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Xmed 2018
Xmed 2018
Xmed 2018
Planet
health(care)
for 7 years on a row, now with all time high, 

the Dutch healthcare system rates best in
European Health Consumer Index (EHCI)
for 7 years on a row, now with all time high, 

the Dutch healthcare system rates best in
European Health Consumer Index (EHCI)
©lucienengelen
Allistair Croll
Scale comes from process, IP, org chart, 

standardization, capitalization.
All of these assume the

future will be like the past, only more so.
time
performance
0
@lucienengelen 2011
time
performance
0
pre-gap
@lucienengelen 2011
time
performance
0
pre-gap
@lucienengelen 2011
Travel
Media
Taxi
Banking
Retail
time
performance
0
pre-gap
post-gap
@lucienengelen 2011
Travel
Media
Taxi
Banking
Retail
time
performance
0
pre-gap
post-gap
@lucienengelen 2011
Travel
Media
Taxi
Banking
Retail
Health(care)
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
©lucienengelen 2017 The End of the beginning
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
©lucienengelen 2017 The End of the beginning
The need
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
©lucienengelen 2017 The End of the beginning
Leadership
The need
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
©lucienengelen 2017 The End of the beginning
Strategy
Leadership
The need
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
©lucienengelen 2017 The End of the beginning
Processes & Technology
Strategy
Leadership
The need
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
©lucienengelen 2017 The End of the beginning
Processes & Technology
Strategy
Culture
Leadership
The need
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
©lucienengelen 2017 The End of the beginning
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
Xmed 2018
Xmed 2018
Xmed 2018
Xmed 2018
©lucienengelen
©lucienengelen
©lucienengelen
Photo courtesy of Christian Lüthen
Radboud University
Medical center
Founding Director
REshape Center
Global Strategist
Digital Health
Deloitte Center
for the Egde
Core Faculty
Exponential Medicine
Singularity University
©lucienengelen
Live vitals in clinical patients
From three times daily to
24/7 continuous monitoring
Lean monitoring
… when they need to be
Continuous & Proactive
Health data now
Live vitals of patients Triple A
Philips
Apple
Ge
Verily (google)
Medtronic
Alibaba
Pharma
©lucienengelen
©lucienengelen
Medical Observational
Year Years to reach 100
Million people
©lucienengelen
Year Years to reach 100
Million people
©lucienengelen
Year Years to reach 100
Million people
Months!Years
©lucienengelen
©lucienengelen
Health(care)
When people talk
about us when
we’re not at the table :
we are on the menu
Xmed 2018
©lucienengelen
The Healthcare User Experience
(H-UX) is broken



And needs Social RE-calibration
©lucienengelen
The Healthcare User Experience
(H-UX) is broken



And needs Social RE-calibration
©lucienengelen
©lucienengelen
History
proves over
and over
And yet…
We don’t seem
to learn from
it
©lucienengelen
History
proves over
and over
And yet…
We don’t seem
to learn from
it
Xmed 2018
Xmed 2018
Xmed 2018
©lucienengelen
Nicolai
Copernicus
1500
©lucienengelen
Nicolai
Copernicus
1500
©lucienengelen
Health(care)’s Copernican moment
Nicolai
Copernicus
1500
©lucienengelen
Professional
Patient
Health(care)’s Copernican moment
Nicolai
Copernicus
1500
©lucienengelen
Professional
Patient
Patient
Professional
Health(care)’s Copernican moment
Nicolai
Copernicus
1500
Digital strategy is not translating
what you do now,digitally.



It is completely rethinking 

your model grounds-up
©lucienengelen
Digital strategy is not translating
what you do now,digitally.



It is completely rethinking 

your model grounds-up
©lucienengelen
Digital strategy is not translating
what you do now,digitally.



