More than 7 million people each year came to the Boston.gov site to tap into all sorts of city services: reporting a pothole, learning the assessed value of their property, paying a parking ticket, checking recycling schedules.

Boston wanted to create a beautiful platform that would make the process of finding and navigating information easy and intuitive, one that prioritized the needs of its people.

The Boston.gov site had outgrown its existing structure and needed an overhaul. The user experience was mired by the fact that Boston City Hall has nearly 50 different departments, each with its own microsite, navigation and content standards that feed into a centralized site.

So the City of Boston hired IDEO to design its new digital home, Boston.gov. IDEO designers worked with the major stakeholders—department heads, employees, and Boston residents, with a focus on those in underserved communities and those with varying levels of technical proficiency—to gather insights into what users needed.

The objective was to design something that would simplify how people navigate the site, to make it easier for residents to find answers to common questions, and, in the process, serve as a community facilitator—an up-to-date, reliable resource that makes life in the city more manageable.

Rather than organize the site by the city’s departments, the design solution was rooted in illuminating relevant content by topics—people’s life moments—many of which overlapped through different branches of government. Owning a car in the city, for example, is closely related to preparing for winter, so bridging those common threads allowed for a more intuitive organizing principle.

In the process of the site redesign, IDEO also helped to create a visual identity system that underscores Boston’s strengths: the city’s confidence, humility, personality, and optimism.

In addition to the web architecture and redesign, IDEO also produced a comprehensive style guide to help maintain design consistency, so departments can add content without compromising the overall integrity of the site, as well as a brand look that the city has decided to adopt across nearly all of its consumer-facing media. Now you’ll see the famous underlined B on T-shirts, banners, and even snow shovels.

Holding true to its mission to include Boston residents and all site users in its design process, the new Boston.gov site was piloted for six months, and the process document on the city’s blog (including the IDEO designed brand guide), before a full launch was rolled out in July 2016.

“The website should act like a helpful human. This is one of the big differences between the old site and the new site,” said Jascha Franklin-Hodge, the city’s chief of information technology in a Boston Globe article. “Oftentimes, when you looked at something on the old site, it would feel like you were interacting with some sort of lawyer-robot that was speaking to you in government-speak, using very formal language. We are trying to move away from that so your experience is akin to a person.”

The City of Boston was in need of a new digital home—one that emphasized a shift to a more welcoming tone and commitment to its citizens.

‍

In the Western Hemisphere, The North Face brand has long represented an active, sporty lifestyle that’s filled with challenges and adventures. But appreciating “the great outdoors” in China is less about extreme sports and more about connecting with nature in a communal, spiritual way. This research-based insight led the team to identify new opportunities for The North Face to better target its messaging.

Designers found a key opportunity: Encourage Chinese consumers to escape the pressures of hectic city life by enjoying the freedom and renewal that comes with spending time outdoors.

Today, as people find less time to enjoy the benefits that lie just beyond China’s large cities, there’s a tangible desire to return to the outdoors to refresh, reassess, and renew oneself. The North Face aims to help consumers do exactly that.

To create a compelling new brand vision for The North Face in China, the team’s design research tapped into Chinese ways of spending time outdoors. IDEO’s insights and creative brief provided the essential brand story for The North Face in China and informed the tagline of the company’s current marketing campaign, “Go Wild” (去野). The North Face brand’s new messaging links “old nature” and “new outdoors” through a combination of digital, retail, and interactive community channels.

IDEO also collaborated with the company on designs and prototypes for a new digital platform and an updated store-within-a-store merchandising display. The digital community aims to attract newcomers and connect them with more experienced outdoors enthusiasts and clubs. As the platform evolves, it will help aspiring adventurers plan trips, learn skills, and share their experiences through photos.

The retail community space aims to integrate this digital community with in-store shoppers and an effort to turn the “buy-a-product moment” into a “join-the-outdoors moment.” Both will be integrated to provide a holistic brand experience in China centered on nature and community.

