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Not me !
!

Lucien Engelen (@lucienengelen)
!

•Director Radboud REshape & Innovation Center
•Head Regional Emergency Network
•Advisory to the Executive Committee
•Faculty Singularity University / FutureMed Silicon Valley
!

•NOT a doctor, but extremely IMpatient
•& a ‘bit’ of a rebel ;-)

360 and Above
•11.000 colleagues
•3000 students
•1000 beds
•ambition to close 500
•Significant impact on health(care)
•$1 billion revenue
•First Academic Centre outside US EPIC
2013
no
lo
gy

uality use
high q

di
sr

up

tiv
e

te

ch

performance

nding use
most dema

uality use
medium q
quality use
low

0
Clayton Christensen

time
Linear à

1996
Market cap of
$28B
Revenue ~$16B
Employees
140,000

Exponential

2012
April 9, 2012
Market cap < Facebook Acquires
$100M
Instagram for $1B
Revenue ~$6B
13 employees
Employees
17,000
Dorm Biotech

Garage Pharma

Garage Tech
REshape Labs

Demand driven 	

relates to strategy

Design

Implement

REshape

Spinn-out	

Business model

Scale

PVI

MOC’s	

Moments of Choice
New Information Layers
Internet of Things
Sensor Networks
Health Data
Quantified Self Data
Crowd Sourced Info
Location
HTML (text)

Video

Social Profiles
Exponentially
Faster
Smaller
Cheaper
Better
!

!
!
What if Watson proves
to be right 90%
!

and Physicians 50%?
Google’s health venture for eternity

CaLiCo
Californian Life Company
Grown up with a mouse

In 20 years majority of healthcare
consumers will have used a computer
for 40 years of their live and 



by then the internet as #1 source for
Health(care)
Lucien Engelen

but ...
the BIGGEST change will be
Patients!
HEALTH DATA

Patient care, measurements are mostly	

EPISODIC & REACTIVE …
HEALTH DATA

… when they need to be	

CONTINUOUS & PROACTIVE
ECG made by iPhone sleeve
Diamond Concept Device

Piezo-ceramic
Stethoscope
Electrocardiograph((
(ECG(Sensor(
Posi=ve(Electrode)(
Electrocardiograph((
(ECG(Sensor(
Nega=ve(Electrode)(
Photoplethysmograph(
(PPG(Sensor)(
60 mm

Infrared(Thermometer(
Slide 11
The ONLY constant in health(care) :

PATIENT
COMMUNITY

PHR

E-HEALTH
PHR

COMMUNITY

E-HEALTH
initiative of
e-health integration (i.e. for research)
Prototype CPR/AED Glass
47
“The	
  only	
  permanente	
  in	
  the	
  future	
  	
  	
  	
  	
  
	
  	
  will	
  be	
  :	
  change.	
  
	
  The	
  only	
  way	
  to	
  cope	
  with	
  that	
  
	
  	
  is	
  :	
  together”	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  @lucienengelen
€1699,€300,-
@lucienengelen

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Zorgbelang Zuid Holland