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Measuring the Vital Signs of Health Care Progress at the Connected Health Conference (Part 3 of 3)

Posted on November 17, 2017 I Written By

Andy Oram is an editor at O’Reilly Media, a highly respected book publisher and technology information provider. An employee of the company since 1992, Andy currently specializes in open source, software engineering, and health IT, but his editorial output has ranged from a legal guide covering intellectual property to a graphic novel about teenage hackers. His articles have appeared often on EMR & EHR and other blogs in the health IT space.

Andy also writes often for O’Reilly’s Radar site (http://oreilly.com/) and other publications on policy issues related to the Internet and on trends affecting technical innovation and its effects on society. Print publications where his work has appeared include The Economist, Communications of the ACM, Copyright World, the Journal of Information Technology & Politics, Vanguardia Dossier, and Internet Law and Business. Conferences where he has presented talks include O’Reilly’s Open Source Convention, FISL (Brazil), FOSDEM, and DebConf.

The previous segment of this article covered one of the crucial themes in health care today: simplifying technology’s interactions with individuals over health care. This segment finishes my coverage of this year’s Connected Health Conference with two more themes: improved data sharing and blockchains.

Keynote at Connected Health Conference

Keynote at Connected Health Conference

Improved data sharing
The third trend I’m pursuing is interoperability. If data collection is the oxygen that fuels connected health, data sharing is the trachea that brings it where it’s needed. Without interoperability, clinicians cannot aid patients in their homes, analysts cannot derive insights that inform treatments, and transitions to assisted living facilities or other environments will lead to poor care.

But the health care field is notoriously bad at data sharing. The usual explanation is that doctors want to make it hard for competitors to win away their patients. If that’s true, fee-for-value reimbursements will make them even more possessive. After all, under fee-for-value, clinicians are held accountable for patient outcomes over a long period of time. They won’t want to lose control of the patient. I first heard of this danger at a 2012 conference (described in the section titled “Low-hanging fruit signals a new path for cost savings”).

So the trade press routinely and ponderously reports that once again, years have gone by without much progress in data sharing. The US government recognizes that support for interoperability is unsatisfactory, and has recently changed the ONC certification program to focus on it.

Carla Kriwet, CEO of Connected Care and Health Informatics at Philips, was asked in her keynote Fireside Chat to rate the interoperability of health data on a scale from 0 to 10, and chose a measly 3. She declared that “we don’t believe in closed systems at all” and told me in an interview that Philips is committed to creating integrated solutions that work with any and all products. Although Philips devices are legendary in many domains, Kriwet wants customers to pay for outcomes, not devices.

For instance, Philips recently acquired the Wellcentive platform that allows better care in hospitals by adopting population health approaches that look at whole patient populations to find what works. The platform works with a wide range of input sources and is meant to understand patient populations, navigate care and activate patients. Philips also creates dashboards with output driven by artificial intelligence–the Philips IntelliVue Guardian solution with Early Warning Scoring (EWS)–that leverages predictive analytics to present critical information about patient deterioration to nurses and physicians. This lets them intervene quickly before an adverse event occurs, without the need for logging in repeatedly. (This is an example of another trend I cover in this article, the search for simpler interfaces.)

Kriwet also told me that Philips has incorporated the principles of agile programming throughout the company. Sprints of a few weeks develop their products, and “the boundary comes down” between R&D and the sales team.

I also met with Jon Michaeli, EVP of Strategic Partnerships with Medisafe, a company that I covered two years ago. Medisafe is one of a slew of companies that encourage medication adherence. Always intensely based on taking in data and engaging patients in a personalized way, Medisafe has upped the sophistication of their solution, partly by integrating with other technologies. One recent example is its Safety Net, provided by artificial intelligence platform Neura. For instance, if you normally cart your cell phone around with you, but it’s lying quiet from 10:00 PM until 6:00 AM, Safety Net may determine your reason for missing your bedtime dose at 11:00 PM was that you had already fallen asleep. If Safety Net sees recurring patterns of behavior, it will adjust reminder time automatically.

