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How Apple became an
Academic Medical Center, overnight !
Radboudumc
Director REshape Center for Innovation
To have a significant impact on health(care) 360andAbove
Lucien Engelen
Radboudumc
Director REshape Center for Innovation
To have a significant impact on health(care) 360andAbove
Lucien Engelen
Radboudumc
Director REshape Center for Innovation
To have a significant impact on health(care) 360andAbove
Not me !
Passion
Patients
&
Technology
Banking will be disrupted
Banking will be disrupted
❖ Since 2006
Banking will be disrupted
❖ Since 2006
❖ after announcement IPO in 5 hour $800M
Banking will be disrupted
❖ Since 2006
❖ after announcement IPO in 5 hour $800M
❖ At IPO net worth $8.9B
Banking will be disrupted
❖ Since 2006
❖ after announcement IPO in 5 hour $800M
❖ At IPO net worth $8.9B
❖ in beween Google and Twitter
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
‘insideables’
2015 / 2016 : 8200
“for the first time ever in history,
we will be present when a person gets sick”
@lucienengelen
M
E
D
- 70%
- 70%
Innovation
time
performance
0
Clayton Christensen, Harvard
Innovation
time
performance
0
most demanding use
high quality use
medium quality use
low quality use
Clayton Christensen, Harvard
Innovation
time
performance
0
most demanding use
high quality use
medium quality use
low quality use
disruptive technology
Clayton Christensen, Harvard
Neglect
time
performance
0
Lucien Engelen 2011
Neglect
time
performance
0
Lucien Engelen 2011
pre-gap
Neglect
time
performance
0
Lucien Engelen 2011
pre-gap
post-gap
Old network
Old network new 3d network
Finding a new balance with the patient as partner
fór
Innovation shift
fór
Innovation shift
fór wíth
Innovation shift Patients
Included
PatientsIncludedisaTrademarkoftheREshape&InnovationCenter
™
fór wíth by
Innovation shift Patients
Included
PatientsIncludedisaTrademarkoftheREshape&InnovationCenter
™
There is a lot of doctor-talk
going on…. but
Don’t forget the (impact) on
nursing
There is a lot of doctor-talk
going on…. but
Don’t forget the (impact) on
nursing
WE are the problem,

creating our own reality,
Our patients are way ahead of us.
PHR
eCo-system needed
PHR COMMUNITY
eCo-system needed
PHR COMMUNITY
E-HEALTH
eCo-system needed
Flipping the coin
via HC IT systems Via the ónly constante in

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

healthcare: The patient
+
7 weeks after 1st cup of coffee
Modules
Modules
COPD / CHF
Hypertension
Diabetes 1 & 2
Parkinsons
Pregnancy monitoring @risk
Pre and post operative
Early stroke
CML
eCo-system
eCo-system
eCo-system
NL in 5 years 100 %
NL in 5 years 100 %
already 70% follow-up
NL in 5 years 100 %
already 70% follow-up
FaceTalk 2.0 launch March
Launch tweede generatie 18 maart 2015
❖ First Dutch Hospital
❖ Third European
The professional in primary care will move to 

a position dominated online
Personal interactions will be surpassed by algorhytms.
The ‘every day’ pharmacist will only exist in the cloud, 

the rest in supermarket.
4D
•Democratisation
•Delocalisation
•Digital
•Dollars
New alliances
New alliances
New alliances
New alliances
New alliances
New alliances
sit back and relax … ?
How Apple just became an Academic Medical Center
700 Million research devices
How Apple just became an Academic Medical Center
Paradigm shift is here already
It is yet not evenly distributed
Takes 7 - 17 years
2015, the tipping point of health(care).
2015, the tipping point of health(care).
2015, the tipping point of health(care).
2015, the tipping point of health(care).
@lucienengelen
569.388 followers
VWS medewerkerdag 2015
VWS medewerkerdag 2015

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