11-4-2018

3. ©lucienengelen

4. ©lucienengelen

5. ©lucienengelen
Meet my future colleagues
Pierre, Chu, Isabelle, Nadia & Timmy

10. ©lucienengelen
Health(care)
When people talk
about us when
we’re not at the table :
we are on the menu

11. ©lucienengelen
May, 2017

12. ©lucienengelen
Why Amazon
buys WholeFoods
July 16, 2017

13. ©lucienengelen
24 Januari, 2018
Van 13, naar 40,
naar 300
en nu …

14. ©lucienengelen
Jan 30, 2018

15. ©lucienengelen
febr. 14, 2018

16. ©lucienengelen
febr. 27, 2018

17. ©lucienengelen
febr. 27, 2018

18. ©lucienengelen
febr. 27, 2018

19. ©lucienengelen
March 6, 2018

20. ©lucienengelen

21. Patients
&
Technology
5th Democratization
by data
©lucienengelen

22. Patients
&
Technology
5th Democratization
by data
©lucienengelen

23. Patients
&
Technology
5th Democratization
by data
©lucienengelen

24. ©lucienengelen

26. ©lucienengelen
Automating
something digital.
Added value :
less effort
Creating the new
normal. Becoming a
commodity :
calculator
Doing something
digital that was done
analog, no added
value.
The Digital healthcare Transformation
Digitizing
Digital
Transition
Digital
Transformation

27. ©lucienengelen
Automating
something digital.
Added value :
less effort
Creating the new
normal. Becoming a
commodity :
calculator
Doing something
digital that was done
analog, no added
value.
The Digital healthcare Transformation
Digitizing
Digital
Transition
Digital
Transformation
Cahier > App

28. ©lucienengelen
Automating
something digital.
Added value :
less effort
Creating the new
normal. Becoming a
commodity :
calculator
Doing something
digital that was done
analog, no added
value.
The Digital healthcare Transformation
Digitizing
Digital
Transition
Digital
Transformation
Cahier > App App > Smartphone

29. ©lucienengelen
Automating
something digital.
Added value :
less effort
Creating the new
normal. Becoming a
commodity :
calculator
Doing something
digital that was done
analog, no added
value.
The Digital healthcare Transformation
Digitizing
Digital
Transition
Digital
Transformation
Cahier > App App > Smartphone Part of Operating System

30. ©lucienengelen
Automating
something digital.
Added value :
less effort
Creating the new
normal. Becoming a
commodity :
calculator
Doing something
digital that was done
analog, no added
value.
The Digital healthcare Transformation
Digitizing
Digital
Transition
Digital
Transformation
Logistics and data center Brick & mortar Healthcaresystem

31. ©lucienengelen
Automating
something digital.
Added value :
less effort
Creating the new
normal. Becoming a
commodity :
calculator
Doing something
digital that was done
analog, no added
value.
The Digital healthcare Transformation
Digitizing
Digital
Transition
Digital
Transformation
Apps Eco-system Clinics

32. ©lucienengelen
APPS, Portals & EHR’s are END of LIFE
in their product cycle in current form.
“Teasing by intent”

33. ©lucienengelen
APPS, Portals & EHR’s are END of LIFE
in their product cycle in current form.
They were symptomatic responses
to inTRAconnected frameworks to become
more inTERconnected
“Teasing by intent”

34. ©lucienengelen
APPS, Portals & EHR’s are END of LIFE
in their product cycle in current form.
They were symptomatic responses
to inTRAconnected frameworks to become
more inTERconnected
This is being taken care of now
by i.e. tech-titans and governments
and even GDPR.
“Teasing by intent”

36. Photo courtesy of Christian Lüthen

37. ©lucienengelen

38. ©lucienengelen

39. ©lucienengelen

40. ©lucienengelen

41. ©lucienengelen

42. ©lucienengelen

43. ©lucienengelen

44. ©lucienengelen

45. ©lucienengelen

46. ©lucienengelen

47. ©lucienengelen

48. ©lucienengelen

49. ©lucienengelen

50. ©lucienengelen

51. ©lucienengelen

52. ©lucienengelen

53. ©lucienengelen

54. ©lucienengelen

55. ©lucienengelen

56. ©lucienengelen

57. ©lucienengelen

58. ©lucienengelen

59. ©lucienengelen
FDA
APPROVED

60. ©lucienengelen

61. ©lucienengelen
Life vitals in clinical patients
From three times daily to
24/7 continuous monitoring
Lean monitoring
… when they need to be
Continuous & Proactive
Health data now

