In 1987, the three companies that would later form IDEO worked together with Microsoft to create the world’s first ergonomically designed mouse. IDEO’s human factors research suggested a small but significant change: Moving the location of the mouse ball forward, from under the palm to under the fingertips, enabled more precise control and resulted in measurable performance differences compared with earlier models.

The industrial design effort examined and tested dozens of shapes in comfort and aesthetic studies that led to the famous “Dove Bar” form, a significant advance over the boxy mouses prevalent at the time. The resulting clean appearance, enhanced control, and improved reliability created enormous consumer appeal that replaced all earlier versions, and Microsoft sold more than 2 million units in its first two years.

With approximately 55,000 Americans waiting to receive kidneys and a list that could double in the next 10 years, there is an acute and urgent need for new technology to increase the quality and number of organs available for transplant. Using the conventional method of organ storage and transportation—a cooler filled with ice—doctors and nurses needed to accompany the organ to ensure proper handling.

IDEO and Organ Recovery Systems created the LifePort Kidney Transporter to provide a new high-tech alternative. The LifePort gently perfuses, or pumps, the kidney with a cold liquid solution to improve its condition before transplantation, which can nearly double storage time and may increase the number of usable kidneys and improve patient outcomes. The device also provides critical data to monitor and evaluate kidneys during transport.

Organ Recovery Systems believes that perfusion has the potential to remove tens of thousands of patients from the waiting list and dialysis, and save the healthcare system more than $1 billion annually. In 2006, the LifePort Kidney Transporter was used to transport 350 kidneys per month in 12 countries, and was included in the permanent architecture and design collection at the Museum of Modern Art in New York City.

Pediatric healthcare system Nemours provides primary, hospital, and clinic-based specialty care, prevention and health information services, and medical education programs in Delaware, Florida, New Jersey, and Pennsylvania. When Nemours wanted to strengthen its brand, it faced two challenges: Empowered patients had more access to information and choice than ever before, and new players—alternative-care centers, retail-based care clinics, and urgent-care centers—were entering the marketplace, diverting market share.

Nemours approached IDEO for help in creating an innovative, differentiated, and patient-centric experience for a new hospital in Orlando, with the goal of establishing Nemours as a destination care provider and industry leader. Together, they identified and clarified both family needs and key experience touchpoints in the patient journey, resulting in the state-of-the-art-designed, 60-acre, $400 million Nemours Children’s Hospital in Lake Nona Medical City, Florida. “The design team’s approach to defining key moments in the patient journey was highly instructive,” said Dr. David Milov, chief of clinical informatics at Nemours. “They captured insights otherwise unavailable to us.”

Concepts that were realized in the hospital’s final design include:

• Care Team Room ID: Patients and families are introduced to each member of their care team to ensure continuity of care.
• Floor Greeters: Concierge-like greeters welcome and orient families and answer questions.
• Family Lounges: Private dining rooms have kitchenettes, so families can cook and eat together.
• Emergency Department: Patients are greeted, sorted by medical condition, and immediately checked into rooms.
• Patient Information Screens: Doctors and nurses can access patient information prior to entering an exam room to enable informed conversations and build trust.
• Smart Bracelets: Personalized RFID-enabled bracelets keep track of the care team.
• Smart Rooms: Triggered by the Smart Bracelet, Smart Rooms “welcome” the patient upon entry.

To arrive at these designs, IDEO sought inspiration via analogous kid-friendly environments, such as museums, schools, toy stores, and zoos. Designers also conducted in-context interviews with patients, parents, families, doctors, nurses, support staff, and outside physicians. One key insight that led to the final design: Patients and families came to Nemours with varied levels of experience—first-timers, occasional visitors, and those who were chronically ill—but the hospital treated them all the same.

To address these needs, the team created an experience blueprint focused on welcoming, guiding, and supporting patients and families through unique environments, integrated service moments, and market-differentiating spaces and tools. To test the look, feel, and value of the designs, designers built full-scale foam core prototypes of welcome stations, waiting lounges, and exam rooms.

The results appeal to patients, families, and caregivers. According to Dr. Lane Donnelly, Nemours chief medical officer, “all the amenities at Nemours focus not only on the child but their parents and families as well.”

The hospital won two awards at the International Interior Design Association’s 2013 Best of the Best Gala (Georgia Chapter), one for the Healthcare Design category and one for best overall out of all 11 categories. Parenting.com writer Shawn Bean noted, “Set amidst a wooded expanse of central Florida, with theme park roller coasters peppering the horizon, Nemours Children’s Hospital is arguably the new high water mark for pediatric care in the United States.”

