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Radboud University Medical center
Founding Director REshape Center
until 31/12/18
Deloitte Center for the Edge
Edge Fellow (digital) Health(care)
as of 1/1/2019
Laurentius Medical Center
Strategist to Executive Board
as of 1/4/2021
MedicalCenter
Centersfor Health
Vodafone Centers for Health
Fellow
as of 1/11/2022
Global Keynote Speaker
125+ per year
as of 1/1/2010
© 2019 Deloitte The Netherlands
© 2019 Deloitte The Netherlands
Challenges
Speed
Choice
© 2019 Deloitte The Netherlands
Information
© 2019 Deloitte The Netherlands
© 2019 Deloitte The Netherlands
With doubling healthcare demand, shortage of skilled personnel,
increasing burn-out rates, decreasing budgets, and patients
becoming empowered, there is no way this is sustainable.
©lucienengelen 2017
Healthcare will implode!
© 2019 Deloitte The Netherlands
The perfect storm?
© 2019 Deloitte The Netherlands
Digital payments
© 2019 Deloitte The Netherlands
Digital Shopping
Digital Traveling
We have become a
DIGITAL
© 2019 Deloitte The Netherlands
Crossroads
© 2019 Deloitte The Netherlands
Digitisation
Digital strategy is not translating
what you do now, digitally.
It is completely rethinking
your model grounds-up
User-interface
User-experience
From patients’ perspective: Healthcare is 80% blunt logistics
© 2019 Deloitte The Netherlands
Travel & day off
Park
Wait…
https://digitaal.scp.nl/publiekvoorzien/curatieve-zorg/ziekenhuizen-en-medisch-specialisten/#groei-in-dienstverlening-door-loslaten-budgettering
FIRST-time outpatient visits
2015 :
Outpatient-visits 8,8M
Patient-movements 8.8 x 2 =17,6M
Mean distance nearest hospital ~5,3 km
Total 91MILLION KM /year
ONLY for 1st outpatient-visits
These are ~33% of all outpatient-visits
Downdrill CO2 in healthcare
0 9 - 0 5 - 2 0 2 2
©lucienengelen
Global internet coverage
Professional
Patient
Patient
Professional
Health(care)’s Copernican moment
Nicolai
Copernicus
1500
Sir Luke Fildes (1887)
Inspired by Shopping malls
Buildable
Moveable
Carriable
Wearable
‘Insideables’
Elliott 405 (1957)
$5 Raspberry Pi Zero (2015)
‘Honey, I shrunk the Kids’
from ‘Hospital’ to ‘Home’
from ‘Hospital’ to ‘Phone’
Life vitals in clinical patients
From three times daily to
24/7 continuous monitoring
Lean monitoring
While they need to be
Continuous & Proactive
Health data now
©lucienengelen
5
©lucienengelen
Patiënt:: Lucien Engelen, 02-07-1962 (57jaar)
Geregistreerd: woensdag 6 november 2019 om 16:24:48
Hartfrequentie: 85 BPM
Duur: 30s
Directe analyse: Normaal
*Directe analyse wordt uitgevoerd bij afleiding I.
Standaardfilter, Netfrequentie: 60Hz Schaal: 25mm/s, 10mm/mV
(c) Copyright 2012-2018, AliveCor Inc, Kardia v5.7.2.1603, UUID: 135dbf35-cdd7-45da-917a-6cc0cd498c10 Pagina 1 van 4
I
II
III
aVR
aVL
aVF
“for the first time ever in history,
we will be ‘present’ when a person gets sick”
@lucienengelen, 2015
Make it easy and fun…
Make it easy and fun…
Make it easy and fun…
©lucienengelen
Front door clinic
© 2019 Deloitte The Netherlands
Digital Humans
Front door clinic
©lucienengelen
10.000 ft of primary care, laboratory tests, radiology and
diagnostics, mental counseling, dental, optical, hearing, food advice,
health insurance information and community health education
©lucienengelen
The Innovation Imperative: 3 Forces
(Radical)
Unsustainability
Consumer
Awakening
Technology
(now) available
I
III II
Health(care) meets Retail
© 2019 Deloitte The Netherlands MedicalCenter
© 2019 Deloitte The Netherlands
Medical Care 90%
Where
health is
created
Drivers of health
Behaviour 9%
Other 1%
Access to care 6%
DNA Code
20%
Post Code
22%
Behaviour
37%
Interactions of above
- 15%
Source: NEHI Analytics (2013)
Where the
budget
goes
Future
of
Food
Future
of
Work
Future
of
Mobility
Future
of
Finance
Future
of
Retail
Future
of
Medicine
• Personalised
• Insight driven
• Biome-based
• Preventive
• Prescriptive
• Activity based
• Who
• What
• Where
• AI Impact
• More creative
• Gig-economy
• Flexible (care)
• Mental Health
• Safe housing
• Delocalise
• De-stress (valet)
• Exercise
• Flexible
• Predictive
• Shared assets
• Increase travel
distance
• Debt lowering
• Insight driven
• Education
• Preventive
• Affordable housing
• Consumerism
• Retailisation
• New players
• Online
• Insight driven
• Personalised
• Delocalise
• Democratize
• Digital
• Insight driven
• Prevention
• Prescriptive AI
Linking the Future of Health
• ©lucienengelen 2018
New opportunity?
