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Bergson

Real Lived Experience

The Missing Dimension in Health and Care

The gap between what health systems measure and what people actually live through is not a data problem. It's a perception problem.

And it's costing everyone.

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See what metrics and systems miss

Clinical data, satisfaction surveys, and outcome measures capture what systems can count. Real Lived Experience (RLX) reveals what they cannot - the hidden dynamics that shape every chronic condition experience.

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Find the innovation no one else is looking for

Designing from within real experience surfaces problems worth solving and opportunities standard frameworks cannot see. This is where genuine differentiation begins.

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Compete on something that cannot be copied

Features get replicated. Relational fit does not. Enterprises that understand how life is truly lived build products that feel real - and hold their market and service position.

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Change what the encounter is capable of

RLX is not just better insight. It is a shift in how your team perceives, designs, and relates. Different questions. Deeper answers. Lasting advantage.

Introducing Real Lived Outcomes (RLOs)

Introducing Real Lived Outcomes-1

The outcomes health systems track were designed for systems, not for people. They measure what gets recorded, not what matters. Real Lived Outcomes or RLOs describe what people are actually navigating - day to day, in real conditions, across all the dimensions of life that a clinical framework never sees.  Working from RLOs changes what you can design, commission, and position.

Every context is different. Bergson generates RLOs for any condition, any population, anywhere in the world.

Our latest thinking

Umio Article 1

This article introduces livability as the form of value that health systems consistently fail to recognise - and what it means to design for it.

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Health systems don't fail because they're poorly run. They fail because they were built for a world that no longer exists.

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Health equity is not a measurement problem. It is a perception problem - and RLX is where the answer begins.

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We keep building smarter health systems. But the crisis in chronic conditions is not a failure of intelligence - it is a failure of perception.

Services

Twenty years of research, philosophy, and practice have produced something genuinely new: a way of perceiving health and care that begins where conventional thinking stops. We bring that capacity - and the tools built from it - to enterprises, systems, and teams ready to work differently.

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RLX Research and Insight
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RLX Strategy and Consulting
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RLX Outcomes Innovation Process
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Education and Development

Testimonials

"Umio’s re-conception of experience and value provides the breakthrough thinking that healthcare and related systems need to repurpose resources and transform delivery."

Prof. Neal Halfon, inventor of the Lifecourse Health Framework

"The Umio framework is comprehensive and just what we need to help deal with the complexities of health as we learn to value differences and activate capacities."

Daniel Pesut, Emeritus Professor Minnesota School of Nursing

"Masterful .. outstanding .. detailed what and how framework for embracing a dynamic creational .. view based on whole lived experiences."

Prof. Venkat Ramaswamy, author of The Co-creation Paradigm

Get the book

Real Lived Experience A Radical New Design Philosophy for Health and Care

Umio Blue Three RLX Book Image Preview Stack Stop Designing for Patients

Out Now

Health systems around the world are stuck. Chronic illness, mental distress, and care inequities continue to rise. Endless cycles of reform, innovation, and restructuring offer only partial fixes. 

Why? Because we continue to look at health and care from the outside in - through metrics, technologies, abstractions, and policies - rather than from within the messy, affective, relational ground of experience itself.

Our new book introduces a radical new approach: Design with Real Lived Experience (RLX). More than a framework or method, RLX is a perceptual and philosophical reorientation. 

Let's talk