smarthealth masterclass e-health
TRANSCRIPT
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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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End of drivers license & gasstations
Driving Prohibited
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The end of screens, laptops
and phones
iGlass
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Carin: Wearables for strengthening pelvic floor
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Carin: Wearables for strengthening pelvic floor
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Carin: Wearables for strengthening pelvic floor
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Sound
Smell
heat
wind
vr
light
Wireless earbuds Dash
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Wireless earbuds Dash
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Wireless earbuds Dash
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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’
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AI (Artifficial Intelligence)
Healthcare will become a software branche.
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ultra sound
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Avatars & Humanoids
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See the patern here?
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Photo courtesy of Christian Lüthen
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Vapor-ware
Slide-ware
Hype-ware
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 Continious & 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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integrated not seperated!
integrate not adding to !
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exponential in 3 tweets
Photo courtesy of Christian Lüthen
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Question
Bloodpressure
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Question
Urine-Analysis
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Question
Video conference
from ‘Hospital’ to ‘Home’
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from ‘Hospital’ to ‘Home’
from ‘Hospital’ to ‘Phone’
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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
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Everyone, always, everywhere connected
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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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using technology
2nd wave Obesitas, Diabetes, Mental health issues
living in technology
1st wave
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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
+
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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 “
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@lucienengelen
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Radboudumc VirtualTelemedicine & Telehealthcenter
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Reference Center remote monitoringNW European region
implementation order
Health(care) is now Global!
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Digital first, physical next
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Radboud E-xperience & Innovation Centre
2010
initial Focus reshape center
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“be curious”
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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…
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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
Gartner Hype Cycle
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0-1 0.8-1.2 1-100
1st Gen. 2nd Gen. 3rd Gen. …
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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
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wie heeft een tarief voor :
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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
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Government: no standard ?
no money!
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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
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Tom
vd
Belt
& Lu
cien
Eng
elen
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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
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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
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We should approach healthcare innovation
like pharma development
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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”
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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
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01101110 01101111 01110100 00100000 01010010 01100101 01110011 01101000 01100001
01110000 011001011 100“from something to scale”
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Reshape center for european healthcare design
Novartis Patient Academy
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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
™
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94
the Power of the human touch
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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
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@lucienengelen
655.957 followers
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“Don’t use old maps…
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…To explore a New World”Albert Einstein
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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”
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