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Healthcare meets retail 8 juni low res.pdf

  1. Health(care) meets Retail
  2. CEO Transform.Health Strategist Health(care) Innovation for : - Chief Impatient Officer - Deloitte, Fellow Center for the Edge (Global / not employed, non-commercial) - Vodafone Group, Fellow Centers for Health (Global / not employed, non-commercial) - Laurentius Medical Center (Roermond, NL) - Speaker (Global) Faculty Singularity University Exponential Medicine (Silicon Valley USA) Part of initial group Global Linkedin Influencers (Global) Part of inaugural group The Washington Post brandstudio (NYC, USA) MedicalCenter
  3. © 2019 Deloitte The Netherlands
  4. © 2019 Deloitte The Netherlands Challenges
  5. Speed
  6. “For years we have been ‘pregnant’ of digital health, and now -during this impressive pandemic- it came to life, through an acute c-section” 10
  7. Choice
  8. © 2019 Deloitte The Netherlands
  9. © 2019 Deloitte The Netherlands
  10. © 2019 Deloitte The Netherlands
  11. © 2019 Deloitte The Netherlands
  12. © 2019 Deloitte The Netherlands
  13. © 2019 Deloitte The Netherlands Island-thinking
  14. 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 2017
  15. Digitisation
  16. We have become a DIGITAL
  17. © 2019 Deloitte The Netherlands Crossroads
  18. © 2019 Deloitte The Netherlands Digitisation
  19. Interface /ˈin-tər-ˌfās/ noun

