more school leaders are enacting change: bringing a sense of true belonging to a school’s culture; engaging students as active learners; hacking towards literacy; retooling for equity; and more.
WATCH: Marthaa Torres: Adopting a Hacking Mindset on Vimeo.


Modernizing the next-generation View-Master
Designing a new virtual reality case for an iconic toy.
Remember your first View-Master? The sound and feel of that iconic camera-snapping motion, the excitement of seeing those vivid images in the form of your own personal slideshow? Introduced in 1939, this stereoscopic toy brought beautiful landscapes and famous attractions to the eyes of kids around the world.
Flash-forward more than 75 years, and the View-Master has been reincarnated to spark that same sense of wonder for the digital age. The redesigned model, the result of a project collaboration between IDEO and Mattel, is a modern case that bridges technology with play. The new View-Master preserves the classic features of the original toy, such as the original lever and wheel, but offers a much more immersive, 360-degree virtual experience.
Here’s how it works: Download the View-Master app and slide a smartphone into the sleek new red-and-white headset. From there, the phone’s camera will scan the QR codes on the reels to view a wide variety of images, such as wildlife, outer space, and a dinosaur landscape. Two slightly different images are displayed side by side on the device's screen. As each of your eyes looks at just the image directly in front of it and tries to reconcile it with what the other eye is seeing, a 3D effect is created. By moving your head around with the viewer over your eyes and taking advantage of the sensors within your phone to sense direction and position, you can travel through each of the scenes, exploring each of the different settings.

After working alongside Mattel to understand the heritage of the View-Master brand, researching the potential for VR and play, and exploring a variety of materials for the new device, designers created several prototypes that they tested with their core market: kids. As a result, the final design accounted for things like whether it could pass a drop-test or fit into kids’ hands.
Beyond the joy of pure play, the technology that powers the new View-Master also opens up a new world of possibilities for learning. Imagine turning a page in a textbook and seeing dinosaurs come to life. Or a virtual tour of an art museum through a set of View-Masters.
"We view this as just the beginning," said Doug Wadleigh, a Mattel executive, in an interview with CNET. "Obviously, we're getting in this space pretty early. The goal is to create the View-Master brand for the next 75 years."



Orchestrating a genetic symphony
An interactive TED exhibit that turns genes into music to spark conversation about personalized medicine.
Genentech is a biotech company that tackles difficult-to-treat medical conditions across the globe by creating innovative treatments. As a sponsor of the TED2012 conference, Genentech approached IDEO to partner in creating a “social space” for the TED exhibit hall that would captivate participants in an interactive brand experience and garner excitement around the future of personalized medicine.
To make leading-edge science more accessible to the masses, the team landed on an exciting new provocation: What if we could turn genes into music? IDEO worked closely with Genentech to develop an immersive genetic experiment that could incorporate traits of the TED community, using the company’s brand new technology for overnight gene analysis. A TED participant would choose a colorful trait pin packaged with a cheek swab kit and corresponding barcode, allowing them to leave a genetic sample one day and return the next day to discover that four SNPs of DNA had been analyzed overnight and translated into a unique musical track.
The IDEO team developed the concept, prototyped it with scientists, musicians, and sound engineers, and designed every element of the physical and digital experience—from the swab kit and packaging, to the built space and listening stations, iPad app, and other digital touchpoints. At the heart of the experience was music, including an algorithm that could generate 6500 unique musical combinations to reflect the genetic diversity of the TED participants.
Genentech’s “Infinite Variations” exhibit at TED2012 created the world’s first genetic symphony, an innovative and colorful blend of science and music. With the exhibit, Genentech sparked novel, approachable conversations about the role of genetics in medicine.
Of the 1850 attendees, over 1100 joined the genetic experiment in music and walked away with a new understanding of personalized science—and of their own genetic makeup.





Healthy lunchbox foods that are good for the planet
A conversation with Megan Miller, cofounder of Bitty Foods.
What happens when you serve kids food made with cricket flour? And what do parents think? That’s what IDEO and Bitty Foods sought to learn during a collaboration to explore new kinds of lunchbox foods as a means to discover opportunities for alternative sources of protein.
We talked to Megan Miller, cofounder of Bitty, the Bay Area startup that makes delicious foods with cricket flour, about the collaboration.
Listen to the full audio story below, or go to Soundcloud.


