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Pioneering New Business Models in Value Based Care 开拓基于价值的医疗保健新业务模式
Pub Date : 2024-04-20 DOI: 10.30953/bhty.v7.318
Ahmed Abdulla
  This session will explore the real-world impact value-based procurement and subsequent contracting, and health technology pricing in the context of value-based care. We will delve into innovative business models that are reshaping the healthcare landscape, promoting cost-effectiveness, and enhancing patient outcomes. Attendees will gain valuable insights into the evolving strategies driving value-based care and its implications for healthcare providers, payers, and patients. Learning Objectives Understand the concept of value-based care and its significance in the current healthcare environment Explore the real-world impact of value-based pricing on healthcare delivery and patient outcomes Examine the role of value-based procurement/contracting in driving cost-effective healthcare solutions Gain insights into health technology pricing models and their impact on value-based care initiatives Identify innovative business models that support value-based care and improve patient outcomes
本次会议将探讨基于价值的采购和后续合同以及医疗技术定价对基于价值的医疗服务的实际影响。我们将深入探讨重塑医疗保健格局、提高成本效益和改善患者疗效的创新商业模式。与会者将深入了解推动价值医疗不断发展的战略及其对医疗服务提供者、支付者和患者的影响。学习目标 了解价值医疗的概念及其在当前医疗环境中的意义 探讨价值定价对医疗服务和患者疗效的现实影响 探讨价值采购/合同在推动具有成本效益的医疗解决方案中的作用 深入了解医疗技术定价模式及其对价值医疗计划的影响 识别支持价值医疗和改善患者疗效的创新商业模式
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引用次数: 0
PharmaLedger Association – Platform Launch Lessons Learned and Outlook PharmaLedger 协会 - 平台启动经验与展望
Pub Date : 2024-04-20 DOI: 10.30953/bhty.v7.313
Natalia Sofia, Daniel Fritz, Disa Lee Choun, Moderator: Anca Petre
The panel explores the application of blockchain technology within the healthcare sector, focusing on its potential to enhance trust, transparency, and connectivity while reinforcing patient-centered control of data access. The discussion examines the opportunities for patient empowerment and improved patient access to healthcare information through decentralized ledger technology. The panel features industry experts providing insights into current trends, challenges, and future prospects of blockchain in pharmaceuticals, emphasizing broader use cases beyond specific organizations.  Objectives Gain a comprehensive understanding of the role of blockchain technology in the pharmaceutical industry and its potential impact on patient care and relationships with the healthcare system. Explore the opportunities presented by blockchain for improving trust, transparency, and audibility in data sharing within the healthcare and medical environment. Understand the significance of patient-centered control in accessing, storing, and utilizing healthcare data and how blockchain can contribute to enhancing patient empowerment. Discuss the challenges and considerations associated with implementing blockchain in the pharmaceutical sector and explore strategies to overcome them while ensuring compliance with regulatory frameworks.
小组探讨了区块链技术在医疗保健领域的应用,重点关注其在增强信任、透明度和连通性方面的潜力,同时加强以患者为中心的数据访问控制。讨论探讨了通过去中心化分类账技术增强患者能力和改善患者获取医疗信息的机会。业内专家将就区块链在制药领域的当前趋势、挑战和未来前景发表见解,并强调特定组织以外的更广泛的使用案例。 目标 全面了解区块链技术在制药行业中的作用及其对患者护理和医疗系统关系的潜在影响。探索区块链为提高医疗保健和医疗环境中数据共享的信任度、透明度和可审计性带来的机遇。了解在访问、存储和使用医疗保健数据时以患者为中心进行控制的重要性,以及区块链如何有助于增强患者的能力。讨论在制药行业实施区块链的相关挑战和注意事项,探索克服这些挑战的策略,同时确保符合监管框架。
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引用次数: 0
Data Economy in Healthcare on Blockchain Technology 基于区块链技术的医疗保健数据经济
Pub Date : 2024-04-20 DOI: 10.30953/bhty.v7.316
Kevin Yavuz
  The importance of data and digitization in healthcare cannot be overstated. These advancements have the potential to revolutionize the way healthcare is delivered, leading to improved patient outcomes, enhanced efficiency, and better decision-making by healthcare providers. Blockchain technology can play a significant role in addressing the main challenges like data accessibility, privacy, interoperability and patient empowerment, ultimately transforming the healthcare ecosystem into a data-driven economy
数据和数字化在医疗保健领域的重要性怎么强调都不为过。这些进步有可能彻底改变医疗服务的提供方式,从而改善患者的治疗效果,提高效率,并使医疗服务提供者做出更好的决策。区块链技术可在解决数据可获取性、隐私、互操作性和患者赋权等主要挑战方面发挥重要作用,最终将医疗生态系统转变为数据驱动型经济。
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引用次数: 0
Developing a Secure Internet-based Network of Trusted Data 开发基于互联网的安全可信数据网络
Pub Date : 2024-04-20 DOI: 10.30953/bhty.v7.317
Thomas Hardjono, PhD, Florence Hudson, BSE
Our world has not caught up with technology, and as a result has become more dangerous and nefarious with clandestine actors. Learn what reputable organizations, businesses and academic pioneers are doing to preserve digital identity, data provenance, universal access, and secure privacy-preserving transactions, to harness socially responsible global data sharing.
