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To have a significant impact on health care ?
How a 13 year old kid, inspired an Academic Medical Center start building a bridge!
Radboudumc
Director REshape Center for Innovation
To have a significant impact on health(care)
Lucien Engelen
Radboudumc
Director REshape Center for Innovation
To have a significant impact on health(care)
Lucien Engelen
Radboudumc
Director REshape Center for Innovation
To have a significant impact on health(care)
Not me !
•11.000 colleagues
•3000 students
•1000 beds
•ambition to ‚close’ 500
•Significant impact on health(care)
•$1 billion reve...
•11.000 colleagues
•3000 students
•1000 beds
•ambition to ‚close’ 500
•Significant impact on health(care)
•$1 billion reve...
foresight 5-10-25 years
Passion
approx. 500 BC
The Hippocratic oath
No mention of the role of the ‘patient’ or ‘patior’
Does mention the Godly powers of t...
Sir Luke Fildes 1887
Banking will be disrupted
Banking will be disrupted
❖ Since 2006
Banking will be disrupted
❖ Since 2006
❖ after announcement IPO in 5 hour $800M
Banking will be disrupted
❖ Since 2006
❖ after announcement IPO in 5 hour $800M
❖ At IPO net worth $8.9B
Banking will be disrupted
❖ Since 2006
❖ after announcement IPO in 5 hour $800M
❖ At IPO net worth $8.9B
❖ in beween Googl...
Banking will be disrupted
❖ Since 2006
❖ after announcement IPO in 5 hour $800M
❖ At IPO net worth $8.9B
❖ in beween Googl...
Patients
&
Technology
Intensive
On wardIntensive
On wardIntensive
Buildable
Buildable
Moveable
Buildable
Moveable
Buildable
Moveable
Carriable
Buildable
Moveable
Carriable
Wearable
Buildable
Moveable
Carriable
Wearable
‘insideables’
It’s just getting started….
It’s just getting started….
Dokter Gadget ?
“for the first time ever in history,
we will be present when a person gets sick.
Professionals will subscribe to patients’...
2015 / 2016 : 8200
printing meds
M
E
D
- 70%
- 70%
Scotty beam me up !
Innovation
time
performance
0
Clayton Christensen, Harvard
Innovation
time
performance
0
most demanding use
high quality use
medium quality use
low quality use
Clayton Christensen, ...
Innovation
time
performance
0
most demanding use
high quality use
medium quality use
low quality use
disruptive technology...
Neglect
time
performance
0
Lucien Engelen 2011
Neglect
time
performance
0
Lucien Engelen 2011
pre-gap
Neglect
time
performance
0
Lucien Engelen 2011
pre-gap
post-gap
Finding a new balance with the patient as partner
Time for change ?
image Mark McConnell
fór
Innovation shift
fór wíth
Innovation shift Patients
Included
PatientsIncludedisaTrademarkoftheREshape&InnovationCenter
™
fór wíth by
Innovation shift Patients
Included
PatientsIncludedisaTrademarkoftheREshape&InnovationCenter
™
DIY Health-hack
DIY Aorta mesh
Tal Golesworthy, suffers from Marfan
syndrome.
Invented mesh aortic, that got placed by
surgeons
There is a lot of doctor-talk
going on…. but
Don’t forget the (impact) on
nursing
There is a lot of doctor-talk
going on…. but
Don’t forget the (impact) on
nursing
WE are the problem,

creating our own reality,
Our patients are way ahead of us.
everyone, everywhere, always connected
NL in 5 years 100 %
already 70% follow-up
FaceTalk 2.0 launch March
Snel weer ouderwets…
The real patient engagement
complaint or
mismatch
giving
information
listening &
responding
consulting &
advising
Bate & R...
The real patient engagement
complaint or
mismatch
giving
information
listening &
responding
consulting &
advising
experien...
PHR
eCo-system needed
PHR COMMUNITY
eCo-system needed
PHR COMMUNITY
E-HEALTH
eCo-system needed
Flipping the coin
via HC IT systems
Flipping the coin
via HC IT systems Via the ónly constante in

