.

1. Dir REshape Center
Advisory Exec. Board
Edge Fellow Center for the EDGE
Global Strategist Digital Health
Other disclosures : None relevant

2. Dir REshape Center
Advisory Exec. Board
Edge Fellow Center for the EDGE
Global Strategist Digital Health
Other disclosures : None relevant

5. ©lucienengelen

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

11. Photo courtesy of Christian Lüthen

12. ©lucienengelen

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

22. ©lucienengelen
May 3, 2017
Amazon into
pharmacy

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

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

25. ©lucienengelen
febr. 14, 2018
Amazon enlists
Platform for
Medical supply
Delivery

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

27. ©lucienengelen
febr. 27, 2018
Verily (Google sister)
In population health
management with
insurers

28. ©lucienengelen
febr. 27, 2018
Verily (Google sister)
In population health
management with
insurers

29. ©lucienengelen
March 5, 2018
Google rolls out
API for data collection and
Personal health record

30. ©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

31. ©lucienengelen
March 16, 2018
Former
FDA official
hired by Amazon

32. ©lucienengelen
March 28, 2018
Apple boosts its PHR
From 13 to 40 to 300
Hospitals in 1 month

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

35. ©lucienengelen

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

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

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

39. ©lucienengelen

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

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
Cahier > App

43. ©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

44. ©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

45. ©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

46. ©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

48. ©lucienengelen

49. ©lucienengelen

50. ©lucienengelen

51. ©lucienengelen

52. ©lucienengelen

53. ©lucienengelen

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55. ©lucienengelen

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58. ©lucienengelen

59. ©lucienengelen

60. ©lucienengelen

61. ©lucienengelen
FDA
APPROVED

62. ©lucienengelen

63. ©lucienengelen
ultrasound

64. ©lucienengelen
ultrasound

65. ©lucienengelen

66. ©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

67. Everyone, always, everywhere connected
©lucienengelen

68. ©lucienengelen
Home medication based on actual point of care readings

69. ©lucienengelen
Home medication based on actual point of care readings

70. 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

71. 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

72. ©lucienengelen

73. technology evolves faster than ever before

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

75. ©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”

76. ©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”

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

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

79. -70%
Source REshape Center 2014
The delocalization of health(care)
©lucienengelen

80. ©lucienengelen

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

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

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

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

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

86. ©lucienengelen

87. ©lucienengelen

88. ©lucienengelen
using technology
1st wave

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

90. ©lucienengelen
Nicolai
Copernicus
1500

91. ©lucienengelen
Nicolai
Copernicus
1500

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

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

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

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

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

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

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

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

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

105. ©lucienengelen

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

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

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

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

112. Why
innovate
?

113. Why
innovate
?

114. ©lucienengelen

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

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

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

118. ©lucienengelen

119. ©lucienengelen

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

121. time
performance
0
@lucienengelen 2011

122. time
performance
0
pre-gap
@lucienengelen 2011

123. time
performance
0
pre-gap
post-gap
@lucienengelen 2011

124. ©lucienengelen
The
Future
will
fool
you

125. ©lucienengelen
The
Future
will
fool
you

126. ©lucienengelen
The
Future
will
fool
you

127. ©lucienengelen
The
Future
will
fool
you

128. Year
Years to reach 100
Million people

129. Year
Years to reach 100
Million people

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

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

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

133. ©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

134. ©lucienengelen

135. ©lucienengelen

136. ©lucienengelen
Innovation
Autoimmune
Disorder

137. ©lucienengelen
Innovation
Autoimmune
Disorder

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

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

140. 450 Freshmen in new curriculum ‘15
E-health - Social Media - Innovation with patients - Flipped classroom - BYOP

141. “be curious” ©lucienengelen
Powered by:

142. ©lucienengelen

143. ©lucienengelen

144. Initiatied by REshape Center Radboudumc
Initiator

145. 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

146. 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

147. Amara's Law

148. ©lucienengelen

149. ©lucienengelen
We laughed…

150. ©lucienengelen
…6 months later …

151. ©lucienengelen

152. ©lucienengelen
…now they do.

153. ©lucienengelen

154. ©lucienengelen

155. Delocalized
©lucienengelen

156. Delocalized
Democratized
©lucienengelen

157. Delocalized
Democratized
digital
©lucienengelen

158. Delocalized
Democratized
digital
dollars
©lucienengelen

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

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

161. The world is your backyard now
go and make real connections

162. ©lucienengelen
©lucienengelen

163. ©lucienengelen
©lucienengelen

164. May 2018, Barcelone Spain
www.lucienengelen.com/book

165. @lucienengelen
761.214 followers