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WELCOME @RESHAPE
WELCOME @RESHAPE
Dir REshape Center
Advisory Exec. Board
Edge Fellow Center for the EDGE
Global Strategist Digital Health
Other disclosures : None relevant
Dir REshape Center
Advisory Exec. Board
Edge Fellow Center for the EDGE
Global Strategist Digital Health
Other disclosures : None relevant
©lucienengelen
©lucienengelen
Meet my future colleagues
Pierre, Chu, Isabelle, Nadia & Timmy
Oost-NL
Oost-NL
Oost-NL
Oost-NL
Photo courtesy of Christian Lüthen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
Health(care)
When people talk
about us when
we’re not at the table :
we are on the menu
©lucienengelen
May 3, 2017
Amazon into
pharmacy
©lucienengelen
July 16, 2017
Amazon buys
Whole foods
(550 stores)
©lucienengelen
Jan 30, 2018
Amazon & partners
Announce to start
Healthcare Delivery
for their
1.1Million
Employees
©lucienengelen
febr. 14, 2018
Amazon enlists
Platform for
Medical supply
Delivery
©lucienengelen
febr. 27, 2018
Apple announces creates
2 clinics For their
employees and their family
©lucienengelen
febr. 27, 2018
Verily (Google sister)
In population health
management with
insurers
©lucienengelen
febr. 27, 2018
Verily (Google sister)
In population health
management with
insurers
©lucienengelen
March 5, 2018
Google rolls out
API for data collection and
Personal health record
©lucienengelen
March 6, 2018
Lyft (Uber competitor)
To be ordered by doctor via
EHR to pickup Patients
to and from home
Samsung Health into
diabetes program
©lucienengelen
March 16, 2018
Former
FDA official
hired by Amazon
©lucienengelen
March 28, 2018
Apple boosts its PHR
From 13 to 40 to 300
Hospitals in 1 month
©lucienengelen
4400 satellites,
real global coverage,
40M users,1Gb per user
March 30, 2018
Spacebased internet will
cover the whole world
Oost-NL
©lucienengelen
Patients
&
Technology
5th Democratization
by data
©lucienengelen
Patients
&
Technology
5th Democratization
by data
©lucienengelen
Patients
&
Technology
5th Democratization
by data
©lucienengelen
©lucienengelen
Oost-NL
©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
©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
©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
©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
©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
©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
Oost-NL
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
FDA
APPROVED
©lucienengelen
©lucienengelen
ultrasound
©lucienengelen
ultrasound
©lucienengelen
©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
Everyone, always, everywhere connected
©lucienengelen
©lucienengelen
Home medication based on actual point of care readings
©lucienengelen
Home medication based on actual point of care readings
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
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
©lucienengelen
technology evolves faster than ever before
©lucienengelen
APPS, Portals & EHR’s are END of LIFE

in their product cycle in current form.
“Teasing by intent”
©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”
©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”
Technology is the hype, the change will be permanent.
@lucienengelen
Source REshape Center 2014
The delocalization of health(care)
©lucienengelen
-70%
Source REshape Center 2014
The delocalization of health(care)
©lucienengelen
©lucienengelen
from ‘Hospital’ to ‘Home’
©lucienengelen
from ‘Hospital’ to ‘Home’
from ‘Hospital’ to ‘Phone’
©lucienengelen
where good healthcare in 10 years
will be delivered :
n=1600
©lucienengelen
where good healthcare in 10 years
will be delivered :
n=1600
©lucienengelen
Everywhere Home Hospital Doctor
where good healthcare in 10 years
will be delivered :
n=1600
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
using technology
1st wave
©lucienengelen
using technology
2nd wave
Obesitas, Diabetes, 

Mental health issues
living in technology
1st wave
©lucienengelen
Nicolai
Copernicus
1500
©lucienengelen
Nicolai
Copernicus
1500
©lucienengelen
Health(care)’s Copernican moment
Nicolai
Copernicus
1500
©lucienengelen
Professional
Patient
Health(care)’s Copernican moment
Nicolai
Copernicus
1500
©lucienengelen
Professional
Patient
Patient
Professional
Health(care)’s Copernican moment
Nicolai
Copernicus
1500
Oost-NL
Forget ‘uberized’ health(care) will be ‘amazoned’. 

