Blockchain in Healthcare Today (Mar 2018)
Pragmatic, Interdisciplinary Perspectives on Blockchain and Distributed Ledger Technology: Paving the Future for Healthcare
- Ron Ribitzky,
- James St. Clair,
- David I Houlding,
- Chrissa T McFarlane,
- Brian Ahier,
- Michael Gould,
- Heather L Flannery,
- Erik Pupo,
- Kevin A Clauson
Affiliations
- Ron Ribitzky
- R&D Ribitzky, Newton, Massachusetts, USA
- James St. Clair
- Institute for Healthcare Financial Technology, Biloxi Mississippi, USA
- David I Houlding
- Intel Health & Life Sciences, Santa Clara, California, USA
- Chrissa T McFarlane
- Patientory, Atlanta, Georgia, USA
- Brian Ahier
- Aetna, Washington, DC, USA
- Michael Gould
- Independence Blue Cross, Philadelphia, Pennsylvania, USA
- Heather L Flannery
- Obesity PPM, Washington, DC, USA
- Erik Pupo
- Accenture Health Client Service Group, Miami, Florida, USA
- Kevin A Clauson
- Lipscomb University College of Pharmacy & Health Sciences, Nashville, Tennessee, USA
Abstract
Background: Blockchain and distributed ledger technology is a disruptive force in healthcare. Methods: This article provides a globally relevant, interdisciplinary perspective intended to aid disparate group of actors, participants, and users that represent the diverse stakeholders of an increasingly complex and technologically reliant healthcare system. Domain expertise reinforced by literature published via industry, technical, and academic venues was used to inform these perspectives. Results: Key characteristics of blockchain and distributed ledger technology are highlighted and framed for a readership ranging from healthcare executive to policy makers to researchers. Antecedent application of blockchain in the financial sector is explored followed by the technical, security, and interoperability considerations specific to healthcare. Conclusion: Blockchain remains an emerging technology both fraught with unanticipated challenges and the promise of unrealized potential in healthcare. Keywords: Blockchain, Healthcare, Innovation, Adoption, Global, Interoperability
Keywords
- blockchain
- healthcare
- innovation
- information technology
- medical informatics
- global
- disruption
- interdisciplinary
- pragmatic
- distributed ledger technology
- dlt
- cryptocurrency
- security
- information security
- cybersecurity
- gdpr
- hipaa
- patient
- emr
- ehr
- electronic medical record
- electronic health record
- consumer
- emerging
- emerging technology
- adoption
- roadmap
- use case
- user experience
- ux
- interoperability
- semantic
- semantic services
- semantic services framework
- life sciences
- precision medicine
- trust
- permissioned
- permissionless
- utility token
- cryptocurrency exchange
- security assessment
- risk mitigation
- consensus
- algorythm
- proof of work
- qunatum computing
- distributed storage
- smart contracts
- api
- on chain
- off chain
- data minimization
- tokenized security
- regulatory
- healthcare provider
- healthcare insurance
- payor
- ecosystem
- fhir
- hl7
- fintech
- bitcoin
- pii
- phi
- privacy
- right to be forgotten
- immutable
- immutability
- integrity
- decentralized
- disintermediate
- zero knowledge proof
- architecture
- security risk assessment
- intel
- dapps
- iot
- himss
- epedigree
- identity management
- provenance
- supply chain
- medical device
- return on adoption
- roi
- value
- business model