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Blockchain in Healthcare – Mind the Gap(s)Results from the HIMSS Analytics eHealth TRENDBAROMETER
JÖRG STUDZINSKI
Director of Research and Advisory Services, HIMSS Analytics | HIMSS Europe
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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
Analytics Maturity Adoption Model
Continuity of Care Maturity Model
Digital Imaging Adoption Model
EMR Adoption Model Improved
Patient Care
and Health IT
Insights
Infrastructure Adoption Model
Maturity Models Thought Leadership & Insights
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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
WHAT IS THE HIMSS ANALYTICS EHEALTH TRENDBAROMETER?
5 minSurvey Assessing trends and challenges in the European eHealth sector Supporting discussions within the European eHealth community
300
500
eHealth professionals from across Europe, representing : Health facilities (e.g. CIOs, CEOs, physicians, nurses) Software and consulting companies Health authorities Other eHealth related areas (e.g. research, journalism)
3 – 4 Topics per year
1 – 2Months of data collection Online survey Invite via email and public link
Free access to reports/results www.himss.eu/healthcare-providers/ehealth-trends
to
Published in April 2019
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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
Annual eHealth
Survey
eHealth Trends in
Europe
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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
EXCURSION: EHEALTH TRENDS
What do you see as the biggest eHealth TRENDS within the next 2 – 3 years?Multiple choice with a maximum of 3 responses; n = 567 (number of cases)
15%
10%
9%
9%
9%
9%
8%
8%
7%
7%
6%
2%
Patient self-monitoring
Population Health Management
Use of mobile devices by clinical staff
Provision of telemedicine services
Data analytics
Artificial intelligence
Personalised medicine
EMR implementation and adoption
HIE with external providers
Patient Health Records
Disruption of traditional healthcareprovision by new players
Blockchain
Results from the “HIMSS Europe Annual Health Survey”, carried
out in 2018, supported by HYLAND.
HP C
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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
BLOCKCHAIN TECHNOLOGY IN HEALTHCARE
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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
SAMPLE DISTRIBUTION – SURVEY PARTICIPANTS
Geographic distribution Respondents by organisation
n=361
Countries or regions with more than 30 respondents are shown individually.Nordic Countries = Denmark, Finland, Iceland, Norway, Sweden* “Others” include: Portugal, Poland, Greece, Russia, Malta, Bulgaria, Croatia, Cyprus, Georgia, Romania, Slovakia, Turkey and Ukraine.
OrgType
Health facility
Software VendorConsulting Company
Governmental health authority (13%)
OtherOther
Germany
Netherlands
Nordic Countries
SpainSwitzerland
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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
How familiar are
you with blockchain
technology?
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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
HOW FAMILIAR ARE YOU WITH BLOCKCHAIN TECHNOLOGY?
29%(Rather) not familiar
50%Somewhat familiar
21%(Rather) familiar
n = 358 (all respondents)
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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
HOW FAMILIAR ARE YOU WITH BLOCKCHAIN TECHNOLOGY?
Healthcare facilityn=150
Software vendorn=48
Consulting companyn=44
Governmentalhealth authority
n=46
1&2 - (Rather) not familiar 3 - Somewhat familiar 4&5 - (Rather) familiar
3.1
3.0
3.0
2.8
2.5
1
2
3
4
5
By type of organization By country
n=44
n=56
n=38
n=39
n=59
29%
9%
8%
24%
48%
50%
50%
69%
50%
44%
21%
41%
23%
27%
8%
29% 50% 21%
Totaln=359
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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
LESSON 1
• Most eHealth professionals are somewhat familiar with blockchain, but deeper knowledge is limited.
• The knowledge gap is largest among professionals working in healthcare facilities.
• Especially in Germany.
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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
Does your organisation use/provide
products or services with regard to
blockchain technology?
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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
USE AND PROVISION OF BLOCKCHAIN TECHNOLOGY OR SERVICES
Consulting companyn = 43
Software vendor n = 95
Healthcare facilityn = 146
We use blockchain tools We provide blockchain products We provide blockchain related services
14%No, but plans
3%Yes
55%No
27%Don’t know
25%No, but plans
6%Yes
18%No
51%Don’t know
33%No, but plans
23%Yes
40%No
5%Don’t know
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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
USE AND PROVISION OF BLOCKCHAIN TECHNOLOGY OR SERVICES
Consulting companyn = 43
Software vendor n = 95
Healthcare facilityn = 146
We use blockchain tools We provide blockchain products We provide blockchain related services
If plans, what is your current interest in blockchain?