Designer turned educator Kiran Bir Sethi wanted to blur the boundaries between school and life to help young students become aware, enabled, and empowered to effect change in the world. In aiming to spread her message to millions of children across India , Sethi tapped IDEO and the d.school at Stanford to help create a design contest for youth that would show them that they could make a difference in their community.

Together with the d.school, IDEO designed a competition for middle school students called the Design for Change Contest. Adapting the human-centered design approach into a simple process that 10- to 13-year-old kids could follow on their own, the contest included rules, tools, and platforms that would be accessible to children and teachers throughout India regardless of their previous exposure to design.

The team shaped the rules so that students could learn core design-thinking skills such as empathy, brainstorming, collaboration, and reflection through the process of participating in the contest. And together, the group developed a toolkit to walk students through the simple four-step process.

The biggest challenges to the contest were overcoming the lack of infrastructure, language barriers, and a discrepancy in school resources. There was no national database of schools for easy outreach, so Riverside built relationships with NGOs across India to distribute the contest toolkit to more than 30,000 schools.

The contest receives about 2,000 entries from groups of youth in India each year. They have been addressing challenges such as illiteracy, pollution, traffic safety, care for the elderly, alcoholism, and the environment.

As of 2015, the Design for Change Contest has scaled far beyond India, and is being run in 30-plus countries, with millions of children participating. Each contest entry shows that kids really can make a big difference in the world.

In that room, we built an "Idea Catcher" wall, where employees could use Post-its to share ideas, questions, and answers with each other and with management.

We knew from previous studies that tough calls have a negative impact on employees for hours afterwards, and that constant monitoring can make call centers tricky places to work. But still, this Post-it showed up on the wall: “There’s positives in each call we take!” The energy that this space created showed us how involving agents in designing their jobs was a meaningful way to learn and grow.

Many of us spend much of our lives at work. We want it to be good and meaningful. But too often, workers don’t have the agency or satisfaction for that to be true. As work is increasingly monitored and automated, it’s critical that we design technology and tools to support workers' well being and sense of purpose. Over the years, we’ve pulled what we’ve learned from various projects into a set of four principles for designing good jobs.

1. Use new tools to encourage a sense of purpose 

Involving employees in creating the tools for their own work provides an opening for them to act on their own values, and reflect on what they like (or don’t like) about their jobs. During the mortgage project, our design team worked with call center agents and homeowners to understand both the “front stage” and the “back stage” of service delivery. For the agents, being able to make a personal connection with the caller was important to their sense of agency—their perception of their own capacity for making change and being creative at work. With that in mind, we prototyped a customer dashboard with a scripted conversation, along with customized cards that prompted agents to infuse their own words and experience into the interaction. Inspired by Brian Eno’s Oblique Strategies, the cards included questions like: “What’s the best advice you’ve ever gotten from someone else on your team?” and “Who is your role model? How would they handle the next call?” The prototypes addressed the tension between scripting and creativity, without burdening agents with additional oversight. Agents appreciated that the prompts recognized and supported their expertise and passion to engage with customers in a professional but personal way.

2. Design for values and emotions

Autonomy and creativity are foundational to high job satisfaction. Technologies like customer dashboards, time and task tracking, and software systems shape how we spend our time at work, what tasks we get to do and how, and fundamentally alter how we feel about and experience work. By designing for people’s values and emotions, new tools and systems have the potential to make work better. But that wasn’t the case when we first started working with a cruise line.

Employees (and also potential customers) thought that booking a vacation felt difficult, and compared the repetitive experience to the movie Groundhog Day. They constantly took their own notes, because the system didn't always log their entries, and had to search online to answer questions about their own services. To fix their frustration, the design team created a new dashboard that aggregated the information they were missing or currently keeping track of with pen and paper. By eliminating redundancy and cognitive load, the dashboard also made agents feel confident and informed—in their own eyes, as well as customers’. This marked a stark contrast to the earlier phase of work, in which agents had to look up the latest products and offerings on the company’s website, which gave them no more specialized knowledge than the customers calling in, deflating their image of themselves as confident service professionals.

The agents’ managers had a different problem: They hated using this tool on a desktop. They preferred to walk around and coach agents face-to-face. It was actually one of their favorite parts of the job. So, the designers moved the tool to a tablet, in order to preserve it.

