Date   

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Ry Jones
 

healthcare-wg@...


Please ignore


Welcome!

Brian Behlendorf <bbehlendorf@...>
 

Hello to those of you who have joined, and hello through the archives of this list to those looking at the first post.

Let's give folks out there a few days to join the mailing list and get settled in before diving too far in, but I wanted to say first, thanks to each of you for sharing a slice of your inbox space for this effort.

Our mission on this list - and through the conference calls and even face-to-face meetings I hope we pull together - is to look for opportunities to turn good ideas for the application of blockchain technology to health care into actual software projects we can host here at Hyperledger and the Linux Foundation. We've been helped tremendously by the recent HHS essay contest (anyone got a link to the full set of submissions?) and by folks like MedRec who are pushing forward. Our hope is that there is a common layer of software, some mixture of smart contracts, model data formats, and application logic code - that would accelerate adoption of a particular use case into the market. For a project to work at Hyperledger we need not only a good story, and a good scope, but also an identified set of individuals and companies committed to turning that good idea into running code. I'm optimistic we can work together to find that.

To start out, perhaps everyone on this list (or who have recently joined and are seeing this in the archives) can post a "hello" email, introducing themselves and giving a few lines on what they are hoping we do here together, and perhaps what they might be able to bring to the
effort?

Brian

--
Brian Behlendorf
Executive Director at the Hyperledger Project
bbehlendorf@...
Twitter: @brianbehlendorf


--
Sent from my Android device with K-9 Mail. Please excuse my brevity.


Welcome and Introductions

Brian Behlendorf <bbehlendorf@...>
 

Hello!  Thanks for joining us on this email list and for being a part of the Hyperledger Health Care Working Group.  There are about 25 of us here now, which is cozy and perfect for getting started, while always keeping the door open for new participants.

I'm looking forward to a lively sharing of ideas and discussion about the role blockchains can play in advancing health information exchange and solving real problems in the health care industry.  Our top-level mission here is to identify specific opportunities for open source software development projects we could host here at Hyperledger, projects which could help the industry move even more quickly on use cases with high potential.  Those efforts could be built upon existing Hyperledger code bases, but are not limited to that; what's important is being able to get started quickly, and have something tangible that can progress from proof of concept to pilot to eventual production, if all the right criteria are met.  But to get started we need to talk openly and frankly about what can be done, and what each of us can commit to contributing towards it.  As the conversation gets going we can talk about a conference call or even face to face meeting some time soon.

Some of you have been thinking about blockchains in health care for awhile; some of you might even have active pilots underway, which would be great to hear more about. 

So to get to know each other better, I'd love to kick this off with an ask of each of you: please hit "reply-all" to this email and reply to these questions:

* Who are you? (in what ever terms you feel are most relevant to the conversation)

* What specific use cases do you think we should be talking about or looking at first?


To kick it off:

* Who are you?

I'm Brian Behlendorf, Executive Director of Hyperledger.  I've done a number of different things but the most relevant experience here was the ~12 months I spent at the Office of National Coordinator for Health IT, US Department of Health and Human Services, working on the Nationwide Health Information Network, particularly the NHIN Connect and NHIN Direct open source software and standards projects.  There I had a fairly frank lesson in the challenges with health information sharing: legacy systems; a sense of burnout from 30 years of health IT data format standards (but with no discovery or transport standards, thus the NHIN); broken alignments of interest between patients and providers and insurers; and many more.  But I also could see the huge potential for improving patient outcomes while better managing costs and providing more dignified care that better digital systems could bring to health.  So as a hopeless optimist (and with the gentle wake-up call from Emily and David at Gem, John at HashedHealth, and David at BTCMedia over fried chicken in Nashville about 4 weeks ago) this seemed like the right time and place to convene this group.

* What specific use cases should we be looking at first?

John Halamka's post about Ariel Ekblaw's "MedRec" paper is what woke me up first to the non-naive use cases we could start from - thinking of prescriptions as accounts, taking doses as withdrawals, allows us to envision all sorts of applications that could be built on top of that data, feeding into it or drawing from it - helping caregivers to know what this person should be taking right now, help specialists or new primary doctors see one's prescription and dosage history, integrating the upstream pharma supply chain so we can track bad batches of drugs or dispose of unused drugs safely, etc.  It's a very generative idea, and I think Ariel's on the list and might be able to speak to it better than I could.  Does it represent a good starting place for us, is there something we can build as a technical library or layer that accelerates its adoption in the industry?  We'll see.  But as a use case mapped to the underlying value of a blockchain it spoke to me.


OK, who's next?

Brian


-- 
Brian Behlendorf
Executive Director, Hyperledger
bbehlendorf@...
Twitter: @brianbehlendorf


Re: Welcome and Introductions

Little, Tony <Tony_Little@...>
 

Hi Brian and Team,

My name is Tony Little and I am a trained physician (ND) working as the Sr. Director of Integration Strategy for Optum360 (affiliated with Optum and UnitedHealth Group). Most of my current work is in revenue cycle with some clinical overlap and I am an active participant in some of the HL7.org FHIR initiatives.

I became interested in blockchain technology this past year and have taken to the unique nature in which it creates "digital ecosystems" by establishing the potential for transparency, security, anonymity, and trust. The use cases that have been brought forward are as numerous as they are fraught with uncertainty, as this technology and the understanding thereof seems to rapidly evolve along the ridge of heightened/inflated expectations.

The medical records use case is compelling along with many others that were brought forward as part of the ONC Challenge this year. I submitted a Challenge paper with two colleagues of mine on the the potential for a Blockchain Computing System as an EMR but, alas, we were not in the top 15. My vote is to also look at medical records first, as they have too long been in silos, transformed, updated, and obscured through the lens of current interoperability-disabling technologies. With Apple's recent acquisition of Gliimpse and other activities related to FHIR, the field seems ripe and extensions seem numerous.

I am looking forward to the discourse and ideation.

Thanks,

Tony Little, ND | Sr. Director, Integration Strategy
Tony_Little@...



Sent with Good (www.good.com)


-----Original Message-----
From: Brian Behlendorf [bbehlendorf@...]
Sent: Wednesday, October 12, 2016 06:19 PM Central Standard Time
To: healthcare-wg@...
Subject: [Healthcare-wg] Welcome and Introductions

Hello!  Thanks for joining us on this email list and for being a part of the Hyperledger Health Care Working Group.  There are about 25 of us here now, which is cozy and perfect for getting started, while always keeping the door open for new participants.

I'm looking forward to a lively sharing of ideas and discussion about the role blockchains can play in advancing health information exchange and solving real problems in the health care industry.  Our top-level mission here is to identify specific opportunities for open source software development projects we could host here at Hyperledger, projects which could help the industry move even more quickly on use cases with high potential.  Those efforts could be built upon existing Hyperledger code bases, but are not limited to that; what's important is being able to get started quickly, and have something tangible that can progress from proof of concept to pilot to eventual production, if all the right criteria are met.  But to get started we need to talk openly and frankly about what can be done, and what each of us can commit to contributing towards it.  As the conversation gets going we can talk about a conference call or even face to face meeting some time soon.

Some of you have been thinking about blockchains in health care for awhile; some of you might even have active pilots underway, which would be great to hear more about. 

So to get to know each other better, I'd love to kick this off with an ask of each of you: please hit "reply-all" to this email and reply to these questions:

* Who are you? (in what ever terms you feel are most relevant to the conversation)

* What specific use cases do you think we should be talking about or looking at first?


To kick it off:

* Who are you?

I'm Brian Behlendorf, Executive Director of Hyperledger.  I've done a number of different things but the most relevant experience here was the ~12 months I spent at the Office of National Coordinator for Health IT, US Department of Health and Human Services, working on the Nationwide Health Information Network, particularly the NHIN Connect and NHIN Direct open source software and standards projects.  There I had a fairly frank lesson in the challenges with health information sharing: legacy systems; a sense of burnout from 30 years of health IT data format standards (but with no discovery or transport standards, thus the NHIN); broken alignments of interest between patients and providers and insurers; and many more.  But I also could see the huge potential for improving patient outcomes while better managing costs and providing more dignified care that better digital systems could bring to health.  So as a hopeless optimist (and with the gentle wake-up call from Emily and David at Gem, John at HashedHealth, and David at BTCMedia over fried chicken in Nashville about 4 weeks ago) this seemed like the right time and place to convene this group.

* What specific use cases should we be looking at first?

John Halamka's post about Ariel Ekblaw's "MedRec" paper is what woke me up first to the non-naive use cases we could start from - thinking of prescriptions as accounts, taking doses as withdrawals, allows us to envision all sorts of applications that could be built on top of that data, feeding into it or drawing from it - helping caregivers to know what this person should be taking right now, help specialists or new primary doctors see one's prescription and dosage history, integrating the upstream pharma supply chain so we can track bad batches of drugs or dispose of unused drugs safely, etc.  It's a very generative idea, and I think Ariel's on the list and might be able to speak to it better than I could.  Does it represent a good starting place for us, is there something we can build as a technical library or layer that accelerates its adoption in the industry?  We'll see.  But as a use case mapped to the underlying value of a blockchain it spoke to me.


OK, who's next?

Brian


-- 
Brian Behlendorf
Executive Director, Hyperledger
bbehlendorf@...
Twitter: @brianbehlendorf


This e-mail, including attachments, may include confidential and/or
proprietary information, and may be used only by the person or entity
to which it is addressed. If the reader of this e-mail is not the intended
recipient or his or her authorized agent, the reader is hereby notified
that any dissemination, distribution or copying of this e-mail is
prohibited. If you have received this e-mail in error, please notify the
sender by replying to this message and delete this e-mail immediately.


Re: Welcome and Introductions

Little, Tony <Tony_Little@...>
 

After looking at what I wrote here I want to note that I was not the principle author of the ONC Challenge whitepaper but a contributing author. I don't want to diminish my colleagues efforts who put forth greater effort than I on its contents.

Thanks,

Tony Little, ND | Sr. Director, Integration Strategy
Tony_Little@...



Sent with Good (www.good.com)


-----Original Message-----
From: Little, Tony [Tony_Little@...]
Sent: Wednesday, October 12, 2016 08:35 PM Central Standard Time
To: 'Brian Behlendorf'; 'healthcare-wg@...'
Subject: Re: [Healthcare-wg] Welcome and Introductions

Hi Brian and Team,

My name is Tony Little and I am a trained physician (ND) working as the Sr. Director of Integration Strategy for Optum360 (affiliated with Optum and UnitedHealth Group). Most of my current work is in revenue cycle with some clinical overlap and I am an active participant in some of the HL7.org FHIR initiatives.

I became interested in blockchain technology this past year and have taken to the unique nature in which it creates "digital ecosystems" by establishing the potential for transparency, security, anonymity, and trust. The use cases that have been brought forward are as numerous as they are fraught with uncertainty, as this technology and the understanding thereof seems to rapidly evolve along the ridge of heightened/inflated expectations.

The medical records use case is compelling along with many others that were brought forward as part of the ONC Challenge this year. I submitted a Challenge paper with two colleagues of mine on the the potential for a Blockchain Computing System as an EMR but, alas, we were not in the top 15. My vote is to also look at medical records first, as they have too long been in silos, transformed, updated, and obscured through the lens of current interoperability-disabling technologies. With Apple's recent acquisition of Gliimpse and other activities related to FHIR, the field seems ripe and extensions seem numerous.

I am looking forward to the discourse and ideation.

Thanks,

Tony Little, ND | Sr. Director, Integration Strategy
Tony_Little@...



Sent with Good (www.good.com)


-----Original Message-----
From: Brian Behlendorf [bbehlendorf@...]
Sent: Wednesday, October 12, 2016 06:19 PM Central Standard Time
To: healthcare-wg@...
Subject: [Healthcare-wg] Welcome and Introductions

Hello!  Thanks for joining us on this email list and for being a part of the Hyperledger Health Care Working Group.  There are about 25 of us here now, which is cozy and perfect for getting started, while always keeping the door open for new participants.

