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prerna798r · 11 months

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Understanding the Blockchain Ecosystem: A Comprehensive Overview

Introduction

Definition of blockchain

Brief explanation of its significance

Overview of the blockchain ecosystem

I. Fundamentals of Blockchain Technology

A. Distributed Ledger Technology (DLT)

Explanation of DLT

Characteristics and benefits of DLT

Comparison of centralized and decentralized systems

B. Cryptography in Blockchain

Role of cryptography in securing blockchain

Key components: hashing, digital signatures, and public/private key encryption

Overview of cryptographic algorithms used in blockchain

C. Consensus Mechanisms

Importance of consensus in blockchain

Overview of different consensus mechanisms:

a. Proof of Work (PoW)

b. Proof of Stake (PoS)

c. Delegated Proof of Stake (DPoS)

d. Practical Byzantine Fault Tolerance (PBFT)

3. Pros and cons of each consensus mechanism

II. Components of the Blockchain Ecosystem

A. Blockchain Networks

Public, private, and consortium blockchains

Examples and use cases for each type

Interoperability and cross-chain communication

B. Smart Contracts

Definition and purpose of smart contracts

Programming languages for smart contract development

Ethereum's Solidity and other popular smart contract platforms

C. Decentralized Applications (DApps)

Explanation of DApps and their characteristics

Examples of successful DApps and their impact

Challenges and future prospects for DApp development

D. Cryptocurrencies and Tokens

Overview of cryptocurrencies as digital assets

Utility tokens, security tokens, and stablecoins

Role of Initial Coin Offerings (ICOs) and Security Token Offerings (STOs)

III. Blockchain Use Cases and Industries

A. Financial Sector

Blockchain in banking and payments

Security and fraud prevention

Cross-border transactions and remittances

B. Supply Chain and Logistics

Traceability and transparency in supply chains

Eliminating counterfeit products and ensuring product authenticity

Streamlining logistics and reducing costs

C. Healthcare and Pharmaceuticals

Secure storage and sharing of medical records

Drug traceability and combating counterfeit medications

Clinical trials and research data management

D. Government and Public Sector

Identity management and digital citizenship

Voting systems and transparent governance

Public service delivery and efficiency improvements

E. Other Industries

Real estate and property rights

Intellectual property protection and royalties

Energy and utilities management

IV. Challenges and Future Perspectives

A. Scalability and Performance

Scalability issues in blockchain networks

Proposed solutions: sharding, layer-2 protocols, and sidechains

B. Privacy and Data Protection

Balancing transparency and privacy in blockchain

Zero-knowledge proofs and privacy-enhancing technologies

C. Regulatory and Legal Considerations

Global regulatory landscape for blockchain and cryptocurrencies

Compliance challenges and potential solutions

D. Integration with Existing Systems

Interoperability with traditional IT infrastructure

Integration challenges and strategies

E. Future Perspectives and Trends

Hybrid blockchain models and interoperability protocols

Central Bank Digital Currencies (CBDCs) and their impact

Web 3.0 and the decentralized internet

Conclusion

Recap of key points covered in the article

Importance of understanding the blockchain ecosystem for various industries

Potential impact and future developments of blockchain technology [Read More]

#blockchainecosystem #blockchain #ecosystem

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marketreports-world · 3 years

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Blockchain Technology in Healthcare Market - Global Forecast Till 2027

Global blockchain technology in healthcare market witnesses a continual rise in revenues. Market growth attributes to the strong foothold that the blockchain technology has acquired in the rapidly growing healthcare industry. The technology is rapidly changing the paradigm in the healthcare sector, streamlining traceable interactions, and accurate readings.

Resultantly, the blockchain technology is increasingly adopted across the healthcare industry.

According to Market Research Future (MRFR), the valuation of global blockchain technology in healthcare market is estimated to reach approximately USD 42 MN by 2023, growing at 71.8% CAGR during the review period (2018 – 2023). Credible growth opportunities offered by the technology is a key growth driver for the market.

Moreover, the increasing uptake of blockchain technology in insurance companies to maintain the real-time record of insured patients fosters market growth. Additionally, increasing cases of data breach and data security concerns in healthcare, and rising demand for user-friendly, inexpensive data management tools boost the growth of blockchain technology in the healthcare industry.

On the other hand, the absence of universal standards and awareness about blockchain technology are major factors anticipated to impede market growth. Nevertheless, increasing investments in healthcare sectors would support the growth of the market throughout the estimated period, providing favorable conditions.

Blockchain Technology in Healthcare Market – Segments

The report is segmented into four dynamics;

By Application : Patient Data Management, Clinical Trials & Data Security, Drug Traceability, Claims Adjudication, Billing, and others.

By Type : Permissioned and Permission Less Blockchain.

By End-user : Pharmaceutical Companies, Healthcare Service Providers, Healthcare Consumers, and others.

By Regions : Americas, Europe, Asia Pacific, and Rest-of-the-World.

Request Free Sample Copy @ https://www.marketresearchfuture.com/sample_request/6475

Geographical Analysis of the Blockchain Technology in Healthcare Market –

North America holds the largest share in global blockchain technology in healthcare market. Market growth attributes to the early adoption of advanced technologies in healthcare management systems. Besides, the presence of well-established healthcare sectors and several key industry players and insurance holders, foster the growth of the regional market excellently.