Medisafe also gives users the option of recording the medication adherence through sensors rather than responding to reminders. They can communicate over Bluetooth to a pill bottle cap (“iCap”) that replaces the standard medicine cap and lets the service know when you have opened the bottle. The iCap fits the vast majority of medicine bottles dispensed by U.S. pharmacies and costs only $20 ($40 for a pack of 2), so you can buy several and use them for as long as you’re taking your medicine.

On another level, Mivatek provides some of the low-level scaffolding to connected health by furnishing data from devices to systems developed by the company’s clients. Suppose, for instance, that a company is developing a system that responds to patients who fall. Mivatek can help them take input from a button on the patient’s phone, from a camera, from a fall detector, or anything else to which Mivatek can connect. The user can add a device to his system simply by taking a picture of the bar code with his phone.

Jorge Perdomo, Senior Vice President Corporate Strategy & Development at Mivatek, told me that these devices work with virtually all of the available protocols on the market that have been developed to promote interoperability. In supporting WiFi, Mivatek loads an agent into its system to provide an additional level of security. This prevents device hacking and creates an easy-to-install experience with no setup requirements.

Blockchains
Most famous as a key technological innovation supporting BitCoin, blockchains have a broad application as data stores that record transactions securely. They can be used in health care for granting permissions to data and other contractual matters. The enticement offered by this technology is that no central institution controls or stores the blockchain. One can distribute the responsibility for storage and avoid ceding control to one institution.

Blockchains do, however, suffer from inherent scaling problems by design: they grow linearly as people add transactions, the additions must be done synchronously, and the whole chain must be stored in its entirety. But for a limited set of participants and relatively rate updates (for instance, recording just the granting of permissions to data and not each chunk of data exchanged), the technology holds great promise.

Although I see a limited role for blockchains, the conference gave considerable bandwidth to the concept. In a keynote that was devoted to blockchains, Dr. Samir Damani described how one of his companies, MintHealth, planned to use them to give individuals control over health data that is currently held by clinicians or researchers–and withheld from the individuals themselves.

I have previously covered the importance patient health records, and the open source project spotlighted by that article, HIE of One, now intends to use blockchain in a manner similar to MintHealth. In both projects, the patient owns his own data. MintHealth adds the innovation of offering rewards for patients who share their data with researchers, all delivered through the blockchain. The reward system is quite intriguing, because it would create for the first time a real market for highly valuable patient data, and thus lead to more research use along with fair compensation for the patients. MintHealth’s reward system also fits the connected health vision of promoting healthy behavior on a daily basis, to reduce chronic illness and health care costs.

Conclusion
Although progress toward connected health comes in fits and starts, the Connected Health Conference is still a bright spot in health care each year. For the first time this year, Partners’ Center for Connected Health partnered with another organization, the Personal Connected Health Alliance, and the combination seems to be a positive one. Certain changes were noticeable: for instance, all the breakout sessions were panels, and the keynotes were punctuated by annoying ads. An interesting focus this year was wellness in aging, the topic of the final panel. One surprising difference was the absence of the patient advocates from the Society for Participatory Medicine whom I’m used to meeting each year at this conference, perhaps because they held their own conference the day before.

The Center for Connected Health’s Joseph Kvedar still ran the program team, and the themes were familiar from previous years. This conference has become my touchstone for understanding health IT, and it will continue to be the place to go to track the progress of health care reform from a technological standpoint.

Measuring the Vital Signs of Health Care Progress at the Connected Health Conference (Part 2 of 3)

Posted on November 15, 2017 I Written By

Andy Oram is an editor at O’Reilly Media, a highly respected book publisher and technology information provider. An employee of the company since 1992, Andy currently specializes in open source, software engineering, and health IT, but his editorial output has ranged from a legal guide covering intellectual property to a graphic novel about teenage hackers. His articles have appeared often on EMR & EHR and other blogs in the health IT space.

Andy also writes often for O’Reilly’s Radar site (http://oreilly.com/) and other publications on policy issues related to the Internet and on trends affecting technical innovation and its effects on society. Print publications where his work has appeared include The Economist, Communications of the ACM, Copyright World, the Journal of Information Technology & Politics, Vanguardia Dossier, and Internet Law and Business. Conferences where he has presented talks include O’Reilly’s Open Source Convention, FISL (Brazil), FOSDEM, and DebConf.