I'm looking forward to a lively sharing of ideas and discussion about the role blockchains can play in advancing health information exchange and solving real problems in the health care industry.  Our top-level mission here is to identify specific opportunities for open source software development projects we could host here at Hyperledger, projects which could help the industry move even more quickly on use cases with high potential.  Those efforts could be built upon existing Hyperledger code bases, but are not limited to that; what's important is being able to get started quickly, and have something tangible that can progress from proof of concept to pilot to eventual production, if all the right criteria are met.  But to get started we need to talk openly and frankly about what can be done, and what each of us can commit to contributing towards it.  As the conversation gets going we can talk about a conference call or even face to face meeting some time soon.

Some of you have been thinking about blockchains in health care for awhile; some of you might even have active pilots underway, which would be great to hear more about. 

So to get to know each other better, I'd love to kick this off with an ask of each of you: please hit "reply-all" to this email and reply to these questions:

* Who are you? (in what ever terms you feel are most relevant to the conversation)

* What specific use cases do you think we should be talking about or looking at first?


To kick it off:

* Who are you?

I'm Brian Behlendorf, Executive Director of Hyperledger.  I've done a number of different things but the most relevant experience here was the ~12 months I spent at the Office of National Coordinator for Health IT, US Department of Health and Human Services, working on the Nationwide Health Information Network, particularly the NHIN Connect and NHIN Direct open source software and standards projects.  There I had a fairly frank lesson in the challenges with health information sharing: legacy systems; a sense of burnout from 30 years of health IT data format standards (but with no discovery or transport standards, thus the NHIN); broken alignments of interest between patients and providers and insurers; and many more.  But I also could see the huge potential for improving patient outcomes while better managing costs and providing more dignified care that better digital systems could bring to health.  So as a hopeless optimist (and with the gentle wake-up call from Emily and David at Gem, John at HashedHealth, and David at BTCMedia over fried chicken in Nashville about 4 weeks ago) this seemed like the right time and place to convene this group.

* What specific use cases should we be looking at first?

John Halamka's post about Ariel Ekblaw's "MedRec" paper is what woke me up first to the non-naive use cases we could start from - thinking of prescriptions as accounts, taking doses as withdrawals, allows us to envision all sorts of applications that could be built on top of that data, feeding into it or drawing from it - helping caregivers to know what this person should be taking right now, help specialists or new primary doctors see one's prescription and dosage history, integrating the upstream pharma supply chain so we can track bad batches of drugs or dispose of unused drugs safely, etc.  It's a very generative idea, and I think Ariel's on the list and might be able to speak to it better than I could.  Does it represent a good starting place for us, is there something we can build as a technical library or layer that accelerates its adoption in the industry?  We'll see.  But as a use case mapped to the underlying value of a blockchain it spoke to me.


OK, who's next?

Brian


-- 
Brian Behlendorf
Executive Director, Hyperledger
bbehlendorf@...
Twitter: @brianbehlendorf


This e-mail, including attachments, may include confidential and/or
proprietary information, and may be used only by the person or entity
to which it is addressed. If the reader of this e-mail is not the intended
recipient or his or her authorized agent, the reader is hereby notified
that any dissemination, distribution or copying of this e-mail is
prohibited. If you have received this e-mail in error, please notify the
sender by replying to this message and delete this e-mail immediately.


This e-mail, including attachments, may include confidential and/or
proprietary information, and may be used only by the person or entity
to which it is addressed. If the reader of this e-mail is not the intended
recipient or his or her authorized agent, the reader is hereby notified
that any dissemination, distribution or copying of this e-mail is
prohibited. If you have received this e-mail in error, please notify the
sender by replying to this message and delete this e-mail immediately.


Welcome and Introductions (Kyle Culver)

Kyle Culver <kyle.culver@...>
 

Hello everyone, Looking forward to working together and learning from each other. Healthcare is a complex domain with many opportunities and I am excited to actively participate in working toward understanding how Blockchain Technologies can be utilized to improve Healthcare.

Who are you:
I am a solution architect at Humana where I am leading our fledgling Blockchain efforts. I submitted a white paper to the ONC challenge  focused on how Blockchain could be used for Claims and I feel very fortunate and honored that it was selected as one of the winners.

From an academic perspective I have an MEng in Computer Engineering and an entrepreneurship MBA. I love the liaison role between IT and Business however my hobby is software development and given free time, which is rare with three boys 5 and under, I would be coding with the intent of learning.

Use cases to tackle first:
I think we should tackle Provider directory data. This utilizes public data so less barriers for our first target and given the provider data quality issues allows for a deliverable with significant industry value. It also should enable a large amount of collaboration between large firms (read payers) who don't see provider data to be a competitive advantage or company confidential. Should it be successful then every participant can access the data and flag records as "questionable" or "confirmed" so duplication of effort is reduced.

The really neat thing would be if the solution could be autonomous. So each stakeholder would be incentivized  to participate. Consumers of the info could pay in a nominal fee, providers could be rewarded/penalized and anyone else could be rewarded for improving the quality. I think wikipedia is a good analogy since this data could be crowd sourced however there wouldn't need to be an intermediary if the incentives were right. I also think this allows for future build out as a platform for credentials and availability/scheduling.

Those are my thoughts, at least the tip of the iceberg ;). Excited to start a dialog and feel free connect to discuss ideas/opportunities, critique my paper or the provider data use case. Interested in hearing other perspectives!

Thanks,
Kyle Culver


On Oct 12, 2016 9:34 PM, <healthcare-wg-request@...> wrote:
Send Healthcare-wg mailing list submissions to
        healthcare-wg@lists.hyperledger.org

To subscribe or unsubscribe via the World Wide Web, visit
        https://lists.hyperledger.org/mailman/listinfo/healthcare-wg
or, via email, send a message with subject or body 'help' to
        healthcare-wg-request@lists.hyperledger.org

You can reach the person managing the list at
        healthcare-wg-owner@lists.hyperledger.org

When replying, please edit your Subject line so it is more specific
than "Re: Contents of Healthcare-wg digest..."


Today's Topics:

   1. Welcome and Introductions (Brian Behlendorf)
   2. Re: Welcome and Introductions (Little, Tony)


----------------------------------------------------------------------

Message: 1
Date: Wed, 12 Oct 2016 16:19:08 -0700
From: Brian Behlendorf <bbehlendorf@linuxfoundation.org>
To: healthcare-wg@lists.hyperledger.org
Subject: [Healthcare-wg] Welcome and Introductions
Message-ID: <cea2f2e9-f271-96da-f77b-da1438f57d00@linuxfoundation.org>
Content-Type: text/plain; charset="utf-8"; Format="flowed"

Hello!  Thanks for joining us on this email list and for being a part of
the Hyperledger Health Care Working Group.  There are about 25 of us
here now, which is cozy and perfect for getting started, while always
keeping the door open for new participants.

I'm looking forward to a lively sharing of ideas and discussion about
the role blockchains can play in advancing health information exchange
and solving real problems in the health care industry.  Our top-level
mission here is to identify specific opportunities for open source
software development projects we could host here at Hyperledger,
projects which could help the industry move even more quickly on use
cases with high potential. Those efforts could be built upon existing
Hyperledger code bases, but are not limited to that; what's important is
being able to get started quickly, and have something tangible that can
progress from proof of concept to pilot to eventual production, if all
the right criteria are met.  But to get started we need to talk openly
and frankly about what can be done, and what each of us can commit to
contributing towards it.  As the conversation gets going we can talk
about a conference call or even face to face meeting some time soon.

Some of you have been thinking about blockchains in health care for
awhile; some of you might even have active pilots underway, which would
be great to hear more about.

So to get to know each other better, I'd love to kick this off with an
ask of each of you: please hit "reply-all" to this email and reply to
these questions:

* Who are you? (in what ever terms you feel are most relevant to the
conversation)

* What specific use cases do you think we should be talking about or
looking at first?


To kick it off:

* Who are you?

I'm Brian Behlendorf, Executive Director of Hyperledger.  I've done a
number of different things but the most relevant experience here was the
~12 months I spent at the Office of National Coordinator for Health IT,
US Department of Health and Human Services, working on the Nationwide
Health Information Network, particularly the NHIN Connect and NHIN
Direct open source software and standards projects.  There I had a
fairly frank lesson in the challenges with health information sharing:
legacy systems; a sense of burnout from 30 years of health IT data
format standards (but with no discovery or transport standards, thus the
NHIN); broken alignments of interest between patients and providers and
insurers; and many more.  But I also could see the huge potential for
improving patient outcomes while better managing costs and providing
more dignified care that better digital systems could bring to health.
So as a hopeless optimist (and with the gentle wake-up call from Emily
and David at Gem, John at HashedHealth, and David at BTCMedia over fried
chicken in Nashville about 4 weeks ago) this seemed like the right time
and place to convene this group.

* What specific use cases should we be looking at first?

John Halamka's post about Ariel Ekblaw's "MedRec"
<https://geekdoctor.blogspot.com/2016/08/the-blockchain-challenge.html>
paper is what woke me up first to the non-naive use cases we could start
from - thinking of prescriptions as accounts, taking doses as
withdrawals, allows us to envision all sorts of applications that could
be built on top of that data, feeding into it or drawing from it -
helping caregivers to know what this person should be taking right now,
help specialists or new primary doctors see one's prescription and
dosage history, integrating the upstream pharma supply chain so we can
track bad batches of drugs or dispose of unused drugs safely, etc.  It's
a very generative idea, and I think Ariel's on the list and might be
able to speak to it better than I could.  Does it represent a good
starting place for us, is there something we can build as a technical
library or layer that accelerates its adoption in the industry?  We'll
see. But as a use case mapped to the underlying value of a blockchain it
spoke to me.


OK, who's next?

Brian


--
Brian Behlendorf
Executive Director, Hyperledger
bbehlendorf@linuxfoundation.org
Twitter: @brianbehlendorf

-------------- next part --------------
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------------------------------

Message: 2
Date: Thu, 13 Oct 2016 01:24:45 +0000
From: "Little, Tony" <Tony_Little@...>
To: 'Brian Behlendorf' <bbehlendorf@linuxfoundation.org>,
        "'healthcare-wg@lists.hyperledger.org'"
        <healthcare-wg@lists.hyperledger.org>
Subject: Re: [Healthcare-wg] Welcome and Introductions
Message-ID:
        <D445736DDD12654F8D225F96E73532913CB2109A@....uhc.com>
Content-Type: text/plain; charset="utf-8"

Hi Brian and Team,

My name is Tony Little and I am a trained physician (ND) working as the Sr. Director of Integration Strategy for Optum360 (affiliated with Optum and UnitedHealth Group). Most of my current work is in revenue cycle with some clinical overlap and I am an active participant in some of the HL7.org FHIR initiatives.

I became interested in blockchain technology this past year and have taken to the unique nature in which it creates "digital ecosystems" by establishing the potential for transparency, security, anonymity, and trust. The use cases that have been brought forward are as numerous as they are fraught with uncertainty, as this technology and the understanding thereof seems to rapidly evolve along the ridge of heightened/inflated expectations.

The medical records use case is compelling along with many others that were brought forward as part of the ONC Challenge this year. I submitted a Challenge paper with two colleagues of mine on the the potential for a Blockchain Computing System as an EMR but, alas, we were not in the top 15. My vote is to also look at medical records first, as they have too long been in silos, transformed, updated, and obscured through the lens of current interoperability-disabling technologies. With Apple's recent acquisition of Gliimpse and other activities related to FHIR, the field seems ripe and extensions seem numerous.

I am looking forward to the discourse and ideation.

Thanks,

Tony Little, ND | Sr. Director, Integration Strategy
Tony_Little@...



