LIVING WITH SHAPE
Living with SHAPE is a regenerative design and implementation partner for behavioral health and healthcare systems. We help organizations build more connected, sustainable systems of care through Regenerative Psychology™ and Regenerative System Design.
Designing the Conditions for Care to Flourish
Healthcare is a Living System
The same conditions that shape strain can also shape renewal.
In healthcare, outcomes are shaped by more than programs, roles, or isolated solutions. They are shaped by the conditions people work and receive care within every day. We help organizations understand those conditions and redesign them so care becomes more connected, resilient, and sustainable over time.
HOW WE SEE HEALTHCARE
We see healthcare as a living system shaped by relationships, structures, and everyday conditions.
Rather than only addressing isolated challenges, we focus on designing the conditions that help care become more connected, resilient, and sustainable over time.
Too often, healthcare systems are asked to produce better outcomes without the time, trust, alignment, or infrastructure required to sustain them. When those conditions go unaddressed, even strong interventions struggle to take root.
THIS LENS HELPS US SEE
How culture, workflow, leadership, and care delivery shape outcomes.
Where friction, fragmentation, and burnout, signal deeper system conditions
What needs to change for care to become more connected and sustainable
How to build capacity over time instead of relying on short-term fixes
OUR APPROACH
Regenerative Psychology™ is How We Think. Regenerative System Design is How We Apply It.
Regenerative Psychology™
Regenerative Psychology™ helps us see renewal differently. Instead of asking how to manage symptoms or contain strain, it asks how we can restore the conditions that support renewal, resilience, and long-term flourishing across the whole system.
Regenerative System Design
Regenerative System Design is how we put our thinking into practice. We help organizations design systems of care that are more connected, more sustainable, and better able to grow with the needs of the people they serve.
Why It Matters
When healthcare systems are designed to support people well, change becomes more durable, more human, and more capable of lasting over time.
WHERE WE WORK
Our work takes shape across mission-led initiatives, organizations, and teams.
Meaningful systems change rarely lives in one place. The strongest healthcare systems are shaped by aligned structures, supported teams, and initiatives designed to grow with the people and communities they serve.
Mission-Led Initiatives
We focus on the design conditions that help mission-led initiatives move from vision to sustained impact through collaboration, ecosystem thinking, and long-term implementation. This work helps complex efforts become more aligned, more practical to carry forward, and more responsive to the communities they serve.
Supports: Population health, health equity, patient experience, care team well-being, and sustainable use of resources.
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Cross-sector collaboration and ecosystem alignment
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Pilot design, implementation planning, and stewardship
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Community-rooted work that strengthens trust and long-term follow-through
We help complex initiatives move from vision to sustained impact.
Supports: Population health, health equity, patient experience, and sustainable use of resources.
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Structures, workflows, and care delivery conditions
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Culture, alignment, and implementation support
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Capacity for better outcomes, stronger teams, and long-term sustainability
We help organizations redesign the conditions that shape care every day.
Organizations
Supports: Care team well-being, patient experience, population health, health equity, and sustainable use of resources.
We focus on the conditions that help teams work with greater trust, alignment, resilience, and sustainability. When teams are better supported in how they work together, care becomes more connected and more sustainable for everyone involved.
Supports: Care team well-being, patient experience, health equity, population health, and operational sustainability over time
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Team connection, alignment, and role clarity
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Resilience under pressure and more workable ways of working
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Conditions that support better care and stronger follow-through
We help teams work with more trust, clarity, and sustainability.
Teams
Supports: Care team well-being, patient experience, health equity, and operational sustainability over time.
We focus on the structures, workflows, culture, and care delivery conditions that shape how an organization functions over time. When those elements are more coherent and sustainable, teams are better supported and better outcomes become more possible across the system.
Supports: Care team well-being, patient experience, population health, health equity, and sustainable use of resources.
WHAT THIS WORK MAKES POSSIBLE
Designing better conditions changes what becomes possible across the system.
When Systems are Strained | When Systems are Better Designed |
|---|---|
Friction and repeated breakdowns | More sustainable use of resources |
Reactive planning | Stronger population health over time |
Uneven access and persistent gaps | Better conditions for health equity |
Burnout and overload | Stronger care team well-being |
Fragmented care experiences | More connected patient experience |
Our work supports outcomes aligned with the Quintuple Aim: patient experience, population health, reducing costs, care team well-being, and health equity.
PROOF IN PRACTICE
Designed for real systems. Grounded in real results.
Across behavioral health and healthcare systems, we help organizations turn complex change into practical, sustainable progress. Our work has strengthened digital care pathways, supported more usable measurement-based care, improved team coordination, and expanded access through community-rooted innovation.
Improving Digital Engagement
We helped redesign reminders, telehealth, forms, and payment workflows so the system worked better for both staff and clients. The result was a more connected digital care experience, with no-show improvement and copayment collection rising to 87.42% compared with a historical organizational average of about 43%.
Building a Strategy Clinicians Actually Use
We helped turn payer-funded MBC goals into a practical system for care, supervision, and learning. The organization implemented tailored care packages, strengthened feedback loops, and secured more than $780,000 in MBC-related funding.
Creating Clearer Access to Behavioral Health Support
From BH Navigation in Yakima County to telehealth kiosks across trusted community settings, we have helped build more responsive pathways into care. These efforts support better access, stronger coordination, and more useful system insight over time.
Our work is designed to make change usable in real settings so that care becomes more connected, teams are better supported, and systems can grow in more sustainable ways.
Connect
Let's design what care can become.
If you are rethinking how care is delivered, how teams are supported, or how systems can grow in more connected and sustainable ways, we would welcome the conversation.
We partner collaboratively, work across complexity, and help organizations move from aspiration to implementation with clarity and care.
Still Wondering If This Work Is For You?
What you're wondering is probably what matters most. Let's start there.
What is Regenerative Psychology™?
What does Regenerative System Design look like in practice?
Who do you partner with?
Visionary Thinking, Grounded in Execution
It is a true privilege working with Priya. She is an excellent thought partner that has helped to strategically elevate and innovate the way in which we can provide impactful behavioral health engagement platforms for families in need. Her expertise and clinical rigor ensured that we were able to build the partnerships we require to be successful and secure state funding to move our invaluable work forward. Her bold vision paired with her ability to set ambitious targets and meet them are sure to make our work succeed.
Senior Director at the Gates Foundation