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denial & neglect

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As software is eating the world, a digital strategy is needed.

Implementing will take you 5 years, so welcome to 2012 …

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As software is eating the world, a digital strategy is needed.

Implementing will take you 5 years, so welcome to 2012 …

©lucienengelen

©lucienengelen

©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

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The end of screens, laptops

and phones

iGlass

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On IntensivCurrent Vitals : Lucien Engelen

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©lucienengelen

Life 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

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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

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Diabetes type 1one app for all

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app Diabetes type 1 (preliminary results)HbA1c bit lower, less worries, no increase hypo’s, more insights bolus calculator, more education needed

Wireless earbuds Dash

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Wireless earbuds Dash

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Wireless earbuds Dash

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Wireless earbuds Dash

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integrated not separated!

integrate not adding to !

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How Apple just became an Academic Medical Center

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700 Million research devices 18.000 inclusions in 48h

How Apple just became an Academic Medical Center

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REachREach

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©lucienengelen

New paradigms ?

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New paradigms ?

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New paradigms ?

When is free will, no longer a free will?

Proof of concept Medication status

in blockchain with acces via bankcard

and randomreader token

Booth Deloitte demo

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ACTUALLY DEFINES MULTIPLE DEVELOPMENTS IN HEALTHCARE THAT TAKE TIME

‘DR WATSON’

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AI (Artifficial Intelligence)

• 1 system based on rules • a system that predicts everything • containing info about all the cancers of the world • a system that replaces the professional • useable by the patient • working the Same as google (paris Hilton) • a system that works out of the box in 1 day

WHAT ‘DR WATSON’ IS NOT

source Nicky Hekster IBM Watson Health

BUT IT IS A GREAT PROMISE FOR IMPROVING HEALTH(CARE) WITH GREAT USE CASES

Healthcare will become a software branch.

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Healthcare will become a software branch.

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©lucienengelen

©lucienengelen

Radboudumc VirtualTelemedicine & Telehealthcenter

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Reference Center remote monitoringNW European region

implementation order

Radboudumc VirtualTelemedicine & Telehealthcenter

©lucienengelen

Reference Center remote monitoringNW European region

implementation order

Radboudumc VirtualTelemedicine & Telehealthcenter

©lucienengelen

Reference Center remote monitoringNW European region

implementation order

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ultrasound

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ultrasound

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Avatars & Humanoids

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Avatars & Humanoids

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Avatars & Humanoids

©lucienengelen©lucienengelen

Avatars & Humanoids

©lucienengelen©lucienengelen

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©lucienengelen

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‘insideables’

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Neural ‘dust’ UC Berkley

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Neural ‘dust’ UC Berkley

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Neural ‘dust’ UC Berkley

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Neural ‘dust’ UC Berkley

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Neural ‘dust’ ‘Insidables’UC Berkley

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©lucienengelen

Center of reference for remote monitoring

Center of reference for AI & Data Analytics

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Center of reference for remote monitoring

Center of reference for AI & Data Analytics

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See the pattern here?

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©lucienengelen

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Video conferencing reimbursed in the NL

5 % of outpatient visits

200 parking lots a day

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Video conferencing reimbursed in the NL

5 % of outpatient visits

200 parking lots a day

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from ‘Hospital’ to ‘Home’

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from ‘Hospital’ to ‘Home’

from ‘Hospital’ to ‘Phone’

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©lucienengelen

©lucienengelen

©lucienengelen

Food, electronics, errands … pharmacy ?

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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Everywhere Home Hospital Doctor

where good healthcare in 10 years will be delivered :

conference: ‘get into the future’ TMG / SingularityU

©lucienengelen

Everywhere Home Hospital Doctor

where good healthcare in 10 years will be delivered :

conference: ‘get into the future’ TMG / SingularityU

©lucienengelen

Everywhere Home Hospital Doctor

where good healthcare in 10 years will be delivered :

conference: ‘get into the future’ TMG / SingularityU

©lucienengelen

Everyone, always, everywhere connected

©lucienengelen

People of age 65 and older 2000-2050

Source US Census Bureau©lucienengelen

People of age 65 and older 2000-2050

over 65 over 85

Source US Census Bureau©lucienengelen

©lucienengelen

using technology

1st wave

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using technology

2nd wave Obesity, Diabetes, Mental health issues

living in technology

1st wave

Photo courtesy of Christian Lüthen

©lucienengelen

©lucienengelen

©lucienengelen

exponential in 3 tweets

©lucienengelen

©lucienengelen

the end of

banking..

©lucienengelen

all Change

Is Tough

©lucienengelen

©lucienengelen

“Don’t use old maps…

…To explore a New World”Albert Einstein

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©lucienengelen

Allistair Croll

Scale comes from process, IP, org chart, standardization, capitalization.

