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©lucienengelen Health(care) When people talk about us when we’re not at the table : we are on the menu

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Patients & Technology 5th Democratization by data ©lucienengelen

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©lucienengelen Automating something digital. Added value :   less effort Creating the new normal. Becoming a commodity : calculator Doing something digital that was done analog, no added value. The Digital healthcare Transformation Digitizing Digital  Transition Digital  Transformation

©lucienengelen Automating something digital. Added value :   less effort Creating the new normal. Becoming a commodity : calculator Doing something digital that was done analog, no added value. The Digital healthcare Transformation Digitizing Digital  Transition Digital  Transformation Cahier > App

©lucienengelen Automating something digital. Added value :   less effort Creating the new normal. Becoming a commodity : calculator Doing something digital that was done analog, no added value. The Digital healthcare Transformation Digitizing Digital  Transition Digital  Transformation Cahier > App App > Smartphone

©lucienengelen Automating something digital. Added value :   less effort Creating the new normal. Becoming a commodity : calculator Doing something digital that was done analog, no added value. The Digital healthcare Transformation Digitizing Digital  Transition Digital  Transformation Cahier > App App > Smartphone Part of Operating System

©lucienengelen Automating something digital. Added value :   less effort Creating the new normal. Becoming a commodity : calculator Doing something digital that was done analog, no added value. The Digital healthcare Transformation Digitizing Digital  Transition Digital  Transformation Logistics and data center Brick & mortar Healthcaresystem

©lucienengelen Automating something digital. Added value :   less effort Creating the new normal. Becoming a commodity : calculator Doing something digital that was done analog, no added value. The Digital healthcare Transformation Digitizing Digital  Transition Digital  Transformation Apps Eco-system Clinics

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©lucienengelen Life 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

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Flipping the coin via HC IT systems

Flipping the coin via HC IT systems +

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

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©lucienengelen APPS, Portals & EHR’s are END of LIFE in their product cycle in current form. “Teasing by intent”

©lucienengelen APPS, Portals & EHR’s are END of LIFE in their product cycle in current form. They were symptomatic responses to inTRAconnected frameworks to become  more inTERconnected “Teasing by intent”

©lucienengelen APPS, Portals & EHR’s are END of LIFE in their product cycle in current form. They were symptomatic responses to inTRAconnected frameworks to become  more inTERconnected This is being taken care of now by i.e. tech-titans and governments  and even GDPR. “Teasing by intent”

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©lucienengelen Reshape center for european healthcare design Patient journey

©lucienengelen Reshape center for european healthcare design Patient journey Institution journey

©lucienengelen Reshape center for european healthcare design Professional journey Patient journey Institution journey

©lucienengelen Reshape center for european healthcare design Professional journey Patient journey Life journey Institution journey

These brands did not exist 15 years ago … Facebook Twitter iPhone iPad Android Apple App Store Amazon AWS Uber Airbnb Blockchain Bitcoin Square Spotify Nest Dropbox Instagram Snapchat WhatsApp Pinterest Messenger Oculus Kindle 4G Fitbit

technology evolves faster than ever before

Technology is the hype, the change will be permanent. @lucienengelen

Source REshape Center 2014 The delocalization of health(care) ©lucienengelen

-70% Source REshape Center 2014 The delocalization of health(care) ©lucienengelen

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from ‘Hospital’ to ‘Home’ ©lucienengelen

from ‘Hospital’ to ‘Home’ from ‘Hospital’ to ‘Phone’ ©lucienengelen

where good healthcare in 10 years will be delivered : n=1600 ©lucienengelen

Everywhere Home Hospital Doctor where good healthcare in 10 years will be delivered : n=1600 ©lucienengelen

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©lucienengelen using technology 1st wave

©lucienengelen using technology 2nd wave Obesitas, Diabetes,   Mental health issues living in technology 1st wave

©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

©lucienengelen The Future will fool you

Year Years to reach 100 Million people

Year Years to reach 100 Million people Months!year

Forget ‘uberized’ health(care) will be ‘amazoned’.   That journey is 80% logistics ©lucienengelen

©lucienengelen We’re entering the era of Augmented Medicine No dear doctor, no dear nurse Your job will not be disrupted ©lucienengelen

What is Augmented Health ? Life(style) Augmented Health(care)™Augmented Medicine Data Information & Visualisation ™ pending for

from a caddy for the few To a caddy for all

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©lucienengelen Have a seat lucien, You’ll run through a heart attack In 15 minutes from now.

