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Why
innovate
?
Why
innovate
?
©lucienengelen
©lucienengelen
Meet my future colleagues
Pierre, Chu, Isabelle, Nadia & Timmy
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
Radboud REshape & Innovation Center
©lucienengelen
Na jarenlange
voorspelling Nu
Meer en meer tastbaar
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
FDA
APPROVED
©lucienengelen
Home medication based on actual point of care readings
©lucienengelen
Home medication based on actual point of care readings
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
+
©lucienengelen
©lucienengelen
Forget ‘uberized’ health(care) will be ‘amazoned’. 

That journey is 80% logistics
©lucienengelen
©lucienengelen
Food, electronics, errands … pharmacy ?
Multi billion investments
©lucienengelen
May, 2017
©lucienengelen
Why Amazon
buys WholeFoods
July 16, 2017
©lucienengelen
Jan 30, 2018
Patients
&
Technology
5th Democratization by data
©lucienengelen
Patients
&
Technology
5th Democratization by data
©lucienengelen
Patients
&
Technology
5th Democratization by data
©lucienengelen
©lucienengelen
©lucienengelen
Amara's Law
Privacy is not something you add, but build on, by design
©lucienengelen
Building a digital twin
technology evolves faster than ever before
©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
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
from a caddy
for the few
To a caddy
for all
©lucienengelen
©lucienengelen
Have a seat lucien,
You’ll run
through
a heart attack
In 15 minutes from now.
©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
40
©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
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
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 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
©lucienengelen
©lucienengelen
©lucienengelen
using technology
1st wave
©lucienengelen
using technology
2nd wave
Obesitas, Diabetes, 

Mental health issues
living in technology
1st wave
©lucienengelen
©lucienengelen
Are we ready for 

yesterday or for tomorrow
©lucienengelen
The
Future
will
fool
you
©lucienengelen
The
Future
will
fool
you
©lucienengelen
The
Future
will
fool
you
©lucienengelen
The
Future
will
fool
you
Year
Years to reach 100
Million people
Year
Years to reach 100
Million people
Year
Years to reach 100
Million people
Months!year
©lucienengelen
©lucienengelen
©lucienengelen
Je moet niet
daar zijn waar
de bal is, 

maar daar
waar de bal
heen gaat!
where good healthcare in 10 years
will be delivered :
n=1600
©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
©lucienengelen
©lucienengelen
Delocalized
©lucienengelen
Delocalized
Democratized
©lucienengelen
Delocalized
Democratized
digital
©lucienengelen
Delocalized
Democratized
digital
dollars
©lucienengelen
© stormlapse.com
4 forces destabilising the status quo
© 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
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
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
©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!
450 Freshmen in new curriculum ‘15
E-health - Social Media - Innovation with patients - Flipped classroom - BYOP
“be curious” ©lucienengelen
Powered by:
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
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
©lucienengelen
We laughed…
©lucienengelen
…6 months later …
©lucienengelen
©lucienengelen
…now they do.
©lucienengelen
Uber yourself Before you get kodaked
1996
140.000 employees
$28 Billion
©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
©lucienengelen
©lucienengelen
©lucienengelen
Innovation
Autoimmune
Disorder
©lucienengelen
Innovation
Autoimmune
Disorder
©lucienengelen
r = f (nm)

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

r = internal resistance to new ideas
n = number of employees
m = number of management levels
@lucienengelen
721.214 followers
www.
©lucienengelen
©lucienengelen
Thomas Insel
Former NIH director, 

now Sillicon Valley entrepeneur :
‘Academic & Technology Company researcher
Should partner up’

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