This document contains numerous images and text slides discussing topics related to healthcare innovation such as digital health strategies, remote patient monitoring, telemedicine, the decentralization of healthcare, and the need for healthcare systems and professionals to adapt to disruption and place more emphasis on the patient experience. Key points discussed include the need to rethink healthcare models from the ground up using digital tools, the four forces (unsustainability, consumer awakening, technology, and societal change) driving changes in healthcare, and approaching healthcare innovation similarly to pharmaceutical development through experimentation and embracing failure.

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GROW

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9. What will happen with
all those gasstations ?
©lucienengelen©lucienengelen

10. 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

15. Everyone, always, everywhere connected
©lucienengelen

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17. Photo courtesy of Christian Lüthen

18. •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

19. •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

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26. Wireless earbuds Dash
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27. Wireless earbuds Dash
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28. Wireless earbuds Dash
©lucienengelen

29. Wireless earbuds Dash
©lucienengelen

30. Wireless earbuds Dash
©lucienengelen
40 languages near realtime

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Home medication based on actual point of care readings

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©lucienengelen

37. OnIntensiv
Current Vitals : Lucien Engelen
©lucienengelen

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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

40. Science fiction
Is now becoming
Science
©lucienengelen 2017 The End of the beginning

41. Source REshape Center 2014
The delocalization of health(care)
©lucienengelen

42. - 70%
Source REshape Center 2014
The delocalization of health(care)
©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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Ceo Bernard tyson
270.000 employees
11.000.000 members
52% e-visits 2015

47. Healthcare will become a software branche.

48. Healthcare will become a software branche.

49. Healthcare will become a software branche.

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51. Radboudumc Virtual
Telemedicine & Telehealthcenter
©lucienengelen
Reference Center remote monitoring
NW European region
implementation
order

52. Radboudumc Virtual
Telemedicine & Telehealthcenter
©lucienengelen
Reference Center remote monitoring
NW European region
implementation
order

53. Radboudumc Virtual
Telemedicine & Telehealthcenter
©lucienengelen
Reference Center remote monitoring
NW European region
implementation
order

54. ©lucienengelen

55. See the pattern here?
©lucienengelen

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57. from ‘Hospital’ to ‘Home’
©lucienengelen

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

59. where good healthcare in 10 years
will be delivered :
n=1600
©lucienengelen

60. Everywhere Home Hospital Doctor
where good healthcare in 10 years
will be delivered :
n=1600
©lucienengelen

62. “We’ll go From ‘e’ to ‘i’ to ‘x’ eventually
@lucienengelen 2016

63. Amara's Law

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Biosimilars
what else?

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Food, electronics, errands … pharmacy ?

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July 16, 2017

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Why Amazon
buys WholeFoods
July 16, 2017

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Oct 5, 2017

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Oct 27, 2017

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5.2T
©lucienengelen

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5.2T
©lucienengelen

78. Usual Research Improve Research Repair ResearchInsider
©lucienengelen 2017 The End of the beginning
Step on it!

79. Usual Research Improve Research Repair ResearchInsider
NeedspaceOutsider
©lucienengelen 2017 The End of the beginning
Step on it!

80. Prototype
Usual Research Improve Research Repair ResearchInsider
NeedspaceOutsider
©lucienengelen 2017 The End of the beginning
Step on it!

81. Prototype
Usual Research Improve Research Repair ResearchInsider
NeedspaceOutsider Startup
©lucienengelen 2017 The End of the beginning
Step on it!

82. Prototype
Usual Research Improve Research Repair ResearchInsider
NeedspaceOutsider ServiceStartup
©lucienengelen 2017 The End of the beginning
Step on it!

83. Prototype
Usual Research Improve Research Repair ResearchInsider
NeedspaceOutsider Service ScaleStartup
©lucienengelen 2017 The End of the beginning
Step on it!

84. Prototype
Usual Research Improve Research Repair Research
New Normal
Changing 25% process
Insider
NeedspaceOutsider Service ScaleStartup
©lucienengelen 2017 The End of the beginning
Step on it!

85. Prototype
Usual Research Improve Research Repair Research Disrupted
Changing 3% process
New Normal
Changing 25% process
Insider
NeedspaceOutsider Service ScaleStartup
©lucienengelen 2017 The End of the beginning
Step on it!

86. Prototype
Usual Research Improve Research Repair Research Disrupted
Changing 3% process
New Normal
Changing 25% process
Insider
NeedspaceOutsider Service ScaleStartup
©lucienengelen 2017 The End of the beginning
Step on it!
Demolition-team

88. Planet
health(care)

89. ©lucienengelenThe end of the beginning

90. ©lucienengelenThe end of the beginning

91. ©lucienengelenThe end of the beginning

92. ©lucienengelenThe end of the beginning

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Nicolai Copernicus

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Nicolai Copernicus

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Health(care)’s Copernican moment
Nicolai Copernicus

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Professional
Patient
Health(care)’s Copernican moment
Nicolai Copernicus

102. ©lucienengelen
Professional
Patient
Patient
Professional
Health(care)’s Copernican moment
Nicolai Copernicus

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Four Forces hitting Health(care)
(your Burning platform)
Image source: Healthcare Innovation World Cup Adapted by @lucienengelen
Unsustainability
(Radical)
Consumer
Awakening
I
III IV
Technology
(now) availableII
Societal change
(incremental ?)

