6-4-2018

3. ©lucienengelen

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

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

10. ©lucienengelen
May, 2017

11. ©lucienengelen
Why Amazon
buys WholeFoods
July 16, 2017

12. ©lucienengelen
24 Januari, 2018

13. ©lucienengelen
Jan 30, 2018

14. ©lucienengelen
febr. 14, 2018

15. ©lucienengelen
febr. 27, 2018

16. ©lucienengelen
febr. 27, 2018

17. ©lucienengelen
febr. 27, 2018

18. ©lucienengelen
March 5, 2018

19. ©lucienengelen
March 6, 2018

20. ©lucienengelen
March 6, 2018

21. ©lucienengelen
24 Januari, 2018

22. ©lucienengelen

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

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

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

26. ©lucienengelen

28. ©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

29. ©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

30. ©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

31. ©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

32. ©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

33. ©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

35. ©lucienengelen

36. ©lucienengelen

37. Photo courtesy of Christian Lüthen

38. ©lucienengelen

39. ©lucienengelen

40. ©lucienengelen

41. ©lucienengelen

42. ©lucienengelen

43. ©lucienengelen

44. ©lucienengelen

45. ©lucienengelen

46. ©lucienengelen

53. ©lucienengelen

54. ©lucienengelen

55. ©lucienengelen

56. ©lucienengelen

57. ©lucienengelen

58. ©lucienengelen

59. ©lucienengelen

60. ©lucienengelen

61. ©lucienengelen

62. ©lucienengelen

63. ©lucienengelen

66. ©lucienengelen

67. ©lucienengelen
FDA
APPROVED

68. ©lucienengelen

69. ©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

70. ©lucienengelen

71. ©lucienengelen
ultrasound

72. ©lucienengelen
ultrasound

73. ©lucienengelen

75. Flipping the coin
via HC IT systems

76. Flipping the coin
via HC IT systems
+

77. Flipping the coin
via HC IT systems
Via the ónly constante in
healthcare: The patient
+

78. ©lucienengelen

79. ©lucienengelen

80. ©lucienengelen

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

82. ©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”

83. ©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”

84. ©lucienengelen

85. ©lucienengelen

86. ©lucienengelen
Reshape center for european healthcare design
Patient journey

87. ©lucienengelen
Reshape center for european healthcare design
Patient journey
Institution journey

88. ©lucienengelen
Reshape center for european healthcare design
Professional journey
Patient journey
Institution journey

89. ©lucienengelen
Reshape center for european healthcare design
Professional journey
Patient journey
Life journey
Institution journey

90. 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

91. 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

92. technology evolves faster than ever before

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

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

95. -70%
Source REshape Center 2014
The delocalization of health(care)
©lucienengelen

96. ©lucienengelen

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

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

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

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

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

102. ©lucienengelen

103. ©lucienengelen

104. ©lucienengelen
using technology
1st wave

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

106. ©lucienengelen
Nicolai
Copernicus
1500

107. ©lucienengelen
Nicolai
Copernicus
1500

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

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

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

111. ©lucienengelen
The
Future
will
fool
you

112. ©lucienengelen
The
Future
will
fool
you

113. ©lucienengelen
The
Future
will
fool
you

114. ©lucienengelen
The
Future
will
fool
you

115. Year
Years to reach 100
Million people

116. Year
Years to reach 100
Million people

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

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

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

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

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

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

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

128. ©lucienengelen

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

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

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

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

135. Why
innovate
?

136. Why
innovate
?

137. ©lucienengelen

138. ©lucienengelen

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

140. ©lucienengelen

141. ©lucienengelen

142. Delocalized
©lucienengelen

143. Delocalized
Democratized
©lucienengelen

144. Delocalized
Democratized
digital
©lucienengelen

145. Delocalized
Democratized
digital
dollars
©lucienengelen

146. © stormlapse.com
4 forces destabilising the status quo

147. © stormlapse.com
4 forces destabilising the status quo

148. © stormlapse.com
Unsustainability
(Radical)
I
4 forces destabilising the status quo

149. © stormlapse.com
Unsustainability
(Radical)
I
Technology
(now) availableII
4 forces destabilising the status quo

150. © stormlapse.com
Unsustainability
(Radical)
Consumer
Awakening
I III
Technology
(now) availableII
4 forces destabilising the status quo

151. © stormlapse.com
Unsustainability
(Radical)
Consumer
Awakening
I III IV
Technology
(now) availableII
Societal change
(incremental ?)
4 forces destabilising the status quo

152. ©lucienengelen
Kansen (willen) zien
Effecten (sneller) onderzoeken
Luisteren naar en aansluiten bij
de (actuele) leefwereld
van de burger en patiënt

153. ©lucienengelen
Kansen (willen) zien
Effecten (sneller) onderzoeken
Luisteren naar en aansluiten bij
de (actuele) leefwereld
van de burger en patiënt
Dát is waar digitale zorg over gaat!