If plans, what is your current interest in blockchain?
If plans, what is your current interest in blockchain?
62%
33%
0%
0%
5%
63%
21%
13%
0%
4%
57%
36%
0%
7%
0%
Still learning
Proof of concept
RFP
Don‘t know
Pilot testing
Still learning
Proof of concept
RFP
Don‘t know
Pilot testing
Still learning
Proof of concept
RFP
Don‘t know
Pilot testing
14%No, but plans
25%No, but plans
33%No, but plans
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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
LESSON 2
• Blockchain technology tools and products are rarely used and provided in European healthcare at the moment.
• A significant share of professionals is unaware about ongoing blockchain activities.
• Consultants appear to be the most active group of blockchain “users” so far.
• Most stakeholders are still in their learning phase.
16
© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
What do you see as
the top use cases
for blockchain in
healthcare?
17
© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
TOP USE CASES FOR BLOCKCHAIN IN HEALTHCARE
What do you see as the top use cases for blockchain in healthcare?Multiple choice with a maximum of 3 responses; n = 804 (number of responses)
15%
13%
12%
12%
11%
11%
9%
6%
3%
7%
Protect patient data/medical records
Secure data exchange by using cryptographic functions
Provide new access points for healthcare data
Accelerate/improve data transfer between stakeholders
Increase security among traditional systems by connecting them
Enable data exchange for new actors in healthcare
Push standardisation by using shared data
Reduce data transactions costs
Other
Don’t know
Software vendorHealthcare facility Consulting Company Health authorityn = 109 n = 91n = 318 n = 112
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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
TOP USE CASES FOR BLOCKCHAIN IN HEALTHCARE
What do you see as the top use cases for blockchain in healthcare?Multiple choice with a maximum of 3 responses; n = 804 (number of responses)
15%
13%
12%
12%
11%
11%
9%
6%
3%
7%
Other
Don’t know
Software vendorHealthcare facility Consulting Company Health authorityn = 109 n = 91n = 318 n = 112
Protect patient data/medical records
Secure data exchange by using cryptographic functions
Provide new access points for healthcare data
Accelerate/improve data transfer between stakeholders
Increase security among traditional systems by connecting them
Enable data exchange for new actors in healthcare
Push standardisation by using shared data
Reduce data transactions costs
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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
TOP USE CASES FOR BLOCKCHAIN IN HEALTHCARE
What do you see as the top use cases for blockchain in healthcare?Multiple choice with a maximum of 3 responses; n = 804 (number of responses)
15%
13%
12%
12%
11%
11%
9%
6%
3%
7%
Other
Don’t know
Software vendorHealthcare facility Consulting Company Health authority
ES
ES
DECH
SWHA
SW
SW
n = 109 n = 91n = 318 n = 112
Protect patient data/medical records
Secure data exchange by using cryptographic functions
Provide new access points for healthcare data
Accelerate/improve data transfer between stakeholders
Increase security among traditional systems by connecting them
Enable data exchange for new actors in healthcare
Push standardisation by using shared data
Reduce data transactions costs
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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
LESSON 3• Blockchain can be used in many fields, for many purposes.
• Across all countries, blockchain is expected to improve data protection, enable secure data exchanges, and accelerate the collaboration of different stakeholders.
• Expectations about blockchain benefits differ significantly by stakeholder segment.
• Blockchain is unlikely to reduce data transaction costs.
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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
Which are the
biggest challenges
for blockchain in
healthcare?
