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Zorginnovatietrip Joris en Christan
Zorginnovatietrip Joris en Christan
©lucienengelen
©lucienengelen
Meet my future colleagues
Pierre, Chu, Isabelle, Nadia & Timmy
Zorginnovatietrip Joris en Christan
Zorginnovatietrip Joris en Christan
Zorginnovatietrip Joris en Christan
Zorginnovatietrip Joris en Christan
©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 5, 2018
©lucienengelen
March 6, 2018
©lucienengelen
March 6, 2018
©lucienengelen
24 Januari, 2018
©lucienengelen
Patients
&
Technology
5th Democratization
by data
©lucienengelen
Patients
&
Technology
5th Democratization
by data
©lucienengelen
Patients
&
Technology
5th Democratization
by data
©lucienengelen
©lucienengelen
Zorginnovatietrip Joris en Christan
©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
Zorginnovatietrip Joris en Christan
©lucienengelen
©lucienengelen
Photo courtesy of Christian Lüthen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
Zorginnovatietrip Joris en Christan
Zorginnovatietrip Joris en Christan
Zorginnovatietrip Joris en Christan
Zorginnovatietrip Joris en Christan
Zorginnovatietrip Joris en Christan
Zorginnovatietrip Joris en Christan
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
Zorginnovatietrip Joris en Christan
Zorginnovatietrip Joris en Christan
©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
Zorginnovatietrip Joris en Christan
Flipping the coin
via HC IT systems
Flipping the coin
via HC IT systems
+
Flipping the coin
via HC IT systems
Via the ónly constante in

healthcare: The patient
+
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
APPS, Portals & EHR’s are END of LIFE
in their product cycle in current form.
“Teasing by intent”
©lucienengelen
APPS, Portals & EHR’s are END of LIFE
in their product cycle in current form.
They were symptomatic responses to
inTRAconnected frameworks to become

more inTERconnected
“Teasing by intent”
©lucienengelen
APPS, Portals & EHR’s are END of LIFE
in their product cycle in current form.
They were symptomatic responses to
inTRAconnected frameworks to become

more inTERconnected
This is being taken care of now
by i.e. tech-titans and governments

and even GDPR.
“Teasing by intent”
©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
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
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
©lucienengelen
©lucienengelen
©lucienengelen
using technology
1st wave
©lucienengelen
using technology
2nd wave
Obesitas, Diabetes, 

Mental health issues
living in technology
1st wave
©lucienengelen
Nicolai
Copernicus
1500
©lucienengelen
Nicolai
Copernicus
1500
©lucienengelen
Health(care)’s Copernican moment
Nicolai
Copernicus
1500
©lucienengelen
Professional
Patient
Health(care)’s Copernican moment
Nicolai
Copernicus
1500
©lucienengelen
Professional
Patient
Patient
Professional
Health(care)’s Copernican moment
Nicolai
Copernicus
1500
©lucienengelen
The
Future
will
fool
you
©lucienengelen
The
Future
will
fool
you
©lucienengelen
The
Future
will
fool
you
©lucienengelen
The
Future
will
fool
you
Year
Years to reach 100
Million people
Year
Years to reach 100
Million people
Year
Years to reach 100
Million people
Months!year
Forget ‘uberized’ health(care) will be ‘amazoned’. 

That journey is 80% logistics
©lucienengelen
Zorginnovatietrip Joris en Christan
©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
Zorginnovatietrip Joris en Christan
from a caddy
for the few
To a caddy
for all
from a caddy
for the few
To a caddy
for all
Zorginnovatietrip Joris en Christan
Zorginnovatietrip Joris en Christan
©lucienengelen
©lucienengelen
Have a seat lucien,
You’ll run
through
a heart attack
In 15 minutes from now.
©lucienengelen
Innovation comes in flavours
For different phases
Awareness Groundwork Execution
0.0 - 1.0 0.8 - 1.2 1.0 - 100
©lucienengelen
Innovation comes in flavours
For different phases
Awareness Groundwork Execution
0.0 - 1.0 0.8 - 1.2 1.0 - 100
©lucienengelen
Innovation comes in flavours
For different phases
Awareness Groundwork Execution
0.0 - 1.0 0.8 - 1.2 1.0 - 100
Zorginnovatietrip Joris en Christan
Zorginnovatietrip Joris en Christan
Why
innovate
?
Why
innovate
?
©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
© stormlapse.com
4 forces destabilising the status quo
© stormlapse.com
4 forces destabilising the status quo
© stormlapse.com
Unsustainability

(Radical)
I
4 forces destabilising the status quo
© stormlapse.com
Unsustainability

(Radical)
I
Technology
(now) availableII
4 forces destabilising the status quo
© stormlapse.com
Unsustainability