154. time
performance
0
@lucienengelen 2011

155. time
performance
0
pre-gap
@lucienengelen 2011

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

157. ©lucienengelen
Digital Health research

158. ©lucienengelen
Digital Health research

159. ©lucienengelen
Digital Health research
Studies are increasing
(29000 in total) often very
narrow field

160. ©lucienengelen
Digital Health research
Studies are increasing
(29000 in total) often very
narrow field
Meta analyses (1600) focus
on past technology so
exclude new tech

161. ©lucienengelen
Digital Health research
Studies are increasing
(29000 in total) often very
narrow field
Often (if not mostly) not
#patientsincluded
Meta analyses (1600) focus
on past technology so
exclude new tech

162. ©lucienengelen
Digital Health research
Studies are increasing
(29000 in total) often very
narrow field
A lot depends on
hypothesis and
research questions
Often (if not mostly) not
#patientsincluded
Meta analyses (1600) focus
on past technology so
exclude new tech

163. ©lucienengelen
Digital Health research
Studies are increasing
(29000 in total) often very
narrow field
A lot depends on
hypothesis and
research questions
Often (if not mostly) not
#patientsincluded
Low number of studies
incorporate marco-
economic perspective
Meta analyses (1600) focus
on past technology so
exclude new tech

164. ©lucienengelen
Digital Health research
No real overview of
negative, neutral
and positive studies
Studies are increasing
(29000 in total) often very
narrow field
A lot depends on
hypothesis and
research questions
Often (if not mostly) not
#patientsincluded
Low number of studies
incorporate marco-
economic perspective
Meta analyses (1600) focus
on past technology so
exclude new tech

165. 0
500
1000
1500
2000
2500
3000
3500
4000
1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 2016
TomvdBelt&LucienEngelen
©lucienengelen

166. 0
500
1000
1500
2000
2500
3000
3500
4000
1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 2016
TomvdBelt&LucienEngelen
©lucienengelen

167. 0
500
1000
1500
2000
2500
3000
3500
4000
1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 2016
TomvdBelt&LucienEngelen
©lucienengelen
Beter dan
reguliere zorg
Gelijkwaardig aan
reguliere zorg
Slechter dan
reguliere zorg
Niet-acuut
Acuut
Chronisch
macro-economische
kosten

168. ©lucienengelen

169. ©lucienengelen

170. ©lucienengelen
Innovation
Autoimmune
Disorder

171. ©lucienengelen
Innovation
Autoimmune
Disorder

172. ©lucienengelen

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

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

175. ©lucienengelen
Strategic
Frameworks
1958-2013

177. Amara's Law

178. ©lucienengelen

179. ©lucienengelen

180. ©lucienengelen
Bridging
the gap

181. ©lucienengelen
health 2.0 = 46 definitions

182. ©lucienengelen
m-health
health 2.0 = 46 definitions

183. ©lucienengelen
m-health e-health
health 2.0 = 46 definitions

184. ©lucienengelen
m-health e-health i-health
health 2.0 = 46 definitions

185. ©lucienengelen
digital health(care)
m-health e-health i-health
health 2.0 = 46 definitions

186. digital health(care)
always will be corpus aliEnum

187. digital health(care)
always will be corpus aliEnum

188. REshape
core team
REshape Fellows
REshape Ambassadors
Explore - Inspire - Facilitate

190. How-to?

191. ©lucienengelen
Scout / Concept
Vision / Design
Enroll Scale
Radboudumc Labs
Spinn-out
Business model
MOC’s
Moments of Choice
Demand driven
relates to strategy
REshape iLAB PVI
iLab Scaling (PVI)REshape Center
iBoard
Chair Board Radboudumc

