Wired Health Italia Lucien Engelen 17/3/2021

1. How much of health(care)
can be
digitised?

2. CEO Transform.Health
Strategist Health(care) Innovation for :
-Deloitte Center for the Edge. Global (not employed, non-commercial)
-Erasmus University Medical Center (Rotterdam)
-HIMSS
Faculty Singularity University Exponential Medicine, Silicon Valley
Part of initial group Global Linkedin Influencers
Part of inaugural group The Washington Post brandstudio
Not me !

3. Proximity
/prɒkˈsɪmɪti/
noun
nearness in space, time, or relationship.

4. Proximity
/prɒkˈsɪmɪti/
noun
nearness in space, time, or relationship.

5. Sir Luke Fildes (1887)

6. Inspired by Shopping malls

7. © 2019 Deloitte The Netherlands
Where it should be…

8. Professional journey
Patient journey
Journey of life
Institution journey

9. With patients By patients
Innovation shift
Patients
Included
Patients
Included
is
a
Trademark
of
the
REshape
&
Innovation
Center
™
Fór patients

10. From patients’ perspective: Healthcare is 80% blunt logistics

11. Professional Patient
informa

13. Copernicus
1500

14. https://digitaal.scp.nl/publiekvoorzien/curatieve-zorg/ziekenhuizen-en-medisch-specialisten/#groei-in-dienstverlening-door-loslaten-budgettering
FIRST-time outpatient visits
2015 :
Outpatient-visits 8,8M
Patient-movements 8.8 x 2 =17,6M
Mean distance nearest NL hospital ~5,3 km
Total 91M KM /year
ONLY for 1st outpatient-visits
These are 1/3 of all outpatient-visits

15. © 2019 Deloitte The Netherlands

16. © 2019 Deloitte The Netherlands
Digital Humans

17. Future
of
Food
Future
of
Work
Future
of
Mobility
Future
of
Finance
Future
of
Retail
Future
of
Medicine
• Personalised
• Insight driven
• Biome-based
• Preventive
• Prescriptive
• Activity based
• Who
• What
• Where
• AI Impact
• More creative
• Gig-economy
• Flexible (care)
• Mental Health
• Safe housing
• Delocalise
• De-stress (valet)
• Exercise
• Flexible
• Predictive
• Shared assets
• Increase travel
distance
• Debt lowering
• Insight driven
• Education
• Preventive
• Affordable housing
• Consumerism
• Retailisation
• New players
• Online
• Insight driven
• Personalised
• Delocalise
• Democratize
• Digital
• Insight driven
• Prevention
• Prescriptive AI
Linking the Future of Health

18. Proximity
/prɒkˈsɪmɪti/
noun
nearness in space, time, or relationship.

19. Everyone, everywhere always connected

20. ©lucienengelen
5

21. Patiënt:: Lucien Engelen, 02-07-1962 (57jaar)
Geregistreerd: woensdag 6 november 2019 om 16:24:48
Hartfrequentie: 85 BPM
Duur: 30s
Directe analyse: Normaal
*Directe analyse wordt uitgevoerd bij afleiding I.
Standaardfilter, Netfrequentie: 60Hz Schaal: 25mm/s, 10mm/mV
(c) Copyright 2012-2018, AliveCor Inc, Kardia v5.7.2.1603, UUID: 135dbf35-cdd7-45da-917a-6cc0cd498c10 Pagina 1 van 4
I
II
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aVR
aVL
aVF

22. 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

23. 4CAST : ’remote’ monitoring

24. New data segway?
Digitizing
Digital
Transition
Digital
Transformation
HISTORIC
DATA
RECENT
DATA
REALTIME
DATA
PREDICT-ALITICS PRESCRIPT-ALITICS
STATIC DATA

25. “for the first time ever in history,
we will be present
when a person gets sick”
@lucienengelen, 2015

26. Years
Years to reach 100 Million people
Months!
Years!

27. “For years we have been ‘pregnant’ of
digital health, and now
-during this impressive pandemic-
it came to life, through an
acute c-section”
27

28. Amara's Law

29. 29
Proximity
/prɒkˈsɪmɪti/
noun
nearness in space, time, or relationship.

30. Where
health is
created
Drivers of health Where we invest
Medical Care 90%
Behaviour 9%
Other 1%
Access to care 6%
DNA Code
20%
Post Code
22%
Behaviour
37%
Interactions of above
- 15%
Source: NEHI Analytics (2013)

31. HEALTHCARE

32. HEALTH

33. ‘personalized’ Health
Value Based HEALTH

34. VIOME
Personalised food intake.

35. New segway?
Digital
Transition
Digital
Transformation
REALTIME
DATA
REALTIME
DATA
PRESCRIPT-ALITICS
Access to care 6%
DNA Code
20%
Post Code
22%
Behaviour
37%
Interactions of above
- 15%

36. HEALTH

37. Health(care)
When people talk
about us when
we’re not at the table :
we are on the menu

38. Delocalized
Democratized
Digital
Dollars

40. The solution for the future of healthcare =
health
We need to find a segway from healthcare -> health (#HC2H) with
the use of technology, education, and partnering cross industry to
increase prevention and self empowerment.
With doubling healthcare demand, shortage of skilled
personnel, increasing burn-out rates, decreasing budgets
and patients becoming empowered, there is no way this is
sustainable.
Healthcare will implode!

41. “YES! The technology is the hype. But the change will be permanent”
@lucienengelen 2015

42. WE are the ‘problem',
creating our own reality,
Many of our patients are way ahead of us.

43. @lucienengelen
1 of LinkedIn’s Initial Influencers 800.000+ followers
Bi-weekly LinkedIn newsletter 125.000+ active subscribers http://tiny.cc/newsletterlucien
My latest book Augmented Health(care) https://tinyurl.com/booklucien
40 years forefront IN Health(care) Strategy & Innovation. Currently helping i.e. :
- Deloitte Center for the Edge 🌍
- Erasmus MC (University Medical Centre) Rotterdam 🇳🇱
- HIMSS Chicago 🌍
- Faculty Exponential Medicine, SingularityU (since 2011) 🇺🇸
- Speaker 🌍
- CEO Transform.Health 🌍
“At one point in our lives, we ALL will face healthcare, so let’s fix its User Interface (H-UX) together.”

44. www.lucienengelen.com/book
And use WIRED
as coupon-code
at checkout for
20% discount
(Hard copy
& instant delivery e-book)

45. The era of proximity
Proximity, understood as closeness to the patient and that
between different disciplines to create real progress, is the key to
transforming the world of health.
Changes in governance systems, the implementation of digital
technologies,
the emergence of new needs and lifestyles are the emerging
forces that redefine the boundaries of healthcare to health

46. How much of health(care)
can be
digitised?

47. Health on the Edge