我们的世界没有跟上技术发展的步伐,因此变得更加危险和邪恶。了解声誉卓著的组织、企业和学术先驱们正在采取哪些措施来保护数字身份、数据来源、普遍访问和安全隐私保护交易,以利用对社会负责的全球数据共享。
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引用次数: 0
Scalability Performance Analysis of Blockchain Using Hierarchical Model in Healthcare 利用分层模型分析区块链在医疗领域的可扩展性能
Pub Date : 2024-04-18 DOI: 10.30953/bhty.v7.295
Lipsa Sadath, MSc, MCA, Deepti Mehrotra, Anand Kumar
Blockchain technology has emerged as a pivotal point to enhance privacy and security in enterprise applications and cyber world. However, scalability is an issue researcher are grappling with, in large enterprises, especially in organizations bearing multiple levels of hierarchy and access privilege. Therefore, the existing models and consensus algorithms suffer one way or another. The medical or healthcare sector suffers this problem the most due to the huge amount of data and probably the central point of failure of the traditional database management system. This paper addresses the situation through a hierarchical model in Hyperledger fabric enterprise application through a healthcare sector use case. Multiple organizations are added to each hierarchy considering them as different organization levels (Hospitals, Hospital Governance, and Insurance company). Currently the first implementation has two levels of hierarchy to show networks of hospitals joining an Insurance Company. Our primary experiment revolves around this model to test and enhance the performance of the network. Performance of the model is assessed by varying and scaling environmental parameters such as the number of organizations, transaction numbers, channels, block intervals and block sizes. The benchmarking tool used is Hyperledger caliper to test various indicators such as success and failure rates along with throughput and latency. The current work only tests the scalability of the model with patient data.
区块链技术已成为增强企业应用和网络世界隐私与安全的关键点。然而,可扩展性是研究人员正在努力解决的一个问题,在大型企业中,尤其是在具有多级等级制度和访问权限的组织中。因此,现有的模型和共识算法都存在这样或那样的问题。由于数据量巨大,医疗或保健领域受这一问题的影响最大,这可能也是传统数据库管理系统的核心故障点。本文通过医疗保健领域的用例,在超级账本结构企业应用中采用分层模型来解决这一问题。每个层次结构中都添加了多个组织,将其视为不同的组织级别(医院、医院管理部门和保险公司)。目前,第一个实施方案有两级层次结构,以显示加入保险公司的医院网络。我们的主要实验围绕这一模型展开,以测试和提高网络的性能。通过改变和调整环境参数,如组织数量、交易数量、通道、区块间隔和区块大小,来评估模型的性能。使用的基准测试工具是 Hyperledger caliper,用于测试成功率和失败率以及吞吐量和延迟等各种指标。目前的工作只测试了模型与患者数据的可扩展性。
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引用次数: 0
Blockchain Applications in the Pharmaceutical Industry 区块链在制药行业的应用
Pub Date : 2024-04-18 DOI: 10.30953/bhty.v7.298
PhD Mark Gaynor, PhD Kathleen Gillespie, Allison Roe, PhD Erica Crannage, MD J.E. Tuttle-Newhall
Background: In recent years, blockchain technology has made great strides in diverse industries but has fallen behind within the pharmaceutical industry. The pharmaceutical industry is complex and would benefit greatly from the distributed database and emphasis of information privacy promoted by blockchain technology. This paper identifies the potential best application for blockchain technology in the United States pharmaceutical industry by identifying current trends, companies exploring the possibilities of blockchain technology, and industry concerns with opportunities for improvement. Methods: We utilized a 4D framework using ease of implementation, novelty, necessity, and fit of the overall industry to examine the adoption of blockchain technology in the pharmaceutical industry. Based on the 2D framework of difficulty and novelty as driving factors for the development of foundational technologies in the world