Sent with Good (www.good.com)


-----Original Message-----
From: Brian Behlendorf [bbehlendorf@linuxfoundation.org<mailto:bbehlendorf@linuxfoundation.org>]
Sent: Wednesday, October 12, 2016 06:19 PM Central Standard Time
To: healthcare-wg@lists.hyperledger.org
Subject: [Healthcare-wg] Welcome and Introductions


Hello!  Thanks for joining us on this email list and for being a part of the Hyperledger Health Care Working Group.  There are about 25 of us here now, which is cozy and perfect for getting started, while always keeping the door open for new participants.

I'm looking forward to a lively sharing of ideas and discussion about the role blockchains can play in advancing health information exchange and solving real problems in the health care industry.  Our top-level mission here is to identify specific opportunities for open source software development projects we could host here at Hyperledger, projects which could help the industry move even more quickly on use cases with high potential.  Those efforts could be built upon existing Hyperledger code bases, but are not limited to that; what's important is being able to get started quickly, and have something tangible that can progress from proof of concept to pilot to eventual production, if all the right criteria are met.  But to get started we need to talk openly and frankly about what can be done, and what each of us can commit to contributing towards it.  As the conversation gets going we can talk about a conference call or even face to face meeting some time soon.

Some of you have been thinking about blockchains in health care for awhile; some of you might even have active pilots underway, which would be great to hear more about.

So to get to know each other better, I'd love to kick this off with an ask of each of you: please hit "reply-all" to this email and reply to these questions:

* Who are you? (in what ever terms you feel are most relevant to the conversation)

* What specific use cases do you think we should be talking about or looking at first?


To kick it off:

* Who are you?

I'm Brian Behlendorf, Executive Director of Hyperledger.  I've done a number of different things but the most relevant experience here was the ~12 months I spent at the Office of National Coordinator for Health IT, US Department of Health and Human Services, working on the Nationwide Health Information Network, particularly the NHIN Connect and NHIN Direct open source software and standards projects.  There I had a fairly frank lesson in the challenges with health information sharing: legacy systems; a sense of burnout from 30 years of health IT data format standards (but with no discovery or transport standards, thus the NHIN); broken alignments of interest between patients and providers and insurers; and many more.  But I also could see the huge potential for improving patient outcomes while better managing costs and providing more dignified care that better digital systems could bring to health.  So as a hopeless optimist (and with the gentle wake-up call from Emily and Da
 vid at Gem, John at HashedHealth, and David at BTCMedia over fried chicken in Nashville about 4 weeks ago) this seemed like the right time and place to convene this group.

* What specific use cases should we be looking at first?

John Halamka's post about Ariel Ekblaw's "MedRec"<https://geekdoctor.blogspot.com/2016/08/the-blockchain-challenge.html> paper is what woke me up first to the non-naive use cases we could start from - thinking of prescriptions as accounts, taking doses as withdrawals, allows us to envision all sorts of applications that could be built on top of that data, feeding into it or drawing from it - helping caregivers to know what this person should be taking right now, help specialists or new primary doctors see one's prescription and dosage history, integrating the upstream pharma supply chain so we can track bad batches of drugs or dispose of unused drugs safely, etc.  It's a very generative idea, and I think Ariel's on the list and might be able to speak to it better than I could.  Does it represent a good starting place for us, is there something we can build as a technical library or layer that accelerates its adoption in the industry?  We'll see.  But as a use case mapped to t
 he underlying value of a blockchain it spoke to me.


OK, who's next?

Brian



--
Brian Behlendorf
Executive Director, Hyperledger
bbehlendorf@linuxfoundation.org<mailto:bbehlendorf@linuxfoundation.org>
Twitter: @brianbehlendorf


This e-mail, including attachments, may include confidential and/or
proprietary information, and may be used only by the person or entity
to which it is addressed. If the reader of this e-mail is not the intended
recipient or his or her authorized agent, the reader is hereby notified
that any dissemination, distribution or copying of this e-mail is
prohibited. If you have received this e-mail in error, please notify the
sender by replying to this message and delete this e-mail immediately.
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End of Healthcare-wg Digest, Vol 1, Issue 2
*******************************************


Re: Welcome and Introductions

Benjamin FUENTES <BFUENTES@...>
 

Hi all,

* Who are you? (in what ever terms you feel are most relevant to the conversation)

I am Benjamin Fuentes and I work for IBM since end of last year. I am Bluemix and Blockchain advocate so I am participating to hackathons with startups and developers located in Europe and Middle East. I am a IT technical expert but I am sometimes in contact with Heath Industry via IBM or my family (4 health professionals). I can give some inputs or feedbacks coming from the startup/university ecosystem and I would like to follow this group to be aware of what is moving from the professional side.  

* What specific use cases do you think we should be talking about or looking at first?

Well, I was just participating to a hackathon last week around e Health and very few idea around blockchain have pop up from the students. Mainly they do not know what is a Blockchain (or answer yes "I heard about Bitcoin") and have few knowledge of E Health problems & contraints. They see from their eye of patient (that's also a good thing to take into account).
On my side, we should start topics about problem of : drug traceability, inter professional shared data scenarios
Benjamin FUENTES
Architect Ecosystem Developers and Startups, Bluemix & Blockchain Advocate
IBM Business Solution Center
21 Avenue Simone Veil, Nice, France

Email: bfuentes@... 
Tel: +33 (0)6 75 77 06 88
http://linkedin.com/in/benjaminfuentes
 
 
----- Original message -----
From: "Little, Tony" <Tony_Little@...>
Sent by: healthcare-wg-bounces@...
To: "'Brian Behlendorf'" <bbehlendorf@...>, "'healthcare-wg@...'" <healthcare-wg@...>
Cc:
Subject: Re: [Healthcare-wg] Welcome and Introductions
Date: Thu, Oct 13, 2016 3:45 AM
 
After looking at what I wrote here I want to note that I was not the principle author of the ONC Challenge whitepaper but a contributing author. I don't want to diminish my colleagues efforts who put forth greater effort than I on its contents.

Thanks,

Tony Little, ND | Sr. Director, Integration Strategy
Tony_Little@...



Sent with Good (www.good.com)


-----Original Message-----
From: Little, Tony [Tony_Little@...]
Sent: Wednesday, October 12, 2016 08:35 PM Central Standard Time
To: 'Brian Behlendorf'; 'healthcare-wg@...'
Subject: Re: [Healthcare-wg] Welcome and Introductions

Hi Brian and Team,

My name is Tony Little and I am a trained physician (ND) working as the Sr. Director of Integration Strategy for Optum360 (affiliated with Optum and UnitedHealth Group). Most of my current work is in revenue cycle with some clinical overlap and I am an active participant in some of the HL7.org FHIR initiatives.

I became interested in blockchain technology this past year and have taken to the unique nature in which it creates "digital ecosystems" by establishing the potential for transparency, security, anonymity, and trust. The use cases that have been brought forward are as numerous as they are fraught with uncertainty, as this technology and the understanding thereof seems to rapidly evolve along the ridge of heightened/inflated expectations.

The medical records use case is compelling along with many others that were brought forward as part of the ONC Challenge this year. I submitted a Challenge paper with two colleagues of mine on the the potential for a Blockchain Computing System as an EMR but, alas, we were not in the top 15. My vote is to also look at medical records first, as they have too long been in silos, transformed, updated, and obscured through the lens of current interoperability-disabling technologies. With Apple's recent acquisition of Gliimpse and other activities related to FHIR, the field seems ripe and extensions seem numerous.

I am looking forward to the discourse and ideation.

Thanks,

Tony Little, ND | Sr. Director, Integration Strategy
Tony_Little@...



Sent with Good (www.good.com)


-----Original Message-----
From: Brian Behlendorf [bbehlendorf@...]
Sent: Wednesday, October 12, 2016 06:19 PM Central Standard Time
To: healthcare-wg@...
Subject: [Healthcare-wg] Welcome and Introductions
 

Hello!  Thanks for joining us on this email list and for being a part of the Hyperledger Health Care Working Group.  There are about 25 of us here now, which is cozy and perfect for getting started, while always keeping the door open for new participants.

I'm looking forward to a lively sharing of ideas and discussion about the role blockchains can play in advancing health information exchange and solving real problems in the health care industry.  Our top-level mission here is to identify specific opportunities for open source software development projects we could host here at Hyperledger, projects which could help the industry move even more quickly on use cases with high potential.  Those efforts could be built upon existing Hyperledger code bases, but are not limited to that; what's important is being able to get started quickly, and have something tangible that can progress from proof of concept to pilot to eventual production, if all the right criteria are met.  But to get started we need to talk openly and frankly about what can be done, and what each of us can commit to contributing towards it.  As the conversation gets going we can talk about a conference call or even face to face meeting some time soon.

Some of you have been thinking about blockchains in health care for awhile; some of you might even have active pilots underway, which would be great to hear more about. 

So to get to know each other better, I'd love to kick this off with an ask of each of you: please hit "reply-all" to this email and reply to these questions:

* Who are you? (in what ever terms you feel are most relevant to the conversation)

* What specific use cases do you think we should be talking about or looking at first?

 

To kick it off:

* Who are you?

I'm Brian Behlendorf, Executive Director of Hyperledger.  I've done a number of different things but the most relevant experience here was the ~12 months I spent at the Office of National Coordinator for Health IT, US Department of Health and Human Services, working on the Nationwide Health Information Network, particularly the NHIN Connect and NHIN Direct open source software and standards projects.  There I had a fairly frank lesson in the challenges with health information sharing: legacy systems; a sense of burnout from 30 years of health IT data format standards (but with no discovery or transport standards, thus the NHIN); broken alignments of interest between patients and providers and insurers; and many more.  But I also could see the huge potential for improving patient outcomes while better managing costs and providing more dignified care that better digital systems could bring to health.  So as a hopeless optimist (and with the gentle wake-up call from Emily and David at Gem, John at HashedHealth, and David at BTCMedia over fried chicken in Nashville about 4 weeks ago) this seemed like the right time and place to convene this group.

* What specific use cases should we be looking at first?

John Halamka's post about Ariel Ekblaw's "MedRec" paper is what woke me up first to the non-naive use cases we could start from - thinking of prescriptions as accounts, taking doses as withdrawals, allows us to envision all sorts of applications that could be built on top of that data, feeding into it or drawing from it - helping caregivers to know what this person should be taking right now, help specialists or new primary doctors see one's prescription and dosage history, integrating the upstream pharma supply chain so we can track bad batches of drugs or dispose of unused drugs safely, etc.  It's a very generative idea, and I think Ariel's on the list and might be able to speak to it better than I could.  Does it represent a good starting place for us, is there something we can build as a technical library or layer that accelerates its adoption in the industry?  We'll see.  But as a use case mapped to the underlying value of a blockchain it spoke to me.

 

OK, who's next?

Brian

 

--
Brian Behlendorf
Executive Director, Hyperledger
bbehlendorf@...
Twitter: @brianbehlendorf


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Re: Welcome and Introductions

c.brodersen@...
 

Brian & Team,

 

Who are you? (in what ever terms you feel are most relevant to the conversation)

 

Hi my name is Chris Brodersen and I am a Global Blockchain Practice Lead and part of the Global Blockchain Core Team at Accenture where I started looking at blockchain from the Financial Services, specifically Capital Markets Research (investment banking, etc), perspective.  My journey began by shaping Accenture’s Thought Leadership in blockchain which continues today having written most, if not all, of Accenture’s POV’s and other assets on the subject.  In addition, this meant helping our clients understand the potential for blockchain (I call this “blockchain tourism”) to transform and re-architect many of the middle and back office functions which have not kept pace with technology and are so burdensome today causing driving ROE below their cost of capital.  At the same time I have been heavily involved with our Technology Labs Team evaluating blockchain solutions, both internally & externally, to build client use cases and POCs.  Now that the “tourism phase” has passed I am involved in many client engagements where I am helping move blockchain solutions into production environments.  Over the past 12 months my role has expanded to support Accenture business lines outside of Financial Services as other industries begin to understand how blockchain can transform many of their business processes and value propositions.  An example: I was a co-author on the Accenture submission to the ONC Whitepaper Challenge.  Overall, the value proposition I bring to the table is in understanding how to apply blockchain to specific business applications and helping other industries leapfrog into blockchain leveraging the lessons learned by the Financial Services Industry.