3 methods for igniting culture change at scale
Get ready to experiment.
The question was a daily prompt, an experiment to help teams to have more candid conversations and increase their ability to collaborate with each other. Instead, an awkward silence followed.
The exercise was part of a partnership exploring the power of making with a global healthcare company. Together, we were designing for the organizational culture the company wants to have to achieve their strategic ambitions. This team’s role was to instill new ways of working for the whole company. They wrote the culture code. But they couldn’t quite articulate how they themselves were living it. Yet.
Their trouble answering the question wasn’t a failure—this work is hard. And it requires changing ingrained behaviors every day. So together, we worked with the team to make culture change tangible through real-world experiments (not just decks and frameworks) that helped ignite new behaviors through actions, not words.
What does that mean, exactly? As Roger L. Martin, strategy advisor to some of the world’s most successful organizations, explains, “The truth about culture is that the only way you can change it is by changing the way individuals work with one another. If you can change that, then you will find the culture has changed.” Changing how individuals work takes more than words, or artifacts, or processes (although those things definitely have a role to play). It requires action. That’s where design comes in. And that’s where our team started, by making a series of cultural experiments.
The goal was to learn about how we can change people’s behaviors and enable them to work differently. We collaborated with key teams and people who identified themselves as culture ambassadors. Together, we created tools and activities that would inspire action, and teach us how to change culture in this specific environment, because every org is different.
Here are some of the experiments we used to ignite action.

Unblocking decisions and flex support styles with a card deck
The organization wanted to become “networked”— meaning people would work more autonomously, with high accountability and clear communication between teams and their leaders (rather than linear, siloed teams). But if communication is lacking, and accountability isn’t clear, decisions in a network are made by consensus, and people don’t feel empowered to take ownership and use their ingenuity to solve problems. So we created two sets of cards to prompt better conversations between people and their managers.
One set of cards focused on unblocking decisions, by sharing questions (Is there psychological safety within the team making decisions?) and assigning clear roles that defined the level of involvement people have in making different decisions. Is someone supposed to drive a decision, or simply consult on it?
The other set of cards helped people articulate the type of support they need from their managers in a given moment, like coaching vs. problem solving—facilitating more open conversation about the type of leadership they need to thrive. These cards empowered managers to better support their teams, while empowering teams to be clear about what they need to drive good outcomes. They also proved that specific structure and language could prompt desired behaviors at scale.
One participant shared that after an initial conversation where she told her boss she was looking for a coach, he helped her strategize to draw on her strengths to achieve her goals. And when she wanted to share her “value with a broader group outside of customer-facing work and my immediate team,” she felt empowered to put that into action, which “would've never happened if it weren't for the initial coaching.”

Implementing a daily ritual to prompt collective reflection and candor
One of the most critical behaviors for creating a collaborative culture is regular, honest feedback between people. Done well, it builds trust and psychological safety among teams, leading to better performance. In this organization, teams rarely found time and space to give or gather informal feedback on the way they work. When it was positioned as a mandatory, formal task, it could feel exhausting.
Intead, we wanted to prompt small, regular conversations about collaboration. So we created a fun reflective tool based on a spin-the-wheel format:, an online generator that surfaces topical questions (like the one at the beginning of this article) to prompt candid chats. The questions run the gamut from silly to serious, and taught us the importance of making something fun if you want teams to build it into their existing routines. Questions like, “When has a new perspective helped you make a decision recently?” encouraged people to feel safe in opening up and reflecting on their behavior as a group.
Over time, reflection moments became something teams looked forward to. The questions changed the narrative so that employees could surface issues without fear of consequence, and resolve issues before they became problems. As one participant told us, “The energy was palpable in our group. It got to five minutes before the end of the session, and they still wanted to talk. Everyone wanted to do it again. It’s turning into something wonderful that we needed.”

