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WELCOME @RESHAPE
WELCOME @RESHAPE
Dir REshape Center
Advisory Exec. Board
Edge Fellow Center for the EDGE
Global Strategist Digital Health
Other disclosures...
Dir REshape Center
Advisory Exec. Board
Edge Fellow Center for the EDGE
Global Strategist Digital Health
Other disclosures...
©lucienengelen
©lucienengelen
Meet my future colleagues
Pierre, Chu, Isabelle, Nadia & Timmy
Photo courtesy of Christian Lüthen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
Health(care)
When people talk
about us when
we’re not at the table :
we are on the menu
©lucienengelen
May 3, 2017
Amazon into
pharmacy
©lucienengelen
July 16, 2017
Amazon buys
Whole foods
(550 stores)
©lucienengelen
Jan 30, 2018
Amazon & partners
Announce to start
Healthcare Delivery
for their
1.1Million
Employees
©lucienengelen
febr. 14, 2018
Amazon enlists
Platform for
Medical supply
Delivery
©lucienengelen
febr. 27, 2018
Apple announces creates
2 clinics For their
employees and their family
©lucienengelen
febr. 27, 2018
Verily (Google sister)
In population health
management with
insurers
©lucienengelen
febr. 27, 2018
Verily (Google sister)
In population health
management with
insurers
©lucienengelen
March 5, 2018
Google rolls out
API for data collection and
Personal health record
©lucienengelen
March 6, 2018
Lyft (Uber competitor)
To be ordered by doctor via
EHR to pickup Patients
to and from home
Sa...
©lucienengelen
March 16, 2018
Former
FDA official
hired by Amazon
©lucienengelen
March 28, 2018
Apple boosts its PHR
From 13 to 40 to 300
Hospitals in 1 month
©lucienengelen
4400 satellites,
real global coverage,
40M users,1Gb per user
March 30, 2018
Spacebased internet will
cover...
©lucienengelen
Patients
&
Technology
5th Democratization
by data
©lucienengelen
Patients
&
Technology
5th Democratization
by data
©lucienengelen
Patients
&
Technology
5th Democratization
by data
©lucienengelen
©lucienengelen
©lucienengelen
Automating
something digital.
Added value : 

less effort
Creating the new
normal. Becoming a
commodity :
c...
©lucienengelen
Automating
something digital.
Added value : 

less effort
Creating the new
normal. Becoming a
commodity :
c...
©lucienengelen
Automating
something digital.
Added value : 

less effort
Creating the new
normal. Becoming a
commodity :
c...
©lucienengelen
Automating
something digital.
Added value : 

less effort
Creating the new
normal. Becoming a
commodity :
c...
©lucienengelen
Automating
something digital.
Added value : 

less effort
Creating the new
normal. Becoming a
commodity :
c...
©lucienengelen
Automating
something digital.
Added value : 

less effort
Creating the new
normal. Becoming a
commodity :
c...
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
FDA
APPROVED
©lucienengelen
©lucienengelen
ultrasound
©lucienengelen
ultrasound
©lucienengelen
©lucienengelen
Life vitals in clinical patients
From three times daily to
24/7 continuous monitoring
Lean monitoring
… whe...
Everyone, always, everywhere connected
©lucienengelen
©lucienengelen
Home medication based on actual point of care readings
©lucienengelen
Home medication based on actual point of care readings
These brands did not exist
15 years ago …
Facebook
Twitter
iPhone
iPad
Android
Apple App Store
Amazon AWS
Uber
Airbnb
Bloc...
These brands did not exist
15 years ago …
Facebook
Twitter
iPhone
iPad
Android
Apple App Store
Amazon AWS
Uber
Airbnb
Bloc...
©lucienengelen
technology evolves faster than ever before
©lucienengelen
APPS, Portals & EHR’s are END of LIFE

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

in their product cycle in current form.
They were symptomatic respon...
©lucienengelen
APPS, Portals & EHR’s are END of LIFE

in their product cycle in current form.
They were symptomatic respon...
Technology is the hype, the change will be permanent.
@lucienengelen
Source REshape Center 2014
The delocalization of health(care)
©lucienengelen
-70%
Source REshape Center 2014
The delocalization of health(care)
©lucienengelen
©lucienengelen
from ‘Hospital’ to ‘Home’
©lucienengelen
from ‘Hospital’ to ‘Home’
from ‘Hospital’ to ‘Phone’
©lucienengelen
where good healthcare in 10 years
will be delivered :
n=1600
©lucienengelen
where good healthcare in 10 years
will be delivered :
n=1600
©lucienengelen
Everywhere Home Hospital Doctor
where good healthcare in 10 years
will be delivered :
n=1600
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
using technology
1st wave
©lucienengelen
using technology
2nd wave
Obesitas, Diabetes, 

Mental health issues
living in technology
1st wave
©lucienengelen
Nicolai
Copernicus
1500
©lucienengelen
Nicolai
Copernicus
1500
©lucienengelen
Health(care)’s Copernican moment
Nicolai
Copernicus
1500
©lucienengelen
Professional
Patient
Health(care)’s Copernican moment
Nicolai
Copernicus
1500
©lucienengelen
Professional
Patient
Patient
Professional
Health(care)’s Copernican moment
Nicolai
Copernicus
1500
Forget ‘uberized’ health(care) will be ‘amazoned’. 

