As a small, young nation, Singapore has come a long way in a short time. Its cost-conscious education system enables social mobility, its public healthcare system is a model of success, and it has achieved financial independence. What’s more, 80 percent of its citizens reside in Singapore’s desirable and attainable public housing complexes.

But even with these successes, Singapore wanted to improve upon its existing systems. In 2008, government agencies came to IDEO to help connect the intention behind their policies with how their services were delivered to the public. To bridge the gap, IDEO Singapore partnered with five government agencies on more than 12 projects.

A few highlights:

Singapore’s Ministry of Health
The Ministry subsidizes up to 80 percent of healthcare costs. Understanding their financial options may, at times, be difficult for patients, especially in situations where they’re grappling with stressful medical conditions. Although the government has reassured Singaporeans that no one will be denied medical treatment even if they can’t pay, public sentiment that healthcare in Singapore is increasingly unaffordable still pervades.

So the Ministry worked with IDEO to give patients financial peace of mind at a time when their well-being is of utmost importance, and to improve their healthcare experience overall. Inspired by doctors’ ability to talk about patients’ diagnoses across a range of potential outcomes, IDEO designed a more patient-centric care cost discussion guide, and developed a new digital tool designed to help patients better understand and predict healthcare costs. The care cost discussion guide is currently being prototyped in two hospitals.

IDEO’s work with the Ministry of Health (MOH) extends to the communication strategy for a newly introduced government-sponsored insurance policy, MediShield Life. MOH recognized that government communications needed to incorporate important nuances to engage citizens around the new policies and benefits. Together with MOH, IDEO developed ideas for a citizen engagement strategy that brought to life a journey that includes how Singaporeans learn about a policy, sign up, and understand benefits and subsidies.

The Ministry of Manpower
One of the Ministry’s roles is to process work passes for foreigners, who make up 30 percent of the nation’s workforce. The Ministry was known for its speed and efficiency, but not its customer service. IDEO partnered with the Ministry’s Work Pass Division to design all of the touchpoints around acquiring a new work pass—from the letters applicants receive to the website, physical space, and the interactions that occur there.

In addition, IDEO embarked on a series of projects with the Ministry of Manpower (MOM) aimed at streamlining and simplifying its communications. Together, they addressed the question, “How do we create communications that are easily understood and better engage MOM’s customers?” Starting with the most common letters sent out by MOM’s Work Pass Division, they defined a more customer-oriented tone of voice and visual style. To scale up the new approach, IDEO trained many MOM officers to write with the customer’s perspective in mind.

The National Population and Talent Division
The agency asked IDEO to better understand the underlying reasons for Singapore’s all-time-low birthrate and design ways to encourage Singaporeans to have more children.

The Ministry of National Development
More than 80 percent of Singapore’s citizens live in public housing. The Ministry asked IDEO to bring to life Singaporeans’ notion of home and identify ways to keep their aspirations at the center of their work.

Building creative confidence across Singapore’s public sector will be an ongoing journey, but the country is actively building the tools it needs to maintain its citizen-centered approach in an increasingly complex world.

After losing both legs below the knee and half of one arm in an accident, Dr. BJ Miller knows what it feels like to be near death. But after recovering, Miller became a doctor, joined the faculty of UCSF, and is now leading a conversation about patient-centered care and redesigning the experience of how we die. But such systemic change will require pioneering thinking, as our healthcare system, designed to cure, not caretake for the long term, prepares for an exploding elderly and chronically ill population.

Together with IDEO, Dr. Miller and Zen Hospice Project are bringing design to a broken system in hopes of helping people live fully right up until the end. Miller was invited to TED in March, 2015 to deliver the closing talk. In concert, IDEO designed a landing page and call to action to support Zen Hospice Project’s mission, flagging the campaign with the hashtag #designabetterending.

Early renderings for a new palliative care facility that would enliven end-of-life care with rich, engaging experiences are also in the works. Read more about the collaboration in California Sunday Magazine and join the movement to help us design a better ending.

Stephanie is a college student. She runs a successful beauty blog and shares new finds with her 20,000 followers. Jennifer is married and lives in Chicago. She considers fashion to be an expression of her identity. How do we know all of this about Stephanie and Jennifer? They’re both eBay shoppers the IDEO team met while designing a better way for the retail giant to get to know their customers.

It’s easy to forget that behind data cells exist flesh-and-blood people. eBay has 128 million buyers and sellers, and wanted to find meaningful stories about real people in order to uncover their wants, needs, and behaviors.

The company partnered with IDEO to create a digital ecosystem that integrates Big Data, business opportunities, and customer stories drawn from IDEO interviews to give employees deeper insight into how and why people use the site.

