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.

Well, not complete strangers. They had shared an unusual experience, designed by IDEO, over the previous five weeks: The Department of Super Secrets.

When COVID-19 shut down elementary school buildings, it shut down opportunities for young students to build soft skills like empathy. It also severed personal contact between seniors and other human beings, leaving many confined and lonely.

Alongside teachers and students at Mineola Union Free School District in Mineola, New York, IDEO took on a project to design a program that would help 4th graders build empathy by connecting idle students with isolated seniors. We thought it would be a simple, playful opportunity, but in the end, we found a powerful tool for connection that might be scaled to bridge any number of social divides.

What’s the key? Well, that’s a secret.

Connections grown in isolation

The IDEO team decided that instead of trying to compensate for the limitations of quarantine, we would embrace those constraints and make them the centerpiece of the experience.

People can’t meet face-to-face? Perfect. We’ll beat quarantine at its own game. Neither partner will know anything about the other. No names, no ages. They’d have no clue about the other’s most basic biographical information, like age, race, gender; instead, this would simply be two human beings building a connection by sharing stories of their hopes and fears. A relationship built on meaning rather than appearance.

Thus, the Department of Super Secrets was born—an IDEO twist on the pen-pal relationship. Our heroes picked secret super aliases and we paired them up: one student with one senior citizen. Over five weeks, the partners were prompted to share five specific secrets designed to be low stakes, but highly personal, carefully crafted to spotlight character, values, and feelings. This was a delicate tightrope walk, asking them to offer up something meaningful without being invasive or uncomfortable. We designed the prompts to build on each other, gently establishing a bond through vulnerability and reflection.

Every secret was shared in two ways, with words and images. We wanted the partners to spend energy reflecting on their own lives so they could benefit as much from the telling as the receiving.

You know what was so wonderful about it—I had been cheated all these years not remembering that image of my brother and I playing under the table. I wouldn’t have [remembered it] if we didn’t do this.

MARVELOUS MUSEUM MAVEN, SUPER SECRET SENIOR

The secrets were exchanged through actual mail, not email. This slower method gave the partners time to explore their memories, express themselves deliberately, and—in a situation where days begin to blend—gave them something to look forward to. The tactility of cards filled with handwritten words and pictures turned them into a gift; it made the receiver a caretaker, safeguarding moments of someone else’s life.

Friendship across distance and decades

We wanted our participants to build a connection, not just exchange information. This was not about grown-ups humoring kids, or kids humoring grown-ups—this was about two experiences at either end of a spectrum, sharing a window into their point of view.

As part of the final exchange, each partner used what they’d learned about the other to create and send a gift to their anonymous pal: a superhero mask based on the shared secrets. And then the Department of Super Secrets hosted a reveal party. Partners came together on a video call, each wearing their newly gifted masks. Although they had been exchanging stories for weeks, this was the first time they saw the face behind the feelings. This was the first time Super Potato met Fantastic Fixer, and it was lovely.

Visit the Department of Super Secrets to meet the 4th graders and senior citizens behind the masks

Before and after their experience, we asked the partners to answer a few questions meant to gauge their empathy. Turns out the numbers support the anecdotes: Their time with the Department of Super Secrets seems to have genuinely increased their empathy scores, especially their ability to put themselves in someone else’s shoes.

So what went right? We built the Department of Super Secrets by combining three key elements:

1. Anonymity: character vs. characteristics

No one in the world is more perfect for you than the mysterious stranger sitting alone in the coffee shop. The less we know about someone, the easier it is to dress them up and see them exactly as we wish. That’s why we sidestepped the introductions, the descriptions of hair color, and the family history. We wanted each side to begin by speaking across the mysterious absence created by anonymity to someone they assumed was a kindred spirit, ready and excited to connect.

We’ve all seen enough awkward hugs and pinched cheeks between kids and elderly relatives to know these two groups don’t always dance to the same beat. If the relationship began with the mental shorthand of “old” and “young,” there would be silent assumptions on both sides. Confirmation bias would run wild.

We used the freedom of anonymity to create rapport so partners would speak their truth honestly without tailoring it to their audience.

2. Story: introductions from the inside out

My name Is Ben. I once had my heart broken.

