Innovative Designs for Memorable Experiences

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gene beyt design




Lead and Design Your Organization to Reach the Quadruple Aim


The Leader's Design Manuals for Positive Human-Centered Healthcare

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Design-Training Solutions for positive-business results

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Reframe and Solve Design Challenges

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Reframe the Wicked Problems


In our current healthcare ecosystem, our systems of care are performing exactly as designed...


Poor patient experience and access to care

Poor health and wellness outcomes


High cost of care and declining reimbursement

A burnt-out and disengaged workforce


...and now, more than ever, the work of care has to be different by design—designed for the Quadruple Aim: enhancing patient experience and engagement, improving the health of the population, reducing costs, offering value in the marketplace and the conditions for the workforce to find joy and meaning in their work.

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Unfortunately, many health system leaders continue to rely on recycled ineffective solutions to address these complex or wicked problems.

In many healthcare organizations, improvement has traditionally focused on linear thinking, often with only passing attention to problem reframing, system design, organizational culture, patient and workforce perspectives, and human emotion.

We must reframe healthcare's wicked problems and start with the right problems that need to be solved in the first place.


Our new understanding of the powerful role positive emotions play in business, the transformative potential of design thinking, and the important capacities of interprofessional teams and wise leaders, offer organizations new paths to innovation, positive culture, compassionate care, workforce and patient engagement, and healthcare value.

What we do...

Our design-training solutions helped healthcare leaders reach the Quadruple Aim:

Solve Design Challenges


The design and deployment of an interprofessional leadership development program, which incorporates key aspects of wisdom leadership and positive psychology, resulting in new workforce capacities in interprofessional teamwork, personal meaning and authenticity, and relational communications.


The management of patients with congestive heart failure through an innovative design which includes daily conversations with volunteer seniors, halving the chance for readmission.


The design of an organizational learning spiral for a large public system of care, resulting in an effective statewide population health program for approximately one million patients.


The redesign of care on an acute care surgical service with improvement in patient experience, workforce engagement and clinical outcomes, while reducing the cost of care.


The redesign of care in a primary care clinic leading to increased throughput, improved workforce morale, and provider and patient satisfaction.


The innovative design of structures and processes for an academic health system’s healthcare effectiveness program, creating a platform for redesign in an integrated practice unit.


The design of the quality leadership group for a large integrated system of care, supporting workforce development programs and structures, lean process improvement and population health initiatives, system-wide performance dashboards, cost drill-downs and variation analytics, all deployed through care redesign teams.


The design of The Care Management Game, a managerial simulation for healthcare systems and medical schools, helping practitioners and students understand the needed relationships for patient-centered team-based care and system redesign.

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The design of The Visual Dialogue Project, which uses images to enhance conversations resulting in organizational and community learning, leading to improved health and well-being, while constructing a dialogue about what is truly important.


Develop Positive-Change Leadership

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Lead a Positive Business


Positive-change leaders build a positive culture and redesign the way the work of care is done.

They balance the necessary control, efficiency, and market competitiveness, with collaboration, commitment, creativity, and innovation, while they build learning communities of engaged patients and compassionate caregivers. In terms of outcomes, profitability and performance exceed expectations with the general good as an aim.


Positive human-centered healthcare is an evidence-based journey towards redesigning the way the work of care is done.


Positive-change leaders use design thinking to foster empathetic engagement, radical collaboration, and rapid prototyping.


Positive healthcare organizations make practical decisions that lead to human flourishing and to the welfare of their human capital.

How we do it...

To help healthcare leaders accomplish their goals, we offer the following design-training solutions:

Positive-Change Leadership


✔︎ Coach and train senior leadership teams and boards in human-centered strategy and the design of a positive business, with a focus on improving patient experience and revenue, while reducing cost, physician burnout, and workforce turnover.

I was able to immediately apply concepts you helped me discover, and have built on those skills and perspectives in my work and personal life since then. Your lessons were powerful, the teaching tools and methodology you used were very effective, and I will always be grateful for your personal approach and thoughtful guidance.
— Senior Healthcare Executive

✔︎ Design and deliver workforce development and training programs for positive-change leadership, human-centered design, care innovation, organizational effectiveness, and the creation of a positive culture.

I would like to congratulate you on the excellent framework you have created for this subject matter and the exceptional presentation. I am looking forward to the rest of the journey.
— Senior Physician Leader

✔︎ Train and coach clinical leaders, process improvement leaders, and the lean/six-sigma workforce, in design thinking, learning interventions, and positive-change technology.

