Open college KU Leuven, geneeskunde. 11-5-2015

1. To have a significant impact on health(care)

5. How a 13 year old kid, inspired an Academic Medical Center start building a bridge!

6. Radboudumc
Director REshape Center for Innovation
To have a significant impact on health(care)

7. Lucien Engelen
Radboudumc
Director REshape Center for Innovation
To have a significant impact on health(care)

8. Lucien Engelen
Radboudumc
Director REshape Center for Innovation
To have a significant impact on health(care)
Not me !

9. •11.000 colleagues
•3000 students
•1000 beds
•ambition to ‚close’ 500
•Significant impact on health(care)
•$1 billion revenue
•First Academic Center outside US EPIC

10. •11.000 colleagues
•3000 students
•1000 beds
•ambition to ‚close’ 500
•Significant impact on health(care)
•$1 billion revenue
•First Academic Center outside US EPIC

12. foresight 5-10-25 years

13. Passion

14. approx. 500 BC
The Hippocratic oath
No mention of the role of the ‘patient’ or ‘patior’
Does mention the Godly powers of the doctor
To keep uninformed was common

15. Sir Luke Fildes 1887

17. Banking will be disrupted

18. Banking will be disrupted
❖ Since 2006

19. Banking will be disrupted
❖ Since 2006
❖ after announcement IPO in 5 hour $800M

20. Banking will be disrupted
❖ Since 2006
❖ after announcement IPO in 5 hour $800M
❖ At IPO net worth $8.9B

21. Banking will be disrupted
❖ Since 2006
❖ after announcement IPO in 5 hour $800M
❖ At IPO net worth $8.9B
❖ in beween Google and Twitter

22. Banking will be disrupted
❖ Since 2006
❖ after announcement IPO in 5 hour $800M
❖ At IPO net worth $8.9B
❖ in beween Google and Twitter
❖ this … is WE banking

25. Patients
&
Technology

36. Intensive

37. On wardIntensive

38. On wardIntensive

41. It’s just getting started….

43. Buildable

44. Buildable
Moveable

45. Buildable
Moveable

46. Buildable
Moveable
Carriable

47. Buildable
Moveable
Carriable
Wearable

48. Buildable
Moveable
Carriable
Wearable

53. ‘insideables’

56. It’s just getting started….

57. Dokter Gadget ?

58. “for the first time ever in history,
we will be present when a person gets sick”
@lucienengelen

63. 2015 / 2016 : 8200

69. printing meds

72. M
E
D

76. - 70%

77. - 70%

84. Scotty beam me up !

86. Innovation
time
performance
0
Clayton Christensen, Harvard

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

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

89. Neglect
time
performance
0
Lucien Engelen 2011

90. Neglect
time
performance
0
Lucien Engelen 2011
pre-gap

91. Neglect
time
performance
0
Lucien Engelen 2011
pre-gap
post-gap

94. Finding a new balance with the patient as partner

97. Time for change ?
image Mark McConnell

102. fór
Innovation shift

103. fór
Innovation shift

104. fór wíth
Innovation shift Patients
Included
PatientsIncludedisaTrademarkoftheREshape&InnovationCenter
™

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

106. DIY Health-hack

107. DIY Aorta mesh
Tal Golesworthy, suffers from Marfan
syndrome.
Invented mesh aortic, that got placed by
surgeons

109. There is a lot of doctor-talk
going on…. but
Don’t forget the (impact) on
nursing

110. There is a lot of doctor-talk
going on…. but
Don’t forget the (impact) on
nursing

111. WE are the problem,
creating our own reality,
Our patients are way ahead of us.

113. everyone, everywhere, always connected

115. NL in 5 years 100 %

116. NL in 5 years 100 %
already 70% follow-up

117. NL in 5 years 100 %
already 70% follow-up
FaceTalk 2.0 launch March

119. Launch tweede generatie 18 maart 2015

120. PHR
eCo-system needed

121. PHR COMMUNITY
eCo-system needed

122. PHR COMMUNITY
E-HEALTH
eCo-system needed

125. Flipping the coin
via HC IT systems Via the ónly constante in
healthcare: The patient

126. Flipping the coin
via HC IT systems Via the ónly constante in
healthcare: The patient
+

133. 7 weeks after 1st cup of coffee

138. Modules

139. Modules
COPD / CHF
Hypertension
Diabetes 1 & 2
Parkinsons
Pregnancy monitoring @risk
Pre and post operative
Early stroke
CML

140. eCo-system

141. eCo-system

142. eCo-system

143. Shared user experience (UX)
3rd party applications and devices Philips applications and devices
Built to be flexible, scalable and adaptable
Decision
support
Decision
support
Decision
support
Professional healthcare functionality (API)
(HL7, DICOM, Image processing, HIPA, healthcare data etc.)
Consumer health functionality (API)
(Analytics, visualization, community)
Collaboration cloud
• Message routing.
• Collaboration & social integration.
• Metering & billing
• Master patient index.
• Workflow support.
Connected device cloud
• Discovery & registration.
• Provisioning.
• Diagnostics.
• Firmware upgrades.
• Security.
Secure data cloud
• Data interfaces.
• Data, image & video services.
• Image processing.
• Machine learning & analytics.
• Archiving.

146. 5. Extension
(other disorders internationally)1. Networks of experts
2. The patient as partner 4. Transparent quality control
3. Fee for outcome
Five
key
components

147. % patients with hip fracture
Bloem & Munneke, Br Med J 2014; 348: g1838

148. % patients with hip fracture
Bloem & Munneke, Br Med J 2014; 348: g1838
Regular care ParkinsonsNet care

151. sit back and relax … ?

152. Routine personal interactions will be surpassed by
algorhytms.
The professional in primary care will move to
a position dominated online
The ‘every day’ pharmacist will only exist in the cloud,
the rest in supermarket.

153. Top 10 health industry issues of 2015
# Top issue for 2015
1 Do-it-yourself healthcare
2 Making the leap from mobile app to medical device
3 Balancing privacy and convenience
4 High-cost patients spark cost-saving innovations
5 Putting a price on positive outcomes
6 Open everything to everyone
7 Getting to know the newly insured
8 Physician extenders see an expanded role in patient care
9 Redefining health and well-being for millennials
10 Partner to win
Top health industry issues of 2015
Slide 6

154. Time will change…

155. Time will change…

156. 4D
•Democratisation
•Delocalisation
•Digital
•Dollars

157. New alliances

158. New alliances

159. New alliances

160. New alliances

161. New alliances

162. New alliances

163. New partnerships for international transition of health

164. New partnerships for international transition of health

166. supported by :
invited candidate members
soon more

167. supported by :
invited candidate members
soon more

168. supported by :
invited candidate members
soon more

169. How Apple just became an Academic Medical Center

170. 700 Million research devices
18.000 inclusions in 48h
How Apple just became an Academic Medical Center

173. We need a Global reimbursement system

176. Paradigm shift is here already
It is yet not evenly distributed
Takes 7 - 17 years

177. 2015, the tipping point of health(care).

178. 2015, the tipping point of health(care).

179. 2015, the tipping point of health(care).

180. 2015, the tipping point of health(care).

185. So Health(care) is changing, massively!
Oppertunities to engage!
Are YOU going to take that chance and firestart?

186. @lucienengelen
573.388 followers