Moreover, factors such as a large patient pool, and high per-capita healthcare expenses, drive the regional market growth. The North American blockchain technology in healthcare market is projected to retain its dominance over the global market throughout the estimated period.

Europe holds the second-significant share in global blockchain technology in healthcare market. Market share is driven by technological advances and the increasing adoption of blockchain technology in healthcare systems. Additionally, the proliferating healthcare industry and rising numbers of pharmaceutical companies in the region, foster the market growth.

Also, factors such as increasing numbers of clinical trials and R&D expenditure in the pharmaceutical industry, and widespread awareness about the advantages of blockchain technology are significant tailwinds for the market in the region. Moreover, augmenting demand to curtail the rising healthcare expenditure foster the growth of the regional market.

The blockchain technology in healthcare market is brisk in the Asia Pacific region. Factors such as the rising uptake of blockchain technology in the healthcare sector, and increasing per capita healthcare expenditures, drive the regional market growth predominantly. Besides, factors such as the increasing digitalization of patient records and rising numbers of healthcare organizations are the key drivers behind the regional market growth.

Furthermore, the rising trend of generic medicines, growing investments in the healthcare industry, and the growing need to reduce healthcare expenses, foster the regional market growth. The APAC blockchain technology in healthcare market is anticipated to register significant gains over the review period.

Blockchain Technology in Healthcare Market – Competitive Landscape

Highly competitive, the blockchain technology in healthcare market appears fragmented due to the presence of several well-established players. To gain a larger competitive share, industry players adopt strategies such as mergers & acquisitions, expansion, collaborations, and technology launch.

Major Players

Active players in the global Blockchain technology in healthcare market include Farmatrust, Guardtime, Microsoft, IBM, Gem, Patientory, Chronicled, Pokitdok, Isolve, Hashed Health, Factom, Blockpharma, Medicalchain, and Simplyvital Health, among others.

Innovation/Industry/Related News:

May 22, 2020 --- Global healthcare technology platform Solve. Care launched a first-of-its-kind landmark deployment of blockchain, the Global Telehealth Exchange (GTHE), to tackle the challenges facing the global healthcare system. GTHE is a decentralized care network that helps in removing the physical and geographical barriers associated with accessing healthcare services while also providing administrative, payment, and care coordination for all.

The healthcare blockchain technology company aims to redefine the current healthcare system. On May 11, 2020, Solve.Care introduced the Team.Care, a workforce health management solution with a special focus on wellbeing and Covid-19 risk. Team. Care allows employers to track the welfare of their teams, whether working remotely or in their workplace.

Table Of Contents:

Chapter 1.Blockchain Technology In HealthcareMarket Report Prologue

Chapter 2. Blockchain Technology In HealthcareMarket Introduction

2.1. Definition

2.2. Scope Of The Study

2.2.1. Research Objective

2.2.2. Assumptions

2.2.3. Limitations

Chapter 3. Blockchain Technology In HealthcareMarketResearch Methodology

3.1. Introduction

3.2. Primary Research

3.3. Secondary Research

3.4. Market Size Estimation

Chapter 4. Blockchain Technology In Healthcare Market Dynamics

4.1. Drivers

4.2. Restraints

4.3. Opportunities

4.4. Challenges

4.5. Macroeconomic Indicators

4.6. Detection Technique Trends & Assessment

Chapter 5. Blockchain Technology In HealthcareMarket Factor Analysis

5.1. Porter’s Five Forces Analysis

5.1.1. Bargaining Power Of Suppliers

5.1.2. Bargaining Power Of Buyers

5.1.3. Threat Of New Entrants

5.1.4. Threat Of Substitutes

5.1.5. Intensity Of Rivalry

5.2. Value Chain Analysis

5.3. Investment Feasibility Analysis

5.4. Pricing Analysis

Browse Detailed TOC with COVID-19 Impact Analysis at: https://www.marketresearchfuture.com/reports/blockchain-technology-healthcare-market/toc

About Market Research Future:

At Market Research Future (MRFR), we enable our customers to unravel the complexity of various industries through our Cooked Research Report (CRR), Half-Cooked Research Reports (HCRR), & Consulting Services. MRFR team have supreme objective to provide the optimum quality market research and intelligence services to our clients.

Related Report:

Migraine Drugs Market Research Report - Global Forecast till 2025

Contact:

Akash Anand

Market Research Future

+1 646 845 9312

Email: [email protected]

#Blockchain Technology in Healthcare

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pharmaphorumuk · 3 years

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RBQM Live: The Definitive Guide to RBQM for Experts and Beginners

The adoption of Risk-Based Quality Management (RBQM) is accelerating, and it is more important than ever for the industry to share its expertise. This two-day virtual event is a definitive guide for anyone working with RBQM – from experts to beginners. You can register now for a free E-Pass.

Taking place from May 20-21, 2021, RBQM Live is a chance to discuss how we can continue to leverage RBQM to build safer, more efficient clinical trials of the future.

Ken Getz, Professor of TUFTS CSDD, is the keynote speaker for day one (May 20). Ken will provide a compelling look at how the COVID-19 pandemic has transformed the drug development operating environment and explore where the industry will be post-pandemic.

