https://blockchainhealthcaretoday.com/index.php/journal/issue/feed Blockchain in Healthcare Today 2020-06-03T08:06:27-07:00 Tory Cenaj t.cenaj@partnersindigitalhealth.com Open Journal Systems Blockchain in Healthcare Today (BHTY) is the preeminent open-access international peer-review journal for strategic thought leaders, new-era practitioners, and future society stakeholders engaged in blockchain technology and intersecting innovations in healthcare. The online only journal is published on a continuous basis in order to accelerate sharing of rigorously vetted theoretical and experiential knowledge required for a growth sector. A world-class peer-review board endeavors to offer rapid, peer-review (14 days), and includes constructive commentary to strengthen work. https://blockchainhealthcaretoday.com/index.php/journal/article/view/134 The Last Mile: DSCSA Solution Through Blockchain Technology: Drug Tracking, Tracing, and Verification at the Last Mile of the Pharmaceutical Supply Chain with BRUINchain 2020-06-03T08:06:25-07:00 William Chien hchien@mednet.ucla.edu Josenor de Jesus JDDeJesus@mednet.ucla.edu Ben Taylor ben.taylor@ledgerdomain.com Victor Dods victor.dods@ledgerdomain.com Leo Alekseyev leo.alekseyev@ledgerdomain.com Diane Shoda shoda@greyscaling.com Perry B. Shieh PShieh@mednet.ucla.edu <p><strong>Purpose</strong>: As part of the FDA’s DSCSA Pilot Project Program, UCLA and its solution partner, LedgerDomain (collectively referred to as the team hereafter), focused on building a complete, working blockchain-based system, BRUINchain, which would meet all the key objectives of the Drug Supply Chain Security Act (DSCSA) for a dispenser operating solely on commercial off-the-shelf (COTS) technology.</p> <p><strong>Methods:</strong> The BRUINchain system requirements include scanning the drug package for a correctly formatted 2D barcode, flagging expired product, verifying the product with the manufacturer, and quarantining suspect and illegitimate products <em>at the last mile:</em> pharmacist to patient, the most complex area of the drug supply chain.</p> <p>The authors demonstrate a successful implementation where product-tracing notifications are sent automatically to key stakeholders, resulting in enhanced timeliness and reduction in paperwork burden. At the core of this effort was a blockchain-based solution to track and trace changes in custody of drug. As an immutable, time-stamped, near-real-time (50-millisecond latency), auditable record of transactions, BRUINchain makes it possible for supply chain communities to arrive at a single version of the truth. BRUINchain was tested with real data on real caregivers administering life-saving medications to real patients at one of the busiest pharmacies in the United States.</p> <p><strong>Results:</strong> In addition to communicating with the manufacturer directly for verification, BRUINchain also initiated suspect product notifications. During the study, a 100% success rate was observed across scanning, expiration detection, and counterfeit detection; and paperwork reduction from approximately 1 hour to less than a minute.</p> <p>The authors demonstrate a successful implementation where product-tracing notifications are sent automatically to key stakeholders, resulting in enhanced timeliness and reduction in paperwork burden. At the core of this effort was a blockchain-based solution to track and trace changes in custody of drug. As an immutable, time-stamped, near-real-time (50-millisecond latency), auditable record of transactions, BRUINchain makes it possible for supply chain communities to arrive at a single version of the truth. BRUINchain was tested with real data on real caregivers administering life-saving medications to real patients at one of the busiest pharmacies in the United States.</p> <h2>&nbsp;</h2> <p><strong>Conclusions:</strong> By automatically interrogating the manufacturer’s relational database with our blockchain-based system, our results indicate a projected DSCSA compliance cost of 17 cents per unit, and potentially much more depending on regulatory interpretation and speed of verification. We project that this cost could be reduced with manufacturers’ adoption of a highly performant, fully automated end-to-end system based on digital ledger technology (DLT). In an examination of the interoperability of such a system, we elaborate on its capacity to enable verification in real time without a human in the loop, the key feature driving lower compliance cost. With 4.2 billion prescriptions being dispensed each year in the United States, DLT would not only reduce the projected per-unit cost to 13 cents per unit (saving $183 million in annual labor costs), but also serve as a major bulwark against bad or fraudulent transactions, reduce the need for safety stock, and enhance the detection and removal of potentially dangerous drugs from the drug supply chain to protect U.S. consumers.