Hyperledger Foundation Hyperledger and #Healthcare, 14 Jun 2021

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From YouTube: Panel: Lessons Learned from Leading Healthcare Consortium Offering both Hyperledger Besu and Hype...

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Panel: Lessons Learned from Leading Healthcare Consortium Offering both Hyperledger Besu and Hyperledger Fabric to its Members as a Platform for their Use Cases - Sophia Lopez & Steve Cerveny, Kaleido; Alix Keller, ConsenSys Health

Blockchain offers the healthcare industry the potential to unlock the true value of interoperability and to reduce the friction and costs of current intermediaries. Capitalizing on this technology has the potential to connect fragmented systems to generate insights and to better assess the value of care. What happens when major healthcare stakeholders come together across payers, providers, employers, to reimagine healthcare system on a blockchain platform that offers Hyperledger Besu, Hyperledger Fabric, and Corda protocols to its founding members. This session will share the industry best practices and lessons learned across this healthcare consortium for building and governance, reference architectures, usability, management and operation.

To learn more about Hyperledger, the open source community focused on developing a suite of stable frameworks, tools and libraries for enterprise-grade blockchain deployments. Which serves as a neutral home for various distributed ledger frameworks including Hyperledger Fabric, Sawtooth, Indy, as well as tools like Hyperledger Caliper and libraries like Hyperledger Ursa click here: https://www.hyperledger.org/

Session Details & Slides (if available)- https://sched.co/j3eg
Access All Sessions: https://events.linuxfoundation.org/hyperledger-global-forum/program/schedule/

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Hyperledger – Open Source Blockchain Technologies

Hyperledger is an open source community focused on developing a suite of stable frameworks, tools and libraries for enterprise-grade blockchain deployments.
It serves as a neutral home for various distributed ledger frameworks including Hyperledger Besu, Fabric, Sawtooth, Indy, as well as tools like Hyperledger Avalon, Cactus and libraries like Hyperledger Aries, Ursa. Learn more about Hyperledger projects: https://www.hyperledger.org/use

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#Hyperledger #HyperledgerGlobalForum2021 #Blockchain

A

Everyone um from the hyperledger community who's joining us today, it's great to be back this year again at the global forum and we're going to be talking about lessons from some of the leading uh working with some of the.

A

Both on some of the business and industry thoughts, as well as technical, learnings,.

A

And just moving to speaker introductions um alex, would you like to kick it off? um Let everyone about.

B

Yeah sure so I am the vp of product engineering over at consensus health. um I used to work for consensus prior to that.

B

I've been building software with lots of cool amazing people for the past 20 years and um but I am educated as a molecular biologist. So did that for some time as well.

B

Hence um my crossover uh into technology was, you know it was apropos that I would end up in healthcare in the life sciences- I guess and uh um yeah so super excited to be here and thanks for having me.

A

Thanks, we're really excited to have you on the panel with us, the leaks, steve.

C

Hello, everyone, uh steve cerveny, um along with sophia I'm a co-founder of collido uh clydo- is a technology company that specializes on blockchain solutions. So wow we're here to talk about healthcare today, collido is a cross-industry solution um and it's it's a sas.

C

That's focused on helping to simplify the journey for enterprises who are looking to adopt and build decentralized applications and and set up their own consortia or business network. So really looking forward to um diving into some some lessons learned in the healthcare space and to talk about. Maybe what we see um some new opportunities that are coming down the road as well later on in session.

A

Thanks steve, um I guess one thing I'll add is that steve and I have been working together in enterprise blockchain space for the last six years, ever ever since really the beginning of enterprise blockchain and um were active in the initial launching of of hyper ledger and launch industries.

A

First blockchain service together and I've worked with hundreds of clients, so there's certainly a lot of learnings that have been distilled from the first generation of blockchain networks and now now, as the industry's moved forward and adopted, those we're really excited to be helping drive, really a second evolution or generation of these projects.

A

So in terms of what we'd like to cover today, um you know healthcare is um as an industry. There's there's really a lot of areas where blockchain can can solve some age-old problems and pain points where with friction and cost of intermediaries.

A

um You know the holy grail in blockchain is interoperability, and that can mean different things for different people.

A

But when you're looking at shared data, shared application logic between parties, whether that's public can be more public data or the most sensitive data that exists, there's been a lot of work in the space over the past half decade, seeing how blockchain can help, but you know the core similar to other industries.

A

You know, there's a fragmentation of systems or silo systems, the ability to bring multiple parties together around a common view of the data to provide better outcomes, better client experiences, the healthcare space we often talk about, bringing together the payers, the providers, employers and and the patients.

A

So as um the networks we're working with are really looking to reimagine um healthcare and life science solutions using blockchain, you know what what has that been looking like so we'll get into that a bit and then really spending a majority of the time on industry, best practices, lessons learned um looking at you know: technology solution, architectures uh usability management and operation.