Sy Pretorius, Parexel’s President, Clinical Development and Chief Medical Officer, is the lead-off speaker for day two (May 21) exploring the impact of COVID-19 on adoption of digital applications, decentralized models and remote monitoring. Sy will discuss clinical data challenges and the growing imperative to adopt risk-based thinking and management throughout clinical development, illustrated with case study snapshots.

Commenting on the event Patrick Hughes, Co-Founder and Chief Commercial Officer at CluePoints said, “CluePoints is honored to play a part in bringing this extraordinary industry event to fruition. The speaking delegation represents a ‘Who’s Who of RBQM’ and the agenda will cover topics relevant to both Subject Matter Experts and RBQM Rookies alike. The fact that the online program is dedicated to all aspects of Risk-Based Study Planning and Execution is testament to the huge strides that the industry had made in the past 12 months in moving this game-changing topic from a nice-to-have to a must-have for Sponsors and CROs. We can’t wait to see the speakers in action and contribute to the discussions and debate.”

Both days will focus solely on RBQM and feature the industry’s leading innovators. Highlights include:

Day 1 – Thursday, May 20, 2021

Powered by the Pandemic – How Pharma Has Succeeded and How It Will Continue to Embrace Operational Changes Facilitated by COVID-19. Ken Getz, Professor of TUFTS CSDD, provides a compelling look at how the pandemic has transformed the drug development operating environment and where it will be post-pandemic.

The Evolution from RBM to RBQM – How Far Have Risk-Based Approaches Come in 10 Years and Where Do We Go Next? Jonathan Rowe, Head of R&D Quality and Risk Management, ZS Associates, provides a review of the cross-functional use cases for RBQM and the role of regulators and guidelines in driving change.

RBQM Best Practice Defined by Leading Industry Working Groups. A panel discussion led by an esteemed panel of luminaries from Clinical Trials Information Initiative (CTTI), Metrics Champion Consortium (MCC), and Association of Clinical Research Professionals (ACRO) who have driven guidance for the Industry.

Day 2 – Friday, May 21, 2021

The Future of Clinical Trials is Now. Sy Pretorius, Parexel’s President, Clinical Development and Chief Medical Officer, explores the impact of COVID-19 on adoption of digital applications, decentralized models and remote monitoring.

Has RBQM Lived up to TransCelerate’s Expectations? A panel discussion with the original founders of RBQM from TransCelerate who will give their views on the state of Risk-Based approaches and where the industry is seeing the biggest benefits.

The Application of RBQM to Rare Disease and Small Trials. Jacqueline Gough, Director, Central Monitoring, Alexion, will provide best practice for the use of Risk-Based Quality Management in small and rare disease trials.

For a full agenda and more about the event visit rbqmlive.com. More expert speakers will be announced shortly so keep an eye on the website for updates.

Visit rbqmlive.com/register-for-rbqm-live to book your free E-Pass today.

The post RBQM Live: The Definitive Guide to RBQM for Experts and Beginners appeared first on .

from https://pharmaphorum.com/events/rbqm-live-the-definitive-guide-to-rbqm-for-experts-and-beginners/

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techcrunchappcom · 4 years

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New Post has been published on https://techcrunchapp.com/tech-mn-faq-friday-blockchain/

tech.mn – FAQ Friday — Blockchain

Welcome to our latest FAQ Friday — blockchain FAQ — where industry experts answer your burning technology and startup questions. We’ve gathered top Minnesota authorities on topics from software development to accounting to talent acquisition and everything in between. Check in each week, and submit your questions here.

This week’s FAQ Friday is sponsored by Coherent Solutions. Coherent Solutions is a software product development and consulting company that solves customer business problems by bringing together global expertise, innovation, and creativity. The business helps companies tap into the technology expertise and operational efficiencies made possible by their global delivery model.

Meet Our FAQ Expert

Max Belov, CTO of Coherent Solutions

Max Belov

Max Belov has been with Coherent Solutions since 1998 and became CTO in 2001. He is an accomplished architect and an expert in distributed systems design and implementation. He’s responsible for guiding the strategic direction of the company’s technology services, which include custom software development, data services, DevOps & cloud, quality assurance, and Salesforce.

Max also heads innovation initiatives within Coherent’s R&D lab to develop emerging technology solutions. These initiatives provide customers with top notch technology solutions IoT, blockchain, and AI, among others. Find out more about these solutions and view client videos on the Coherent Solutions YouTube channel.

Max holds a master’s degree in Theoretical Computer Science from Moscow State University. When he isn’t working, he enjoys spending time with his family, on a racetrack, and playing competitive team handball.

What is blockchain?

Blockchain is a technology that … yes, we can ask Google for a definition of any given word, but you can get confused and lost in thousands of the suggested results when it comes to googling technologies, especially one as multi-faceted as blockchain. The best way to understand the technology is to refer to the history of its development where the starting point was a problem that could be solved by applying the technology.

Consider the following situation. Your friend has a painting that costs $10,000. We can say that the painting is unique and valuable because the friend has the required documentation that proves it. You decide that you really want that painting and want to buy it from your friend. So, you give your friend $10,000, and after that, the friend gives you the painting. That was simple, right? Now imagine your friend has a unique and valuable digital picture. The friend sends it to you by email, and you transfer $10,000 to their bank account. Now it is getting interesting. How do you know that the picture belongs to only you? Maybe your friend made a couple of copies. We assume that your friend is an honest person, but how do we check the picture’s uniqueness in case your friend got the picture from someone else?

