Beatrix Utrecht

3. ©lucienengelen

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

7. ©lucienengelen

8. ©lucienengelen

9. ©lucienengelen

10. ©lucienengelen

11. ©lucienengelen

12. ©lucienengelen

13. ©lucienengelen

14. ©lucienengelen

15. ©lucienengelen

16. ©lucienengelen

17. Photo courtesy of Christian Lüthen

18. ©lucienengelen
May, 2017

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

20. ©lucienengelen
Jan 30, 2018

21. ©lucienengelen
febr. 14, 2018

22. ©lucienengelen
febr. 27, 2018

23. ©lucienengelen
febr. 27, 2018

24. ©lucienengelen
febr. 27, 2018

25. ©lucienengelen
March 5, 2018

26. ©lucienengelen
March 6, 2018

27. ©lucienengelen
March 6, 2018

28. ©lucienengelen

29. ©lucienengelen

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

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

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

35. ©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

36. ©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

37. ©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

38. ©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

39. ©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

40. ©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

41. ©lucienengelen

42. ©lucienengelen

43. ©lucienengelen

45. KNMP VRAAG 1 :

46. ©lucienengelen
HOEVEEL E-VISITS KP 2015

47. ©lucienengelen
Ceo Bernard tyson
HOEVEEL E-VISITS KP 2015

48. ©lucienengelen
Ceo Bernard tyson
270.000 employees
11.000.000
members
52% e-visits 2015
HOEVEEL E-VISITS KP 2015

49. ©lucienengelen

50. ©lucienengelen

51. ©lucienengelen

52. ©lucienengelen

53. ©lucienengelen

54. ©lucienengelen

55. ©lucienengelen

56. ©lucienengelen

57. ©lucienengelen

58. ©lucienengelen

59. ©lucienengelen

60. ©lucienengelen
FDA
APPROVED

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

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

63. -70%
Source REshape Center 2014
The delocalization of health(care)
©lucienengelen

64. ©lucienengelen

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

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

67. ©lucienengelen

68. ©lucienengelen

69. ©lucienengelen
using technology
1st wave

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

71. ©lucienengelen
APPS, Portals & EHR’s are END of LIFE

72. ©lucienengelen
APPS, Portals & EHR’s are END of LIFE
They were symptomatic responses to
inTRAconnected frameworks to become
more inTERconnected

73. ©lucienengelen
APPS, Portals & EHR’s are END of LIFE
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

74. ©lucienengelen

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

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

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

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

79. ©lucienengelen
Nicolai
Copernicus
1500

80. ©lucienengelen
Nicolai
Copernicus
1500

81. ©lucienengelen
Health(care)’s Copernican moment
Nicolai
Copernicus
1500

82. ©lucienengelen
Professional
Patient
Health(care)’s Copernican moment
Nicolai
Copernicus
1500

83. ©lucienengelen
Professional
Patient
Patient
Professional
Health(care)’s Copernican moment
Nicolai
Copernicus
1500

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

86. KNMP VRAAG 2 :

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

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

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

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
Innovation comes in flavours
For different phases
Awareness Groundwork Execution
0.0 - 1.0 0.8 - 1.2 1.0 - 100

101. ©lucienengelen
Innovation comes in flavours
For different phases
Awareness Groundwork Execution
0.0 - 1.0 0.8 - 1.2 1.0 - 100

102. ©lucienengelen
Innovation comes in flavours
For different phases
Awareness Groundwork Execution
0.0 - 1.0 0.8 - 1.2 1.0 - 100

105. Why
innovate
?

106. Why
innovate
?

107. ©lucienengelen

108. ©lucienengelen

109. Delocalized
©lucienengelen

110. Delocalized
Democratized
©lucienengelen

111. Delocalized
Democratized
digital
©lucienengelen

112. Delocalized
Democratized
digital
dollars
©lucienengelen

113. © stormlapse.com
4 forces destabilising the status quo

114. © stormlapse.com
4 forces destabilising the status quo

115. © stormlapse.com
Unsustainability
(Radical)
I
4 forces destabilising the status quo

116. © stormlapse.com
Unsustainability
(Radical)
I
Technology
(now) availableII
4 forces destabilising the status quo

117. © stormlapse.com
Unsustainability
(Radical)
Consumer
Awakening
I III
Technology
(now) availableII
4 forces destabilising the status quo

118. © stormlapse.com
Unsustainability
(Radical)
Consumer
Awakening
I III IV
Technology
(now) availableII
Societal change
(incremental ?)
4 forces destabilising the status quo

119. time
performance
0
@lucienengelen 2011

120. time
performance
0
pre-gap
@lucienengelen 2011

121. time
performance
0
pre-gap
post-gap
@lucienengelen 2011

122. 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

123. 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

124. technology evolves faster than ever before

125. ©lucienengelen
Digital Health research

126. ©lucienengelen
Digital Health research

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

128. ©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

129. ©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

130. ©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

131. ©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

132. ©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

133. 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

134. 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

135. 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

136. Amara's Law

137. 450 Freshmen in new curriculum ‘15
E-health - Social Media - Innovation with patients - Flipped classroom - BYOP

138. “be curious” ©lucienengelen
Powered by:

141. 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

142. 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

143. ©lucienengelen

144. ©lucienengelen
We laughed…

145. ©lucienengelen
…6 months later …

146. ©lucienengelen

147. ©lucienengelen
…now they do.

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

149. ©lucienengelen

150. ©lucienengelen

151. Initiatied by REshape Center Radboudumc
Initiator

152. ©lucienengelen
©lucienengelen

153. ©lucienengelen
©lucienengelen

154. @lucienengelen
721.214 followers
www.