Which of those two offerings is more likely to create a bond between us? Ironically, the things that shape us most distinctly—our stories—are also the things most of us have in common. At the very core, we all share the same stories, but told in our own unique ways. Your parents may not have named you Ben, but you probably know what it is to cry into your pillow.

We used story as a sneaky back door to help Super Secret partners appreciate each other's identities once we dropped the anonymity. By the reveal party, they had connected enough through the shared stories that when they discovered each other’s identity, it enriched their idea of who a young or old person could be.

3. Play: lighten the mood, deepen the conversation

As I’ve written elsewhere, play is powerful. It lowers the bar for self-judgment; it can function like oven mitts for handling sensitive subjects; it can encourage us to stretch our everyday thinking and see possibilities we might have otherwise missed. Fun is a fuel.

We could have said, Hey, this is a school project to build empathy. Bo-ring. Instead, we led with the language of secrets, superheroes, and surprise to elevate it to something memorable, meaningful, magical.

Play allowed the partners to share vulnerable stories in a safe way. One prompt—"Share the secret of your most embarrassing moment"—became a funny way of sharing values, fears, and anxieties. Because underneath the slipped bathing suits or milk-spewing nose is the nature of what you find embarrassing, and that tells a lot about a person. Is it failure? Public or individual? Loss of control? Misunderstanding? Fear itself?

Sharing a moment you wish had never happened is an act of trust and bravery. Receiving someone else’s story is a way to remember you are not alone in the world as a flawed human being.

Play allows you to do both with a smile.

The next adventure…?

While this began as a way to enrich the lives of kids and seniors, it turned out to be a powerful way of sneaking behind the unrecognized biases, the mental shortcuts that are the unacknowledged guardrails of our day-to-day thinking. What if we expanded the experience to bridge other divergent points of view related to politics, race, economics, gender, geography, or religion?

We’d love to find situations to use the Department of Super Secrets to help people hear each other in a new way. Our hope is that this combination of anonymity, story, and play can help any two strangers find common ground whether they be superdelegates or super potatoes.

*Names and details have been changed to protect secret identities

When Super Potato* met Fantastic Fixer* for the first time, she asked if Fantastic Fixer’s puppy was feeling better. Fantastic Fixer wanted to know about Super Potato’s recent birthday. There were no awkward silences, despite the fact that Super Potato was nine and Fantastic Fixer was closer to 79 and they were, until this very moment, strangers.

This year, in light of our collective Zoom fatigue, services have been shortened to just a few hours, which is already pushing the shredded edge of our online attention span. After seven months of pandemic, mass unemployment, racial justice reckonings, and school closures, it’s hard to abstain and reflect on your own transgressions when all you want is comfort food and a hug. Knowing that, the Union for Reform Judaism, leading the largest, most diverse Jewish movement with nearly 850 congregations across the U.S. and Canada, asked IDEO to help design a few offscreen moments as supplements to the synagogues' videotaped services.

To think beyond the Zoom and understand what people are craving this year, we joined Mobius for a workshop with community builders like the founder of The Dinner Party, interviewed rabbis who have responded to modern yens with yoga and dance parties, talked to a “ritualist” about how to design a memorial, and met with the creator of This Human Moment, an immersive online experience. Our collaborators at the URJ, Amy Asin, Rabbi Leora Kaye, and Rabbi Esther Lederman, along with staff from the Righteous Person’s Foundation, which provided funding for the project, helped us ground modern exercises in a 3,000 year-old tradition—pouring old wine into new bottles.

We learned that what people need right now is to feel supported and comforted by some semblance of normalcy—a holiday that feels more like getting into a warm bath (or a mikvah, where you immerse yourself in water, as we learned from the URJ’s Rabbi Leora Kaye) than like a wake-up call. We learned from speaking to congregants that they don’t just come to temple for services, but for the casual synagogue interactions. It's a chance to see Mr. and Mrs. Riley, that lovely old couple who are somehow still alive, or family friends you haven’t had the chance to call, or that old school crush who still causes your stomach to flutter once a year.

The ideas that emerged can be found at reflect.reformjudaism.org, and they don’t look much like your aunt Sheila’s seder table. They include ways to do a check-in on your spiritual health (as you might at an annual physical); ways to memorialize a person who died or an event the pandemic shut down or how to let go of a burdensome feeling; and a collage exercise that has you scrapbook the community you’re missing by congregating in digital space. And for those looking to know more about how the activities relate to Jewish wisdom and custom, the bottom of each page invites visitors to “Explore more and go deeper” with links to essays on ReformJudaism.org.