If we have some digital information, there are many cases when we need to be sure that the data is valid and that third parties like hackers have not modified the information, and the history of valid changes is verifiable.

Let us consider a business case where organizations need to manage and transact such assets as finances, real property, medical records, physical goods, etc. It is essential to enable the following features for involved parties:

If an asset’s information changes, it should be transparent for all parties.

It is impossible to change and update an asset’s information without the owner’s acknowledgment and approval.

The history of changes is transparent and verifiable.

To implement such a scenario, there should be a database that accurately records the required assets information. As practice shows, typical databases with one logical owner (centralized relational databases like MySQL or distributed non-relational databases like Apache Cassandra) do not meet our requirements. In 2016, hackers attempted to steal $951 million from Bangladesh bank and succeeded in getting $101 million. The same year, 57 million users’ personal information was breached at Uber and Facebook faced a database data leak of 419 million users in 2019. In all these cases, the central database that stores all of the information about various assets proved to be vulnerable to an attack despite all the precautions taken by its owners.

But in 2008, a new type of data storage technology was invented, and it was called blockchain. This technology took enough time to overcome initial challenges and obstacles to wide adoption and it is an excellent alternative data management solution today. Blockchain is based on Distributed Ledger Technology (DLT) technology. Its key components are:

Information is stored across a distributed network of servers owned by different entities.

All proposals to update and change information are done by applying respective actions called “transactions.”

Transaction integrity is maintained based on digital signatures.

To apply proposed changes, transactions are verified by a specific algorithm called a “consensus algorithm.”

All transactions that have been successfully applied are stored in “blocks” linked using cryptography and enable the verifiable history of changes.

There are no single points of failure or single data owner.

Blockchain makes digital representation of any asset unalterable and transparent using decentralization and cryptographic hashing.

What benefits to business and client privacy does blockchain offer?

Greater transparency

The beauty of blockchain lies in the fact that it creates trust out of mistrust. Transactions must be agreed upon before they are recorded. Think of a large group of people with their own ledgers or record books. These people can and will only add to the ledger if most of the people agree upon the authenticity of the proposed addition. This group action or “distribution” is incredibly powerful and can provide businesses with peace of mind, and customers as well.

Enhanced security

The biggest problem with any centralized ledger or a handful of centralized ledgers is vulnerability to corruption and manipulation. Blockchain transactions and blocks are linked using cryptography, and all information is stored across a network of computers instead of on a single server. That makes it difficult for hackers to compromise the data.

Improved traceability

Given that all blocks of transactions from the very beginning of the ledger are linked, it brings one more significant feature of blockchain — immutability. Here’s how

Increased efficiency and speed

Due to its decentralized nature, blockchain removes the need for intermediaries in many processes that are prone to human errors. Asset management processes are made more efficient with a unified system of an ownership record and smart contracts that automate agreements.

Reduced costs

Today, most businesses spend significant efforts to bring trust, transparency, security and efficiency. We can see this in the form of intermediaries or specialized companies that provide these services to other businesses at a cost. However, because of blockchain’s nature, businesses can massively decrease their overhead costs and direct those cost benefits to customers or other initiatives.

What are some use cases of blockchain that startups and smaller businesses could take advantage of?

Now that you have seen how blockchain technology can benefit your business and clients, let us look at how startups and small businesses could take advantage of it. From payments (by decreasing time and fees of money transfer) to smart contracts enabling new and innovative business models by processing transactions via a protocol that automatically executes, controls or documents legally relevant events and actions according to the terms in a contract or agreement. Organizations collaborate easier and more securely. Here are just a few of the use cases.

Supply chain

In most cases, it requires intermediaries that slow down procurement process and makes records susceptible to errors that are not uncommon. Another challenge is the fraud that is made possible by the lack of transparency. This is where blockchain technology steps in. It cannot be corrupted, nor can it lose any document/information along the chain of custody. All deals are transparent and auditable.

Healthcare

The application of blockchain technology is intended to be incredibly valuable in the context of Digital Health services. Personal health records management could be significantly improved to enable more effective and customized healthcare by:

Patient Data Management – Gives patients full data ownership over their medical records.

Clinical Adjudication – Supports in the validation, coordination and maintenance of consistent adherence to approved clinical trial protocols.

Claims Adjudication – Offers clear and transparent communication of patient billing through smart contracts that do not lead to over-billing the patient

Drug Supply Chain – Allows to reliably check a drug’s origin and manufacturing history, thus identifying a counterfeit medication or prescription.

Cloud storage

Cloud storage was a hit when it first appeared, but the system is not bulletproof. Since companies store user data in centralized servers, this means that cloud storage has central points of failure that make the whole system vulnerable. By using blockchain technology, decentralized cloud storage makes your files unhackable.

How long does it take to incorporate blockchain into business operations?

It really depends on your business and use case. Here are the key steps you need to take to incorporate blockchain into your business.

Identify a relevant use case

There are a lot of different valid use cases across multiple industries, including: banking & finances, retail, digital identity, healthcare, supply chain, notary, ad tech, music, and video, etc. If we abstract all use-cases to a higher level, we find that the most use cases fall under one or more of the following categories: asset management, authentication & verification, and smart contracts.