Great presentation. Opened my eyes to the fact that I am too focused on work flows and standardizing work wherever possible. I need to stop to make sure I don’t overlook that significance of the relationships that support individual patients/families and include them in developing care delivery.
— Quality Improvement Leader

✔︎ Document and share positive-change stories, featuring the organization, the workforce, the patients, and the community, supporting the organization's marketing and communication initiatives.

You have guided me and nurtured me through understanding of institutional learning, relational coordination, and wisdom leadership. I find that I think in terms of these concepts and use them in my conversations…. It seems they have relevance everywhere.
— Nursing Executive

Foster Design-Thinking Innovations


Redesign the Work of Care


Our job is to help healthcare leaders design their positive businesses.

Transformation to a positive healthcare organization requires sus­tained change in individual be­havior, team interactions, and operations design, as well as a broad investment in design thinking—an applied innovation framework that prioritizes empathy, involves highly diverse and collaborative teams, and encourages an action-oriented rapid prototyping of innovative and affirmative business practices.


Empathetic Engagement

Positive businesses engage the workforce through positive-change leadership development and training in design thinking, with sufficient time and experience for mastery of new skills and abilities required to create the new mindset.


Radical Collaboration

Positive-change teams actively redesign the local systems needed to provide compassionate care and build relationships of respect and trust, while redesigning clinical operations and creating innovative designs for memorable care experiences.


Rapid Prototyping

The redesign structures and organizational learning processes are internalized, repetitive and consistent, allowing teams to undertake the redesign of care autonomously, while finding creative and innovative solutions. 

How we do it...

To help healthcare leaders accomplish their goals, we offer the following design-training solutions:

Design-Thinking Innovations


✔︎ Train and coach the patient-care workforce in empathetic engagement, stress and variation reduction, team-based care, and the deployment of radical and innovative collaboration.

I think the combination of your academic presence along with your warmth and invitation to engagement is a real winner. People jumped into the exercise—my impression is that the permission to think from the standpoint of a whole, coordinated system was validating and inspiring.
— Team-Based Care Training Participant

✔︎ Coach and train performance and outcome measurement leaders in the design and deployment of positive-change dashboards at all levels of the organization.

I guess what I’m trying to say is, I GET IT!! Thank you. Your lessons are invaluable.
— Physician Executive

✔︎ Design and deploy the organizational learning structures and cycles supporting rapid prototyping of innovations, organizational diffusion, and spread of creative care designs.


✔︎ Guide and support the needed development of a care design studio and innovation center, leveraging available philanthropic and grant funds, while fostering innovations in care and creative organizational aesthetics.

The learning spiral allows organizations to start where they are—any level or cultural state, use what have—resources are available to do something, and do what they can—make changes to the degree that your organization’s culture and climate allows. Protect it by ensconcing it in structure and embrace instrumentalism. Know that over time you generate a virtuous spiral that will uplift all.
— Health System Transformational Leader, Chief Medical Administrative Officer

Deliver Positive Human-Centered Healthcare


Design-Training Solutions


We offer design-training solutions for healthcare. Our focus is on designing a positive difference in our world, promoting positive healthcare organizations through positive-change leadership and design-thinking innovations.


We use our 4-3-2-1 Design™ for Positive Human-Centered Healthcare:


We focus on your design challenges

  1. Poor patient experience and access to care

  2. Poor health and wellness outcomes

  3. High cost of care and declining reimbursement

  4. A burnt-out and disengaged workforce

At three levels

  1. Empathetic engagement of all individuals—workforce and patients

  2. Teams supporting radical collaboration

  3. Rapid organizational prototyping and learning


With two design-training solutions

  1. Positive-change leadership

  2. Design-thinking innovations

To accomplish the missing aim

  1. Creation of a positive healthcare business, leading to innovative designs for memorable patient and workforce experiences


We offer introductory and custom educational workshops, leadership presentations, design-thinking training sessions, and workforce development programs.

As we face a somewhat skeptical audience in the current healthcare environment, our training solutions feature practical approaches to key concepts, hands-on experiential exercises, personal mastery approaches, and include "real-life" case examples of positive-change leadership and design-thinking innovations.

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The Jazz of Leadership features a live jazz performance and presentation ideally suited for boards and senior management retreats.

To appreciate how significant improvements in burnout, workplace experience, and business performance can result from design-training solutions, we offer a unique and refreshing approach to leadership and the creation of a positive organizational culture.