62. ©lucienengelen

63. ©lucienengelen
ultrasound

64. ©lucienengelen
ultrasound

65. ©lucienengelen

66. These brands did not exist
15 years ago …
Facebook
Twitter
iPhone
iPad
Android
Apple App Store
Amazon AWS
Uber
Airbnb
Blockchain
Bitcoin
Square
Spotify
Nest
Dropbox
Instagram
Snapchat
WhatsApp
Pinterest
Messenger
Oculus
Kindle
4G
Fitbit

67. These brands did not exist
15 years ago …
Facebook
Twitter
iPhone
iPad
Android
Apple App Store
Amazon AWS
Uber
Airbnb
Blockchain
Bitcoin
Square
Spotify
Nest
Dropbox
Instagram
Snapchat
WhatsApp
Pinterest
Messenger
Oculus
Kindle
4G
Fitbit

68. technology evolves faster than ever before

69. Technology is the hype, the change will be permanent.
@lucienengelen

70. ©lucienengelen

71. ©lucienengelen

72. ©lucienengelen
using technology
1st wave

73. ©lucienengelen
using technology
2nd wave
Obesitas, Diabetes,
Mental health issues
living in technology
1st wave

74. Source REshape Center 2014
The delocalization of health(care)
©lucienengelen

75. -70%
Source REshape Center 2014
The delocalization of health(care)
©lucienengelen

76. ©lucienengelen

77. from ‘Hospital’ to ‘Home’
©lucienengelen

78. from ‘Hospital’ to ‘Home’
from ‘Hospital’ to ‘Phone’
©lucienengelen

79. where good healthcare in 10 years
will be delivered :
n=1600
©lucienengelen

80. where good healthcare in 10 years
will be delivered :
n=1600
©lucienengelen

81. Everywhere Home Hospital Doctor
where good healthcare in 10 years
will be delivered :
n=1600
©lucienengelen

82. Forget ‘uberized’ health(care) will be ‘amazoned’.
That journey is 80% logistics
©lucienengelen

83. ©lucienengelen

84. ©lucienengelen

85. ©lucienengelen
Reshape center for european healthcare design
Patient journey

86. ©lucienengelen
Reshape center for european healthcare design
Patient journey
Institution journey

87. ©lucienengelen
Reshape center for european healthcare design
Professional journey
Patient journey
Institution journey

88. ©lucienengelen
Reshape center for european healthcare design
Professional journey
Patient journey
Life journey
Institution journey

90. ©lucienengelen
We’re entering
the era of
Augmented
Medicine
No dear doctor,
no dear nurse
Your job will
not be disrupted
©lucienengelen

91. What is Augmented Health ?
Life(style) Augmented Health(care)™Augmented Medicine
Data
Information & Visualisation
™ pending for

92. What is Augmented Health ?
Life(style) Augmented Health(care)™Augmented Medicine
Data
Information & Visualisation
™ pending for

94. from a caddy
for the few
To a caddy
for all

95. from a caddy
for the few
To a caddy
for all

98. ©lucienengelen

99. ©lucienengelen
Have a seat lucien,
You’ll run
through
a heart attack
In 15 minutes from now.

100. ©lucienengelen

101. ©lucienengelen

102. ©lucienengelen
Je moet niet
daar zijn waar
de bal is,
maar daar
waar de bal
heen gaat!

103. ©lucienengelen

104. ©lucienengelen

105. Delocalized
©lucienengelen

106. Delocalized
Democratized
©lucienengelen

107. Delocalized
Democratized
digital
©lucienengelen

108. Delocalized
Democratized
digital
dollars
©lucienengelen

109. ©lucienengelen
Digital Health research

110. ©lucienengelen
Digital Health research

111. ©lucienengelen
Digital Health research
Studies are increasing
(29000 in total) often very
narrow field

112. ©lucienengelen
Digital Health research
Studies are increasing
(29000 in total) often very
narrow field
Meta analyses (1600) focus
on past technology so
exclude new tech

113. ©lucienengelen
Digital Health research
Studies are increasing
(29000 in total) often very
narrow field
Often (if not mostly) not
#patientsincluded
Meta analyses (1600) focus
on past technology so
exclude new tech

114. ©lucienengelen
Digital Health research
Studies are increasing
(29000 in total) often very
narrow field
A lot depends on
hypothesis and
research questions
Often (if not mostly) not
#patientsincluded
Meta analyses (1600) focus
on past technology so
exclude new tech

