10 april 2018

5. Disclosure belangenverstrengeling
GEEN belangenverstrengeling : Dus ook niet bij de bedrijven waarover ik presenteer
•Honorarium of andere (financiële) vergoedingen : sprekersvergoedingen (zonder invloed op inhoud)
•Sponsoring of onderzoeksgeld : geen.
•Aandeelhouder (Transform.Health)

6. ©lucienengelen

7. ©lucienengelen
Meet my future colleagues
Pierre, Chu, Isabelle, Nadia & Timmy

12. Photo courtesy of Christian Lüthen

13. ©lucienengelen

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

23. ©lucienengelen
May 3, 2017
Amazon into
pharmacy

24. ©lucienengelen
July 16, 2017
Amazon buys
Whole foods
(550 stores)

25. ©lucienengelen
Jan 30, 2018
Amazon & partners
Announce to start
Healthcare Delivery
for their
1.1Million
Employees

26. ©lucienengelen
febr. 27, 2018
Apple announces creates
2 clinics For their
employees and their family

27. ©lucienengelen
Apple announces
Personal Health Records
As part of their
Operating SYSTEM
13 - 40 - 300 - 2100
January 24, 2017

28. ©lucienengelen
4400 satellites,
real global coverage,
40M users,1Gb per user
March 30, 2018
Spacebased internet will
cover the whole world

31. ©lucienengelen

32. Patients
&
Technology
5th Democratization
by data
©lucienengelen

33. Patients
&
Technology
5th Democratization
by data
©lucienengelen

34. Patients
&
Technology
5th Democratization
by data
©lucienengelen

35. ©lucienengelen

37. ©lucienengelen
Automating
something digital.
Added value :
less effort
Creating the new
normal. Becoming a
commodity :
calculator
Doing something
digital that was done
analog, no added
value.
The Digital healthcare Transformation
Digitizing
Digital
Transition
Digital
Transformation

38. ©lucienengelen
Automating
something digital.
Added value :
less effort
Creating the new
normal. Becoming a
commodity :
calculator
Doing something
digital that was done
analog, no added
value.
The Digital healthcare Transformation
Digitizing
Digital
Transition
Digital
Transformation
Cahier > App

39. ©lucienengelen
Automating
something digital.
Added value :
less effort
Creating the new
normal. Becoming a
commodity :
calculator
Doing something
digital that was done
analog, no added
value.
The Digital healthcare Transformation
Digitizing
Digital
Transition
Digital
Transformation
Cahier > App App > Smartphone

40. ©lucienengelen
Automating
something digital.
Added value :
less effort
Creating the new
normal. Becoming a
commodity :
calculator
Doing something
digital that was done
analog, no added
value.
The Digital healthcare Transformation
Digitizing
Digital
Transition
Digital
Transformation
Cahier > App App > Smartphone Part of Operating System

41. ©lucienengelen
Automating
something digital.
Added value :
less effort
Creating the new
normal. Becoming a
commodity :
calculator
Doing something
digital that was done
analog, no added
value.
The Digital healthcare Transformation
Digitizing
Digital
Transition
Digital
Transformation
Apps Eco-system Clinics

42. ©lucienengelen
Automating
something digital.
Added value :
less effort
Creating the new
normal. Becoming a
commodity :
calculator
Doing something
digital that was done
analog, no added
value.
The Digital healthcare Transformation
Digitizing
Digital
Transition
Digital
Transformation
Logistics and data center Brick & mortar Healthcaresystem

44. ©lucienengelen

45. ©lucienengelen

46. ©lucienengelen

47. ©lucienengelen

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49. ©lucienengelen

50. ©lucienengelen

51. ©lucienengelen

52. ©lucienengelen

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57. ©lucienengelen
FDA
APPROVED

58. ©lucienengelen

59. ©lucienengelen
ultrasound

60. ©lucienengelen
ultrasound

61. ©lucienengelen

62. Everyone, always, everywhere connected
©lucienengelen

63. ©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

68. These brands did not exist
15 years ago …
Facebook
Twitter
iPhone
iPad
Android
Apple App Store
Amazon AWS
Uber
Airbnb
Blockchain
Bitcoin
Square
Spotify
Nest
Dropbox
Instagram
Snapchat
WhatsApp
Pinterest
Messenger
Oculus
Kindle
4G
Fitbit

69. These brands did not exist
15 years ago …
Facebook
Twitter
iPhone
iPad
Android
Apple App Store
Amazon AWS
Uber
Airbnb
Blockchain
Bitcoin
Square
Spotify
Nest
Dropbox
Instagram
Snapchat
WhatsApp
Pinterest
Messenger
Oculus
Kindle
4G
Fitbit

70. technology evolves faster than ever before

71. ©lucienengelen
APPS, Portals & EHR’s are END of LIFE
in their product cycle in current form.
“Teasing by intent”

72. ©lucienengelen
APPS, Portals & EHR’s are END of LIFE
in their product cycle in current form.
They were symptomatic responses
to inTRAconnected frameworks to become
more inTERconnected
“Teasing by intent”