It is completely rethinking 

your model grounds-up
©lucienengelen
#howto?
©lucienengelen
Automating
something digital.
Creating the new
normal. Becoming a
commodity :
calculator
Doing something
digital that was done
analog,
The Digital healthcare Transformation
Digitizing Digital

Transition
Digital

Transformation
©lucienengelen
Automating
something digital.
Creating the new
normal. Becoming a
commodity :
calculator
Doing something
digital that was done
analog,
The Digital healthcare Transformation
Digitizing Digital

Transition
Digital

Transformation
Cahier > App
©lucienengelen
Automating
something digital.
Creating the new
normal. Becoming a
commodity :
calculator
Doing something
digital that was done
analog,
The Digital healthcare Transformation
Digitizing Digital

Transition
Digital

Transformation
Cahier > App App > Smartphone
©lucienengelen
Automating
something digital.
Creating the new
normal. Becoming a
commodity :
calculator
Doing something
digital that was done
analog,
The Digital healthcare Transformation
Digitizing Digital

Transition
Digital

Transformation
Cahier > App App > Smartphone Part of Operating System
©lucienengelen
Automating
something digital.
Creating the new
normal. Becoming a
commodity :
calculator
Doing something
digital that was done
analog,
The Digital healthcare Transformation
Digitizing Digital

Transition
Digital

Transformation
Apps Eco-system Clinics
©lucienengelen
Automating
something digital.
Creating the new
normal. Becoming a
commodity :
calculator
Doing something
digital that was done
analog,
The Digital healthcare Transformation
Digitizing Digital

Transition
Digital

Transformation
Logistics and data center Brick & mortar Healthcaresystem
©lucienengelen
from a caddy
for the few
To a caddy
for all
©lucienengelen
from a caddy
for the few
To a caddy
for all
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
Have a seat lucien,
You’ll run
through
a heart attack
In 15 minutes
from now.
©lucienengelen
Disruptive monitoring with new parameters
Blood glucose HRV
X
Interval X = 30 minutes
5.5 mmol/L
3.9 mmol/L
Early Warning Heart Rate Variability for drop glucose level
©lucienengelen
Digital first, physical next?
©lucienengelen
Digital first, physical next?
©lucienengelen
Healthcare will become a software branch.
©lucienengelen
Healthcare will become a software branch.
©lucienengelen
©lucienengelen
Healthcare will
become a
software branch.
©lucienengelen
Healthcare will
become a
software branch.
©lucienengelen
Healthcare will
become a
software branch.
has
Radboudumc Virtual
Telemedicine & Telehealthcenter
©lucienengelen
Reference Center remote monitoring
NW European region
implementation
order
Radboudumc Virtual
Telemedicine & Telehealthcenter
©lucienengelen
Reference Center remote monitoring
NW European region
implementation
order
Radboudumc Virtual
Telemedicine & Telehealthcenter
©lucienengelen
Reference Center remote monitoring
NW European region
implementation
order
©lucienengelen
Video conferencing reimbursed in the NL
5 % of outpatient
visits
200 parking lots
a day
©lucienengelen
Video conferencing reimbursed in the NL
5 % of outpatient
visits
200 parking lots
a day
Forget ‘uberized’ health(care) will be ‘amazoned’. 

That journey is 80% logistics
©lucienengelen
©lucienengelen
from ‘Hospital’ to ‘Home’
©lucienengelen
from ‘Hospital’ to ‘Home’
from ‘Hospital’ to ‘Phone’
©lucienengelen
©lucienengelen
Innovation comes in flavours
For different phases
Awareness Groundwork Execution
0.0 - 1.0 0.8 - 1.2 1.0 - 100
©lucienengelen
Innovation comes in flavours
For different phases
Awareness Groundwork Execution
0.0 - 1.0 0.8 - 1.2 1.0 - 100
©lucienengelen
Innovation comes in flavours
For different phases
Awareness Groundwork Execution
0.0 - 1.0 0.8 - 1.2 1.0 - 100
©lucienengelen
Innovation comes in flavours
For different phases
Awareness Groundwork Execution
0.0 - 1.0 0.8 - 1.2 1.0 - 100
“The end of the beginning”
©lucienengelen
©lucienengelen
450 Freshmen in new curriculum ‘15
E-health - Social Media - Innovation with patients - Flipped classroom - BYOP
“be curious” ©lucienengelen
Powered by:
©lucienengelen
©lucienengelen
Delocalized
©lucienengelen
Delocalized
Democratized
©lucienengelen
Delocalized
Democratized
Digital
©lucienengelen
Delocalized
Democratized
Digital
Dollars
©lucienengelen
www.lucienengelen.com/book
@lucienengelen
803.214 followers

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Xmed 2018