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Radboudumc 
Director REshape Center for Innovation 
To have a significant impact on health(care) 
360andAbove
Lucien Engelen 
Radboudumc 
Director REshape Center for Innovation 
To have a significant impact on health(care) 
360andAbove
Lucien Engelen 
Radboudumc 
Director REshape Center for Innovation 
To have a significant impact on health(care) 
360andAbove 
Not me !
This is us 
•11.000 colleagues 
•3000 students 
•1000 beds 
•ambition to ‚close’ 500 
•Significant impact on health(care) 
•40+ Dutch peeps overhere @xmed
This is us 
•11.000 colleagues 
•3000 students 
•1000 beds 
•ambition to ‚close’ 500 
•Significant impact on health(care) 
•40+ Dutch peeps overhere @xmed
Someone still is missing 
2010
Someone still is missing 
Patients 
Included 
2010 
™ 
Patients Included is a Trademark of the REshape & Innovation Center
Innovation shift 
fór
Innovation shift 
fór
fór wíth 
Innovation shift Patients 
Included 
™ 
Patients Included is a Trademark of the REshape & Innovation Center
fór wíth by 
Innovation shift Patients 
Included 
™ 
Patients Included is a Trademark of the REshape & Innovation Center
So, if you have developed a 
solution without targeted group 
incorporated from the start : 
Trash-it and start over again.
Patients 
Included 
Patients Included is a Trademark of the REshape & Innovation Center 
™ 
So, if you have developed a 
solution without targeted group 
incorporated from the start : 
Trash-it and start over again.
There is a lot of doctor-talk 
going on…. but 
Don’t forget the (impact) on 
nursing
There is a lot of doctor-talk 
going on…. but 
Don’t forget the (impact) on 
nursing
time 
Innovation 
performance 0 
Clayton Christensen, Harvard
time 
Innovation 
performance 0 
most demanding use 
high quality use 
medium quality use 
low quality use 
Clayton Christensen, Harvard
time 
Innovation 
performance 0 
most demanding use 
high quality use 
disruptive technology 
medium quality use 
low quality use 
Clayton Christensen, Harvard
Neglect 
time performance 0 
Lucien Engelen 2011
Neglect 
performance pre-gap 
0 
time Lucien Engelen 2011
performance pre-gap 
0 
time Lucien Engelen 2011 
post-gap 
Neglect
5th Democratisation
5th Democratisation 
Patients 
& 
Technology
Über-ization of health(care)
Über-ization of health(care)
Coming to a supermarket near you
Coming to a supermarket near you
Coming to a supermarket near you 
M 
E 
D
New players 
by 2019 
Democratizing Health(care) will be dominated by
New players 
by 2019 
Democratizing Health(care) will be dominated by
New players 
by 2019 
Democratizing Health(care) will be dominated by 
?
Anyhow, THIS is your backyard
The only constant
™ The only constant 
Patients 
Included 
Patients Included is a Trademark of the REshape & Innovation Center
From eGo to eCo systems
From eGo to eCo systems
Patients 
™ 
Included 
Patients Included is a Trademark of the REshape & Innovation Center 
CLO
Patients 
™ 
Included 
Patients Included is a Trademark of the REshape & Innovation Center 
Chief 
Listening 
Officer 
CLO
Patients 
™ 
Included 
Patients Included is a Trademark of the REshape & Innovation Center 
Chief 
Listening 
Officer 
CLO
eCo-system needed 
PHR
eCo-system needed 
PHR COMMUNITY
eCo-system needed 
PHR COMMUNITY 
E-HEALTH
eCo-system needed 
E-HEALTH
Formfactor
Formfactor
Formfactor
Formfactor 
„Insideables” !
Miniaturisation & adding meaning
Miniaturisation & adding meaning
Miniaturisation & adding meaning
Miniaturisation & adding meaning
eCo-system needed
eCo-system needed 
Platform & Vendor Agnostic
eCo-system needed
eCo-system needed
Continuum
Serendipity
Digital eCo-system with data owned by patients
Digital eCo-system with data owned by patients
Introducing 
Jeroen Tas 
CEO Health 
informatics solutions services
eCo-system
eCo-system
eCo-system
eCo-system 
This partnership empowers us, to empower patients, family and informal care
eCare Coordinator & Companion
Embedded view in EMR
7 weeks after 1st cup of coffee
Philips HealthSuite Digital Platform designed to support the 
Health Continuum 
3rd party applications and devices Philips applications and devices 
Open APIs support Philips and 3rd party application development 
Integrated patient, clinical and operational data 
Cloud-based HealthSuite Digital Platform: Scalable, Secure, Adaptable 
Multiple devices / applications contribute to a rich data set 
15PB+ imaging 
studies in our 
imaging informatics 
solutions across 
1200+ hospitals 
2+ million 
ICU stays 
in our eICU 
solutions 
6+ million 
patients 
supported 
at home 
190+ million 
patients a year 
monitored 
though our 
patient monitors 
Hundreds of 
thousands 
of consumers on 
ActiveLink® 
Illustrative
Built to be flexible, scalable and adaptable 
3rd party applications and devices Philips applications and devices 
Shared user experience (UX) 
Decision 
support 
Decision 
support 
Decision 
support 
Professional healthcare functionality (API) 
(HL7, DICOM, Image processing, HIPA, healthcare data etc.) 
Consumer health functionality (API) 
(Analytics, visualization, community) 
Collaboration cloud 
• Message routing. 
• Collaboration & social integration. 
• Metering & billing 
• Master patient index. 
• Workflow support. 
Connected device cloud 
• Discovery & registration. 
• Provisioning. 
• Diagnostics. 
• Firmware upgrades. 
• Security. 
Secure data cloud 
• Data interfaces. 
• Data, image & video services. 
• Image processing. 
• Machine learning & analytics. 
• Archiving.
sit back and relax … ?
Take aways :
Take aways : 
Patient Centric, Listen! 
Health Continuum 
Global approach 
“Data is only useful if it is integrated“
REshape Manifesto

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Slides Exponential Medicine 2014 San Diego Lucien Engelen & Jeroen Tas