Each activity was designed to be radically inclusive—as welcoming to those who don’t know a single Hebrew word and don’t believe in God as it is to believers with scholarly knowledge. The experience is a la carte, customizable, and while housed on a screen, designed to be non-screen-based. As identity changes in America—where one-in-five Jews describe themselves as having no religion—it’s become increasingly important for Jewish organizations to offer those still seeking community and spiritual life a radically new way to engage. That’s what this is.

It’s been said that religion was the answer to a cry for help. Right now, everyone could use a little help. And awe. And beauty. And routine. Religious rituals were built to keep us in line, to keep us connected, and to keep time. Much of that has been broken by COVID. So the question for designers becomes, how might we, within the constraints of the day, mine a bit of gold that can fill in the cracks?

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Each fall, the Jewish High Holidays draw communities together for some of the year's most important rituals. Even Jews who don't attend their temple's regularly scheduled programming tend to make a point of spending a few days celebrating the new year and reflecting on the one that's passed. Now that we're socially distanced, how do we make sure the rituals are still observed? The experience of gathering and connecting still felt?

What they found through their conversations took them a bit by surprise. There was a deeper malaise afflicting everyone they spoke to—something under the surface, under the symptoms.

Loneliness.

Months into a pandemic, the isolation that’s always been below the surface is even more extreme. It was in this context that I had the pleasure of talking with Dr. Murthy. We spoke about what leaders can do to facilitate connection, and why it is mission-critical for organizations to address loneliness and support relationship-building, even when we’re physically distant. Especially when we are physically distant.

I'm sharing some excerpts from our conversation here. I hope they inspire you and prompt useful explorations into the health of your communities.

Three types of loneliness

The feeling of being isolated from each other, Dr. Murthy discovered, is at the root of so many of our deepest ailments. He reminds us that we are social creatures, and that community heals us. Especially in these divided times, the way to a more happy and healthy society is both obvious and profound: human connection.

Connection in the workplace

Our professional lives—the experience of working and the quality of what we do—is heavily influenced by what’s going on in their rest of our lives. Yet there’s a hesitance to be vulnerable, share challenges, and ask for help. As a result, colleagues sometimes miss opportunities to help one another. It’s a loss, because through helping each other, we deepen our bonds. Empowering employees to help each other can be one of the most powerful ways for organizations to strengthen their teams.

The potential for something better

While our present moment lays bare how technology can isolate us and ideologies can divide us, it also shows us that new ways are possible now and in the future. My conversation with Dr. Murthy explored the role design can play in creating human-centered systems that make us all feel more connected—from the scale of individuals and teams, all the way up to systems, institutions and governments. We all have the power to design conditions that prevent loneliness, cultivate community, and foster good health.

The strain on our systems caused by COVID-19 reveals an opportunity to take new approaches to our work and our infrastructure— from how the government sets policies to how businesses empower employees. In rebuilding the world post-pandemic, we need to keep in mind the tangible benefits that human connection can support: mental health, physical wellbeing, academic and professional success. We can design policy to optimize human connection, ensuring our government recognizes these principles when thinking about housing, public health, or education, for instance. The question for leaders is, what changes are required to create connection and maintain cohesion, even as our structures and processes shift? The opportunity for leaders now is not to go back to how things were, but to imagine something better…and make a new “normal” built upon what supports us as, as Dr. Murthy points out, social creatures who need care and connection.

Original photograph by Meredith Nierman

There’s a story in Dr. Vivek Murthy’s book, Together: The Healing Power of Human Connection in a Sometimes Lonely World, about the tour he made across America in 2015, while he was U.S. Surgeon General. One of my colleagues at IDEO, Ann Kim, served as his Chief Design Officer and joined Dr. Murthy’s team as they set out to learn about the health crises gripping the nation—opioid addiction, chronic disease, violence—from the people who were suffering the most.

As pixels become a hidden quality, what would it be like to expose and celebrate this tiny landscape? Maybe it’s some sort of nostalgia for the pixel, but I thought it would be fun to prototype a game where part of the gameplay is uncovering this “hidden world” of pixels inside these new displays—and so the world’s smallest pixel art game was born.