of business by Iansiti and Lakhani in The Harvard Business Review, each application was ranked and scored for the best potential implementation. The potential applications proposed in this paper can be grouped into two main categories. The first category, management, includes best use cases such as health records, clinical trials, and inventory systems. The second category, monitoring, highlights cases such as pharmaceutical products, preventing counterfeits, optimizing supply chains, and addressing prescription misuse and abuse.Results: Each application was ranked by the four metrics in the framework, giving the greatest weight to necessity and ease of implementation. Using the highlighted methodology above, the applications for best implementation include Prescription Drug Misuse and Abuse Prevention, Prevention of Counterfeits, Clinical Trial Outcomes, and Smart Contracts. Conclusion: Blockchain technology offers a new and promising solution to pharmaceutical industry needs. Each application of blockchain technology must fit within the framework of necessary, ease of implementation, familiarity amongst stakeholders, and fit of the overall industry to promote the most appropriate use.  By using the extended framework proposed by Iansiti and Lakhani we show that blockchain, in all these domains, shows promise to improve pharmaceutical industry performance. 
背景:近年来,区块链技术在各行各业都取得了长足进步,但在制药行业却落在后面。制药行业十分复杂,区块链技术所倡导的分布式数据库和对信息隐私的重视将使其受益匪浅。本文通过识别当前趋势、探索区块链技术可能性的公司以及有改进机会的行业关注点,确定区块链技术在美国制药业的潜在最佳应用。方法:我们采用了4D框架,即实施难易度、新颖性、必要性和与整个行业的契合度,来考察区块链技术在制药行业的应用情况。根据 Iansiti 和 Lakhani 在《哈佛商业评论》中提出的 2D 框架,即难度和新颖性是商业世界基础技术发展的驱动因素,我们对每个应用进行了排序和评分,以确定最佳潜在实施方案。本文提出的潜在应用可分为两大类。第一类是管理,包括健康记录、临床试验和库存系统等最佳用例。第二类是监控类,重点关注医药产品、防伪、优化供应链、解决处方误用和滥用等案例:根据框架中的四项指标对每项应用进行了排序,其中必要性和实施难易程度的权重最大。采用上述突出强调的方法,最佳实施应用包括防止处方药滥用和误用、防止假药、临床试验结果和智能合约。结论区块链技术为满足制药行业的需求提供了一种全新且前景广阔的解决方案。区块链技术的每项应用都必须符合必要、易于实施、利益相关者之间熟悉以及适合整个行业的框架,以促进最合适的使用。 通过使用 Iansiti 和 Lakhani 提出的扩展框架,我们表明区块链在所有这些领域都有望改善制药行业的绩效。
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引用次数: 0
Highlights from Advancing the Business of Health with Blockchain and Frontier Tech at ConV2X Symposium 2023. 2023 年 ConV2X 研讨会上利用区块链和前沿技术推进健康业务的亮点。
Pub Date : 2024-01-31 eCollection Date: 2024-01-01 DOI: 10.30953/bhty.v7.288
Tory Cenaj

Many people in the healthcare industry mistake the turbulent cryptocurrency market for a technology that offers significant benefits to healthcare administration, including improved interoperability, revenue recapture, and enhanced security and patient safety. Recently, these subjects were explored during the ConVerge2Xcelerate (ConV2X) 2023 Symposium held at Loyola University in New Orleans, Louisiana, USA. Who benefits most from this discussion - service providers, those seeking to transform outdated business models, or both? The mention of blockchain technology often discourages conversation, causing those who have sound success solutions to approach the topic from alternate perspectives. In the Blockchain in Healthcare Platform Approaches Special Issue, Volume 7, Issue 1, 2024, we share valuable insights based on specific use cases to provide healthcare executives with a nuanced understanding. Several open-access recordings are available, providing a glimpse into the wealth of knowledge and insights shared to advance the business of health with blockchain technology. Recognizing the need for a paradigm shift, we explore topical subjects and cases with various thought leaders in the field.