The first segment of this article introduced the themes of the Connected Health Conference and talked about the importance of validating what new technologies do using trials or studies like traditional medical advances. This segment continues my investigation into another major theme in health care: advanced interfaces.

Speaker from Validic at Connected Health Conference

Speaker from Validic at Connected Health Conference

Advanced interfaces
The compulsory picture of health care we’re accustomed to seeing, whenever we view hospital propaganda or marketing from health care companies, shows a patient in an awkward gown seated on an uncomfortable examination table. A doctor faces him or her full on–not a computer screen in site–exuding concern, wisdom, friendliness, and professionalism.

More and more, however, health sites are replacing this canonical photograph with one of a mobile phone screen speckled with indicators of our vital signs or thumbnail shot of our caregivers. The promise being conveyed is no longer care from a trusted clinician in the office, but instant access to all our information through a medium familiar to almost everyone everywhere–the personal mobile device.

But even touchscreen access to the world of the cloud is beginning to seem fusty. Typing in everything you eat with your thumbs, or even answering daily surveys about your mental state, gets old fast. As Dr. Yechiel Engelhard of TEVA said in his keynote, patients don’t want to put a lot of time into managing their illnesses, nor do doctors want to change their workflows. So I’m fascinated with connected health solutions that take the friction out of data collection and transmission.

One clear trend is the move to voice–or rather, I should say back to voice, because it is the original form of human communication for precise data. The popularity of Amazon Echo, along with Siri and similar interfaces, shows that this technology will hit a fever pitch soon. One research firm found that voice-triggered devices more than doubled in popularity between 2015 and 2016, and that more than half of Americans would like such a device in the home.

I recently covered a health care challenge using Amazon Alexa that demonstrates how the technology can power connected health solutions. Most of the finalists in the challenge were doing the things that the Connected Health Conference talks about incessantly: easy and frequent interactions with patients, analytics to uncover health problems, integration with health care providers, personalization, and so on.

Orbita is another company capitalizing on voice interfaces to deliver a range of connected health solutions, from simple medication reminders to complete care management applications for diabetes. I talked to CEO Bill Rogers, who explained that they provide a platform for integrating with AI engines provided by other services to carry out communication with individuals through whatever technology they have available. Thus, Orbita can talk through Echo, send SMS messages, interact with a fitness device or smart scale, or even deliver a reminder over a plain telephone interface.

One client of Orbita uses it platform to run a voice bot that talks to patients during their discharge process. The bot provides post-discharge care instructions and answers patients’ questions about things like pain management and surgery wound care. The results show that patients are more willing to ask questions of the bot than of a discharge nurse, perhaps because they’re not afraid of wasting someone’s time. Rogers also said services are improving their affective interfaces, which respond to the emotional tone of the patient.

Another trick to avoid complex interfaces is to gather as much data as possible from the patient’s behavior (with her consent, of course) to eliminate totally the need for her to manually enter data, or even press a button. Devices are getting closer to this kind of context-awareness. Following are some of the advances I enjoyed seeing at the Connected Health Conference.

  • PulseOn puts more health data collection into a wrist device than I’ve ever seen. Among the usual applications to fitness, they claim to detect atrial fibrillation and sleep apnea by shining a light on the user’s skin and measuring changes in reflections caused by variations in blood flow.
  • A finger-sized device called Gocap, from Common Sensing, measures insulin use and reports it over wireless connections to clinical care-takers. The device is placed over the needle end of an insulin pen, determines how much was injected by measuring the amount of fluid dispensed after a dose, and transmits care activity to clinicians through a companion app on the user’s smartphone. Thus, without having to enter any information by hand, people with diabetes can keep the clinicians up to date on their treatment.
  • One of the cleverest devices I saw was a comprehensive examination tool from Tyto Care. A small kit can carry the elements of a home health care exam, all focused on a cute little sphere that fits easily in the palm. Jeff Cutler, Chief Revenue Officer, showed me a simple check on the heart, ear, and throat that anyone can perform. You can do it with a doctor on the other end of a video connection, or save the data and send it to a doctor for later evaluation.

