The document appears to be a collection of slides from presentations given by Lucien Engelen on various topics related to healthcare and technology. Some key points summarized across multiple slides include: - Healthcare is becoming more digital and software-focused. - Remote monitoring, telehealth, and virtual care are growing aspects of healthcare delivery. - Consumer behaviors and expectations are shifting towards more convenient digital access to services like healthcare. - New technologies now allow for continuous monitoring of patients and real-time data sharing between providers and patients.

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A lens on two worlds

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Meet my future colleagues

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Meet my future colleagues
Pierre, Chu, Isabelle, Nadia & Timmy

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Sir Luke Fildes. The Doctor. exhibited 1891

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21. Planet
health(care)

22. Photo courtesy of Christian Lüthen

23. Photo courtesy of Christian Lüthen

24. Everyone, always, everywhere connected
©lucienengelen

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

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

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

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

30. ©lucienengelen

31. ©lucienengelen
Engelen/Derksen
2010

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

33. ©lucienengelen

34. ©lucienengelen
Home medication based on actual point of care readings

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Home medication based on actual point of care readings

36. ©lucienengelen
Home medication based on actual point of care readings

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©lucienengelen

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©lucienengelen

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©lucienengelen

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©lucienengelen

42. OnIntensiv
Current Vitals : Lucien Engelen
©lucienengelen

43. ©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

44. Wireless earbuds Dash
©lucienengelen

45. Wireless earbuds Dash
©lucienengelen

46. Wireless earbuds Dash
©lucienengelen

47. Wireless earbuds Dash
©lucienengelen

48. Wireless earbuds Dash
©lucienengelen
40 languages near realtime

49. ©lucienengelen
FDA
APPROVED

50. ©lucienengelen

51. FDA APPROVED
©lucienengelen

52. FDA APPROVED
©lucienengelen

53. ©lucienengelen
Predictive
analytics

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

55. Healthcare has become a software branche.

56. Healthcare has become a software branche.

57. Healthcare has become a software branche.

58. ©lucienengelen

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

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

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

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

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

64. ©lucienengelen

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

66. “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

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

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

69. -70%
Source REshape Center 2014
The delocalization of health(care)
©lucienengelen

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

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

72. •15.000 colleagues
•1000 beds
•ambition to ‚close’ 500
•Significant impact on health(care)
•$1 billion revenue
Radboud University Medical Center,
Nijmegen The Netherlands

73. •15.000 colleagues
•1000 beds
•ambition to ‚close’ 500
•Significant impact on health(care)
•$1 billion revenue
Radboud University Medical Center,
Nijmegen The Netherlands

74. Digital strategy is not translating
what you do now, digitally
It is completely rethinking
your model grounds-up
If you’ve not been on this the past 3 years,
you’ll be out of business in 10
©lucienengelen

75. Digital strategy is not translating
what you do now, digitally
It is completely rethinking
your model grounds-up
If you’ve not been on this the past 3 years,
you’ll be out of business in 10
©lucienengelen

76. Amara's Law

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

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

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

80. ©lucienengelen
©lucienengelen

81. ©lucienengelen
using technology
1st wave

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

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

84. AI (Artifficial Intelligence)

85. ©lucienengelen

86. ©lucienengelen
We laughed…

87. ©lucienengelen
…6 months later …

88. ©lucienengelen

89. ©lucienengelen
…now they do.

90. ©lucienengelen

91. ©lucienengelen
Answer the
question
of tomorrow

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

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

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

96. ©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

97. ©lucienengelen
Cure & Care ánd prevention need to be addressed

98. ©lucienengelen
Approx. 50%
Cure & Care ánd prevention need to be addressed

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

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

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

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

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

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

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

107. ©lucienengelen
Food, electronics, errands … pharmacy ?
Multi billion investments

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

109. ©lucienengelen
Oct 27, 2017

112. ©lucienengelen
Biosimilars
what else?

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

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

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

116. fór wíth by
Innovation shift Patients
Included
PatientsIncludedisaTrademarkoftheREshape&InnovationCenter
™

117. fór wíth by
Innovation shift Patients
Included
PatientsIncludedisaTrademarkoftheREshape&InnovationCenter
™

118. ©lucienengelen

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

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

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

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

124. ©lucienengelen

125. ©lucienengelen

126. ©lucienengelen
“Kijk niet naar mij, maar zie mij.
Luister niet naar mij maar hoor mij”
Rene Tabak
Patienten Adviesraad / Patient Advisory Council
Radboudumc
“Don’t look at me, but see me.
don’t listen to me, but hear me”

127. 69

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

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

130. ©lucienengelen
Strategic
Frameworks
1958-2013

131. ©lucienengelen
2017;20(1):11-23
Hierin B et al, Health Expectations
Patients were involved in the development of
only 11% of the 193 Patient-reported
outcome measures (prom’s)

132. 450 Freshmen @ new curriculum ‘15
E-health - Social Media - Innovation with patients - Flipped classroom - BYOP
©lucienengelen

133. “be curious” ©lucienengelen
Powered by:

135. ©lucienengelen

136. ©lucienengelen

137. Initiatied by REshape Center Radboudumc
Initiator

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

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

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

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

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

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

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

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

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

147. 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

148. 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

149. 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

150. Bold leadership
Influence the culture
Become frictionless
Create own competitor
Whole system in the room!
The power of NOW!
May 2018

151. ©lucienengelen

152. Delocalized
©lucienengelen

153. Delocalized
Democratized
©lucienengelen

154. Delocalized
Democratized
digital
©lucienengelen

155. Delocalized
Democratized
digital
dollars
©lucienengelen

156. 83 ©lucienengelen

157. 83
the Power of the human touch
©lucienengelen

158. ©lucienengelen
©lucienengelen

159. ©lucienengelen
©lucienengelen

160. @lucienengelen
721.214 followers
www.