In these jazz sessions, participants experience the dimensions of leading and teaming, which support the successful engagement of physicians, workforce, and patients in the deployment of a compassionate and safe culture.


Reach the Quadruple Aim

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We help healthcare organizations make practical decisions that lead to human flourishing and to the welfare of their human capital.

Why we care...

To help healthcare leaders achieve sustainable results, we offer design-training solutions delivering:

Positive-Business Results

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Performance, Population Health, and Workforce Well-Being

Congestive heart failure patients experienced a significant reduction in mortality (P <.001).

Diabetic patients were eighty-two times less likely to use the emergency room.
— Population Health Redesign Program
Reduced readmissions by 9%, length of stay by a half-day, and the cost of care by 10%, while increasing patient satisfaction by 22%.
— Acute Care Redesign Team
Achieved a 36% decrease in nosocomial infections and a 19% decrease in post-op morbidity.
— Acute Care Redesign Team
Ninety percent of the participants reported improvement in their personal leadership capacities, their relationship-centered communication skills, and their ability to lead collaborative care teams.
— Continuum of Care Redesign Program
Demonstrated measurable improvements in the coordination of care, team member communication, and mutual respect.
— Acute Care Redesign Team
Realized increasing levels of workforce hope, optimism, resilience, and self-efficacy.
— Primary Care Redesign Team

Meaningful Work and Positive Organizational Culture

Some human touches I have noticed in our clinic over the last few months are heartfelt laughter among patients and staff while handling disease and life changes, smiles and kindness in the atmosphere even during the most tense of times, side conversations focused on raising the bar for our approach to patient care, questions of why we function in certain ways and if it can be improved, and innovation in clinic-patient communication to raise satisfaction for every patient every visit.
— Primary Care Physician
After initiating these collaborative rounds, we noted almost immediate benefits. On satisfaction surveys, patients noted the effort, and families remarked about having their questions answered in a timely and clear fashion. The discharge process also became more efficient and organized as issues of patient care related to discharge planning were addressed during hospitalization. An additional benefit was improved communication between nurses and physicians, which enhanced the professional work environment and provided an opportunity to exchange ideas and solicit suggestions for improvements. Conflicts are recognized and reframed into opportunities to innovate. Importantly, these discussions enable a critical analysis of how caregivers across departmental and professional silos relate to one another in the performance of their tasks. This forum marked the first time that caregivers from multiple disciplines engaged in an ongoing, floor-based, and patient-centric discussion.
— Vice Dean for Clinical Affairs
I’ve heard all sides of the stories and repeatedly hear blame and I have come to the conclusion we all have major faults, not because we want to and not because we don’t want the best thing for our business unit and patients, but because we are human and we are not made perfect. The problem is we would rather place blame than accept the fact that we ourselves also have faults. I realized today we all have strengths and weakness and that is why a team is necessary! Where one is weak another is strong, we cannot do anything well by ourselves but we can do everything well together!
— Nurse Administrator
I am only human, and only a physician. And by relying on those around me, and utilizing their skills to benefit each patient, my ability as a physician has soared higher than I ever thought it could.
— Primary Care Physician

Put Human Well-Being at the Center

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Our Focus


Our focus is human-centered, designing a positive difference in our world,

fostering positive-change leadership, creative and innovative designs, and memorable experiences in healthcare.


We are senior executives, clinicians, artist, and experienced designers. And we are also spouses, partners, parents, grandparents, and we are patients. We have experienced the best of quality care in joint replacement, and the worst care for pain management. We had family members who suffered bad outcomes unnecessarily and wrongfully, and members who received highly-effective team-based care. Our personal experiences inform our knowledge and commitment to bring the work of care to new levels of quality and safety.



Our goal is to offer new and innovative approaches to the design of the work of care so people do not hurt so much.


We do this through Our Design-Training Solutions.

They are evidence-based.

Following extensive research, appreciative interviews with many healthcare executives, frontline caregivers and patients, solution prototyping, and successful demonstration projects, the 4-3-2-1 Design™ was developed to meet the Quadruple Aim—creating a positive healthcare business, resulting in human flourishing and the welfare of the human capital.


our creative director is Gene Beyt.


Let's Do This...


Innovative Designs for Memorable Experiences

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Positive-Change Leadership • Design-Thinking Innovations • Positive Healthcare Organizations

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Contact Us


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For more information about Positive-Change Leadership, Design-Thinking Innovations, and Positive Healthcare Organizations

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