 

What specific use cases should we be looking at first?

 

I believe one of the early use cases in Healthcare will be in using blockchain to create a more efficient Provider to Payer Network, removing much of the latency inherent in the system today.  By streamlining this process using blockchain errors & omissions can be vastly reduced, and in many cases eliminated entirely, while unlocking trapped capital awaiting settlement.  I believe that like Financial Services, initial use cases will be those that 1) solve an urgent business need without tackling issues of patient privacy for now, 2) create better data lineage & audit trails, 3) ultimately drive better outcomes, and 4) most importantly streamline functions that create reconciliation challenges.  From this perspective I think it will show the industry the power of blockchain and why they should be expanding capabilities toward the “dream” of a complete data sharing construct for patient records in a secure environment ensuring privacy, which in turn will truly drive efficiency and better patient outcomes.

 

Chris Brodersen

Capital Markets Blockchain Practice Lead

Growth & Strategy

917 452 1093 Office

917 887 1432 Cell

Accenture Research

Intelligence.  Insight.  Impact.

 

Accenture Research is a worldwide network of research professionals who have strong knowledge of various industries, geographies, technologies, and functional areas, as well as research methods and techniques. Our services include in-depth market and financial analysis, survey design and execution, and thought leadership development.

 

***Confidential—For Accenture Internal Use Only***

 

From: healthcare-wg-bounces@... [mailto:healthcare-wg-bounces@...] On Behalf Of Brian Behlendorf
Sent: Wednesday, October 12, 2016 7:19 PM
To: healthcare-wg@...
Subject: [Healthcare-wg] Welcome and Introductions

 

Hello!  Thanks for joining us on this email list and for being a part of the Hyperledger Health Care Working Group.  There are about 25 of us here now, which is cozy and perfect for getting started, while always keeping the door open for new participants.

I'm looking forward to a lively sharing of ideas and discussion about the role blockchains can play in advancing health information exchange and solving real problems in the health care industry.  Our top-level mission here is to identify specific opportunities for open source software development projects we could host here at Hyperledger, projects which could help the industry move even more quickly on use cases with high potential.  Those efforts could be built upon existing Hyperledger code bases, but are not limited to that; what's important is being able to get started quickly, and have something tangible that can progress from proof of concept to pilot to eventual production, if all the right criteria are met.  But to get started we need to talk openly and frankly about what can be done, and what each of us can commit to contributing towards it.  As the conversation gets going we can talk about a conference call or even face to face meeting some time soon.

Some of you have been thinking about blockchains in health care for awhile; some of you might even have active pilots underway, which would be great to hear more about. 

So to get to know each other better, I'd love to kick this off with an ask of each of you: please hit "reply-all" to this email and reply to these questions:

* Who are you? (in what ever terms you feel are most relevant to the conversation)

* What specific use cases do you think we should be talking about or looking at first?

 

To kick it off:

* Who are you?

I'm Brian Behlendorf, Executive Director of Hyperledger.  I've done a number of different things but the most relevant experience here was the ~12 months I spent at the Office of National Coordinator for Health IT, US Department of Health and Human Services, working on the Nationwide Health Information Network, particularly the NHIN Connect and NHIN Direct open source software and standards projects.  There I had a fairly frank lesson in the challenges with health information sharing: legacy systems; a sense of burnout from 30 years of health IT data format standards (but with no discovery or transport standards, thus the NHIN); broken alignments of interest between patients and providers and insurers; and many more.  But I also could see the huge potential for improving patient outcomes while better managing costs and providing more dignified care that better digital systems could bring to health.  So as a hopeless optimist (and with the gentle wake-up call from Emily and David at Gem, John at HashedHealth, and David at BTCMedia over fried chicken in Nashville about 4 weeks ago) this seemed like the right time and place to convene this group.

* What specific use cases should we be looking at first?

John Halamka's post about Ariel Ekblaw's "MedRec" paper is what woke me up first to the non-naive use cases we could start from - thinking of prescriptions as accounts, taking doses as withdrawals, allows us to envision all sorts of applications that could be built on top of that data, feeding into it or drawing from it - helping caregivers to know what this person should be taking right now, help specialists or new primary doctors see one's prescription and dosage history, integrating the upstream pharma supply chain so we can track bad batches of drugs or dispose of unused drugs safely, etc.  It's a very generative idea, and I think Ariel's on the list and might be able to speak to it better than I could.  Does it represent a good starting place for us, is there something we can build as a technical library or layer that accelerates its adoption in the industry?  We'll see.  But as a use case mapped to the underlying value of a blockchain it spoke to me.

 

OK, who's next?

Brian

 

-- 
Brian Behlendorf
Executive Director, Hyperledger
bbehlendorf@...
Twitter: @brianbehlendorf



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Re: Welcome and Introductions

Merve
 

Hi everyone,

Who am I?
I am Merve Unuvar, IBM Blockchain Product Leader. In this role, I am responsible for guiding new product strategy and launching initial prototype build-outs. Additionally, I work with strategic partners, clients and open source ecosystem to establish and develop new market opportunities. Prior to joining the IBM Blockchain team, I worked in IBM’s Watson Research Center as a research scientist and in the IBM Cloud CTO Office as an executive apprentice to the VP of Cloud Technology and Architecture. I have a Ph.D. in Operations Research from Rutgers University.

Use cases:
In my humble opinion, there are 4 major use cases in Healthcare where Blockchain can help. 1- Patient Consent and Health Data Access 2- Payment and Claims 3- Provenance and traceability 4-Clinical trials & others. From these 4, to me it all starts with Patient consent data and medical records. If we can get the medical records on a BC, then payments/claims/clinical trials can automatically benefit from it. Although provenance and traceability (or shortly supply chain in pharma) is another very important use case to solve, patient data/record (to me) has a wider reach.

Looking forward to conversations with this amazing group of people!
Merve

Dr. MERVE UNUVAR - IBM Blockchain
M: 929.259.0495 / T: @merveunuvar / E: munuvar@...


Brian Behlendorf ---10/12/2016 07:19:21 PM---Hello! Thanks for joining us on this email list and for being a part of the Hyperledger Health Car

From: Brian Behlendorf <bbehlendorf@...>
To: healthcare-wg@...
Date: 10/12/2016 07:19 PM
Subject: [Healthcare-wg] Welcome and Introductions
Sent by: healthcare-wg-bounces@...





Hello!  Thanks for joining us on this email list and for being a part of the Hyperledger Health Care Working Group.  There are about 25 of us here now, which is cozy and perfect for getting started, while always keeping the door open for new participants.

I'm looking forward to a lively sharing of ideas and discussion about the role blockchains can play in advancing health information exchange and solving real problems in the health care industry.  Our top-level mission here is to identify specific opportunities for open source software development projects we could host here at Hyperledger, projects which could help the industry move even more quickly on use cases with high potential.  Those efforts could be built upon existing Hyperledger code bases, but are not limited to that; what's important is being able to get started quickly, and have something tangible that can progress from proof of concept to pilot to eventual production, if all the right criteria are met.  But to get started we need to talk openly and frankly about what can be done, and what each of us can commit to contributing towards it.  As the conversation gets going we can talk about a conference call or even face to face meeting some time soon.

Some of you have been thinking about blockchains in health care for awhile; some of you might even have active pilots underway, which would be great to hear more about. 

So to get to know each other better, I'd love to kick this off with an ask of each of you: please hit "reply-all" to this email and reply to these questions:

* Who are you? (in what ever terms you feel are most relevant to the conversation)

* What specific use cases do you think we should be talking about or looking at first?

To kick it off:

* Who are you?

I'm Brian Behlendorf, Executive Director of Hyperledger.  I've done a number of different things but the most relevant experience here was the ~12 months I spent at the Office of National Coordinator for Health IT, US Department of Health and Human Services, working on the Nationwide Health Information Network, particularly the NHIN Connect and NHIN Direct open source software and standards projects.  There I had a fairly frank lesson in the challenges with health information sharing: legacy systems; a sense of burnout from 30 years of health IT data format standards (but with no discovery or transport standards, thus the NHIN); broken alignments of interest between patients and providers and insurers; and many more.  But I also could see the huge potential for improving patient outcomes while better managing costs and providing more dignified care that better digital systems could bring to health.  So as a hopeless optimist (and with the gentle wake-up call from Emily and David at Gem, John at HashedHealth, and David at BTCMedia over fried chicken in Nashville about 4 weeks ago) this seemed like the right time and place to convene this group.

* What specific use cases should we be looking at first?

John Halamka's post about Ariel Ekblaw's "MedRec" paper is what woke me up first to the non-naive use cases we could start from - thinking of prescriptions as accounts, taking doses as withdrawals, allows us to envision all sorts of applications that could be built on top of that data, feeding into it or drawing from it - helping caregivers to know what this person should be taking right now, help specialists or new primary doctors see one's prescription and dosage history, integrating the upstream pharma supply chain so we can track bad batches of drugs or dispose of unused drugs safely, etc.  It's a very generative idea, and I think Ariel's on the list and might be able to speak to it better than I could.  Does it represent a good starting place for us, is there something we can build as a technical library or layer that accelerates its adoption in the industry?  We'll see.  But as a use case mapped to the underlying value of a blockchain it spoke to me.

OK, who's next?

Brian

--
Brian Behlendorf
Executive Director, Hyperledger
bbehlendorf@...
Twitter: @brianbehlendorf
_______________________________________________
Healthcare-wg mailing list
Healthcare-wg@...
https://lists.hyperledger.org/mailman/listinfo/healthcare-wg



Re: Healthcare-wg Digest, Vol 1, Issue 2

Stephan Baur
 

Hello everybody!

* Who are you?
I am Stephan Baur and I am an IT Architect with Kaiser Permanente, based in the San Francisco Bay Area. I work for the CTO with a focus on strategic platforms, mostly cloud based. My background is in software engineering and Communications Systems and I have been involved in Blockchain technology for about 6 months.

* What specific use cases do you think we should be talking about or looking at first?
For me, that is “patient/consumer mediated Health Data Exchange” with a keen eye to “pharma supply chain tracability” and also open to “provider|payer-to-government” scenarios since those interactions seem to be the same for a lot of entities and thus offers a possibly easier way to standardize.

But back to the Health Data Exchange use-cases: What I like is that it is relatively new, has a lot of (non blockchain) momentum already, and doesn’t interfere with a large, incumbent transaction process. A few days ago, I just uploaded a CCD into Apple Health (IOS 10). Sounds boring, but in my mind this is super exciting: when consumer devices start offering this, it creates awareness. The voice of millions of consumers may be what’s needed to force Health Data Interop. I know Microsoft’s Healthwallet goes a similar direction. In Apple’s case, the main transport channel is to “download the xml and email it to yourself”, then the phone allows to “open with: Health”. Seems only a small step to port this import pipe over a Blockchain. And voilà, our first showcase!

My question: how can we get everybody here to agree to build a SINGLE blockchain network? Like so often used in Blockchain talks: let’s build the INTERNET! A *single* network that integrates many other networks for the purpose of end-to-end transport. I hope before we need to deal with Interledger Protocols that we can work to get as many as possible onto the same blockchain network.

Looking forward to great discussions and collaborations.