Digital
Transition
REALTIME
DATA
REALTIME
DATA
Access to care 6%
DNA Code
20%
Post Code
22%
Behaviour
37%
Interactions of above
- 15%
Different receipt
Based on
personal profile,
activity & intake.
Opleiding tot drogist
niet helemaal
goed begrepen…?
Everyone, everywhere always connected
Years
Years to reach 100 Million people
Months!
Years!
Health(care)
When people talk
about us when
we’re not at the table:
We are on the menu.
Digitizing
Digital
Transition
Digital
Transformation
HISTORIC
DATA
RECENT
DATA
REALTIME
DATA
PREDICT
-ALITICS
PRESCRIPT
-ALITICS
STATIC DATA
New data pathway?
2035
Carve out Up to
30% Demand
Staffing
The new normal
Self if possible
At home if possible;
Digital if posible.
Dutch Parliament letter 2022
Link naar alternatief IZA
Delocalized
Democratized
Digital
Dollars
106
• Digitisation will drive change
• Retail is shifting gears, people (patients)
will expect better
• Past 7 years grounding digital health,
next will ground retail
• Innovation & technology are not the problem;
implementation & culture is!
• EMS = missing link
• AI models crucial for priority, triage and planning
Shift IS happening…
NextMed Health attracts action-oriented, smart, mission-driven leaders focused on exponential technologies and their potential to reshape and democratize healthcare. 42 Countries & 500 organizations were represented in
2019,JUST Before the pandemic took control of the world.
Clinicians & Researchers from across the biomedical and technology spectrum looking to understand global trends, disruptive technologies, and opportunities to dramatically improve health and outcomes.
Investors & Innovators looking to develop novel solutions and improve current approaches to address unmet needs
MedTech & BioPharma Executives who appreciate the competitive, regulatory and organizational realities of tech breakthroughs and the importance of leading their organization within disruptive environments
Philanthropists, Mavericks, & Catalysts who want a cutting-edge vantage point from which to impact how health is created, delivered and experienced.
Boardmembers and policymakers to sharpen their vision of the (near) future and the path how to get there,
To provide the highest dimension of interaction, attendance is by application, invitation and limited to 600 industry shapers making strong contributions in their fields.The takeaways include new insights, mindsets,
relationships, #How-to’s and collaborations that can transform one’s practice, business, research endeavor, industry and organization.
Our Future Health Forum Spring 2024
3 days on the future of our health. Packed with inspiration, actionable insight & learnings, connections, and challenges
in a bi-directional, unconventional, no-trade-show format, the whole system in the room at the heart of Europe.
Soon more info www.ourfuture.health and @ourfuturehealth
Nov ’22
Announcing
European
Conference
Q1 ’23
Location
&
Date
Q3 ’23
Speakers
&
Program
Q2 ’24
European
Conference
3 days on the future of our
health. Packed with
inspiration, actionable insights
& learnings, connections, and
challenges in a bi-directional,
unconventional, no-trade-show
format, the whole system in the
room at the heart of Europe.
Our Future Health Forum 2024
Processes & Technology
Strategy
CULTURE
Leadership
The need
The will
Demolition-team
©lucienengelen 2017 The End of the beginning
113
*The other 0,1% are mere accidents…
©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
Example of structure innovation funnel
Concept to prototype
Ideas from:
Patients, HCP &
Network
Innovations with
significant impact
on health(care)
Implement
Moment of Choice :
pursuit, 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
WE are the problem,
creating our own reality,
Our patients are way ahead of us.
Experience
Driven
Health(care)
©lucienengelen
Evidence based
©lucienengelen
817.214 followers
©lucienengelen

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