That journey is 80% logistics
©lucienengelen
©lucienengelen
We’re entering
the era of
Augmented
Medicine
No dear doctor,
no dear nurse
Your job will
not be disrupted
©...
What is Augmented Health ?
Life(style) Augmented Health(care)™Augmented Medicine
Data
Information & Visualisation
™ pendin...
What is Augmented Health ?
Life(style) Augmented Health(care)™Augmented Medicine
Data
Information & Visualisation
™ pendin...
from a caddy
for the few
To a caddy
for all
from a caddy
for the few
To a caddy
for all
©lucienengelen
©lucienengelen
Have a seat lucien,
You’ll run
through
a heart attack
In 15 minutes from now.
©lucienengelen
Innovation comes in flavours
For different phases
Awareness Groundwork Execution
0.0 - 1.0 0.8 - 1.2 1.0 - 1...
©lucienengelen
Innovation comes in flavours
For different phases
Awareness Groundwork Execution
0.0 - 1.0 0.8 - 1.2 1.0 - 1...
©lucienengelen
Innovation comes in flavours
For different phases
Awareness Groundwork Execution
0.0 - 1.0 0.8 - 1.2 1.0 - 1...
Why
innovate
?
Why
innovate
?
©lucienengelen
©lucienengelen
Cure & Care ánd prevention need to be addressed
©lucienengelen
Approx. 50%
Cure & Care ánd prevention need to be addressed
©lucienengelen
Cure & Care ánd prevention need to be addressed
©lucienengelen
©lucienengelen
©lucienengelen
Je moet niet
daar zijn waar
de bal is, 

maar daar
waar de bal
heen gaat!
time
performance
0
@lucienengelen 2011
time
performance
0
pre-gap
@lucienengelen 2011
time
performance
0
pre-gap
post-gap
@lucienengelen 2011
©lucienengelen
The
Future
will
fool
you
©lucienengelen
The
Future
will
fool
you
©lucienengelen
The
Future
will
fool
you
©lucienengelen
The
Future
will
fool
you
Year
Years to reach 100
Million people
Year
Years to reach 100
Million people
Year
Years to reach 100
Million people
Months!year
©lucienengelen
Uber yourself Before you get kodaked
1996
140.000 employees
$28 Billion
©lucienengelen
Uber yourself Before you get kodaked
1996
140.000 employees
$28 Billion
INVENTED
the digital camera
Decided...
©lucienengelen
Uber yourself Before you get kodaked
1996
140.000 employees
$28 Billion
INVENTED
the digital camera
Decided...
©lucienengelen
©lucienengelen
©lucienengelen
Innovation
Autoimmune
Disorder
©lucienengelen
Innovation
Autoimmune
Disorder
©lucienengelen
r = f (nm)

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

r = internal resistance to new ideas
n = number of employees
m = number of management levels
450 Freshmen in new curriculum ‘15
E-health - Social Media - Innovation with patients - Flipped classroom - BYOP
“be curious” ©lucienengelen
Powered by:
©lucienengelen
©lucienengelen
Initiatied by REshape Center Radboudumc
Initiator
Shortage of nurses ?

Amount of work outside their circle of influence

Follow the patient ?

Use of new technology in ever...
Shortage of nurses ?

Amount of work outside their circle of influence

Follow the patient ?

