©lucienengelen

©lucienengelen

©lucienengelen

What will happen with all those gasstations ?

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What will happen with all those gasstations ?

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©lucienengelen

End of drivers license & gasstations

Driving Prohibited

©lucienengelen

The end of screens, laptops

and phones

iGlass

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©lucienengelen

©lucienengelen

Carin: Wearables for strengthening pelvic floor

©lucienengelen

Carin: Wearables for strengthening pelvic floor

©lucienengelen

Carin: Wearables for strengthening pelvic floor

©lucienengelen

©lucienengelen

Sound

Smell

heat

wind

vr

light

Wireless earbuds Dash

©lucienengelen

Wireless earbuds Dash

©lucienengelen

Wireless earbuds Dash

©lucienengelen

700 Million research devices 18.000 inclusions in 48h

How Apple just became an Academic Medical Center

ACTUALLY DEFINES MULTIPLE DEVELOPMENTS IN HEALTHCARE

‘DR WATSON’

©lucienengelen

AI (Artifficial Intelligence)

Healthcare will become a software branche.

©lucienengelen

ultra sound

©lucienengelen

Avatars & Humanoids

©lucienengelen

See the patern here?

©lucienengelen

Photo courtesy of Christian Lüthen

©lucienengelen

Vapor-ware

Slide-ware

Hype-ware

On IntensivCurrent Vitals : Lucien Engelen

©lucienengelen

©lucienengelen

Life vitals in clinical patients

From three times daily to 24/7 continuous monitoring

Lean monitoring

… when they need to be Continious & Proactive

Health data now

©lucienengelen

Disruptive monitoring with new parameters

Blood glucose HRV

X

Interval X = 30 minutes

5.5 mmol/L

3.9 mmol/L

Early Warning Heart Rate Variability for drop glucose level

©lucienengelen

Diabetes type 1one app for all

©lucienengelen

app Diabetes type 1 (preliminary results)HbA1c bit lower, less worries, no increase hypo’s, more insights bolus calculator, more education needed

©lucienengelen

integrated not seperated!

integrate not adding to !

©lucienengelen

©lucienengelen

exponential in 3 tweets

Photo courtesy of Christian Lüthen

©lucienengelen

Question

Bloodpressure

©lucienengelen

©lucienengelen

Question

Urine-Analysis

©lucienengelen

Question

Video conference

from ‘Hospital’ to ‘Home’

©lucienengelen

from ‘Hospital’ to ‘Home’

from ‘Hospital’ to ‘Phone’

©lucienengelen

©lucienengelen

- 70%

Source REshape Center 2014

The delocalization of health(care)

©lucienengelen

©lucienengelen

Everywhere Home Hospital Doctor

where good healthcare in 10 years will be delivered :

conference: ‘get into the future’ TMG / SingularityU

©lucienengelen

Everywhere Home Hospital Doctor

where good healthcare in 10 years will be delivered :

conference: ‘get into the future’ TMG / SingularityU

©lucienengelen

Everyone, always, everywhere connected

©lucienengelen

People of age 65 and older 2000-2050

over 65 over 85

Source US Census Bureau©lucienengelen

©lucienengelen

using technology

2nd wave Obesitas, Diabetes, Mental health issues

living in technology

1st wave

©lucienengelen

PatientsIncluded

Patie

nts

Incl

uded

is a

Tra

dem

ark

of t

he R

Esha

pe &

Inno

vatio

n C

ente

r

™

Flipping the coin, also for apps

via HC IT systems Via the patient

+

©lucienengelen

eGo eCo

“for the first time ever in history,

-we will be present when a person gets sick,

-professionals will subscribe to patients’ data,

-the middle-man will become disrupted “

©lucienengelen

@lucienengelen

©lucienengelen

©lucienengelen

©lucienengelen

Radboudumc VirtualTelemedicine & Telehealthcenter

©lucienengelen

Reference Center remote monitoringNW European region

implementation order

Health(care) is now Global!

©lucienengelen

Digital first, physical next

©lucienengelen

Radboud E-xperience & Innovation Centre

2010

initial Focus reshape center

©lucienengelen

“be curious”

©lucienengelen

assignment REshape Center

Convergence Technology & Patient Empowerment

To scout, explore, research and advocate (the use of) new exponential growing technology in a disruptive era, to design a more participatory

and sustainable health(care) system, with a global perspective.

Explore the World Create solutions Share & discuss

listening for signals…

©lucienengelen

©lucienengelen0 to 1 0,8 to 1,2 1 to 100

adap

ted fro

m ce

ntral

offic

e of d

esign

Gartner Hype Cycle

©lucienengelen

0-1 0.8-1.2 1-100

1st Gen. 2nd Gen. 3rd Gen. …

©lucienengelen

digital health(care)

e-health m-health i-health

e-health : healthcare practice supported by electronic processes and communication (Wikipedia) m-health : practice of medicine and public health supported by mobile devices (Wikipedia)

i-health : practice of medicine and public health supported by (artificial) intelligence, deep & machine learning. (Lucien Engelen 2016)

if not embedded in regular process

e-health will always be corpus alineum©lucienengelen

©lucienengelen

wie heeft een tarief voor :

©lucienengelen

We implement EHR, without clear business case, So why not for digital health as well ?