Research legal/Regulatory requirements

Many countries are still very skeptical about this technology, especially when applied in the financial industry, and are therefore taking stringent measures to regulate it or even ban it altogether. Since blockchain is still an emerging technology (yet to go mainstream), the laws governing its applications are either not there at all or are very poorly defined.

Identify the consensus mechanism

A consensus algorithm is what determines if a transaction is valid and can be added to the blockchain. There are many different consensus algorithms available: Proof of Work (PoW), Proof of Stake (PoS), Byzantine Fault Tolerance (BFT), Proof of Elapsed Time (PoET), Proof of Authority (PoA), Delegated PoS (DPoS), etc. Each consensus algorithm has its pros and cons, so there is no “best’ consensus algorithm. The algorithm should be chosen depending upon the use case. Generally, there is a trade-off between decentralization, security, transparency, cost of executing the algorithm and system performance.

Selecting a blockchain platform

Just the way there are multiple consensus algorithms at our disposal, there are numerous platforms on which we can implement blockchain solutions: public, private and consortium blockchains. Many of them are free and open source. The selection of the ideal platform depends upon the use case and consensus algorithm. The differences between public, non-permissioned blockchain networks and private, permissioned networks are straightforward and understanding the differences is crucial for deciding what best suits your needs.

Need more information on blockchain? Check out this blog from Coherent Solutions.

Still curious? Ask Max and the Coherent Solutions team questions on Twitter at @CoherentTweets.

Don’t stop learning! Get the scoop on a ton of valuable topics from Max Belov and Coherent Solutions in our FAQ Friday archive.

FAQ Friday — Digital Apps

FAQ Friday — eCommerce

FAQ Friday – Security and Working Remotely

FAQ Friday – Machine Learning

#blockchain #friday #Technology

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technicaldr · 6 years

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Empowering Patients through Decentralized Information Governance

Health care will be transformed if we empower patients and physicians through access to information. Don Rucker is right to focus attention on APIs to enable the transformation. A year and a half into the new administration and the massively bipartisan 21st Century Cures Act, the Department of Health and Human Services (HHS) is having to navigate between the shoals of highly unpopular Meaningful Use regulations and the apparent need for regulation to undo the damage of market consolidation that they caused. From my perspective, it looks like HHS is doing a good job.

Prediction is a dangerous game but it’s necessary for investments that depend on health information technology. Nowadays, pretty much everything in healthcare depends on information technology, particularly if we need effective quality measures to enable transition to value-based healthcare.

Based on Verma’s most recent remarks, it’s safe to predict that HHS will use the power of the $900 Billion purse as a way of avoiding regulation as it tries to break down the oligopoly of the consolidated “integrated delivery networks” and their even more consolidated EHR vendors. What’s more interesting is to anticipate how Rucker’s recent remarks about Persistent Access will be translated into decision support information for patients and physicians that will actually drive the practice innovation Verma is talking about.

Today, the information available to physicians and patients at the point of care is centrally governed by hospitals and by EHR vendors. A service seeking to present a piece of information such as therapeutic alternatives, quality ratings, out-of-pocket expenses, and research or clinical trials opportunities, must run a gauntlet of censorship by both the hospital and the EHR vendor. A thoughtful paper on how preemptive genomic testing has significant impact on subsequent treatment decisions shows the evolving connection between medical science and information governance.

The barriers to providing independent decision support when it matters most, during the physician-patient encounter, are immense. Let’s list some of them.

An independent information service

Must be “certified” by the hospital even if a particular physician wants to get it

Must be “certified” by the EHR vendor before it’s even accessible to the hospital certifiers

Involves up-front certification costs that are incompatible with open source or other non-profit information sources

Can’t access the complete patient’s record in the EHR

Requires the physician to sign-in to a separate system with a separate password

Is not covered by insurance, or, if covered, is subject to pre-certification delays that the physician won’t put up with

Is unaffordable because each EHR and each hospital presents a different integration challengecan’t get investors because the EHR vendors will demand unspecified rent on access to the physician-patie t relationship or, in many cases, actually demand access to the intellectual property itself.

The task ahead for HHS is formidable. Regulation that drives patient empowerment at the point of care (when the physician is about to sign that order that drives $3.5 Trillion of healthcare costs) is inconceivable under the US healthcare system and out of reach for even the nationalized health systems in other rich countries. The proprietary EHR vendor business model means EHRs must control the “app store” as the driver of future growth. Separately, the Accountable Care Organization business model for hospitals drives them to control their physicians and restrict access to “out-of-network” providers regardless of what’s best for a particular patient.

But there is hope, particularly if CMS, ONC, and maybe even the VA orchestrate their actions. The hope lies in the upcoming definition of “information blocking” as mandated by 21stC Cures.

HHS can and should define information blocking in terms of independent decision support at the point of care.

Access to independent decision support at the point of care is an outcome rather than a process. It’s easy to tell if it’s blocked without resort to heavy-handed regulation of the API technology. No new legislation is required because HIPAA, HITECH, and 21stC Cures already enable patient-directed information sharing via API at no significant cost. Patient-directed APIs are also directly accessible to the physician, subject to patient consent.

