Title: Why the hospital of the future will be your own home

Presenter: Niels van Namen



  • I liked that you used several rhetorical questions in your introduction to focus our attention on your topic and gain our interest. This was an effective device for me in this presentation.
  • I would like to hear more about the sources of the research you presented so that I can evaluate its trustworthiness. For example, you told us that 64% of Americans avoid hospitals due to cost and that 46% of hospital care can move to the home. I can't share numbers like that if I can't cite their sources.  I'd also like to see more clarity in some other statistics you list. You said that patients in hospitals "often" get sick but don't provide even a hint if "often" is 5% or 50% of the time. Then you said that medical mistakes is the third most likely cause of death in the US, but you didn't tell us whether that only counts hospital errors or also counts cases at home where patients take the wrong prescription or the wrong amount, diagnosis errors in the doctor's office, and errors at the pharmacy.
  • I didn't understand your photo that showed hospitals set up as assembly lines. From your language, I thought that the photo was trying to show an example of a medical assembly line. But it didn't look medical in any way, so I decided the photo was only a metaphor for hospital treatment.
  • You were extremely clear in describing the problem and gave a great example. Then you reached the transition to your proposed solutionI and described medical inventions, I didn't feel that was the best transition because the medical inventions you listed aren't exclusive to the home or to the hospital. I think that you were better off continuing to describe the transformation of hospitals over the centuries, and that would had led more naturally to the next version of hospital care.
  • To me, the strength of your presentation was when you talked about the technology that allows patients to be monitored at home. I felt that this made your case, and I think you could have inserted a story here to emphasize the illustration. What I'd like to see you do more of is show us how applying these technologies will motivate people to stay home: time and cost. You gave a great example about your colleague's mom. Your example of Art was good. My recommendation is don't just tell us that health care at home will cost 10% of a hospital stay; give us a dollar or euro number so we can see how drastically less it is. Enumerate the cost of all of the hospital charges that will be avoided by staying at home. I think I'd have slides that show the savings as you list them and then add to the total savings. 
  • I didn't like that you used the promise of fewer deaths due to medical errors as a driver for this trend. You never established the first number, and I didn't have any confidence in how you decided that we would see significantly fewer deaths due to errors. What would have been convincing would be to give some specific examples of hospital errors leading to death that would be avoided by home hospitalization. And I felt that you also have to convince us that we won't see the opposite, more deaths due to medical errors at home because I can't keep items as sterile or insert an IV as accurately as a nurse at a hospital can. You told me that the nurse can come to my home, but I've heard a health care futurist, just five minutes ago, tell me that there's a severe nursing shortage. (Won't it be magnified if the nurse has to travel to everyone's home instead of walking to the next room?)
  • You said that you see that home health care works because you work in logistics. I didn't understand that point at all.
  • In your conclusion, I thought that you did a good job summarizing your support points and why you're passionate about this. The dog's very cute, but I didn't think it was the best image to end with. I think I'd like to experiment using a photo of a large, gaudy hospital (lots of concrete) dissolving into a very inviting home.


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