©lucienengelen
©lucienengelen
©lucienengelen
Meet my future colleagues
Pierre, Chu, Isabelle, Nadia & Timmy
©lucienengelen
Health(care)
When people talk
about us when
we’re not at the table :
we are on the menu
©lucienengelen
May, 2017
©lucienengelen
Why Amazon
buys WholeFoods
July 16, 2017
©lucienengelen
24 Januari, 2018
©lucienengelen
Jan 30, 2018
©lucienengelen
febr. 14, 2018
©lucienengelen
febr. 27, 2018
©lucienengelen
febr. 27, 2018
©lucienengelen
febr. 27, 2018
©lucienengelen
March 6, 2018
©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 :
calculator
Doing something
digital that was done
analog, no added
value.
The Digital healthcare Transformation
Digitizing
Digital

Transition
Digital

Transformation
©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
©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
©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
©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
©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
Photo courtesy of Christian Lüthen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
FDA
APPROVED
©lucienengelen
©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
©lucienengelen
©lucienengelen
ultrasound
©lucienengelen
ultrasound
©lucienengelen
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
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
technology evolves faster than ever before
Technology is the hype, the change will be permanent.
@lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
using technology
1st wave
©lucienengelen
using technology
2nd wave
Obesitas, Diabetes, 

Mental health issues
living in technology
1st wave
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
Forget ‘uberized’ health(care) will be ‘amazoned’. 

That journey is 80% logistics
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
Reshape center for european healthcare design
Patient journey
©lucienengelen
Reshape center for european healthcare design
Patient journey
Institution journey
©lucienengelen
Reshape center for european healthcare design
Professional journey
Patient journey
Institution journey
©lucienengelen
Reshape center for european healthcare design
Professional journey
Patient journey
Life journey
Institution journey
©lucienengelen
We’re entering
the era of
Augmented
Medicine
No dear doctor,
no dear nurse
Your job will
not be disrupted
©lucienengelen
What is Augmented Health ?
Life(style) Augmented Health(care)™Augmented Medicine
Data
Information & Visualisation
™ pending for
What is Augmented Health ?
Life(style) Augmented Health(care)™Augmented Medicine
Data
Information & Visualisation
™ pending for
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
©lucienengelen
©lucienengelen
Je moet niet
daar zijn waar
de bal is, 

maar daar
waar de bal
heen gaat!
©lucienengelen
©lucienengelen
Delocalized
©lucienengelen
Delocalized
Democratized
©lucienengelen
Delocalized
Democratized
digital
©lucienengelen
Delocalized
Democratized
digital
dollars
©lucienengelen
©lucienengelen
Digital Health research
©lucienengelen
Digital Health research
©lucienengelen
Digital Health research
Studies are increasing
(29000 in total) often very
narrow field
©lucienengelen
Digital Health research
Studies are increasing
(29000 in total) often very
narrow field
Meta analyses (1600) focus
on past technology so
exclude new tech
©lucienengelen
Digital Health research
Studies are increasing
(29000 in total) often very
narrow field
Often (if not mostly) not
#patientsincluded
Meta analyses (1600) focus
on past technology so
exclude new tech
©lucienengelen
Digital Health research
Studies are increasing
(29000 in total) often very
narrow field
A lot depends on
hypothesis and
research questions
Often (if not mostly) not
#patientsincluded
Meta analyses (1600) focus
on past technology so
exclude new tech
©lucienengelen
Digital Health research
Studies are increasing
(29000 in total) often very
narrow field
A lot depends on
hypothesis and
research questions
Often (if not mostly) not
#patientsincluded
Low number of studies
incorporate marco-
economic perspective
Meta analyses (1600) focus
on past technology so
exclude new tech
©lucienengelen
Digital Health research
No real overview of
negative, neutral
and positive studies
Studies are increasing
(29000 in total) often very
narrow field
A lot depends on
hypothesis and
research questions
Often (if not mostly) not
#patientsincluded
Low number of studies
incorporate marco-
economic perspective
Meta analyses (1600) focus
on past technology so
exclude new tech
0
500
1000
1500
2000
2500
3000
3500
4000
1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 2016
TomvdBelt&LucienEngelen
©lucienengelen
0
500
1000
1500
2000
2500
3000
3500
4000
1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 2016
TomvdBelt&LucienEngelen
©lucienengelen
0
500
1000
1500
2000
2500
3000
3500
4000
1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 2016
TomvdBelt&LucienEngelen
©lucienengelen
Beter dan
reguliere zorg
Gelijkwaardig aan
reguliere zorg
Slechter dan
reguliere zorg
Niet-acuut
Acuut
Chronisch
macro-economische
kosten
How-to?
REshape 

core team
REshape Fellows
REshape Ambassadors
Explore - Inspire - Facilitate

©lucienengelen
Scout / Concept
Vision / Design
Enroll Scale
Radboudumc Labs
Spinn-out
Business model
MOC’s
Moments of Choice
Demand driven
relates to strategy
REshape iLAB PVI
iLab Scaling (PVI)REshape Center
iBoard
Chair Board Radboudumc
©lucienengelen
Scout / Concept
Vision / Design
Enroll Scale
Radboudumc Labs
Spinn-out
Business model
MOC’s
Moments of Choice
Demand driven
relates to strategy
REshape iLAB PVI
iLab Scaling (PVI)REshape Center
iBoard
Chair Board Radboudumc
Concept to prototype
Ideas from:
Patients, HCP &
Network
Innovations with
significant impact
on health(care)
Implement
Moment of Choice : 

on hold or terminated
Test and Evaluate
Chance of success
Idea to concept
(MoC)
(MoC)
(MoC)
(MoC)
©lucienengelen
iLab Scaling (PVI)REshape Center
iBoard
Chair Board Radboudumc
Concept to prototype
Ideas from:
Patients, HCP &
Network
Innovations with
significant impact
on health(care)
Implement
Moment of Choice : 

on hold or terminated
Test and Evaluate
Chance of success
Idea to concept
(MoC)
(MoC)
(MoC)
(MoC)
©lucienengelen
iLab Scaling (PVI)REshape Center
iBoard
Chair Board Radboudumc
what you get
what you see
Culture eats strategy
for breakfast
450 Freshmen in new curriculum ‘15
E-health - Social Media - Innovation with patients - Flipped classroom - BYOP
“be curious” ©lucienengelen
Powered by:
Shortage of nurses ?

Amount of work outside their circle of influence

Follow the patient ?

Use of new technology in every level of nursing

Virtual nursing homes
Shortage of nurses ?

Amount of work outside their circle of influence

Follow the patient ?

Use of new technology in every level of nursing

Virtual nursing homes
©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 was NOT their core
©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
May 2018, Barcelone Spain
May 2018, Barcelone Spain
©lucienengelen
©lucienengelen
We laughed…
©lucienengelen
…6 months later …
©lucienengelen
©lucienengelen
…now they do.
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
@lucienengelen
721.214 followers

Gyn kwaliteitsmiddag 2018