73. ©lucienengelen
APPS, Portals & EHR’s are END of LIFE
in their product cycle in current form.
They were symptomatic responses
to inTRAconnected frameworks to become
more inTERconnected
This is being taken care of now
by i.e. tech-titans and governments
and even GDPR.
“Teasing by intent”

74. Technology is the hype, the change will be permanent.
@lucienengelen

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

76. -70%
Source REshape Center 2014
The delocalization of health(care)
©lucienengelen

77. ©lucienengelen

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

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

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

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

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

83. ©lucienengelen

84. ©lucienengelen

85. ©lucienengelen
using technology
1st wave

86. ©lucienengelen
using technology
2nd wave
Obesitas, Diabetes,
Mental health issues
living in technology
1st wave

87. ©lucienengelen
Nicolai
Copernicus
1500

88. ©lucienengelen
Nicolai
Copernicus
1500

89. ©lucienengelen
Health(care)’s Copernican moment
Nicolai
Copernicus
1500

90. ©lucienengelen
Professional
Patient
Health(care)’s Copernican moment
Nicolai
Copernicus
1500

91. ©lucienengelen
Professional
Patient
Patient
Professional
Health(care)’s Copernican moment
Nicolai
Copernicus
1500

93. Forget ‘uberized’ health(care) will be ‘amazoned’.
That journey is 80% logistics
©lucienengelen

94. ©lucienengelen
We’re entering
the era of
Augmented
Medicine
No dear doctor,
no dear nurse
Your job will
not be disrupted
©lucienengelen

95. What is Augmented Health ?
Life(style) Augmented Health(care)™Augmented Medicine
Data
Information & Visualisation
™ pending for

96. What is Augmented Health ?
Life(style) Augmented Health(care)™Augmented Medicine
Data
Information & Visualisation
™ pending for

98. from a caddy
for the few
To a caddy
for all

99. from a caddy
for the few
To a caddy
for all

102. ©lucienengelen

103. ©lucienengelen
Have a seat lucien,
You’ll run
through
a heart attack
In 15 minutes from now.

104. ©lucienengelen

105. ©lucienengelen

106. ©lucienengelen
Je moet niet
daar zijn waar
de bal is,
maar daar
waar de bal
heen gaat!

107. ©lucienengelen

108. ©lucienengelen
Cure & Care ánd prevention need to be addressed

109. ©lucienengelen
Approx. 50%
Cure & Care ánd prevention need to be addressed

110. ©lucienengelen
Cure & Care ánd prevention need to be addressed

111. Why
innovate
?

112. Why
innovate
?

113. ©lucienengelen
The
Future
will
fool
you

114. ©lucienengelen
The
Future
will
fool
you

115. ©lucienengelen
The
Future
will
fool
you

116. ©lucienengelen
The
Future
will
fool
you

117. ©lucienengelen
Uber yourself Before you get kodaked
1996
140.000 employees
$28 Billion

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

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

120. Year
Years to reach 100
Million people

121. Year
Years to reach 100
Million people

122. Year
Years to reach 100
Million people
Months!year

123. ©lucienengelen

124. ©lucienengelen

125. ©lucienengelen
Innovation
Autoimmune
Disorder

126. ©lucienengelen
Innovation
Autoimmune
Disorder

127. ©lucienengelen

128. ©lucienengelen
r = f (nm)
r = internal resistance to new ideas
n = number of employees
m = number of management levels

129. ©lucienengelen
r = f (nm)
r = internal resistance to new ideas
n = number of employees
m = number of management levels

130. Amara's Law

131. 450 Freshmen in new curriculum ‘15
E-health - Social Media - Innovation with patients - Flipped classroom - BYOP

132. “be curious” ©lucienengelen
Powered by:

134. ©lucienengelen

135. ©lucienengelen

136. Initiatied by REshape Center Radboudumc
Initiator

137. Where are you?

138. Where are you?

139. Shortage of nurses ?
Amount of work outside their circle of influence
Follow the patient ?
Use of new technology in every level of nursing
Impact on Innovations #nursesincluded
Virtual nursing homes

140. Shortage of nurses ?
Amount of work outside their circle of influence
Follow the patient ?
Use of new technology in every level of nursing
Impact on Innovations #nursesincluded
Virtual nursing homes

141. ©lucienengelen

142. ©lucienengelen
We laughed…

143. ©lucienengelen
…6 months later …

144. ©lucienengelen

145. ©lucienengelen
…now they do.

146. May 2018, Barcelone Spain

147. May 2018, Barcelone Spain

148. ©lucienengelen

149. ©lucienengelen

150. Delocalized
©lucienengelen

151. Delocalized
Democratized
©lucienengelen

152. Delocalized
Democratized
digital
©lucienengelen

153. Delocalized
Democratized
digital
dollars
©lucienengelen

154. ©lucienengelen
©lucienengelen

155. ©lucienengelen
©lucienengelen

156. @lucienengelen
756.214 followers