All of these assume thefuture will be like the past, only more so.

awaken i n g

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awaken i n g

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Digital first, physical next

©lucienengelen

Digital first, physical next

©lucienengelen

•15.000 colleagues •1000 beds •ambition to ‚close’ 500 •Significant impact on health(care) •$1 billion revenue •First Academic Center outside the USA EPIC •Digital first, physical next

•15.000 colleagues •1000 beds •ambition to ‚close’ 500 •Significant impact on health(care) •$1 billion revenue •First Academic Center outside the USA EPIC •Digital first, physical next

Digital strategy is not translating what you do now digitally.

It is completely rethinking your model groundsup

©lucienengelen

Digital strategy is not translating what you do now digitally.

It is completely rethinking your model groundsup

©lucienengelen

Health(care) is now Global!

©lucienengelen

“be curious” ©lucienengelen

©lucienengelen

assignment REshape Center

Convergence Technology & Patient Empowerment

To scout, explore, research and advocate (the use of) new exponential growing technology in a disruptive era, to design a more participatory

and sustainable health(care) system, with a global perspective.

Explore the World Create solutions Share & discuss

©lucienengelen0 to 1 0,8 to 1,2 1 to 100

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©lucienengelen0 to 1 0,8 to 1,2 1 to 100

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offic

e of d

esign

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exponential in 3 tweets

©lucienengelen

Concept to prototype

Ideas from: Patients HCP &

Network

patients primary care Information- Management

health insurance Industry

other institutions

Innovations with significant impact on health(care)

Implement

MOC : on hold or terminated

Test and Evaluate

Chance of success

Idea to concept sharing

(MoC)

(MoC)

(MoC)(MoC)

Innovation Radboud university medical network

©lucienengelen0 to 1 0,8 to 1,2 1 to 100

75

“dare to fail”

©lucienengelen

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we are here

©lucienengelen

©lucienengelen

“be curious” ©lucienengelen

©lucienengelen

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Reshape center for european healthcare design

Novartis Patient Academy

Patient journey

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Reshape center for european healthcare design

Novartis Patient Academy

Patient journey

Institution journey

©lucienengelen

Reshape center for european healthcare design

Novartis Patient Academy

Professional journey

Patient journey

Institution journey

©lucienengelen

Reshape center for european healthcare design

Novartis Patient Academy

Professional journey

Patient journey

Life journey

Institution journey

fór wíth by

Innovation shift PatientsIncluded

Patie

nts

Incl

uded

is a

Tra

dem

ark

of t

he R

Esha

pe &

Inno

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ente

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©lucienengelen

fór wíth by

Innovation shift PatientsIncluded

Patie

nts

Incl

uded

is a

Tra

dem

ark

of t

he R

Esha

pe &

Inno

vatio

n C

ente

r

™

©lucienengelen

©lucienengelen

Reshape center for european healthcare design

Novartis Patient Academy

5.000.000 patients

Owning your own

(health)data should be a constitutional right

©lucienengelen

@lucienengelen 2017

“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

©lucienengelen

Government no standard

no money!

©lucienengelen

e-health m-health i-health

e-health : healthcare practice supported by electronic processes and communication (Wikipedia) m-health : practice of medicine and public health supported by mobile devices (Wikipedia)

i-health : practice of medicine and public health supported by (artificial) intelligence, deep & machine learning. (Lucien Engelen 2016)

©lucienengelen

e-health m-health i-health

e-health : healthcare practice supported by electronic processes and communication (Wikipedia) m-health : practice of medicine and public health supported by mobile devices (Wikipedia)

i-health : practice of medicine and public health supported by (artificial) intelligence, deep & machine learning. (Lucien Engelen 2016)

©lucienengelen

digital health(care)

e-health m-health i-health

e-health : healthcare practice supported by electronic processes and communication (Wikipedia) m-health : practice of medicine and public health supported by mobile devices (Wikipedia)

i-health : practice of medicine and public health supported by (artificial) intelligence, deep & machine learning. (Lucien Engelen 2016)

if not embedded in regular process

e-health will always be corpus alineum©lucienengelen

if not embedded in regular process

e-health will always be corpus alineum©lucienengelen

©lucienengelen

©lucienengelen

Ceo Bernard tyson

270.000 employees 11.000.000 members 52% e-visits 2015

Papers per year in Pubmed

0

750

1500

2250

3000

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

pubmed - eHealth pubmed - mHealth OR "mobile health" pubmed - digital health

Tom

vd

Belt

& Lu

cien

Eng

elen

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©lucienengelen

©lucienengelen

94

94

the Power of the human touch

Experience Driven Health(care)

©lucienengelen

Evidence based

Experience Driven Health(care)

©lucienengelen

Evidence based

©lucienengelen

Delocalized

©lucienengelen

DelocalizedDemocratized

©lucienengelen

DelocalizedDemocratized

digital

©lucienengelen

DelocalizedDemocratized

digitaldollars

©lucienengelen

©lucienengelen

it is not the most intellectual of the species that survives; it is not the strongest that survives; but the one that is able best to adapt and adjust to the changing environment in which it finds itself.

Charles Darwin (1809-1882)

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denial & neglect

©lucienengelen

©lucienengelen

©lucienengelen

©lucienengelen

©lucienengelen

@lucienengelen

676,312 followers

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