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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
The Next Evolution of IT?
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
IoT Use Case
Source: IBM
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
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
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
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
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
The End
• Contact: jody@krysalislabs.com
• Jody.ranck@healthbank.coop

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Is there a Blockchain Future for Healthcare?

  • 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
  • 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.
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  • 8. 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
  • 9.
  • 10. 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
  • 11.
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  • 14. 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
  • 15.
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  • 17. 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
  • 18. 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
  • 19. The End • Contact: jody@krysalislabs.com • Jody.ranck@healthbank.coop