The app, which launched in September 2012, is available on desktop and mobile devices to eBay employees worldwide. It’s an easily accessible resource for eBay employees where they can glean insights about their customers by learning about key customer types. The app brings customer needs to life using words, images, and video interviews from select research participants. The power of that experience prompted eBay to overhaul its website, too, giving it a fresh, human-centered appeal.

Many younger customers described venerable fashion retailer Belk as “their grandmother’s store.” Belk, with 300 stores in 16 Southern states, was looking for ways to stay competitive and woo these style-savvy millennials. The goal was to create a trendy, social, affordable, and distinctly Southern shopping experience.

Belk’s innovation team and IDEO conducted research with twenty-somethings to develop the look, feel, merchandising strategy, and service experience of a new offshoot brand. Fresh and modern, Belk’s new pop-up store Belle & Ty features contemporary fashion along with a real-time Instagram wall, a style lounge, personal stylists, and weekly trunk shows. The pop-up store also serves as a learning lab for Belk, a place to prototype offerings for a new generation. Local fashion bloggers called the store “a must-stop shop during Christmas,” and Sue Curley, VP of Innovation at Belk, said, “Belle & Ty has been a great learning lab for us to connect with an important customer segment, test new ideas, learn, adjust, and test again.”

I’m grateful for Chicago’s trains—even amid the crush of people jammed into the morning’s rush hour commute and the thought-clouding clatter and clank that pervades every metal car. It’s a marvel that these hulking workhorses of public transport coordinate at all, and are generally safe, on time, and comfortable. And yet I often notice fellow train-goers challenged, like myself, by something basic: What do we do with our stuff? In my time as a commuter, I’ve seen myriad workarounds. Legs became walls propping up clothes and bags; thighs became resting ports for big headphones. And then there was the man who transformed his suitcase handle into a coat rack. Human ingenuity: It’s one more thing I’m grateful for during my commute.

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

Tim Brown, CEO of IDEO, shows how the techniques and strategies of design belong at every level of business.

The myth of innovation is that brilliant ideas leap fully formed from the minds of geniuses. The reality is that most innovations come from a process of rigorous examination through which great ideas are identified and developed before being realized as new offerings and capabilities.

In this revised and updated edition of Change By Design, Tim Brown reintroduces design thinking, the collaborative process by which the designer’s sensibilities and methods are employed to match people’s needs with what is technically feasible and a viable business strategy. In short, design thinking converts need into demand. It’s a human-centered approach to problem-solving that helps people and organizations become more innovative and creative.

Change by Design is not a book by designers for designers; it is a book for creative leaders seeking to infuse design thinking into every level of an organization, product, or service to drive new alternatives for business and society.

Purchase

Know someone who might love this book? Purchase Change By Design here.

Our checklist made all the difference when the Wellcome Trust tasked us with designing a way to cut down on unnecessary antibiotics use in middle-income countries. The world’s antibiotic misuse has staggering implications: By 2050, antimicrobial resistance is expected to kill 10 million people every year. That’s more people than we lose annually to cancer.

What became known as Project Marvelous took us to Kenya and India, where we encountered patients who self-diagnose and prescribe for themselves and their friends, community health workers with very little training, and pharmacies that dole out antibiotics without a prescription in order to make a sale.

As far as complex systems challenges go, it was an extreme one, but after testing several rounds of concepts rooted in behavior change, we found an intervention with real potential. Smart Prescriptions, as we called it, was an endpoint that varied drastically from where we began. The original hypothesis was that the intervention should be designed for pharmacists. But after following the checklist, we found we had to start with doctors.

Here are the five steps we followed to address this complex systems challenge:

1. Define your ecosystem

We can’t claim to have reached an understanding of the whole ecosystem by a longshot—the sheer number of stakeholders involved is what makes it such a complex problem. So at the outset, we defined our ecosystem, drawing a line at pharmaceutical companies, which seemed beyond the scope of the design challenge Wellcome had set. We then set out to interview antibiotic users, doctors, and pharmacists. In doing so, we realized there was a category we had overlooked: India’s tens of thousands of registered medical practitioners (RMPs). They typically aren’t licensed to prescribe antibiotics but have studied Ayurvedic medicine. Being willing to pivot and expand (or contract) the ecosystem is key: We began interviewing RMPs after realizing the huge impact their population has on antibiotics consumption.

2. Adopt a beginner’s mindset

In interviews, we positioned ourselves as people who didn’t know much about the topic. We were there to learn about them as people—their motivations, their struggles, their day-to-day. We listened. We made sure our questions were free of judgement and left our assumptions at the door. What we came to understand is that a primary motivator for doctors is to succeed as a business. They depend on patients coming back.

This insight made it through to the final design. Smart Prescriptions is, at its core, a tool to improve the doctor-patient relationship. Features like automated advice for patients and medication reminders increase the personal interactions doctors have with patients. The antibiotics recommendation is a Trojan horse, tucked inside the features doctors were really clamoring for.

