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Connected care | Jeroen Tas | TEDxVeghel


yes, we

and you will be through 3 li

hori wii is just like you moriarty d

with oil know about the disease

meant tools how to lift you why can we

not provide at the core for people like

there you had a lot

test motor traunstein in the evening

different dwellings and indeed would

the house p formally as the when he is from

feeling I hope I’m in cancer

a

its new I’m going to be apps chefs like that

control and white as snow not and the

breast francis

the cycle house of payout too

think we already

herman so the hair dryer and aveo notifications

and they change over time

I think it’s a pointe you can take

control of your own gallop and hf diabelli

and extras

tyrolean information and her own dna ligase

we now already quote from the archer

it had somewhere in the watchword

that we now have chicken family mole n2 and my role

healthcare jaguar and two

a flash popped information and place

in ai every day like and see orders

cargill is and the fashion meat is not to

help get to better place

[Music]

since her 12 dave kim type 1 diabetes

she has three days in intensive care

located and after that is her life and us

life actually changed considerably

every day she has to make 200 decisions

take that relationship to her health

so you have to make decisions

about what she eats what she is called

how much she moves must take into account

with stress or lack of sleep

activity

she must determine what her blood sugar

how much insulin she takes and she

must be very careful for all kinds

complications because people with diabetes

have problems with blood flow

causing them to get skin disease

have problem with their sight

he wants to develop problems with people

their animals and there are 400 million people

like kim 400 million

half a billion people are with

heart failure and one in two people

this room will be in your life

diagnosed that they have cancer

that is reality

reality is that there are a billion people

walking around with neurological problems

that is reality

when we look at how the care is

decorated then has nothing to do

actually with the need for care

what makes people healthy what keeps people

healthy how can we people with a

help you condition

Helen’s daughter does not see herself

to be a patient sees himself as

a young woman with a condition

how can those people help the best

if you have chronic illness is not

only that you make 200 decisions a day

have to take

it is also that he is always at

during the day during the weekend

holiday but the care is not furnished

on the fact that you might be in the middle of it

the night a problem with you

have blood sugars and that you would like to

want to talk to someone who knows who you are

and what your problem is and how we do that

to be able to solve the best if you really are

think about it and you look at what is now

important for care what is important

to stay healthy

or to care than people with a condition

do not deteriorate

then you actually only make 10%

has with the care we now deliver the

healthcare and we pay hope

money for the Netherlands is very good

but it is 12 to 13 percent of us

national income

know that 20 percent of that disease

genetically determined

if we then look at what we do with it

can do what you see

risks and how can we help you

better control of your risks and we

will do that soon

because there is no ethical test

about 100 euros

that means that you are everywhere and

gain insight into your none

ethical code the code that determines who you are

are

what kind of illnesses you develop and how you

as a person developed and where you

comes from

20% is your environment, we also see that

clinical picture is related to the

socio-economic conditions

in which you live

the air you breathe water you

drink

but more than half is your lifestyle

the way you eat drinks smokes

sleep moves

that has the biggest impact on you

health

so when we start looking at how best

improve health

we are going to look at how best we are people

can help with their lifestyle

how best people are on the right

the right care at the moment

offer and I think the huge

opportunities exist to do so

the digital revolution is going to be a huge one

impact in the way the care

delivered

why because we can do much better

to understand

who you are and what you need

we can see how your heart moves how

what your rhythm is from your heart how you breathe

how you move

we can keep an eye on how you eat

what kind of activity you have and we can

we thereby give an image of yourself

that can help you improve your health

to master

we can see your problems coming

and we can now literally two days

see if you have a heart attack beforehand

will be able to see that because certain

Signs will display on off

in the way your heart reacts to you

breathing responds

and that’s why we can go on at that moment

the right time to make a decision

and help you

for example, we can also be very

look closely how

to cancer developed where it is

comes from and we can do that from the

image reading

we can then follow the pathology

say the structure of the cells that

and cancer and steering

studying and automatic problems

indicate and we can then select the

determine the genetic code of such a cancer

and with that the right therapy

friends and that is very natural

important because we are going to get a lot of that

to control other diseases and better

therefore probably the chance

that someone died of cancer

ultimately much bigger

so how do we know how to control that

the better we can heal and if we do

steye ch’uan or the first internship of

detect cancer

you have a 99 percent chance at five years

to live for the next five years

if we see it in stage 4 then you have 99

percent chance you’re the hair

there does not get well there we put

technology in it is the technology

in

to understand you better for problems

come to see the risk

treasure and therefore on the right

moment and a screening, but also

to help you between gates

when you need and not on

appointment

my daughter has to go every quarter with the

diabetes

nursing talk and I ask why

every quarter

the moments that you might every

day there are times that you need

by going six months without problems

we can take care of that care

given at the time it really is

necessary there are also able to

looking at you in a different way

so they are able to give me very precise

to detect what is going on with you

is what your problems are and prevent them

that it deteriorates

but we are also able to look

to people like you

so we can start looking at what is the

population

whose are the people in the church

veghel what problems they have

the patterns that we can recognize

why does a certain clinical picture occur?

