slides #mediavila026 22-5-2015

1. Hashtag:
#mediavilla026
Wifi:
Hartjesberg2015

2. To have a significant impact on health care ?

6. How a 13 year old kid, inspired an Academic Medical Center start building a bridge!

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

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

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

10. •11.000 colleagues
•3000 students
•1000 beds
•ambition to ‚close’ 500
•Significant impact on health(care)
•$1 billion revenue
•First Academic Center outside US EPIC

11. •11.000 colleagues
•3000 students
•1000 beds
•ambition to ‚close’ 500
•Significant impact on health(care)
•$1 billion revenue
•First Academic Center outside US EPIC

12. •11.000 colleagues
•3000 students
•1000 beds
•ambition to ‚close’ 500
•Significant impact on health(care)
•$1 billion revenue
•First Academic Center outside US EPIC

14. foresight 5-10-25 years

15. Passion

16. 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

17. Sir Luke Fildes 1887

19. Banking will be disrupted
❖ Since 2006
❖ after announcement IPO in 5 hour $800M
❖ At IPO net worth $8.9B
❖ in beween Google and Twitter
❖ this … is WE banking

20. Patients
&
Technology

21. Patients
&
Technology
Authority
Fluent
Local
Choices
Review
Choices
out of
habit
Technology as enabler
Choices
on
‘friends’
4th democratization

25. On wardIntensive

26. It’s just getting started….

28. ‘insideables’

29. Buildable
Moveable
Carriable
Wearable

35. Dokter Gadget ?

36. It’s just getting started….

37. “for the first time ever in history,
we will be present when a person gets sick.
Professionals will subscribe to patients’ data"
@lucienengelen

39. 2015 / 2016 : 8200

43. printing meds

46. Scotty beam me up !

48. M
E
D

50. - 70%

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

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

55. Finding a new balance with the patient as partner

56. 17 - 10 - 5

61. Time for change ?
image Mark McConnell

65. REshape Healthcubator
short to market (6 months)
Patient as Partner
University Medical Center Program

66. REshape Healthcubator
short to market (6 months)
Patient as Partner
University Medical Center Program

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

68. DIY Health-hack

69. DIY Aorta mesh
Tal Golesworthy, suffers from Marfan
syndrome.
Invented mesh aortic, that got placed by
surgeons

70. The real patient engagement
complaint or
mismatch
giving
information
listening &
responding
consulting &
advising
experienced based
CO-design
Bate & Roberts, 2006

71. There is a lot of doctor-talk
going on…. but
Don’t forget the (impact) on
nursing

72. WE are the problem,
creating our own reality,
Our patients are way ahead of us.

74. everyone, everywhere, always connected

75. already 70% follow-up
NL in 5 years 100 %

78. Snel weer ouderwets…

79. PHR COMMUNITY
E-HEALTH
eCo-system needed

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

86. 7 weeks after 1st cup of coffee

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

90. Who you trust YOUR personal data ?

91. eCo-system

94. 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

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

98. sit back and relax … ?

99. Routine personal interactions will be surpassed by
algorhytms.
The professional in primary care will move to
a position dominated online
The ‘every day’ pharmacist will only exist in the cloud,
the rest in supermarket.

100. Top 10 health industry issues of 2015
# Top issue for 2015
1 Do-it-yourself healthcare
2 Making the leap from mobile app to medical device
3 Balancing privacy and convenience
4 High-cost patients spark cost-saving innovations
5 Putting a price on positive outcomes
6 Open everything to everyone
7 Getting to know the newly insured
8 Physician extenders see an expanded role in patient care
9 Redefining health and well-being for millennials
10 Partner to win
Top health industry issues of 2015
Slide 6

101. Time will change…

106. 4D
•Democratisation
•Delocalisation
•Digital
•Dollars

107. New alliances

108. New alliances

110. 700 Million research devices
18.000 inclusions in 48h
How Apple just became an Academic Medical Center

111. Research is about asking
Crowdsourcing is co-creation

112. a THIS is your new backyard

113. We need a Global reimbursement system
a THIS is your new backyard

116. The technology is the hype,
the change will be permanent!

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

118. 2015, the tipping point of health(care).

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

122. @lucienengelen
573.388 followers