@lucienengelen
@lucienengelen
S I N G U L A R I T Y U N I V E R S I T Y & R A D B O U D U M C R E S H A P E C E N T E R
REshape trip Exponential Medicine
Class of ‘16
S I N G U L A R I T Y U N I V E R S I T Y & R A D B O U D U M C R E S H A P E C E N T E R
REshape trip Exponential Medicine
Class of ‘16
Why is healthcare still
using sticks to make fire,



While new technology
is broadly adopted elsewhere?
Why is healthcare still
using sticks to make fire,



While new technology
is broadly adopted elsewhere?
Everyone, always, everywhere connected
Question

Bloodpressure
Question

Bloodpressure
Question

Video conference
Question

Video conference
Question

Urine-Analysis
Question

Urine-Analysis
OnIntensiv
Current Vitals : Lucien Engelen
Remote Physiotherapy Tesla
Wireless earbuds Dash
Wireless earbuds Dash
Wireless earbuds Dash
Wireless earbuds Dash
$10 Million
Neural ‘dust’ UC Berkley
Neural ‘dust’ UC Berkley
Neural ‘dust’ UC Berkley
Neural ‘dust’ UC Berkley
Neural ‘dust’ ‘Insidables’UC Berkley
See the Pattern ?
from ‘Hospital’ to ‘Home’
from ‘Hospital’ to ‘Home’
from ‘Hospital’ to ‘Phone’
Source REshape Center
The delocalization of health(care)
- 70%
Source REshape Center
The delocalization of health(care)
- 70%
Source REshape Center
The delocalization of health(care)
People of age 65 and older 2000-2050
Source US Census Bureau
People of age 65 and older 2000-2050
over 65 over 85
Source US Census Bureau
Things have changed the world more than politics.
Martin van Rijn, State-secretary for Health, NL
“ “
Politics in 2016
Politics in 2016
“Technology is the hype, the change will be permanent”
@lucienengelen
Innovation Neglect
time
performance
0
Lucien Engelen 2011
Innovation Neglect
time
performance
0
Lucien Engelen 2011
Innovation Neglect
time
performance
0
Lucien Engelen 2011
pre-gap
Innovation Neglect
time
performance
0
Lucien Engelen 2011
pre-gap
Innovation Neglect
time
performance
0
Lucien Engelen 2011
pre-gap
post-gap
We should approach
healthcare innovation
like pharma
development
We should approach
healthcare innovation
like pharma
development
Delocalisation :

• solution shops
• train stations
• supermarkets (US)
Delocalisation :

• solution shops
• train stations
• supermarkets (US)
• “gas’-stations
Impact
• Will come as a tsunami instead of small waves
• Innovations will accumulate
• is a System innovation as opposed to product innovation
• Entrepreneurship & Agility
• No more big fish eat small fish, but fast fish will eat slow fish
(Ex. Schwaab WEF)
Patients
&
Technology
5th Democratization
Patients
&
Technology
5th Democratization
Patients
&
Technology
5th Democratization
Predictive
Analytics
Predictive
Analytics
“for the first time ever in history,
we will be present when a person gets sick,
professionals will subscribe to patients’ data,
the middle-man will become disrupted “
@lucienengelen
How get to the shore
Show & tell possibilities

Increase validation with research

Experiment & fail fast and a lot

Rebalance privacy & comfort

Rethink model based on opportunities

How get to the shore
Show & tell possibilities

Increase validation with research

Experiment & fail fast and a lot

Rebalance privacy & comfort

Rethink model based on opportunities

• Use every day technology phones & wearables
• Make health(care) location independent
• Expect exponential growth in data
• Share data with peers & for research
• Free up resources for those in need
• Use every day technology phones & wearables
• Make health(care) location independent
• Expect exponential growth in data
• Share data with peers & for research
• Free up resources for those in need
“be curious”
4th time 45 people to #Xmed
S I N G U L A R I T Y U N I V E R S I T Y & R A D B O U D U M C R E S H A P E C E N T E R
44“be a pirate”
fór
Innovation shift
fór
Innovation shift
fór wíth
Innovation shift Patients
Included
PatientsIncludedisaTrademarkoftheREshape&InnovationCenter
™
fór wíth by
Innovation shift Patients
Included
PatientsIncludedisaTrademarkoftheREshape&InnovationCenter
™
Patients
Included
PatientsIncludedisaTrademarkoftheREshape&InnovationCenter
™
Patients
Included
PatientsIncludedisaTrademarkoftheREshape&InnovationCenter
™
Entrepeneurial
should become 

entrepe-nurse-ial
(coined by Shawna Butler)
Patients
Included
PatientsIncludedisaTrademarkoftheREshape&InnovationCenter
™
01010010 01100101 01110011
01101000 01100001 01110000
01100101
0 1
“creating something out of nothing”
48
“dare to fail”
Concept to prototype
Ideas from:
Patients HCP &
Network
patients
primary care
health insurance
commercial sector
other hospitals
Innovations with
significant impact
on health(care)
Implement
on hold or
terminated
Test and Evaluate
Chance of success
Idea to concept
sharing
(MoC)
(MoC)
(MoC)
(MoC)
Innovation Radboud university medical network
01101110 01101111 01110100
00100000 01010010 01100101
01110011 01101000 01100001
01110000 011001011 100
“from something to scale”
450 Freshmen @ new curriculum ‘15
E-health - Social Media - Innovation with patients - Flipped classroom - BYOP
450 Freshmen @ new curriculum ‘15
E-health - Social Media - Innovation with patients - Flipped classroom - BYOP
Digital first, physical next
Digital first, physical next
Professionals will subscribe to patients’ data
Digital first, physical next
We all can help, by asking our doctor or nurse for other options.
Professionals will subscribe to patients’ data
Digital first, physical next
We all can help, by asking our doctor or nurse for other options.
Professionals will subscribe to patients’ data
2015 : all paperless hospital


1 out of the 3 in Europe
2015 : all paperless hospital


1 out of the 3 in Europe
2016 : now next steps…
setting stage
combining effort
do stuff once
as of Sept 1st
controlled enrollment
as of Sept 1st
controlled enrollment
as of Sept 1st
controlled enrollment
integrate not adding to !
REach
REach
REach
REach
FDA/CE cleared devices
now going mainstream
FDA/CE cleared devices
now going mainstream
FDA/CE cleared devices
now going mainstream
connected devices
Scale, BP, Pulse-Oxy,
Temperature and pre config. tablet
FDA/CE cleared devices
now going mainstream
directly into EMR for
ALL patients
connected devices
Scale, BP, Pulse-Oxy,
Temperature and pre config. tablet
FDA/CE cleared devices
now going mainstream
directly into EMR for
ALL patients
connected devices
Scale, BP, Pulse-Oxy,
Temperature and pre config. tablet
Proof of concept
Medication status
in blockchain with acces
via bankcard
and randomreader token
Booth Deloitte demo
Healthcare will become a software branche.
Healthcare will become a software branche.
Healthcare will become a software branche.
Telemedicine & Telehealthcenter
Telemedicine & Telehealthcenter
Telemedicine & Telehealthcenter
Health(care) is now Global!
Health(care) is now Global!5 Billion people coming online
Health(care) is now Global!5 Billion people coming online
“First they ignore you, then they laugh at you, then they fight you, then you win…”
Mahatma Ghandi
@lucienengelen
641.324 followers

Xmed 2016