Introducing an action journal to increase leaders’ self awareness
Many leaders recognize the importance of regular reflection and feedback sessions, but competing priorities get in the way.
To address that need, we designed a personalized action journal that fit into leaders’ daily work flow. The goal was to learn whether a tool that prompts regular self-reflection will result in an increase in leaders' self-awareness, helping them identify how they want to grow, and prompting them to seek more support.
Through this simple experiment, we were able to learn that creating dedicated space and time for reflective practices not only boosts leaders’ confidence, it models the value of continual learning and growth for others. One participant told us, “I've found it a nice and simple way to reflect on the things I've been doing, and connect that back to conversations with my own manager.”
Each of these experiments made new behaviors tangible by giving form, fun, and structure to otherwise abstract concepts. They helped people experience the potential value of new ways of working for themselves, demonstrating their function, and connecting theoretical culture change concepts with day-to-day work.
Culture change at any scale requires more than words; it requires action and application in people’s everyday experiences. Making change tangible through experiments is the quickest way to surface stories, build belief, and gather the evidence to support change at scale. Not every organization is trying to solve the same problem, and the same experiments won’t work everywhere. But for every culture problem at every company, there are tangible ways to drive change.
In a recent meeting with a new client, we asked the team, “What smart risks have you or your team taken recently?”


5 takeaways from New York Climate Week
Imagination is making an impact, but what could intentional match-making unlock?
We believe that period of time is fleeting and precious; it demands action, now.
We’ve jumped into the work with our clients, like Conservation International, Sage, The Earthshot Prize, and the Rockefeller Foundation. We’ve also headed to critical events, like COP 27, and, just a handful of days ago, New York Climate Week 2024 (NYCW). This year’s theme, It’s Time, reflected a clear focus on progress and case studies over goal-setting, both exemplifying the urgency of the work and highlighting the places where it’s actually in motion and making a difference.
On the ground, a group of IDEO design leaders hosted events at the kyu House to share how we can explore opportunities to tackle the climate crisis with creativity. We also heard from companies large and small, governments, activists, scientists and more about the state of the planet, the places where the damage continues, and brilliant and creative ways people are fighting to turn the tide.
Here are five insights from our time at NYCW.

1. The power of imagination was everywhere
The scale of the climate crisis demands action that matches its magnitude. Much of that progress is slow and deliberate for good reason. (It allows for thorough research, careful policy development, technological advancements, and proper stakeholder engagement to ensure effective and equitable long-term solutions.) But there’s also a need for bold, paradigm-shifting moves that can propel climate action forward at speed—and that requires imagination.
This year at New York Climate Week, I witnessed incredible creative solutions in spaces where regulation often leads the conversation. Hearing Vermont’s Attorney General, Charity Clark, share how the state used consumer protection laws to win its lawsuit against Exxon for greenwashing demonstrated how existing legal frameworks can be repurposed to address climate challenges. The state also created the nation’s first "Climate Superfund" to hold Big Oil accountable. This law empowers Vermont's Attorney General to pursue payment from major oil companies for a share of climate change costs incurred by the state since 1995, based on their products' global contributions to the problem.
This case exemplifies how challenging the status-quo with courageous creativity can make a real impact on climate challenges. Imagination isn't just a tool—it's a catalyst for real change.
—Nazlican Goksu

2. The Climate Era calls for integrating AI and nature—not choosing between them
In the early months of 2024, I observed a concerning trend: leaders shifting priorities and budgets toward AI innovation at the expense of climate initiatives, as if the two are mutually exclusive. This is a false choice. The Climate Era demands a transformation where technology and nature are not opposing forces but complementary allies.
However, it was reassuring to see numerous events and active participation on the topic of Climate and AI, with leading organizations from unexpected industries—like big tech—leaning into the conversation with practical applications aimed at tackling complex planetary challenges. AI, technology, and nature will be the foundational building blocks of future organizations.
Good design starts upstream; it begins by questioning why we seek technical solutions and how they can align with sustainable goals. When harnessed thoughtfully, AI can amplify our efforts against climate challenges—from faster wildfire detection to monitoring coral reef health and predicting deforestation. My takeaway is clear: Integrating AI into climate action isn’t just possible; it’s essential. But ensuring that all eight billion people on the planet can participate in designing and benefiting from AI climate solutions in an equitable way remains one of the most critical challenges of today.
—Sergio Fregoni
3. Approaching tipping points underscores the importance of fresh visions
NYCW and the UN General Assembly converged at a moment of realized tipping points. A big one? For the first time, the Amazon rainforest has shifted to a net emissions source. That context flavored a week that felt urgent, deep in execution, and…joyfully rebellious. To meet this shifting moment, we created an experiential journey focused on the question “What if we get it right?” with the Rockefeller Foundation, scientist Dr. Ayana Elizabeth Johnson, journalist Elizabeth Kolbert, and climate change leaders from Amazonia and Latin America.
Design has an immersive power to reach hearts beyond minds, and we explored realistic but proactive climate futures through the senses: tasting Ecuadorian biodiverse forests in a gummy, seeing arid landscapes through a viewfinder, touching seeds of regeneration, and hearing indigenous voices. Inspiration, but also rigorous practicality, driven by those living at the frontlines.
These experiences brought into relief how important it is to make big bets to break and transform consumption, value, and culture. Incredible people are building pathways (lifeboats) to the future on this swiftly tilting planet, but those with the power to change course continue to drive us toward collapse. I’m heartened by those working around this system. Onwards.
—Natalia Vasquez

