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Samen Toekomst Maken

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Samen Toekomst Maken

  1. no conflicts of interest, no shares, non-prescribing
  2. no conflicts of interest, no shares, non-prescribing het is LENTE!
  3. Slides will be available afterwards
  4. Slides will be available afterwards
  5. Photo courtesy of Christian Lüthen Radboud University Medical center Founding Director REshape Center until 31/12/18 Fellow Center for the Egde Global Strategist Digital Health Core Faculty Exponential Medicine Singularity University
  6. RADBOUD UNIVERSITY MEDICAL CENTER ‣ 800 beds ‣ 13.000 employees ‣ 1B$ revenue ‣ 1 of 8 UMC in NL 5
  7. 6 So, now you will become an accountant? Not really : ‘Global strategist digital health’ Amsterdam, Melbourne, San Francisco … Where is your office? But They do audits, right? Sure, next to that Global #1 leader Digital Strategy
 & Transformation Nope, as Edge Fellow you can’t buy anything with me. So now commercial?
  8. 7 From Scaling Efficiency (the old paradigm) to Scaling Opportunities & Learning. Help CEO’s and their leadership to find their “Edge”
  9. in 15 years from now
  10. About Apples and Edges in a transformational era
  11. About Apples and Edges in a transformational era
  12. E. C. Schneider, D. O. Sarnak, D. Squires, A. Shah, and M. M. Doty, Mirror, Mirror: How the U.S. Health Care System Compares Internationally at a Time of Radical Change, The Commonwealth Fund, July 2017. 0 2 4 6 8 10 12 14 16 18 1980 1982 1984 1986 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 United States (16.6%) Switzerland (11.4%) Sweden (11.2%) France (11.1%) Germany (11.0%) Netherlands (10.9%) Canada (10.0%) United Kingdom (9.9%) New Zealand (9.4%) Norway (9.3%) Australia (9.0%) GDPreferstogrossdomesticproduct.Datainlegendarefor2014. Source:OECDHealthData2016.Dataareforcurrentspendingonly,andexcludespendingoncapitalformationofhealthcareproviders. Percent Health Care Spending as a Percentage of GDP, 1980–2014
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  15. ©lucienengelen ©lucienengelen
  16. ©lucienengelen ©lucienengelen
  17. ©lucienengelen 5.2T ©lucienengelen
  18. ©lucienengelen 5.2T ©lucienengelen
  19. ©lucienengelen Medical knowledge doubles every 3.5 years And speeding up
  20. ©lucienengelen Healthcare Data grows 48% per year
  21. ©lucienengelen
  22. ©lucienengelen
  23. ©lucienengelen 4
  24. ©lucienengelen
  25. ©lucienengelen
  26. ©lucienengelen
  27. ©lucienengelen Blood Pressure
  28. ©lucienengelen
  29. ©lucienengelen FDA APPROVED
  30. ©lucienengelen Ultrasound
  31. ©lucienengelen Ultrasound
  32. Philips Apple GE Verily (google) Medtronic Alibaba Pharma Amazon ©lucienengelen ©lucienengelen Medical Observational
  33. Science fiction Is now becoming Science ©lucienengelen 2017 The End of the beginning
  34. DATA LIBERATION 24 GDPR IT’S 2019
  35. ©lucienengelen How Apple just became an Academic Medical Center
  36. ©lucienengelen How Apple just became an Academic Medical Center
  37. ©lucienengelen 419,093 participants How Apple just became an Academic Medical Center
  38. ©lucienengelen 419,093 participants How Apple just became an Academic Medical Center
  39. ©lucienengelen New data segway? Digitizing Digital
 Transition Digital
 Transformation HISTORIC DATA REAL TIME DATA
  40. ©lucienengelen New data segway? Digitizing Digital
 Transition Digital
 Transformation HISTORIC DATA RECENT DATA REAL TIME DATA
  41. ©lucienengelen New data segway? Digitizing Digital
 Transition Digital
 Transformation HISTORIC DATA RECENT DATA REAL TIME DATA
  42. ©lucienengelen Live vitals in clinical patients From three times daily to 24/7 continuous monitoring … when they need to be Continuous & Proactive Health data now Live vitals of patients Triple A Anytime,Anywhere,Always Spot-measurement
  43. ©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
  44. “for the first time ever in history, - we will be present when a person gets sick, - professionals will subscribe to patients’data, - the middle-man will become disrupted “ 2012 @lucienengelen
  45. Healthcare will become a software branch. ©lucienengelen
  46. Healthcare will become a software branch. ©lucienengelen
  47. ©lucienengelen Healthcare will become a software branch.