医疗保健行业的许多人都误认为动荡的加密货币市场是一种能为医疗保健管理带来重大效益的技术,包括改善互操作性、回收收入以及增强安全性和患者安全。最近,在美国路易斯安那州新奥尔良市洛约拉大学举行的 ConVerge2Xcelerate(ConV2X)2023 研讨会上,与会者对这些主题进行了探讨。谁能从这场讨论中获益最多?是服务提供商,还是那些寻求转变过时商业模式的企业,抑或是两者?一提到区块链技术,人们往往会望而却步,导致那些拥有完善的成功解决方案的人从另一个角度来探讨这个话题。在《区块链在医疗保健平台中的应用》特刊(第 7 卷第 1 期,2024 年)中,我们将分享基于具体使用案例的宝贵见解,为医疗保健行业高管提供细致入微的理解。本期特刊还提供了多份开放访问的录音,让读者可以一窥我们分享的丰富知识和见解,从而利用区块链技术推动医疗保健业务的发展。认识到模式转变的必要性,我们与该领域的各种思想领袖探讨了热门话题和案例。
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引用次数: 0
Moving Beyond POCs and Pilots to Mainstream: Discovery and Lessons from Blockchain in Healthcare 从 POC 和试点走向主流:区块链在医疗保健领域的发现与经验
Pub Date : 2023-12-29 DOI: 10.30953/bhty.v6.280
Sathya Krishnasamy, MS
Blockchain technologies has been in the forefront of innovation and is maturing at a fast pace with fintech leading the way. Though the innovation in the permission less space is high, the enterprise adoption has still not caught up. The reasons include a variety of reasons including  inadequate understanding of the technology, full awareness even in enterprises, unclear regulations, and lack of exploration and evangelism to really understand the reimagination of shared enterprise business processes. Most enterprise blockchain efforts are run from a small exploratory group in large companies and has NOT moved beyond pilots or limited production tryouts in to mainstream adoption at scale. This is because there is not much knowledge about what is possible for reimagining current business processes which are mostly unilateral.   This is more obvious in healthcare. A horizontal transformation enabler like the blockchain technologycan effect collaborative business processes in a networked world.This paper explores the root causes for the challengesand suggests a methodology for discovery of the key inflection points for potential collaborative business processes and  the re-engineering that would be needed. Blockchain in enterprise are not an isolated piece of technology, and has to interact with the enterprise assets, and there has to be mechanisms for aggregating the data that is meaningful to the counter parties for shared collaboration. Equally important is solid and a stair-stepping change management plan for the blockchain efforts to meet operations mainstream and gradually move the operations to the end state. Possibilities and results of the collaborative processes have to be shown in meticulous economic rigor for any possibilities of blockchain efforts getting the enterprise portfolio dollars against many enterprise systems that are already overloading budgets. The paper will cite the journey in a reference  implementation with results, findings at the technical, functional, operational and change management levels for healthcare administration executives and portfolio managers.
区块链技术一直走在创新的前沿,并在金融科技的引领下快速成熟。虽然区块链技术的创新程度很高,但企业的采用仍未跟上。原因是多方面的,包括对技术的理解不足、甚至在企业中也没有充分的认识、法规不明确、缺乏探索和宣传以真正理解共享企业业务流程的重新构想。大多数企业的区块链工作都是从大公司的一个小型探索小组开始的,还没有超越试点或有限的生产尝试,进入大规模采用的主流阶段。这是因为人们对重新想象当前业务流程的可能性了解不多,而当前的业务流程大多是单方面的。 这一点在医疗保健领域更为明显。本文探讨了面临挑战的根本原因,并提出了发现潜在协作业务流程关键拐点和所需重新设计的方法。区块链在企业中的应用不是一项孤立的技术,必须与企业资产互动,而且必须有机制来聚合对各方共享协作有意义的数据。同样重要的是,要为区块链工作制定稳固且阶梯式的变革管理计划,以满足运营主流,并逐步将运营推向最终状态。协作过程的可能性和结果必须以一丝不苟的经济严谨性来展示,以便区块链努力获得企业投资组合美元的任何可能性,而许多企业系统的预算已经超载。本文将从技术、功能、运营和变革管理等层面,为医疗保健管理部门的高管和投资组合经理们列举参考实施的历程、结果和发现。
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引用次数: 0
S3EF-HBCAs: Secure and Sustainable Software Engineering Framework for Healthcare Blockchain Applications S3EF-HBCAs:医疗保健区块链应用的安全和可持续软件工程框架
Pub Date : 2023-12-22 DOI: 10.30953/bhty.v6.286
Muthu Ramachandran, PhD
Blockchain applications in healthcare have grown rapidly and it includes record keeping, clinical trials, medical supply chains, patient monitoring, etc. where Blockchain characteristics are needed to improve safety, privacy, and security. Blockchain Technology is one of the biggest disruptive technologies today. However, Porru, et. al (2017) have reported it lacks processes, tools, and techniques. Therefore, this paper provides a systematic framework for a secure and sustainable software engineering framework for healthcare blockchain applications. Secure and Sustainable Software Engineering Framework for Healthcare Blockchain Applications (S3EF-HBCA) significant contribution includes requirements engineering for healthcare, business process modelling for healthcare, domain modelling for healthcare, a reference architecture for healthcare, and validation by case study on Electronic Healthcare Record Management System (EHR), and simulation with Business Process Modelling Notation (BPMN) tools. The simulation shows it has taken 10.45 minutes to process 100 instances of real-time data and service requests. The overall result shows encouragement in terms of process, tools, standards, and testing.
