Institutions ? Individuals ? Networks ?

To adress the change healthcare is heading towards if it comes to organizations or individuals Thomas Power has the tools in place.

Thomas is Chairman of Ecademy and has great vision of how this transition will take place.

Thomas is an experienced business leader, who has successfully founded, built and sold a number of businesses in the e-Commerce, Social Networking and Call Centre arena.

He is involved at the heart of the changing way we do business in the 21st Century.

He believes in Corporate Social Media development and networking will be the key skill for business people in the future and He feels as more of the working populations of the Western economies become self employed, it will be a case of Network or Starve.

A great TED-talk about this matter from Clay Shirky :

 

TEDx Maastricht Promotional Video

With great anticipation of the upcoming event, the TEDx Maastricht team is proud to present the promotional video.

TEDxMaastricht People, Places & Participation

TEDxMaastricht trailer from TEDxMaastricht on Vimeo.

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Medical Education Revolution

With a focus on Medical Education, we are proud to announce our next speaker:

Professor Wolter Mooi

After studying medicine and pathology in Leiden, Amsterdam and London, and a period of several years as head of the Department of Pathology at the Netherlands Cancer Institute, Dr Mooi became the youngest Dutch pathologist to be appointed to a chair in Pathology, at the VU University Amsterdam.

Subsequent professorship appointments followed at Erasmus University Rotterdam and the University of Amsterdam. Author of several scientific textbooks and 160 peer-reviewed papers, including recent ones in Nature, Cell and the New England Journal of Medicine, Dr Mooi divides his time between undergraduate teaching, scientific research, and diagnostic histopathology.

An internationally recognized authority on the pathology of melanocytic tumors, Dr Mooi receives large numbers of problem cases for expert consultation, and is a much sought-after speaker at international pathology congresses and meetings.

Medical Education Revolution

Quite some inspiration can be taken from Sir Ken Robinson and his TED talk which you can see here below on the “Learning Revolution”, where he sites how we need to change our current methodologies and paradigms of Education and not just the mere attempt of “Evolution”, but “Revolution”.

Quoting Sir Ken Robinson “human communities depend upon a diversity of talent, not a singular conception of ability.” and it is this thought and vision we need to see somehow implemented in a structure which has its challenges in changing.

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A daily prescription for every healthcare professional

Everyone should know the power that comes from patient blogs. On a daily basis in our own Radboud University Nijmegen Medical Centre, people are writing, sharing, asking about the things they encounter, experience and feel.

For me the weblog of Maarten was an eye-opener as i wrote earlier, but every day i try to read one or more “patient-blogs” from all over the world. 

Today i read the posting of Gaston, the father of Emilie, his daughter who has cancer and as of today is bold. My heart cries (google translation), he wrote, and reading his post and blog (pointed to by @punkmedia) at that point this “big guy” here is once again with two feet on the ground. Silence, this isn’t supposed to be this way for a little kid. 

Every healthcare professional should read at least once a day an patient-blog, wether or not from his own facility, just to constantly understand what com-passion is al about. Com-passion is not feeling 

As for Emilie; i hope she’ll get well of course. I’m certain her doc’s and other staff are doing all they can.

Her parents Gaston and Cecile : i would like praise you Heroes for the “guts” to share in a weblog, not only for good advices, and helping other patients and their family or informal care. Also for sharing your thoughts and emotions. But also to help Healthcare professionals reading what’s at stake, what’s going on, and what’s important. And yes, many many Healthcare professionals don’t need that, but “some” do, that’s worth it.

Only then we can improve healthcare besides research, and medicine into Participatory Healthcare.

 

 

Healthcare in 2014 ?

At the start of this year, asked about my opinion about how healthcare will evolve over the next -say- 5 years i mostly answer with my way of pronouncing the year 2.010 as “two-point-o-ten”.

In my honest opinion healthcare will start to migrate towards a more patients’ centered model, and i think in a 2.0 way. I have tried to catch my thoughts in a little graph as shown below. It is the rough sketch of a posting i’m working on that is the follow up on my 15.000th tweet.

Since the demographics are changing, as i also mentioned in my overview-video of healthcare in the Netherlands, the way patients will be acting will change with it. They will expect healthcare to be 24/7, they expect it to be on- & offline just like the internet : anytime, anywhere and most of all full of choices & options, patients and their caregivers will choose from.

Healthcare and internet in the Netherlands from lucien engelen on Vimeo.

I think there will be evidence about the way youth is concentrating, i can see it in our own kids, they get more and more impulses, in a short period of time, make faster choices out of more options at a glance, and what’s most importanty : they will choose !

Up until now (at least in the Netherlands) healthcare hasn’t really become a market, sure there is some freedom of choice but all of the HC-institutions offer more or less the same. And in the rare occasion a HC-institution has something really special, they almost don’t talk about it other than in conferences, scientific literature, so … still different of the way the “new” population of patients is working a way though the bulk of information.

One way or the other the pressure of these freedom of choice, once HC will start to “talk” about their offerings, will start this new generationto choose “with their feet”. Remarkable to add is the difference in gender within social networks, Allthough there are some myths about how the generation which will follow the upcoming will use media as some research shows.

This development will lead HC into a different model i think, as showed in the graph above. Of course; wether the year 2.014 will be the correct one, and if it will be a Evolution rather than a Revolution is to be seen. The way HC will be REshaped from patients’ perspective will be a good “side-effect”.