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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
KEY CHALLENGES FOR BLOCKCHAIN IN HEALTHCARE
Which are the biggest challenges for blockchain in healthcare?Multiple choice with a maximum of 3 responses; n = 893 (number of responses)
Software vendorHealthcare facility Consulting Company Health authorityn = 121 n = 108n = 350 n = 129
20%
17%
17%
10%
7%
6%
5%
4%
4%
3%
4%
4%
Lack of in-house skills & insufficient user knowledge
Insufficient product maturity & unproven technology
Regulatory and GDPR-related issues
Interoperability with other soft-/hardware
Uncertain Return-on-Investment
Lack of trust from medical staff
Potential security threats
Lack of trust from patients
Implementation of new soft-/hardware
High costs
Other
Don’t know
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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
KEY CHALLENGES FOR BLOCKCHAIN IN HEALTHCARE
Which are the biggest challenges for blockchain in healthcare?Multiple choice with a maximum of 3 responses; n = 893 (number of responses)
Software vendorHealthcare facility Consulting Company Health authorityn = 121 n = 108n = 350 n = 129
20%
17%
17%
10%
7%
6%
5%
4%
4%
3%
4%
4%
Lack of in-house skills & insufficient user knowledge
Insufficient product maturity & unproven technology
Regulatory and GDPR-related issues
Interoperability with other soft-/hardware
Uncertain Return-on-Investment
Lack of trust from medical staff
Potential security threats
Lack of trust from patients
Implementation of new soft-/hardware
High costs
Other
Don’t know
24
© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
KEY CHALLENGES FOR BLOCKCHAIN IN HEALTHCARE
Which are the biggest challenges for blockchain in healthcare?Multiple choice with a maximum of 3 responses; n = 893 (number of responses)
Software vendorHealthcare facility Consulting Company Health authorityn = 121 n = 108n = 350 n = 129
20%
17%
17%
10%
7%
6%
5%
4%
4%
3%
4%
4%
Lack of in-house skills & insufficient user knowledge
Insufficient product maturity & unproven technology
Regulatory and GDPR-related issues
Interoperability with other soft-/hardware
Uncertain Return-on-Investment
Lack of trust from medical staff
Potential security threats
Lack of trust from patients
Implementation of new soft-/hardware
High costs
Other
Don’t know
CH
ES
DE
CH NC
NL
NL
NL
DE
HA
HA
HA
HA
C
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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
LESSON 4• Further spread of blockchain is restricted by
lack of in-house skills and knowledge immaturity of available products healthcare-specific interoperability and regulatory challenges (e.g. GDPR)
• Country variation is rather moderate, but… Dutch eHealth professionals are more concerned about ROI than their peers from
other countries
26
© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
Which vendors for
blockchain technology
in the healthcare
ecosystem do you
know?
“MINDSHARE”
27
© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
MINDSHARE
Which vendors for blockchain technology in the healthcare ecosystem do you know?All vendors mentioned more than once displayed
n = 322
76%Don’t know any vendor
28
© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
LESSON 5
• Most eHealth professionals are not aware of any blockchain vendor.
• Vendors have a rare opportunity to “mark this territory”.
• Brand awareness drives consumer decisions.
29
© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
When do you expect a
breakthrough for
blockchain tools in the
healthcare space?
(When will they become powerful, useful and
widespread in your country)
30
© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
NetherlandsSpain
Health facilitySoftware vendor
Consulting company GermanyNordic Countries
Switzerland
Governmental health authorityOther organisations
BREAKTHROUGH FOR BLOCKCHAIN TECHNOLOGY
When do you expect a breakthrough for blockchain tools in the healthcare space, i.e. when will they become powerful, useful and widespread in your country?
Total: n = 238; Germany: n = 30; Netherlands: n = 27; Nordic Countries: n = 33; Spain: n = 35; Switzerland: n = 28; Other countries: n = 85; Consulting company: n = 35; Governmental health authority: n = 27; Health facility: n = 87; Software vendor: n = 39; Other organisation: n = 50Values for countries/regions weighted according to the distribution of “type of organisation” in the sample
Expected year of blockchain technology
breakthrough
2023Germany
Nordic CountriesSwitzerland
Health authoritiesOther organisations
NetherlandsSpain
Health facilitySoftware vendor
Consulting company
31
© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
LESSON 6• Blockchain supported tools and processes won’t be around (much) immediately. But they will
be in a few years.
• It’s time to get prepared.
32
© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
• Knowledge and skills
• Value and use cases
• Guidelines & Policies
• Brand awareness
• Timing
33
© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019
UPCOMING EHEALTH TRENDBAROMETER TOPICS
Annual European eHealth Survey
Telemedicine
Cloud Computing
Healthcare Analytics
Value of Health IT
If you are not part of our our panel yet, please register here: https://www.himss.eu/healthcare-providers/ehealth-trends
Or send an email to: [email protected] (Subject: Subscribe me to the eHealth Trendbarometer)
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Thank you!
JÖRG STUDZINSKI
Director of Research and Advisory Services, HIMSS Analytics | HIMSS Europe