区块链在医疗保健领域的应用发展迅速,它包括记录保存、临床试验、医疗供应链、患者监控等,这些领域都需要区块链的特性来提高安全性、隐私性和保障性。区块链技术是当今最大的颠覆性技术之一。然而,Porru 等人(2017 年)报告称,它缺乏流程、工具和技术。因此,本文为医疗保健区块链应用的安全和可持续软件工程框架提供了一个系统框架。医疗保健区块链应用的安全与可持续软件工程框架(S3EF-HBCA)的重要贡献包括医疗保健需求工程、医疗保健业务流程建模、医疗保健领域建模、医疗保健参考架构,并通过电子医疗保健记录管理系统(EHR)案例研究和业务流程建模符号(BPMN)工具模拟进行验证。模拟结果显示,处理 100 例实时数据和服务请求需要 10.45 分钟。总体结果显示,在流程、工具、标准和测试方面都取得了令人鼓舞的成绩。
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引用次数: 0
Privacy-Conflict Resolution for Integrating Personal- and Electronic Health Records in Blockchain-Based Systems 在区块链系统中整合个人和电子健康记录的隐私冲突解决方案
Pub Date : 2023-12-15 DOI: 10.30953/bhty.v6.276
Aleksandr Kormiltsyn, V. Dwivedi, Chibuzor Udokwu, Alex Norta
Despite the great potential for healthcare professionals, individuals, and researchers, integrating healthcare information from personal health records (PHR) and electronic health records (EHR) systems is complicated because of structural- and semantic heterogeneity and -privacy. Healthcare data is an emotional issue because of fear of privacy violations. Blockchain technology enables a patient's data privacy, transparency, and immutability in cross-organizational processes where a patient regulates access to his data and is aware of its usage. At the same time, blockchain technology creates new challenges for e-healthcare systems, such as data privacy, observability, and online enforceability. In this paper, we propose a design and formalization of a secure blockchain-based, and patient-centric system with a definition of PHR requirements, an ontology for privacy-conflict resolution- and management mechanisms that takes into account the emotional aspects related to sharing sensitive healthcare records. Throughout this paper, we illustrate our ideas with a running case about preventive- and personalized healthcare.
尽管个人健康记录(PHR)和电子健康记录(EHR)系统中的医疗保健信息对医疗保健专业人员、个人和研究人员来说具有巨大的潜力,但由于结构和语义的异质性以及隐私问题,将这些信息整合在一起非常复杂。由于担心隐私受到侵犯,医疗保健数据是一个情感问题。区块链技术可在跨组织流程中实现患者数据的隐私性、透明性和不变性,患者可控制对其数据的访问并了解其使用情况。同时,区块链技术也为电子医疗系统带来了新的挑战,如数据隐私、可观察性和在线可执行性。在本文中,我们提出了一个基于区块链、以患者为中心的安全系统的设计和形式化方案,其中包括个人健康记录需求定义、隐私冲突解决本体论以及管理机制,并考虑到了与共享敏感医疗记录相关的情感因素。在本文中,我们将通过一个关于预防性和个性化医疗保健的运行案例来说明我们的想法。
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引用次数: 0
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Blockchain in healthcare today
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