26-1-2016

2. ZDoggMD has more than 130 Million collective views on his videos. This video alone 1.9 Million on Youtube

3. ZDoggMD has more than 130 Million collective views on his videos. This video alone 1.9 Million on Youtube

4. ©lucienengelen

5. ©lucienengelen

6. ©lucienengelen

7. Why is healthcare still
using sticks to make fire,
While new technology
is broadly adopted elsewhere?
©lucienengelen

8. Why is healthcare still
using sticks to make fire,
While new technology
is broadly adopted elsewhere?
©lucienengelen

9. ©lucienengelen
Driving
Prohibited

10. ©lucienengelen
End of
drivers license
& gasstations
Driving
Prohibited

11. ©lucienengelen
End of
drivers license
& gasstations
Driving
Prohibited

12. ©lucienengelen
The end of
screens, laptops
and phones
iGlass

13. ©lucienengelen

14. ©lucienengelen

15. ©lucienengelen
exponential in 3 tweets

16. ©lucienengelen

17. See the patern here?
©lucienengelen

18. ©lucienengelen

19. ©lucienengelen
ultra sound

20. ©lucienengelen
ultra sound

21. ©lucienengelen

22. ©lucienengelen
assignment REshape Center
Convergence Technology & Patient Empowerment
To scout, explore, research and advocate (the use of) new exponential
growing technology in a disruptive era, to design a more participatory
and sustainable health(care) system, with a global perspective.
Explore the World Create solutions Share & discuss

23. listening for signals…
©lucienengelen

24. listening for signals…
©lucienengelen

25. ©lucienengelen0 to 1 0,8 to 1,2 1 to 100
adaptedfromcentralofficeofdesign

26. ©lucienengelen0 to 1 0,8 to 1,2 1 to 100
adaptedfromcentralofficeofdesign

27. Gartner Hype Cycle
©lucienengelen
1st Gen. 2nd Gen. 3rd Gen. …

28. Gartner Hype Cycle
©lucienengelen
1st Gen. 2nd Gen. 3rd Gen. …

29. Gartner Hype Cycle
©lucienengelen
1st Gen. 2nd Gen. 3rd Gen. …

30. Gartner Hype Cycle
©lucienengelen
0-1
1st Gen. 2nd Gen. 3rd Gen. …

31. Gartner Hype Cycle
©lucienengelen
0-1 0.8-1.2
1st Gen. 2nd Gen. 3rd Gen. …

32. Gartner Hype Cycle
©lucienengelen
0-1 0.8-1.2 1-100
1st Gen. 2nd Gen. 3rd Gen. …

33. Gartner Hype Cycle
©lucienengelen
0-1 0.8-1.2 1-100
1st Gen. 2nd Gen. 3rd Gen. …

34. 18
“dare to fail”

37. vaccination and Autisme

38. vaccination and Autisme

44. We should approach
healthcare innovation
like pharma
development
©lucienengelen

45. We should approach
healthcare innovation
like pharma
development
©lucienengelen

46. We should approach
healthcare innovation
like pharma
development
©lucienengelen
Only 1 out of 7 reaches market

48. we are here

49. HTML (text)
Video
Social Profiles
Location
Quantified Self Data
Health Data
Sensor Networks
Internet of Things
New Information Layers
Crowd Sourced Info

50. HTML (text)
Video
Social Profiles
Location
Quantified Self Data
Health Data
Sensor Networks
Internet of Things
New Information Layers
Crowd Sourced Info
we are here

51. Everyone, always, everywhere connected
©lucienengelen

52. ©lucienengelen
using technology
1st wave

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

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

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

56. ©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)

57. ©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)

58. ©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)

59. ©lucienengelen
270.000 employees
11.000.000 members
52% e-visits 2015

60. ©lucienengelen
270.000 employees
11.000.000 members
52% e-visits 2015

61. 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

62. TomvdBelt&LucienEngelen
©lucienengelen
Application Researcher Department
Brain Aging Monitor Olde Rikkert Geriatrics
BREATH Prins Medical Psychology
Parkinsonnet Bloem Neurology
Zelfmanagement CANS
Nijhuis vd
Sande
Rehabilitation
e-IMR (ernstige psychiatrie) van Gaal IQ healthcare
Zelfmanagement RA van Gaal IQ healthcare
Zelfmanagement Nierziekten van Gaal IQ healthcare
Zelfmanagement Cardiologie van Gaal IQ healthcare
CGT chronische vermoeidheid Knoop Medical psychology
Palliatieve zorg op afstand Hasselaar Anesthesiology
Zelfmanagement Non-hodgkin Hermens
Diagnose op afstand Speckens Psychiatrics
Telemedicine psoriasis vd Kerkhof Dermatology
Telemedicine in de eerste lijn Wensing Primary Care
Zelfmanagement COPD Schermer ELG
StripTest reader Smeets Clinical Chemistry
Mijnzorgnet Kremer

