Need Help Developing Donor Milk Supply Chain Product for Healthcare #emr-subgroup #donormilk #supplychain #healthcare


anton@...
 

Hello 

we currently track donor milk at the last mile (inside NICU) when it needs to be dispensed to babies, the donor milk is received from donors at local milk banks and sent to companies and milks banks where it is tested and then distributed to larger milk banks or companies that distribute it to hospitals. we are looking to build a blockchain based platform that can provide full traceability for breast milk, from the source right through to the baby receiving the feed. Our current app and platform is already in production use at a large NICU in Southern California and we have partnerships with the company providing the donor milk and track their entire suite of products. We are looking for technical help to create a POC on hyperledger Fabric, we hope that the POC can then lead to funding for the platform and then to monetization. 

Please email me at anton@... for more information. 

Anton


Marissa Iannarone
 

Hello Anton,

Thank you for reaching out! Sounds like a really interesting initiative. A couple of options for you to get engaged with the Hyperledger community and get your POC off the ground:

1. I facilitate the patient-member-subgroup of the healthcare working group and we're working to get another POC off the ground right now. I'd be happy to share our experience so far and bring your POC under our umbrella if that is of interest. Our next meeting is Friday 7/20 at 9am PST, dial in info can be found here: Hyperledger Community Calendar. Tomorrow's meeting will be focused on our other POC, but it might give you an idea on approach.

 2. If you want to try an connect directly with the HL Fabric Community, try Rocket.Chat and the #Fabric Channel: https://wiki.hyperledger.org/community/chat_channels

3. The calendar above also has meetings for the larger Healthcare Working Group and the other subgroups, so take a look to see if there are other calls you want to engage on

Hope this helps and let me know if you have specific questions. Others might have additional ideas.

Best,
Marissa


Marissa Iannarone
Associate with Forum Solutions LLC
phone number: +01 (360) 525 4961
email: mari.iannarone@...


On Wed, Jul 18, 2018 at 11:30 AM, <anton@...> wrote:
Hello 

we currently track donor milk at the last mile (inside NICU) when it needs to be dispensed to babies, the donor milk is received from donors at local milk banks and sent to companies and milks banks where it is tested and then distributed to larger milk banks or companies that distribute it to hospitals. we are looking to build a blockchain based platform that can provide full traceability for breast milk, from the source right through to the baby receiving the feed. Our current app and platform is already in production use at a large NICU in Southern California and we have partnerships with the company providing the donor milk and track their entire suite of products. We are looking for technical help to create a POC on hyperledger Fabric, we hope that the POC can then lead to funding for the platform and then to monetization. 

Please email me at anton@... for more information. 

Anton



jeff stollman
 

Anton,

I am replying on the listserve so that others can chime in.

I am curious about your donor-milk-tracking project.  I don't know much about that market, but I know a lot about supply chains and blockchain.  I am trying to understand why you would need a blockchain solution.

Blockchain can certainly track the various donations from donor to infant.  But you can do this with a database a lot more easily and cheaply.  The primary reason that people are developing blockchain solutions is to avert counterfeiting or dilution of product quality.  In such cases, the immutability of the blockchain is the value add for the solution.  

Perhaps it is just my naivete, but I am having trouble imagining that there is a market incentive for counterfeiting or dilution in the donor milk supply chain.   Is this the problem for which you are seeking a blockchain solution?  Or do you believe that there are other reasons to use blockchain?

Jeff


Sena Palanisami
 

Hello All,

Actually, we are in the process of implementing Blockchain for an Open Source EHR product. We know nothing about the
market opportunity but based on our experience with security, privacy and auditing issues (including HIPAA Regulations)
with healthcare domain, Blockchain is perfect solution for healthcare domain.
-Sena


On Thu, Jul 19, 2018 at 4:18 PM jeff stollman <stollman.j@...> wrote:
Anton,

I am replying on the listserve so that others can chime in.

I am curious about your donor-milk-tracking project.  I don't know much about that market, but I know a lot about supply chains and blockchain.  I am trying to understand why you would need a blockchain solution.

Blockchain can certainly track the various donations from donor to infant.  But you can do this with a database a lot more easily and cheaply.  The primary reason that people are developing blockchain solutions is to avert counterfeiting or dilution of product quality.  In such cases, the immutability of the blockchain is the value add for the solution.  

Perhaps it is just my naivete, but I am having trouble imagining that there is a market incentive for counterfeiting or dilution in the donor milk supply chain.   Is this the problem for which you are seeking a blockchain solution?  Or do you believe that there are other reasons to use blockchain?

Jeff


Charles F
 

Hi Jeff,
I see the tracking as immutable audit trail. Every signatory in food supply chain is captured and can be traced in the case of an outbreak. Values can be forged in a database. For example,  product timestamps, expiration origin which is more expensive to investigate and resolve accurately.
--Charles

On Thu, Jul 19, 2018, 5:48 AM jeff stollman <stollman.j@...> wrote:
Anton,

I am replying on the listserve so that others can chime in.

I am curious about your donor-milk-tracking project.  I don't know much about that market, but I know a lot about supply chains and blockchain.  I am trying to understand why you would need a blockchain solution.

