Blockchain in Healthcare Today https://blockchainhealthcaretoday.com/index.php/journal 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. Partners in Digital Health, 241 Hamilton Avenue, Suite 21 Stamford, CT 06902 en-US Blockchain in Healthcare Today 2573-8240 <p><span style="color: #4b7d92;"><img src="/public/site/images/emma/88x31_CC_BY1.png">&nbsp;</span></p> <p><span style="color: #4b7d92;">This work is licensed under a&nbsp;<a href="http://creativecommons.org/licenses/by-nc/4.0/" rel="license">Creative Commons Attribution-NonCommercial 4.0 International License</a>.</span></p> <p><span style="color: #4b7d92;">Auth</span><span style="color: #4b7d92;">ors retain copyright of their work, with first publication rights granted to Blockchain in Healthcare Today (BHTY). </span></p> <p>&nbsp;</p> <p>&nbsp;</p> The Last Mile: DSCSA Solution Through Blockchain Technology: Drug Tracking, Tracing, and Verification at the Last Mile of the Pharmaceutical Supply Chain with BRUINchain https://blockchainhealthcaretoday.com/index.php/journal/article/view/134 <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> William Chien Josenor de Jesus Ben Taylor Victor Dods Leo Alekseyev Diane Shoda Perry B. Shieh ##submission.copyrightStatement## 2020-03-12 2020-03-12 10.30953/bhty.v3.134 Predictions for Blockchain in 2020 https://blockchainhealthcaretoday.com/index.php/journal/article/view/126 <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> George T. Mathew Dennis A Porto Ron Ribitzky Susan Ramonat Uli C Broedl Kevin A Clauson Frank Ricotta Tory Cenaj Anh L Ngo ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2020-01-27 2020-01-27 10.30953/bhty.v3.126 Blockchain, Interoperability, and Self-Sovereign Identity: Trust Me, It’s My Data https://blockchainhealthcaretoday.com/index.php/journal/article/view/122 <p>No abstract available.</p> <p>&nbsp;</p> Jim StClair Ann Ingraham Dominic King Michael B. Marchant Fletcher Cotesworth McCraw David Metcalf John Squeo ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2020-01-06 2020-01-06 10.30953/bhty.v3.122 The business case for blockchain in health care — part I https://blockchainhealthcaretoday.com/index.php/journal/article/view/137 <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> Ali Loveys Chen Zur ##submission.copyrightStatement## 2020-03-13 2020-03-13 The Era of Exponential Improvement in Healthcare? https://blockchainhealthcaretoday.com/index.php/journal/article/view/128 Stephanie Carlton ##submission.copyrightStatement## 2020-01-06 2020-01-06 Building Blockchain powered Trusted Digital Health Services. Estonia https://blockchainhealthcaretoday.com/index.php/journal/article/view/129 Ain Aaviksoo ##submission.copyrightStatement## 2020-01-06 2020-01-06 Design Principles Of The Blockchain Network: Security, Scalability, And Sustainability By Design https://blockchainhealthcaretoday.com/index.php/journal/article/view/131 Nitin Gaur Francisco Curbera ##submission.copyrightStatement## 2020-01-06 2020-01-06 Validated Use Cases https://blockchainhealthcaretoday.com/index.php/journal/article/view/130 Wendy Charles Kenneth Colon Moderator: Frank Ricotta ##submission.copyrightStatement## 2020-01-06 2020-01-06 Blockchain-enabled Seamless Safe Notification Services https://blockchainhealthcaretoday.com/index.php/journal/article/view/132 Vince Albanese ##submission.copyrightStatement## 2020-01-06 2020-01-06 Dawn of a New Decade: Looking Forward with BHTY https://blockchainhealthcaretoday.com/index.php/journal/article/view/125 <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> Tory Cenaj ##submission.copyrightStatement## 2020-01-13 2020-01-13 10.30953/bhty.v3.125