vlissingen wvo zorg
TRANSCRIPT
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©lucienengelen
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denial & neglect
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As software is eating the world, a digital strategy is needed.
Implementing will take you 5 years, so welcome to 2012 …
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As software is eating the world, a digital strategy is needed.
Implementing will take you 5 years, so welcome to 2012 …
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What will happen with all those gasstations ?
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What will happen with all those gasstations ?
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Driving Prohibited
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End of Drivers’ license & gas stations
Driving Prohibited
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End of Drivers’ license & gas stations
Driving Prohibited
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The end of screens, laptops
and phones
iGlass
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On IntensivCurrent Vitals : Lucien Engelen
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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
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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
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Diabetes type 1one app for all
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app Diabetes type 1 (preliminary results)HbA1c bit lower, less worries, no increase hypo’s, more insights bolus calculator, more education needed
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Wireless earbuds Dash
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Wireless earbuds Dash
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Wireless earbuds Dash
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Wireless earbuds Dash
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integrated not separated!
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integrate not adding to !
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How Apple just became an Academic Medical Center
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700 Million research devices 18.000 inclusions in 48h
How Apple just became an Academic Medical Center
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REachREach
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New paradigms ?
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New paradigms ?
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New paradigms ?
When is free will, no longer a free will?
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Proof of concept Medication status
in blockchain with acces via bankcard
and randomreader token
Booth Deloitte demo
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ACTUALLY DEFINES MULTIPLE DEVELOPMENTS IN HEALTHCARE THAT TAKE TIME
‘DR WATSON’
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AI (Artifficial Intelligence)
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• 1 system based on rules • a system that predicts everything • containing info about all the cancers of the world • a system that replaces the professional • useable by the patient • working the Same as google (paris Hilton) • a system that works out of the box in 1 day
WHAT ‘DR WATSON’ IS NOT
source Nicky Hekster IBM Watson Health
BUT IT IS A GREAT PROMISE FOR IMPROVING HEALTH(CARE) WITH GREAT USE CASES
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Healthcare will become a software branch.
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Healthcare will become a software branch.
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Radboudumc VirtualTelemedicine & Telehealthcenter
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Reference Center remote monitoringNW European region
implementation order
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Radboudumc VirtualTelemedicine & Telehealthcenter
©lucienengelen
Reference Center remote monitoringNW European region
implementation order
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Radboudumc VirtualTelemedicine & Telehealthcenter
©lucienengelen
Reference Center remote monitoringNW European region
implementation order
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ultrasound
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ultrasound
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Avatars & Humanoids
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Avatars & Humanoids
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Avatars & Humanoids
©lucienengelen©lucienengelen
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Avatars & Humanoids
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‘insideables’
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Neural ‘dust’ UC Berkley
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Neural ‘dust’ UC Berkley
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Neural ‘dust’ UC Berkley
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Neural ‘dust’ UC Berkley
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Neural ‘dust’ ‘Insidables’UC Berkley
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Center of reference for remote monitoring
Center of reference for AI & Data Analytics
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Center of reference for remote monitoring
Center of reference for AI & Data Analytics
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See the pattern here?
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Video conferencing reimbursed in the NL
5 % of outpatient visits
200 parking lots a day
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Video conferencing reimbursed in the NL
5 % of outpatient visits
200 parking lots a day
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from ‘Hospital’ to ‘Home’
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from ‘Hospital’ to ‘Home’
from ‘Hospital’ to ‘Phone’
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Food, electronics, errands … pharmacy ?
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Source REshape Center 2014
The delocalization of health(care)
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- 70%
Source REshape Center 2014
The delocalization of health(care)
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Everywhere Home Hospital Doctor
where good healthcare in 10 years will be delivered :
conference: ‘get into the future’ TMG / SingularityU
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Everywhere Home Hospital Doctor
where good healthcare in 10 years will be delivered :
conference: ‘get into the future’ TMG / SingularityU
©lucienengelen
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Everywhere Home Hospital Doctor
where good healthcare in 10 years will be delivered :
conference: ‘get into the future’ TMG / SingularityU
©lucienengelen
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Everyone, always, everywhere connected
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People of age 65 and older 2000-2050
Source US Census Bureau©lucienengelen
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People of age 65 and older 2000-2050
over 65 over 85
Source US Census Bureau©lucienengelen
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©lucienengelen
using technology
1st wave
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©lucienengelen
using technology
2nd wave Obesity, Diabetes, Mental health issues
living in technology
1st wave
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Photo courtesy of Christian Lüthen
©lucienengelen
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©lucienengelen
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©lucienengelen
exponential in 3 tweets
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©lucienengelen
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©lucienengelen
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the end of
banking..