192. ©lucienengelen
Scout / Concept
Vision / Design
Enroll Scale
Radboudumc Labs
Spinn-out
Business model
MOC’s
Moments of Choice
Demand driven
relates to strategy
REshape iLAB PVI
iLab Scaling (PVI)REshape Center
iBoard
Chair Board Radboudumc

193. Concept to prototype
Ideas from:
Patients, HCP &
Network
Innovations with
significant impact
on health(care)
Implement
Moment of Choice :
on hold or terminated
Test and Evaluate
Chance of success
Idea to concept
(MoC)
(MoC)
(MoC)
(MoC)
©lucienengelen
iLab Scaling (PVI)REshape Center
iBoard
Chair Board Radboudumc

194. Concept to prototype
Ideas from:
Patients, HCP &
Network
Innovations with
significant impact
on health(care)
Implement
Moment of Choice :
on hold or terminated
Test and Evaluate
Chance of success
Idea to concept
(MoC)
(MoC)
(MoC)
(MoC)
©lucienengelen
iLab Scaling (PVI)REshape Center
iBoard
Chair Board Radboudumc

195. The bulb of innovation.
@lucienengelen
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning

196. The will
The bulb of innovation.
@lucienengelen
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning

197. The need
The will
The bulb of innovation.
@lucienengelen
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning

198. Leadership
The need
The will
The bulb of innovation.
@lucienengelen
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning

199. Strategy
Leadership
The need
The will
The bulb of innovation.
@lucienengelen
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning

200. Strategy
Culture
Leadership
The need
The will
The bulb of innovation.
@lucienengelen
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning

201. Processes & Technology
Strategy
Culture
Leadership
The need
The will
The bulb of innovation.
@lucienengelen
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning

202. Processes & Technology
Strategy
Culture
Leadership
The need
The will
The bulb of innovation.
@lucienengelen
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning

203. Processes & Technology
Strategy
Culture
Leadership
The need
The will
The bulb of innovation.
@lucienengelen
image bulb: pawnile.deviantart.com
Demolition-team
©lucienengelen 2017 The End of the beginning

204. ©lucienengelen
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
Processes & TechnologyStrategy CultureLeadership
The need
The will

205. ©lucienengelen
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
Processes & TechnologyStrategy CultureLeadership
The need
The will

206. ©lucienengelen
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
Processes & TechnologyStrategy CultureLeadership
The need
The will

207. what you get
what you see
Culture eats strategy
for breakfast

208. 450 Freshmen in new curriculum ‘15
E-health - Social Media - Innovation with patients - Flipped classroom - BYOP

209. “be curious” ©lucienengelen
Powered by:

212. Shortage of nurses ?
Amount of work outside their circle of influence
Follow the patient ?
Use of new technology in every level of nursing
Virtual nursing homes

213. Shortage of nurses ?
Amount of work outside their circle of influence
Follow the patient ?
Use of new technology in every level of nursing
Virtual nursing homes

214. ©lucienengelen

215. ©lucienengelen

216. ©lucienengelen
We laughed…

217. ©lucienengelen
…6 months later …

218. ©lucienengelen

219. ©lucienengelen
…now they do.

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

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

222. ©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

223. Consultancyfirms jump on it
Masterclasses, workshops being offered
Patients call insurance demanding
Conference bureaus new theme
Consortia are being formed
Healthcare futurists on the rise
May 2018, Barcelone Spain
The end of the beginning

224. Consultancyfirms jump on it
Masterclasses, workshops being offered
Patients call insurance demanding
Conference bureaus new theme
Consortia are being formed
Healthcare futurists on the rise
May 2018, Barcelone Spain
The end of the beginning

225. May 2018, Barcelone Spain
The ask for ‘measurements, EVB and KPI’s
Thesis proposals by the day
Critics starting to shout loud to keep ‘the virus’ out
Nurses are getting engaged #nurseincluded
Patient involvement loses its ‘tokenism’
The end of the beginning

226. ©lucienengelen
©lucienengelen

227. ©lucienengelen
©lucienengelen

228. ©lucienengelen
www.transform.health

229. @lucienengelen
721.214 followers

230. ©lucienengelen

231. ©lucienengelen
Thomas Insel
Former NIH director,
now Sillicon Valley entrepeneur :
‘Academic & Technology Company researcher
Should partner up’