A

And in terms of outcomes, I think really one interesting thing with coven over the last year has been the acceleration of digital transformation efforts um using these decentralized technologies, moving to the cloud and re-platforming, as well as launching brand new systems.

A

So with that I'll pass it over to elites. If you'd like to take us through this survey,.

B

A

B

I'm like is it a survey, what's happening, yeah lots of names on it, um some of the really big names? uh No, it's it's most important that you know this.

B

I think the talk has a lot to do with consortiums as well and like what does that even mean, and why do we we bring all of these big giants together? um But you know we have you know consensus health and applied as well. You know we've helped with many different consortiums.

B

um You know when we have a technology like blockchain. We have to ask ourselves: okay, why are we even using blockchain half of these times, and you know fundamentally I'm just happy that an emerging nascent technology and and that's so much further along and even in healthcare than people realize, um is forcing like that reimagination of you know, industries that are otherwise.

B

You know a little complacent or have been dormant and and are really just jumping into innovation, and I'm I'm proud of the movement amongst these consortiums that are listed here, uh particularly the work that they are doing in that patient provider payer relationship and how we make that in the user experience better.

B

You know when we institute a blockchain solution, typically at the core. Is that trust layer that is missing between these systems and we talk about interoperability again as sophia alluded it, it is different for everyone and and what that term means. um I always question: do you mean interoperability amongst many blockchains many systems? Does it have anything to do with uh with um you know the system, the blockchain at all um it?

B

It is this trust layer that we can gather these insights and um for good reason, uh the consortiums and and the partners that we've had along the way uh crypt like the cryptography involved uh with securing something to the blockchain. Everyone feels very confident that hey if we share this information, it's going to be safe. If we share this information, it's immutable, can we please centralize everything?

B

Unfortunately, that would fall so we centralize all this data in order to decentralize it later, and this is just the piece stepwise way this gets done. um Ultimately, after we we could probably advance to another slide, because there's lots of big names, and you see that there's lots of consortiums doing lots of things. Sorry um eventually, uh the end goal is at least for the clients that I've worked with um is that there is this self-sovereignty of our healthcare, like digital blueprint, um for lack of a better word off the top of my head.

B

um So the the sense that the goal is the self-sovereign piece and that we will have the ownership of that healthcare data who sees it who uses it. um Then you get into topics that are like you know, because I'm sharing this data, I'm receiving some kind of benefit or reward, and that leads us into the the use cases um beyond digital identity management, but into you know the the like the clinical trials matching clinical trials have difficulty with recruitment and retention.

B

You know so we're now using this consortium and this shared data to glean results and and compute which a lot of people uh refer to as federated learnings or federated analytics.

B

You know so as far as that goes, the other use cases in our industry in healthcare and life sciences are also around just like that: fraud, prevention for insurance and due to the verifiable credentials and the decentralized way in which somebody can can control their own health care data at the end of the day.

B

um As far as this slide goes, um you know we talk a lot about how we have these data lakes, and then we have these these data warehouses and what we're moving towards again by evolving and bringing together these these giants and these consortiums and sharing each other's systems, because this is the deal like what what takes so long in in the healthcare transaction is just the fact that some administrative person has to run over to their system and go okay.

B

Let me tell you if, in my system what you said is true and then you can go, get your medication or then you can go. Have your service with your health care provider.

B

If we could immediately uh make that decision on their behalf, because we're sharing that information and there isn't that additional administrative payload we can have you know on prem like on demand availability for our end user, which is the patient in in specifically in the health care industry right so due to all that, we're trying to evolve these data sets into these derived insights and, and this derived language of what that blueprint is and mapping to their payer and provider relationships and those payer and provider relationships as they join.

B

You know, systems and consortiums they are able to better share and better better to accommodate and alleviate those pain points that the patient's going through these are. These are oftentimes very sick people. This is oftentimes people that are, you know, caring for someone's healthcare journey on their behalf and and have a guardian or an advocate of some sort.

B

So you know for all of us to come together and to alleviate some of these pain points is, is a tremendous effort and it's gonna be good for for all of us at the end of the day, so um some other use cases that we see you could advance to the next slide. Thank you sophia.

B

um What are these slides? I think there's maybe some stuff missing in here, but that's okay, um so they're, you know the other use cases that we see as well. Is you know the supply chain management where we're talking about medical supplies and pharma, and you know just that track and trace uh methodologies that blockchain so cleverly employs and and everyone you know, tends to appreciate.

B

You know when we, when we look at blockchain, really obvious obvious areas of focus and vertices or you know, financial services, and then another obvious area of focus is is to me, has always been healthcare, because that's where you know we have the need for an individual to be able to control that information, and we have a need for them to be the one that validates that information that's been collected against them.

