27-11-2017

3. ©lucienengelen

4. ©lucienengelen
A lens on two worlds

5. ©lucienengelen

6. ©lucienengelen
Meet my future colleagues

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

10. ©lucienengelen
Sir Luke Fildes. The Doctor. exhibited 1891

11. ©lucienengelen

12. ©lucienengelen

13. ©lucienengelen

14. ©lucienengelen

15. ©lucienengelen

16. ©lucienengelen

17. ©lucienengelen

18. ©lucienengelen

19. ©lucienengelen

21. Planet
health(care)

22. Photo courtesy of Christian Lüthen

23. for 6 years on a row, now with all time high,
the Dutch healthcare system rates best in
European Health Consumer Index (EHCI)

24. for 6 years on a row, now with all time high,
the Dutch healthcare system rates best in
European Health Consumer Index (EHCI)

25. ©lucienengelen
5.2T
©lucienengelen

26. ©lucienengelen
5.2T
©lucienengelen

27. ©lucienengelen

28. ©lucienengelen
Chief
Health(care)
Optimist

29. •15.000 colleagues
•1000 beds
•ambition to ‚close’ 500
•Significant impact on health(care)
•$1 billion revenue
Radboud University Medical Center,
Nijmegen The Netherlands

30. •15.000 colleagues
•1000 beds
•ambition to ‚close’ 500
•Significant impact on health(care)
•$1 billion revenue
Radboud University Medical Center,
Nijmegen The Netherlands

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

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

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

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

35. ©lucienengelen

36. ©lucienengelen

39. Flipping the coin, also for apps
via HC IT systems
©lucienengelen

40. Flipping the coin, also for apps
via HC IT systems
©lucienengelen
eGo

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

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

43. Owning your own
(health)data should be a
constitutional right
©lucienengelen
@lucienengelen 2016

44. ©lucienengelen

45. ©lucienengelen
Engelen/Derksen
2010

46. ©lucienengelen

47. ©lucienengelen

48. Everyone, always, everywhere connected
©lucienengelen

49. ©lucienengelen
Video conferencing reimbursed in the NL
5 % of
outpatient
visits
200
parking lots
a day

50. ©lucienengelen
Video conferencing reimbursed in the NL
5 % of
outpatient
visits
200
parking lots
a day

51. ©lucienengelen

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

53. Wireless earbuds Dash
©lucienengelen

54. Wireless earbuds Dash
©lucienengelen

55. Wireless earbuds Dash
©lucienengelen

56. Wireless earbuds Dash
©lucienengelen

57. Wireless earbuds Dash
©lucienengelen
40 languages near realtime

58. ©lucienengelen
©lucienengelen

59. ©lucienengelen
©lucienengelen

60. ©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

61. ©lucienengelen

62. ‘Science fiction’
Is now becoming
Science
©lucienengelen 2017 The End of the beginning

63. ©lucienengelen

64. Healthcare will become a software branche.

65. Healthcare will become a software branche.

66. Healthcare will become a software branche.

67. ©lucienengelen

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

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

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

71. ©lucienengelen
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)

72. ©lucienengelen
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)

73. ©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)

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

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

76. “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

78. “We’ll go From ‘e’ to ‘i’ to ‘x’ eventually
@lucienengelen 2016

79. Digital first, physical next
©lucienengelen

80. Digital first, physical next
©lucienengelen

81. ©lucienengelen
Technology is there to grow service, knowledge and experience, Not to cut costs
@lucienengelen 2017

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

83. -70%
Source REshape Center 2014
The delocalization of health(care)
©lucienengelen

84. People of age 65 and older 2000-2050
Source US Census Bureau

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

86. ©lucienengelen
Everyone thinks of changing the world,
but no one thinks of changing himself.
Lev (Leo) Tolstoy
©lucienengelen

87. ©lucienengelen
using technology
1st wave

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

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

90. ©lucienengelen

91. time
performance
0
@lucienengelen 2011

92. time
performance
0
pre-gap
@lucienengelen 2011

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

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

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

96. 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

97. How Apple just became an Academic Medical
Center

98. 700 Million research devices
18.000 inclusions in 48h
How Apple just became an Academic Medical
Center

99. Amara's Law

100. ©lucienengelen

101. ©lucienengelen

102. AI (Artifficial Intelligence)

103. ©lucienengelen

104. ©lucienengelen
We laughed…

105. ©lucienengelen
…6 months later …

106. ©lucienengelen

107. ©lucienengelen
…now they do.