In the West, The North Face, with its decades-long history, has long symbolized an adventurous, active lifestyle. In China, however, the outdoor market only began accelerating in the early 21st century.

‍

Success in this growing market depends on building strong and deep connections with Chinese consumers.

‍

20% sales growth in China

from 2012 to 2013—the year the project was completed—propelling the brand from sixth place to a market-leading position

Over the last 36 years, IDEO and Lilly, along with the pharmaceutical giant’s other design, development, and manufacturing partners, have collaborated on more than 250 projects. During this time, Lilly has not only honed its engineering-focused internal device-development team but also transformed into a human-centered organization with extensive, robust in-house innovation capabilities.

Early in the relationship, a team of IDEO designers and Eli Lilly leaders traveled the world to understand how people with diabetes live with the disease. Their findings led to the design of a series of award-winning insulin injection pens like SAVVIO. Portable, aesthetically pleasing, and discreet, the pens are suitable for use in both medical and personal settings. Combined with Lilly’s technical design prowess, this human-centered focus allows the devices to seamlessly integrate into patients’ lives and routines, making a challenging disease like diabetes feel more manageable.

Fast forward to today, Lilly’s innovative, easy-to-use auto-injectors are not only continuing to provide life-saving treatments to people with diabetes but also enabling the adoption of the popular GLP-1 weight-loss drugs Mounjaro and Zepbound, which together accounted for the majority of the company’s annual revenue in 2025. Perhaps most importantly, patients consistently rate the experience of using Lilly’s auto-injectors as relatively pain-free, easy to use, and preferable to competitors’ brands, improving adherence, satisfaction, and health outcomes.

This unwavering focus on driving innovation through a patient-first mindset is evident in some of the most impactful projects Lilly and IDEO collaborated on over the years:

GLP Auto-injectors
Convenient and cutting-edge, the first Trulicity injection device was originally designed to deliver the GLP-1 drug to treat type 2 diabetes. Today, it has been adapted for use with other GLP-1s, Mounjaro and Zepbound, which are increasingly popular weight-loss drugs and are also administered once weekly via fixed-dose injections. A wide base enables the pen to be held securely against the injection site, and the device automatically regulates the dose and needle depth.

Taltz Injectors
For most patients, living with severe plaque psoriasis means being your own medical technician—metering your drug dosage each time, and attaching and removing needles by hand. Taltz provides patients with clear visual and auditory feedback throughout the injection process through simple icons, bright colors, a translucent material, and clicking sounds. The devices are available in both autoinjector and prefilled-syringe formats and are adapted for Emgality, a preventive monthly migraine treatment, and Ebglyss, which helps treat eczema or atopic dermatitis.

HumaPen SAVVIO Injection Pen
Key insights informed the design of SAVVIO, including patients’ preference for insulin pens that look less like medical devices and more like everyday objects you’d find in a backpack or purse. The sleek, colorful device was created to help patients feel comfortable and confident about fitting mealtime injections into their everyday lives.

Refillable Human Growth Hormone (HGH) Injector and Reconstitution Device
Designed to be kid-friendly, the Refillable HGH Injector leverages insights into pediatric treatment adherence to create a more integrated, systematic approach to treatment, while the Reconstitution Device makes mixing Lilly’s powder-and-liquid drug easier and less intimidating for parents and healthcare professionals alike.

KwikPen Insulin Pen
KwikPen is a next-generation, prefilled insulin injection pen that builds on the success of two previous designs, reducing its size to 5.7 inches and enhancing ease of use for patients.

HumaPen(R) Luxura™ Insulin Pen
HumaPen Luxura combines several innovations into a robust yet elegant pen that can be carried and used anywhere—an insulin pen solution that improves dosing accuracy, dose setting, and injection force.

In addition to designing products to meet the needs of people with diabetes, IDEO and Lilly have developed innovations in areas of oncology, autoimmunity, and men’s health. The results of this collaboration and expansion have won numerous design awards and produced one of the longest and most fruitful innovation relationships in IDEO’s history.

