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Is there a Blockchain Future for Healthcare?

An overview of Blockchain applications and issues in healthcare

Is there a Blockchain Future for Healthcare?

  1. 1. Is there a Blockchain Future for Healthcare? Jody Ranck, DrPH, CEO of Krysalis Labs, CSO of health bank December 2, 2015 HL7 Policy Conference Precision Medicine: Innovation, Interoperability and Policy
  2. 2. The Next Evolution of IT?
  3. 3. What is Blockchain? • Distributed, cryptographic transaction ledger • Platform that Bitcoin is built upon • Tech protocol layer similar to TCP/IP • Transactions posted (transparent) and verified with time stamp • Encryption Keys but ledger is transparent • Enables decentralized approaches to databases, organizations, transactions without intermediaries • Trustless networks
  4. 4. IoT Use Case Source: IBM
  5. 5. New Forms of Collaboration • Smart contracts-remove trust intermediary and execute upon completion of task, ie. Programmable web • Distributed Applications (DAPP)- app that executes a contract on Blockchain (Ethereum) eg. Storj, a file storage app like Dropbox • Decentralized Autonomous Organization/Corporation: AI and smart contracts, potential applications to insurance, adjudicating claims
  6. 6. Health Use Cases (Swan) • Medical Banking: disintermediating counterparties • Distributed EHR: trust? • Inventory management • Research Commons and Remunerative Models for Data Sharing • Notarization/Identity Verification (insurance) • Open bazaar for services/transparency in pricing/health property exchange • Collaborative tool/crowdsourcing • health bank 2.0: remunerative commons • Peer-to-Peer insurance
  7. 7. Privacy & Security on Blockchain • Decentralize storage of record • But centralized platform for certification/recording transactions • Multi-sig address for each patient record • Patient has private key • Every provider has a universal signature with hospital having same
  8. 8. Applications Outside of Health • IoT- micro/nano-payments • Counterparty clearance in finance • Smart Property- track provenance/anti- counterfeit • Real-time/contextual forms of insurance • DNA.bits: integrating genomic and clinical data, sharing securely, HIPAA compliant
  9. 9. Challenges to Blockchain • Throughput- processes 1 transaction per second • 51% attack- one mining entity takes control • Sidechains and interoperability • Confidence in storing data in decentralized fashion • Regulatory uncertainty • Business models
  10. 10. The End • Contact: jody@krysalislabs.com • Jody.ranck@healthbank.coop

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