How much of health(care)
can be


digitised?
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 !
Proximity


/prɒkˈsɪmɪti/

noun



nearness in space, time, or relationship.
Proximity


/prɒkˈsɪmɪti/

noun

nearness in space, time, or relationship.
Sir Luke Fildes (1887)
Inspired by Shopping malls
© 2019 Deloitte The Netherlands
Where it should be…
Professional journey
Patient journey
Journey of life
Institution journey
With patients By patients
Innovation shift
Patients
Included
Patients
Included
is
a
Trademark
of
the
REshape
&
Innovation
Center
™
Fór patients
From patients’ perspective: Healthcare is 80% blunt logistics
Professional Patient
informa
Copernicus


1500
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
© 2019 Deloitte The Netherlands
© 2019 Deloitte The Netherlands
Digital Humans
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
Proximity


/prɒkˈsɪmɪti/

noun

nearness in space, time, or relationship.
Everyone, everywhere always connected
©lucienengelen
5
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
III
aVR
aVL
aVF
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
4CAST : ’remote’ monitoring
New data segway?
Digitizing
Digital


Transition
Digital


Transformation
HISTORIC


DATA
RECENT


DATA
REALTIME


DATA
PREDICT-ALITICS PRESCRIPT-ALITICS
STATIC DATA
“for the first time ever in history,


we will be present


when a person gets sick”




@lucienengelen, 2015
Years
Years to reach 100 Million people
Months!
Years!
“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
Amara's Law
29
Proximity


/prɒkˈsɪmɪti/

noun

nearness in space, time, or relationship.
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)
HEALTHCARE
HEALTH
‘personalized’ Health
Value Based HEALTH
VIOME
Personalised food intake.
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%
HEALTH
Health(care)
When people talk


about us when


we’re not at the table :


we are on the menu
Delocalized
Democratized
Digital
Dollars
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!
“YES! The technology is the hype. But the change will be permanent”
@lucienengelen 2015
WE are the ‘problem',


creating our own reality,


Many of our patients are way ahead of us.
@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.”
www.lucienengelen.com/book


And use WIRED


as coupon-code


at checkout for


20% discount


(Hard copy


& instant delivery e-book)
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
How much of health(care)
can be


digitised?
Health on the Edge

Wired Health Italia Lucien Engelen