    Tyto Care has a home version that is currently being used and distributed by partners such as Heath Systems, providers, payers and employers, but will ultimately be available for sale to consumers for $299. They also offer a professional and remote clinic version that’s tailor-made for a school or assisted living facility.

A new Digital Therapeutics Alliance was announced just before the conference, hoping to promote more effective medical devices and allow solutions to scale up through such things as improving standards and regulations. Among other things, the alliance will encourage clinical trials, which I have already highlighted as critical.

Big advances were also announced by Validic, which I covered last year. Formerly a connectivity solution that unraveled the varying quasi-standard or non-standard protocols of different devices in order to take their data into electronic health records, Validic has created a new streaming API that allows much faster data transfers, at a much higher volume. On top of this platform they have built a notification service called Inform, which takes them from a networking solution to a part of the clinicians’ workflow.

Considerable new infrastructure is required to provide such services. For instance, like many medication adherence services, Validic can recognize when time has gone by without a patient reporting that’s he’s taken his pill. This level of monitoring requires storing large amounts of longitudinal data–and in fact, Validic is storing all transactions carried out over its platform. The value of such a large data set for discovering future health care solutions through analytics can make data scientists salivate.

The next segment of this article wraps up coverage of the conference with two more themes.

Measuring the Vital Signs of Health Care Progress at the Connected Health Conference (Part 1 of 3)

Posted on November 13, 2017 I Written By

Andy Oram is an editor at O’Reilly Media, a highly respected book publisher and technology information provider. An employee of the company since 1992, Andy currently specializes in open source, software engineering, and health IT, but his editorial output has ranged from a legal guide covering intellectual property to a graphic novel about teenage hackers. His articles have appeared often on EMR & EHR and other blogs in the health IT space.

Andy also writes often for O’Reilly’s Radar site (http://oreilly.com/) and other publications on policy issues related to the Internet and on trends affecting technical innovation and its effects on society. Print publications where his work has appeared include The Economist, Communications of the ACM, Copyright World, the Journal of Information Technology & Politics, Vanguardia Dossier, and Internet Law and Business. Conferences where he has presented talks include O’Reilly’s Open Source Convention, FISL (Brazil), FOSDEM, and DebConf.

Attendees at each Connected Health Conference know by now the architecture of health reform promoted there. The term “connected health” has been associated with a sophisticated amalgam of detailed wellness plans, modern sensors, continuous data collection in the field, patient control over data, frequent alerts and reminders, and analytics to create a learning health care system. The mix remains the same each year, so I go each time to seek out progress toward the collective goal. This year, I’ve been researching what’s happening in these areas:

  • Validation through clinical trials
  • Advanced interfaces to make user interaction easier
  • Improved data sharing (interoperability)
  • Blockchains

Panel at Connected Health Conference

Panel at Connected Health Conference

There were a few other trends of interest, which I’ll mention briefly here. Virtual reality (VR) and augmented reality (AR) turned up at some exhibitor booths and were the topic of a panel. Some of these technologies run on generic digital devices–such as the obsession-inducing Pokémon GO game–while others require special goggles such as the Oculus Rift (the first VR technology to show a promise for widespread adoption, and now acquired by Facebook) or Microsoft’s HoloLens. VR shuts out the user’s surroundings and presents her with a 360-degree fantasy world, whereas AR imposes information or images on the surroundings. Both VR and AR are useful for teaching, such as showing an organ in 3D organ in front of a medical student on a HoloLens, and rotating it or splitting it apart to show details.

I haven’t yet mentioned the popular buzzword “telehealth,” because it’s subsumed under the larger goal of connected health. I do use the term “artificial intelligence,” certainly a phrase that has gotten thrown around too much, and whose meaning is subject of much dissension. Everybody wants to claim the use of artificial intelligence, just as a few years ago everybody talked about “the cloud.” At the conference, a panel of three experts took up the topic and gave three different definitions of the term. Rather than try to identify the exact algorithms used by each product in this article and parse out whether they constitute “real” artificial intelligence, I go ahead and use the term as my interviewees use it.