Compliant to standard should be mandatory for payment Outcome-based healthcare

©lucienengelen

Government: no standard ?

no money!

©lucienengelen

Ceo Bernard tyson

270.000 employees 11.000.000 members 52% e-visits 2015

Papers per year in Pubmed

0

750

1500

2250

3000

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

pubmed - eHealth pubmed - mHealth OR "mobile health" pubmed - digital health

Tom

vd

Belt

& Lu

cien

Eng

elen

©lucienengelen

Tom

vd

Belt

& Lu

cien

Eng

elen

©lucienengelen

Application Researcher Department

Brain Aging Monitor Olde Rikkert Geriatrics

BREATH Prins Medical Psychology

Parkinsonnet Bloem Neurology

Zelfmanagement CANS Nijhuis vd Sande Rehabilitation

e-IMR (ernstige psychiatrie) van Gaal IQ healthcare

Zelfmanagement RA van Gaal IQ healthcare

Zelfmanagement Nierziekten van Gaal IQ healthcare

Zelfmanagement Cardiologie van Gaal IQ healthcare

CGT chronische vermoeidheid Knoop Medical psychology

Palliatieve zorg op afstand Hasselaar Anesthesiology

Zelfmanagement Non-hodgkin Hermens

Diagnose op afstand Speckens Psychiatrics

Telemedicine psoriasis vd Kerkhof Dermatology

Telemedicine in de eerste lijn Wensing Primary Care

Zelfmanagement COPD Schermer ELG

StripTest reader Smeets Clinical Chemistry

Mijnzorgnet Kremer

Tom

vd

Belt

& Lu

cien

Eng

elen

©lucienengelen

Telemedicine in de eerste lijn Wensing Primary Care

Zelfmanagement COPD Schermer ELG

StripTest reader Smeets Clinical Chemistry

Mijnzorgnet Kremer

Luchtbrug vd Wijngaart Pediatrics

MijnRadboud Bredie Internal Medicine

Social media en zorgkwaliteit (Zorgkaart Nederland) Kool IQ healthcare

Medimapp Atsma IQ healthcare

NHGdoc Kool IQ healthcare

Monitoring van vitale functies (wearables) van Goor Surgery

Cmylife Blijlevens Hematology

Zelfmanagement revalidatie Geurts Rehabilitation

Zelfmanagement diabetes Tack Internal Medicine

Mijn Zw@ngerschap Kremer Obstetrics

Parkinson@home Bloem Neurology

MKA 2.0 Berge Oral and Maxillofacial Surgery

Methodology & others

Novel platforms for data collection Engelen Health Evidence

3D printing for informed surgeons and patients Ter Laan Neurosurgery

Health and Medicine 2.0 algemeen Engelen IQ healthcare

0-1 0.8-1.2 1-100

Moleculair

life Sciences NeuroScience

health Sciences

PhD

PhD

PhD

research REshape Center

0-1 0.8-1.2 1-100

Moleculair

life Sciences NeuroScience

health Sciences

PhD

77

“dare to fail”

vaccination and Autisme

We should approach healthcare innovation

like pharma development

©lucienengelen

We should approach healthcare innovation

like pharma development

©lucienengelen

Only 1 out of 7 reaches market

we are here

HTML (text)Video

Social Profiles

Location

Quantified Self Data

Health Data

Sensor Networks

Internet of Things

New Information Layers

Crowd Sourced Info

we are here

01010010 01100101 01110011 01101000 01100001 01110000

011001010 1“creating something out of nothing”

©lucienengelen

REshape Centers assignment :

Convergence Technology & Patient Empowerment

Concept to prototype

Ideas from: Patients HCP &

Network

patients primary care Information- Management

health insurance commercial sector other hospitals

Innovations with significant impact on health(care)

Implement

on hold or terminated

Test and Evaluate

Chance of success

Idea to conceptsharing

(MoC)

(MoC)

(MoC)(MoC)

Innovation Radboud university medical network

©lucienengelen

01101110 01101111 01110100 00100000 01010010 01100101 01110011 01101000 01100001

01110000 011001011 100“from something to scale”

©lucienengelen

©lucienengelen

Reshape center for european healthcare design

Novartis Patient Academy

©lucienengelen

Center of reference for remote monitoring

Center of reference for AI & Data Analytics

fór wíth by

Innovation shift PatientsIncluded

Patie

nts

Incl

uded

is a

Tra

dem

ark

of t

he R

Esha

pe &

Inno

vatio

n C

ente

r

™

©lucienengelen

©lucienengelen

94

the Power of the human touch

©lucienengelen

It’s not about research it’s not about Money it’s not about privacy

it is about us, the people working in healthcare

Let’s talk about that!

DelocalizedDemocratized

digitaldollars

©lucienengelen

@lucienengelen

655.957 followers

©lucienengelen

“Don’t use old maps…

©lucienengelen

…To explore a New World”Albert Einstein

©lucienengelen

©lucienengelen

it is not the most intellectual of the species that survives; it is not the strongest that survives; but the one that is able best to adapt and adjust to the changing environment in which it finds itself.

Charles Darwin (1809-1882)

106“Stay hungry, stay foolish”

©lucienengelen