Blockchain can certainly track the various donations from donor to infant.  But you can do this with a database a lot more easily and cheaply.  The primary reason that people are developing blockchain solutions is to avert counterfeiting or dilution of product quality.  In such cases, the immutability of the blockchain is the value add for the solution.  

Perhaps it is just my naivete, but I am having trouble imagining that there is a market incentive for counterfeiting or dilution in the donor milk supply chain.   Is this the problem for which you are seeking a blockchain solution?  Or do you believe that there are other reasons to use blockchain?

Jeff


Steven Elliott <selliott@...>
 

Hi Anton,

To Charles' point the use case is similar to supply chain.  To Jeff's point you could probably use a traditional No/SQL database.  Hyperledger is a database so nothing wrong using it - lets see what features of Hyperledger you could leverage.

If the child is in the NICU then the mother is probably pumping at the hospital and submitting the milk there.  When she does the hospital uses her certificate to sign the milk in recording the volume, weight and possibly physical factors (e.g. color) in the ledger.  The hospital refrigerates the milk and this is also recorded in the block chain along with the temperature.  When it comes time to feed the child its identity which was associated to the mother by a smart contract at birth is used to find the milk.  This is all recorded in the ledger along with the time and temperature the milk was removed for refrigeration and the warming process and finally the time of feeding.  Also recorded in the ledger is amount of milk consumed and time to consume.

Beyond the basic use case you could create a dApp that the mother could use from her Web3 browser on her phone to see how much the baby consumed at its last feeding and the trend of both consumption and the baby's weight (the NICU would have this information as well).  You could provide metrics (growth) to help the mother understand where along the path of growth the baby was.

I know there is a lot more to all of this (what if she had twins or...) but I can totally see this as a straightforward, hyperledger use-case.  This doesn't only have to be a NICU use-case either - normal births could use a version of this as well and you could put in reminders (aka alerts) to the mother to pump triggered by chain code...etc.

I'm a software engineer and would love to work on this. My company has given me some discretion over my time to work on blockchain projects so let me know if you want my help!

Kind regards,

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

Steven Elliott
Services Engineering Director 

Cognitive Medical Systems, Inc.
9444 Waples Street, Suite 300
San Diego, CA 92121

Office:    858-509-4949 x 117
Mobile:   520.344.0208 

Email:    selliott@...m




On Thu, Jul 19, 2018 at 6:26 AM, Charles F <cgforkwa@...> wrote:
Hi Jeff,
I see the tracking as immutable audit trail. Every signatory in food supply chain is captured and can be traced in the case of an outbreak. Values can be forged in a database. For example,  product timestamps, expiration origin which is more expensive to investigate and resolve accurately.
--Charles

On Thu, Jul 19, 2018, 5:48 AM jeff stollman <stollman.j@...> wrote:
Anton,

I am replying on the listserve so that others can chime in.

I am curious about your donor-milk-tracking project.  I don't know much about that market, but I know a lot about supply chains and blockchain.  I am trying to understand why you would need a blockchain solution.

Blockchain can certainly track the various donations from donor to infant.  But you can do this with a database a lot more easily and cheaply.  The primary reason that people are developing blockchain solutions is to avert counterfeiting or dilution of product quality.  In such cases, the immutability of the blockchain is the value add for the solution.  

Perhaps it is just my naivete, but I am having trouble imagining that there is a market incentive for counterfeiting or dilution in the donor milk supply chain.   Is this the problem for which you are seeking a blockchain solution?  Or do you believe that there are other reasons to use blockchain?

Jeff



anton@...
 

Hi Jeff, Everyone 

Thanks for your reply, so one of the reasons we would like to track it via blockchain would be to give more transparency as to the origins of the milk, the location of supply and be able to track demand better, there is national shortage of donor milk and the prices are being driven higher. 
to quote from this article https://www.usnews.com/news/best-states/idaho/articles/2018-02-24/breast-milk-shortage-affects-lifes-most-vulnerable-babies 

"The biggest demand for breast milk is coming from neonatal intensive care units. The American Academy of Pediatrics recommends babies born with a birth weight lower than 1,500 grams (3.3 pounds) are fed breast milk. When the mother's own breast milk can't be used, due to medications, traumatic delivery or other health issues, pasteurized donor milk can be supplied. But getting this donor milk can be costly, and it isn't always covered by insurance companies. Donor milk from nonprofit milk banks, such as the Mothers' Milk Bank located in Colorado, costs $4 an ounce. At for-profit milk banks, breast milk can cost up to $16 per ounce.A premature baby can use anywhere from 1 ounce of milk a day to 2 to 3 ounces a milk per feeding, depending on their age and health. That can cost families thousands of dollars. The short supply of breast milk drives up the price, making its value akin to liquid gold. Fortunately, breast milk can be frozen and stored, but there are times when hospitals borrow milk from one another to meet demand"


I think what we would like to do is to help get more awareness of the availability of milk across a global network (such as the blockchain) so that we can share where quantities of the product are and be able to distribute the milk accordingly. In other parts of the world there could be a huge demand for it and there could be oversupply in some parts. This is our vision and we would like to keep the prices low so that it is more available to families and hospitals. 

So overwhelmed about the responses from everyone thank you so much for reaching out to help us! 

regards, 

Anton