13-11-2019

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In the comfort of your livingroom

3. Photo courtesy of Christian Lüthen
Radboud University
Medical center
Founding Director
REshape Center
until 31/12/18
Edge Fellow
Center for the Edge/
Global Strategist
Digital Health
as of 1/1/2019
Core Faculty
Exponential Medicine
Singularity University
SiliconValley
as of 2011

4. Part of inaugural group
@Washington Post
Part of 100 initial
Linkedin Influencer
825.000+ followers
Blog of own company
www.transform.health

5. © 2019 Deloitte The Netherlands
Identifying the edge(s) of an organisation, by putting topics on the agenda of the CEO that are not there yet, but should be.
Next bringing tomorrows problems & opportunities to today, to execute on the identified edge.
The Edge Fellow Program of the Deloitte Center for the Edge.
The Edge Fellows program provides transformational support to Deloitte top clients with
a unique selection of visionaries who collaborate across disciplines to create positive
change across Europe and Globally.
We believe that with the subject matter expertise of
Edge Fellows and execution power of Deloitte, we can create
a positive change at our clients.
Constantijn
van Oranje-Nassau
Lucien Engelen Thomas Rau
Marieke Bax Aimee van Wynsberghe
The Edge Fellows
(work in progress)

6. Slides will
be available

7. The solution for the future of healthcare = health
We need to find a segway from healthcare > health with the
use of technology, education, and partnering cross industry to
increase prevention and self empowerment.
With doubling healthcare demand, shortage of skilled personnel,
increasing burn-out rates, decreasing budgets and patients becoming
empowered, there is no way this is sustainable.
Healthcare will implode!
©lucienengelen 2019

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HEALTHCARE

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HEALTH

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‘personalized’ Health
Value Based HEALTH

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14. Also our future workforce

15. Also our future workforce

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Live vitals in clinical patients
From three times daily to
24/7 continuous monitoring
… when they need to be
Continuous & Proactive
Health data now
Live vitals of patients Triple A
Anytime,Anywhere,Always
Spot-measurement

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5

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Alivecor
Patiënt:: Lucien Engelen, 02-07-1962 (57jaar)
Geregistreerd: woensdag 6 november 2019 om 16:24:48
Hartfrequentie: 85 BPM
Duur: 30s
Directe analyse: Normaal
*Directe analyse wordt uitgevoerd bij afleiding I.
Standaardfilter, Netfrequentie: 60Hz Schaal: 25mm/s, 10mm/mV
(c) Copyright 2012-2018, AliveCor Inc, Kardia v5.7.2.1603, UUID: 135dbf35-cdd7-45da-917a-6cc0cd498c10 Pagina 1 van 4
I
II
III
aVR
aVL
aVF
Kardia

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VIOME

22. Source: Mobihealth News (2019)
Started 2015:
“AI-assisted medical system”
June 2019:
• 300M registered, 57M active monthly users
• 1,200 in-house docs; 5,200 outside docs
• 3K hospitals, 15K pharmacies
• 47K virtual clinics, 1.3K GP clinics, 1.2K dental
• 1.9K other institutions
• 1 hr drug delivery service >70 cities
• Subscription: $40-$100 Cdn / year
@ZaynaKhayat

23. ©lucienengelen
Otto Group,
Axel Springer,
Bitburger,
and Oetker

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New data segway?
Digitizing
Digital
Transition
Digital
Transformation
HISTORIC
DATA
RECENT
DATA
REAL
TIME
DATA
PREDICTALITICS PRESCRIPTALITICSSTATIC DATA

25. Healthcare will become a software branch?
©lucienengelen

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Healthcare will
become a
software branch.
has

27. 4CAST : ’remote’ monitoring

28. Virtual Institutions
Telemedicine & Telehealthcenter
©lucienengelen
implementation
order

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©lucienengelen

31. XR

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Time
Progress
Opportunity
GAP

33. Digital strategy is not translating
what you do now, digitally.
It is completely rethinking
your model grounds-up
©lucienengelen

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Digital Health
m-health e-health i-health

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• Teleconsultations becoming the norm
• Prescribing apps
• Validation boost
• Reimbursement
• Interoperability connected mandatory

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• Clear goal setting
• Monitoring
• Supporting pilots
• Standardisation
• Interoperability mandatory
• Show & tell

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• Pilots
• Validation boost
• Monitor progress
• Citizen portal
• Interoperability mandatory

39. fór wíth by
Innovation shift Patients
Included
PatientsIncludedisaTrademarkoftheREshape&InnovationCenter
™
©lucienengelen

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41. From patients’ perspective: Healthcare is 80% blunt logistics
©lucienengelen

42. from ‘Hospital’ to ‘Home’
from ‘Hospital’ to ‘Phone’
©lucienengelen

43. The Innovation Imperative: 3 Forces
(Radical)
Unsustainability
Consumer
Awakening
Technology
(now) available
I
II III
Are we ready ?

44. 10.000 ft of primary care, laboratory tests, X-rays and
diagnostics, counseling, dental, optical, hearing,
health insurance information and community health education
©lucienengelen

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Health(care)
When people talk
about us when
we’re not at the table :
we are on the menu

49. We need to find a segway from healthcare > health with the
use of technology, education, and partnering cross industry to
increase prevention and self empowerment.
©lucienengelen 2019

50. Processes & Technology
Strategy
Culture
Leadership
The need
The will ©lucienengelen 2017
The End of the beginning
image bulb: pawnile.deviantart.com
Demolition-team

51. Redefining strategy in times that defies prediction
ZOOM-OUT / ZOOM-IN STRATEGY
Consider
What will the market likely look
like and what role will you play to
fulfil unmet customer needs
10+
YEARS
Address the next
Which 2 to 3 business initiatives
will have greatest potential to
accelerate movement
6-12
MONTHS
Zoom inZoom out
Diverge Converge
Envision
the future
① Envision
Focus on what will
be required for
success
Define
high-impact
initiatives
Mobilise resources
to take action
② Focus ③ Define ④ Mobilise
Our approach Delivered in 4 labs

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Scout / Concept
Vision / Design
Enroll Scale
Radboudumc Labs
Spinn-out
Business model
MOC’s
Moments of Choice
Demand driven
relates to strategy
REshape iLAB PVI
Example of structure innovation funnel

53. Concept to prototype
Ideas from:
Patients, HCP &
Network
Innovations with
significant impact
on health(care)
Implement
Moment of Choice :
pursuit, on hold or terminated
Test and Evaluate
Chance of success
Idea to concept
(MoC)
(MoC)
(MoC)
(MoC)
©lucienengelen
iLab Scaling (PVI)REshape Center
iBoard
Chair Board Radboudumc

55. Top down & Bottom-up©graphic : allofnature.blogspot.nl/

56. Top down & Bottom-up©graphic : allofnature.blogspot.nl/

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• From hardware to software
• From quality to experience
(as Q is no discriminator anymore)
• From silo to network (mobilizing)
• From centralised to distributed
• From eGo to eCo approach
part of a platform economy
• From ’proposition’ to co-creation
• New players
Shift is happening…
©lucienengelen

58. Delocalized
Democratized
Digital
Dollars
©lucienengelen

59. www.lucienengelen.com/book/shop

60. What is YOUR edge?

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Wishing you all a soft landing into the future

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©lucienengelen

63. @lucienengelen
831.214 followers