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.”

The answer is yes, of course. And when companies don’t fix themselves, we feel it in our products and services. The company has designed something—often a digital thing—that fails to give us what we need, and we walk away cursing the air, wondering if the leaders of the company have ever used the service themselves.

But making things that work for humans isn’t easy. We change every five minutes. How can organizations be confident that what works today will work tomorrow? It’s a lot easier to just slap on a Band-Aid and hope it won’t rip off with the first sudden move.

There are vastly different perspectives out there about how to make change happen and stick, and we’re curious about them all, so this fall, we invited five friends who’ve led major transformation projects at their companies to IDEO’s London studio and for an open conversation.

Here are the top 5 takeaways from our Make Change event:

1. Be a curious leader

“The problem I see in a lot of organizations is they have a lot of great tools but the top leaders don’t use them. If you’re not prepared to do what you’re asking everyone else to do, then why should you expect them to? If you want to understand what’s broken in your company, try entering your own expenses.”

—Mike Bracken (Public Digital), the guy who led digital transformation for the UK government (GDS), a model that’s been replicated in Canada, Argentina, Peru, Australia and the U.S. (and he has a letter from Obama to prove it).

If Mike had one piece of advice for making change happen, it would be this: “Go and sit next to a user when they’re using your service or product. I make sure to do six hours of that every month.”

2. Question accepted behaviors

“If you’re in a self-contained moment as an organization, I’d highly recommend that you build an innovation team that sits on the side and role models something really weird and strange, questioning the accepted behaviors. Having a constant dialogue and exchange with other perspectives is what makes companies competitive. But not a team that sits in the ivory tower. Our innovation team has reinvented itself three times in three years according to what the business needs."

—Anne Pascual, VP of Design at Zalando, Europe’s leading online fashion platform, which delivers to 24 million customers and grew its revenue to around €4.5 billion last year.

Anne's advice? “Think big. We tend to be obsessed with the details, but there’s much bigger opportunities out there.”

3. Don't build an innovation lab

“Innovation is far too important to be outsourced. I’m not a believer in gluing an innovation lab onto the side of your organization. If your culture is not innovative, that’s not going to sustain. You’ve got to fix your culture first if you want to be in this for the long term. It’s got to be everyone’s job when they wake up in the morning. And you then have to create the air cover as a leader for that to happen, which is all about creating a no-blame culture. You can’t innovate as fast as we do without sometimes screwing up. We do it regularly, and when we do, we try to learn from it, but we know it just goes with the territory of being a disruptor.”

—Paul Clarke, Chief Technology Officer at Ocado. After a deal with Kruger in May, Ocado’s market cap blew past Marks & Spencer's—a sign of the tectonic shift happening in retail.

Paul's advice would be this: “Tell the truth about what's broken.”

4. Be a DJ

“A good leader is like a DJ—they play the music that makes people move, but they should accept that people will move in different ways and what’s important is that you move to the same rhythm and move forward.”

—Beatriz Lara Bartolomé, former Chief Innovation Officer of BBVA, and EMEA Advisor Director of Globant, a digitally-native technology services company.

To make change happen, Beatriz would advise you to “ask your teams what they think should be improved.”

5. Launch beacon projects

“Launching a product to market in a short period of time is the best organizational change program—you’re going to learn the most about how the company behaves. We call these projects that have a change agenda 'beacons.' Select them for their ability to help you build a new muscle. If you’re not building a new muscle with every project, you’re wasting an opportunity to learn.”

—Luis Cilimingras, IDEO partner and managing director of our London studio. He leads digital transformation and change projects, including starting an innovation studio called La Victoria Lab that creates new products, services, and experiences for Peru’s emerging middle class.

Luis's best advice: “Keep seeking out inspiration. It’s your job to be inspired.”

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Take a behind-the-scenes look at the event.

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People are always looking for ways to improve themselves. But what about companies? Companies are just collections of people, so it makes sense that they’d build up all kinds of bad habits over time. Shouldn’t our organizations be on a self-improvement regimen, continuously trying to fix what’s broken?

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“What's going on there?” asked my colleague Ed, in his usual bouncing demeanor, pointing at my phone propped in its handy, commonly-found, IKEA glassware receptacle.

I was in the last weeks of a project, building out a mobile-first website to showcase our final deliverables. I was going about my usual process, with a minimal set up: designing the UI in Sketch, mirroring the artboards on my phone.

“What? This?” I replied, adjusting the angle of my glass full of iPhone.

“Yeah. I've never seen anyone do that before,” he chimed back.

It dawned on me that this behavior in my design quiver—something I'd been doing since my very first mobile design moment—may not be that common.

Instead of having to stop and pick up my phone every time I need to check my work, I just plop it in a glass, adjust the angle, and check my design’s mobile readiness with a glance.

The adjustability and the “there's probably one lying around” factor of a drinking glass elevates it to a handy design tool that I’ve used throughout my career.