  48. ©lucienengelen Healthcare will become a software branch.
  49. ©lucienengelen Healthcare will become a software branch. has
  50. 4CAST : ’remote’ monitoring
  51. Source REshape Center 2014 The delocalization of health(care) ©lucienengelen
  52. -70% Source REshape Center 2014 The delocalization of health(care) ©lucienengelen
  53. ©lucienengelen
  54. from ‘Hospital’ to ‘Home’ ©lucienengelen
  55. from ‘Hospital’ to ‘Home’ from ‘Hospital’ to ‘Phone’ ©lucienengelen
  56. Patients able creating own n=1 communities via HC IT systems ©lucienengelen 2011
  57. Patients able creating own n=1 communities via HC IT systems eGo ©lucienengelen 2011
  58. Patients able creating own n=1 communities via HC IT systems Via the patient + eGo ©lucienengelen 2011
  59. Patients able creating own n=1 communities via HC IT systems Via the patient + eGo eCo ©lucienengelen 2011
  60. Shift in mindset PORTAL Hospital EMR other source systems PORTAL Pharmacist EMR other source systems PORTAL Care Electronic Client systems bronsysteem instelling PORTAL Disease specific Knowledge base patient data
  61. Shift in mindset PORTAL Hospital EMR other source systems PORTAL Pharmacist EMR other source systems PORTAL Care Electronic Client systems bronsysteem instelling PORTAL Disease specific Knowledge base patient data
  62. Shift in mindset PGO patient (PHR) PORTAL Hospital EMR other source systems PORTAL Pharmacist EMR other source systems PORTAL Care Electronic Client systems bronsysteem instelling PORTAL Disease specific Knowledge base patient data
  63. Shift in mindset PGO patient (PHR) PORTAL Hospital EMR other source systems PORTAL Pharmacist EMR other source systems PORTAL Care Electronic Client systems bronsysteem instelling PORTAL Disease specific Knowledge base patient data
  64. Shift in mindset PGO patient (PHR) PORTAL Hospital EMR other source systems PORTAL Pharmacist EMR other source systems PORTAL Care Electronic Client systems bronsysteem instelling Source systems patient PORTAL Disease specific Knowledge base patient data
  65. Shift in mindset PGO patient (PHR) PORTAL Hospital EMR other source systems PORTAL Pharmacist EMR other source systems PORTAL Care Electronic Client systems bronsysteem instelling Source systems patient PORTAL Disease specific Knowledge base patient data
  66. Shift in mindset PGO patient (PHR) PORTAL Hospital EMR other source systems PORTAL Pharmacist EMR other source systems PORTAL Care Electronic Client systems bronsysteem instelling Source systems patient PORTAL Disease specific Knowledge base patient data
  67. Shift in mindset PGO patient (PHR) PORTAL Hospital EMR other source systems PORTAL Pharmacist EMR other source systems PORTAL Care Electronic Client systems bronsysteem instelling Source systems patient Patient-owned PORTAL Disease specific Knowledge base patient data
  68. Shift in mindset Institution owned PGO patient (PHR) PORTAL Hospital EMR other source systems PORTAL Pharmacist EMR other source systems PORTAL Care Electronic Client systems bronsysteem instelling Source systems patient Patient-owned PORTAL Disease specific Knowledge base patient data
  69. AI (Artifficial Intelligence)
  70. ©lucienengelen Spend money only once! ©lucienengelen
  71. ©lucienengelen Personalized medicine
  72. ©lucienengelen Preventive medicine
  73. ©lucienengelen ‘personalized’ Health
  74. 42
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  79. ©lucienengelen
  80. ©lucienengelen
  81. ©lucienengelen Health(care) When people talk about us when we’re not at the table : we are on the menu
  82. ©lucienengelen
  83. ©lucienengelen
  84. ©lucienengelen
  85. ©lucienengelen Instant referrals, paddles to page you during shopping. Ultrasounds, EKGs and blooddraw. Meet Walmart Clinics.