63. TomvdBelt&LucienEngelen
©lucienengelen
Telemedicine in de eerste lijn Wensing Primary Care
Zelfmanagement COPD Schermer ELG
StripTest reader Smeets Clinical Chemistry
Mijnzorgnet Kremer
Luchtbrug vd Wijngaart Pediatrics
MijnRadboud Bredie Internal Medicine
Social media en zorgkwaliteit (Zorgkaart
Nederland)
Kool IQ healthcare
Medimapp Atsma IQ healthcare
NHGdoc Kool IQ healthcare
Monitoring van vitale functies (wearables) van Goor Surgery
Cmylife Blijlevens Hematology
Zelfmanagement revalidatie Geurts Rehabilitation
Zelfmanagement diabetes Tack Internal Medicine
Mijn Zw@ngerschap Kremer Obstetrics
Parkinson@home Bloem Neurology
MKA 2.0 Berge
Oral and Maxillofacial
Surgery
Methodology & others
Novel platforms for data collection Engelen Health Evidence
3D printing for informed surgeons and
patients
Ter Laan Neurosurgery
Health and Medicine 2.0 algemeen Engelen IQ healthcare
0-1 0.8-1.2 1-100
MoleculairlifeSciences
NeuroScience
health Sciences
PhD
PhD
PhD
research REshape Center
0-1 0.8-1.2 1-100
MoleculairlifeSciences
NeuroScience
health Sciences
PhD

64. ©lucienengelen
Reshape center for european healthcare design

65. ©lucienengelen
Life vitals in clinical patients
From three times daily to
24/7 continuous monitoring
Lean monitoring
… when they need to be
Continious & Proactive
Health data now

66. ©lucienengelen
Disruptive monitoring with new parameters
Blood glucose HRV
X
Interval X = 30 minutes
5.5 mmol/L
3.9 mmol/L
Early Warning Heart Rate Variability for drop glucose level

68. ©lucienengelen
Diabetes type 1
one app for all

69. ©lucienengelen
app Diabetes type 1 (preliminary results)
HbA1c bit lower, less worries, no increase hypo’s, more insights bolus calculator, more education needed

70. Digital first, physical next
©lucienengelen

71. Digital first, physical next
©lucienengelen

72. Patient empowered safety
✤ Pre OR lists digital via portal
✤ Post OR lists digital
✤ Post OR remote monitoring
✤ Knowing as much as we can about context
✤ Deep learning, machine learning and AI
✤ Medication errors
✤ Misadministration
✤ Team offert #patientsincluded
©lucienengelen

73. 42 ©lucienengelen

74. 42
the Power of the human touch
©lucienengelen

75. It’s not about research
it’s not about Money
it’s not about privacy

76. It’s not about research
it’s not about Money
it’s not about privacy

77. It’s not about research
it’s not about Money
it’s not about privacy
it is about us, the people
working in healthcare

78. It’s not about research
it’s not about Money
it’s not about privacy
it is about us, the people
working in healthcare
Let’s talk about that!

79. ©lucienengelen

80. ©lucienengelen

81. ©lucienengelen
We implement EHR, without clear business case,
So why not for digital health as well ?
Compliant to standard should be mandatory for payment
Outcome-based healthcare

82. ©lucienengelen
you’re a star

83. ©lucienengelen
you’re a star
but only 1 of them

84. ©lucienengelen
Scale comes from process, IP, org chart,
standardization, capitalization.
All of these assume the
future will be like the past, only more so.
Wake up, it’s NOT!

85. ©lucienengelen
Scale comes from process, IP, org chart,
standardization, capitalization.
All of these assume the
future will be like the past, only more so.
Wake up, it’s NOT!

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

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

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

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

90. ©lucienengelen
What are
the 10 most wanted digital health features
patients want to use ?
Internationally

91. ©lucienengelen
What are
the 10 most wanted digital health features
patients want to use ?
Internationally

92. ©lucienengelen

93. ©lucienengelen