--Stephan
__________________________________
Stephan Baur
Principal IT Architect
Office of the CTO, Cloud & Platform Technologies

Kaiser PermanenteInformation Technology
4460 Hacienda Drive, D271, Pleasanton, CA 94588 O: 925.225.5644 | C: 925.207.9666

On 10/12/16, 6:34 PM, "healthcare-wg-bounces@... on behalf of healthcare-wg-request@..." <healthcare-wg-bounces@... on behalf of healthcare-wg-request@...> wrote:

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Today's Topics:

1. Welcome and Introductions (Brian Behlendorf)
2. Re: Welcome and Introductions (Little, Tony)


----------------------------------------------------------------------

Message: 1
Date: Wed, 12 Oct 2016 16:19:08 -0700
From: Brian Behlendorf <bbehlendorf@...>
To: healthcare-wg@...
Subject: [Healthcare-wg] Welcome and Introductions
Message-ID: <cea2f2e9-f271-96da-f77b-da1438f57d00@...>
Content-Type: text/plain; charset="utf-8"; Format="flowed"

Hello! Thanks for joining us on this email list and for being a part of
the Hyperledger Health Care Working Group. There are about 25 of us
here now, which is cozy and perfect for getting started, while always
keeping the door open for new participants.

I'm looking forward to a lively sharing of ideas and discussion about
the role blockchains can play in advancing health information exchange
and solving real problems in the health care industry. Our top-level
mission here is to identify specific opportunities for open source
software development projects we could host here at Hyperledger,
projects which could help the industry move even more quickly on use
cases with high potential. Those efforts could be built upon existing
Hyperledger code bases, but are not limited to that; what's important is
being able to get started quickly, and have something tangible that can
progress from proof of concept to pilot to eventual production, if all
the right criteria are met. But to get started we need to talk openly
and frankly about what can be done, and what each of us can commit to
contributing towards it. As the conversation gets going we can talk
about a conference call or even face to face meeting some time soon.

Some of you have been thinking about blockchains in health care for
awhile; some of you might even have active pilots underway, which would
be great to hear more about.

So to get to know each other better, I'd love to kick this off with an
ask of each of you: please hit "reply-all" to this email and reply to
these questions:

* Who are you? (in what ever terms you feel are most relevant to the
conversation)

* What specific use cases do you think we should be talking about or
looking at first?


To kick it off:

* Who are you?

I'm Brian Behlendorf, Executive Director of Hyperledger. I've done a
number of different things but the most relevant experience here was the
~12 months I spent at the Office of National Coordinator for Health IT,
US Department of Health and Human Services, working on the Nationwide
Health Information Network, particularly the NHIN Connect and NHIN
Direct open source software and standards projects. There I had a
fairly frank lesson in the challenges with health information sharing:
legacy systems; a sense of burnout from 30 years of health IT data
format standards (but with no discovery or transport standards, thus the
NHIN); broken alignments of interest between patients and providers and
insurers; and many more. But I also could see the huge potential for
improving patient outcomes while better managing costs and providing
more dignified care that better digital systems could bring to health.
So as a hopeless optimist (and with the gentle wake-up call from Emily
and David at Gem, John at HashedHealth, and David at BTCMedia over fried
chicken in Nashville about 4 weeks ago) this seemed like the right time
and place to convene this group.

* What specific use cases should we be looking at first?

John Halamka's post about Ariel Ekblaw's "MedRec"
<https://geekdoctor.blogspot.com/2016/08/the-blockchain-challenge.html>
paper is what woke me up first to the non-naive use cases we could start
from - thinking of prescriptions as accounts, taking doses as
withdrawals, allows us to envision all sorts of applications that could
be built on top of that data, feeding into it or drawing from it -
helping caregivers to know what this person should be taking right now,
help specialists or new primary doctors see one's prescription and
dosage history, integrating the upstream pharma supply chain so we can
track bad batches of drugs or dispose of unused drugs safely, etc. It's
a very generative idea, and I think Ariel's on the list and might be
able to speak to it better than I could. Does it represent a good
starting place for us, is there something we can build as a technical
library or layer that accelerates its adoption in the industry? We'll
see. But as a use case mapped to the underlying value of a blockchain it
spoke to me.


OK, who's next?

Brian


--
Brian Behlendorf
Executive Director, Hyperledger
bbehlendorf@...
Twitter: @brianbehlendorf

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------------------------------

Message: 2
Date: Thu, 13 Oct 2016 01:24:45 +0000
From: "Little, Tony" <Tony_Little@...>
To: 'Brian Behlendorf' <bbehlendorf@...>,
"'healthcare-wg@...'"
<healthcare-wg@...>
Subject: Re: [Healthcare-wg] Welcome and Introductions
Message-ID:
<D445736DDD12654F8D225F96E73532913CB2109A@...>
Content-Type: text/plain; charset="utf-8"

Hi Brian and Team,

My name is Tony Little and I am a trained physician (ND) working as the Sr. Director of Integration Strategy for Optum360 (affiliated with Optum and UnitedHealth Group). Most of my current work is in revenue cycle with some clinical overlap and I am an active participant in some of the HL7.org FHIR initiatives.

I became interested in blockchain technology this past year and have taken to the unique nature in which it creates "digital ecosystems" by establishing the potential for transparency, security, anonymity, and trust. The use cases that have been brought forward are as numerous as they are fraught with uncertainty, as this technology and the understanding thereof seems to rapidly evolve along the ridge of heightened/inflated expectations.

The medical records use case is compelling along with many others that were brought forward as part of the ONC Challenge this year. I submitted a Challenge paper with two colleagues of mine on the the potential for a Blockchain Computing System as an EMR but, alas, we were not in the top 15. My vote is to also look at medical records first, as they have too long been in silos, transformed, updated, and obscured through the lens of current interoperability-disabling technologies. With Apple's recent acquisition of Gliimpse and other activities related to FHIR, the field seems ripe and extensions seem numerous.

I am looking forward to the discourse and ideation.

Thanks,

Tony Little, ND | Sr. Director, Integration Strategy
Tony_Little@...



Sent with Good (www.good.com)


-----Original Message-----
From: Brian Behlendorf [bbehlendorf@...<mailto:bbehlendorf@...>]
Sent: Wednesday, October 12, 2016 06:19 PM Central Standard Time
To: healthcare-wg@...
Subject: [Healthcare-wg] Welcome and Introductions


Hello! Thanks for joining us on this email list and for being a part of the Hyperledger Health Care Working Group. There are about 25 of us here now, which is cozy and perfect for getting started, while always keeping the door open for new participants.

I'm looking forward to a lively sharing of ideas and discussion about the role blockchains can play in advancing health information exchange and solving real problems in the health care industry. Our top-level mission here is to identify specific opportunities for open source software development projects we could host here at Hyperledger, projects which could help the industry move even more quickly on use cases with high potential. Those efforts could be built upon existing Hyperledger code bases, but are not limited to that; what's important is being able to get started quickly, and have something tangible that can progress from proof of concept to pilot to eventual production, if all the right criteria are met. But to get started we need to talk openly and frankly about what can be done, and what each of us can commit to contributing towards it. As the conversation gets going we can talk about a conference call or even face to face meeting some time soon.

Some of you have been thinking about blockchains in health care for awhile; some of you might even have active pilots underway, which would be great to hear more about.

So to get to know each other better, I'd love to kick this off with an ask of each of you: please hit "reply-all" to this email and reply to these questions:

* Who are you? (in what ever terms you feel are most relevant to the conversation)

* What specific use cases do you think we should be talking about or looking at first?


To kick it off:

* Who are you?

I'm Brian Behlendorf, Executive Director of Hyperledger. I've done a number of different things but the most relevant experience here was the ~12 months I spent at the Office of National Coordinator for Health IT, US Department of Health and Human Services, working on the Nationwide Health Information Network, particularly the NHIN Connect and NHIN Direct open source software and standards projects. There I had a fairly frank lesson in the challenges with health information sharing: legacy systems; a sense of burnout from 30 years of health IT data format standards (but with no discovery or transport standards, thus the NHIN); broken alignments of interest between patients and providers and insurers; and many more. But I also could see the huge potential for improving patient outcomes while better managing costs and providing more dignified care that better digital systems could bring to health. So as a hopeless optimist (and with the gentle wake-up call from Emily and Da
vid at Gem, John at HashedHealth, and David at BTCMedia over fried chicken in Nashville about 4 weeks ago) this seemed like the right time and place to convene this group.

* What specific use cases should we be looking at first?

John Halamka's post about Ariel Ekblaw's "MedRec"<https://geekdoctor.blogspot.com/2016/08/the-blockchain-challenge.html> paper is what woke me up first to the non-naive use cases we could start from - thinking of prescriptions as accounts, taking doses as withdrawals, allows us to envision all sorts of applications that could be built on top of that data, feeding into it or drawing from it - helping caregivers to know what this person should be taking right now, help specialists or new primary doctors see one's prescription and dosage history, integrating the upstream pharma supply chain so we can track bad batches of drugs or dispose of unused drugs safely, etc. It's a very generative idea, and I think Ariel's on the list and might be able to speak to it better than I could. Does it represent a good starting place for us, is there something we can build as a technical library or layer that accelerates its adoption in the industry? We'll see. But as a use case mapped to t
he underlying value of a blockchain it spoke to me.


OK, who's next?

Brian



--
Brian Behlendorf
Executive Director, Hyperledger
bbehlendorf@...<mailto:bbehlendorf@...>
Twitter: @brianbehlendorf


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Healthcare-wg: John Bass / Hashed Health

John Bass
 

Hi Everyone!  I'll go next...

I am John Bass, Founder / CEO of Hashed Health.  I have a 20+ year career in healthcare IT and Hashed Health is the third startup.  I have recently transitioned out of HCA to focus on Hashed full time.  The common thread across each of the projects I’ve worked on has been using shared operating systems and shared data to improve cost / quality / care for patients.  So you can probably see why I am so excited about Blockchain / DLT…

For those of you who are not familiar with Hashed Health, we are a team of healthcare experts focused on accelerating the adoption of blockchain / DLT solutions in our industry.  We are organizing a consortium of companies who understand and want to work together to solve healthcare business problems.  We want to make sure the business problem drives the technical solution. The design / development studio side of our business focuses on application / wallet level development, smart contract development, and other consortium support services.  We support the work of the Hyperledger Healthcare Working Group because we know how important it will be to make sure the open, technical foundation that Brian represents is strong. I believe Hyperledger is the home for the technical infrastructure (common policies, licenses, tools, security practices, etc) we need to be successful in our work with our clients.  We plan to encourage any consortium members who want to contribute to open technical standards to join this working group.  I am extremely excited for Hashed Health to be a part of this movement.

We have a dozen or so POCs we are prioritizing for development while the consortium gets ramped up.  These concepts include supply chain, revenue cycle, payments, consumerism, interoperability, and a few more.  A few of my early favorites include one that focuses on a new payment models, and one that tracks products through the value chain.  I am a huge fan of using the blockchain for medical records, though this one could take some time.  I believe that the problem of identity is at the source of a lot of these challenges we face, so that’s an area where focus is needed as well.  I think the best use cases are those that leverage the network, focus on inefficient transfers of data, and don’t create new dependencies on central authorities.

I look forward to working with you all!


John Bass

Founder / CEO

Hashed Health

615 618 2822

jbass@...


 


Welcome and Introductions

Karri Niemelä <karri.niemela@...>
 

Hello world!

* Who are you?
My name is Karri Niemelä, Co-Founder and CTO of Bean Solutions and RadFox, based in Finland. On a daily basis I mainly work with topics like machine learning/decission support systems and analytics (especially when it comes to clinical imaging). I’ve been watching this blockchain healthcare domain for sometime now and joined this forum to see how blockchain could be utilized in healthcare.

* What specific use cases do you think we should be talking about or looking at first?
Health data exchange.

Thanks,
Karri niemelä


Re: Welcome and Introductions

Adrian Tkacz
 

Hi All,

 

* Who are you?

My name is Adrian Tkacz and I’m working as Lifecare Consultant for Samsung R&D Institute in Poland. The last two years I have focused on the implementation of mobile and cloud technologies in the area of consumer healthcare. From an academic perspective I graduated medical studies (MD) and computer science (BEng). However, my experience as a physician is limited. I spent over 10 years as a business analyst in IT projects dedicated to healthcare – both local and international range.