  86. ©lucienengelen
  87. ©lucienengelen
  88. ©lucienengelen NEW RULES OF ENGAGEMENT Digital
 Transition Digital
 Transformation
  89. ©lucienengelen NEW RULES OF ENGAGEMENT Digital
 Transition Digital
 Transformation
  90. ©lucienengelen NEW RULES OF ENGAGEMENT Digital
 Transition Digital
 Transformation
  91. ©lucienengelen NEW RULES OF ENGAGEMENT Digital
 Transition Digital
 Transformation It’s not cheating It is the New Normal
  92. Playtime is óver!
  93. ©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
  94. ©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
  95. ©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
  96. ©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
  97. What is Augmented Health(care)™ Life(style) Augmented CareAugmented Medicine Data Information & Visualisation ©lucienengelen
  98. What is Augmented Health(care)™ Life(style) Augmented CareAugmented Medicine Data Information & Visualisation ©lucienengelen
  99. Forget ‘uberized’ health(care) will be ‘amazoned’. 
 That journey is 80% logistics ©lucienengelen
  100. Change in health(care) From existing solo-workers into new network-workers @lucienengelen ?Past Now Future
  101. Gartner Hype Cycle ©lucienengelen 0-1 0.8-1.2 1-100
  102. ©lucienengelen Time Progress
  103. ©lucienengelen Time Progress
  104. ©lucienengelen Time Progress Performance GAP
  105. time performance 0 @lucienengelen 2011
  106. time performance 0 pre-gap @lucienengelen 2011
  107. time performance 0 pre-gap @lucienengelen 2011 Travel Media Taxi Banking Retail
  108. time performance 0 pre-gap post-gap @lucienengelen 2011 Travel Media Taxi Banking Retail
  109. time performance 0 pre-gap post-gap @lucienengelen 2011 Travel Media Taxi Banking Retail Health(care)
  110. time performance 0 pre-gap post-gap @lucienengelen 2011 Travel Media Taxi Banking Retail Health(care) So where are you?
  111. ©lucienengelen
  112. ©lucienengelen We laughed…
  113. ©lucienengelen …6 months later …
  114. ©lucienengelen
  115. ©lucienengelen …now they do.
  116. Year Years to reach 100 Million people ©lucienengelen
  117. Year Years to reach 100 Million people ©lucienengelen
  118. Year Years to reach 100 Million people Months!Years ©lucienengelen
  119. 800 Million to date
  120. 4 DAYS! researchers estimate it added 144 billion steps to U.S. physical activity. That's 143 roundtrips to the moon
  121. ©lucienengelen
  122. ©lucienengelen
  123. ©lucienengelen
  124. ©lucienengelen
  125. ©lucienengelen
  126. ©lucienengelen
  127. ©lucienengelen Innovation comes in flavours For different phases Awareness Groundwork Execution 0.0 - 1.0 0.8 - 1.2 1.0 - 100
  128. ©lucienengelen Innovation comes in flavours For different phases Awareness Groundwork Execution 0.0 - 1.0 0.8 - 1.2 1.0 - 100
  129. ©lucienengelen Innovation comes in flavours For different phases Awareness Groundwork Execution 0.0 - 1.0 0.8 - 1.2 1.0 - 100
  130. Digital strategy is not translating what you do now,digitally.
 
