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.”

IDEO organizational designer Mollie West Duffy doesn’t buy it. “By ignoring our feelings at work, we overlook important data and risk preventable mistakes,” she says. “We send emails that cause unnecessary anxiety, we fail to make work meaningful, and we are more likely to burn out.”

Last month, West and her coauthor Liz Fosslien released No Hard Feelings: Emotions at Work and How They Help Us Succeed, which argues for harnessing emotions to push your career forward. “Most of us have never learned how to do this in our professional lives, let alone been allowed to admit how much feelings at work matter,” she says. IDEO’s Anna Moore Silverstein sat down with Mollie to learn more.

What inspired you to write this book?

The inspiration for this book came from the fact that when Liz and I started our first jobs, we thought professionals did not fail, did not fuss, and certainly did not feel. But we soon realized this view was not only unrealistic, it stood in the way of our sense of fulfillment—and of our success. Our goal as we began researching No Hard Feelings was to better understand our emotions—when are they useful and when are they just noise? Can we mold them to change how we experience work?

Can you explain the concept of an emotional work culture?

Emotional culture is how and to what extent employees of a company express feelings at work. Every office has one, though few companies talk about emotional norms. Emotional culture affects how much we enjoy our jobs, how stressed we might feel, and our ability to do work well and on time.

To instantly get a sense for a particular office’s emotional culture, Wharton professor Adam Grant suggests you say to an employee,“Tell me a story about something that would only happen here.” For example, at IDEO’s New York studio, Thursday lunches are dedicated to Make(believe) time. Creative activities like aromatic fingerpainting, writing group haiku poems, and blind contour drawing help employees get goofy. You can also look for more subtle cues that indicate what kind of emotions are acceptable in a work space. Do your coworkers seem more comfortable expressing frustration or joy? Are there tissues in meeting rooms (which might indicate it’s okay to cry)? Is it cool to respond to emails with a funny cat GIF?

Why does emotional culture matter so much?

When we feel supported and motivated by our colleagues, we are happier, more productive, and stick around longer. We’re also healthier and better able to cope with job stress. And when our bosses respond to our mistakes with patience instead of fury, we trust them more.

As an org designer, you help people design and scale change in their organizations, and change can be challenging. How do you account for emotions in client work?

Something we say a lot at IDEO is “Change is beautiful.” But change is also uncomfortable, and can be an emotional roller coaster

To help with this emotional journey, we try to set time for weekly check-ins. On my last project, we had a retrospective every Friday that included the client team. We asked everyone to go around and share one thing that went well, one thing they’d like to change, and their overall feelings about the week. This helped us all share our feelings in a dedicated time, so it felt less awkward.

I also have had to work on my own emotions with clients. I tend to be an under-emoter, which means I process my feelings inside. (You can take our emotional expression tendency assessment to see if you are an over-emoter or an under-emoter). So I’m working on trying to warm more quickly. I try to verbalize how excited I’m feeling about a project and a team, to help get our energy up. I also try to verbalize when I’m feeling overwhelmed and I need more help. It’s an ongoing process!

Are there other exercises you would recommend to help a company build a better emotional culture?

Awareness is a really powerful communication tool. Many of the CEOs interviewed by New York Times columnist Adam Bryant create “user manuals” or “how to work with me” guides to make collaboration easier. It’s one of the best ways to pre-empt potential misunderstandings—or hurt feelings. To achieve the same with your team, Adam recommends blocking off an hour to answer the questions below.

What everyone should know about you:

1. What are some honest, unfiltered things about you?
2. What drives you nuts?
3. What are your quirks?
4. What qualities do you particularly value in people who work with you?
5. What are some things that people might misunderstand about you that you should clarify?

How to work with you:

1. What’s the best way to communicate with you?
2. What hours do we want to work together? Where and how do we want to work (same room, what kinds of meetings, what kinds of file sharing, etc)?
3. What are our goals for this team? What are our concerns about this team?
4. How will we make decisions? What types of decisions need consensus? How will we deal with conflict?
5. How do we want to give and receive feedback (one-on-one, in a group, informally, or during a specified time each week)?

For me, answering these questions was about revealing that I warm up to people slowly. Once people get to know me, I think they find that I’m warm, generous, and even silly. But I can come across as more reserved and serious at first. For Liz, it was about showing people that she loves to be left alone when she works. For people who enjoy frequently emailing or messaging one another, her behavior could come across as antisocial, but she’s a person who needs to put her head down to work—cognitive switching is a productivity sinkhole.

Exercises like these make it easy for people to be honest up front, and set an emotional tone for your team or office. By sharing early, you can make it easier to meet people where they are, and set the stage for sharing of feelings and preferences throughout the process.

Emotions affect so many parts of work, from collaboration to decision-making, motivation, and communication between employees and managers. But in American work culture, “emotional” can be a dirty word. There’s a misconception that expressing feelings is unprofessional or out of place in the office.

At IDEO, we’re often asked to share what we know about design thinking. We’ve developed designthinking.ideo.com in response to that request. On the site we introduce design thinking, how it came to be, how it is being used, and steps and tools for mastering it. You’ll find our particular take on design thinking, as well as the perspectives of others.

Creativity Challenge # 7: Eliminate hierarchy to improve idea flow.

While Speed Dating is useful in situations where people don’t know each other well, sometimes in group meetings you will encounter the opposite problem: a group where people know each other too well. Or, more specifically, a group in which hierarchy is so well established that the more junior members in the room self-edit and defer to the executives rather than putting their best ideas on the table.

