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Congrats!!
Congrats!!
Congrats!!
!

Lucien Engelen (@lucienengelen)
!

•Director Radboud REshape & Innovation Center

•Chief IMAGINEer Dutch National ICT Institute for HC
•Singularity University / Exponential Medicine, Silicon Valley
!

•NOT a doctor, but extremely IMpatient
Not me !
!

Lucien Engelen (@lucienengelen)
!

•Director Radboud REshape & Innovation Center

•Chief IMAGINEer Dutch National ICT Institute for HC
•Singularity University / Exponential Medicine, Silicon Valley
!

•NOT a doctor, but extremely IMpatient
•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
•11.000 colleagues
•3000 students
•1000 beds
•ambition to ‚close’ 500
•Significant impact on health(care)
•$1 billion revenue
•First Academic Center outside US EPIC
Moorfields Eye Hospital London
Moorfields Eye Hospital London
Moorfields Eye Hospital London
Moorfields Eye Hospital London
Moorfields Eye Hospital London
§§§
Moorfields Eye Hospital London
performance
0
Clayton Christensen

time
performance

nding use
most dema
uality use
high q

uality use
medium q
quality use
low

0
Clayton Christensen

time
no
lo
gy

uality use
high q

di
sr

up

tiv
e

te

ch

performance

nding use
most dema

uality use
medium q
quality use
low

0
Clayton Christensen

time
Linear à

1996
Market cap of
$28B
Revenue ~$16B
Employees
140,000

Exponential
Linear à

1996
Market cap of
$28B
Revenue ~$16B
Employees
140,000

Exponential

2012
Market cap <
$100M
Revenue ~$6B
Employees
17,000
Linear à

1996
Market cap of
$28B
Revenue ~$16B
Employees
140,000

Exponential

2012
April 9, 2012
Market cap < Facebook Acquires
$100M
Instagram for $1B
Revenue ~$6B
13 employees
Employees
17,000
Linear à

1996
Market cap of
$28B
Revenue ~$16B
Employees
140,000

Exponential

2012
April 9, 2012
Market cap < Facebook Acquires
$100M
Instagram for $1B
Revenue ~$6B
13 employees
Employees
17,000
Dorm Biotech

Garage Pharma

Garage Tech
Moorfields Eye Hospital London
performance
0
Clayton Christensen

time
performance

pre-gap

0
Clayton Christensen

time
performance

post-gap

pre-gap

0
Clayton Christensen

time
REshape Labs

Demand driven 	

relates to strategy

Design

Implement

REshape

Spinn-out	

Business model

Scale

PVI

MOC’s	

Moments of Choice
Exponentially
Faster
Smaller
Cheaper
Better
!

!
!
Exponentially
Faster
Smaller
Cheaper
Better
!

!
!
Exponentially
Faster
Smaller
Cheaper
Better
!

!
!
Moorfields Eye Hospital London
Google’s health venture for eternity

CaLiCo
Californian Life Company
Grown up with a mouse

In 20 years majority of healthcare
consumers will have used a computer
for 40 years of their live and 



by then the internet as #1 source for
Health(care)
Lucien Engelen
Lucien Engelen

Mobile network operators will
become obsolete
Lucien Engelen

Mobile network operators will
become obsolete
Cable companies will offer
nationwide WiFi coverage
Lucien Engelen
Lucien Engelen

but ...
Lucien Engelen

but ...
the BIGGEST change will be
Lucien Engelen

but ...
the BIGGEST change will be
Patients!
HEALTH DATA

Patient care, measurements are mostly	

EPISODIC & REACTIVE …
HEALTH DATA

… when they need to be	

CONTINUOUS & PROACTIVE
Moorfields Eye Hospital London
Moorfields Eye Hospital London
Moorfields Eye Hospital London
ECG made by iPhone sleeve
Moorfields Eye Hospital London
Intensive
Intensive

On ward
Intensive

On ward

At home
Intensive
Current Vitals : Lucien Engelen @REshape Center

On ward
And mobile

At home
Moorfields Eye Hospital London
Moorfields Eye Hospital London
Moorfields Eye Hospital London
Moorfields Eye Hospital London
Moorfields Eye Hospital London
Moorfields Eye Hospital London
Moorfields Eye Hospital London
Moorfields Eye Hospital London
The ONLY constant in health(care) :
The ONLY constant in health(care) :

PATIENT
Moorfields Eye Hospital London
COMMUNITY

PHR

E-HEALTH
PHR

COMMUNITY

E-HEALTH
initiative of
PHR

COMMUNITY

E-HEALTH
initiative of
e-health integration (i.e. for research)
e-health integration (i.e. for research)
e-health integration (i.e. for research)
Moorfields Eye Hospital London
Moorfields Eye Hospital London
Moorfields Eye Hospital London
Moorfields Eye Hospital London
Use Case 1: Multiple Sclerose
option Fysiotherapist other clinic

Neurologist

“

The Patient is offered virtual hospital visit and or group
consult from Multi Disciplinary MS Team

Patient at home

option

Relative at work

”
CleftTalk
CleftTalk
CleftTalk
Moorfields Eye Hospital London
Moorfields Eye Hospital London
Moorfields Eye Hospital London
Moorfields Eye Hospital London
Moorfields Eye Hospital London
Moorfields Eye Hospital London
Moorfields Eye Hospital London
Moorfields Eye Hospital London
Moorfields Eye Hospital London
48
Moorfields Eye Hospital London
Moorfields Eye Hospital London
Moorfields Eye Hospital London
For the patient to be involved in
their own health(care) can be
For the patient to be involved in
their own health(care) can be

exponential
For the patient to be involved in
their own health(care) can be

exponential
Moorfields Eye Hospital London
Moorfields Eye Hospital London
Moorfields Eye Hospital London
Moorfields Eye Hospital London
Moorfields Eye Hospital London
Moorfields Eye Hospital London
Moorfields Eye Hospital London
Moorfields Eye Hospital London
Scotty beam me up !
Bytes for bricks
Bytes for bricks

is also cultural shift
@lucienengelen

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FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
 

Moorfields Eye Hospital London