  20. User-interface
  21. Proximity /prɒkˈsɪmɪti/ noun

  22. User-experience
  23. © 2019 Deloitte The Netherlands Digital payments
  24. © 2019 Deloitte The Netherlands Digital Shopping
  25. Digital Traveling
  26. Professional Patient Patient Professional Health(care)’s Copernican moment Nicolai Copernicus 1500
  27. From patients’ perspective: Healthcare is 80% blunt logistics
  28. © 2019 Deloitte The Netherlands Travel
  29. Park
  30. Wait
  31. https://digitaal.scp.nl/publiekvoorzien/curatieve-zorg/ziekenhuizen-en-medisch-specialisten/#groei-in-dienstverlening-door-loslaten-budgettering FIRST-time outpatient visits 2015 : Outpatient-visits 8,8M Patient-movements 8.8 x 2 =17,6M Mean distance nearest hospital ~5,3 km Total 91MILLION KM /year ONLY for 1st outpatient-visits These are ~33% of all outpatient-visits
  32. CO2-reductie in ziekenhuizen door digitale zorg 0 9 - 0 5 - 2 0 2 2
  33. Copyright © 2022 Deloitte Netherlands B.V. All rights reserved. Wij schatten dat ruim 3 miljoen Kg minder CO2 in 2020 en iets minder dan 3 miljoen Kg in 2021 is uitgestoten ten gevolge van het meer poli-zorg op afstand leveren. Dit komt overeen met 25 miljoen reiskilometers. Uiteraard zijn er verschillen tussen ziekenhuizen Corona heeft geleid tot een reductie van CO2 –uitstoot in ziekenhuizen Een groot deel van deze reductie lijkt blijvend te zijn We staan samen voor een veel grotere opgave 1 2 3 Voor 2022 is nog weinig data beschikbaar, maar voorzichtig zien we dat het merendeel van de digitale poli- zorg stand lijkt te houden. Daarom zijn we voorzichtig optimistisch dat er een stevig fundament ligt Uiteraard zijn we tevreden met een afname van de poli-zorg en de daarmee gepaard gaande reductie van CO2. We streven naar een landelijk overzicht met: • De huidige stand van zaken • De mogelijkheden • De best practices Hoofdinzichten
  34. ©lucienengelen
  35. ©lucienengelen
  36. Sir Luke Fildes (1887)
  37. Inspired by Shopping malls
  38. © 2019 Deloitte The Netherlands Where it should be…
  39. Front door clinic
  40. © 2019 Deloitte The Netherlands Digital Humans
  41. Front door clinic
  42. 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
  43. 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
  44. © 2019 Deloitte The Netherlands MedicalCenter
  45. © 2019 Deloitte The Netherlands MedicalCenter
  46. ©lucienengelen Healthcare will become a software branch. has
  47. Engelen, Luijs, van Bergen 2020 5 major shifts in health(care)
  48. from ‘Hospital’ to ‘Home’ from ‘Hospital’ to ‘Phone’
  49. Digitizing Digital Transition Digital Transformation CONTINUOUS MONITORING REMOTE MONITORING HOME MONITORING OUTSIDE walls of hospital WITH alarming OUTSIDE walls of hospital Collecting data WITHIN walls of hospital *Monitoring based on data collected from devices. Application with questionnaires are out of scope definition monitoring Defining monitoring* 3
  50. Change in health(care) ? Past Now Future
  51. Digital transformation is making the world a lot smaller Health(care) has become a software business… Health is becoming a software business…
  52. 10.000 ft of primary care, laboratory tests, radiology and diagnostics, mental counseling, dental, optical, hearing, food advice, health insurance information and community health education
  53. ©lucienengelen
  54. ©lucienengelen
  55. Sandwich Generation
  56. Sandwich Generation
  57. 73 What do these three technologies have in common? They ALL started for the ‘happy few… Innovation is often paid for by inequity and now have become common in every household
  58. The Innovation Imperative: 3 Forces (Radical) Unsustainability Consumer Awakening Technology (now) available I III II
  59. Innovation time performance 0 most demanding use high quality use medium quality use low quality use disruptive technology Clayton Christensen, Harvard
  60. The Future will fool history
  61. © 2019 Deloitte The Netherlands
  62. © 2019 Deloitte The Netherlands
  63. 2040 Carve out Up to 30%
  64. Medical Care 90% Where health is created Drivers of health Where we invest Behaviour 9% Other 1% Access to care 6% DNA Code 20% Post Code 22% Behaviour 37% Interactions of above - 15% Source: NEHI Analytics (2013)
  65. ©lucienengelen HEALTHCARE
  66. ©lucienengelen HEALTH
  67. ©lucienengelen ‘personalized’ Health Value Based HEALTH
  68. Professional journey Patient journey Journey of life Institution journey
  69. Photocredit : Sibren van Hoeven Paradigmshift needed Leadership Wanted
  70. https://www.ncbi.nlm.nih.gov/pubmed/24789696 + added personal estimate re-recruitment
  71. Future of Food Future of Work Future of Mobility Future of Finance Future of Retail Future of Medicine • Personalised • Insight driven • Biome-based • Preventive • Prescriptive • Activity based • Who • What • Where • AI Impact • More creative • Gig-economy • Flexible (care) • Mental Health • Safe housing • Delocalise • De-stress (valet) • Exercise • Flexible • Predictive • Shared assets • Increase travel distance • Debt lowering • Insight driven • Education • Preventive • Affordable housing • Consumerism • Retailisation • New players • Online • Insight driven • Personalised • Delocalise • Democratize • Digital • Insight driven • Prevention • Prescriptive AI Linking the Future of Health • ©lucienengelen 2018
  72. © 2019 Deloitte The Netherlands
  73. VIOME Personalised food intake.
  74. New segway? Digital Transition Digital Transformation REALTIME DATA REALTIME DATA PRESCRIPT-ALITICS Access to care 6% DNA Code 20% Post Code 22% Behaviour 37% Interactions of above - 15% Different receipt Based on personal profile, activity & intake.
  75. New data segway? Digitizing Digital Transition Digital Transformation HISTORIC DATA RECENT DATA REALTIME DATA PREDICT -ALITICS PRESCRIPT -ALITICS STATIC DATA
  76. Health(care) When people talk about us when we’re not at the table : we are on the menu
  77. Retail
  78. Retail Health(care) Food Sweet Spot Prevention
  79. Delocalized Democratized Digital Dollars
  80. 118 • Big challenges for staffing and budget in healthcare • 30-40% driven OUT of hospitals • Digitisation will drive change, train your workforce! • Retail is shifting gears, people (patients) will expect better • Convergence is going to be key • New entrants stepping into void • Past 7 years grounding digital health, next will ground retail • Become the platform, not technical but in offering Shift IS happening…
  81. Health(care) meets Retail

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