Technically, what’s required is that *every* API of an EHR be supported as a patient-directed API. That’s not much to ask since the EHR vendors are already building the APIs to use in the app stores they need to stay competitive. What’s also required is what Rucker calls Persistent Access which is what FHIR calls Refresh Tokens and is already widely implemented in the Apple Health APIs. Finally, what’s needed is the ability for a patient to direct information anywhere we choose, without censorship or delay, via the API. (Note that patient-directed exchange is different from patient access rights that require information to flow through personal health records. PHRs have largely failed in the marketplace.) Under HIPAA, patients have this right to patient-directed use for in-person requests to send patient records using paper forms, but this right to uncensored patient-directed exchange needs to be made accessible via the patient portal and linked to the FHIR API. The technical term for this is Dynamic Client Registration and it’s a unimplemented security capability of the FHIR API.

Patient-directed APIs can impact the physician-patient encounter in real time when one or both parties have a smartphone, although ideally the independent decision support will also be available in the EHR as long as the physician and the patient approve.

I’m calling this prescription for empowering patients Decentralized Information Governance. It’s completely consistent with both Verma’s and Rucker’s vision. Because it’s also consistent with current law, it can be implemented by Medicare, Medicaid, VA, and All of US immediately by joining the Health Relationship Trust (HEART) workgroup and implementing our profiles in the VA BlueButton 2.0 and CMS MyHealthEData projects.

The key is for all of us to reject calls for centralized governance of information services by government, academic hospitals, or global corporations (Facebook, Google, etc…) that have all proved resistant to regulation in the digital age. We must also reject the idea that new information governance bureaucracies like DirectTrust, or CARIN Alliance, or some government-controlled Recognized Coordinating Entity can be invented to ensure that our incredibly valuable health information drives open medical science. Decentralized information governance explicitly gives each patient the power to choose which patient interest groups, community organizations, or congregations one trusts to control access to his or her health records for both clinical and research uses.

Technical Dr. Inc.'s insight:

Contact Details :

[email protected] or 877-910-0004 www.technicaldr.com

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kristinsimmons · 6 years

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Empowering Patients through Decentralized Information Governance

By ADRIAN GROPPER, MD

Seema Verma is right, US health care will be transformed if we empower patients and physicians through access to information. Don Rucker is right to focus attention on APIs to enable the transformation. A year and a half into the new administration and the massively bipartisan 21st Century Cures Act, the Department of Health and Human Services (HHS) is having to navigate between the shoals of highly unpopular Meaningful Use regulations and the apparent need for regulation to undo the damage of market consolidation that they caused. From my perspective, it looks like HHS is doing a good job.

The barriers to providing independent decision support when it matters most, during the physician-patient encounter, are immense. Let’s list some of them.

An independent information service

Must be “certified” by the hospital even if a particular physician wants to get it

Must be “certified” by the EHR vendor before it’s even accessible to the hospital certifiers

Involves up-front certification costs that are incompatible with open source or other non-profit information sources

Can’t access the complete patient’s record in the EHR

Requires the physician to sign-in to a separate system with a separate password

Is not covered by insurance, or, if covered, is subject to pre-certification delays that the physician won’t put up with

But there is hope, particularly if CMS, ONC, and maybe even the VA orchestrate their actions. The hope lies in the upcoming definition of “information blocking” as mandated by 21stC Cures.

HHS can and should define information blocking in terms of independent decision support at the point of care.

Empowering Patients through Decentralized Information Governance published first on https://wittooth.tumblr.com/

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awesomeblockchain · 6 years

Link

Shivom, an international blockchain-powered startup that aims to create the world's biggest data hub on genomic information using decentralized technologies to secure the data and put it to a good use via various apps, has announced in its blog post that it has garnered support from government officials from three different countries.

Shivom will use blockchain tech in order to fully secure genomic data and ensure utter privacy. In particular, it uses blockchain to store encrypted data to make it available only to the designated users while cutting costs of transactions, which is one of the cornerstone features of decentralized ledgers. This security is thought to encourage people to share their genomic data without the fear of having it leaked. The service is expected to be available worldwide, which includes countries that currently have underdeveloped research capabilities.

-The current healthcare space is fraught with major problems such as data silos, lack of diversity, lack of interoperability, little privacy and widespread data breaches, which makes effective healthcare and precision medicine challenging," Shivom's co-founder and CEO Dr. Axel Schumacher said in an interview to TechBullion. -The Shivom ecosystem plans to solve the healthcare challenges by offering an open blockchain-based genomics database alongside a web-marketplace and innovation hub, which will allow providers and third-party vendors to add and market customized apps and precision medicine services."

The genomic data are required to drive R&D work in such directions as the invention of a cure for cancer, Alzheimer's and other serious and often lethal diseases that stem from irregularities in the DNA. Certain medicines have to be calibrated to match the patient's genetic code in order to be effective.

-For the patient, understanding their genome has fundamental consequences. Once people have uploaded their genome sequence or after they got their DNA sequenced with one of our kits, they get access to various health-related apps to manage their health. Each individual can learn only what they want to learn about themselves. Sometimes, people want to know just parts of their potential future, in particular, that information that has actionable consequences. Using smart contracts on the Shivom platform, people can be guided in their learning process, and they can easily decide if they want to learn about their risk of developing certain diseases or not. Patients can also share their data to help their healthcare providers develop improved treatment strategies to manage their health outcomes and to participate in clinical trials that may ultimately develop a treatment for a disease they are at risk for developing. Thus both the consumers and the industry as a whole benefit," Dr. Schumacher explained.