3. Keep the work ecosystem in mind

Work is a true ecosystem; no worker or technology functions in isolation. Bonnie Nardi and Vicki O'Day, social scientists formerly at AT&T Labs and Xerox PARC, define an information ecology as “a system of people, practices, values, and technologies in a particular local environment.” It’s extremely effective for thinking through how technology can’t be implemented in a vacuum. Instead, technology should be deployed in service of individual and group goals. In the mortgage project, we were also responsible for creating a brand new role that combined service and sales. Since sales roles were mainly based on commission, and service roles on efficiency-based metrics, there was not a lot to incentivize collaboration and a new approach to homeowner relationships. Because agents had a sense of fulfillment that came from growth and financial success based on their personal skills and charisma, which was baked into the compensation structure, it was important that they be comfortable with new metrics and incentives. So, the team designed the new role to encourage long-term customer relationships by increasing base pay and the weight of customer experience metrics, along with more typical efficiency measures like length and volume of calls.

4. Co-create with employees to build trust

Trust is foundational to ethical research and successful design. By working side-by-side with employees to co-create their roles and the impact of technology on their day-to-day work, companies can model openness during times of change. In a project to redesign the patient experience for a new hospital building, the design team identified a key technology in need of innovation: appointment and medication scheduling software. Making custom medications accurately and on time in a hospital environment is crucial, because a small mistake can be fatal, and delays can be painful.

At the time, medications could only be processed in the order in which they were received—not by the level of urgency. For pharmacists, being able to process medications to fit patients’ schedules would improve workflow and ease stress. For patients, it would mean more visibility into upcoming care, and less pressure on families to keep track of medications. The lack of information between departments forced family members to play the role of mediator, communicating vital information in terms they weren’t familiar with. Pharmacists were motivated to provide the best care, but the siloed operating systems that governed appointment and medication schedules created a disconnect. So, the designers created a software refresh that would provide visibility into patients’ schedules, making the pharmacists’ relationship to the software more mutual and rewarding. They no longer felt they were missing the information they needed to do their jobs well. The ability to have a more holistic view into a treatment and current state of health also allowed them to better connect with the patients, one of the most meaningful parts of their job.

Designing for job satisfaction isn’t just a nice to have; not only is it the right thing to do, it leads to increased performance and lower attrition, and employees that are better able to deliver high-quality services to customers.

Rethinking roles, or how new technologies might affect jobs at your company? Get in touch to hear how IDEO can help.

A few years ago, when I was working on a project to help a mortgage company improve the work experience at its call centers, we created a living-room-like space we called "The Oasis," a live prototype of a space to take a break and reflect between calls.

These are also the kinds of spaces where AI is appearing in the form of new tools and personal assistants. But having AI show up on platforms Gen Z considers safe spaces can be problematic.

In the first phase of our research testing the edges of AI products with a group of Gen Zs, they laid out three principles to help guide us in our designs: Skip the engineered reality; elevate human intuition and empathy; and build in transparency. This time around, we made those principles tangible, by prototyping various expressions of AI personal assistants, and asking our Gen Z partners to test them out in the context of their own lives. 

We were also testing a hypothesis of our own, based on our work with this cohort: For users to feel they have the freedom to play and engage with AI, we first need to design a strong foundation of psychological safety. We believe that’s key to unlocking social AI experiences that Gen Z will truly want to use.

‍

Prototyping Road Trips

Because we’re working with Gen Zs, we created a prototype to help with a real part of their lives—planning a weekend trip with their friends in a group chat. In one version, an AI personality acted as a concierge, pulling together activities and itineraries in a way that was transparent and obvious to everyone in the group. In the other, the AI personality acted as an agent, operating in the background on the user’s behalf, hidden from the group’s view. The agent still pulled travel details together, but only one user could see them. It could also provide advice beyond logistical support—like how to tactfully respond to a friend if there’s a disagreement about which activities to prioritize.

When our Gen Z participants interacted with the Concierge and Agent, they were excited by the idea that AI can unlock more joyful social experiences, but they also voiced deep concerns about privacy, safety, and consent. Our participants reported that AI feels much more invasive than other technologies—more powerful, and with a greater ability to cause harm. 

“Having your whole schedule, characteristics, how you live your life—that being stored and potentially sold is a lot more damaging and scary than simply what you’re searching or sites you’re visiting, which is what we experience today,” one high school student said.