In the 1990s and early 2000s, Eli Lilly had a number of new, life-changing medications and two big challenges: Most of its drugs were self-injectables, not pills, so patients were hesitant to take them. And its drug-delivery device platform lagged behind its drug pipeline.

99%

of Trulicity users reported the auto-injector was “easy” to “very easy” to use in a JDST study

$36.5B

of Lilly’s $65.2B 2025 revenue came from sales of its auto-injectable GLP-1s, Mounjaro and Zepbound, a 45% increase from 2024

Systemic transformation is not new to Cottage Health. Founded in 1888 by 50 forward-thinking women in Santa Barbara who wanted a proper hospital for their growing community, Cottage Health has since expanded to 4 hospitals and is quickly growing its outpatient services as well.

To understand the current Cottage Health experience, IDEO conducted dozens of in-depth interviews with patients, providers, caregivers, and staff. They also ran multi-week diary studies, engaged in inspirational research activities, and held events to hear from local women.

The qualitative research surfaced that women often carry the mental burden of repeatedly remembering, explaining, and advocating for themselves. Women’s pain is often minimized, which causes new providers to inherit mistrust from previous experiences, without having the tools to rebuild it. During significant life transitions, such as pregnancy or menopause, women may receive conflicting advice from health providers and seek additional outside support from informal networks. Access to quality care can sometimes depend on insider knowledge, private resources, or providers willing to go far beyond their job descriptions. And while providers make referrals, women must handle the time-consuming coordination required to make everything work, instead of focusing on healing. The bottom line: what women wanted most was to be seen, heard, believed, and supported in knowing what to do next.

In order to address these challenges, IDEO proposed a new vision for women’s health, alongside design principles and concrete service shifts to guide future decision-making. Every interaction with Cottage Health should build on the information patients have already shared, demonstrating the system is listening. They should also guide women through life transitions by anticipating needs in future life phases, not just what’s happening now. Much like a community gathering, the Cottage Health experience should feel like a village, fostering belonging and shared care through warm, connected, human touchpoints.

Building on these design principles, IDEO developed three exploratory service concepts that represented potential pathways for future development, rather than finalized offerings: True North, Wellness Commons, and Care Circle.

True North is a patient-facing tool that helps women see the long view of their health journey by integrating personal data, health goals, and reflections into a dynamic timeline they can share with their healthcare providers.

‍

Wellness Commons serves as a digital front door, offering curated resources, including community events, discounted wellness programs, fitness classes, and trusted referrals, that help women navigate their well-being with clarity and agency.

‍

Care Circle connects women to an extended support network inside and outside Cottage’s walls, including a hotline, health coaches, peer group support, and nurse navigators who can help patients manage complex care needs.

IDEO also provided Cottage Health with a multi-year roadmap building out the women’s health experience alongside continued pilot and implementation advisory. The roadmap included a comprehensive series of launch-to-learn pilots designed to test assumptions, reduce risks, and learn quickly, with IDEO stewarding the process. These pilots ranged from digital mockups and a curated community referral directory to a support line, a new nurse navigator role, and peer coaching services, among other experiments.

In July 2026, Cottage Health announced it was expanding its focus on women’s health through a new Center for Women’s Health campus in Santa Barbara. Led by Dr. Jane Varner, the Center is projected to open in early 2028. It will encompass women’s health services across the lifespan, from puberty to menopause and beyond, including OB-GYN, pelvic floor health, women’s heart health, a menopause clinic, and a breast care center of excellence. It will also include supportive services, including trained nurse navigators to coordinate patients’ care journeys, giving women a single, trusted entry point for integrated care at every life stage. Cottage Health is also exploring a new digital support system inspired by IDEO’s Wellness Commons concept.

Cottage Health had ambitious goals to expand its women’s health services and needed a partner to help it understand what women truly wanted from their healthcare and bring it to life.