healthcare: The patient
+
Who you trust your data ?
Who you trust your data ?
Who you trust your data ?
Who you trust your data ?
Who you trust your data ?
Who you trust your data ?
7 weeks after 1st cup of coffee
Modules
Modules
COPD / CHF
Hypertension
Diabetes 1 & 2
Parkinsons
Pregnancy monitoring @risk
Pre and post operative
Early stroke
C...
eCo-system
eCo-system
eCo-system
5. Extension
(other disorders internationally)1. Networks of experts
2. The patient as partner 4. Transparent quality cont...
% patients with hip fracture
Bloem & Munneke, Br Med J 2014; 348: g1838
% patients with hip fracture
Bloem & Munneke, Br Med J 2014; 348: g1838
Regular care ParkinsonsNet care
sit back and relax … ?
Routine personal interactions will be surpassed by
algorhytms.
The professional in primary care will move to 

a position ...
Time will change…
Time will change…
4D
•Democratisation
•Delocalisation
•Digital
•Dollars
New alliances
New alliances
New alliances
New alliances
New alliances
New alliances
New partnerships for international transition of health
New partnerships for international transition of health
New partnerships for international transition of health
How Apple just became an Academic Medical Center
700 Million research devices
18.000 inclusions in 48h
How Apple just became an Academic Medical Center
Research is about asking.
Crowdsourcing is co-creation.
Research is about asking.
Crowdsourcing is co-creation.
“this will push into era of Patient Owned Research (POR)”
@luciene...
a THIS is your new backyard
We need a Global reimbursement system
a THIS is your new backyard
Digital Health(care) Transformation


