Product development · From first release to what’s next

Work with Twenty Ideas.
Built for real life.

A new product. A better experience. A platform your business can grow with.

We bring product strategy, design and engineering together to build software around the people who depend on it and the team moving it forward.

Let’s talk about your product
Product in practicePRVNT / Nsight Health
PRVNT’s remote-care platform across desktop and mobile screens
Built around the work of delivering care.Explore the platform

The kind of responsibility we take on

A first release.
A whole new foundation.

PHC’s biological-risk map with location insights

PHC Global / First release

One month to alpha.

Our design and frontend work helped PHC reach alpha in a month, including interactive maps and data integrations. Beta followed a few months later.

See what we built together

PRVNT / Platform evolution

01.01.2025

A new year. A new core system.

Working with Nsight’s CTO and product lead, we designed and built the custom platform that replaced their core system in a successful New Year’s Day launch.

Our scope: design, infrastructure, implementation and EHR integrations.

Go inside the launch

Where we can help

You don’t have to start from zero.

We can join your existing team or bring a team around the product. Start with the decision in front of you.

Find what’s worth building.

Test the question that could change your direction. Research, prototypes and technical experiments turn assumptions into something you can examine.

Agree what to build and what to test.

Get a first release into use.

Define the essential journey. Design it, build it and work through the testing, integrations and operational details that make a release usable.

Give people something real to try.

Evolve a product people already use.

Improve the experience, connect systems or replace a platform. Plan the transition around the people and workflows that need to keep moving.

Move forward with continuity in mind.

Already have a working prototype? Explore our Prototype to Product assessment

Speed without sacrifice

More ways to build.
Better reasons to choose.

AI makes it faster to explore a direction. The advantage is what you learn from it.

We use that speed to make ideas tangible, test the important assumptions and bring you into decisions earlier. As the stakes rise, we deepen the design, engineering and review.

See how we work together
What needs to change for the person using it?
StrategyChoose the useful problem.
DesignMake the experience tangible.
EngineeringMake the product work.
Make → Try → Decide together
What we learn changes what we build next.
Colleagues working through ideas together around a table

A working relationship, too

Your expertise belongs
in the room.

You know your business and your users. We bring the people and product experience to work through the next decisions with you.

  • See the work as it develops. Review working increments and discuss the tradeoffs.
  • Know who owns what. Agree decisions, access and responsibilities from the start.
  • Plan beyond the release. Define documentation, handover and ongoing support as part of the scope.
Talk through delivery requirements

Before we start

A few practical questions.

Can you work with our existing product team?

Yes. We can bring a focused capability or a broader product team. We start by understanding your code, people and intended change, then agree how we’ll work alongside you.

What should we bring to the first conversation?

The product or idea, who it’s for, and what needs to change. A short demo is useful if you have one. We’ll discuss the next decision, timing and constraints; deeper code access can come separately.

Who runs the product after launch?

We agree operational responsibilities, documentation, handover and any ongoing support in the engagement scope. The goal is a product your next team can understand and keep improving.

Scope, deliverables, timing and responsibilities are agreed for each engagement.

Let’s start with what matters

What should your product
make possible next?

Talk with our team