To reduce hierarchy (which inhibits conversation) and self-censoring (which is equally limiting), the d.school has recently been experimenting with a “nickname warm-up.” Using a stack of colorful names the instructors have prepared in advance, the activity is a way to temporarily level out the organization during a creative working session. Each participant is given a persona to allow them to “try on” new behaviors.

Tool: Nickname Warm-up
Participants: Groups of 6-12 people per facilitator
Time: A few minutes per person
Supplies: Nametags for each person with the fake names written out. A hat and a ball for each facilitator.

Instructions

Step 1: Each participant reaches into the hat, draws out a name tag, and puts it on. Use names that lend themselves to humor and emotion. Teams tend to produce their best work when the group is having fun. Some of the monikers can imply a big dose of street credibility, while others suggest quirky personalities. For example: Dr. Fabulous, Squirt, Mr. Big Heart, The Clumsy Entertainer, or The Rooster.

Step 2: The facilitator gathers the group in a circle and tosses the ball. Whoever catches it introduces themselves using their new nickname and then tells a short story (created on the spot) about how they acquired this nickname as a child.

Step 3: After their self-introduction, they toss the ball to a new person, until everyone has had a chance to share their new name and story.

Step 4: The rule for the rest of the workshop—strictly enforced—is that everyone must use only these nicknames when referring to themselves or others.

Tips from the Field

Do the nametags work? Although this is a relatively new exercise, experience so far suggests that the answer is yes. At a recent management event, the CEO of a global hospitality company drew the “Squirt” nickname. There was a pregnant pause in the room as everyone waited to see how he would react. But he gamely played along through the rest of the workshop, and the organizers felt it contributed to an open environment in which people could speak freely.

The goal is to flatten out the hierarchy, so it’s important to get the senior people in the room to participate. Leading by example will naturally break some of the barriers to free-flowing collaboration.

This post was taken from Chapter 7 of Creative Confidence. Purchase the book for more on how to use creativity to solve problems, or read more from this series of creative exercises on the IDEO blog.

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Everyone is creative. This belief runs through everything we do at IDEO, and in 2013, it led my brother David and me to write a book that would help others—even those who don’t think of themselves as “creative types”—to unleash their creative potential. Creative Confidence has inspired thousands of people to adopt a creative mindset and apply it to the diverse real-world challenges they face. In this series, we’ll share some exercises from the book that can help you approach your challenges from a new perspective.

As leaders at the CoLab, IDEO’s platform for collaborative impact, we’re familiar with tension in all its forms. CoLab brings together organizations from across industries to focus on tough challenges, from designing for the circular economy to opening our financial systems. During design sprints, small teams build prototypes to explore new opportunities. Given that team members are often industry competitors with divergent approaches and ideas, tension tends to arise. We notice participants are often used to acting with the interests of their business first, rather than seeing the collaborative potential.

In order to create the impact we’re striving for at CoLab, we need to meet this tension head-on and create ways of moving forward. No matter what you’re designing or who you’re designing alongside—be it a colleague or another organization—here are four quick tips for adopting this mindset and productively addressing tension.

Observe the dynamic

Though tension can sometimes make us want to jump into action to resolve it, there’s value in sitting back, too. Try answering the following questions for yourself: What opinion is each team member pushing forward? Why might they have this view?

Paying attention helps you establish empathy. As designers, we use empathy not only to deeply understand the realities of the people we’re designing for, but also the realities of those we’re designing with. Even if you disagree, understanding why a teammate might have a certain opinion can help you create solutions that ultimately meet a need that you might not have noticed alone.

Give it a name

Once you’ve spent time observing, try naming the tension out loud or writing it down on a piece of paper. Saying or jotting down, “There’s tension around X right now,” or simply, “I’m feeling tension,” externalizes the tension. It’s is no longer this abstract, all-encompassing feeling. The tension is a named, tangible thing that the team can hear and see — not just feel — and therefore more objectively address through listening, dialogue, or compromise. In fact, mapping out seemingly conflicting interests or goals is a great tool for synthesis and identifying opportunities for design.

Just start making

Tension frequently arises when teams are trying to align on a shared vision or strategy. After all, when there are various stakeholders involved, they’ll likely have a variety of approaches. But it’s draining to debate things like your purpose or mission statement all day long. Reaching consensus can take hours, and may not even be useful at such an early stage before teams have had a chance to validate concepts through building.

It may seem counterintuitive, but to move teams through this tension, we recommend to just start doing. Whether it’s a whiteboard sketch or a model made of construction paper and glue, acts of making can offer clarity to subjective, “big picture” items. Shifting your mental focus from defining to doing has the power to shift a team’s dynamic.

Assume good intent

Though tension can sometimes feel like opposition, it often happens because teammates are passionate about the same thing. They may just want to apply or direct this shared passion in different ways. When things get tense, remember that you’re all working towards the same goal, and that the tension is likely not about you. Don’t take it personally.

Reinforce this “oneness” and good intent through language or actions. Try this: “I’m glad we’re in the same room solving this problem together.”

The next time things get tense, try not to jump into defense mode or sink down in your chair. Tension in team environments is inevitable because each of us bring a different set of experiences and perspectives to the table (so don’t crawl under it). As a team committed to collaboration across organizations that wouldn’t otherwise work together, we’ll keep embracing tension to get to the impact we all want to see in the world.

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Tension in a team environment can make us nervously glance at the clock, play mediator, get defensive, or cling to the tried-and-true. But tension isn't always so bad (you can unclench your jaw now). In fact, we’ve found that some of our greatest work has come from embracing—even seeking out—these difficult moments.

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.