 It is completely rethinking 
 your model grounds-up ©lucienengelen
  131. Digital strategy is not translating what you do now,digitally.
 
 It is completely rethinking 
 your model grounds-up ©lucienengelen
  132. 80 An innovation is a product (like an apple)
  133. 80 An innovation is a product (like an apple)
  134. 81
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  137. 82
  138. 82
  139. 82 REach
  140. 82 REach
  141. 82 REach
  142. ThewholeSystem IntheRoom Change Change
  143. ThewholeSystem IntheRoom Change Change  For every action, there is an equal and opposite reaction
  144. Patient journey ©lucienengelen 2011
  145. Patient journey Institution journey ©lucienengelen 2011
  146. Professional journey Patient journey Institution journey ©lucienengelen 2011
  147. Professional journey Patient journey Journey of life Institution journey ©lucienengelen 2011
  148. Professional journey Patient journey Journey of life Institution journey ©lucienengelen 2011
  149. fór Innovationshift ©lucienengelen 2011
  150. fór Innovationshift ©lucienengelen 2011
  151. fór Innovationshift co-create Patients Included PatientsIncludedisaTrademarkoftheREshape&InnovationCenter ™ ©lucienengelen 2011
  152. fór by Innovationshift co-create Patients Included PatientsIncludedisaTrademarkoftheREshape&InnovationCenter ™ ©lucienengelen 2011
  153. fór by Innovationshift co-create Patients Included PatientsIncludedisaTrademarkoftheREshape&InnovationCenter ™ ©lucienengelen 2011 HumanCenteredDesign
  154. TheInnovationBulb @lucienengelen2017 “Theendofthebeginning” image bulb: pawnile.deviantart.com ©lucienengelen 2017 The End of the beginning
  155. The will TheInnovationBulb @lucienengelen2017 “Theendofthebeginning” image bulb: pawnile.deviantart.com ©lucienengelen 2017 The End of the beginning
  156. The need The will TheInnovationBulb @lucienengelen2017 “Theendofthebeginning” image bulb: pawnile.deviantart.com ©lucienengelen 2017 The End of the beginning
  157. Leadership The need The will TheInnovationBulb @lucienengelen2017 “Theendofthebeginning” image bulb: pawnile.deviantart.com ©lucienengelen 2017 The End of the beginning
  158. Strategy Leadership The need The will TheInnovationBulb @lucienengelen2017 “Theendofthebeginning” image bulb: pawnile.deviantart.com ©lucienengelen 2017 The End of the beginning
  159. Processes & Technology Strategy Leadership The need The will TheInnovationBulb @lucienengelen2017 “Theendofthebeginning” image bulb: pawnile.deviantart.com ©lucienengelen 2017 The End of the beginning
  160. Processes & Technology Strategy Culture Leadership The need The will TheInnovationBulb @lucienengelen2017 “Theendofthebeginning” image bulb: pawnile.deviantart.com ©lucienengelen 2017 The End of the beginning
  161. Processes & Technology Strategy Culture Leadership The need The will TheInnovationBulb @lucienengelen2017 “Theendofthebeginning” image bulb: pawnile.deviantart.com ©lucienengelen 2017 The End of the beginning
  162. Processes & Technology Strategy Culture Leadership The need The will TheInnovationBulb @lucienengelen2017 “Theendofthebeginning” image bulb: pawnile.deviantart.com Demolition-team ©lucienengelen 2017 The End of the beginning
  163. ©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
  164. ©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
  165. 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
  166. 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
  167. ©lucienengelen Nicolai Copernicus 1500
  168. ©lucienengelen Nicolai Copernicus 1500
  169. ©lucienengelen Health(care)’s Copernican moment Nicolai Copernicus 1500
  170. ©lucienengelen Professional Patient Health(care)’s Copernican moment Nicolai Copernicus 1500
  171. ©lucienengelen Professional Patient Patient Professional Health(care)’s Copernican moment Nicolai Copernicus 1500
  172. 90 Someone already IS looking from the egde
  173. ©lucienengelen
  174. ©lucienengelen
  175. Delocalized ©lucienengelen
  176. Delocalized Democratized ©lucienengelen
  177. Delocalized Democratized Digital ©lucienengelen
  178. Delocalized Democratized Digital Dollars ©lucienengelen
  179. 92 I wish you all a soft landing into the future
  180. 92 I wish you all a soft landing into the future
  181. 93 I wish you all a soft landing into the future
  182. ©lucienengelen ©lucienengelen
  183. ©lucienengelen ©lucienengelen
  184. www.lucienengelen.com/book REVISED REVISED
  185. @lucienengelen 823.214 followers

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