2-2-2017

2. ©lucienengelen

3. ©lucienengelen

4. ©lucienengelen

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

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

7. ©lucienengelen
End of
drivers license
& gasstations
Driving
Prohibited

8. ©lucienengelen
The end of
screens, laptops
and phones
iGlass

9. ©lucienengelen

10. ©lucienengelen

12. ©lucienengelen
Carin: Wearables for strengthening pelvic floor

13. ©lucienengelen
Carin: Wearables for strengthening pelvic floor

14. ©lucienengelen
Carin: Wearables for strengthening pelvic floor

15. ©lucienengelen

16. ©lucienengelen
Sound
Smell
heat
wind
vr
light

17. Wireless earbuds Dash
©lucienengelen

18. Wireless earbuds Dash
©lucienengelen

19. Wireless earbuds Dash
©lucienengelen

22. 700 Million research devices
18.000 inclusions in 48h
How Apple just became an Academic Medical Center

23. ACTUALLY DEFINES MULTIPLE
DEVELOPMENTS IN HEALTHCARE
‘DR WATSON’
©lucienengelen

24. AI (Artifficial Intelligence)

25. Healthcare will become a software branche.

26. ©lucienengelen
ultra sound

27. ©lucienengelen

28. Avatars & Humanoids
©lucienengelen

29. See the patern here?
©lucienengelen

30. Photo courtesy of Christian Lüthen
©lucienengelen
Vapor-ware
Slide-ware
Hype-ware

31. OnIntensiv
Current Vitals : Lucien Engelen
©lucienengelen

32. ©lucienengelen
Life vitals in clinical patients
From three times daily to
24/7 continuous monitoring
Lean monitoring
… when they need to be
Continious & Proactive
Health data now

33. ©lucienengelen
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

35. ©lucienengelen
Diabetes type 1
one app for all

36. ©lucienengelen
app Diabetes type 1 (preliminary results)
HbA1c bit lower, less worries, no increase hypo’s, more insights bolus calculator, more education needed

37. ©lucienengelen
integrated not seperated!

38. integrate not adding to !
©lucienengelen

39. ©lucienengelen
exponential in 3 tweets

40. Photo courtesy of Christian Lüthen
©lucienengelen

41. Question
Bloodpressure

42. ©lucienengelen

43. ©lucienengelen

44. Question
Urine-Analysis

45. ©lucienengelen

46. Question
Video conference

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

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

50. ©lucienengelen

51. - 70%
Source REshape Center 2014
The delocalization of health(care)
©lucienengelen

52. ©lucienengelen

53. Everywhere Home Hospital Doctor
where good healthcare in 10 years
will be delivered :
conference: ‘get into the future’ TMG / SingularityU
©lucienengelen

54. Everywhere Home Hospital Doctor
where good healthcare in 10 years
will be delivered :
conference: ‘get into the future’ TMG / SingularityU
©lucienengelen

55. Everyone, always, everywhere connected
©lucienengelen

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

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

58. ©lucienengelen
Patients
Included
PatientsIncludedisaTrademarkoftheREshape&InnovationCenter
™

61. Flipping the coin, also for apps
via HC IT systems Via the patient
+
©lucienengelen
eGo eCo

62. “for the first time ever in history,
-we will be present when a person gets sick,
-professionals will subscribe to patients’ data,
-the middle-man will become disrupted “
©lucienengelen
@lucienengelen

63. ©lucienengelen

64. ©lucienengelen

65. ©lucienengelen

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

67. Health(care) is now Global!
©lucienengelen

68. Digital first, physical next
©lucienengelen

69. Radboud E-xperience & Innovation Centre
2010

70. initial Focus
reshape center
©lucienengelen

71. “be curious”

72. ©lucienengelen
assignment REshape Center
Convergence Technology & Patient Empowerment
To scout, explore, research and advocate (the use of) new exponential
growing technology in a disruptive era, to design a more participatory
and sustainable health(care) system, with a global perspective.
Explore the World Create solutions Share & discuss

73. listening for signals…
©lucienengelen

74. ©lucienengelen0 to 1 0,8 to 1,2 1 to 100
adaptedfromcentralofficeofdesign

75. Gartner Hype Cycle
©lucienengelen
0-1 0.8-1.2 1-100
1st Gen. 2nd Gen. 3rd Gen. …

76. ©lucienengelen
digital health(care)
e-health m-health i-health
e-health : healthcare practice supported by electronic processes and communication (Wikipedia)
m-health : practice of medicine and public health supported by mobile devices (Wikipedia)
i-health : practice of medicine and public health supported by (artificial) intelligence, deep & machine learning. (Lucien Engelen 2016)

77. if not embedded in regular process
e-health will always be corpus alineum
©lucienengelen

78. ©lucienengelen
wie heeft een tarief voor :

79. ©lucienengelen
We implement EHR, without clear business case,
So why not for digital health as well ?
Compliant to standard should be mandatory for payment
Outcome-based healthcare

80. ©lucienengelen
Government:
no standard ?
no money!

