Slides used by Lucien Engelen as organizer conference

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

4. © 2019 Deloitte The Netherlands

5. © 2019 Deloitte The Netherlands
Challenges

6. Speed

7. “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

8. Choice

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

14. © 2019 Deloitte The Netherlands
Island-thinking

15. 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

16. Digitisation

17. We have become a
DIGITAL

18. © 2019 Deloitte The Netherlands
Crossroads

19. © 2019 Deloitte The Netherlands
Digitisation

20. Interface
/ˈin-tər-ˌfās/
noun

21. User-interface

23. Proximity
/prɒkˈsɪmɪti/
noun

24. User-experience

25. © 2019 Deloitte The Netherlands
Digital payments

26. © 2019 Deloitte The Netherlands
Digital Shopping

27. Digital Traveling

29. Professional
Patient
Patient
Professional
Health(care)’s Copernican moment
Nicolai
Copernicus
1500

30. From patients’ perspective: Healthcare is 80% blunt logistics

31. © 2019 Deloitte The Netherlands Travel

32. Park

33. Wait

34. 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

35. CO2-reductie in ziekenhuizen
door digitale zorg
0 9 - 0 5 - 2 0 2 2

36. 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

38. ©lucienengelen

39. ©lucienengelen

40. Sir Luke Fildes (1887)

41. Inspired by Shopping malls

43. © 2019 Deloitte The Netherlands
Where it should be…

44. Front door clinic

46. © 2019 Deloitte The Netherlands
Digital Humans

47. Front door clinic

48. 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

49. 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

54. © 2019 Deloitte The Netherlands MedicalCenter

55. © 2019 Deloitte The Netherlands
MedicalCenter

58. ©lucienengelen
Healthcare will
become a
software branch.
has

59. Engelen, Luijs, van Bergen 2020
5 major shifts in health(care)

60. from ‘Hospital’ to ‘Home’
from ‘Hospital’ to ‘Phone’

61. 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

62. Change in health(care)
?
Past Now Future

63. Digital transformation is
making the world
a lot smaller
Health(care) has become
a software business…
Health is becoming
a software business…

64. 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

65. ©lucienengelen

67. ©lucienengelen

68. Sandwich
Generation

69. Sandwich
Generation

70. 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

71. The Innovation Imperative: 3 Forces
(Radical)
Unsustainability
Consumer
Awakening
Technology
(now) available
I
III II

72. Innovation
time
performance
0
most demanding use
high quality use
medium quality use
low quality use
disruptive technology
Clayton Christensen, Harvard

73. The Future
will fool
history

75. © 2019 Deloitte The Netherlands

76. © 2019 Deloitte The Netherlands

77. 2040
Carve out Up to
30%

78. 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)

79. ©lucienengelen
HEALTHCARE

80. ©lucienengelen
HEALTH

81. ©lucienengelen
‘personalized’ Health
Value Based HEALTH

82. Professional journey
Patient journey
Journey of life
Institution journey

83. Photocredit : Sibren van Hoeven
Paradigmshift
needed
Leadership
Wanted

85. https://www.ncbi.nlm.nih.gov/pubmed/24789696 + added personal estimate re-recruitment

88. 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

89. © 2019 Deloitte The Netherlands

101. VIOME
Personalised food intake.

103. 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.

104. New data segway?
Digitizing
Digital
Transition
Digital
Transformation
HISTORIC
DATA
RECENT
DATA
REALTIME
DATA
PREDICT
-ALITICS
PRESCRIPT
-ALITICS
STATIC DATA

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

111. Retail

113. Retail
Health(care) Food
Sweet
Spot
Prevention

114. Delocalized
Democratized
Digital
Dollars

115. 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…

116. Health(care) meets Retail