B

um In the use cases of clinical trials matching depending on like the therapeutic area of discussion, you know having that distributed, thought process of inclusivity of who gets to participate in those clinical trials, but also knowing that it's it's crazy, because when I entered this industry I just assumed I mean I assumed so many things, but the person's getting the benefit of that participation and getting the reward and whatever tokenized way. You want to do that.

B

You know that is something that we're trying to elevate in like clinical trials, and I know pharma ledger, I'm sorry dtra, which is like a decentralized trials and research alliance. They're, you know doing a lot of great work there. um We have an opportunity to build that space to where, if you are participating in that clinical trial, you are, you know, motivated to share your health data to share your journey and we can better. You know the outcomes on the other side same with pharmalex, as I was about to mention.

B

You know they want to develop things like personalized medicines, and you know in order to entrust that my either either it's my genomic data or my healthcare blueprint is synthesized adequately.

B

uh What we commonly do is we compare and contrast it against other other healthcare data sets like mine, be it from a genetic genetic basis, be be it from a therapeutic basis, be it from you know, just a symptoms basis. You know, there's there's all kinds of beautiful ways that we can. We can involve that personalized medication and and uh catering to the human involved and not to general pop. So um I think I think this slide or there was a slide. I know this is bananas. I think what's happening up there.

C

B

I don't see like some of the little things, uh but I think at the end of the day, like that, the the slide is saying it isn't. Blockchain exclusively is not what solves all these problems, but it is that public, private nested blockchain combo loco, as we say in texas.

B

uh It's it's going to be the uh you know. It's gonna be a lot of things, and it's in it isn't you know sufficient on its own, um so we've been working.

B

You know again that interoperability work word comes back up over and over again, but you know, blockchain is just is just one piece to this much larger puzzle, especially when integrating healthcare systems um over here to the side in that brilliant bubble of a venn diagram just to give it some flavor, because I don't know if, if you can see.

C

B

You know it's just those chronic pain points and reiteration is you know: cyber security, privacy, identity, um compliance and my most important favorite one. There is bioethics of all this, all so yeah, so that is kind of where consensus health is seeing the industry. The use cases involved, and I do want to close it out there, because I believe we have a lot more from collido and their brilliant knowledge of hyperledger and the other protocols of.

B

A

All right, um I was just trying to get back to present mode, didn't realize the slide was a build. I thought there were some issues with the just images, so all thanks to leaks. um So I guess one interesting thing about. As you mentioned, really, what is a blockchain consortia? Some clients will start. Our companies will start with an internal project in their own company. But then, as these projects mature, you know they bring in the business relationships that exist in their industry and it can often be you know, a co-op petition situation.

A

So you have, you know, paid to efficient around claims or service types data sets, and so it makes it and then they're working in the ecosystem with the the providers and others. So privacy is really important because they want to share needed for these case, but they also need to keep private. um You know what's important for them as a business and confidential, um so you really get into a lot of interesting situations in in healthcare and life sciences.

A

You know one insight we've seen working in a half decade in the space is that the the blockchain layer itself is only five to ten percent of the solution. um There's typically over. You know, 40 or so components across the different off chain layers, the decentralized tech and when you're, looking at the application, apps in middleware and looking to solve, you know different uh problems and provide different functionalities across those layers. So I think, in their.

A

Enterprise I.t is that companies need to privately exchange documents. um You know there's a mismatch that happens. The applications are talking to each other, so in order to actually get to a successful solution, you know. How can you do this and build these solutions in a cost effective? You know enterprise production grade manner.

A

um So what you're, really looking at with the enterprise blockchain solution is blockchain is the beating heart of that and you can. You can see that here you know, there's the data layers that people often look at you're. Looking at the transactions and leaks mentioned some privacy considerations, sending events you know out out and consuming them with other. You know back-end systems and vice versa, and then, of course, the middle and application tiers, as well as thinking about business operations and devops.

A

For for this whole consortium with the decentralized parties, collido is really built to approach um these. These problems with uh a solution that takes the perspective of the network operator of the consortia and making these business networks radically simple for at for the enterprise, so enterprise grade and we've been, as steve mentioned, working across industries worldwide.

A

What's really important for these consortia as they scale and grow is they need to have lots of flexibility and choice so, depending on the use case, um you know they may start on one block chain protocol and move to another as they see where they're getting the best trade-offs between performance and scale and security privacy um and then, as they're onboarding new members in their network. That typically start with maybe five or six participants.

A

A

Cross cloud multi-region and hybrid deployments as well: we offer consortia as a service for healthcare and life sciences, and you can see, use our system admin perspective, so lots of rich analytics monitoring.

A

You can see what's happening across the consortium health of the network, as well as drill down on your own resources um that that you align a site to invisibility to to manage those. I think another. You know learning for from a network operator.

