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Vintura
Radboudumc 
Director REshape Center for Innovation 
To have a significant impact on health(care) 
360andAbove
Lucien Engelen 
Radboudumc 
Director REshape Center for Innovation 
To have a significant impact on health(care) 
360andAbove
Lucien Engelen 
Radboudumc 
Director REshape Center for Innovation 
To have a significant impact on health(care) 
360andAbove 
Not me !
This is us 
•11.000 colleagues 
•3000 students 
•1000 beds 
•ambition to ‚close’ 500
This is us 
•11.000 colleagues 
•3000 students 
•1000 beds 
•ambition to ‚close’ 500
This talk will be about the best innovation ever :
This talk will be about the best innovation ever : 
Patients!
Innovation shift 
fór
Innovation shift 
fór
fór wíth 
Innovation shift Patients 
Included 
™ 
Patients Included is a Trademark of the REshape & Innovation Center
fór wíth by 
Innovation shift Patients 
Included 
™ 
Patients Included is a Trademark of the REshape & Innovation Center
Vintura
Patients 
Included 
Patients Included is a Trademark of the REshape & Innovation Center 
™ 
So, if you have developed a 
solution without targeted group 
incorporated from the start : 
Trash-it and start over again.
Vintura
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
time 
Innovation 
performance 0 
Clayton Christensen, Harvard
time 
Innovation 
performance 0 
most demanding use 
high quality use 
medium quality use 
low quality use 
Clayton Christensen, Harvard
time 
Innovation 
performance 0 
most demanding use 
high quality use 
disruptive technology 
medium quality use 
low quality use 
Clayton Christensen, Harvard
Neglect 
time performance 0 
Lucien Engelen 2011
Neglect 
performance pre-gap 
0 
time Lucien Engelen 2011
Neglect 
performance pre-gap 
0 
time Lucien Engelen 2011
performance pre-gap 
0 
time Lucien Engelen 2011 
post-gap 
Neglect
Vintura
5th Democratisation
5th Democratisation 
Patients 
& 
Technology
Über-ization of health(care)
Über-ization of health(care)
Vintura
Vintura
Vintura
M 
E 
D
Vintura
Vintura
Vintura
New players 
by 2019 
Democratizing Health(care) will be dominated by
New players 
by 2019 
Democratizing Health(care) will be dominated by
New players 
by 2019 
Democratizing Health(care) will be dominated by 
?
Anyhow, THIS is your ‘new’ backyard
Vintura
Vintura
The only constant
™ The only constant 
Patients 
Included 
Patients Included is a Trademark of the REshape & Innovation Center
From eGo to eCo systems
From eGo to eCo systems
Patients 
™ 
Included 
Patients Included is a Trademark of the REshape & Innovation Center 
CLO
Patients 
™ 
Included 
Patients Included is a Trademark of the REshape & Innovation Center 
Chief 
Listening 
Officer 
CLO
Patients 
™ 
Included 
Patients Included is a Trademark of the REshape & Innovation Center 
Chief 
Listening 
Officer 
CLO
eCo-system needed 
PHR
eCo-system needed 
PHR COMMUNITY
eCo-system needed 
PHR COMMUNITY 
E-HEALTH
eCo-system needed 
E-HEALTH
eCo-system needed
eCo-system needed
Continuum
Continuum 
Low evidence 
Front end innovation 
Wrong types PHR 
Just data is useless; context
eCo-system needed
eCo-system needed 
Platform & Vendor Agnostic
How do you feel about your healthdata stored at ?
How do you feel about your healthdata stored at ?
How do you feel about your healthdata stored at ?
How do you feel about your healthdata stored at ?
How do you feel about your healthdata stored at ?
Serendipity
Digital eCo-system with data owned by patients
Digital eCo-system with data owned by patients
Vintura
7 weeks after 1st cup of coffee
Vintura
eCare Coordinator & Companion
Vintura
Vintura
Embedded view in EMR
eCo-system
eCo-system
eCo-system
eCo-system 
This partnership empowers us, to empower patients, family and informal care
Miniaturisation & adding meaning
Miniaturisation & adding meaning
Miniaturisation & adding meaning
Miniaturisation & adding meaning
Vintura
Vintura
Vintura
Vintura
Vintura
2
2 
9
2 
9 
14
Formfactor
Formfactor
Formfactor
Formfactor 
„Insideables” !
“for the first time ever in history, 
we will be present when a person gets sick” 
@lucienengelen, 2014
‘Everything’ will be possible
‘Everything’ will be possible
sit back and relax … ?
Take aways :
Take aways : 
Patient Centric, Listen! 
Health Continuum (don’t forget the nurse!) 
“Data is only useful if it’s integrated“ ánd actionable. 
Global approach; international ruling,collaboration,resource sharing 
Global; Worldwide reimbursement agreement needed
Vintura
REshape Manifesto

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