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1
2
In the comfort of your livingroom
Photo courtesy of Christian Lüthen
Radboud University
Medical center
Founding Director
REshape Center
until 31/12/18
Edge ...
Part of inaugural group
The Washington Post
brandstudio
Part of 100 initial
Linkedin Influencer
825.000+ followers
Blog of...
© 2019 Deloitte The Netherlands
Identifying the edge(s) of an organisation, by putting topics on the agenda of the CEO tha...
© 2019 Deloitte The Netherlands
We partner with senior executives to help them
understand and profit from emerging
opportu...
Slides will
be available
Health(care) is the sum of parts?
©lucienengelen
HEALTHCARE
©lucienengelen
HEALTH
©lucienengelen
‘personalized’ Health
Value Based HEALTH
©lucienengelen
©lucienengelen
Also our future workforce
19
Patients able creating own n=1 communities
via HC IT systems Via the patient
+
eGo eCo
©lucienengelen 2011
Shift in mindset
Institution owned
PGO patient (PHR)
PORTAL
Hospital
EMR other source systems
PORTAL
Pharmacist
EMR other ...
©lucienengelen
©lucienengelen
New data segway?
Digitizing
Digital

Transition
Digital

Transformation
HISTORIC
DATA
RECENT
DATA
REAL
TIME...
Digital biomarkers
©lucienengelen
VIOME
©lucienengelen
Alivecor
Patiënt:: Lucien Engelen, 02-07-1962 (57jaar)
Geregistreerd: woensdag 6 november 2019 om 16:24:48
...
©lucienengelen
Automating
something digital.
Creating the new
normal. Becoming a
commodity :
calculator
Doing something
di...
Science fiction
Is now becoming
Science
©lucienengelen 2017 The End of the beginning
©lucienengelen
©lucienengelen
©lucienengelen
8765:1
©lucienengelen
CLO
Chief
Listening
Officer
First ever in healthcare
©luciene
Professional journey
Patient journey
Life journey
Institution journey
fór wíth by
Innovation shift Patients
Included
PatientsIncludedisaTrademarkoftheREshape&InnovationCenter
™
©lucienengelen
©lucienengelen
From patients’ perspective: Healthcare is 80% blunt logistics
©lucienengelen
©lucienengelen
Everywhere Home Hospital Doctor
Where will healthcare be
delivered in 10 years:
n=2200
©lucienengelen
©lucienengelen
Professional
Patient
Patient
Professional
Health(care)’s Copernican moments
Nicolai
Copernicus
1500
-70%
Source REshape Center 2014
The delocalization of health(care)
©lucienengelen
from ‘Hospital’ to ‘Home’
from ‘Hospital’ to ‘Phone’
©lucienengelen
Digital transformation is
making the world
a lot smaller
Digital is changing

everything
©lucienengelen
©lucienengelen
Health(care)
When people talk
about us when
we’re not at the table :
we are on the menu
©lucienengelen


10.000 ft of primary care, laboratory tests, X-rays and 

diagnostics, counseling, dental, optical, hearing, 

health in...
Year Years to reach 100
Million people
Months!Years
©lucienengelen
800 Million to date
Everyone, always, everywhere connected
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
Time
Progress
Opportunity
GAP
Processes & Technology
Strategy
Culture
Leadership
The need
The will ©lucienengelen 2017
The End of the beginning
image bu...
A stasis, or worse the
reversal of the “Day 1”
concept followed by 

irrelevance. 



