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.

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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.

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

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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.

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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.

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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

While I occasionally geek out over numbers, I spend most of my time going deep with clients, sketching business models, and building prototypes to test our ideas with real people.

I’m currently working on a project to create a new taxi experience for Japan. We’re working to help our client, a taxi equipment supplier, stay relevant when taxis themselves are being disrupted.

There’s really no typical day for me at IDEO, but here’s a little peek at what a recent one looked like.

8:30am: Commute

On nice days I walk to work through Yoyogi Park, one of Tokyo’s largest. It’s hard to believe that I live in a concrete jungle with views like this! Most days, though, I take the train. It’s exactly 16 minutes to get to work. (Perk of living in Tokyo: Trains run like clockwork.)

10:00am: Team stand-up

Our team has daily morning and evening stand-ups. We’re supposed to plan the day, but we get sidetracked and spend most of it playing with our taxi prototype.

10:30am: Business model review

I sketch out our current idea using our Business Model Tiles. They’re a quick, visual way to bring our plan to life, and they make it easy enough for anybody to come in and iterate with me. (The team liked this version.)

12:00pm: Monday lunch meeting

The entire studio gets together every Monday for lunch. The food is amazing—we have different caterers provide freshly cooked, seasonal dishes every week. Usually, we share silly photos from the previous week and studio/project updates. Everybody takes a turn as host, and shares personal inspiration. This week it's Ryo, introducing one of our new D4V (Design for Ventures) portfolio companies, Tabi Labo, to the studio. (More on that later!)

1:00pm: Crash course in graphic design

Outside of work, I run a pop-up curry shop with some friends. We make curry with a Japanese twist, using seasonal ingredients or flavoring that you might not usually find in curry. I’m lucky to be surrounded by talented graphic designers who helped me transform my very analogue potato stamp logo into a digital masterpiece.

2:00pm: Video shoot

We’re making a short user journey video to showcase what our taxi service might look and feel like. As a business designer, making things tangible is important, because it makes the service feel real, and empowers clients to take risks and launch new businesses. Our client got really into it, and even starred in the video as the taxi driver!

5:00: Design sprint

IDEO Tokyo is co-located with D4V (Design for Ventures), our in-house venture capital fund. I really enjoy working with the startups, which have different needs from our typical clients, and move really fast. Here, we’re helping Famzon (a company that makes shoes with interchangeable heels) create its first pop-up store in the Haneda Airport.

6:30pm: Heading home

It’s been a long day. Can’t wait to go home, eat dinner, and recharge for tomorrow.

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When people ask me what I do for a living, I say, “I find innovative ways for companies to transform and grow.” I think a lot about the intangible parts of creating a new service. How do we make money? Who do we partner with? What resources do we need to begin?

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

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

What inspired you to write this book?

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

Can you explain the concept of an emotional work culture?

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

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

Why does emotional culture matter so much?

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

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

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

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

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

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

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

What everyone should know about you:

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

How to work with you:

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

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

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

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

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

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

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

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

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

Instructions

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

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

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

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

Tips from the Field

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

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

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

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

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.