 

The continuous education and learning new ideas is my passion. The blockchain is an example. The concept of distributed applications to implement a Turing-complete code was brilliant for me, so I looked on Ethereum Project from the very beginning. Recently I found an article about US Health Department contest, which has become a great resource for new ideas. Now I’m here with a hope that the community will create and share breakthrough ideas.

 

* What specific use cases do you think we should be talking about or looking at first?

The strength of blockchain is a possibility to build a confidence between entities without the participation of a 3rd trusted side. We have many stakeholders like patients, providers, insurers, device manufacturers, labs etc. All are tied to each other and potential use cases should address these relations - example use cases:

-          automatic dissemination of patient’s consent between different data sources (i.e. tokens allowing a user to get access to data stored in different HL7 FHIR repositories without previous client registration)

-          reputation system for patients (for pro-healthy behavior), physicians (for learning activities), insurers etc.

-          anonymous storage of sequenced genome (all data stored should be stored in cloud, but managed through blockchain - including payments, sharing, “virtual” lab-tests including personalized medicine etc.)

 

However, no matter how the idea is great, if UX is weak, the results will be disappointing. In my opinion most of current innovations in IT come from extraordinary user experience, and not the technology itself. The explanation of what is bitcoin algorithm is difficult for me, but a discussion about distributed applications with somebody who is not a geek is a true challenge. I think that the efforts on searching how to make the technology closer to consumer are crucial.

 

Second thing is a project scope. Small is beautiful. I believe that disruptive ideas have a better chance to be successfully implemented by a small group of people fixed on single goal than by big companies (or governments), which must be focused on continuous innovations.

 

Best regards,

 

Adrian Tkacz

 

From: healthcare-wg-bounces@... [mailto:healthcare-wg-bounces@...] On Behalf Of Brian Behlendorf
Sent: Thursday, October 13, 2016 1:19 AM
To: healthcare-wg@...
Subject: [Healthcare-wg] Welcome and Introductions

 

Hello!  Thanks for joining us on this email list and for being a part of the Hyperledger Health Care Working Group.  There are about 25 of us here now, which is cozy and perfect for getting started, while always keeping the door open for new participants.

I'm looking forward to a lively sharing of ideas and discussion about the role blockchains can play in advancing health information exchange and solving real problems in the health care industry.  Our top-level mission here is to identify specific opportunities for open source software development projects we could host here at Hyperledger, projects which could help the industry move even more quickly on use cases with high potential.  Those efforts could be built upon existing Hyperledger code bases, but are not limited to that; what's important is being able to get started quickly, and have something tangible that can progress from proof of concept to pilot to eventual production, if all the right criteria are met.  But to get started we need to talk openly and frankly about what can be done, and what each of us can commit to contributing towards it.  As the conversation gets going we can talk about a conference call or even face to face meeting some time soon.

Some of you have been thinking about blockchains in health care for awhile; some of you might even have active pilots underway, which would be great to hear more about. 

So to get to know each other better, I'd love to kick this off with an ask of each of you: please hit "reply-all" to this email and reply to these questions:

* Who are you? (in what ever terms you feel are most relevant to the conversation)

* What specific use cases do you think we should be talking about or looking at first?

 

To kick it off:

* Who are you?

I'm Brian Behlendorf, Executive Director of Hyperledger.  I've done a number of different things but the most relevant experience here was the ~12 months I spent at the Office of National Coordinator for Health IT, US Department of Health and Human Services, working on the Nationwide Health Information Network, particularly the NHIN Connect and NHIN Direct open source software and standards projects.  There I had a fairly frank lesson in the challenges with health information sharing: legacy systems; a sense of burnout from 30 years of health IT data format standards (but with no discovery or transport standards, thus the NHIN); broken alignments of interest between patients and providers and insurers; and many more.  But I also could see the huge potential for improving patient outcomes while better managing costs and providing more dignified care that better digital systems could bring to health.  So as a hopeless optimist (and with the gentle wake-up call from Emily and David at Gem, John at HashedHealth, and David at BTCMedia over fried chicken in Nashville about 4 weeks ago) this seemed like the right time and place to convene this group.

* What specific use cases should we be looking at first?

John Halamka's post about Ariel Ekblaw's "MedRec" paper is what woke me up first to the non-naive use cases we could start from - thinking of prescriptions as accounts, taking doses as withdrawals, allows us to envision all sorts of applications that could be built on top of that data, feeding into it or drawing from it - helping caregivers to know what this person should be taking right now, help specialists or new primary doctors see one's prescription and dosage history, integrating the upstream pharma supply chain so we can track bad batches of drugs or dispose of unused drugs safely, etc.  It's a very generative idea, and I think Ariel's on the list and might be able to speak to it better than I could.  Does it represent a good starting place for us, is there something we can build as a technical library or layer that accelerates its adoption in the industry?  We'll see.  But as a use case mapped to the underlying value of a blockchain it spoke to me.

 

OK, who's next?

Brian

 

-- 
Brian Behlendorf
Executive Director, Hyperledger
bbehlendorf@...
Twitter: @brianbehlendorf


Re: Healthcare-wg Digest, Vol 1, Issue 7

Jennifer Hinkel <jennifer@...>
 


* Who are you?
Hello, and great to meet all of you! I'm Jennifer Hinkel, founding Partner at McGivney Global Advisors, a consultancy focusing primarily on oncology and specialty drug market access. Previously, I've worked in both biotech/pharma and in health policy in the US, Europe, and Latin America. I'm a health economist by training, with sub-specialties in modeling financial impact of policy, modeling impacts of pharmaceutical price changes and contracting. I am also an advisor to a venture-backed AI and robotics health care startup, a previous co-founder of a health care IoT startup, and have some current clients in the mhealth/digital health space. I studied International Affairs and Biomedical Engineering at Georgia Tech, have a MSc from the London School of Economics in International Health Policy, and am planning to start a PhD next year in Evidence Based Medicine. 

* What specific use cases do you think we should be talking about or looking at first?
I am really encouraged by some of the comments already that discussed use cases outside of pure clinical data/EHR. I'm particularly interested in two use cases related to pharmaceutical/biotech business and operations: (1) supply/value chain, tracking the sales channel and relevant discounts, rebates, etc. to feed data into Government Price Reporting in real time or near-real time, eliminating some of the economic distortions taking place due to lags in reporting and eliminating the potential for fraudulent rebate seeking, and (2) smart contracts for complex, outcomes-based or risk-sharing contracts between pharmaceutical companies and payers, or pharma/payer/organized provider or delivery network. 


On Sun, Oct 16, 2016 at 5:00 AM, <healthcare-wg-request@...> wrote:
Send Healthcare-wg mailing list submissions to
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To subscribe or unsubscribe via the World Wide Web, visit
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You can reach the person managing the list at
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When replying, please edit your Subject line so it is more specific
than "Re: Contents of Healthcare-wg digest..."


Today's Topics:

   1. Welcome and Introductions (Karri Niemel?)


----------------------------------------------------------------------

Message: 1
Date: Sun, 16 Oct 2016 09:44:49 +0300
From: Karri Niemel? <karri.niemela@...>
To: healthcare-wg@lists.hyperledger.org
Subject: [Healthcare-wg] Welcome and Introductions
Message-ID: <D1CBA74F-768B-48A2-BFBE-2D64624F296B@...>
Content-Type: text/plain; charset=utf-8

Hello world!

* Who are you?
My name is Karri Niemel?, Co-Founder and CTO of Bean Solutions and RadFox, based in Finland. On a daily basis I mainly work with topics like machine learning/decission support systems and analytics (especially when it comes to clinical imaging). I?ve been watching this blockchain healthcare domain for sometime now and joined this forum to see how blockchain could be utilized in healthcare.

* What specific use cases do you think we should be talking about or looking at first?
Health data exchange.

Thanks,
Karri niemel?

------------------------------

_______________________________________________
Healthcare-wg mailing list
Healthcare-wg@lists.hyperledger.org
https://lists.hyperledger.org/mailman/listinfo/healthcare-wg


End of Healthcare-wg Digest, Vol 1, Issue 7
*******************************************



--

Jennifer M. Hinkel, MSc

Partner, McGivney Global Advisors

+1 650-534-4075


Re: Healthcare-wg Digest, Vol 1, Issue 7

Ji Chung
 

Who are you?

I’m Ji Chung, VP of Healthcare Strategy at DST Systems. The company provides specialized technology, strategic advisory, and business operations outsourcing to the financial and healthcare industries. Argus Health Systems and DST Health Solutions are subsidiaries of DST Systems. I’m the non-techie of the group – my background is healthcare investments from the asset management side (Zurich and Deutsche Bank) and corporate strategy form the payer (BCBS of KC) and vendor (DST) sides. Having become familiar with the blockchain work on the financial services side at DST, I began poking around internally to see how to leverage internal resources and thinking in the space to the healthcare side of the business.

 

What specific use cases should we be looking at first?

 

I spend a good chunk of my time looking at outcomes data related to claims plus other sources, so I’m also curious to see how payment models evolve and the role of blockchain technology in the space.

 

 

Thanks,

 

Ji

 

 

 

On Sun, Oct 16, 2016 at 5:00 AM, <healthcare-wg-request@...> wrote:

Send Healthcare-wg mailing list submissions to
        healthcare-wg@...

To subscribe or unsubscribe via the World Wide Web, visit
        https://lists.hyperledger.org/mailman/listinfo/healthcare-wg
or, via email, send a message with subject or body 'help' to
        healthcare-wg-request@...

You can reach the person managing the list at
        healthcare-wg-owner@...

When replying, please edit your Subject line so it is more specific
than "Re: Contents of Healthcare-wg digest..."


Today's Topics:

   1. Welcome and Introductions (Karri Niemel?)


----------------------------------------------------------------------

Message: 1
Date: Sun, 16 Oct 2016 09:44:49 +0300
From: Karri Niemel? <karri.niemela@...>
To: healthcare-wg@...
Subject: [Healthcare-wg] Welcome and Introductions
Message-ID: <D1CBA74F-768B-48A2-BFBE-2D64624F296B@...>
Content-Type: text/plain; charset=utf-8

Hello world!

* Who are you?
My name is Karri Niemel?, Co-Founder and CTO of Bean Solutions and RadFox, based in Finland. On a daily basis I mainly work with topics like machine learning/decission support systems and analytics (especially when it comes to clinical imaging). I?ve been watching this blockchain healthcare domain for sometime now and joined this forum to see how blockchain could be utilized in healthcare.

* What specific use cases do you think we should be talking about or looking at first?
Health data exchange.

Thanks,
Karri niemel?

------------------------------

_______________________________________________
Healthcare-wg mailing list
Healthcare-wg@...
https://lists.hyperledger.org/mailman/listinfo/healthcare-wg


End of Healthcare-wg Digest, Vol 1, Issue 7
*******************************************



 

--

 

Jennifer M. Hinkel, MSc

Partner, McGivney Global Advisors

+1 650-534-4075


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Welcomes and Introductions

Michael Dufel <michael.dufel@...>
 

Apologies for taking so long to chime in.

I'm Michael Dufel, founder and CTO of PeerHealth.io. I have a B.S. in Computer Engineering from the University of California, San Diego, and have spent the last 10 years in Identity and Access Management, data privacy, and security. Early on, the focus was in Attribute Based Access Control solutions for military customers, but in the last 6 years I have had an increasing focus on the healthcare domain, and issues and solutions surrounding fine grained electronic representations for patient consent for electronic health records and electronic automated enforcement. I have interacted with the ONC, the Veterans Administration, HL7 (Security and Privacy committee), and I am well versed in business and technical problems associated with electronic health information sharing. Like Brian, I have worked on software surrounding NHIN Connect/Direct, as well as the newer FHIR standards, albeit from the viewpoint authentication, authorization, and privacy. I also have a personal interest in distributed systems that goes back to my days in college. As such, this represents a rare intersection between my personal interests in distributed systems and my professional experience. 