Exhibition hall at Connected Health Conference

Exhibition hall at Connected Health Conference

Let’s look now at my main research topics.

Validation through clinical trials
Health apps and consumer devices can be marketed like vitamin pills, on vague impressions that they’re virtuous and that doing something is better than doing nothing. But if you want to hook into the movement for wellness–connected health–you need to prove your value to the whole ecosystem of clinicians and caretakers. The consumer market just doesn’t work for serious health care solutions. Expecting an individual to pay for a service or product would limit you to those who can afford it out-of-pocket, and who are concerned enough about wellness to drag out their wallets.

So a successful business model involves broaching the gates of Mordor and persuading insurers or clinicians to recommend your solution. And these institutions won’t budge until you have trials or studies showing that you actually make a difference–and that you won’t hurt anybody.

A few savvy app and device developers build in such studies early in their existence. For instance, last year I covered a typical connected health solution called Twine Health, detailing their successful diabetes and hypertension trials. Twine Health combines the key elements that one finds all over the Connected Health Conference: a care plan, patient tracking, data analysis, and regular check-ins. Their business model is to work with employer-owned health plans, and to expand to clinicians as they gradually migrate to fee-for-value reimbursement.

I sense that awareness is growing among app and device developers that the way to open doors in health care is to test their solutions rigorously and objectively. But I haven’t found many who do so yet.

In the next segment of this article continues my exploration of the key themes I identified at the start of this article.

New Service Brings RCM Process To Blockchain

Posted on October 6, 2017 I Written By

Anne Zieger is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she’s served as editor in chief of several healthcare B2B sites.

Much of the discussion around blockchain (that I’ve seen, at least) focuses on blockchain’s potential as a platform for secure sharing of clinical data. For example, some HIT experts see blockchain as a near-ideal scalable platform for protecting the privacy of EHR-based patient data.

That being said, blockchain offers an even more logical platform for financial transactions, given its origins as the foundation for bitcoin transactions and its track record of supporting those transactions efficiently.

Apparently, that hasn’t been lost on the team at Change Healthcare. The Nashville-based health IT company is planning to launch what it says is the first blockchain solution for enterprise-scale use in healthcare. According to a release announcing the launch, the new technology platform should be online by the end of this year.

Change Healthcare already processes 12 billion transactions a year, worth more than $2 trillion in claims annually.  Not surprisingly, the new platform will extend its new blockchain platform to its existing payer and provider partners. Here’s an infographic explaining how Change expects processes will shift when it deploys blockchain:

Change_Healthcare_Intelligent_Healthcare_Network_Workflow_Infographic

To build out blockchain for use in RCM, Change is working with customers, as well as organizations like The Linux Foundation’s Hyperledger project.

Hyperledger encompasses a range of tools set to offer new, more-standardized approaches to deploying blockchain, including Hyperledger Cello, which will offer access to on-demand “as-a-service” blockchain technology and Hyperledger Composer, a tool for building blockchain business networks and boosting the development and deployment of smart contracts.

It’s hard to tell how much impact Change’s blockchain deployment will have. Certainly, there are countless ways in which RCM can be improved, given the extent to which dollars still leak out of the system. Also, given its existing RCM network, Change has as good a chance as anyone of building out blockchain-based RCM.

Still, I’m wondering whether the new service will prove to be a long-term product deployment or an experiment (though Change would doubtless argue for the former). Not only that, given its relatively immature status and the lack of broadly-accepted standards, is it really safe for providers to rely on blockchain for something as mission-critical as cash flow?

Of course, when it comes to new technologies, somebody has to be first, and I’m certainly not suggesting that Change doesn’t know what it’s doing. I’d just like more evidence that blockchain is ready for prime time.

Healthcare Blockchain Use Case

Posted on August 3, 2017 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

There’s been a lot of talk about using blockchain in healthcare. While I don’t think that it’s the end all be all solution that many make it out to be, I do think that healthcare could benefit in a lot of ways from blockchain.

