Twenty Ideas / Product strategy, design & engineering
Build what’s next.
Make it work in
the real world.
We design, build and evolve software. We also help teams put AI to work.
AI can get an idea on screen fast. We help you find what’s useful, test what matters and build something people can depend on.
Let’s make it real


Maps · Planning · Alerts
From complex data to useful decisions
The right information.
Where it matters.
Design and frontend development helped PHC reach alpha in one month.
Inside the first releaseSelected client work
Across ideas and industries

02 / PRVNT by Nsight Health
A new foundation
for connected care.
Working with Nsight’s CTO and product lead, we built the custom platform that replaced their core system in a successful New Year’s Day launch.
Design · Infrastructure · Engineering · EHR integrations
Explore PRVNT
03 / DevSwarm
We build with AI.
And build how we use it.
Our own development practice became a product: parallel AI workspaces, with people directing and reviewing the work.
Built by Twenty Ideas for sibling company 21st Idea, Inc.
See our practice in the productThree ways to move forward
What’s next for you?
Build or evolve
a product.
From the first useful release to an established product’s ongoing development. Strategy, design and engineering, working together.
Turn a prototype
into a product.
You’ve made the idea real. Understand what to keep, what to strengthen and what it takes to serve real users.
Help your team
put AI to work.
Hands-on training and coaching through HiVE Shift. Build useful practices around your team’s actual work.
Speed without sacrifice
AI opens possibilities.
People choose
what matters.
Use the speed to explore more. Bring real people into the work sooner. Deepen the review as more depends on the result.
How we work togetherHiVE Shift / AI training & coaching
Help your team
do more with AI.
Hands-on training and coaching helps your team turn useful experiments into shared ways of working.
Explore AI training & coachingWork on something that matters. Practice on your team’s real projects, with hands-on help.
Keep people in charge. Your expertise shapes the goals. Your team learns to judge the results.
Take the practice with you. Keep the examples and working habits your team can continue improving.

Useful software. Real relationships.
A team that cares
where this goes.
We’ve been bringing ideas into the world since 2014. We bring your people into the decisions, respect what they know and build toward work you can own.
Meet Twenty Ideas