A

You really need to look at this as a decentralized multi-party platform and think about the control where and needs to be completely decentralized and the members have private isolated instances own of their own resources.

A

As I mentioned, we really you know fido's built for this in mind, and if you look at blockchain is the core.

A

You know, there's a variety you know: 40 different plug-and-play services across b2b collaboration, apps and integration, digital assets, key management and more that come into play to be able to rapidly assemble these sorts of solutions, and I we do have a very deep commitment to open source. I think this is a good segue to transition to steve's portion. If you'd like to take it from here,.

C

Yeah that yeah sofia- um well, you were just mentioning a minute ago, really the the full stack problem of building a decentralized solution- um you know- and there are open source uh hyper ledger is- is obviously leading the way there are open source communities focusing on different layers of that problem. So, as clydo, we think about the the full stack of the problem. I know consensus health does as well we're involved in many of these communities from the protocol layers at the bottom.

C

You know through to off chain pieces like chain link and ipfs and others. You know standards, bodies, things like tokens um as well, and- and I want to spend just a couple of minutes to let you know about an exciting new uh project called firefly um that was. It was just announced earlier this week with the hyperledger global forum here um and if you think about that that full stack problem, we we see a gap.

C

uh There's there's been a gap in some of the off chain, plumbing layers that sofia was talking about a minute ago that are really important in in highly regulated industries like the healthcare industry, where you know a lot of those consortia that leaks was talking about earlier, you know, would choose to implement their data flows off-chain.

C

There are just too many concerns. uh You know around the fact that on-chain data is there forever uh the ability to update that data, not just not just remove the data if needed that that alone is enough. um You know any leakage to to parties. You know unintended.

C

Each blockchain protocol works differently, but there are you know, considerations and trade-offs there um you know in in performance as well, so so many of these healthcare use cases need high throughput or low latency, uh and so for a variety of reasons. Those data flows are often built off chain, um and that could mean for you in the past that has meant for you. um You know just a lot of work and plumbing and trying to reinvent the wheel and build those plumbing layers over again and firefly.

C

Is you know the the first open source multi-party system? You may have heard that that term in the industry before, but you sort of define that, as you know, a larger system, that's powered by blockchain, so there's still a blockchain running in the core. Providing you know the core value that blockchain does global ordering finality shared shared source of truth.

C

All of those sorts of things that blockchain's great at doing um there are just a set of other infrastructure runtimes that are in the firefly node um that take all that common plumbing off off your hands. So if you sort of zoom into a firefly node, just to give you a quick sense of some of those other technologies, things like uh private off chain messaging or exchanging a document um between two parties within a network. uh How do you do that reliably? You know chunk it up.

C

uh Symmetric encryption, pkcs7 encryption, deliver that across a pipe reassemble it on the other end, uh with pinned proofs along the way, um using the blockchain, for example, to to guarantee that the document is the original document um and, and so those sorts of of technologies are just there they're. Just in the box, or really encourage you to to check it out, we found that um as many as 90 of the use cases looking even more broadly across industries have some of these sets of of needs uh and then sitting there at the core.

C

Is this very simple api that just comes up um and, and you can code, your your applications um uh with with very simple apis to just make those calls?

C

uh So if you move on to the next slide, um so so, if I mentioned that that blockchain is in the box with firefly again, this is this is a new project that was announced. It's part of hyperledger, um the larger hyperledger uh community. um It it. There is a support for the big three enterprise protocols, so ethereum variants like hyperledger basu, as well as hyperledger fabric, which is coming uh and in corda as well.

C

If you want to learn more about firefly, there is an entire half day event uh going on tomorrow, friday. um It's um it's!

C

If you want to sign up, you can see the schedule there at that url we'll also put into the chat there. There is a link directly through the the hyperledger forum that you can get to this. It's what's called a co-located event, so sort of part of the larger conference, but it's it's dedicated as a launch event to firefly. So it's a very exciting project. Hopefully that's just a few minutes on it, but it we. We think it's going to be really important.

C

The idea of these multi-party systems as a larger platform that for especially for industries like like the healthcare industry, where um you know the data is, is almost always sensitive. Just psycholinks is talking about. There are other systems that you need to connect to you're thinking about ai, um big data, your iot type systems, all sorts of other considerations that that you may want to think about.

C

So so with that I'll turn it back, maybe to sophia who who can help wrap us up in the last couple minutes.

A

Yeah yeah, thank you steve, um so just wanted to have extend a big thanks to aleks for joining us and talking about a consensus, health and your perspective on blockchain and healthcare and life sciences. Thank you, steve and thanks everyone who joined the session. I hope you have a great uh rest of the conference day today and feel free to reach out um to steven myself with with any questions and at least as well, um post the session. Thank you. Everybody.