</p> 2020-03-12T00:00:00-07:00 ##submission.copyrightStatement## https://blockchainhealthcaretoday.com/index.php/journal/article/view/126 Predictions for Blockchain in 2020 2020-06-03T08:06:25-07:00 George T. Mathew james.mathews1951@gmail.com Dennis A Porto DennisPorto@alumni.harvard.edu Ron Ribitzky ron@rdribitzky.com Susan Ramonat sramonat@spirituspartners.com Uli C Broedl uli.broedl@boehringer-ingelheim.com Kevin A Clauson kevin.clauson@lipscomb.edu Frank Ricotta frank.ricotta@burstiq.com Tory Cenaj t.cenaj@partnersindigitalhealth.com Anh L Ngo anhlngo@gmail.com <p>During our 2019 ConVerge2Xcelerate (ConV2X) conference in Boston, we focused on the theme "Proving Market Value with Pragmatic Innovation in Healthcare"&nbsp;(see&nbsp;<a href="https://conv2x-2019.eventcreate.com/">https://conv2x-2019.eventcreate.com/</a>). This year, along with BHTY editorial board members, conference speakers were invited to join with Tory Cenaj, Publisher of BHTY, to contribute their&nbsp;expertise and share insights for the near-term landscape of blockchain in healthcare.&nbsp;&nbsp;</p> 2020-01-27T00:00:00-08:00 ##submission.copyrightStatement## https://blockchainhealthcaretoday.com/index.php/journal/article/view/122 Blockchain, Interoperability, and Self-Sovereign Identity: Trust Me, It’s My Data 2020-06-03T08:06:27-07:00 Jim StClair jim.stclair@dinocrates.com Ann Ingraham ann@ehtadvisors.com Dominic King dom.kinger@gmail.com Michael B. Marchant mbmarchant@ucdavis.edu Fletcher Cotesworth McCraw Fletcher.McCraw@cognizant.com David Metcalf emma.csemiczky@openacademia.net John Squeo JOHN.SQUEO@ACCENTURE.COM <p>No abstract available.</p> <p>&nbsp;</p> 2020-01-06T00:00:00-08:00 ##submission.copyrightStatement## https://blockchainhealthcaretoday.com/index.php/journal/article/view/137 The business case for blockchain in health care — part I 2020-03-13T13:58:44-07:00 Ali Loveys ali.loveys@ey.com Chen Zur jr@medcomres.com <p>While an organization might want to focus on a specific emerging technology to solve a business probelm, strong organizations focus on an honest evaluation, internally and externally, to assure the timing and the business value for using the technology is in their best interest.&nbsp; This requires a solution set of knowledge, people, and methodologies coupled with products datas and tools.</p> 2020-03-13T13:22:50-07:00 ##submission.copyrightStatement## https://blockchainhealthcaretoday.com/index.php/journal/article/view/128 The Era of Exponential Improvement in Healthcare? 2020-01-21T00:33:19-08:00 Stephanie Carlton jr@medcomres.com 2020-01-06T00:00:00-08:00 ##submission.copyrightStatement## https://blockchainhealthcaretoday.com/index.php/journal/article/view/129 Building Blockchain powered Trusted Digital Health Services. Estonia 2020-01-21T00:32:12-08:00 Ain Aaviksoo jr@medcomres.com 2020-01-06T00:00:00-08:00 ##submission.copyrightStatement## https://blockchainhealthcaretoday.com/index.php/journal/article/view/131 Design Principles Of The Blockchain Network: Security, Scalability, And Sustainability By Design 2020-01-21T00:28:40-08:00 Nitin Gaur jr@medcomres.com Francisco Curbera jr@medcomres.com 2020-01-06T00:00:00-08:00 ##submission.copyrightStatement## https://blockchainhealthcaretoday.com/index.php/journal/article/view/130 Validated Use Cases 2020-01-21T00:31:22-08:00 Wendy Charles jr@medcomres.com Kenneth Colon jr@medcomres.com Moderator: Frank Ricotta jr@medcomres.com 2020-01-06T00:00:00-08:00 ##submission.copyrightStatement## https://blockchainhealthcaretoday.com/index.php/journal/article/view/132 Blockchain-enabled Seamless Safe Notification Services 2020-01-21T00:27:22-08:00 Vince Albanese jr@medcomres.com 2020-01-06T00:00:00-08:00 ##submission.copyrightStatement## https://blockchainhealthcaretoday.com/index.php/journal/article/view/125 Dawn of a New Decade: Looking Forward with BHTY 2020-06-03T08:06:26-07:00 Tory Cenaj teecellc@gmail.com <p>In 2020, Blockchain in Healthcare Today (BHTY) begins its third year of publication.&nbsp;We thank our global community of passionate leaders and early adopters for their support and diligence in making technology innovation in healthcare attainable for both the healthcare consumers who are the key stakeholders in patient-centered care and the broader healthcare system.</p> 2020-01-13T00:00:00-08:00 ##submission.copyrightStatement##