4. Connecting with inspiration and support beyond your area might be critical...
Imagine you could float above New York during Climate Week and take stock of all the people, ideas, and resources present in the city at the same time. Much of what we need to address the challenges of the Climate Era already exists. But it’s extraordinarily difficult for various pieces of the puzzle to find each other—if they even know they’re there at all.
This year, I was privileged to hear about a set of amazing projects being pioneered across Latin America by the first cohort of The Rockefeller Foundation’s Big Bets Fellowship; I was grateful to moderate an energetic conversation among sustainability leaders from the global business travel sector; and I was excited to be in the room as teams from some of the world’s leading businesses advanced their ambitions for climate action by asking themselves seemingly impossible questions.
But what if all these people had met each other, and perhaps helped each other? And what if that happened not just by happenstance, but by design, so that people who perhaps aren’t even aware of each others’ potential can find each other faster and more meaningfully? What might that have unlocked? My takeaway from NYCW is this: We need to design better ways to build the jigsaw puzzle to bring these changemakers together—and fast.
—Alex Gallafent
5. …but exploring new ideas and relationships internally is just as important
During our Space Between Urgent and Impossible session, focused on pushing past boundaries to find novel solutions, I was struck by the response from one of the teams. They realized that they never get together to talk about big or new ideas. We all spend plenty of time networking with others outside our organizations on the climate challenge, but maybe there is an opportunity to spend more time having conversations, building relationships, and exploring bigger ideas inside. These conversations benefit from being structured and intentional—a safe space where new thinking can emerge outside the constraints of short term considerations.
—Tim Brown
Did we miss you at Climate Week? Need help kickstarting a climate project of your own? Get in touch.
Much of our work at IDEO is framed by the idea of the Climate Era: that we are now in a fixed period of time when humanity's understanding of the challenges of the climate crisis is still matched by its ability to meet them.


AI is already reshaping healthcare
Here are the key applications that are leading the way.
It’s helping us better understand fundamental biological processes like protein folding, and bringing the open source movement to human gene editing. But as designers and technologists, our focus extends beyond the data to consider how AI can impact the human experience. We are committed to harnessing AI’s potential to not only improve processes, but also to enhance lives.
William Gibson once said, "The future is already here–it's just not evenly distributed." This is particularly true in healthcare, where the adoption and impact of AI varies widely. In some health systems, experimentation with AI is already having an effect on patient and provider experiences. In others, it's primarily a tool to cut back office costs. And in far too many, it’s nowhere at all. Our goal is to smooth this distribution a bit, uncovering the benefits of AI that can address the core human need to be seen, understood, and cared for. Here are some key applications that could move that effort forward.