3. Lead with empathy

Continually put yourself in your user’s shoes and make sure you’re seeing the situation from their perspective. We quickly came to understand, for instance, that many people working in pharmacies aren’t actually pharmacists, and that their financial motivations eclipse any duty of care. They dole out antibiotics without a prescription because refraining from doing so means sacrificing a sale and possibly losing a customer to a rival. Rather than slapping a “bad” behavior label on this, we accepted it as their reality and used it as a design constraint.

4. Consider your language

Systems challenges are often as sensitive as they are complex (consider homelessness or mental illness). As designers we are outsiders, so in designing Smart Prescriptions, we needed to make sure doctors were upheld as the experts. We weren’t creating a diagnostic tool, but rather an intervention that offers a recommendation based on their diagnosis. The tool doesn’t actually change the way they prescribe, it just offers guidance. It’s tough to remember every antibiotics guideline, especially as they update. The language that was used was consciously designed to be light and supportive of their expertise.

5. Generate unlimited ideas, then co-create

Don’t fall in love with your first good idea. Every assumption we made was challenged in our first trip, which ended up being more exploratory than we expected. We made a point to talk to every stakeholder and actor about our sacrificial concepts—early ideas we put in front of people to spark reactions. We gauged whether they had a positive or negative response, then iterated accordingly. After the discovery phase, we came up with seven concepts to test with participants and gauged their reactions. Smart Prescriptions was the clear standout, generating the most interest and excitement. We refined the concept back home, then returned to India and Kenya to gather more feedback. This allowed us to design something that spoke to doctors’ primary motivation, and to add features that the doctors felt would make it even more useful.

Unlike pilots, we don’t have the benefit of a known destination. Our checklist doesn’t just guarantee a smoother ride, it plays a major role in mapping the route itself. When the ecosystem is unfamiliar and the complexity is vast, it is a must.

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Every time we board an airplane, we assume our pilots aren’t going on instinct alone. They’ve worked their way through a checklist—fuel levels reviewed, the flap setting confirmed—to ensure the plane is ready for takeoff. They may be pros, but they’re human, and the complexity of the job makes it easy to forget a step.

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While I occasionally geek out over numbers, I spend most of my time going deep with clients, sketching business models, and building prototypes to test our ideas with real people.

I’m currently working on a project to create a new taxi experience for Japan. We’re working to help our client, a taxi equipment supplier, stay relevant when taxis themselves are being disrupted.

There’s really no typical day for me at IDEO, but here’s a little peek at what a recent one looked like.

8:30am: Commute

On nice days I walk to work through Yoyogi Park, one of Tokyo’s largest. It’s hard to believe that I live in a concrete jungle with views like this! Most days, though, I take the train. It’s exactly 16 minutes to get to work. (Perk of living in Tokyo: Trains run like clockwork.)

10:00am: Team stand-up

Our team has daily morning and evening stand-ups. We’re supposed to plan the day, but we get sidetracked and spend most of it playing with our taxi prototype.

10:30am: Business model review

I sketch out our current idea using our Business Model Tiles. They’re a quick, visual way to bring our plan to life, and they make it easy enough for anybody to come in and iterate with me. (The team liked this version.)

12:00pm: Monday lunch meeting

The entire studio gets together every Monday for lunch. The food is amazing—we have different caterers provide freshly cooked, seasonal dishes every week. Usually, we share silly photos from the previous week and studio/project updates. Everybody takes a turn as host, and shares personal inspiration. This week it's Ryo, introducing one of our new D4V (Design for Ventures) portfolio companies, Tabi Labo, to the studio. (More on that later!)

1:00pm: Crash course in graphic design

Outside of work, I run a pop-up curry shop with some friends. We make curry with a Japanese twist, using seasonal ingredients or flavoring that you might not usually find in curry. I’m lucky to be surrounded by talented graphic designers who helped me transform my very analogue potato stamp logo into a digital masterpiece.

2:00pm: Video shoot

We’re making a short user journey video to showcase what our taxi service might look and feel like. As a business designer, making things tangible is important, because it makes the service feel real, and empowers clients to take risks and launch new businesses. Our client got really into it, and even starred in the video as the taxi driver!

5:00: Design sprint

IDEO Tokyo is co-located with D4V (Design for Ventures), our in-house venture capital fund. I really enjoy working with the startups, which have different needs from our typical clients, and move really fast. Here, we’re helping Famzon (a company that makes shoes with interchangeable heels) create its first pop-up store in the Haneda Airport.

6:30pm: Heading home

It’s been a long day. Can’t wait to go home, eat dinner, and recharge for tomorrow.

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When people ask me what I do for a living, I say, “I find innovative ways for companies to transform and grow.” I think a lot about the intangible parts of creating a new service. How do we make money? Who do we partner with? What resources do we need to begin?

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.