7 months

from end of project to the announced launch of Cottage Center for Women’s Health

That’s the radical promise of the Circular Economy: moving from our traditional take-make-dispose economy, to one that has a closed loop, where materials, nutrients, and data are continuously repurposed.

Working with the Ellen MacArthur Foundation, which aims to inspire a shift to that new model, we’ve designed this guide to meet an emerging need among industry leaders: an alternative, restorative, and regenerative approach to business, one that creates new value and delivers long-term economic, social and ecological prosperity.

Transitioning the Circular Economy into the mainstream will be one of the biggest creative challenges of our time. But we believe design thinking is an ideal approach for tackling this complex, systemic, ambitious challenge.

Created for innovators, entrepreneurs and intrapreneurs, the guide aims to raise awareness of the Circular Economy, nurture a systems perspective, and share practical innovation methods.

We hope these ideas will galvanize readers to start designing tomorrow’s breakthrough businesses.

Get started at circulardesignguide.com.

What if we had a new way to design products, services, and businesses that were good for people, the planet, and business?

‍

I’ve always loved drawing. I had cool, encouraging parents who’d do things like let me draw an invitation to my 6th birthday party, then go make copies of it so that I had personalized cards to send out.

I remember discovering my mom’s college sketchbook in the basement when I was a teenager, and feeling like it gave me a window into who she was at that time of her life. I started keeping sketchbooks in 10th grade, and have managed to hold on to almost all of them since then.

In my career as a programmer, I live and work inside my computer screen. My professional body of work can sometimes feel so ephemeral—everything I’ve ever made could be wiped out by a really strong magnet. So it feels really nice to have some solid, double-layered bookshelves and bins full of sketchbooks to step back and look at sometimes.

Lately, I’ve been drawing complicated women in the evenings. A woman’s physicality is so much more political than a man’s—and to me, this makes it so much more powerful. A woman has more expectations placed on her physical looks—her clothes, her hair, even her expression—and that only makes it that much more of a provocation when those expectations are thwarted.

When I was a kid, I’d spend hours drawing Ariel from Disney’s A Little Mermaid. I'd sometimes catch myself unconsciously copying her expression with my own face. Even at 9 years old, I’d feel a little embarrassed when I felt a big, fake grin on my face. I liked Ariel and her gadgets and gizmos aplenty, but I wasn’t like Ariel. I was faking it.

Then in high school, when it was time for my exciting locking-myself-in-my-room-and-drawing-self-portraits period, I had to shift into thinking intentionally about what my face was doing while I drew from the mirror. I found that whether I was trying to make a specific kind of face, whatever came out ended up feeling like a character. And that somehow felt instantly more powerful than just the image in the mirror.

The women I like to draw now capture some element of that feeling. They may not be the definition of self-possessed, they may or may not be confident and composed, but they are self-aware, and in control of what they are putting out into the world. They may be performing a little, but they're doing it on their own terms, for their own benefit.

They’re from noir movies and punk bands. They’re artists, journalists, wastoids, and dweebies. I like to think they lived for themselves and as themselves—the most provocative act there is for any human. I admire them and want to see myself in them

“I have been drawing complicated women in the evenings lately.” Cambridge software designer Ashley Holtgraver reveals the secrets of her notebooks.

In Lima, Peru, people who give out free newspapers or sell water and snacks on the on-ramps to the highway use these little wooden crates to sit on or put products on. To avoid carrying the crates home every night, they tie a rope between the box and the railing, then drop it over the edge overnight. This keeps them from getting cleared or taken because they're virtually invisible from the other side. The crates aren't that valuable, but it's probably a hassle for vendors to carry them around or find new ones every day.

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 the invention of new products, services, and experiences.

Bringing new design to the way we die—what we see, touch, feel, and hear—is an idea with a strong tailwind. Advocates like BJ Miller, who was profiled in the New York Times this week, are spreading the message that we can do better for people who are dying if we pay close attention to human needs.

