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Supply chain and beyond: Blockchain in healthcare
Topics
- Why healthcare
- Learnings from implementations in Pharmaceutical supply chain
- Addressing the challenges of value-based healthcare
- Patient data sharing and regulatory considerations
- Challenges
Problems facing healthcare
Aging Populations Rise in chronic disease Rising cost of provision
Inefficiency & wastage
Incentives?
Pharmaceutical supply chain
- Counterfeit medicine – 1 million deaths per year (WHO)
- $200 billion lost revenue annually
- Regulatory burden
- Fragmented communications
Track & trace
Visibility
Administrative burden
Consumer confidence
Logistical information
Utilising blockchain for supply chain
Chronological view & immutable
transaction history/inventory control
Confidentiality via encryption eg. ZK-
proof
Intelligent processing
Patient interaction and elimination of
counterfeit medicines
Shared throughout supply chain
X
X
X
X
X
X Data silos and legacy systems Overcome interoperability concerns
Implementation challenges
- Packaging
- Adoption across whole supply chain
- Human economics/politics
- A to B not A to Z
- Cost
- Commercial uncertainty - Bullwhip effect
75%of payments for healthcare to be
value-based by 2020
(Deloitte)
Healthcare is moving to value based approach
Payer Manufacturer/ provider
Therapy Metrics
Cigna & Aetna Merck & Co. Januvia & Janumet Diabetes
Blood Glucose levels
Express Scripts AbbVie Viekira Pak (Hep. C)
Adherence
Cigna & Aetna Novartis Entresto Hospitalisation
Harvard Pilgrim & Cigna
Amgen Repatha (Cholesterol)
Cholesterol levels
Outcomes + experiences that matter to patients
Cost to achieve outcomes
= Value
Trust & Transparency of data
Privacy & Security
Administrative burden
Patient tracking &
fragmented data
Time delays & tied up funds
Utilising blockchain
Data integrity, immutability and
auditability
Private permissioned blockchain
Automation via ‘smart contracts’
Digital identities & bespoke integration
Real-time reimbursement and
settlement mechanisms
X
X
X
X
X
X Many platforms and systems One platform for all stakeholders
Transfer of data in healthcare
- One version of the truth: payment audit prior authorizationclinical trialsAE reporting
- Patient data ownership – monetisation
- Identity management
- GDPR
General challenges
- Stakeholders are apprehensive
- Supporting nodes
- Computational efficiency vs value gained
- On-line – emerging markets
- Costs of uprooting legacy systems
- Education
The Opportunities
Collaborating towards a common goal
Pilots/testbeds
Scalable delivery partnership
Product development
Market pioneer
The future
Viable solution Who takes the
lead?
Lack of support
services
Lack of standards
T h a n k y o u !