Looking through the loupe

To start the project, I needed to see these tiny pixels up close. I bought a cheap jeweler’s loupe—basically a magnifying glass—and pressed it up against an iPad. Things looked promising with a 10x loupe. The level of magnification allows you to see the individual pixels, but still see a decent amount of the play area around the character. However, if your eye is pressed against the eyepiece of the loupe, it would make touch controls a challenge because you can’t see anything but the small area in the magnifying glass. To work with this constraint, I wondered if I could make the loupe itself the controller for the game.

The way iPads and most tablets sense touch is using a “capacitive touchscreen.” This type of display creates a grid of areas that hold electrical charge. When a fingertip touches the screen, the charge at and around the point of contact decreases, communicating where the finger is to the tablet. Electrically conductive gloves and styluses are able to work on these screens because they allow the properties of your finger to extend through the conductive material. So using the same idea as a conductive stylus, I put some aluminum tape on the loupe to transmit the capacitance from your fingers to the display. This allowed a player to move the loupe around the screen, and through doing so, interact with the game.

Exploring a tiny world

Next, I needed to develop the game. I borrowed from some of the classic role-playing-game tropes from games I played as a kid, building out a landscape that included many different climates—a desert, a lake, a forest, a deep forest, an ice tundra, and more. I created a tiny character that the player guided around the landscape by moving the loupe.

The idea is that the whole game is played on a single static overworld screen that never moves—you can explore an entire tiny world without ever moving more than a few inches. There are even a couple of fun ways the character interacts with the environment. For example, the player can force the character to fall into the lake, where he splashes around and quickly jumps out. I also created a hidden cave that shows how a game might work with inside and outside spaces that can be explored.

Overall, I’m pretty satisfied with the way the experiment turned out. There’s something about looking through the magnifying glass and into this new world that brings back some of the awe and wonder that came with exploring new worlds on my Nintendo when I was growing up—it just goes to show that screen technology doesn’t need to be pixel perfect to transport us.

Chart your own pixel territory

Want to try it for yourself? Here’s how to get your own version of this experiment up and running:

1. Build the loupe controller

Get a loupe, and some aluminum tape. I made two separate “T” shaped pieces of tape, and wrapped them around the edge of the bottom of the loupe. This metal transmits the capacitance of your body down to the edges of the loupe, simulating two-finger touch.

2. Load the game

There are two ways to do this. First, make sure you have Unity, then download the project from Github. You’ll also want to install the Unity Remote app on your tablet.

To quickly test the project, you can plug the tablet into a USB port on your computer and open the Unity Remote app on the tablet. In Unity on the computer go to Edit > Project Settings > Editor and select the tablet. Then press the play button at the top of the main Unity window and the game will appear on your device. This will let you try things out but it will be very slow to react and move the character because it’s running on the computer and sending each screen as an image over the USB connection. More detailed instructions can be found on the Github project page.

Alternatively, if you want to run the application natively on a device at a reasonable speed, you will need to follow the directions on building for mobile to set up your device with Unity.

Either way, once you’ve gotten the game up and running, you’ll have a good sense of the game mechanics and can go into the project to edit it to create your own tiny world—changing things like the landscape and character actions, creating new characters and interactive objects, and even extending it into an actual game. Happy exploring!

A quick shoutout to some of the great resources I used to create this demo:

• Tiled: A fantastic tool for creating tiled backgrounds for 2D games. This was extremely helpful for putting together the overworld.
• Tiled2Unity: This tool helps bring the tiled data into Unity seamlessly.
• opengameart.org: A great repository for free to use game art assets. My main tiles were modified from surt’s Blowhard Chronicles.
• rm2kdev’s 2D Unity RPG Development series: A super helpful video series on developing 2D games in Unity.

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When’s the last time you had to design for something as small as a pixel? In recent years, with the advance of retina displays on computers, tablets and phones, it’s easy to forget that pixels are still the building blocks for everything you see on the screen. (These new displays still use pixels; they’re just so small they can’t really be seen.) In the past, user interface designers had to build to pixel-perfect precision to avoid blurry aliasing effects and issues with displaying fonts on lower-resolution screens; today, this is all but a thing of the past.

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.