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Wat nou 

MASTER-dialogen?
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Photo courtesy of Christian Lüthen
Radboud University
Medical center
Founding Director
REshape Center
Global Strategist
Digital Health
Deloitte Center
for the Egde
Core Faculty
Exponential Medicine
Singularity University
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©lucienengelen©lucienengelen
What will happen with
all those gasstations ?
©lucienengelen©lucienengelen
What will happen with
all those gasstations ?
©lucienengelen©lucienengelen
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Driving
Prohibited
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End of
Drivers’ license
& gas stations
Driving
Prohibited
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End of
Drivers’ license
& gas stations
Driving
Prohibited
Digital strategy is not translating
what you do now,digitally.



It is completely rethinking 

your model grounds-up
©lucienengelen
Digital strategy is not translating
what you do now,digitally.



It is completely rethinking 

your model grounds-up
©lucienengelen
©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
©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
©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
©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
©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
Apps Eco-system Clinics
©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
Logistics and data center Brick & mortar Healthcaresystem
©lucienengelen
©lucienengelen
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FDA approved (for US only now)
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ultrasound
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ultrasound
Philips
apple
Ge
Verily (google)
Medtronic
Alibaba
Pharma
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Medical Observational
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from a caddy
for the few
To a caddy
for all
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from a caddy
for the few
To a caddy
for all
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©lucienengelen
©lucienengelen
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©lucienengelen
Have a seat lucien,
You’ll run
through
a heart attack
In 15 minutes
from now.
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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
©lucienengelen
Live 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
Live vitals of patients Triple A
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Healthcare will become a software branch.
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Healthcare will become a software branch.
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Healthcare will
become a
software branch.
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Healthcare will
become a
software branch.
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Healthcare will
become a
software branch.
has
Radboudumc Virtual
Telemedicine & Telehealthcenter
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Reference Center remote monitoring
NW European region
implementation
order
Radboudumc Virtual
Telemedicine & Telehealthcenter
©lucienengelen
Reference Center remote monitoring
NW European region
implementation
order
Radboudumc Virtual
Telemedicine & Telehealthcenter
©lucienengelen
Reference Center remote monitoring
NW European region
implementation
order
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
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
©lucienengelen
Nicolai
Copernicus
1500
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Nicolai
Copernicus
1500
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Health(care)’s Copernican moment
Nicolai
Copernicus
1500
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Professional
Patient
Health(care)’s Copernican moment
Nicolai
Copernicus
1500
©lucienengelen
Professional
Patient
Patient
Professional
Health(care)’s Copernican moment
Nicolai
Copernicus
1500
Source REshape Center 2014
The delocalization of health(care)
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-70%
Source REshape Center 2014
The delocalization of health(care)
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from ‘Hospital’ to ‘Home’
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from ‘Hospital’ to ‘Home’
from ‘Hospital’ to ‘Phone’
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Forget ‘uberized’ health(care) will be ‘amazoned’. 

That journey is 80% logistics
©lucienengelen
A userinterface
Is like a good joke
If you have to explain it,
It is not that good…
The Healthcare User Experience
(H-UX) is broken



And needs Social RE-calibration
©lucienengelen
The Healthcare User Experience
(H-UX) is broken



And needs Social RE-calibration
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Planet
health(care)
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Health(care)
When people talk
about us when
we’re not at the table :
we are on the menu
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What is Augmented Health(care)™
Life(style) Augmented CareAugmented Medicine
Data
Information & Visualisation
©lucienengelen
What is Augmented Health(care)™
Life(style) Augmented CareAugmented Medicine
Data
Information & Visualisation
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©lucienengelen
The
Future
will
fool
you
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The
Future
will
fool
you
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The
Future
will
fool
you
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The
Future
will
fool
you
©lucienengelen
History
proves
over and
over
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History
proves
over and
over
time
performance
0
@lucienengelen 2011
time
performance
0
pre-gap
@lucienengelen 2011
time
performance
0
pre-gap
@lucienengelen 2011
Travel
Media
Taxi
Banking
Retail
time
performance
0
pre-gap
post-gap
@lucienengelen 2011
Travel
Media
Taxi
Banking
Retail
time
performance
0
pre-gap
post-gap
@lucienengelen 2011
Travel
Media
Taxi
Banking
Retail
Health(care)
time
performance
0
pre-gap
post-gap
@lucienengelen 2011
Travel
Media
Taxi
Banking
Retail
Health(care)
So where are you?
Year Years to reach 100
Million people
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Year Years to reach 100
Million people
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Year Years to reach 100
Million people
Months!year
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The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning
The need
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning
Leadership
The need
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning
Strategy
Leadership
The need
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning
Processes & Technology
Strategy
Leadership
The need
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning
Processes & Technology
Strategy
Culture
Leadership
The need
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning
Processes & Technology
Strategy
Culture
Leadership
The need
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning
Processes & Technology
Strategy
Culture
Leadership
The need
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
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
©lucienengelen
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
Processes & TechnologyStrategy CultureLeadership
The need
The will
©lucienengelen
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
Processes & TechnologyStrategy CultureLeadership
The need
The will
©lucienengelen
Phase now is the same as start quality and safety thinking
Google Duplex Assistent
Playtime is óver!
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Delocalized
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Delocalized
Democratized
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Delocalized
Democratized
Digital
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Delocalized
Democratized
Digital
Dollars
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Johan Cruyff
©lucienengelen
Johan Cruyff
©lucienengelen
Soccer is easy :

You don’t have to be where
the ball is …

But where the ball 

is going to be …
Johan Cruyff
450 Freshmen in new curriculum ‘15
E-health - Social Media - Innovation with patients - Flipped classroom - BYOP
“be curious” ©lucienengelen
Powered by:
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as of Sept 1st
controlled enrollment
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as of Sept 1st
controlled enrollment
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as of Sept 1st
controlled enrollment
©lucienengelen
Initiatied by REshape Center Radboudumc
Initiator
• New players entering arena
• Empowering patients to 

increase prevention
• Unbundling logistical part HC
• Digital transformation
• In 15 years Health is biggest 

driver economy
www.lucienengelen.com/book
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@lucienengelen
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Masterdialogen AMC