Use of new technology in ever...
Amara's Law
©lucienengelen
©lucienengelen
We laughed…
©lucienengelen
…6 months later …
©lucienengelen
©lucienengelen
…now they do.
©lucienengelen
©lucienengelen
Delocalized
©lucienengelen
Delocalized
Democratized
©lucienengelen
Delocalized
Democratized
digital
©lucienengelen
Delocalized
Democratized
digital
dollars
©lucienengelen
©lucienengelen
“Don’t use old maps…
…To explore a New World”
Albert Einstein
©lucienengelen
The world is your backyard now
go and make real connections
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
May 2018, Barcelone Spain
www.lucienengelen.com/book
@lucienengelen
761.214 followers
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  1. WELCOME @RESHAPE
  2. WELCOME @RESHAPE
  3. Dir REshape Center Advisory Exec. Board Edge Fellow Center for the EDGE Global Strategist Digital Health Other disclosures : None relevant
  4. Dir REshape Center Advisory Exec. Board Edge Fellow Center for the EDGE Global Strategist Digital Health Other disclosures : None relevant
  5. ©lucienengelen
  6. ©lucienengelen Meet my future colleagues Pierre, Chu, Isabelle, Nadia & Timmy
  7. Photo courtesy of Christian Lüthen
  8. ©lucienengelen
  9. ©lucienengelen
  10. ©lucienengelen
  11. ©lucienengelen
  12. ©lucienengelen
  13. ©lucienengelen
  14. ©lucienengelen
  15. ©lucienengelen
  16. ©lucienengelen
  17. ©lucienengelen Health(care) When people talk about us when we’re not at the table : we are on the menu
  18. ©lucienengelen May 3, 2017 Amazon into pharmacy
  19. ©lucienengelen July 16, 2017 Amazon buys Whole foods (550 stores)
  20. ©lucienengelen Jan 30, 2018 Amazon & partners Announce to start Healthcare Delivery for their 1.1Million Employees
  21. ©lucienengelen febr. 14, 2018 Amazon enlists Platform for Medical supply Delivery
  22. ©lucienengelen febr. 27, 2018 Apple announces creates 2 clinics For their employees and their family
  23. ©lucienengelen febr. 27, 2018 Verily (Google sister) In population health management with insurers
  24. ©lucienengelen febr. 27, 2018 Verily (Google sister) In population health management with insurers
  25. ©lucienengelen March 5, 2018 Google rolls out API for data collection and Personal health record
  26. ©lucienengelen March 6, 2018 Lyft (Uber competitor) To be ordered by doctor via EHR to pickup Patients to and from home Samsung Health into diabetes program
  27. ©lucienengelen March 16, 2018 Former FDA official hired by Amazon
  28. ©lucienengelen March 28, 2018 Apple boosts its PHR From 13 to 40 to 300 Hospitals in 1 month
  29. ©lucienengelen 4400 satellites, real global coverage, 40M users,1Gb per user March 30, 2018 Spacebased internet will cover the whole world
  30. ©lucienengelen
  31. Patients & Technology 5th Democratization by data ©lucienengelen
  32. Patients & Technology 5th Democratization by data ©lucienengelen
  33. Patients & Technology 5th Democratization by data ©lucienengelen
  34. ©lucienengelen
  35. ©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
  36. ©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
  37. ©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
  38. ©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
  39. ©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
  40. ©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
  41. ©lucienengelen
  42. ©lucienengelen
  43. ©lucienengelen
  44. ©lucienengelen
  45. ©lucienengelen
  46. ©lucienengelen
  47. ©lucienengelen
  48. ©lucienengelen
  49. ©lucienengelen
  50. ©lucienengelen
  51. ©lucienengelen
  52. ©lucienengelen
  53. ©lucienengelen
  54. ©lucienengelen FDA APPROVED
  55. ©lucienengelen
  56. ©lucienengelen ultrasound
  57. ©lucienengelen ultrasound
  58. ©lucienengelen
  59. ©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
  60. Everyone, always, everywhere connected ©lucienengelen
  61. ©lucienengelen Home medication based on actual point of care readings
  62. ©lucienengelen Home medication based on actual point of care readings
  63. 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
  64. 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
  65. ©lucienengelen
  66. technology evolves faster than ever before
  67. ©lucienengelen APPS, Portals & EHR’s are END of LIFE
 in their product cycle in current form. “Teasing by intent”
  68. ©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”
  69. ©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”
  70. Technology is the hype, the change will be permanent. @lucienengelen
  71. Source REshape Center 2014 The delocalization of health(care) ©lucienengelen
  72. -70% Source REshape Center 2014 The delocalization of health(care) ©lucienengelen
  73. ©lucienengelen
  74. from ‘Hospital’ to ‘Home’ ©lucienengelen
  75. from ‘Hospital’ to ‘Home’ from ‘Hospital’ to ‘Phone’ ©lucienengelen
