.

1. To have a significant impact on health care ?

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

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

7. Lucien Engelen
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)
Not me !

9. •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

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

12. foresight 5-10-25 years

13. Passion

14. 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

15. Sir Luke Fildes 1887

17. Banking will be disrupted

18. Banking will be disrupted
❖ Since 2006

19. Banking will be disrupted
❖ Since 2006
❖ after announcement IPO in 5 hour $800M

20. Banking will be disrupted
❖ Since 2006
❖ after announcement IPO in 5 hour $800M
❖ At IPO net worth $8.9B

21. Banking will be disrupted
❖ Since 2006
❖ after announcement IPO in 5 hour $800M
❖ At IPO net worth $8.9B
❖ in beween Google and Twitter

22. 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

25. Patients
&
Technology

36. Intensive

37. On wardIntensive

38. On wardIntensive

42. Buildable

43. Buildable
Moveable

44. Buildable
Moveable

45. Buildable
Moveable
Carriable

46. Buildable
Moveable
Carriable
Wearable

47. Buildable
Moveable
Carriable
Wearable

52. ‘insideables’

53. It’s just getting started….

54. It’s just getting started….

55. Dokter Gadget ?

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

61. 2015 / 2016 : 8200

67. printing meds

70. M
E
D

74. - 70%

75. - 70%

82. Scotty beam me up !

84. Innovation
time
performance
0
Clayton Christensen, Harvard

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

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

87. Neglect
time
performance
0
Lucien Engelen 2011

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

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

92. Finding a new balance with the patient as partner

96. Time for change ?
image Mark McConnell

100. fór
Innovation shift

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

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

103. DIY Health-hack

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

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

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

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

109. everyone, everywhere, always connected

110. NL in 5 years 100 %
already 70% follow-up
FaceTalk 2.0 launch March

113. Snel weer ouderwets…

114. The real patient engagement
complaint or
mismatch
giving
information
listening &
responding
consulting &
advising
Bate & Roberts, 2006

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

116. PHR
eCo-system needed

117. PHR COMMUNITY
eCo-system needed

118. PHR COMMUNITY
E-HEALTH
eCo-system needed

121. Flipping the coin
via HC IT systems

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

123. Who you trust your data ?

124. Who you trust your data ?

125. Who you trust your data ?

126. Who you trust your data ?

127. Who you trust your data ?

128. Who you trust your data ?

133. 7 weeks after 1st cup of coffee

137. Modules

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

139. eCo-system

140. eCo-system

141. eCo-system

144. 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

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

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

149. sit back and relax … ?

150. 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.

151. Time will change…

152. Time will change…

154. 4D
•Democratisation
•Delocalisation
•Digital
•Dollars

155. New alliances

156. New alliances

157. New alliances

158. New alliances

159. New alliances

160. New alliances

161. New partnerships for international transition of health

162. New partnerships for international transition of health

163. New partnerships for international transition of health

164. How Apple just became an Academic Medical Center

165. 700 Million research devices
18.000 inclusions in 48h
How Apple just became an Academic Medical Center

166. Research is about asking.
Crowdsourcing is co-creation.

167. Research is about asking.
Crowdsourcing is co-creation.
“this will push into era of Patient Owned Research (POR)”
@lucienengelen

175. a THIS is your new backyard

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

179. 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

180. 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

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

182. 2015, the tipping point of health(care).

183. 2015, the tipping point of health(care).

184. 2015, the tipping point of health(care).

185. 2015, the tipping point of health(care).

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

191. @lucienengelen
573.388 followers