At Peer Health, we are looking at creating a health information exchange that is sustainable and serves the needs of all the participants in the healthcare ecosystem. We are looking at approaches, and some of them involve the use of a blockchain in some form or another. For us, if a blockchain is going to be feasible, it must scale while having minimal overhead for block verification. 

To be candid, I am new to this game and I am investigating intellectual property issues surrounding participation in a working group such as this. Currently, I am considering whether this is the right group for us vs directly contributing to hyperledger as a member contributing code to one of the projects. 

Cheers,

Mike Dufel
Peer Health




Re: Welcome and Introductions

Andrew J Beal <Andrew.Beal@...>
 

Hi everyone, 
 
My name is Andrew Beal. I am a strategy consultant for Ernst & Young and dedicated full time to our firm’s blockchain technology initiatives. In addition to working closely with our financial services teams, I spend a significant amount of time with our healthcare practice, developing EY’s point of view on and strategy for blockchain technology in health and life sciences. I was a corporate attorney in a past life and represented a number of early virtual currency companies (e.g. exchanges, wallets, payment processors).
 
Hindsight from financial services tells us that the lowest barriers to blockchain entry exist with low risk, internal use cases. They are generally less complicated and do not require agreement from several, often competing, organizations. For this reason, we are particularly interested in Provider Data Management. The majority of this information is required to be public, published in directories and made available to members. It is also something that the entire industry struggles with. 
 
Our latest whitepaper discusses this particular use case in more detail:
http://www.ey.com/Publication/vwLUAssets/ey-blockchain-in-health/$FILE/ey-blockchain-in-health.pdf
 
If anyone has any thoughts or comments on this, I am very interested in discussing. 
 
@Tony Little – can you share the EMR whitepaper with this group? In light of all the interest around this particular use case, would love to see how you are thinking about this. 
 
Looking forward to continuing the discussion with everyone!
 
 
 
---------------------------------------------------------------------------------
Hello!  Thanks for joining us on this email list and for being a part of 
the Hyperledger Health Care Working Group.  There are about 25 of us 
here now, which is cozy and perfect for getting started, while always 
keeping the door open for new participants.
 
I'm looking forward to a lively sharing of ideas and discussion about 
the role blockchains can play in advancing health information exchange 
and solving real problems in the health care industry.  Our top-level 
mission here is to identify specific opportunities for open source 
software development projects we could host here at Hyperledger, 
projects which could help the industry move even more quickly on use 
cases with high potential. Those efforts could be built upon existing 
Hyperledger code bases, but are not limited to that; what's important is 
being able to get started quickly, and have something tangible that can 
progress from proof of concept to pilot to eventual production, if all 
the right criteria are met.  But to get started we need to talk openly 
and frankly about what can be done, and what each of us can commit to 
contributing towards it.  As the conversation gets going we can talk 
about a conference call or even face to face meeting some time soon.
 
Some of you have been thinking about blockchains in health care for 
awhile; some of you might even have active pilots underway, which would 
be great to hear more about.
 
So to get to know each other better, I'd love to kick this off with an 
ask of each of you: please hit "reply-all" to this email and reply to 
these questions:
 
* Who are you? (in what ever terms you feel are most relevant to the 
conversation)
 
* What specific use cases do you think we should be talking about or 
looking at first?
 

 



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Re: Welcome and Introductions

James.Sabogal@...
 

Hi Andrew and All,

Thank you for your email and link to the blockchain pdf.

In response to your questions:

 

Who are you? (in what ever terms you feel are most relevant to the 
conversation)
My name is Jim Sabogal, and my job is the North America Healthcare vertical lead. Our company is Deutche Telekom a telco company comprised of two divisions. One you would be familiar with and that is T-Mobile, and the other division looks after Enterprise Cloud services – T-Systems.
 
Our services support both Life Sciences (Pharma and Medical Devices) through to Hospitals (Providers and Insurance companies (Payers). I personally have been in the business for 15 years as a manufacturer through to software provider. Feel free to reach out to me on LinkedIn (https://www.linkedin.com/in/jimsabogal) or Twitter (@jimsabogal). I have been listening to the market regarding Blockchain for Healthcare and our company is in a great position to test business processes using Blockchain, which is why we joined the Healthcare working group.
 
* What specific use cases do you think we should be talking about or 
looking at first?
 

I am currently providing a hosted solution for product Serialization that impacts both Pharmaceuticals and Medical Devices using SAP’s track and trace solution. We also host hospital systems and manage some of the world’s largest Patient Health Records. At the recent Distributed Health event in Nashville I saw the Veripharm demo that did touch on some of the aspects of product traceability, yet the problem is more complex than presented at the conference. Additionally in listening to the FDA they have yet to discover how blockchain would benefit product information integrated into the Patient Health Record.

(I am including a summary of the Veripharm solution from the conference.) I am open to suggestions and feedback from others. In the meantime I am working on a possible proof-of-concept (POC) that could be brought to a hospital and a Life Sciences manufacturer.

 

Kind regards,

Jim Sabogal

Senior Director - Healthcare
▪T▪Systems North America, Inc.
+1 215.500.5738 (Mobile)
Email: james.sabogal@...
http://www.t-systemsus.com

Customer delight and simplicity drive our action

 

From: healthcare-wg-bounces@... [mailto:healthcare-wg-bounces@...] On Behalf Of Andrew J Beal
Sent: Monday, October 24, 2016 2:43 PM
To: healthcare-wg@...
Subject: Re: [Healthcare-wg] Welcome and Introductions

 

Hi everyone, 
 
My name is Andrew Beal. I am a strategy consultant for Ernst & Young and dedicated full time to our firm’s blockchain technology initiatives. In addition to working closely with our financial services teams, I spend a significant amount of time with our healthcare practice, developing EY’s point of view on and strategy for blockchain technology in health and life sciences. I was a corporate attorney in a past life and represented a number of early virtual currency companies (e.g. exchanges, wallets, payment processors).
 
Hindsight from financial services tells us that the lowest barriers to blockchain entry exist with low risk, internal use cases. They are generally less complicated and do not require agreement from several, often competing, organizations. For this reason, we are particularly interested in Provider Data Management. The majority of this information is required to be public, published in directories and made available to members. It is also something that the entire industry struggles with. 
 
Our latest whitepaper discusses this particular use case in more detail:
http://www.ey.com/Publication/vwLUAssets/ey-blockchain-in-health/$FILE/ey-blockchain-in-health.pdf
 
If anyone has any thoughts or comments on this, I am very interested in discussing. 
 
@Tony Little – can you share the EMR whitepaper with this group? In light of all the interest around this particular use case, would love to see how you are thinking about this. 
 
Looking forward to continuing the discussion with everyone!
 
 
 
---------------------------------------------------------------------------------
Hello!  Thanks for joining us on this email list and for being a part of 
the Hyperledger Health Care Working Group.  There are about 25 of us 
here now, which is cozy and perfect for getting started, while always 
keeping the door open for new participants.
 
I'm looking forward to a lively sharing of ideas and discussion about 
the role blockchains can play in advancing health information exchange 
and solving real problems in the health care industry.  Our top-level 
mission here is to identify specific opportunities for open source 
software development projects we could host here at Hyperledger, 
projects which could help the industry move even more quickly on use 
cases with high potential. Those efforts could be built upon existing 
Hyperledger code bases, but are not limited to that; what's important is 
being able to get started quickly, and have something tangible that can 
progress from proof of concept to pilot to eventual production, if all 
the right criteria are met.  But to get started we need to talk openly 
and frankly about what can be done, and what each of us can commit to 
contributing towards it.  As the conversation gets going we can talk 
about a conference call or even face to face meeting some time soon.
 
Some of you have been thinking about blockchains in health care for 
awhile; some of you might even have active pilots underway, which would 
be great to hear more about.
 
So to get to know each other better, I'd love to kick this off with an 
ask of each of you: please hit "reply-all" to this email and reply to 
these questions:
 
* Who are you? (in what ever terms you feel are most relevant to the 
conversation)
 
* What specific use cases do you think we should be talking about or 
looking at first?
 

 



Any tax advice in this e-mail should be considered in the context of the tax services we are providing to you. Preliminary tax advice should not be relied upon and may be insufficient for penalty protection.
________________________________________________________________________
The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer.

Notice required by law: This e-mail may constitute an advertisement or solicitation under U.S. law, if its primary purpose is to advertise or promote a commercial product or service. You may choose not to receive advertising and promotional messages from Ernst & Young LLP (except for EY Client Portal and the ey.com website, which track e-mail preferences through a separate process) at this e-mail address by forwarding this message to no-more-mail@.... If you do so, the sender of this message will be notified promptly. Our principal postal address is 5 Times Square, New York, NY 10036. Thank you. Ernst & Young LLP


Re: Welcome and Introductions

Andrew J Beal <Andrew.Beal@...>
 

Jim, would love to hear more about the life sciences poc if you’re comfortable sharing, or more generally, what features of blockchain you are trying to leverage here.

 

From: James.Sabogal@... [mailto:James.Sabogal@...]
Sent: Tuesday, October 25, 2016 12:27 PM
To: Andrew J Beal; healthcare-wg@...
Subject: RE: Welcome and Introductions

 

Hi Andrew and All,

Thank you for your email and link to the blockchain pdf.

In response to your questions:

 

Who are you? (in what ever terms you feel are most relevant to the 
conversation)
My name is Jim Sabogal, and my job is the North America Healthcare vertical lead. Our company is Deutche Telekom a telco company comprised of two divisions. One you would be familiar with and that is T-Mobile, and the other division looks after Enterprise Cloud services – T-Systems.
 
Our services support both Life Sciences (Pharma and Medical Devices) through to Hospitals (Providers and Insurance companies (Payers). I personally have been in the business for 15 years as a manufacturer through to software provider. Feel free to reach out to me on LinkedIn (https://www.linkedin.com/in/jimsabogal) or Twitter (@jimsabogal). I have been listening to the market regarding Blockchain for Healthcare and our company is in a great position to test business processes using Blockchain, which is why we joined the Healthcare working group.
 
* What specific use cases do you think we should be talking about or 
looking at first?
 

I am currently providing a hosted solution for product Serialization that impacts both Pharmaceuticals and Medical Devices using SAP’s track and trace solution. We also host hospital systems and manage some of the world’s largest Patient Health Records. At the recent Distributed Health event in Nashville I saw the Veripharm demo that did touch on some of the aspects of product traceability, yet the problem is more complex than presented at the conference. Additionally in listening to the FDA they have yet to discover how blockchain would benefit product information integrated into the Patient Health Record.

(I am including a summary of the Veripharm solution from the conference.) I am open to suggestions and feedback from others. In the meantime I am working on a possible proof-of-concept (POC) that could be brought to a hospital and a Life Sciences manufacturer.

 

Kind regards,

Jim Sabogal

Senior Director - Healthcare
▪T▪Systems North America, Inc.
+1 215.500.5738 (Mobile)
Email: james.sabogal@...
http://www.t-systemsus.com

Customer delight and simplicity drive our action

 

From: healthcare-wg-bounces@... [mailto:healthcare-wg-bounces@...] On Behalf Of Andrew J Beal
Sent: Monday, October 24, 2016 2:43 PM
To: healthcare-wg@...
Subject: Re: [Healthcare-wg] Welcome and Introductions

 

Hi everyone, 
 
My name is Andrew Beal. I am a strategy consultant for Ernst & Young and dedicated full time to our firm’s blockchain technology initiatives. In addition to working closely with our financial services teams, I spend a significant amount of time with our healthcare practice, developing EY’s point of view on and strategy for blockchain technology in health and life sciences. I was a corporate attorney in a past life and represented a number of early virtual currency companies (e.g. exchanges, wallets, payment processors).
 