New Years Wish 2.010 @zorg20 from lucien engelen on Vimeo.

This post originally was posted on my lucienengelen.posterous.com

 

Jamie Heywood: The big idea my brother inspired

After finding out that his brother, Stephen, had the terminal illness ALS, Jamie Haywood founded the ALS Therapy Development Institute in 1999. ALS TDI is the world’s first non-profit biotechnology company and accelerated research on the disease by hiring scientists to develop treatments outside of academia and for-profit corporations. They were the first to publish research on the safety of using stem cells in ALS patients.
In 2005,Jamie and his youngest brother Ben, along with close friend Jeff Cole, built PatientsLikeMe.com to give patients control and access to their healthcare information and compare it to others like them. Its bold (and somewhat controversial) approach involves aggregating users health info in order to test the effects of particular treatments, bypassing clinical trials. It was named one of “15 companies that will change the world” by CNN Money.

Although his brother passed away in the fall of 2006, Jamie continues to serve as chairman of PatientsLikeMe and on the board of directors of ALS TDI. Jamie has raised over $50 million dollars for ALS TDI and was the subject of the biography His Brother’s Keeper, written by Jonathan Weiner. He was also featured in the documentary So Much So Fast, exploring the development of ALS TDI and the personal story of he and Stephen.
“We the people have the right to take possession of a complete copy of our individual health data, without delay, at minimal or no cost.”

Jamie Heywood.

 

William Li presents a new way to think about treating cancer and other diseases: anti-angiogenesis, preventing the growth of blood vessels that feed a tumor. The crucial first (and best) step: Eating cancer-fighting foods that cut off the supply lines and beat cancer at its own game.


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My “dream” for healthcare

I have lost both my mother and father to multiple forms of cancer. It was always there, all the time, allways just around the corner. Whenever there was good news, not long after than there was bad news. My parents underwent their diseases, it kind of just happened to them, they did what was needed. Did basically what the “docs” told them to and, had really no idea of what other options were available; if any.

Looking back : stunning !

One of the great gifts I have received in my life, was meeting Maarten Lens-FitzGerald (@dutchcowboy on twitter). Maarten is a young internet entrepreneur, so he knows about the internet and its possibilities. Maarten got cancer too.

Almost right after been diagnosed he started to talk about it through social media like twitter ad made a blog : MaartensJourney.com “To share, to inform and hopefully to help a little”. Social media and the internet was his lifeline before, during and after chemotherapy, diagnostics etc. To talk, to ask, to find information and to get cheered up on though moments.

Through twitter we “met”. At first online, later off-line too. Discussing how this way of handling his disease, maybe could improve healthcare, by telling his story. Not only online but also offline. How it could help my ambition to change healthcare bit by bit into a more patient-orientated healthcare. Something Maarten  would liked to encourage.

For me the roadmap Maarten had taken illustrated the empowerment patients could face, once presented with accurate information in a understandable way, on a 24/7 basis, supported by social media..

We discussed the option of Maarten coming to Nijmegen and tell his story to my colleagues (at Radboud University Nijmegen Medical Centre) and others working in Healthcare. Since in my opinion many healthcare workers are not aware of these kind of changes , especially  the aspect triggered by the internet.

So, at my first Health 2.0 conference March 2009, Maarten Keynoted (in Dutch) . But this time not –as he often does about his projects or business- but about his Cancer and the things he had encountered. See the interview that @berci made at the speakersdiner)
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Why healthcare should listen to MTV and Sesame Street

In this age of resource scarcity proposals romp over us. Political parties make plans, industry solutions and insurers do their two cents. Also the Council for Public Health and Health Care take its responsibility in this regard with their recent reports and advices to the Dutch Minister of Healthcare.

The thing that surprises me the most, is that often only the cure and care sides is addressed. It looks like control of the existing situation is the main perspective. New treatment here, some pharmacy there or a new healthcare-centre on another spot. In my opinion very little about prevention, while if we ought to believe some respectable studies, it would be the greatest shift in solving problems on this frontier.

Responsablility
Professor Ralph Keeney (Duke University)  wrote a paper  (2008 Operations Research) with the expressive titel “Personal Decisions Are the Leading Cause of Death”, in which he states that 55 procent of all death in the USA in the ages 15-64 year were attributable to personal choices. Choices like smoking, eating, (not to)sport etcetera. In The Decision Tree (must read !) Thomas Goetz addresses this study amongst others like the Framingham Study.
A study of the effect of choices made by people and the effect of it on their health and of the problems that arise from them. Responsible also in the way of making these choices to DO something or no to DO anything, creating health problems or making them more severe.
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Dan Pink on the surprising science of motivation

What a great TED talk on motivation of Dan Pink , it’s exactly what TEDxMaastricht is all about.

One of the things that exists in a professional environment, is the closer look at the problem, not necessarily tunnel-vision, but little intrinsic need to look wider. By taking a broader perspective, remote, out-of-the-box or from a completely different perspective to look at the issue, solutions are sometimes naturally fall into place.
Dan takes the viewer / listener to the hand like a true lawyer. Sit back and relax and let his speech surprise you.

 
 


This independent TEDx event is operated under license from TED by UMC St Radboud