certain districts for and not others

Why does a particular disease at

a group of people for and with others

not

how do we see a risk of developing

how can we take care of this

going to decorate

well other industries already have that

long done that he is customer

segmentation

So how can we in such patients

share that we have the right programs for it

they can create

24 hours of care and the right

do the intervention at the right time and

there we use artist artificial

intelligence for why because that is the

best way is to be in complex

information because we really have it now

about complex information on the basis of

the complex information to look what it

best is for you

so if you are in the intensive care unit

ever ends then we can not

just look at your heart your heart rhythm

you breathe your oxygen leaf

we can also look at what that means

the context of your medical history

the context of who you are

if we understand your family

structure is who your children are who you are

parents and how they can help you

how your friends can help you in the

care

we can organize the care differently

based on artificial intelligence

can see those patterns and those patterns

can help us

and how do we do that for example

to visualize that complex information

to make

Well what you see here in this picture

on the left you see one

training internship

so they are already in the financial world

25 years working on complex information

visually

so to show that someone within one

a decision for a few seconds

can take financial decisions as

you look in the middle that’s it

cockpit of a modern plane what you

no longer sees is all those meters

you see two screens and give them

context sensitive information so that

can see what exactly at that moment

to show what a pilot needs

to be right at the right time

to make decisions

automatically you will receive a checklist

that screen is normal

and by the way I am I am not or you

knowing it only flies 99% of the time

the plane itself is the one

pilot but the pilot enters

mainly or when things go wrong

Well no reason why we do that

can not apply in healthcare

we are also complex systems we

can be monitored when that

is necessary and we can rely on it

do the right moment and intervention with

a checklist that say well as this

and this is done with the patient than

must at this time

this action

so what you see is on the right

a tele health center we are in

america at the moment thousands

monitor patients remotely

we ICU beds rebellion

keep an eye on distance

where information flows and combined

with the profile of the patient

so that we know exactly what at the moment

with those patients going on and on

the right time and intervention can

but that intervention can

for example, that is a person to

the patient goes home and with that

retire and talk to him for one

walk so take the intervention

come and human intervention would you

can be a warm interventions that can

a support influence intervention

because that all determines how good

someone can heal

so what we see is that there is a lot

technology is going to come to us with this

is going to help but that technology is going

to the background

we do not want to see those we want

do not feel that should be

so what we can look at is real

an intelligent adaptive environment

create that keeps an eye on

without being bothered by it without it

that you have to do things for it

you can speak to him at a given moment

says of dude I have gears in it

my ankles and I do not feel so good

and then automatically than someone with you

watch and say that we are coming right

to you with a new medication and

that is what we do today and that

technology is becoming more and more

technology jobs so well that

we are working on it completely

interconnecting healthcare

so if you look at my daughter that

has one

diabetes male nurse who has a

internist who has a dermatologist

a psychologist has that with it

syndrome also a lot

tensions come she is the one who is on

this time she collects all information

is actually the one who cares

coordinates that we want that for

her happened

we also want me to be a part

her care team than my wife

may be part of the hair care

so what we work on is environment

create where everything revolves around the person

where we look at the ties that are

person has in his society with

his friends environment and where it

the health system is coordinated and

always the interest of the patient 24 hours

so we have a network

not in the family doctor and a disease home

and and home care

we see him connected network with that

patient in the middle with the family

around it

we see a focus on prevention

not just acute care and we see one

very precise diagnosis that really determines

who you are what you need

and when you need and ultimately

we really want people like that

my daughter Kim

but also the people who know yourself in you

own environment of everyone who sits here

has a parent and sister and brother and

friend who has chronic illness

everyone here in the hall knows what they are doing

need

but everyone also realizes that what they do

needs do not always

offered

we can now use technology to

helping people we can

use technology to make us healthier

we can use technology

to reduce heat in health care

and ultimately for all of us

create a better world

thank you

[Applause]

”

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