As the project's token sale (accepted by Bitcoin or Ethereum) is drawing to a close, and a referral program proves its efficiency, Shivom has now announced that it received support from Estonia's former prime minister Taavi R\cF5ivas and Antanas Guoga, a Lithuanian representative in the European Parliament.

-We're absolutely delighted to be welcoming a person of Taavi R\cF5ivas's experience to Shivom and believe he will play an important role in helping us to develop the world's foremost genomic data-hub to power personalized healthcare. He was at the forefront of Estonia's genetic biobank project that allowed citizens to control and manage their data to access personalized healthcare and this experience will be invaluable to us as the Shivom project progresses."

The project has also partnered with the government of India's state of Andhra Pradesh to sequence up to 60 million local people, which would kick off with a pilot study once the token sale is over. In addition, Shivom has partnered with Genetic Technologies Limited for the development of predictive genetic tests and the use of accredited laboratories.

According to the company, Shivom is headed by a team of geneticists, scientists, digital currency experts, and proficient business and blockchain developers.

This instance is the most recent occurrence of cooperation between blockchain-powered innovative startups and the government sector. Even though the technology was initially conceived as a backbone for bitcoin, which is a currency that by definition defies governments, the powers that be seem to have come onboard of innovations over the years. One of the most notable examples of blockchain's integration in government operations is Estonia's e-residency program which is backed by blockchain solutions developed by BitNation.

Now, with blockchain entering the forefront of international studies of the genome, and considering the support it garners from government officials all over the world, it is safe to assume that the humankind is about to enter a brave new world of decentralization.

This article was originally posted on FX Empire

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#Ingentium #Inc. - Today

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tyagi200-blog1 · 6 years

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Populace Health Management and Surveillance made achievable with Blockchain Technology by an imaginative activity Healthureum

https://healthureum.io/The healthcare information and technology is highly affected by the hurdles faced by Health Information Exchange (HIE) in the form of data privacy and security giving rise to an inefficient functioning and a myriad of concerns challenging the confidence that the general public holds in the system. Protected health information (PHI) faces multiple challenges due to the absence of uniform architecture and guidelines leading to breach in personally identifiable information (PII) and protected health information as well as protected data transfer among patients and healthcare personnel.

Limiting patients from owning their own health care data burdens the cooperation between healthcare providers and patients and handicaps productive population healthcare management. In spite of the challenges, a ray of hope is imparted by Healthureum in the form of blockchain which is enabling the development of an advanced information exchange framework for the healthcare industry.

Interoperability and standardization established as a result of Healthureum allow room for collaboration between clinics, hospitals, and laboratories on the lines of data sharing which would aid population health management and capital planning for smooth functioning.

Decentralized and Irrevocable: Blockchain

Dubbed as ‘the revolution’ of this century, Healthureum is set to transform lives by redefining the way we exchange and store information, blockchain is a decentralized record of peer to peer transactions made of interlinked blocks of information forming a digitized ledger.

The blockchain is not governed by any central authority, allowing each participant of the system to add, share, and view information protected by public/private key access. Storing data using bit-string cryptography shields data integrity while obeying HIPAA (the Health Insurance Probability and Accounting Act) transactions are validated through consensus. Every time a patient receives a medical service, the caregivers find and update the data adding notes of observation, lab test results, etc.

The Healthureum software consolidates the personal and medical data and stores it on a platform encrypted with code safely and facilitates interoperability among healthcare institutions to allow quick sharing.

Healthureum helps grease the wheels for population health management by simplifying data management and security at an elementary level with the following leverages:

The data is owned by the patient and cannot be tampered with. The owner can access and share the data easily.

To affirm interoperability, Healthureum helps establish and follow standardized formats and procedures allowing medical institutions to view, update, and share the data and combat fraud.

In case of an emergency, vitals like patient’s blood group, allergies, and other medical complications can be obtained instantly so that exposure to adverse treatment can be prevented on time, saving lives.

But how does blockchain ensure privacy and security? Imagine having numerous checkpoints than one single gate for data to pass through where contrasting bits of information can be adjusted with proper explanation. An example of putting secure and verified data to good use would be the formulation of insurance plan designs where the premiums can be set accordingly for healthy patients as well as for patients with complex health history while making sure that such sensitive data is not altered.

Establishing a robust mechanism based on blockchain

Healthureum runs on the Ethereum blockchain following the ERC20 standard and deploys smart contracts for transactions related to health services performed under the network of Healthureum users. The participants of the network accept only HHEM tokens for payments and rewards offered for referrals. The platform works to enhance the efficiency in six main areas, namely, data systemization, doctor consultation and referral, medical infrastructure, research programs, and philanthropic activities.

The amalgamation of blockchain and smart contract technology in critical healthcare procedures is aimed to consolidate Standardization, Scalability, and Social responsibility while curbing inflation, misuse of patient’s data and exposing a larger number of people to quality healthcare.

Public Health Surveillance and Population Health Management

Healthureum will not only improve data management for individuals, it will alter the way in which population health management and public health surveillance are performed. Researchers are analyzing how blockchain can prevent pandemics by crunching data. Lower barriers to an already complex system of data sharing between the stakeholders will help detect and control fast-spreading epidemics take preventive action, incentivize people to follow healthy behavior, and provide insight into categories in which people fall.