Hindsight from financial services tells us that the lowest barriers to blockchain entry exist with low risk, internal use cases. They are generally less complicated and do not require agreement from several, often competing, organizations. For this reason, we are particularly interested in Provider Data Management. The majority of this information is required to be public, published in directories and made available to members. It is also something that the entire industry struggles with. 
 
Our latest whitepaper discusses this particular use case in more detail:
http://www.ey.com/Publication/vwLUAssets/ey-blockchain-in-health/$FILE/ey-blockchain-in-health.pdf
 
If anyone has any thoughts or comments on this, I am very interested in discussing. 
 
@Tony Little – can you share the EMR whitepaper with this group? In light of all the interest around this particular use case, would love to see how you are thinking about this. 
 
Looking forward to continuing the discussion with everyone!
 
 
 
---------------------------------------------------------------------------------
Hello!  Thanks for joining us on this email list and for being a part of 
the Hyperledger Health Care Working Group.  There are about 25 of us 
here now, which is cozy and perfect for getting started, while always 
keeping the door open for new participants.
 
I'm looking forward to a lively sharing of ideas and discussion about 
the role blockchains can play in advancing health information exchange 
and solving real problems in the health care industry.  Our top-level 
mission here is to identify specific opportunities for open source 
software development projects we could host here at Hyperledger, 
projects which could help the industry move even more quickly on use 
cases with high potential. Those efforts could be built upon existing 
Hyperledger code bases, but are not limited to that; what's important is 
being able to get started quickly, and have something tangible that can 
progress from proof of concept to pilot to eventual production, if all 
the right criteria are met.  But to get started we need to talk openly 
and frankly about what can be done, and what each of us can commit to 
contributing towards it.  As the conversation gets going we can talk 
about a conference call or even face to face meeting some time soon.
 
Some of you have been thinking about blockchains in health care for 
awhile; some of you might even have active pilots underway, which would 
be great to hear more about.
 
So to get to know each other better, I'd love to kick this off with an 
ask of each of you: please hit "reply-all" to this email and reply to 
these questions:
 
* Who are you? (in what ever terms you feel are most relevant to the 
conversation)
 
* What specific use cases do you think we should be talking about or 
looking at first?
 

 



Any tax advice in this e-mail should be considered in the context of the tax services we are providing to you. Preliminary tax advice should not be relied upon and may be insufficient for penalty protection.
________________________________________________________________________
The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer.

Notice required by law: This e-mail may constitute an advertisement or solicitation under U.S. law, if its primary purpose is to advertise or promote a commercial product or service. You may choose not to receive advertising and promotional messages from Ernst & Young LLP (except for EY Client Portal and the ey.com website, which track e-mail preferences through a separate process) at this e-mail address by forwarding this message to no-more-mail@.... If you do so, the sender of this message will be notified promptly. Our principal postal address is 5 Times Square, New York, NY 10036. Thank you. Ernst & Young LLP



Any tax advice in this e-mail should be considered in the context of the tax services we are providing to you. Preliminary tax advice should not be relied upon and may be insufficient for penalty protection.
________________________________________________________________________
The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer.

Notice required by law: This e-mail may constitute an advertisement or solicitation under U.S. law, if its primary purpose is to advertise or promote a commercial product or service. You may choose not to receive advertising and promotional messages from Ernst & Young LLP (except for EY Client Portal and the ey.com website, which track e-mail preferences through a separate process) at this e-mail address by forwarding this message to no-more-mail@.... If you do so, the sender of this message will be notified promptly. Our principal postal address is 5 Times Square, New York, NY 10036. Thank you. Ernst & Young LLP


Re: Healthcare-wg Digest, Vol 1, Issue 13

Srini
 

Hey Everyone,
I’m Srinivas Anumanchi, heading Provider & Health Systems Business in Tech Mahindra, a large Indian SI.

We provide full stack services ranging from EHR implementation, optimization to mHealth. One of the challenges we see often with our clients is to manage the cost of technology down while driving innovation (especially true in IDNs and Health Systems such as Food Safety, Pharma Control etc.)

We see blockchain being a big disruptive force in EMRs and Track & Trace/Serialization (Jim touched on this in his mail). In addition, we want to figure out how we can deploy this on next gen care platforms such as RPM (Remote Patient Monitoring), true care coordination and payer systems.

We are dipping our toes into this and I hope to contribute in a meaningful way.

Best
Srini
+91 9704404301

On 31/10/16, 10:22 PM, "healthcare-wg-bounces@... on behalf of healthcare-wg-request@..." <healthcare-wg-bounces@... on behalf of healthcare-wg-request@...> wrote:

Send Healthcare-wg mailing list submissions to
healthcare-wg@...

To subscribe or unsubscribe via the World Wide Web, visit
https://lists.hyperledger.org/mailman/listinfo/healthcare-wg
or, via email, send a message with subject or body 'help' to
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You can reach the person managing the list at
healthcare-wg-owner@...

When replying, please edit your Subject line so it is more specific
than "Re: Contents of Healthcare-wg digest..."


Today's Topics:

1. Re: Welcome and Introductions (Andrew J Beal)


----------------------------------------------------------------------

Message: 1
Date: Mon, 31 Oct 2016 16:52:07 +0000
From: Andrew J Beal <Andrew.Beal@...>
To: "James.Sabogal@..." <James.Sabogal@...>,
"healthcare-wg@..."
<healthcare-wg@...>
Subject: Re: [Healthcare-wg] Welcome and Introductions
Message-ID:
<6da079b46d3643dd9d16a751d368dd32@...>
Content-Type: text/plain; charset="utf-8"

Jim, would love to hear more about the life sciences poc if you?re comfortable sharing, or more generally, what features of blockchain you are trying to leverage here.

From: James.Sabogal@... [mailto:James.Sabogal@...]
Sent: Tuesday, October 25, 2016 12:27 PM
To: Andrew J Beal; healthcare-wg@...
Subject: RE: Welcome and Introductions

Hi Andrew and All,
Thank you for your email and link to the blockchain pdf.
In response to your questions:


Who are you? (in what ever terms you feel are most relevant to the

conversation)

My name is Jim Sabogal, and my job is the North America Healthcare vertical lead. Our company is Deutche Telekom a telco company comprised of two divisions. One you would be familiar with and that is T-Mobile, and the other division looks after Enterprise Cloud services ? T-Systems.



Our services support both Life Sciences (Pharma and Medical Devices) through to Hospitals (Providers and Insurance companies (Payers). I personally have been in the business for 15 years as a manufacturer through to software provider. Feel free to reach out to me on LinkedIn (https://www.linkedin.com/in/jimsabogal) or Twitter (@jimsabogal). I have been listening to the market regarding Blockchain for Healthcare and our company is in a great position to test business processes using Blockchain, which is why we joined the Healthcare working group.



* What specific use cases do you think we should be talking about or

looking at first?


I am currently providing a hosted solution for product Serialization that impacts both Pharmaceuticals and Medical Devices using SAP?s track and trace solution. We also host hospital systems and manage some of the world?s largest Patient Health Records. At the recent Distributed Health event in Nashville I saw the Veripharm demo that did touch on some of the aspects of product traceability, yet the problem is more complex than presented at the conference. Additionally in listening to the FDA they have yet to discover how blockchain would benefit product information integrated into the Patient Health Record.
(I am including a summary of the Veripharm solution from the conference.) I am open to suggestions and feedback from others. In the meantime I am working on a possible proof-of-concept (POC) that could be brought to a hospital and a Life Sciences manufacturer.

Kind regards,
Jim Sabogal
Senior Director - Healthcare
?T?Systems North America, Inc.
+1 215.500.5738 (Mobile)
Email: james.sabogal@...<mailto:Rich.Laurendi@...>
http://www.t-systemsus.com<http://www.t-systemsus.com/>
Customer delight and simplicity drive our action

From: healthcare-wg-bounces@...<mailto:healthcare-wg-bounces@...> [mailto:healthcare-wg-bounces@...] On Behalf Of Andrew J Beal
Sent: Monday, October 24, 2016 2:43 PM
To: healthcare-wg@...<mailto:healthcare-wg@...>
Subject: Re: [Healthcare-wg] Welcome and Introductions


Hi everyone,



My name is Andrew Beal. I am a strategy consultant for Ernst & Young and dedicated full time to our firm?s blockchain technology initiatives. In addition to working closely with our financial services teams, I spend a significant amount of time with our healthcare practice, developing EY?s point of view on and strategy for blockchain technology in health and life sciences. I was a corporate attorney in a past life and represented a number of early virtual currency companies (e.g. exchanges, wallets, payment processors).



Hindsight from financial services tells us that the lowest barriers to blockchain entry exist with low risk, internal use cases. They are generally less complicated and do not require agreement from several, often competing, organizations. For this reason, we are particularly interested in Provider Data Management. The majority of this information is required to be public, published in directories and made available to members. It is also something that the entire industry struggles with.



Our latest whitepaper discusses this particular use case in more detail:

http://www.ey.com/Publication/vwLUAssets/ey-blockchain-in-health/$FILE/ey-blockchain-in-health.pdf



If anyone has any thoughts or comments on this, I am very interested in discussing.



@Tony Little ? can you share the EMR whitepaper with this group? In light of all the interest around this particular use case, would love to see how you are thinking about this.



Looking forward to continuing the discussion with everyone!







---------------------------------------------------------------------------------

Hello! Thanks for joining us on this email list and for being a part of

the Hyperledger Health Care Working Group. There are about 25 of us

here now, which is cozy and perfect for getting started, while always

keeping the door open for new participants.



I'm looking forward to a lively sharing of ideas and discussion about

the role blockchains can play in advancing health information exchange

and solving real problems in the health care industry. Our top-level

mission here is to identify specific opportunities for open source

software development projects we could host here at Hyperledger,

projects which could help the industry move even more quickly on use

cases with high potential. Those efforts could be built upon existing

Hyperledger code bases, but are not limited to that; what's important is

being able to get started quickly, and have something tangible that can

progress from proof of concept to pilot to eventual production, if all

the right criteria are met. But to get started we need to talk openly

and frankly about what can be done, and what each of us can commit to

contributing towards it. As the conversation gets going we can talk

about a conference call or even face to face meeting some time soon.



Some of you have been thinking about blockchains in health care for

awhile; some of you might even have active pilots underway, which would

be great to hear more about.



So to get to know each other better, I'd love to kick this off with an

ask of each of you: please hit "reply-all" to this email and reply to

these questions:



* Who are you? (in what ever terms you feel are most relevant to the

conversation)



* What specific use cases do you think we should be talking about or

looking at first?





Any tax advice in this e-mail should be considered in the context of the tax services we are providing to you. Preliminary tax advice should not be relied upon and may be insufficient for penalty protection.
________________________________________________________________________
The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer.

Notice required by law: This e-mail may constitute an advertisement or solicitation under U.S. law, if its primary purpose is to advertise or promote a commercial product or service. You may choose not to receive advertising and promotional messages from Ernst & Young LLP (except for EY Client Portal and the ey.com website, which track e-mail preferences through a separate process) at this e-mail address by forwarding this message to no-more-mail@...<mailto:no-more-mail@...>. If you do so, the sender of this message will be notified promptly. Our principal postal address is 5 Times Square, New York, NY 10036. Thank you. Ernst & Young LLP


Any tax advice in this e-mail should be considered in the context of the tax services we are providing to you. Preliminary tax advice should not be relied upon and may be insufficient for penalty protection.
________________________________________________________________________
The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer.

Notice required by law: This e-mail may constitute an advertisement or solicitation under U.S. law, if its primary purpose is to advertise or promote a commercial product or service. You may choose not to receive advertising and promotional messages from Ernst & Young LLP (except for EY Client Portal and the ey.com website, which track e-mail preferences through a separate process) at this e-mail address by forwarding this message to no-more-mail@.... If you do so, the sender of this message will be notified promptly. Our principal postal address is 5 Times Square, New York, NY 10036. Thank you. Ernst & Young LLP
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