Followed by excruciating, 

painful ...
57
• From hardware to software
• From quality to experience 

(as Q is no discriminator anymore)
• From silo to network (m...
What is your own Egde?
Delocalized
Democratized
Digital
Dollars
©lucienengelen
60
©lucienengelen
We need to find a segway from healthcare > health with the
use of technology, education, and partnering cross industry to
i...
www.lucienengelen.com/book/shop
coupon : xmed2019
63
©lucienengelen
64
©lucienengelen
65
Wishing you all a soft landing into the future
©lucienengelen
©lucienengelen
@lucienengelen
831.214 followers
Xmed 2019 Lucien Engelen
Xmed 2019 Lucien Engelen
Xmed 2019 Lucien Engelen
Xmed 2019 Lucien Engelen
Xmed 2019 Lucien Engelen
Xmed 2019 Lucien Engelen
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  1. 1
  2. 2 In the comfort of your livingroom
  3. Photo courtesy of Christian Lüthen Radboud University Medical center Founding Director REshape Center until 31/12/18 Edge Fellow Center for the Edge/ Global Strategist Digital Health as of 1/1/2019 Core Faculty Exponential Medicine Singularity University SiliconValley as of 2011
  4. Part of inaugural group The Washington Post brandstudio Part of 100 initial Linkedin Influencer 825.000+ followers Blog of own company www.transform.health
  5. © 2019 Deloitte The Netherlands Identifying the edge(s) of an organisation, by putting topics on the agenda of the CEO that are not there yet, but should be. 
 Next bringing tomorrows problems & opportunities to today, to execute on the identified edge. The Edge Fellow Program of the Deloitte Center for the Edge. The Edge Fellows program provides transformational support to Deloitte top clients with a unique selection of visionaries who collaborate across disciplines to create positive change across Europe and Globally. We believe that with the subject matter expertise of
 Edge Fellows and execution power of Deloitte, we can create 
 a positive change at our clients. Constantijn 
 van Oranje-Nassau Lucien Engelen Thomas Rau Marieke Bax Aimee van Wynsberghe The Edge Fellows 
 (work in progress)
  6. © 2019 Deloitte The Netherlands We partner with senior executives to help them understand and profit from emerging opportunities on the edge of business, technology and digital. Unlocking Europe’s transformation potential Deloitte Center for the Edge EMEA ● ● ● ● ● ● ● ● C4E EMEA • Amsterdam • Zurich • Oslo • Copenhagen • Stockholm • Bucharest C4E USA • Silicon Valley C4E APAC • Melbourne • Singapore
  7. Slides will be available
  8. Health(care) is the sum of parts?
  9. ©lucienengelen HEALTHCARE
  10. ©lucienengelen HEALTH
  11. ©lucienengelen ‘personalized’ Health Value Based HEALTH
  12. ©lucienengelen
  13. ©lucienengelen
  14. Also our future workforce
  15. 19
  16. Patients able creating own n=1 communities via HC IT systems Via the patient + eGo eCo ©lucienengelen 2011
  17. Shift in mindset Institution owned PGO patient (PHR) PORTAL Hospital EMR other source systems PORTAL Pharmacist EMR other source systems PORTAL Care Electronic Client systems bronsysteem instelling Source systems patient Patient-owned PORTAL Disease specific Knowledge base patient data
  18. ©lucienengelen
  19. ©lucienengelen New data segway? Digitizing Digital
 Transition Digital
 Transformation HISTORIC DATA RECENT DATA REAL TIME DATA PREDICTALITICS PRESCRIPTALITICSSTATIC DATA
  20. Digital biomarkers
  21. ©lucienengelen VIOME
  22. ©lucienengelen Alivecor Patiënt:: Lucien Engelen, 02-07-1962 (57jaar) Geregistreerd: woensdag 6 november 2019 om 16:24:48 Hartfrequentie: 85 BPM Duur: 30s Directe analyse: Normaal *Directe analyse wordt uitgevoerd bij afleiding I. Standaardfilter, Netfrequentie: 60Hz Schaal: 25mm/s, 10mm/mV (c) Copyright 2012-2018, AliveCor Inc, Kardia v5.7.2.1603, UUID: 135dbf35-cdd7-45da-917a-6cc0cd498c10 Pagina 1 van 4 I II III aVR aVL aVF Kardia
  23. ©lucienengelen Automating something digital. Creating the new normal. Becoming a commodity : calculator Doing something digital that was done analog, The Digital healthcare Transformation Digitizing Digital
 Transition Digital
 Transformation Cahier > App App > Smartphone Part of Operating System
  24. Science fiction Is now becoming Science ©lucienengelen 2017 The End of the beginning
  25. ©lucienengelen ©lucienengelen
  26. ©lucienengelen 8765:1
  27. ©lucienengelen CLO Chief Listening Officer First ever in healthcare
  28. ©luciene Professional journey Patient journey Life journey Institution journey
  29. fór wíth by Innovation shift Patients Included PatientsIncludedisaTrademarkoftheREshape&InnovationCenter ™ ©lucienengelen
  30. ©lucienengelen
  31. From patients’ perspective: Healthcare is 80% blunt logistics ©lucienengelen
  32. ©lucienengelen
  33. Everywhere Home Hospital Doctor Where will healthcare be delivered in 10 years: n=2200 ©lucienengelen
  34. ©lucienengelen Professional Patient Patient Professional Health(care)’s Copernican moments Nicolai Copernicus 1500
  35. -70% Source REshape Center 2014 The delocalization of health(care) ©lucienengelen
  36. from ‘Hospital’ to ‘Home’ from ‘Hospital’ to ‘Phone’ ©lucienengelen
  37. Digital transformation is making the world a lot smaller
  38. Digital is changing
 everything
  39. ©lucienengelen
  40. ©lucienengelen Health(care) When people talk about us when we’re not at the table : we are on the menu
  41. ©lucienengelen
  42. 
 10.000 ft of primary care, laboratory tests, X-rays and 
 diagnostics, counseling, dental, optical, hearing, 
 health insurance information and community health education
 ©lucienengelen
  43. Year Years to reach 100 Million people Months!Years ©lucienengelen
  44. 800 Million to date
  45. Everyone, always, everywhere connected ©lucienengelen
  46. ©lucienengelen
  47. ©lucienengelen ©lucienengelen
  48. ©lucienengelen Time Progress Opportunity GAP
  49. Processes & Technology Strategy Culture Leadership The need The will ©lucienengelen 2017 The End of the beginning image bulb: pawnile.deviantart.com Demolition-team
  50. A stasis, or worse the reversal of the “Day 1” concept followed by 
 irrelevance. 
 
 Followed by excruciating, 
 painful decline. 
 
 Followed by death. • Be obsessed with the customer • Focus on results over process • Make high quality decisions quickly • Embrace external trends quickly "Day 2″ "Day 1″ ©lucienengelen
  51. 57 • From hardware to software • From quality to experience 
 (as Q is no discriminator anymore) • From silo to network (mobilizing) • From centralised to distributed • From eGo to eCo approach
 part of a platform economy • From ’proposition’ to co-creation • New players Shift is happening… ©lucienengelen
  52. What is your own Egde?
  53. Delocalized Democratized Digital Dollars ©lucienengelen
  54. 60 ©lucienengelen
  55. We need to find a segway from healthcare > health with the use of technology, education, and partnering cross industry to increase prevention and self empowerment. The solution for the future of healthcare = health With doubling healthcare demand, shortage of skilled personnel, increasing burn-out rates, decreasing budgets and patients becoming empowered, there is no way this is sustainable. 
 Healthcare will implode! ©lucienengelen 2019
  56. www.lucienengelen.com/book/shop coupon : xmed2019
  57. 63 ©lucienengelen
  58. 64 ©lucienengelen
  59. 65 Wishing you all a soft landing into the future
  60. ©lucienengelen ©lucienengelen
  61. @lucienengelen 831.214 followers
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