Wouldn't it be great if you could just start from scratch and build a service and organization that's truly design centered? But what happens when you get your wish: does your vision stay true, are your tools nimble enough for a start up, do your methods scale for growth?

As the employee #2 at a healthcare start up, I had the opportunity to do just that. In this talk I will share with you the lessons I've learned from building such an origination. What's worked, what's failed and what's changed as we've grown from just an idea to over 40 people.