‍

Taking a bigger leap

We took these insights back to our team, and worked together to weave them into prototypes of new tools for Gen Z group chats. But we wanted to move past incremental change. AI enables new possibilities that haven’t existed before, so it’s important that we take bigger leaps. Instead of creating a souped-up version of the prototype we’d already made with our Concierge and Agent, we brought together perspectives from across IDEO—game designers, toy inventors, play experts, Gen Zs, researchers, and a magician—to imagine and build visions for totally new experiences.

Together, we came up with a concept called AI Playground, a discrete space contained within the group chat that helps make clear what information the AI can see and what its capabilities are. We also made AI Playground opt-in only; no one would see it by default. 

What does that look like? Imagine, you’re planning a weekend trip with your friends, and you can conjure your AI assistant into the group chat for a specific task— like generating a curated playlist or building a dynamic itinerary, unique to your friends and to this particular outing. Because there is a clear boundary between the Playground and the group chat, users don’t have to worry that their AI assistant can access everything that they say—it’s up to them what they choose to share. And because all users had to opt-in to join the space, they can feel more comfortable playing around and being themselves—generating GIFs to share an inside joke, creating music to match their mood, and more. Our goal was to enhance their play and increase their agency without intruding on their personal conversations.

A Safe Space to Play 

AI Playground is an example of an alternative way we could integrate AI personal assistants in group use cases, one that sets the conditions for trust and play.  As we learned in our research with Gen Zs, their friendship and relationship development is a key part of who they are, and they are highly sensitive to technologies that interfere with these bonds. By building safer AI experiences across all spaces and domains, we can unlock a better AI-enabled future for everyone. For more windows into AI prototyping focused on mental health, and how AI might revolutionize the ways Gen Z is preparing for their careers, subscribe to the IDEO newsletter.

Parts of the images in this article were created/altered using generative AI.

Many of Gen Z’s friendships and much of their relationship development happens online—on social media, online gaming platforms, and in community spaces and group chats.

If you missed the first installment of our Gen Z + Gen AI prototyping series, you can catch up here.

“I could see myself starting up a business someday,” one high-school senior told us. “So say I wanted to make visuals, or ads for that—I'll want to have an AI guide me through the creative process.”

To find out what that really means in practice, we prototyped a set of creative AI tools and asked a cohort of young people between 13 and 24 to test them in their own work and lives. 

AI Creator vs. AI Collaborator

We built two contrasting prototype experiences to test the breadth of roles, capabilities, and personalities that a creative AI might have. On one end of this spectrum, we have an AI that is designed around speed and efficiency. Its interface is meant to feel highly-optimized to get you the best, most suitable output possible in minimal time.

On the other end, we created a hyper-collaborative creative partner more focused on helping you express your own unique style. This AI can not only create content, but share inspiration—helping Gen Zs discover new styles, see what’s trending, narrow down likes and dislikes, and gain insight into their own personal tastes.

We then customized our prototypes to fit each participant’s life context.

Exploring the values behind our designs 

In testing our range of prototypes, we found that no AI creative tool will work for everyone in every moment. Gen Zs have a wide spectrum of values when it comes to what they want from creative tools—some value speed and efficiency, while others value deeper collaboration and personal expression, and their values may fluctuate as they go from one context to another.

For quick, everyday creative needs—efficiency is key.

We heard from Gen Zs whose lives are extremely busy—from managing social media for multiple school groups to starting and running their own businesses, and keeping up with school, family, and social circles. There isn’t always a lot of time or energy left over for lengthy creative processes. "Social media doesn't feel meaningful to me, only the end goal,” a college freshman told us. “So I love that this AI can help me reach that end goal faster.”

To design for users like this one, the challenge lies in getting to a satisfying creative output faster, in minimum time. The distance between prompt and output should be short, and UX should offer visual templates and clear parameters that help people to create quickly in a well-defined style.

For creators, aspiring professionals, and artists, AI should show up as a more nuanced collaborator—offering tools for inspiration, personal expression, and a greater depth of creative control.

On the flip side, we heard from Gen Zs who aspire to create original and expressive work. "I think the ability to re-edit to make it have a more human touch and connection makes it a good tool. I want a good combination of AI and human—in graphic design at least,” Cole, one of our Gen Z collaborators, told us.

