Congrats!!

Congrats!!

Congrats!!

!

Lucien Engelen (@lucienengelen) !

•Director Radboud REshape & Innovation Center

•Chief IMAGINEer Dutch National ICT Institute for HC

•Singularity University / Exponential Medicine, Silicon Valley

!

•NOT a doctor, but extremely IMpatient

!

Lucien Engelen (@lucienengelen) !

•Director Radboud REshape & Innovation Center

•Chief IMAGINEer Dutch National ICT Institute for HC

•Singularity University / Exponential Medicine, Silicon Valley

!

•NOT a doctor, but extremely IMpatient

Not me !

•11.000 colleagues

•3000 students

•1000 beds

•ambition to ‚close’ 500

•Significant impact on health(care)

•$1 billion revenue

•First Academic Center outside US EPIC

•11.000 colleagues

•3000 students

•1000 beds

•ambition to ‚close’ 500

•Significant impact on health(care)

•$1 billion revenue

•First Academic Center outside US EPIC

§§§

time

performa

nce

0Clayton Christensen

time

performa

nce

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most demanding use

high quality use

medium quality use

low quality use

Clayton Christensen

time

performa

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most demanding use

high quality use

medium quality use

low quality use

disru

ptive

tech

nolog

yClayton Christensen

Linear à Exponential

1996 Market cap of

$28B Revenue ~$16B

Employees 140,000

Linear à Exponential

1996 Market cap of

$28B Revenue ~$16B

Employees 140,000

2012 Market cap <

$100M Revenue ~$6B

Employees 17,000

Linear à Exponential

April 9, 2012 Facebook Acquires Instagram for $1B

13 employees

1996 Market cap of

$28B Revenue ~$16B

Employees 140,000

2012 Market cap <

$100M Revenue ~$6B

Employees 17,000

Linear à Exponential

April 9, 2012 Facebook Acquires Instagram for $1B

13 employees

1996 Market cap of

$28B Revenue ~$16B

Employees 140,000

2012 Market cap <

$100M Revenue ~$6B

Employees 17,000

Dorm Biotech Garage Pharma

Garage Tech

time

performa

nce

0Clayton Christensen

time

performa

nce

0Clayton Christensen

pre-gap

time

performa

nce

0Clayton Christensen

pre-gap

post-gap

Design Implement Scale

REshape Labs

REshape PVI

Spinn-out Business model

MOC’s Moments of Choice

Demand driven relates to strategy

Exponentially Faster

Smaller Cheaper Better

!

!

!

Exponentially Faster

Smaller Cheaper Better

!

!

!

Exponentially Faster

Smaller Cheaper Better

!

!

!

Google’s health venture for eternity

CaLiCo Californian Life Company

Grown up with a mouse

In 20 years majority of healthcare consumers will have used a computer

for 40 years of their live and

by then the internet as #1 source for Health(care)

Lucien Engelen

Lucien Engelen

Mobile network operators will become obsolete

Lucien Engelen

Mobile network operators will become obsolete

Cable companies will offer nationwide WiFi coverage

Lucien Engelen

Lucien Engelen

but ...

Lucien Engelen

but ...

the BIGGEST change will be

Lucien Engelen

but ...

the BIGGEST change will be

Patients!

Patient care, measurements are mostly EPISODIC & REACTIVE …

HEALTH DATA

… when they need to be CONTINUOUS & PROACTIVE

HEALTH DATA

ECG made by iPhone sleeve

Intensive

On wardIntensive

On wardIntensive

At home

On wardIntensive

At home

And mobileCurrent Vitals : Lucien Engelen @REshape Center

The ONLY constant in health(care) :

The ONLY constant in health(care) :

PATIENT

PHR COMMUNITY

E-HEALTH

PHR COMMUNITY

E-HEALTH

initiative of

PHR COMMUNITY

E-HEALTH

initiative of

e-health integration (i.e. for research)

e-health integration (i.e. for research)

e-health integration (i.e. for research)

Use Case 1: Multiple Sclerose

Neurologist

optionRelative at work

option Fysiotherapist other clinic The Patient is offered virtual hospital visit and or group consult from Multi Disciplinary MS Team

“”

Patient at home

CleftTalk

CleftTalk

CleftTalk

�48

For the patient to be involved in their own health(care) can be

For the patient to be involved in their own health(care) can be

exponential

For the patient to be involved in their own health(care) can be

exponential

Scotty beam me up !

Bytes for bricks

Bytes for bricks

is also cultural shift

@lucienengelen