That journey is 80% logistics
©lucienengelen
©lucienengelen
We’re entering
the era of
Augmented
Medicine
No dear doctor,
no dear nurse
Your job will
not be disrupted
©lucienengelen
What is Augmented Health ?
Life(style) Augmented Health(care)™Augmented Medicine
Data
Information & Visualisation
™ pending for
What is Augmented Health ?
Life(style) Augmented Health(care)™Augmented Medicine
Data
Information & Visualisation
™ pending for
Oost-NL
from a caddy
for the few
To a caddy
for all
from a caddy
for the few
To a caddy
for all
Oost-NL
Oost-NL
©lucienengelen
©lucienengelen
Have a seat lucien,
You’ll run
through
a heart attack
In 15 minutes from now.
©lucienengelen
Innovation comes in flavours
For different phases
Awareness Groundwork Execution
0.0 - 1.0 0.8 - 1.2 1.0 - 100
©lucienengelen
Innovation comes in flavours
For different phases
Awareness Groundwork Execution
0.0 - 1.0 0.8 - 1.2 1.0 - 100
©lucienengelen
Innovation comes in flavours
For different phases
Awareness Groundwork Execution
0.0 - 1.0 0.8 - 1.2 1.0 - 100
Oost-NL
Oost-NL
Why
innovate
?
Why
innovate
?
©lucienengelen
©lucienengelen
Cure & Care ánd prevention need to be addressed
©lucienengelen
Approx. 50%
Cure & Care ánd prevention need to be addressed
©lucienengelen
Cure & Care ánd prevention need to be addressed
©lucienengelen
©lucienengelen
©lucienengelen
Je moet niet
daar zijn waar
de bal is, 

maar daar
waar de bal
heen gaat!
time
performance
0
@lucienengelen 2011
time
performance
0
pre-gap
@lucienengelen 2011
time
performance
0
pre-gap
post-gap
@lucienengelen 2011
©lucienengelen
The
Future
will
fool
you
©lucienengelen
The
Future
will
fool
you
©lucienengelen
The
Future
will
fool
you
©lucienengelen
The
Future
will
fool
you
Year
Years to reach 100
Million people
Year
Years to reach 100
Million people
Year
Years to reach 100
Million people
Months!year
©lucienengelen
Uber yourself Before you get kodaked
1996
140.000 employees
$28 Billion
©lucienengelen
Uber yourself Before you get kodaked
1996
140.000 employees
$28 Billion
INVENTED
the digital camera
Decided was NOT their core
©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
©lucienengelen
©lucienengelen
©lucienengelen
Innovation
Autoimmune
Disorder
©lucienengelen
Innovation
Autoimmune
Disorder
©lucienengelen
r = f (nm)

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

r = internal resistance to new ideas
n = number of employees
m = number of management levels
450 Freshmen in new curriculum ‘15
E-health - Social Media - Innovation with patients - Flipped classroom - BYOP
“be curious” ©lucienengelen
Powered by:
©lucienengelen
©lucienengelen
Initiatied by REshape Center Radboudumc
Initiator
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
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
Amara's Law
©lucienengelen
©lucienengelen
We laughed…
©lucienengelen
…6 months later …
©lucienengelen
©lucienengelen
…now they do.
©lucienengelen
©lucienengelen
Delocalized
©lucienengelen
Delocalized
Democratized
©lucienengelen
Delocalized
Democratized
digital
©lucienengelen
Delocalized
Democratized
digital
dollars
©lucienengelen
©lucienengelen
“Don’t use old maps…
…To explore a New World”
Albert Einstein
©lucienengelen
The world is your backyard now
go and make real connections
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
May 2018, Barcelone Spain
www.lucienengelen.com/book
@lucienengelen
761.214 followers

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