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Dave Ebbitt
Health Informatics Manager
Challenges in Digital Healthcare
Issues for Healthcare Organisations
● Privacy Control
● Siloed data
● Proliferation of unconnected apps
● Lack of interoperability
● Increasing costs of monolithic solutions
● Vendor lock-in
Issues for the Partient
● Privacy Control
● Difficulty in obtaining health data
● Fragmentation and duplication of information
● Not connected to wearables or IoT devices
● Difficult to obtain value from health data
“In essence, there will no longer be an EHR in the traditional sense,
an institution-centric record whose patient portal is a small tip of the
hat to patient-centeredness. Rather, there will be one digital
patient-centered health record that combines clinician-
generated notes and data with patient-generated information
and preferences. Its locus of control will be, unambiguously,
with the patient.”
Bob Wachter MD, Chair of National Advisory Group on Health IT, England
What is the blockchain?
Hash: 0x9bd
Prev Hash: 0x6b7
Hash: 0x3yn
Prev Hash: 0x9bd
Hash: 0x23a
Prev Hash: 0x3yn
Hyperledger blockchain
Logic permissions
MedTokens
Telemedicine
consultations
Health data
marketplace
Wearables
integration
Insurance
integration
Determines who can
read/write to health records
Applications and services powered by health data
Semantically enabled, vendor-
independent health
computing platform
Used for economic
transactions
Contains transactions related
to health records
Health Data Platform
Challenges for Healthcare addressed
Safety And Security
● Double layer of encryption
● Data stored data in compliant nodes
● Full informed consent
● Immutable records
● IG and GDPR compliance from the start
…. one digital patient-centered health record that
combines clinician-generated notes and data with
patient-generated information and preferences. Its
locus of control ... unambiguously, with the patient.
Data Interoperability
● OpenEHR for data persistance
● FHIR standard for data messaging
● No new siloes created
● Longitudinal view of patients; health data
● Integration of wearables and IoT devices
● Open API for health data eco-system
● Borderless healthcare
Medicalchain Platform
Patient
Specialist Family Doctor
General PracticePrivate Hospital
Relatives Social Worker Employer
Health Insurance
Medicalchain - the Story So Far
Telemedicine Pilot
● Large GP practice: 27 doctors, 4 sites
● First iteration of the Medicalchain platform
● Unlock the GP data
● Followed by UK roll out
Progress to data
● $24,000,000 raised in ICO (blockchain
crowdfunding)
● 16 strong multidisciplinary team - tech,
health informatics, clinical, crypto
● Based in London, Leeds and Greater
Manchester
● First pilot commenced
Twitter: @medical_chain Telegram: t.me/Medicalchain
Dave Ebbitt
Health Informatics Manager
dave@medicalchain.com
Get involved!
● Join our community
● Propose a partnership
● Host a blockchain node
● Join us on the innovation journey

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Medicalchain - ECO 15: Digital connectivity in healthcare

  • 2. Challenges in Digital Healthcare Issues for Healthcare Organisations ● Privacy Control ● Siloed data ● Proliferation of unconnected apps ● Lack of interoperability ● Increasing costs of monolithic solutions ● Vendor lock-in Issues for the Partient ● Privacy Control ● Difficulty in obtaining health data ● Fragmentation and duplication of information ● Not connected to wearables or IoT devices ● Difficult to obtain value from health data “In essence, there will no longer be an EHR in the traditional sense, an institution-centric record whose patient portal is a small tip of the hat to patient-centeredness. Rather, there will be one digital patient-centered health record that combines clinician- generated notes and data with patient-generated information and preferences. Its locus of control will be, unambiguously, with the patient.” Bob Wachter MD, Chair of National Advisory Group on Health IT, England
  • 3. What is the blockchain? Hash: 0x9bd Prev Hash: 0x6b7 Hash: 0x3yn Prev Hash: 0x9bd Hash: 0x23a Prev Hash: 0x3yn
  • 4. Hyperledger blockchain Logic permissions MedTokens Telemedicine consultations Health data marketplace Wearables integration Insurance integration Determines who can read/write to health records Applications and services powered by health data Semantically enabled, vendor- independent health computing platform Used for economic transactions Contains transactions related to health records Health Data Platform
  • 5. Challenges for Healthcare addressed Safety And Security ● Double layer of encryption ● Data stored data in compliant nodes ● Full informed consent ● Immutable records ● IG and GDPR compliance from the start …. one digital patient-centered health record that combines clinician-generated notes and data with patient-generated information and preferences. Its locus of control ... unambiguously, with the patient. Data Interoperability ● OpenEHR for data persistance ● FHIR standard for data messaging ● No new siloes created ● Longitudinal view of patients; health data ● Integration of wearables and IoT devices ● Open API for health data eco-system ● Borderless healthcare
  • 6. Medicalchain Platform Patient Specialist Family Doctor General PracticePrivate Hospital Relatives Social Worker Employer Health Insurance
  • 7. Medicalchain - the Story So Far Telemedicine Pilot ● Large GP practice: 27 doctors, 4 sites ● First iteration of the Medicalchain platform ● Unlock the GP data ● Followed by UK roll out Progress to data ● $24,000,000 raised in ICO (blockchain crowdfunding) ● 16 strong multidisciplinary team - tech, health informatics, clinical, crypto ● Based in London, Leeds and Greater Manchester ● First pilot commenced
  • 8. Twitter: @medical_chain Telegram: t.me/Medicalchain Dave Ebbitt Health Informatics Manager dave@medicalchain.com Get involved! ● Join our community ● Propose a partnership ● Host a blockchain node ● Join us on the innovation journey