8-5-2018

3. ©lucienengelen

4. ©lucienengelen
Meet my future colleagues
Pierre, Chu, Isabelle, Nadia & Timmy

9. ©lucienengelen

10. ©lucienengelen

11. ©lucienengelen
Sir Luke Fildes. The Doctor. exhibited 1891

12. ©lucienengelen

13. ©lucienengelen

14. ©lucienengelen

15. ©lucienengelen

16. ©lucienengelen

17. ©lucienengelen

18. ©lucienengelen

19. ©lucienengelen

20. ©lucienengelen

21. Photo courtesy of Christian Lüthen

23. ©lucienengelen

30. ©lucienengelen

31. ©lucienengelen

32. ©lucienengelen

33. ©lucienengelen

34. ©lucienengelen

35. ©lucienengelen

36. ©lucienengelen

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38. ©lucienengelen

39. ©lucienengelen

40. ©lucienengelen

41. ©lucienengelen

42. ©lucienengelen
FDA
APPROVED

43. ©lucienengelen

44. ©lucienengelen

45. ©lucienengelen
ultrasound

46. ©lucienengelen
ultrasound

47. Science fiction
Is now becoming
Science
©lucienengelen 2017 The End of the beginning

48. Everyone, always, everywhere connected
©lucienengelen

51. ©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

52. ©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

53. ©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

54. ©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
Next up : H.A.A.S.
Health(care) as a service

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

56. ©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”

57. ©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”

58. 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

59. 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

60. technology evolves faster than ever before

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

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

63. -70%
Source REshape Center 2014
The delocalization of health(care)
©lucienengelen

64. ©lucienengelen

65. from ‘Hospital’ to ‘Home’
©lucienengelen

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

67. ©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

68. Amara's Law

69. Healthcare will become a software branch.
©lucienengelen

70. Healthcare will become a software branch.
©lucienengelen

71. Healthcare will become a software branch.
©lucienengelen
Healthcare HAS become a software branch.

72. ©lucienengelen

73. ©lucienengelen

74. Radboudumc Virtual
Telemedicine & Telehealthcenter
©lucienengelen
Reference Center remote monitoring
NW European region
implementation
order

75. Radboudumc Virtual
Telemedicine & Telehealthcenter
©lucienengelen
Reference Center remote monitoring
NW European region
implementation
order

76. Radboudumc Virtual
Telemedicine & Telehealthcenter
©lucienengelen
Reference Center remote monitoring
NW European region
implementation
order

77. ©lucienengelen

78. ©lucienengelen
Cure & Care ánd prevention need to be addressed

79. ©lucienengelen
Approx. 50%
Cure & Care ánd prevention need to be addressed

80. ©lucienengelen
Cure & Care ánd prevention need to be addressed

81. Why
innovate?

82. Why
innovate?

84. from a caddy
for the few
To a caddy
for all

85. from a caddy
for the few
To a caddy
for all

88. ©lucienengelen

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

90. ©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

91. “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

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

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

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

95. ©lucienengelen

96. ©lucienengelen

97. Delocalized
©lucienengelen

98. Delocalized
Democratized
©lucienengelen

99. Delocalized
Democratized
Digital
©lucienengelen

100. Delocalized
Democratized
Digital
Dollars
©lucienengelen

101. May 2018, Barcelone Spain

102. May 2018, Barcelone Spain

103. © stormlapse.com
4 forces destabilising the status quo

104. © stormlapse.com
4 forces destabilising the status quo

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

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

107. © stormlapse.com
Unsustainability
(Radical)
Consumer
Awakening
I IIITechnology
(now) available
II
4 forces destabilising the status quo

108. © stormlapse.com
Unsustainability
(Radical)
Consumer
Awakening
I III IVTechnology
(now) available
II
Societal change
(incremental ?)
4 forces destabilising the status quo

109. ©lucienengelen
“Don’t use old maps…

110. …To explore a New World”
Albert Einstein
©lucienengelen

111. 450 Freshmen in new curriculum ‘15
E-health - Social Media - Innovation with patients - Flipped classroom - BYOP

112. “be curious” ©lucienengelen
Powered by:

115. Where are you?

116. Where are you?

117. 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

118. 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

119. ©lucienengelen

120. ©lucienengelen

121. Initiatied by REshape Center Radboudumc
Initiator

123. “We’ll go From ‘e’ to ‘i’ to ‘x’ eventually
@lucienengelen 2016

124. ©lucienengelen

125. ©lucienengelen
We laughed…

126. ©lucienengelen
…6 months later …

127. ©lucienengelen

128. ©lucienengelen
…now they do.

129. ©lucienengelen
Uber yourself Before you get kodaked
1996
140.000 employees
$28 Billion

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

131. ©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

132. 67 ©lucienengelen

133. 67
the Power of the human touch
©lucienengelen

134. ©lucienengelen
©lucienengelen

135. ©lucienengelen
©lucienengelen

136. @lucienengelen
761.214 followers