(Radical)
Consumer
Awakening
I III
Technology
(now) availableII
4 forces destabilising the status quo
© stormlapse.com
Unsustainability

(Radical)
Consumer
Awakening
I III IV
Technology
(now) availableII
Societal change
(incremental ?)
4 forces destabilising the status quo
©lucienengelen
Kansen (willen) zien
Effecten (sneller) onderzoeken
Luisteren naar en aansluiten bij
de (actuele) leefwereld
van de burger en patiënt
©lucienengelen
Kansen (willen) zien
Effecten (sneller) onderzoeken
Luisteren naar en aansluiten bij
de (actuele) leefwereld
van de burger en patiënt
Dát is waar digitale zorg over gaat!
time
performance
0
@lucienengelen 2011
time
performance
0
pre-gap
@lucienengelen 2011
time
performance
0
pre-gap
post-gap
@lucienengelen 2011
©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
©lucienengelen
©lucienengelen
©lucienengelen
Innovation
Autoimmune
Disorder
©lucienengelen
Innovation
Autoimmune
Disorder
©lucienengelen
©lucienengelen
r = f (nm)

r = internal resistance to new ideas
n = number of employees
m = number of management levels
©lucienengelen
r = f (nm)

r = internal resistance to new ideas
n = number of employees
m = number of management levels
©lucienengelen
Strategic
Frameworks
1958-2013
Zorginnovatietrip Joris en Christan
Amara's Law
©lucienengelen
©lucienengelen
©lucienengelen
Bridging
the gap
©lucienengelen
health 2.0 = 46 definitions
©lucienengelen
m-health
health 2.0 = 46 definitions
©lucienengelen
m-health e-health
health 2.0 = 46 definitions
©lucienengelen
m-health e-health i-health
health 2.0 = 46 definitions
©lucienengelen
digital health(care)
m-health e-health i-health
health 2.0 = 46 definitions
digital health(care)
always will be corpus aliEnum
digital health(care)
always will be corpus aliEnum
REshape 

core team
REshape Fellows
REshape Ambassadors
Explore - Inspire - Facilitate

Zorginnovatietrip Joris en Christan
How-to?
©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
The bulb of innovation.
@lucienengelen
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning
The will
The bulb of innovation.
@lucienengelen
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning
The need
The will
The bulb of innovation.
@lucienengelen
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning
Leadership
The need
The will
The bulb of innovation.
@lucienengelen
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning
Strategy
Leadership
The need
The will
The bulb of innovation.
@lucienengelen
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning
Strategy
Culture
Leadership
The need
The will
The bulb of innovation.
@lucienengelen
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning
Processes & Technology
Strategy
Culture
Leadership
The need
The will
The bulb of innovation.
@lucienengelen
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning
Processes & Technology
Strategy
Culture
Leadership
The need
The will
The bulb of innovation.
@lucienengelen
image bulb: pawnile.deviantart.com
©lucienengelen 2017 The End of the beginning
Processes & Technology
Strategy
Culture
Leadership
The need
The will
The bulb of innovation.
@lucienengelen
image bulb: pawnile.deviantart.com
Demolition-team
©lucienengelen 2017 The End of the beginning
©lucienengelen
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
Processes & TechnologyStrategy CultureLeadership
The need
The will
©lucienengelen
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
Processes & TechnologyStrategy CultureLeadership
The need
The will
©lucienengelen
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
Processes & TechnologyStrategy CultureLeadership
The need
The will
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:
Zorginnovatietrip Joris en Christan
Zorginnovatietrip Joris en Christan
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
©lucienengelen
©lucienengelen
We laughed…
©lucienengelen
…6 months later …
©lucienengelen
©lucienengelen
…now they do.
©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
Consultancyfirms jump on it
Masterclasses, workshops being offered
Patients call insurance demanding
Conference bureaus new theme
Consortia are being formed
Healthcare futurists on the rise
May 2018, Barcelone Spain
The end of the beginning
Consultancyfirms jump on it
Masterclasses, workshops being offered
Patients call insurance demanding
Conference bureaus new theme
Consortia are being formed
Healthcare futurists on the rise
May 2018, Barcelone Spain
The end of the beginning
May 2018, Barcelone Spain
The ask for ‘measurements, EVB and KPI’s
Thesis proposals by the day
Critics starting to shout loud to keep ‘the virus’ out
Nurses are getting engaged #nurseincluded
Patient involvement loses its ‘tokenism’
The end of the beginning
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
www.transform.health
@lucienengelen
721.214 followers
©lucienengelen
©lucienengelen
Thomas Insel
Former NIH director, 

now Sillicon Valley entrepeneur :
‘Academic & Technology Company researcher
Should partner up’

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