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  Hartjesberg2015
To have a significant impact on health care ?
How a 13 year old kid, inspired an Academic Medical Center start building a bridge!
Radboudumc
Director REshape Center for Innovation
To have a significant impact on health(care)
Lucien Engelen
Radboudumc
Director REshape Center for Innovation
To have a significant impact on health(care)
Lucien Engelen
Radboudumc
Director REshape Center for Innovation
To have a significant impact on health(care)
Not me !
•11.000 colleagues
•3000 students
•1000 beds
•ambition to ‚close’ 500
•Significant impact on health(care)
•$1 billion revenue
•First Academic Center outside US EPIC
•11.000 colleagues
•3000 students
•1000 beds
•ambition to ‚close’ 500
•Significant impact on health(care)
•$1 billion revenue
•First Academic Center outside US EPIC
•11.000 colleagues
•3000 students
•1000 beds
•ambition to ‚close’ 500
•Significant impact on health(care)
•$1 billion revenue
•First Academic Center outside US EPIC
foresight 5-10-25 years
Passion
approx. 500 BC
The Hippocratic oath
No mention of the role of the ‘patient’ or ‘patior’
Does mention the Godly powers of the doctor
To keep uninformed was common
Sir Luke Fildes 1887
Banking will be disrupted
❖ Since 2006
❖ after announcement IPO in 5 hour $800M
❖ At IPO net worth $8.9B
❖ in beween Google and Twitter
❖ this … is WE banking
Patients
&
Technology
Patients
&
Technology
Authority
Fluent
Local
Choices
Review
Choices
out of
habit
Technology as enabler
Choices
on
‘friends’
4th democratization
On wardIntensive
It’s just getting started….
‘insideables’
Buildable
Moveable
Carriable
Wearable
Dokter Gadget ?
It’s just getting started….
“for the first time ever in history,
we will be present when a person gets sick.
Professionals will subscribe to patients’ data"
@lucienengelen
2015 / 2016 : 8200
printing meds
Scotty beam me up !
M
E
D
- 70%
Innovation
time
performance
0
most demanding use
high quality use
medium quality use
low quality use
disruptive technology
Clayton Christensen, Harvard
Neglect
time
performance
0
Lucien Engelen 2011
pre-gap
post-gap
Finding a new balance with the patient as partner
17 - 10 - 5
Time for change ?
image Mark McConnell
REshape Healthcubator
short to market (6 months)
Patient as Partner

University Medical Center Program
REshape Healthcubator
short to market (6 months)
Patient as Partner

University Medical Center Program
fór wíth by
Innovation shift Patients
Included
PatientsIncludedisaTrademarkoftheREshape&InnovationCenter
™
DIY Health-hack
DIY Aorta mesh
Tal Golesworthy, suffers from Marfan
syndrome.
Invented mesh aortic, that got placed by
surgeons
The real patient engagement
complaint or
mismatch
giving
information
listening &
responding
consulting &
advising
experienced based
CO-design
Bate & Roberts, 2006
There is a lot of doctor-talk
going on…. but
Don’t forget the (impact) on
nursing
WE are the problem,

creating our own reality,
Our patients are way ahead of us.
everyone, everywhere, always connected
already 70% follow-up
NL in 5 years 100 %
Snel weer ouderwets…
PHR COMMUNITY
E-HEALTH
eCo-system needed
Flipping the coin
via HC IT systems Via the ónly constante in

healthcare: The patient
+
7 weeks after 1st cup of coffee
Modules
COPD / CHF
Hypertension
Diabetes 1 & 2
Parkinsons
Pregnancy monitoring @risk
Pre and post operative
Early stroke
CML
Who you trust YOUR personal data ?
eCo-system
5. Extension
(other disorders internationally)1. Networks of experts
2. The patient as partner 4. Transparent quality control
3. Fee for outcome
Five	
  key	
  components
% patients with hip fracture
Bloem & Munneke, Br Med J 2014; 348: g1838
Regular care ParkinsonsNet care
sit back and relax … ?
Routine personal interactions will be surpassed by
algorhytms.
The professional in primary care will move to 

a position dominated online
The ‘every day’ pharmacist will only exist in the cloud, 

the rest in supermarket.
Top 10 health industry issues of 2015
# Top issue for 2015
1 Do-it-yourself healthcare
2 Making the leap from mobile app to medical device
3 Balancing privacy and convenience
4 High-cost patients spark cost-saving innovations
5 Putting a price on positive outcomes
6 Open everything to everyone
7 Getting to know the newly insured
8 Physician extenders see an expanded role in patient care
9 Redefining health and well-being for millennials
10 Partner to win
Top health industry issues of 2015
Slide 6
Time will change…
4D
•Democratisation
•Delocalisation
•Digital
•Dollars
New alliances
New alliances
700 Million research devices
18.000 inclusions in 48h
How Apple just became an Academic Medical Center
Research is about asking
Crowdsourcing is co-creation
a THIS is your new backyard
We need a Global reimbursement system
a THIS is your new backyard
The technology is the hype,
the change will be permanent!
Paradigm shift is here already
It is yet not evenly distributed
Takes 7 - 17 years
2015, the tipping point of health(care).
So Health(care) is changing, massively!
Oppertunities to engage!
Are YOU going to take that chance and firestart?
@lucienengelen
573.388 followers

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