115. ©lucienengelen
Digital Health research
Studies are increasing
(29000 in total) often very
narrow field
A lot depends on
hypothesis and
research questions
Often (if not mostly) not
#patientsincluded
Low number of studies
incorporate marco-
economic perspective
Meta analyses (1600) focus
on past technology so
exclude new tech

116. ©lucienengelen
Digital Health research
No real overview of
negative, neutral
and positive studies
Studies are increasing
(29000 in total) often very
narrow field
A lot depends on
hypothesis and
research questions
Often (if not mostly) not
#patientsincluded
Low number of studies
incorporate marco-
economic perspective
Meta analyses (1600) focus
on past technology so
exclude new tech

117. 0
500
1000
1500
2000
2500
3000
3500
4000
1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 2016
TomvdBelt&LucienEngelen
©lucienengelen

118. 0
500
1000
1500
2000
2500
3000
3500
4000
1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 2016
TomvdBelt&LucienEngelen
©lucienengelen

119. 0
500
1000
1500
2000
2500
3000
3500
4000
1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 2016
TomvdBelt&LucienEngelen
©lucienengelen
Beter dan
reguliere zorg
Gelijkwaardig aan
reguliere zorg
Slechter dan
reguliere zorg
Niet-acuut
Acuut
Chronisch
macro-economische
kosten

123. How-to?

124. REshape
core team
REshape Fellows
REshape Ambassadors
Explore - Inspire - Facilitate

125. ©lucienengelen
Scout / Concept
Vision / Design
Enroll Scale
Radboudumc Labs
Spinn-out
Business model
MOC’s
Moments of Choice
Demand driven
relates to strategy
REshape iLAB PVI
iLab Scaling (PVI)REshape Center
iBoard
Chair Board Radboudumc

126. ©lucienengelen
Scout / Concept
Vision / Design
Enroll Scale
Radboudumc Labs
Spinn-out
Business model
MOC’s
Moments of Choice
Demand driven
relates to strategy
REshape iLAB PVI
iLab Scaling (PVI)REshape Center
iBoard
Chair Board Radboudumc

127. Concept to prototype
Ideas from:
Patients, HCP &
Network
Innovations with
significant impact
on health(care)
Implement
Moment of Choice :
on hold or terminated
Test and Evaluate
Chance of success
Idea to concept
(MoC)
(MoC)
(MoC)
(MoC)
©lucienengelen
iLab Scaling (PVI)REshape Center
iBoard
Chair Board Radboudumc

128. Concept to prototype
Ideas from:
Patients, HCP &
Network
Innovations with
significant impact
on health(care)
Implement
Moment of Choice :
on hold or terminated
Test and Evaluate
Chance of success
Idea to concept
(MoC)
(MoC)
(MoC)
(MoC)
©lucienengelen
iLab Scaling (PVI)REshape Center
iBoard
Chair Board Radboudumc

129. what you get
what you see
Culture eats strategy
for breakfast

130. 450 Freshmen in new curriculum ‘15
E-health - Social Media - Innovation with patients - Flipped classroom - BYOP

131. “be curious” ©lucienengelen
Powered by:

134. Shortage of nurses ?
Amount of work outside their circle of influence
Follow the patient ?
Use of new technology in every level of nursing
Virtual nursing homes

135. Shortage of nurses ?
Amount of work outside their circle of influence
Follow the patient ?
Use of new technology in every level of nursing
Virtual nursing homes

136. ©lucienengelen
Uber yourself Before you get kodaked
1996
140.000 employees
$28 Billion

137. ©lucienengelen
Uber yourself Before you get kodaked
1996
140.000 employees
$28 Billion
INVENTED
the digital camera
Decided was NOT their core

138. ©lucienengelen
Uber yourself Before you get kodaked
1996
140.000 employees
$28 Billion
INVENTED
the digital camera
Decided was NOT their core
2012
17.000 employees
Bankrupt

139. May 2018, Barcelone Spain

140. May 2018, Barcelone Spain

141. ©lucienengelen

142. ©lucienengelen
We laughed…

143. ©lucienengelen
…6 months later …

144. ©lucienengelen

145. ©lucienengelen
…now they do.

146. ©lucienengelen
©lucienengelen

147. ©lucienengelen
©lucienengelen

148. @lucienengelen
721.214 followers