Interview @ePatientDave by @zorg20

Found time during this week of the REshape Epatient Bootcamp and other meetings in RUNMC to sit down with Dave and elaborate a little on things happening in healthcare.

Interview Dave deBronkhart @epatientsdave about shift happening and perspectives of the future on change in healthcare , by Lucien Engelen @zorg20

Start listening : My HealthStory

Never before in history healthcare faced such great challenges : upcoming shortage in skilled personnel, doubling healthcare demand,  pressurized  budgets.  On top there are two developments “at the gate” awaiting  to disrupt many of the current models of care: the patient and exponential technology. 

The impact of new communication paradigm to include  social media and transparency of performance is just as underrated  as the role of e-health is overrated.

“We should think big, act small, dare to fail and stop talking … and start acting.” is my credo.Practice what you preach is what we are doing in the Radboud REshape & Innovation Centre.

By listening to what patients, their family and informal care has to say we can learn a lot. Due to time-pressure we don’t have time enough to listen. 

On the other hand there are a lot of Healthcare professionals that could share their story about The Moment they realised that things have to change, and how they are coping with that. 

This is where Roni Zeiger (Google) and Gilles Frydman (Accor) came in, thanks to our friend E-patient Dave for connecting us on this matter.  Than the idea of MyHealthStory was born. 

Setting up this website for us -as REshape Center- is like a little dream come true :  The use of social media to listen to health(care) stories to improve healthcare by listening.

Two years ago i appointed a CLO (a Chief Listening Officer) into our team, on a daily basis she listens to patients, family and professionals on how we could improve our care, that brings very valuable information to the table. So i tried to imagine what broading that aspect could mean, may be even with help of crowdsouring through social media.  


Basically it comes down to people submitting their brief health story into your own YouTube account. 

By adding the tag “Myhealthstory”, it will be found by our system, curated by medical students they will appear on this website. 

Please do not mention any names of healthcare professionals or institutions, the basic idea it to learn what can be done better, how can health(care) be improved.

More on “the how” and “what” will follow soon right here.

Lucien Engelen






Change in healthcare needs multi-level approach

Change in healthcare is needed, on many levels and aspects. Some tend to focus on one pilar alone or may think a quick fix is possible. In our vision there is no Silver Bullet, but a multi-level approach is needed. Had this animation made to use in my keynotes.

Healthcare will be changing. It has to because the challenges are huge. Besides double aging and budget pressures we are heading for a labor problem. Simultaneously we are dealing with changing patientgroups that want to be more involved in their health. Here are topics like shared-decision making based on clear information, the role of the Internet often is seen as a striking development, that’s striking on its own i think. 

We will have to do smart things to cope with the increasing demand. This will bring shift n roles and tasks. Tasks from doctor to nurse, from nurse to patient, family or informal care. The role of doctor will be shifting in to a one that of a guide. From “god” to “guide” so to speak, you might have a look at the TEDxMaastricht talk of my colleague Bas Bloem with that name.

Setting up the REshape vision, scoping the direction, speed and pathway to set the ambition of our Radboud University Medical Center we think it is fundamental to Re-create the position of the patient. From patient-central into “be embraced in the (treatment) team.” Seen in that light technology is an important determinant. Not so much as thé most important condition, but in some cases as a major tool for change within the process as possible. Tool instead of goal therefore. We therefore redefined eHealth from Electronic Healthcare to Empowered Health. 

Technology is facing exponential growth, it seems almost unlimited what can be done. By linking the Singularity University in Silicon Valley and the Radboud REshape & Innovation Centre an interaction between care practice on one hand, and often stunning technological advances in the other. The possibilities seem unlimited and that’s exactly where there is a pitfall as well. We are awaiting a great (industry) “push” in terms of solutions in which a significant number of cases the question (yet) even exist whether we are awaiting this solution. Leaving aside the question of what is or is not required, the grip held on the process of scoping, analysing and choosing these options will be fairly time consuming. 

Empowered health could make people live longer in their own familiar surroundings leave less to the Healthcare institution to get measurements and monitors.  The pressure on a society level like simple things as parking spots and roads taken into an account, we have challenges there as well. But more importantly maybe empowering the patient and his or her family and informal care as much as possible, as long as possible brings lowering pressure on healthcare, something that’s very welcome. 

Prerequisite for well functioning e-health standards will be needed. Both for the human side of e-health in terms of good agreements between healthcare providers and institutions themselves “in real life”, but on the as the electronic version of it.  What I see happening over and over again is that many crie out that they  “have set the standard,” but to be honest I believe the market will do so. The patient, user and other payers (like insurers) makes their own choices. IN that standaards will be made.Look at the .CSV that grew into a standard, nobody decided it to be like that, same goes for PDF.

Empowered Health is a major development of opportunities that we should develop together, test together and learn together, professionals, patients, their family and informal care.  

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