110. ©lucienengelen

111. ©lucienengelen
Answer the
question
of tomorrow

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

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

114. ©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

115. Albert Einstein
©lucienengelen

117. all
change
is
tough
©lucienengelen

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

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

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

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

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

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

126. ©lucienengelen
Nicolai
Copernicus
1500

127. ©lucienengelen
Nicolai
Copernicus
1500

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

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

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

131. ©lucienengelen

132. ©lucienengelen

135. ©lucienengelen
Biosimilars
what else?

136. ©lucienengelen
Food, electronics, errands … pharmacy ?

137. ©lucienengelen
May, 2017

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

139. ©lucienengelen
Oct 27, 2017

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

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

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

143. Digital strategy is not translating
what you do now,digitally.
It is completely rethinking
your model grounds-up
©lucienengelen

144. Digital strategy is not translating
what you do now,digitally.
It is completely rethinking
your model grounds-up
©lucienengelen

146. Technology is
our tool,
not our goal.

147. ‘Technology is the hype, the change will be permanent.’
@lucienengelen

148. what you get
what you see

149. ©lucienengelen
Strategic
Frameworks
1958-2013

150. ©lucienengelen
Strategic
Frameworks
1958-2013

151. 450 Freshmen @ new curriculum ‘15
E-health - Social Media - Innovation with patients - Flipped classroom - BYOP
©lucienengelen

152. “be curious” ©lucienengelen
Powered by:

153. ©lucienengelen

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

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

156. ©lucienengelen

157. Delocalized
©lucienengelen

158. Delocalized
Democratized
©lucienengelen

159. Delocalized
Democratized
digital
©lucienengelen

160. Delocalized
Democratized
digital
dollars
©lucienengelen

161. ©lucienengelen
Local - Regional - National - Continental - Global

162. ©lucienengelen
Local - Regional - National - Continental - Global

163. ©lucienengelen
Local - Regional - National - Continental - Global
GLOCAL

164. ©lucienengelen

165. ©lucienengelen

166. Initiatied by REshape Center Radboudumc
Initiator

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

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

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

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

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

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

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

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

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

176. 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

177. 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

178. 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

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

180. Create your own competitor
Directly under toplevel board
NO-RULES !
Include Millennials
Let it grow organically
Partner
Stop talking, start doing !!

181. Concept to prototype
Ideas
from:
Patients
HCP &
Network
patients
primary
care
Information
-
Managemen
t
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

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

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

184. Top-down
©lucienengelen 2017 The End of the beginning
©graphic : unknown

185. Bottom-up
©lucienengelen 2017 The End of the beginning
©graphic : allofnature.blogspot.nl/

186. ©lucienengelen

187. ©lucienengelen

188. 98

189. Experience
Driven
Health(care)
©lucienengelen
Evidence based

190. Experience
Driven
Health(care)
©lucienengelen
Evidence based

191. ©lucienengelen
Bold leadership
Back to core of purpose :
the WHY
Influence the culture
around the why
FAIL a lot and fast
Become frictionless
Create own competitor
Aggressive approach in $
Transform 10% of current
process per year
Use of own (outside) IT -
system first

192. 101 ©lucienengelen

193. 101
the Power of the human touch
©lucienengelen

194. ©lucienengelen
©lucienengelen

195. ©lucienengelen
©lucienengelen

196. @lucienengelen
721.214 followers

197. ©lucienengelen
Allistair Croll
Scale comes from process, IP, org chart,
standardization, capitalization.
All of these assume the
future will be like the past, only more so.

198. ©lucienengelen

199. ©lucienengelen