©lucienengelen Innovation comes in ﬂavours For different phases Awareness Groundwork Execution 0.0 - 1.0 0.8 - 1.2 1.0 - 100

Why innovate ?

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©lucienengelen Je moet niet daar zijn waar de bal is,   maar daar waar de bal heen gaat!

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Delocalized ©lucienengelen

Delocalized Democratized ©lucienengelen

Delocalized Democratized digital ©lucienengelen

Delocalized Democratized digital dollars ©lucienengelen

© stormlapse.com 4 forces destabilising the status quo

© stormlapse.com Unsustainability  (Radical) I 4 forces destabilising the status quo

© stormlapse.com Unsustainability  (Radical) I Technology (now) availableII 4 forces destabilising the status quo

© stormlapse.com Unsustainability  (Radical) Consumer Awakening I III Technology (now) availableII 4 forces destabilising the status quo

© stormlapse.com Unsustainability  (Radical) Consumer Awakening I III IV Technology (now) availableII Societal change (incremental ?) 4 forces destabilising the status quo

©lucienengelen Kansen (willen) zien Effecten (sneller) onderzoeken Luisteren naar en aansluiten bij de (actuele) leefwereld van de burger en patiënt

©lucienengelen Kansen (willen) zien Effecten (sneller) onderzoeken Luisteren naar en aansluiten bij de (actuele) leefwereld van de burger en patiënt Dát is waar digitale zorg over gaat!

time performance 0 @lucienengelen 2011

time performance 0 pre-gap @lucienengelen 2011

time performance 0 pre-gap post-gap @lucienengelen 2011

©lucienengelen Digital Health research

©lucienengelen Digital Health research Studies are increasing (29000 in total) often very narrow ﬁeld

©lucienengelen Digital Health research Studies are increasing (29000 in total) often very narrow ﬁeld Meta analyses (1600) focus on past technology so exclude new tech

©lucienengelen Digital Health research Studies are increasing (29000 in total) often very narrow ﬁeld Often (if not mostly) not #patientsincluded Meta analyses (1600) focus on past technology so exclude new tech

©lucienengelen Digital Health research Studies are increasing (29000 in total) often very narrow ﬁeld A lot depends on hypothesis and research questions Often (if not mostly) not #patientsincluded Meta analyses (1600) focus on past technology so exclude new tech

©lucienengelen Digital Health research Studies are increasing (29000 in total) often very narrow ﬁeld A lot depends on hypothesis and research questions Often (if not mostly) not #patientsincluded Low number of studies incorporate marco- economic perspective Meta analyses (1600) focus on past technology so exclude new tech

©lucienengelen Digital Health research No real overview of negative, neutral and positive studies Studies are increasing (29000 in total) often very narrow ﬁeld A lot depends on hypothesis and research questions Often (if not mostly) not #patientsincluded Low number of studies incorporate marco- economic perspective Meta analyses (1600) focus on past technology so exclude new tech

0 500 1000 1500 2000 2500 3000 3500 4000 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 2016 TomvdBelt&LucienEngelen ©lucienengelen

0 500 1000 1500 2000 2500 3000 3500 4000 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 2016 TomvdBelt&LucienEngelen ©lucienengelen Beter dan reguliere zorg Gelijkwaardig aan reguliere zorg Slechter dan reguliere zorg Niet-acuut Acuut Chronisch macro-economische kosten

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©lucienengelen Innovation Autoimmune Disorder

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©lucienengelen r = f (nm)  r = internal resistance to new ideas n = number of employees m = number of management levels

Amara's Law

digital health(care) always will be corpus aliEnum

REshape   core team REshape Fellows REshape Ambassadors Explore - Inspire - Facilitate 

How-to?

