Niets doen is geen optie : 2020

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Niets doen is geen optie : 2020

  1. Lucien Engelen (@lucienengelen) •Director Radboud REshape & Innovation Center •Head Regional Emergency Network •Advisory to the Executive Committee •Faculty Singularity University / FutureMed Silicon Valley •NOT a doctor, but extremely IMpatient •& a ‘bit’ of a rebel ;-) 360 and Above
  2. Not me ! Lucien Engelen (@lucienengelen) •Director Radboud REshape & Innovation Center •Head Regional Emergency Network •Advisory to the Executive Committee •Faculty Singularity University / FutureMed Silicon Valley •NOT a doctor, but extremely IMpatient •& a ‘bit’ of a rebel ;-) 360 and Above
  3. •11.000 colleagues •3000 students •1000 beds •ambition to close 500 •Significant impact on health(care) •$1 billion revenue •First Academic Centre outside US EPIC
  4. •11.000 colleagues •3000 students •1000 beds •ambition to close 500 •Significant impact on health(care) •$1 billion revenue •First Academic Centre outside US EPIC
  5. performance 0 Clayton Christensen time
  6. performance anding use most dem quality use high quality use medium quality use low 0 Clayton Christensen time
  7. no lo gy quality use high di sr up tiv e te ch performance anding use most dem quality use medium quality use low 0 Clayton Christensen time
  8. Linear à 1996 Market cap of $28B Revenue ~$16B Employees 140,000 Exponential
  9. Linear à 1996 Market cap of $28B Revenue ~$16B Employees 140,000 Exponential 2012 Market cap < $100M Revenue ~$6B Employees 17,000
  10. Linear à 1996 Market cap of $28B Revenue ~$16B Employees 140,000 Exponential 2012 April 9, 2012 Market cap < Facebook Acquires $100M Instagram for $1B Revenue ~$6B 13 employees Employees 17,000
  11. Linear à 1996 Market cap of $28B Revenue ~$16B Employees 140,000 Exponential 2012 April 9, 2012 Market cap < Facebook Acquires $100M Instagram for $1B Revenue ~$6B 13 employees Employees 17,000
  12. Dorm Biotech Garage Pharma Garage Tech
  13. REshape Labs Demand driven relates to strategy Design Implement REshape Spinn-out Business model Scale PVI MOC’s Moments of Choice
  14. New Information Layers Internet of Things Sensor Networks Health Data Quantified Self Data Crowd Sourced Info Location HTML (text) Video Social Profiles
  15. Exponential going exponential
  16. Assumptions rule! ..Average doctor interupts patient within 18 seconds.. …premature closure was the single most common cause for error ...
  17. Diagnostic Error in Internal Medicine System & Cognitive No-fault only System error only Cognitive only 28% 46% 19% 7% chance for improvement 74%! h"p://archinte.jamanetwork.com/ar3cle.aspx?ar3cleid=486642
  18. Cleveland Clinic doctors’ review of initial diagnosis disagree(with(ini5al(diagnosis( find(need(for(further(tes5ng( recommend(major(changes(to(treatment( plan( 11% 15% 18% recommend(moderate(changes(to( treatment(plan( recommend(minor(changes(to(treatment( plan( 26% 22%
  19. What if Watson proves to be right 90% and Physicians 50%?
  20. Help is on the way
  21. Google’s health venture for eternity CaLiCo Californian Life Company
  22. Vinood Kosha The best 10% MD will train new systems that will bionical assist and amplify MD’s. Shift to computerization started: Airplanes, Stockmarket and Car driving 80% of what MD’s do can be replaced with better average.
  23. Challenges Medical Data crime Digital virusses in humans Virusses have become biological software 2010 4 billion connected devices, 2020 will be 80 billion
  24. Lucien Engelen
  25. Lucien Engelen Mobile network operators will become obsolete
  26. Lucien Engelen Mobile network operators will become obsolete Cable companies will offer nationwide WiFi coverage
  27. Grown up with a mouse In 20 years majority of healthcare consumers will have used a computer for 40 years of their live and by then the internet as #1 source for Health(care)
  28. Lucien Engelen
  29. Lucien Engelen but ...
  30. Lucien Engelen but ... the BIGGEST change will be
  31. Lucien Engelen but ... the BIGGEST change will be Patients!
  32. HEALTH DATA Patient care, measurements are mostly EPISODIC & REACTIVE …
  33. HEALTH DATA … when they need to be CONTINUOUS & PROACTIVE
  34. We have to move to stage ‘Zero medicine’ survival rate 10% Death rate 90% late detection death rate 10% survival rate 90% early detection Daniel  kra@  
  35. Lucien Engelen
  36. Lucien Engelen We’ll subscribe to patients’ data
  37. Lucien Engelen We’ll subscribe to patients’ data health(care) will be a data-science
  38. Lucien Engelen We’ll subscribe to patients’ data health(care) will be a data-science More change from data science in 10 then medical science in 100 years
  39. Coming to a ‘hospital’ IN your home
  40. ECG made by iPhone sleeve
  41. Diamond Concept Device Piezo-ceramic Stethoscope Electrocardiograph(( (ECG(Sensor( Posi=ve(Electrode)( Electrocardiograph(( (ECG(Sensor( Nega=ve(Electrode)( Photoplethysmograph( (PPG(Sensor)( 60 mm Infrared(Thermometer( Slide 11
  42. 39
  43. 39
  44. Records Exams Labs Vaccines Rx Drugs History Environment Vitals
  45. The idea of going down to your doctor’s office is going to feel as foreign as going to the video store...
  46. PHR COMMUNITY E-HEALTH
  47. PHR COMMUNITY E-HEALTH
  48. PHR COMMUNITY E-HEALTH initiative of
  49. PHR COMMUNITY E-HEALTH initiative of
  50. e-health integration (i.e. for research)
  51. e-health integration (i.e. for research)
  52. e-health integration (i.e. for research)
  53. e-health integration (i.e. for research)
  54. Patient at home
  55. Prototype CPR/AED Glass
  56. Prototype CPR/AED Glass
  57. 61
  58. “The  only  permanente  in  the  future          will  be  :  change.  
  59. “The  only  permanente  in  the  future          will  be  :  change.  
  60. “The  only  permanente  in  the  future          will  be  :  change.  The  only  way  to  cope  with  that    is  :  together”                                                              @lucienengelen
  61. €1699,€300,-
  62. REshape FutureMed trip 2-8 November 2013
  63. @lucienengelen

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