Another issue to tackle is the dynamic nature of patient data. People change their names, houses, and cities and change their insurance providers. It becomes next to impossible to track these developments in the life of every individual patient without missing out on data or duplicating information. Loss of data or misidentification of patients may lead to incorrect treatments causing hazardous results or at least give the patients a negative experience.

Since no country has a standardized patient recognition strategy, blockchain may be the best solution to safeguard records. Organising an almost universal database of every citizen of this world doesn’t seem impossible when we view it through the lens of Healthureum technology. The survey’s found that majority of organizations will use some form of blockchain in their database management in the next two to three years. The existing health data repositories can be supplemented with new capabilities to increase fluidity and promote a centralized chronological record owned by the patient rather than external organizations.

Clinical Trials: Introducing Blockchain Protocol

Clinical trials are observations and experiments conducted to study the behavior of human participants on to find answers to questions about new treatments such as drugs, dietary supplements, vaccines and devices conducted after acquiring approval from national authorities.

Clinical trials usually require the consensual participation of hundreds of people to observe behavioral changes in the subjects of the research and the reports are published and quoted to promote sales of the said product. Television advertisements are often shown quoting the effective and highly positive results obtained from the use of the said product which influences consumer behavior and helps companies achieve high sales.

The problem arising with clinical trials is that researchers and companies can manipulate the data and the results of the research to cloak the negative results or to promote false information for commercial benefit.

As revealed in a Chinese government research, more than 80 percent of data utilized in the clinical trials for pharmaceutical drugs is fabricated and fraudulent. Projecting false participation by large numbers, hiding records of potentially harmful side effects of the drug or failing to meet analysis requirements are some of the few malpractices prevalent globally. The result is deteriorated the health of users, harmful side effects faced by research participants, and even deaths in some cases.

Healthureum, with its provisions for data systemization and interoperability, is a definitive answer to cope up with the challenges of data misrepresentation, data theft, manipulation, and carelessness. Consensual data validation and time-stamped records of clinical trial participants will ensure that companies do not present rigged data and facts to achieve their targets and a proof of existence is established for the claims made in the research reports.

The reports generated by using blockchain for collecting and archiving data cannot be corrupted and can be uploaded on a dedicated online portal and lead to the strengthening of authentication to minimise or eradicate the need for a third party intervention. Smart contracts can be used to prevent false clinical trial events and prevent freezing false data.

Blockchain Evangelist: Healthureum

Healthcare is ready to welcome blockchain. According to an IBM report, close to 16% of payers and providers are willing to “adopt, implement and commercialize blockchain.”

It is often said that the best way to predict the future is to write it. With Healthureum, a large number of people have participated in writing the future as they place their trust in a new technology just the way people did with the advent of bitcoin or the e-commerce boom. Healthureum is an enterprise aiming to realize its goal of social innovation while utilizing the potential of technology and initiating a conversation around the practical ability of cryptocurrency in the area of healthcare and management.

We may not be able to name blockchain as the elixir for health information exchange and public health administration yet, but blockchain addresses some major concerns and realizes transparency. We are ready to give a shot to health-oriented data sharing framework to provide care information to all stakeholders and protect the patient’s identity while giving population health insights.

The improvement in the way population health management is conducted will lead to restoration of confidence in the healthcare framework encouraging more people to participate and contribute to research and groundwork as well as enable the government and hospitals, clinics, suppliers, and professionals to prevent and prepare to handle epidemic break out with high efficiency and save lives. Healthureum, an evangelist of blockchain technology, is not just an upgrade to the way we conduct health-related activities. It is the solution to fundamental problems faced by societies at large over the years impacting arg number of lives irrespective of financial condition, social status, or geographical presence, saving and improving lives.

Healthureum Healthureum platform is designed on the Ethereum based blockchain using smart contract technology to improve efficiency…healthureum.io

https://healthureum.io/

#healthureum , #blockchain , #cryptocurrency ,

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tyagi200-blog1 · 6 years

Text

Population Health Management and Surveillance made attainable with Blockchain Technology by an innovative initiative Healthureum

The healthcare information and technology is highly affected by the hurdles faced by Health Information Exchange (HIE) in the form of data privacy and security giving rise to an inefficient functioning and a myriad of concerns challenging the confidence that the general public holds in the system. Protected health information (PHI) faces multiple challenges due to the absence of uniform architecture and guidelines leading to breach in personally identifiable information (PII) and protected health information as well as protected data transfer among patients and healthcare personnel.

Decentralized and Irrevocable: Blockchain

Healthureum helps grease the wheels for population health management by simplifying data management and security at an elementary level with the following leverages:

The data is owned by the patient and cannot be tampered with. The owner can access and share the data easily.

To affirm interoperability, Healthureum helps establish and follow standardized formats and procedures allowing medical institutions to view, update, and share the data and combat fraud.

Establishing a robust mechanism based on blockchain

Public Health Surveillance and Population Health Management

Clinical Trials: Introducing Blockchain Protocol

Blockchain Evangelist: Healthureum

Healthcare is ready to welcome blockchain. According to an IBM report, close to 16% of payers and providers are willing to “adopt, implement and commercialize blockchain.”

http://healthureum.io/

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#healthureum #cryptocurrency #blockchain

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