SlideShare a Scribd company logo
Lucien Engelen
Radboudumc
Director REshape Center for Innovation
To have a significant impact on health(care)
Not me !
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
OnIntensiv
At
Current Vitals : Lucien Engelen @REshape
And
On wardIntensive
Buildable
Moveable
Carriable
Wearable
‘insideables’
It’s just getting started….
printing meds
2015 / 2016 : 8200
“for the first time ever in history,
we will be present when a person gets sick.
Professionals will subscribe to patients’ data"
@lucienengelen
M
E
D
- 70%
Innovation
time
performance
0
most demanding use
high quality use
medium quality use
low quality use
Clayton Christensen, Harvard
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
Neglect
time
performance
0
Lucien Engelen 2011
pre-gap
Neglect
time
performance
0
Lucien Engelen 2011
pre-gap
post-gap
Finding a new balance with the patient as partner
Time for change ?
image Mark McConnell
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
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 %
FaceTalk 2nd Gen.
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
+
Who you trust YOUR personal data ?
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
eCo-system
Time will change…
We need a Global reimbursement system
a THIS is your new backyard
sit back and relax … ?
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.
Research is about asking.
Crowdsourcing is co-creation.
“this will push into an era of Patient Owned Research (POR)”
@lucienengelen
New alliances
New alliances
New alliances
New alliances
New alliances
New alliances
4D
•Democratisation
•Delocalisation
•Digital
•Dollars
Paradigm shift is here already
It is yet not evenly distributed
Takes 7 - 17 years
2015, the tipping point of health(care).
2015, the tipping point of health(care).
2015, the tipping point of health(care).
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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Rapid response congres MET Amsterdam 2015