Janus Choice is a start-up who uses mobile technology to optimize and improve the current hospital-to-extended care facility discharge process and help all stakeholders in the process. ThoughtWorks is a global software company that delivers technology to address client challenges while seeking to revolutionize the IT industry and create positive social change. These two companies are a good example of a big design firm with experience in UCD methods and a small start-up with a niche market open to disruption. ThoughtWorks also has a software development capability and understands the development implications of design concepts.