The overall change that is happening
driven by digital technology
New business model...
Pursuit by choice ?
❖ After initial innovators and early adopters
❖ The chasm occurs as most crucial phase
❖ Boosting the ...
Paradigm shift is here already
It is yet not evenly distributed
Takes 7 - 17 years
2015, the tipping point of health(care).
2015, the tipping point of health(care).
2015, the tipping point of health(care).
2015, the tipping point of health(care).
So Health(care) is changing, massively!
Oppertunities to engage!
Are YOU going to take that chance and firestart?
@lucienengelen
573.388 followers
UHasselt Limburg-lezing
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  1. To have a significant impact on health care ?
  2. How a 13 year old kid, inspired an Academic Medical Center start building a bridge!
  3. Radboudumc Director REshape Center for Innovation To have a significant impact on health(care)
  4. Lucien Engelen Radboudumc Director REshape Center for Innovation To have a significant impact on health(care)
  5. Lucien Engelen Radboudumc Director REshape Center for Innovation To have a significant impact on health(care) Not me !
  6. •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
  7. •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
  8. foresight 5-10-25 years
  9. Passion
  10. 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
  11. Sir Luke Fildes 1887
  12. Banking will be disrupted
  13. Banking will be disrupted ❖ Since 2006
  14. Banking will be disrupted ❖ Since 2006 ❖ after announcement IPO in 5 hour $800M
  15. Banking will be disrupted ❖ Since 2006 ❖ after announcement IPO in 5 hour $800M ❖ At IPO net worth $8.9B
  16. Banking will be disrupted ❖ Since 2006 ❖ after announcement IPO in 5 hour $800M ❖ At IPO net worth $8.9B ❖ in beween Google and Twitter
  17. 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
  18. Patients & Technology
  19. Intensive
  20. On wardIntensive
  21. On wardIntensive
  22. Buildable
  23. Buildable Moveable
  24. Buildable Moveable
  25. Buildable Moveable Carriable
  26. Buildable Moveable Carriable Wearable
  27. Buildable Moveable Carriable Wearable
  28. ‘insideables’
  29. It’s just getting started….
  30. It’s just getting started….
  31. Dokter Gadget ?
  32. “for the first time ever in history, we will be present when a person gets sick. Professionals will subscribe to patients’ data" @lucienengelen
  33. 2015 / 2016 : 8200
  34. printing meds
  35. M E D
  36. - 70%
  37. - 70%
  38. Scotty beam me up !
  39. Innovation time performance 0 Clayton Christensen, Harvard
  40. Innovation time performance 0 most demanding use high quality use medium quality use low quality use Clayton Christensen, Harvard
  41. Innovation time performance 0 most demanding use high quality use medium quality use low quality use disruptive technology Clayton Christensen, Harvard
  42. Neglect time performance 0 Lucien Engelen 2011
  43. Neglect time performance 0 Lucien Engelen 2011 pre-gap
  44. Neglect time performance 0 Lucien Engelen 2011 pre-gap post-gap
  45. Finding a new balance with the patient as partner
  46. Time for change ? image Mark McConnell
  47. fór Innovation shift
  48. fór wíth Innovation shift Patients Included PatientsIncludedisaTrademarkoftheREshape&InnovationCenter ™
  49. fór wíth by Innovation shift Patients Included PatientsIncludedisaTrademarkoftheREshape&InnovationCenter ™
  50. DIY Health-hack
  51. DIY Aorta mesh Tal Golesworthy, suffers from Marfan syndrome. Invented mesh aortic, that got placed by surgeons
  52. There is a lot of doctor-talk going on…. but Don’t forget the (impact) on nursing
  53. There is a lot of doctor-talk going on…. but Don’t forget the (impact) on nursing
  54. WE are the problem,
 creating our own reality, Our patients are way ahead of us.
  55. everyone, everywhere, always connected
  56. NL in 5 years 100 % already 70% follow-up FaceTalk 2.0 launch March
  57. Snel weer ouderwets…
  58. The real patient engagement complaint or mismatch giving information listening & responding consulting & advising Bate & Roberts, 2006
  59. The real patient engagement complaint or mismatch giving information listening & responding consulting & advising experienced based CO-design Bate & Roberts, 2006
  60. PHR eCo-system needed
  61. PHR COMMUNITY eCo-system needed
  62. PHR COMMUNITY E-HEALTH eCo-system needed
  63. Flipping the coin via HC IT systems
  64. Flipping the coin via HC IT systems Via the ónly constante in
 healthcare: The patient +
  65. Who you trust your data ?
  66. Who you trust your data ?
  67. Who you trust your data ?
  68. Who you trust your data ?
  69. Who you trust your data ?
  70. Who you trust your data ?
  71. 7 weeks after 1st cup of coffee
  72. Modules
  73. Modules COPD / CHF Hypertension Diabetes 1 & 2 Parkinsons Pregnancy monitoring @risk Pre and post operative Early stroke CML
  74. eCo-system
  75. eCo-system
  76. eCo-system
  77. 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
  78. % patients with hip fracture Bloem & Munneke, Br Med J 2014; 348: g1838
  79. % patients with hip fracture Bloem & Munneke, Br Med J 2014; 348: g1838 Regular care ParkinsonsNet care
  80. sit back and relax … ?
  81. 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.
  82. Time will change…
  83. Time will change…
  84. 4D •Democratisation •Delocalisation •Digital •Dollars
  85. New alliances
  86. New alliances
  87. New alliances
  88. New alliances
  89. New alliances
  90. New alliances
  91. New partnerships for international transition of health
  92. New partnerships for international transition of health
  93. New partnerships for international transition of health
  94. How Apple just became an Academic Medical Center
  95. 700 Million research devices 18.000 inclusions in 48h How Apple just became an Academic Medical Center
  96. Research is about asking. Crowdsourcing is co-creation.
  97. Research is about asking. Crowdsourcing is co-creation. “this will push into era of Patient Owned Research (POR)” @lucienengelen
  98. a THIS is your new backyard
  99. We need a Global reimbursement system a THIS is your new backyard
  100. Digital Health(care) Transformation 
 The overall change that is happening driven by digital technology New business models Role change / power shift Impact of availability data Burden of continuously change New generation in targeted groups Impact on infrastructure New players From CURE to CARE to PREVENT to WELLNESS Delocalisation Democratisation Digital Dollars
  101. Pursuit by choice ? ❖ After initial innovators and early adopters ❖ The chasm occurs as most crucial phase ❖ Boosting the momentum is key ❖ Lagging that will kill all prior effort ❖ Succes will create a tipping point
  102. Paradigm shift is here already It is yet not evenly distributed Takes 7 - 17 years
  103. 2015, the tipping point of health(care).
  104. 2015, the tipping point of health(care).
  105. 2015, the tipping point of health(care).
  106. 2015, the tipping point of health(care).
  107. So Health(care) is changing, massively! Oppertunities to engage! Are YOU going to take that chance and firestart?
  108. @lucienengelen 573.388 followers

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