©lucienengelen Scout / Concept Vision / Design Enroll Scale Radboudumc Labs Spinn-out Business model MOC’s Moments of Choice Demand driven relates to strategy REshape iLAB PVI iLab Scaling (PVI)REshape Center iBoard Chair Board Radboudumc

Concept to prototype Ideas from: Patients, HCP & Network Innovations with signiﬁcant impact on health(care) Implement Moment of Choice :   on hold or terminated Test and Evaluate Chance of success Idea to concept (MoC) (MoC) (MoC) (MoC) ©lucienengelen iLab Scaling (PVI)REshape Center iBoard Chair Board Radboudumc

The bulb of innovation. @lucienengelen image bulb: pawnile.deviantart.com ©lucienengelen 2017 The End of the beginning

The will The bulb of innovation. @lucienengelen image bulb: pawnile.deviantart.com ©lucienengelen 2017 The End of the beginning

The need The will The bulb of innovation. @lucienengelen image bulb: pawnile.deviantart.com ©lucienengelen 2017 The End of the beginning

Leadership The need The will The bulb of innovation. @lucienengelen image bulb: pawnile.deviantart.com ©lucienengelen 2017 The End of the beginning

Strategy Leadership The need The will The bulb of innovation. @lucienengelen image bulb: pawnile.deviantart.com ©lucienengelen 2017 The End of the beginning

Strategy Culture Leadership The need The will The bulb of innovation. @lucienengelen image bulb: pawnile.deviantart.com ©lucienengelen 2017 The End of the beginning

Processes & Technology Strategy Culture Leadership The need The will The bulb of innovation. @lucienengelen image bulb: pawnile.deviantart.com ©lucienengelen 2017 The End of the beginning

Processes & Technology Strategy Culture Leadership The need The will The bulb of innovation. @lucienengelen image bulb: pawnile.deviantart.com Demolition-team ©lucienengelen 2017 The End of the beginning

©lucienengelen The Innovation Bulb @lucienengelen 2017 “The end of the beginning” image bulb: pawnile.deviantart.com Processes & TechnologyStrategy CultureLeadership The need The will

what you get what you see Culture eats strategy for breakfast

450 Freshmen in new curriculum ‘15 E-health - Social Media - Innovation with patients - Flipped classroom - BYOP

Shortage of nurses ? Amount of work outside their circle of inﬂuence Follow the patient ? Use of new technology in every level of nursing Virtual nursing homes

©lucienengelen Uber yourself Before you get kodaked 1996 140.000 employees $28 Billion INVENTED the digital camera Decided was NOT their core

©lucienengelen Uber yourself Before you get kodaked 1996 140.000 employees $28 Billion INVENTED the digital camera Decided was NOT their core 2012 17.000 employees Bankrupt

Consultancyfirms jump on it Masterclasses, workshops being offered Patients call insurance demanding Conference bureaus new theme Consortia are being formed Healthcare futurists on the rise May 2018, Barcelone Spain The end of the beginning

May 2018, Barcelone Spain The ask for ‘measurements, EVB and KPI’s Thesis proposals by the day Critics starting to shout loud to keep ‘the virus’ out Nurses are getting engaged #nurseincluded Patient involvement loses its ‘tokenism’ The end of the beginning

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©lucienengelen Thomas Insel Former NIH director,   now Sillicon Valley entrepeneur : ‘Academic & Technology Company researcher Should partner up’

©lucienengelen Digital Health research Studies Zorginnovatietrip Joris en Christan

Lucien Engelen

©lucienengelen Digital Health research Studies