For Gen Zs who value craft and personal expression, the distance between prompt and output needs to be longer. Future collaborative AI interfaces will need to allow for more rounds of feedback, create more opportunities for humans to give direction, and be capable of working with multi-modal inputs—such as reference images, sketches, font files, CAD files, and more. These more collaborative AI experiences should still offer tools for humans to create and customize by hand. The challenge here is not to replace human craft and creativity, but to design interfaces that help AI augment our creativity to deliver output nuanced enough to match the richness of personal expression that Gen Zs want, alongside tools for them to add their unique vibe by hand, too. 

‍

An AI-enabled creative future 

So what does all this mean for the future of AI? AI experiences themselves should continuously work to establish user intent, and to understand what good means in different moments—does a user need a quick solution, or a creative partner? As a rule, designers should offer multiple options for how their AI shows up in terms of tone, role, capabilities, and suggestions to users, and put in the work to continually listen, discover, and elevate the most relevant options for their audience. 

Creativity is just one of the many spaces where we are listening, discovering, and experimenting with how to prototype future AI experiences; we are also exploring how AI should show up in education, mental health, work, social media, and more. Stay tuned for our next piece, which dives into how Gen Z feels about AI personal assistants entering the group chat.

Parts of the images in this article were created/altered using generative AI.

When we first started exploring the possibilities of creative AI products with a group of Gen Zs, they were clear about what they want: tools that scaffold the creative process, lower the barriers to entry, and connect creative communities.

To monitor how use cases have shifted over time, we developed a social listening tool to scrape AI hashtags on TikTok, creating a visualization of conversations and communities.

In the spring of 2023, much of the positive sentiment around AI was associated with productivity-related hashtags—activities like homework and writing. By October, AI music became its own distinct community, and hashtags for AI fanfiction, AI anime, and memes grew. Our most recent scrape in early 2024 showed us that AI is shifting from a predominantly solo activity to one centered on community. Hashtags like #aiart and #aiartcommunity are growing in size and in connections, suggesting that AI-generated art isn’t created in a silo—people are sharing their experiences.

In just a matter of months, Gen Zs have evolved their use cases to align with their priorities—sharing their passions and connecting with communities in playful and imaginative ways.

‍

AI companies are also moving fast. The race to create the most impressive and jaw-dropping AI products is adding frenetic urgency, and companies are spending millions of dollars on development resources, then quick-launching new products with the hopes that they will be well received. Often, launch is the first time companies are able to test out their products in the real world. 

We are seeing rapid technological progress, but also backlash against irresponsible designs and technologies that have real potential to clash with human values and cause harm. We believe AI has potential for revolutionary experiences and capabilities that improve the ways we live, connect, and play. But we also believe this future requires a foundation of trust and responsible design. 

To that end, we are experimenting with a different way of developing AI products—one that doesn’t compromise speed but also aligns with human values. By designing experiential prototypes that mimic real-world scenarios, we can create tight feedback loops that get us better user feedback, sooner. These prototypes are run in contained settings where we can look for unintended consequences. (Picture two people with paper scripts, role-playing what it feels like to interact with AI in a particular scenario.) We don't need to build the technology needed for the experience to work—our first step is to test for emotional value. That way, we focus our development resources on building the most impactful and responsible products and experiences possible.

In an earlier phase of our research, we used the results of our social listening experiments to work directly with members of Gen Z between the age of 13-24,  talking through potential product concepts and gathering their reactions. This time, we’re going deeper, prototyping products that have AI taking on different personalities and roles with a group of Gen Zs who are coming of age, gaining life skills, and forming their sense of identity as AI is also taking shape in our society. With their help, we’re learning how to build future AI experiences that center their values and needs. 

Growing up with social media, members of this generation have already felt the potential impact irresponsible technologies can have on their mental health and relationships, and they have a critical eye for both opportunity and responsibility. While they are strong proponents of the products and brands that they believe in, they're also not shy about making their voices heard when products clash with their values systems.  

In this series, we will put eight AI prototypes to the test. By leaning into immersive research tools like experiential testing and imaginative playtesting, we are focusing our learning objective on measuring how these young people feel when they are using AI products, and how the products would impact their perception of themselves and their relationships. For us, understanding the value of the product in the context of the user’s life, their value systems, and relationships is a crucial step that helps us identify the features and technical capabilities that are worth investing in. Join us as we dive into new prototyping methods for designing and testing the edges of what future users really want from AI.

‍

Parts of the images in this article were created/altered using generative AI.

The ways Gen Z is using AI are evolving almost as fast as the technology itself.

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.

‍

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.