  76. where good healthcare in 10 years will be delivered : n=1600 ©lucienengelen
  77. where good healthcare in 10 years will be delivered : n=1600 ©lucienengelen
  78. Everywhere Home Hospital Doctor where good healthcare in 10 years will be delivered : n=1600 ©lucienengelen
  79. ©lucienengelen
  80. ©lucienengelen
  81. ©lucienengelen using technology 1st wave
  82. ©lucienengelen using technology 2nd wave Obesitas, Diabetes, 
 Mental health issues living in technology 1st wave
  83. ©lucienengelen Nicolai Copernicus 1500
  84. ©lucienengelen Nicolai Copernicus 1500
  85. ©lucienengelen Health(care)’s Copernican moment Nicolai Copernicus 1500
  86. ©lucienengelen Professional Patient Health(care)’s Copernican moment Nicolai Copernicus 1500
  87. ©lucienengelen Professional Patient Patient Professional Health(care)’s Copernican moment Nicolai Copernicus 1500
  88. Forget ‘uberized’ health(care) will be ‘amazoned’. 
 That journey is 80% logistics ©lucienengelen
  89. ©lucienengelen We’re entering the era of Augmented Medicine No dear doctor, no dear nurse Your job will not be disrupted ©lucienengelen
  90. What is Augmented Health ? Life(style) Augmented Health(care)™Augmented Medicine Data Information & Visualisation ™ pending for
  91. What is Augmented Health ? Life(style) Augmented Health(care)™Augmented Medicine Data Information & Visualisation ™ pending for
  92. from a caddy for the few To a caddy for all
  93. from a caddy for the few To a caddy for all
  94. ©lucienengelen
  95. ©lucienengelen Have a seat lucien, You’ll run through a heart attack In 15 minutes from now.
  96. ©lucienengelen Innovation comes in flavours For different phases Awareness Groundwork Execution 0.0 - 1.0 0.8 - 1.2 1.0 - 100
  97. ©lucienengelen Innovation comes in flavours For different phases Awareness Groundwork Execution 0.0 - 1.0 0.8 - 1.2 1.0 - 100
  98. ©lucienengelen Innovation comes in flavours For different phases Awareness Groundwork Execution 0.0 - 1.0 0.8 - 1.2 1.0 - 100
  99. Why innovate ?
  100. Why innovate ?
  101. ©lucienengelen
  102. ©lucienengelen Cure & Care ánd prevention need to be addressed
  103. ©lucienengelen Approx. 50% Cure & Care ánd prevention need to be addressed
  104. ©lucienengelen Cure & Care ánd prevention need to be addressed
  105. ©lucienengelen
  106. ©lucienengelen
  107. ©lucienengelen Je moet niet daar zijn waar de bal is, 
 maar daar waar de bal heen gaat!
  108. time performance 0 @lucienengelen 2011
  109. time performance 0 pre-gap @lucienengelen 2011
  110. time performance 0 pre-gap post-gap @lucienengelen 2011
  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. ©lucienengelen Uber yourself Before you get kodaked 1996 140.000 employees $28 Billion
  119. ©lucienengelen Uber yourself Before you get kodaked 1996 140.000 employees $28 Billion INVENTED the digital camera Decided was NOT their core
  120. ©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
  121. ©lucienengelen
  122. ©lucienengelen
  123. ©lucienengelen Innovation Autoimmune Disorder
  124. ©lucienengelen Innovation Autoimmune Disorder
  125. ©lucienengelen r = f (nm)
 r = internal resistance to new ideas n = number of employees m = number of management levels
  126. ©lucienengelen r = f (nm)
 r = internal resistance to new ideas n = number of employees m = number of management levels
  127. 450 Freshmen in new curriculum ‘15 E-health - Social Media - Innovation with patients - Flipped classroom - BYOP
  128. “be curious” ©lucienengelen Powered by:
  129. ©lucienengelen
  130. ©lucienengelen
  131. Initiatied by REshape Center Radboudumc Initiator
  132. Shortage of nurses ? Amount of work outside their circle of influence Follow the patient ? Use of new technology in every level of nursing Impact on Innovations #nursesincluded Virtual nursing homes
  133. Shortage of nurses ? Amount of work outside their circle of influence Follow the patient ? Use of new technology in every level of nursing Impact on Innovations #nursesincluded Virtual nursing homes
  134. Amara's Law
  135. ©lucienengelen
  136. ©lucienengelen We laughed…
  137. ©lucienengelen …6 months later …
  138. ©lucienengelen
  139. ©lucienengelen …now they do.
  140. ©lucienengelen
  141. ©lucienengelen
  142. Delocalized ©lucienengelen
  143. Delocalized Democratized ©lucienengelen
  144. Delocalized Democratized digital ©lucienengelen
  145. Delocalized Democratized digital dollars ©lucienengelen
  146. ©lucienengelen “Don’t use old maps…
  147. …To explore a New World” Albert Einstein ©lucienengelen
  148. The world is your backyard now go and make real connections
  149. ©lucienengelen ©lucienengelen
  150. ©lucienengelen ©lucienengelen
  151. May 2018, Barcelone Spain www.lucienengelen.com/book
  152. @lucienengelen 761.214 followers

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