Close observation
AI’s ability to be omnipresent, listening, and interpreting is one of its most promising capabilities. Tools like Abridge Inside are transforming patient interactions by summarizing provider-patient conversations and generating care plans in real-time, directly integrating them into medical records. This kind of ambient documentation is changing how both providers and patients relate to care visits by reducing the administrative burden on providers and improving patient understanding of their care plans with clearer and more tailored visit summaries.
In skilled nursing facilities, where high patient-to-staff ratios are common, Care.ai’s Smart Care Facility Platform uses ambient intelligent sensors to monitor patients closely, reducing the workload on healthcare providers. This technology is a step toward integrating AI into clinical settings, allowing for more efficient and personalized care, and making sure that no patients fall through the cracks.
Early combinations of AI and robotics have pushed the possibilities of who—or what—might be able to deliver care. During the COVID-19 pandemic, Boston Dynamics, MIT, and Brigham and Women’s Hospital used a Spot robot equipped with sensors to remotely monitor patient vitals, with the goal of reducing healthcare worker exposure to COVID-19.
We’ve seen similar innovations in more everyday settings, hinting at what might happen when these kinds of ideas scale. At the MIT Media Lab, the Fluid Interfaces group has developed a conversational memory aid designed to assist with daily tasks. This device, which works on commercially-available hardware, offers a glimpse into the future of AI-driven, unobtrusive memory augmentation. It’s a small but powerful example of how AI could be used to support cognitive functions in everyday life, improving everyone’s ability to navigate logistics and to make more meaningful social connections.
At IDEO, we’ve experimented with similar AI in more informal settings. Our colleague Danny DeRuntz developed a Slackbot that helps users catch up on conversations by summarizing messages and even creating whimsical “sauces” that capture the week’s vibe. While this may seem light-hearted, it underscores the potential for AI to bridge gaps in communication and reduce the cognitive load in professional environments.

Hyper dynamic tools
Healthcare has long been plagued by poorly-implemented and difficult-to-use technology, particularly when it comes to electronic health records (EHRs). AI is now driving the development of hyper-dynamic tools that can adapt to the needs of individual patients and providers, from device technicians to specialized neurologists. Epic, the premier EHR provider, is currently trialing more than 60 AI-driven use cases across health systems, with the ambition to significantly improve the user experience by making EHRs more responsive and less cumbersome. Of course, efforts like this to significantly decrease the time burden of using EHRs have been tried before, with very mixed success.
Startups are also using AI to address healthcare’s continued reliance on outdated technology. Tennr, for example, is using AI to interpret and send faxes—which are still used surprisingly often in healthcare—while Hippocratic AI is automating workflow calls like discharging patients, remote monitoring of health conditions, and pre-procedure preparation that would otherwise require human intervention. These innovations suggest that new technology may even be able to solve some of the problems created by older ones.
Beyond healthcare, we’ve seen AI used in similar ways to tackle everyday tasks. Google’s Duplex AI is a prime example, capable of autonomously booking appointments by making phone calls that sound eerily human. This kind of task-specific AI reflects the adaptability we hope to see in healthcare tools, enabling them to meet the unique needs of each user. Importantly, this use case is from 2018, long before our current and much more capable crop of AI tools came to market. Imagine Duplex being applied for appointment scheduling, medical supply chain tracking, and even up-to-date clinical fact-checking. We are likely close to a future of customizable, or potentially even fully-DIY tools that can take on some of our daily health tasks.

Enhancing empathy
One of AI’s most human, and therefore most controversial, potentials lies in enhancing empathy within healthcare. Studies have shown that AI tools, like ChatGPT, can often deliver more compassionate responses than human physicians. This raises important questions about how scalable machine empathy could be and what it means for patient care.
In simulation environments, AI is being used to model entire hospital systems, where each staff member and patient is represented by an AI agent. These simulations can not only improve AI performance, but also reveal the emotional pressures of a workflow and the impact of misaligned incentives, offering new insights into how we design and manage healthcare systems.
Cultural projects have also explored the concept of AI-driven empathy. For example, Laurie Anderson worked with the University of Adelaide’s Australian Institute for Machine Learning to create a Lou Reed AI that replicates her late husband’s voice and style. While acknowledging that this bot is not her husband, she finds value in the creative collaboration she gets from writing with it. Although this might seem like its applications are a long way from healthcare, this project highlights AI’s potential to engage human empathy through emulating personality and style—an area that could have profound implications for patient interactions in the future.
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Escalating negotiations
The automation of prior authorization processes is a double-edged sword. AI can streamline the filing process, making it faster and more efficient, but speed can come at a cost. The recent revelations about Cigna's use of AI to deny claims in mere seconds is a concrete example of how AI can be used to prioritize efficiency over compassion, leading to significant concerns about denial of patient care.
Similar dynamics have played out in consumer markets. Amazon’s Hands Off the Wheel program, which automated pricing negotiations between Amazon and third party sellers, led to significant changes within the company, including layoffs and a restructuring of teams. AI-driven automation can fundamentally alter business processes, a trend that could similarly impact healthcare as AI continues to evolve.
AI is even transforming the landscape in businesses like telemarketing. The Jolly Roger Telephone Co. uses AI to keep telemarketers on the line, wasting their time and protecting consumers from unwanted calls. This creative use of AI highlights the ethical considerations that come with automation—questions that are equally relevant in the high-stakes world of healthcare.