David Chou recently shared this healthcare use case for blockchain which it looks like he got from Deloitte:

I’d be interested to hear blockchain experts thoughts on this use case. Is this reasonable? Could this be reasonably achieved with blockchain? Are there risks to implementing this use case?

We all know about the major challenges associated with interoperability in healthcare. Blockchain itself doesn’t solve a lot of these interoperability problems. It can’t because most of the interoperability problems in healthcare are business problems and not technology problems. However, I wonder if we can make data sharing in healthcare so simple that it would be embarrassing not to do it. Then, we might be on to something.

Other thoughts on blockchain in healthcare? I still have a lot to learn about this new technology.

Could Patents Freeze Blockchain’s Progress?

Posted on March 6, 2017 I Written By

Anne Zieger is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she’s served as editor in chief of several healthcare B2B sites.

Everywhere you look, somebody’s talking about blockchain technology and its amazing future. In fact, the healthcare industry is engaging in perhaps the most aggressive blockchain deployments of any industry, according to Deloitte.

Originally, blockchain was an open-source platform, freely available to anyone who wanted to use it. But that could soon change, if a new item from Reuters is any indication.

According to the news service, Aussie computer scientist Craig Wright – who claims to be the pseudonymous “Satoshi Nakamoto” responsible for the technology – is working with Canadian online gambling entrepreneur Calvin Ayre to patent aspects of bitcoin/blockchain tech.

To date Wright, who’s being funded by the wealthy Canadian, has filed more than 70 patent applications in Britain in cooperation with associates. This may not sound like a big deal, but it is, considering that only 63 blockchain-related patents were filed globally last year, according Reuters.

Not only that, Wright plans to file many more, Reuters research has concluded. The patent applications include approaches specific to healthcare, including storage of medical documents. Ultimately, Wright and his partners plan to file as many as 400 patent applications, the news service reports.

Ayre is investing in blockchain largely because he sees it as a good fit with the gambling business. And that serves Wright’s interests, which have included online gambling for decades. In fact, Reuters notes that the bitcoin code base contains unimplemented functions related to poker. So it makes sense that he wants to lock it down and own it.

That being said, it seems unlikely that well-funded corporate interests – including healthcare organizations – are going to just sit back and ignore these developments. After all, companies spent more than $1.5 billion on blockchain technology during 2016, and they’re likely to scale up further this year. In other words, they’re not going to let go of blockchain technology without a fight.

Also, it’s worth noting that none of the 70 existing patent applications have been granted to date, and according to Reuters it’s not clear if they’ll even be enforceable if they are.

Finally, Ayer’s history in the U.S. raises questions as to whether he’s completely above-board. In the past, most of his online gambling revenue came from the U.S., a highly-lucrative business which made him extremely rich. But offering such a platform was and is illegal in many states, and as a result one of the states (Maryland) indicted his online gambling network Bodog, Ayer himself and four other people. The case is still pending.

All told, it doesn’t seem likely that health IT organizations need to drop their blockchain plans anytime soon. But it’s worth bearing in mind that blockchain development may be more complicated – and more expensive – in the future.

Healthcare Industry Leads In Blockchain Deployment

Posted on January 19, 2017 I Written By

Anne Zieger is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she’s served as editor in chief of several healthcare B2B sites.

A new study by Deloitte concludes that healthcare and life sciences companies stand out as planning the most aggressive blockchain deployments of any industry. That being said, healthcare leaders are far from alone in paying close attention to blockchain, which seems to be coming into its own as corporate technology.

According to Deloitte, 39% of senior executives at large US companies had little or no knowledge of blockchain technology, but the other 61% reported their blockchain knowledge level as broad to expert. The execs who were well-informed about blockchain told Deloitte that it would be crucial for both their company and industry. In fact, 55% of the knowledgeable group said their company would be at a competitive disadvantage if they failed to adopt blockchain, and 42% believed it would disrupt their industry.