81. ©lucienengelen
Ceo Bernard tyson
270.000 employees
11.000.000 members
52% e-visits 2015

82. Papers per year in Pubmed
0
750
1500
2250
3000
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
pubmed - eHealth pubmed - mHealth OR "mobile health" pubmed - digital health
TomvdBelt&LucienEngelen
©lucienengelen

83. TomvdBelt&LucienEngelen
©lucienengelen
Application Researcher Department
Brain Aging Monitor Olde Rikkert Geriatrics
BREATH Prins Medical Psychology
Parkinsonnet Bloem Neurology
Zelfmanagement CANS
Nijhuis vd
Sande
Rehabilitation
e-IMR (ernstige psychiatrie) van Gaal IQ healthcare
Zelfmanagement RA van Gaal IQ healthcare
Zelfmanagement Nierziekten van Gaal IQ healthcare
Zelfmanagement Cardiologie van Gaal IQ healthcare
CGT chronische vermoeidheid Knoop Medical psychology
Palliatieve zorg op afstand Hasselaar Anesthesiology
Zelfmanagement Non-hodgkin Hermens
Diagnose op afstand Speckens Psychiatrics
Telemedicine psoriasis vd Kerkhof Dermatology
Telemedicine in de eerste lijn Wensing Primary Care
Zelfmanagement COPD Schermer ELG
StripTest reader Smeets Clinical Chemistry
Mijnzorgnet Kremer

84. TomvdBelt&LucienEngelen
©lucienengelen
Telemedicine in de eerste lijn Wensing Primary Care
Zelfmanagement COPD Schermer ELG
StripTest reader Smeets Clinical Chemistry
Mijnzorgnet Kremer
Luchtbrug vd Wijngaart Pediatrics
MijnRadboud Bredie Internal Medicine
Social media en zorgkwaliteit (Zorgkaart
Nederland)
Kool IQ healthcare
Medimapp Atsma IQ healthcare
NHGdoc Kool IQ healthcare
Monitoring van vitale functies (wearables) van Goor Surgery
Cmylife Blijlevens Hematology
Zelfmanagement revalidatie Geurts Rehabilitation
Zelfmanagement diabetes Tack Internal Medicine
Mijn Zw@ngerschap Kremer Obstetrics
Parkinson@home Bloem Neurology
MKA 2.0 Berge
Oral and Maxillofacial
Surgery
Methodology & others
Novel platforms for data collection Engelen Health Evidence
3D printing for informed surgeons and
patients
Ter Laan Neurosurgery
Health and Medicine 2.0 algemeen Engelen IQ healthcare
0-1 0.8-1.2 1-100
MoleculairlifeSciences
NeuroScience
health Sciences
PhD
PhD
PhD
research REshape Center
0-1 0.8-1.2 1-100
MoleculairlifeSciences
NeuroScience
health Sciences
PhD

85. 77
“dare to fail”

87. vaccination and Autisme

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

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

92. we are here

93. HTML (text)
Video
Social Profiles
Location
Quantified Self Data
Health Data
Sensor Networks
Internet of Things
New Information Layers
Crowd Sourced Info
we are here

94. 01010010 01100101 01110011
01101000 01100001 01110000
01100101
0 1
“creating something out of nothing”

95. ©lucienengelen
REshape Centers assignment :
Convergence Technology & Patient Empowerment

96. Concept to prototype
Ideas from:
Patients HCP &
Network
patients
primary care
Information-
Management
health insurance
commercial sector
other hospitals
Innovations with
significant impact
on health(care)
Implement
on hold or
terminated
Test and Evaluate
Chance of success
Idea to concept
sharing
(MoC)
(MoC)
(MoC)
(MoC)
Innovation Radboud university medical network
©lucienengelen

97. 01101110 01101111 01110100
00100000 01010010 01100101
01110011 01101000 01100001
01110000 011001011 100
“from something to scale”

98. ©lucienengelen

99. ©lucienengelen
Reshape center for european healthcare design
Novartis Patient Academy

100. ©lucienengelen
Center of reference for remote monitoring
Center of reference for AI & Data Analytics

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

102. ©lucienengelen

103. 94
the Power of the human touch
©lucienengelen

104. It’s not about research
it’s not about Money
it’s not about privacy
it is about us, the people
working in healthcare
Let’s talk about that!

105. Delocalized
Democratized
digital
dollars
©lucienengelen

106. @lucienengelen
655.957 followers
©lucienengelen

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

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

109. ©lucienengelen
it is not the most intellectual of the species that
survives; it is not the strongest that survives;
but the one that is able best to adapt and adjust to
the changing environment in which it finds itself.
Charles Darwin
(1809-1882)

110. 106
“Stay hungry, stay foolish”

111. ©lucienengelen