Custom weirdness
Personalized medicine has long been a buzzword, but AI is pushing the boundaries of what personalization can truly mean. Gene therapies, for example, have seen breakthroughs with 36 FDA-approved treatments and hundreds more in the pipeline. AI’s ability to better map our bodies and molecules promises even more tailored treatments, but it also raises important questions about safety, responsibility, and the ethics of such deeply-personalized interventions.
In mental health, companies like Tripp VR are using AI to create hyper-personalized, generative meditation experiences. While this might not appeal to everyone, it demonstrates the breadth of care opportunities that AI is opening up, particularly in areas like anxiety and chronic pain management.
Beyond the clinic, platforms like Character.ai, where users create and interact with custom AI personalities, highlight how quickly consumers are adopting AI-driven personalization. This trend could spill over into healthcare, where patients might soon expect—and demand—highly-personalized AI presenting care solutions.
At the fringes of this trend are biohacking enthusiasts who are pushing the limits of personalized health. Some are experimenting with gene-edited bacteria that produce alcohol instead of lactic acid (preventing cavities), or antibiotics that kill competing oral bacteria. While these innovations are not yet FDA-approved, they signal a potential Cambrian explosion of personalized health interventions driven by consumer demand.
The road ahead
AI has the potential to be a true collaborator in healthcare, helping practitioners see patterns across modalities that are not visible to individual people. It is our responsibility as designers, technologists, and healthcare professionals to ensure that AI tools are developed with the needs and perspectives of all stakeholders in mind.
As we move forward, we must embrace experimentation and collaboration, ensuring that AI not only enhances healthcare efficiency but also contributes to a more humane and empathetic system. The future of AI in healthcare is promising, but it requires us to actively engage with these tools and guide their development to serve the greater good.
For us, that means leaning into human-centered design, and putting people and their needs at the center of the process. That’s how we work with our clients to build desirable and responsible futures, and to understand how our technology choices will impact participants in the health system. It’s also why we believe so strongly in co-design, working alongside the folks we’re building new health tools for, as we did with teenagers in California to build Soluna, a mental wellbeing app for the state’s young people, which we made in partnership with Kooth. Because when we’re building health tools with emerging technologies like AI, it’s critical that we go beyond doing no harm, and build the right solutions for patients and providers.
(This piece was adapted from a talk delivered at the American Medical Informatics Association® Clinical Informatics conference.)
AI is broadening how we derive meaning from data, offering new perspectives that were previously inaccessible to most.


Designing a sustainable future for toys
Insights and pathways to reducing plastic in play.
As designers who love toys and games, we set out to explore how we might reduce the environmental impact across the whole industry.
The toy industry’s environmental impact is the flip side of the joy of play. The $90 billion toy industry is a highly plastic-intensive sector, using 40 tons of plastic for every $1 million in revenue. It contributes significantly to the 11 million tons of plastic dumped into the world’s oceans each year, causing widespread damage to marine life and ecosystems.
If the toy industry can reduce its plastic usage by half, it would mean millions of tons less plastic entering the oceans, mitigating the harmful effects on marine life and helping to preserve ocean health. It would also be an opportunity for the industry to serve as a beacon, setting a new standard and demonstrating that significant reductions in plastic usage are achievable and impactful.