Given this level of enthusiasm, it’s not surprising that respondents have begun to invest in blockchain internally. Twenty-eight percent of respondents said their company had invested $5 million of more in blockchain tech to date, and 10% reported investing $10 million or more. Not only that,  25% of respondents expected to invest more than $5 million in blockchain technology this year.

While the level of blockchain interest seems to be pronounced across industries studied by Deloitte, healthcare and life science companies lead the pack when it came to deployment, with 35% of industry respondents saying that their company expects to put blockchain into production during 2017.

All that being said, aggressive deployment may or may not be a good thing just yet. According to research by cloud-based blockchain company Tierion, the majority of blockchain technology isn’t ready for deployment, though worthwhile experiments are underway.

Tierion argues that analysts and professional experts are overselling blockchain, and that most of blockchain technology is experimental and untested. Not only that, its research concludes that at least one healthcare application – giving patients the ability to manage their health data – is rather risky, as blockchain security is shaky.

It seems clear that health IT leaders will continue to explore blockchain options, given its tantalizing potential for sharing data securely and flexibly. And as the flurry of interest around ONC’s blockchain research challenge demonstrates, many industry thought leaders take this technology seriously. If the winning submissions are any indication, blockchain may support new approaches to health data interoperability, claims processing, medical records, physician-patient data sharing, data security, HIEs and even the growth of accountable care.

If nothing else, 2017 should see the development of some new and interesting healthcare blockchain applications, and probably the investment of record new amounts of capital to build them. In other words, whether blockchain is mature enough for real time deployment or not, it’s likely to offer an intriguing show.

ONC Kicks Off Blockchain Whitepaper Contest

Posted on July 11, 2016 I Written By

Anne Zieger is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she’s served as editor in chief of several healthcare B2B sites.

Hold onto your hats, folks. The ONC has taken an official interest in blockchain technology, a move which suggests that it’s becoming a more mainstream technology in healthcare.

As you may know, blockchain is the backbone for the somewhat shadowy world of bitcoin, a “cryptocurrency” whose users can’t be traced. (For some of you, your first introduction to cryptocurrency may have been when a Hollywood, CA hospitals was forced to pay off ransomware demands with $17K in bitcoins.)

But despite its use by criminals, blockchain still has great potential for creating breakthroughs for legitimate businesses, notably banking and healthcare. Look at dispassionately, a blockchain is just a distributed database, one which maintains a continuously growing list with data records hardened against tampering and revision.

Right now, the most common use the blockchain is to serve as a public ledger of bitcoin transactions. But the concept is bubbling up in the healthcare world, with some even suggesting that blockchain should be used to tackle health data security problems.

And now, the ONC has shown interest in this technology, soliciting white papers that offer thoughtful take on how blockchain can help meet important healthcare industry objectives.

The whitepaper, which may not be no longer than 10 pages, must be submitted by July 29. (Want to participate, but don’t have time to write the paper yourself? Click here.Papers must discuss the cryptography and underlying fundamentals of blockchain technology, explain how the use of blockchain can meet industry interoperability needs, patient centered outcomes research, precision medicine and other healthcare delivery needs, as well as offering recommendations for blockchain’s implementation.

The ONC will choose eight winning papers from among the submissions. Winning authors will have an opportunity to present the paper at a Blockchain & Healthcare Workshop held at NIST headquarters in Gaithersburg, MD on September 26th and 27th.

In hosting this contest, ONC is lending blockchain approaches in healthcare a level of credibility they might not have had in the past. But there’s already a lot of discussion going on about blockchain applications for health IT.

So what are people talking about where blockchain IT is concerned? In one LinkedIn piece, consultant Peter Nichol argues that blockchain can address concerns around scalability and privacy electronic medical records. He also suggests that blockchain technology can provide patients with more sophisticated privacy control of their personal health information, for example, providers can enhance health data security by letting patients combine their own blockchain signature with a hospital’s signature.

But obviously, ONC leaders think there’s a lot more that can be done here. And I’m pretty confident that they’re right. While I’m no security or cryptocurrency expert, I know that when a technology has been kicked around for several years, and used for a sensitive function like financial exchange without racking up any major failures, it’s got to be pretty solid. I’m eager to see what people come up with!