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Radboud University
Medical center
Founding Director
REshape Center
until 31/12/18
Edge Fellow
Center for the Edge/
Global Strategist
Digital Health
as of 1/1/2019
Core Faculty
Exponential Medicine
Singularity University
SiliconValley
as of 2011
Part of inaugural group
The Washington Post
brandstudio
Part of 100 initial
Linkedin Influencer
825.000+ followers
Blog of own company
www.transform.health
© 2019 Deloitte The Netherlands
Identifying the edge(s) of an organisation, by putting topics on the agenda of the CEO that are not there yet, but should be. 

Next bringing tomorrows problems & opportunities to today, to execute on the identified edge.
The Edge Fellow Program of the Deloitte Center for the Edge.
The Edge Fellows program provides transformational support to Deloitte top clients with
a unique selection of visionaries who collaborate across disciplines to create positive
change across Europe and Globally.
We believe that with the subject matter expertise of

Edge Fellows and execution power of Deloitte, we can create 

a positive change at our clients.
Constantijn 

van Oranje-Nassau
Lucien Engelen Thomas Rau
Marieke Bax Aimee van Wynsberghe
The Edge Fellows 

(work in progress)
© 2019 Deloitte The Netherlands
We partner with senior executives to help them
understand and profit from emerging
opportunities on the edge of business,
technology and digital.
Unlocking Europe’s transformation potential
Deloitte Center for the Edge EMEA
●
●
●
●
●
●
●
●
C4E EMEA
• Amsterdam
• Zurich
• Oslo
• Copenhagen
• Stockholm
• Bucharest
C4E USA
• Silicon Valley
C4E APAC
• Melbourne
• Singapore
Slides will
be available
Health(care) is the sum of parts?
©lucienengelen
HEALTHCARE
©lucienengelen
HEALTH
©lucienengelen
‘personalized’ Health
Value Based HEALTH
©lucienengelen
©lucienengelen
Also our future workforce
19
Patients able creating own n=1 communities
via HC IT systems Via the patient
+
eGo eCo
©lucienengelen 2011
Shift in mindset
Institution owned
PGO patient (PHR)
PORTAL
Hospital
EMR other source systems
PORTAL
Pharmacist
EMR other source systems
PORTAL
Care
Electronic Client systems
bronsysteem
instelling
Source systems
patient
Patient-owned
PORTAL
Disease
specific
Knowledge base patient data
©lucienengelen
©lucienengelen
New data segway?
Digitizing
Digital

Transition
Digital

Transformation
HISTORIC
DATA
RECENT
DATA
REAL
TIME
DATA
PREDICTALITICS PRESCRIPTALITICSSTATIC DATA
Digital biomarkers
©lucienengelen
VIOME
©lucienengelen
Alivecor
Patiënt:: Lucien Engelen, 02-07-1962 (57jaar)
Geregistreerd: woensdag 6 november 2019 om 16:24:48
Hartfrequentie: 85 BPM
Duur: 30s
Directe analyse: Normaal
*Directe analyse wordt uitgevoerd bij afleiding I.
Standaardfilter, Netfrequentie: 60Hz Schaal: 25mm/s, 10mm/mV
(c) Copyright 2012-2018, AliveCor Inc, Kardia v5.7.2.1603, UUID: 135dbf35-cdd7-45da-917a-6cc0cd498c10 Pagina 1 van 4
I
II
III
aVR
aVL
aVF
Kardia
©lucienengelen
Automating
something digital.
Creating the new
normal. Becoming a
commodity :
calculator
Doing something
digital that was done
analog,
The Digital healthcare Transformation
Digitizing Digital

Transition
Digital

Transformation
Cahier > App App > Smartphone Part of Operating System
Science fiction
Is now becoming
Science
©lucienengelen 2017 The End of the beginning
©lucienengelen
©lucienengelen
©lucienengelen
8765:1
©lucienengelen
CLO
Chief
Listening
Officer
First ever in healthcare
©luciene
Professional journey
Patient journey
Life journey
Institution journey
fór wíth by
Innovation shift Patients
Included
PatientsIncludedisaTrademarkoftheREshape&InnovationCenter
™
©lucienengelen
©lucienengelen
From patients’ perspective: Healthcare is 80% blunt logistics
©lucienengelen
©lucienengelen
Everywhere Home Hospital Doctor
Where will healthcare be
delivered in 10 years:
n=2200
©lucienengelen
©lucienengelen
Professional
Patient
Patient
Professional
Health(care)’s Copernican moments
Nicolai
Copernicus
1500
-70%
Source REshape Center 2014
The delocalization of health(care)
©lucienengelen
from ‘Hospital’ to ‘Home’
from ‘Hospital’ to ‘Phone’
©lucienengelen
Digital transformation is
making the world
a lot smaller
Digital is changing

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


10.000 ft of primary care, laboratory tests, X-rays and 

diagnostics, counseling, dental, optical, hearing, 

health insurance information and community health education

©lucienengelen
Year Years to reach 100
Million people
Months!Years
©lucienengelen
800 Million to date
Everyone, always, everywhere connected
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
Time
Progress
Opportunity
GAP
Processes & Technology
Strategy
Culture
Leadership
The need
The will ©lucienengelen 2017
The End of the beginning
image bulb: pawnile.deviantart.com
Demolition-team
A stasis, or worse the
reversal of the “Day 1”
concept followed by 

irrelevance. 



Followed by excruciating, 

painful decline. 



Followed by death.
• Be obsessed with the customer
• Focus on results over process
• Make high quality decisions quickly
• Embrace external trends quickly
"Day 2″
"Day 1″
©lucienengelen
57
• From hardware to software
• From quality to experience 

(as Q is no discriminator anymore)
• From silo to network (mobilizing)
• From centralised to distributed
• From eGo to eCo approach

part of a platform economy
• From ’proposition’ to co-creation
• New players
Shift is happening…
©lucienengelen
What is your own Egde?
Delocalized
Democratized
Digital
Dollars
©lucienengelen
60
©lucienengelen
We need to find a segway from healthcare > health with the
use of technology, education, and partnering cross industry to
increase prevention and self empowerment.
The solution for the future of healthcare = health
With doubling healthcare demand, shortage of skilled personnel,
increasing burn-out rates, decreasing budgets and patients becoming
empowered, there is no way this is sustainable. 

Healthcare will implode!
©lucienengelen 2019
www.lucienengelen.com/book/shop
coupon : xmed2019
63
©lucienengelen
64
©lucienengelen
65
Wishing you all a soft landing into the future
©lucienengelen
©lucienengelen
@lucienengelen
831.214 followers

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