The document discusses how healthcare is undergoing massive changes driven by digital technologies, including increased connectivity through devices and apps. This enables new models of remote and decentralized care delivery directly to patients. Key opportunities mentioned include developing digital health modules for various conditions, building open ecosystems and partnerships to support large-scale data sharing and research, and empowering patients to take a more active role in their own health and care through technology. The document argues that 2015 marked a tipping point for these paradigm shifts in healthcare to take hold more widely.

1. Radboudumc
Director REshape Center for Innovation
To have a significant impact on health(care)

2. Lucien Engelen
Radboudumc
Director REshape Center for Innovation
To have a significant impact on health(care)

3. Lucien Engelen
Radboudumc
Director REshape Center for Innovation
To have a significant impact on health(care)
Not me !

5. foresight 5-10-25 years

6. Passion

7. approx. 500 BC
The Hippocratic oath
No mention of the role of the ‘patient’ or ‘patior’
Does mention the Godly powers of the doctor
To keep uninformed was common

8. Sir Luke Fildes 1887

12. Patients
&
Technology

21. Intensive

22. On wardIntensive

23. On wardIntensive

28. ‘insideables’

29. “for the first time ever in history,
we will be present when a person gets sick”
@lucienengelen

33. 2015 / 2016 : 8200

38. Retail can do to healthcare what Uber did to taxi

39. Retail can do to healthcare what Uber did to taxi

40. Retail can do to healthcare what Uber did to taxi

44. - 70%

45. - 70%

46. Innovation
time
performance
0
Clayton Christensen, Harvard

47. Innovation
time
performance
0
most demanding use
high quality use
medium quality use
low quality use
Clayton Christensen, Harvard

48. Innovation
time
performance
0
most demanding use
high quality use
medium quality use
low quality use
disruptive technology
Clayton Christensen, Harvard

49. Neglect
time
performance
0
Lucien Engelen 2011

50. Neglect
time
performance
0
Lucien Engelen 2011
pre-gap

51. Neglect
time
performance
0
Lucien Engelen 2011
pre-gap
post-gap

55. fór
Innovation shift

56. fór
Innovation shift

57. fór wíth
Innovation shift Patients
Included
PatientsIncludedisaTrademarkoftheREshape&InnovationCenter
™

58. fór wíth by
Innovation shift Patients
Included
PatientsIncludedisaTrademarkoftheREshape&InnovationCenter
™

60. everyone, everywhere, always connected

64. Gov : NL in 5 years 100 %

65. Gov : NL in 5 years 100 %
Gov : reimbursed

66. Gov : NL in 5 years 100 %
Gov : reimbursed
Gov : standards

67. Gov : NL in 5 years 100 %
Gov : reimbursed
Gov : standards
We : already 70% follow-up

68. Gov : NL in 5 years 100 %
Gov : reimbursed
Gov : standards
We : already 70% follow-up
Enrolling BeNeLux, Sweden

69. PHR
eCo-system needed

70. PHR COMMUNITY
eCo-system needed

71. PHR COMMUNITY
E-HEALTH
eCo-system needed

72. Flipping the coin
via HC IT systems

73. Flipping the coin
via HC IT systems
+

74. Flipping the coin
via HC IT systems
Via the ónly constante in
healthcare: The patient
+

80. 7 weeks after 1st cup of coffee

83. Modules

84. Modules
COPD / CHF
Hypertension
Diabetes 1 & 2
Parkinsons
Pregnancy monitoring @risk
Pre and post operative
Early stroke
CML

85. eCo-system

86. eCo-system

87. eCo-system

88. Shared user experience (UX)
3rd party applications and devices Philips applications and devices
Built to be flexible, scalable and adaptable
Decision
support
Decision
support
Decision
support
Professional healthcare functionality (API)
(HL7, DICOM, Image processing, HIPA, healthcare data etc.)
Consumer health functionality (API)
(Analytics, visualization, community)
Collaboration cloud
• Message routing.
• Collaboration & social integration.
• Metering & billing
• Master patient index.
• Workflow support.
Connected device cloud
• Discovery & registration.
• Provisioning.
• Diagnostics.
• Firmware upgrades.
• Security.
Secure data cloud
• Data interfaces.
• Data, image & video services.
• Image processing.
• Machine learning & analytics.
• Archiving.

91. 5. Extension
(other disorders internationally)1. Networks of experts
2. The patient as partner 4. Transparent quality control
3. Fee for outcome
Five
key
components

92. % patients with hip fracture
Bloem & Munneke, Br Med J 2014; 348: g1838

93. % patients with hip fracture
Bloem & Munneke, Br Med J 2014; 348: g1838
Regular care ParkinsonsNet care

96. sit back and relax … ?

97. 4D
•Democratisation
•Delocalisation
•Digital
•Dollars

98. New alliances

99. New alliances

100. New alliances

101. New alliances

102. New partnerships for international transition of health

103. New partnerships for international transition of health

104. How Apple just became an Academic Medical Center

105. 700 Million research devices
18.000 inclusions in 48h
How Apple just became an Academic Medical Center

106. Paradigm shift is here already
It is yet not evenly distributed
Takes 7 - 17 years

107. 2015, the tipping point of health(care).

108. 2015, the tipping point of health(care).

109. 2015, the tipping point of health(care).

110. 2015, the tipping point of health(care).

114. So Health(care) is changing, massively!
Oppertunities to engage!
Are YOU going to take that chance and firestart?

115. @lucienengelen
569.388 followers