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

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

110. Technology
is a tool,
not our
goal.

111. People of age 65 and older 2000-2050
Source US Census Bureau
©lucienengelen

112. People of age 65 and older 2000-2050
over 65 over 85
Source US Census Bureau
©lucienengelen

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using technology
1st wave

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using technology
2nd wave
Obesity, Diabetes, Mental health issues
living in technology
1st wave

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using technology
2nd wave
Obesity, Diabetes, Mental health issues
living in technology
1st wave

116. REshape
core team
REshape Fellows
REshape Ambassadors
Explore - Inspire - Facilitate

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

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

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Reshape center for european healthcare design
Novartis Patient Academy
Professional journey
Patient journey
Institution journey

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Reshape center for european healthcare design
Novartis Patient Academy
Professional journey
Patient journey
Life journey
Institution journey

125. 62

126. Experience
Driven
Health(care)
©lucienengelen
Evidence based

127. Experience
Driven
Health(care)
©lucienengelen
Evidence based

128. 450 Freshmen @ new curriculum ‘15
E-health - Social Media - Innovation with patients - Flipped classroom - BYOP
©lucienengelen

129. “be curious” ©lucienengelen
Powered by:

130. ©lucienengelen
“Don’t use old maps…

131. …To explore a New World”
Albert Einstein
©lucienengelen

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Uber yourself Before you get kodaked
1996
140.000 employees
$28 Billion

135. ©lucienengelen
Uber yourself Before you get kodaked
1996
140.000 employees
$28 Billion
INVENTED
the digital camera
Decides was NOT their core

136. ©lucienengelen
Uber yourself Before you get kodaked
1996
140.000 employees
$28 Billion
INVENTED
the digital camera
Decides was NOT their core
2012
17.000 employees
Bankrupt

137. Albert Einstein
©lucienengelen

138. ©lucienengelen
Innovation comes in flavours
For different phases
Awareness Groundwork Execution
0.0 - 1.0 0.8 - 1.2 1.0 - 100

139. The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning

140. The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning

141. The need
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning

142. Leadership
The need
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning

143. Strategy
Leadership
The need
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning

144. Strategy
Culture
Leadership
The need
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning

145. Processes & Technology
Strategy
Culture
Leadership
The need
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning

146. Processes & Technology
Strategy
Culture
Leadership
The need
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning

147. Processes & Technology
Strategy
Culture
Leadership
The need
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
Demolition-team
©lucienengelen 2017 The End of the beginning

148. ©lucienengelen
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
Processes & TechnologyStrategy CultureLeadership
The need
The will

149. ©lucienengelen
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
Processes & TechnologyStrategy CultureLeadership
The need
The will

150. ©lucienengelen
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
Processes & TechnologyStrategy CultureLeadership
The need
The will

151. We should approach
healthcare innovation
like pharma
development
©lucienengelen

152. We should approach
healthcare innovation
like pharma
development
©lucienengelen

153. We should approach
healthcare innovation
like pharma
development
©lucienengelen
Only 1 out of 7 reaches market

154. Top-down
©lucienengelen 2017 The End of the beginning
©graphic : unknown

155. Bold and already
Copy-catted

156. Bottom-up
©lucienengelen 2017 The End of the beginning
©graphic : allofnature.blogspot.nl/

157. ©lucienengelen

158. ©lucienengelen

159. Founding Members
Initiator
©lucienengelen
Brazil ?

160. Founding Members
Initiator
©lucienengelen
Patients
Included
PatientsIncludedisaTrademarkoftheREshape&InnovationCenter
™
Brazil ?

161. 80 ©lucienengelen

162. 80
the Power of the human touch
©lucienengelen

163. ©lucienengelen
Bold leadership
Back to core of purpose : the WHY
Influence the culture around the why
FAIL a lot and fast
Become frictionless
Create own competitor
Aggressive approach in €
Transform 10% of current process per year
Use of own (outside) IT -system first

164. ©lucienengelen

165. Delocalized
©lucienengelen

166. Delocalized
Democratized
©lucienengelen

167. Delocalized
Democratized
digital
©lucienengelen

168. Delocalized
Democratized
digital
dollars
©lucienengelen

169. ©lucienengelen
©lucienengelen

170. ©lucienengelen
©lucienengelen

171. @lucienengelen
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