©lucienengelen
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all Change
Is Tough
©lucienengelen
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©lucienengelen
“Don’t use old maps…
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…To explore a New World”Albert Einstein
©lucienengelen
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©lucienengelen
Allistair Croll
Scale comes from process, IP, org chart, standardization, capitalization.
All of these assume thefuture will be like the past, only more so.
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awaken i n g
©lucienengelen
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awaken i n g
©lucienengelen
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Digital first, physical next
©lucienengelen
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Digital first, physical next
©lucienengelen
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•15.000 colleagues •1000 beds •ambition to ‚close’ 500 •Significant impact on health(care) •$1 billion revenue •First Academic Center outside the USA EPIC •Digital first, physical next
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•15.000 colleagues •1000 beds •ambition to ‚close’ 500 •Significant impact on health(care) •$1 billion revenue •First Academic Center outside the USA EPIC •Digital first, physical next
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Digital strategy is not translating what you do now digitally.
It is completely rethinking your model groundsup
©lucienengelen
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Digital strategy is not translating what you do now digitally.
It is completely rethinking your model groundsup
©lucienengelen
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Health(care) is now Global!
©lucienengelen
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“be curious” ©lucienengelen
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©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
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©lucienengelen0 to 1 0,8 to 1,2 1 to 100
adap
ted fro
m ce
ntral
offic
e of d
esign
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©lucienengelen0 to 1 0,8 to 1,2 1 to 100
adap
ted fro
m ce
ntral
offic
e of d
esign
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©lucienengelen
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©lucienengelen
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©lucienengelen
©lucienengelen
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©lucienengelen
exponential in 3 tweets
©lucienengelen
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Concept to prototype
Ideas from: Patients HCP &
Network
patients primary care Information- Management
health insurance Industry
other institutions
Innovations with significant impact on health(care)
Implement
MOC : on hold or terminated
Test and Evaluate
Chance of success
Idea to concept sharing
(MoC)
(MoC)
(MoC)(MoC)
Innovation Radboud university medical network
©lucienengelen0 to 1 0,8 to 1,2 1 to 100
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75
“dare to fail”
©lucienengelen
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©lucienengelen
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©lucienengelen
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we are here
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©lucienengelen
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©lucienengelen
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“be curious” ©lucienengelen
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©lucienengelen
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©lucienengelen
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©lucienengelen
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©lucienengelen
Reshape center for european healthcare design
Novartis Patient Academy
Patient journey
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©lucienengelen
Reshape center for european healthcare design
Novartis Patient Academy
Patient journey
Institution journey
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©lucienengelen
Reshape center for european healthcare design
Novartis Patient Academy
Professional journey
Patient journey
Institution journey
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©lucienengelen
Reshape center for european healthcare design
Novartis Patient Academy
Professional journey
Patient journey
Life journey
Institution journey
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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
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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
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©lucienengelen
Reshape center for european healthcare design
Novartis Patient Academy
5.000.000 patients
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Owning your own
(health)data should be a constitutional right
©lucienengelen
@lucienengelen 2017
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“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
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©lucienengelen
Government no standard
no money!
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©lucienengelen
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)
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©lucienengelen
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)
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©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)
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if not embedded in regular process
e-health will always be corpus alineum©lucienengelen
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if not embedded in regular process
e-health will always be corpus alineum©lucienengelen
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©lucienengelen
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©lucienengelen
Ceo Bernard tyson
270.000 employees 11.000.000 members 52% e-visits 2015
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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
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©lucienengelen
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©lucienengelen
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94
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94
the Power of the human touch
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Experience Driven Health(care)
©lucienengelen
Evidence based
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Experience Driven Health(care)
©lucienengelen
Evidence based
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©lucienengelen
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Delocalized
©lucienengelen
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DelocalizedDemocratized
©lucienengelen
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DelocalizedDemocratized
digital
©lucienengelen
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DelocalizedDemocratized
digitaldollars
©lucienengelen
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©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)
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©lucienengelen
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denial & neglect
©lucienengelen
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©lucienengelen
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©lucienengelen
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©lucienengelen
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©lucienengelen
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@lucienengelen
676,312 followers
©lucienengelen