The document appears to be a collection of slides from presentations by Lucien Engelen on various topics related to digital health and the future of healthcare. Some key points summarized across the slides include: - The digital transformation of healthcare from analog to digital, with examples like moving from paper records to apps and smartphones. - The increasing amount of digital health data that will enable continuous remote patient monitoring and more proactive care. - Predictions that within 10 years, good healthcare will be delivered everywhere, not just in hospitals or doctors' offices, due to digital technologies. - The concept of "augmented medicine" where digital tools will augment but not replace healthcare professionals like doctors and nurses. -

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Meet my future colleagues
Pierre, Chu, Isabelle, Nadia & Timmy

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

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May, 2017

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Why Amazon
buys WholeFoods
July 16, 2017

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24 Januari, 2018

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Jan 30, 2018

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febr. 14, 2018

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febr. 27, 2018

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febr. 27, 2018

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febr. 27, 2018

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March 6, 2018

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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

33. Photo courtesy of Christian Lüthen

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FDA
APPROVED

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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

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ultrasound

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ultrasound

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63. 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

64. 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

65. technology evolves faster than ever before

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

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using technology
1st wave

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using technology
2nd wave
Obesitas, Diabetes,
Mental health issues
living in technology
1st wave

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

72. -70%
Source REshape Center 2014
The delocalization of health(care)
©lucienengelen

73. ©lucienengelen

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

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

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

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

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

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

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Reshape center for european healthcare design
Patient journey

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Reshape center for european healthcare design
Patient journey
Institution journey

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Reshape center for european healthcare design
Professional journey
Patient journey
Institution journey

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

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

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

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

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

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

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

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Je moet niet
daar zijn waar
de bal is,
maar daar
waar de bal
heen gaat!

100. ©lucienengelen

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102. Delocalized
©lucienengelen

103. Delocalized
Democratized
©lucienengelen

104. Delocalized
Democratized
digital
©lucienengelen

105. Delocalized
Democratized
digital
dollars
©lucienengelen

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Digital Health research

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Digital Health research

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Digital Health research
Studies are increasing
(29000 in total) often very
narrow field

109. ©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

110. ©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

111. ©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

112. ©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

113. ©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

114. 0
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1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 2016
TomvdBelt&LucienEngelen
©lucienengelen

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

116. 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

118. How-to?

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

120. ©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

121. ©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

122. 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

123. 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

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

125. 450 Freshmen in new curriculum ‘15
E-health - Social Media - Innovation with patients - Flipped classroom - BYOP

126. “be curious” ©lucienengelen
Powered by:

129. 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

130. 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

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

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

133. ©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

134. May 2018, Barcelone Spain

135. May 2018, Barcelone Spain

136. ©lucienengelen

137. ©lucienengelen
We laughed…

138. ©lucienengelen
…6 months later …

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140. ©lucienengelen
…now they do.

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©lucienengelen

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©lucienengelen

143. @lucienengelen
721.214 followers