Sen, who gives Miller a nod in her video (see below), felt this firsthand when she was hospitalized for an illness. As a musician who started playing the piano when she was 3, Sen found the sounds of the emergency room traumatizing, and left committed to do something to save others from having the same experience.

We became instant fans of Sen’s work when she submitted it to our OpenIDEO challenge on end-of-life care, and gave a talk during Re: Imagine, a subsequent citywide conversation about death. We caught up with her in Washington D.C., where she’s a fellow at the Halcyon Incubator, a program that supports social entrepreneurs, and asked how she’s planning to bring beautiful sound to the people who need them most.

IDEO: WHY IS MUSIC SO IMPORTANT AT THE END OF LIFE?

I would say sound is important at the end of life, which includes, but is not limited to, music. For instance, a lot of people mention nature sounds as something they want to hear at the end of life; other examples are voices of loved ones, laughter, etc. You can hear people's responses here.

Sound is important because some people say hearing is the last sense to go when we die. I believe it has a profound effect on our sense of dignity, not just for the person dying, but also for those around them.

IDEO: HAVE YOU SEEN EXAMPLES OF THIS?

Morgan, a palliative care nurse in NY, got in touch with me after she saw the idea on OpenIDEO. She said that her team started to play a song moments before a patient's death to liberate them from the ventilator, with the expectation that they would die in the next few moments. The question inspired her to use her own iPhone to play music for the patients. One cancer patient she became very close with shared his favorite music, and she played that for him. People’s preferences are different, so it’s tough to find something that’s universal. It’s very awkward to say, “I’m assuming you’re going to die soon, what kind of music do you like?” I got the impression that it was helping her team and the family members as much as the patient. You can’t interview the patient after they’ve passed away—“how was your dying experience?”—but you can talk to the family and the nurses. I heard from cancer nurses at Sibley that when a cure is not possible, they are empowered to heal in other ways—do something seemingly simple that makes a big impact.

A couple of people mentioned that they played music when their grandparents passed away. “I had a sense that she could hear the music or my voice even though she couldn’t react to me,” or “I have faith that she could hear me.” It’s a story that we create for ourselves, but, as those who are left behind, feeling that we have made a positive impact gives us a sense of peace.

IDEO: ARE YOU PILOTING SEN SOUND IN HOSPITALS?

Yes, we are already working with Sibley Innovation Hub (part of Johns Hopkins Medicine)—though not necessarily focused on "end of life"—to test our ideas to transform the sound experience for patients.

As for the "end of life" sound—for now it's an art/conceptual project. I record the voices of people sharing stories of the sound they wish to hear at the end of life, to raise awareness on the importance of sound.

I also believe that it is a way to build resiliency in the community, by allowing us to approach the taboo subject with a somewhat light-hearted, playful way. It's dreadful to imagine death itself, but by imagining the sound, it's somewhat more approachable.

I would love to continue exploring ways to implement the idea with hospice and palliative care centers, and we are in conversation with a couple of facilities. I have done this as an artist and will always continue to do that, but I’m at the point where I’m transitioning to trying to inspire a team to do this.

It’s going to take time: Any medical conference you go to is about winning the fight [against death]. But this is a project to build resiliency in the community. There’s no wrong answer. If a young person says to me “I don’t like to think about how I’m going to die,” that’s okay. But I want to help people build a sense of community, to create music or sound or jam with the person with the same illness but not the same geographical location—connecting people who really need it through music and art.

For more about Yoko's work check out her piece in the OpenIDEO End of Life story collection.

Humans really like the sound of the ocean. We like it so much, the lapping of waves top the list of last sounds we wish to hear before we die. That’s one thing you’ll learn from Yoko K. Sen, an ambient electronic musician whose project, Sen Sound, aims to transform what we hear at the end of life, replacing shrill alarm bells and bleeping machines of the hospital with a soothingly oceanic sonic environment.

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.