We’re looking to help create a transformative leap that propels our industry forward. That means we need to design better play experiences that are inherently more sustainable, joyful, and viable for kids, families, and the companies that manufacture them. “Consumers are asking for it, and toy companies are starting to feel the need to do something about it,” says Lynn Rosenblum, Professor of Toy Design at Otis College of Art & Design. “They are finally understanding that they must take urgent action.”
To take action of our own, we conducted an internal design project to understand how kids and parents feel about their toys, what would make more sustainable toys a viable option, and how we could not just make a non-plastic alternative, but something even better. We spent four weeks with parents and their kids, as well as industry experts who are working to address this design challenge. We also rapidly prototyped our ideas both digitally and physically, turning concepts into testable experiences the kids could play with. With their help, we surfaced insights that point the way to a better future for the toy industry—and the planet.
Sustainability alone won’t sell toys.
Most families do not view green toys with the same pride as they do STEM toys. (Not yet, at least.) To make sustainable toys more appealing, they will need to provide additional value, like affordability, enhanced educational benefits, or support for children's development. Jessica, a mother of a 5 year-old, told us that to her, the ideal definition of sustainability would be toys that last long enough for all of her kids to play with them, and when they’ve outgrown them, the chance to pass them on to another family. “When I think of sustainability I think of getting a lot of use more than the sustainability of the environment,” she says.
Plastic lasts longer than kids’ attention spans
Families often prioritize durability when they’re buying toys. But according to a study with 2,000 UK families, parents estimated that 15 percent of toys their kids receive for Christmas are neglected within days, 23 percent within a month, and 50 percent within six months. Children often tire of specific toys long before they wear out. So unless we can increase the amount of playtime with toys from the outset, they’re destined for a quick trip to the landfill.
Children love natural materials
As 10-year-old Jude was playing with some of our prototypes, he told us, “Plastic toys are a scam.” He preferred his wooden toy train tracks because “They won’t break.” Jude and many of the other kids we talked with were clear that they preferred the tactile and sensory experiences of natural materials, even if they aren’t consciously aware of their material preferences when they select toys. Often, the dominance of plastic in the marketplaces is less about kids' preferences—it's about the convenience and affordability that plastic provides.

Being resourceful is fun and sustainable—but you can’t unwrap it
Children love to make their own toys, repurposing Amazon boxes as backdrops or using face masks as doll dresses. They’re often happy just coming up with their own ways to play. But, as Jessica said to us, “The grandparents just want to see them open a present.” Extended families tend to prefer buying a new physical toy that can be wrapped and unboxed. The surprise and reveal are part of the appeal. At the same time, it's worth noting that there is a thriving, if informal, secondhand market in places like Facebook or Buy Nothing where parents and children are perfectly happy with pre-loved toys.
Nixing is easier than fixing
Most toys are designed to be disposable, fostering a culture where repair is uncommon. As Jessica told us, “In today’s culture, everything is just thrown away because it’s so cheaply made. It’s cheaper to buy a new one. If you are buying quality toys then it makes sense to invest to maintain, to take care of it, to repair it rather than throwing it away.” Unlike high-quality sustainable toys, many plastic toys lack durability and repairability, making them more likely to be discarded.
From insights to action
How, though, do these insights translate to opportunity areas for toy companies, and joyful and more sustainable toys for families? We created a set of quick concepts to help us learn quickly about how we can have an impact on the future of sustainable toy design. Here’s what some of of our prototypes look like, and the opportunities they helped us uncover.

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

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

Offer play as a service
Revolutionize play with toys designed for maximum imaginative impact and minimal environmental footprint. By embracing alternative business models beyond the traditional pay-for-product approach, we can unlock new ways for kids to engage in meaningful and sustainable play. Focusing on access rather than ownership to reduce new toy production, minimize waste, and extend play time or use technology to breathe new life into existing toys through AI-enabled or VR experiences.
Already, we’re building concepts and new toys based on these opportunities, and we’re excited to make them real. If you want to work together to build a more sustainable future for toys, get in touch.
This project was informed through conversations with numerous experts, and families all around the US. We're grateful to them for their contributions.
While the toy industry has thrived by delivering joy and play to kids worldwide, the scale of plastic production has led to real environmental challenges.


Lindsey Turner
I’m passionate about building brands, products, and experiences that help organizations show up with meaning and momentum.
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.


Rachel Young
My work helps organizations see who their products aren't working for—and build the will and the tools to do something about it
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.


Brian Pelsoh
I lead with craft, ensuring our work is creatively excellent: rooted in deep human insight and imagination, while also grounded in the realities of business and technology.
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.


Tony Wong
I am responsible for IDEO’s long-term success in China and working with clients to use design as a tool to enable growth.
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.
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