And once you’ve shipped the design, it also makes for a great vessel for a celebratory swally.

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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.

Creativity Challenge #3: Jumpstart an ideation session

Here’s one quick, simple exercise to get creative muscles warmed up. We learned it from David’s mentor, Bob McKim, back when David was a product design student. It’s called Thirty Circles, and you can do it on your own or in a group. The goal is to push people to test their creativity by turning circles into recognizable objects in a very short period of time.

Tool: Thirty Circles Exercise
Participants: Solo or groups of any size
Time: 3 minutes, plus discussion
Supplies: Pen and a piece of paper (per person) with 30 blank circles on it of approximately the same size. (We recommend printing it on an oversized sheet of paper. You can also just ask everyone to draw their own 30 circles on a blank piece of paper.)

Instructions

Step 1: Give each participant one 30 Circles sheet of paper and something to draw with.

Step 2: Turn as many of the blank circles as possible into recognizable objects in three minutes (think clock faces, billiard balls, etc.)

Step 3: Compare results. Look for the quantity or fluency of ideas. How many people filled in ten, fifteen, twenty or more circles? (Typically most people don’t finish.) Next, look for diversity or flexibility in ideas. See if the ideas are derivative (a basketball, a baseball, a volleyball) or distinct (a planet, a cookie, a happy face). Did anyone “break the rules” and combine circles (a snowman or a traffic light)? Were the rules explicit, or just assumed?

Tips from the field

Besides being a great warm-up exercise, Thirty Circles offers a quick lesson about ideation. When you generate ideas, you are balancing two goals: fluency (the speed and quantity of ideas) and flexibility (ideas that are truly different and distinct). We know from experience that it’s easier to have a great idea if you have many to choose from. But if you have a lot of ideas that are just variations on a theme, you might really only have one idea with twenty-nine other versions. When you combine fluency and flexibility, you can generate a rich array of concepts to choose from.

This post was taken from Chapter 7 of Creative Confidence. Purchase the book for more on how to use creativity to solve problems.

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.

How could Fintona make their newbies feel comfortable saying, “I don’t know, but I’ll find out?” They began by experimenting on themselves. Their first idea was a goofy one: arm each newbie with a Bat Signal—a flashing red police light that newbies could trigger any time they were stumped to summon help from across the call center.

The first day of the experiment, it was clear that the lights weren't working. Newbies who were already uncomfortable saying, “I don't know,” were even more uncomfortable turning on a flashing emergency light that screamed to the whole floor, “I DON’T KNOW!” When other service agents saw the signal, they just assumed that someone else would jump in and help. The experiment failed.

The team needed to iterate. They thought that maybe each Bat Signal needed a Batmanager—a dedicated leader who could watch the lights and swoop in to save the day. So, the team moved the lights to the managers' offices and asked them to be on the lookout.

That didn't work either. Newbies still felt singled out, and the Batmanagers weren’t at their desks often enough to act as a reliable safety net. Realizing the team needed a private way to call for help, they created a private chat channel—the Bat Chat—where newbies could connect directly with experts from Fintona’s specialized departments.

But the experts didn’t answer any questions. In fact, the only answers that newbies got on the Bat Chat were from other newbies. That gave the team an idea: They would launch the Bat Chat across the entire call center. They figured that veteran agents must know the answer to 80 percent of newbies’ questions, and they might be a safer resource than some stranger in another department.

Finally, success. The Bat Chat took off like crazy. Surprisingly, it wasn’t newbies who first started using the chat, but veteran service agents asking each other questions. As more veteran voices spoke up (or typed up), the newbies started asking their own questions and getting immediate answers.

The Bat Chat was the perfect solution for this team. But, there was no special analysis that they could have done beforehand to figure that out. No market research or benchmarking data would have suggested it. They had to build, fail, iterate, and repeat to find the answer. And once they found it, it didn’t need careful change management to extend it to the rest of Customer Support. It spread by word of mouth, and became a source of pride because the team found their own solution.

Fintona learned some remarkably similar lessons to what Harvard professor Teresa Amabile found in her two-year study of the culture of helping at IDEO: Newbies don’t need to be singled out. They need to see that everyone—even their most successful colleagues—need help sometimes.

This post is an excerpt of a longer article I wrote for Harvard Business Review. Read the full story here.

This article is excerpted from a longer story in Harvard Business Review.

Fintona Financial (not the company’s real name) was growing fast—so fast that their Customer Support call center had tripled in size. They couldn’t recruit fast enough. Many new service agents were pulled out of their two-month training program in as little as two weeks. Eager to look good in front of their bosses, these newbies struggled to answer tricky questions—all too often, they would give a right-sounding answer instead of saying, “I don’t know,” and asking someone for help. This not only triggered inceased call volumes but also began to erode Fintona’s customer satisfaction scores.

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.