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Health Unchained

Health Unchained

Health Unchained hosts conversations with blockchain/healthcare professionals who are disrupting the health industry.

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Ep. 73: Multi-Party Trust and Data Sharing w/ Rymedi – David Stefanich (CEO) & Dr. Jason Cross (CSO)

Co-founders of Rymedi, David Stefanich, CEO, and Jason Cross, PhD, JD, Chief Strategy officer, discuss their journey to building Rymedi and some recent developments since the covid-19 pandemic. Rymedi is a blockchain healthcare company founded in 2017 to help the healthcare industry collaborate and create value across silos. One really interesting thing I learned is that Rymedi has partnered with Clemson university in South Carolina to help manage their student’s Covid-19 surveillance testing program. Show Notes Rymedi company website: https://www.rymedi.com/ Clemson Covid-19 Testing Program with Rymedi: https://www.clemson.edu/covid-19/testing/index.html Dr. Deborah Birx commends Clemson: https://newsstand.clemson.edu/mediarelations/dr-deborah-birx-commends-clemson-for-covid-19-practices-during-friday-visit/ •Introduction of guests' backgrounds •Origins of Rymedi •How did you first hear about blockchain technology? •Problems to solve - Change Control and Serialization in Supply Chain •How is blockchain adoption and awareness in healthcare going? •David and Jason are involved in IEEE Blockchain Global communities •How has COVID-19 impacted Rymedi? •Clemson university partnership •IoT Smart Connected Devices •General technical specifications (architecture) of Rymedi network •Runs on EOS blockchain protocol •Data storage •Nodes and network incentives? •Data privacy - Realistic technology expectations - HIPAA and GDPR •No plans for a token •Smart contracts and insurance claims processing? •Rymedi User experience workflow •Customers - adoption challenges in different markets •Rymedi team and culture •Industry Partners and concept traction - existing partners and pilot projects •Can you describe the competitive landscape and any direct competitors to your business? •Opinions on Bitcoin •If you had to have micro chip implanted in your body, where would you want it to be implanted? •Final Takeaways News Corner PCC Weekly Survey Results: https://www.pcpcc.org/2020/09/21/primary-care-covid-19-week-20-survey Covid-19 has put a huge strain on our healthcare system and on front-line healthcare workers. According to the latest weekly survey by the primary care collaborate, it’s also put a strain on primary care practices across the US. The survey respondents are from nearly 500 primary care clinicians. 1 in 5 practices report they have clinicians who have chosen early retirement or left their jobs as a direct result of the pandemic. Most clinicians believe that levels of telehealth use are sufficient — or even above what is suitable for patient care. Health Unchained Links Website: https://healthunchained.org Telegram: t.me/healthunchained Twitter: twitter.com/Healthunchaind
September 26, 2020

Ep. 72: Explaining the Value of Blockchain – Tori Adams (CEO Cadwyn)

Tori Adams, Founder and CEO of her consulting firm, Cadwyn and Chief Innovation Officer at Value Technology Foundation. Tori has done strategy consulting for the public sector during most of her career at places like IBM and Booz Allen Hamilton. Tori has been a huge advocate and thought leader for blockchain technology for many years now. Based in Washington, DC, she has many connections to the DC blockchain ecosystem including Congress, federal agencies, and non-profits. We talked about her experience as a consultant, Covid-19, airport security, learning about blockchain in healthcare, and technology adoption. Disclaimer: Remember, the Health Unchained podcast is for informational and entertainment purposes only and we are not providing any sort of legal, financial, or medical advice. Please do your own research and due diligence before making any important decisions related to these matters. Show Notes •Introduction to Tori's background •Journey into the blockchain world •Experience in Washington, DC working with regulators •Update from Aug. 4-5 conference COVID airport security National Academy meeting •What is the goal of Value Technology Foundation and what do you do as Chief Innovation Officer? •Blockchain as a way to prevent fraud and theft •Can you share your consulting approach with a new client? •Trends in Blockchain Use during in COVID-19 •COVID-19 Testing and Infection Status •Tracking Supply Chains •Social Distancing Token •What is your opinion on the decision to send COVID-19 data to HHS instead of CDC? And now back to CDC, presumably. •How can blockchain alleviate some problems we face in the battle against opioid addition? •What are the biggest misconceptions of blockchain when you speak with various healthcare executives? •Technical and social adoption challenges for blockchain tech •What is the value of personal healthcare data? •In the DLT industry, what do you believe in that most people would disagree with? •If you had to have micro chip implanted in your body, where would you want it to be implanted? •Are you currently watching any interesting TV shows? A French Village •Favorite books - The Rise and Fall of the British Nation by David Edgerton. The Origins of Totalitarianism by Hannah Arendt •Final takeaways News Corner Social media has given humans so many amazing ways to connect with each other on a global scale. There’s a facebook community for everyone, families can stay up to date virtually, youtube videos can teach you almost anything you need to know. On the flip-side however, social media has created a more toxic polarization of ideas that are limited to the organizations with the most marketing dollars. I will admit, I look at my twitter and linkedIn feeds multiple times a day, unconsciously searching for the next dopamine hit from likes and comments. The reasons I am talking to you about this in this episode’s news corner is because 1. I recently watched The Social Dilemma on Netflix and 2. I saw a report that a 15 year old girl from Oklahoma attempted the Benadryl TikTok challenge and died. https://www.netflix.com/title/81254224 https://www.healthline.com/health-news/benadryl-challenge-on-tiktok-is-dangerous-experts-say Health Unchained Links Website: https://healthunchained.org Telegram: t.me/healthunchained Twitter: twitter.com/Healthunchaind
September 14, 2020

Ep. 71: Precision Medicine Revolution – Glen de Vries (Co-CEO Medidata)

Glen de Vries, is co-founder of Medidata, which was acquired by Dassault Systems for $6B in 2019. Glen is co-founder and co-CEO of Medidata, the most-used platform for clinical trials around the world. Glen has been driving Medidata’s mission since the company’s inception in 1999, “powering smarter treatments and healthier people”. He has recently authored a book called "The Patient Equation: The Precision Medicine Revolution in the Age of Covid-19 and Beyond" where he describes how the digitization of healthcare data will create massive opportunities for personalized medicine. Company Homepage: https://www.medidata.com/ Twitter: https://twitter.com/captainclinical Disclaimer: Remember, the Health Unchained podcast is for informational and entertainment purposes only and we are not providing any sort of legal, financial, or medical advice. Please do your own research and due diligence before making any important decisions related to these matters. Show Notes •Glen's journey from the lab to starting Medidata •Healthcare technology innovation and adoption •Opening up the aperture for better problem solving •Glen’s New book - The Patient Equation - (all royalties donated to Conquer Cancer, the ASCO (American Society of Clinical Oncology) Foundation). •Clinical research innovation •Trends in COVID-19 Clinical Trials/Studies – Lessons for the future? •How can we develop a healthcare system that aligns with the promise precision medicine? •The Importance of incentives in healthcare systems •How can smart devices and wearables change the way doctors practice medicine? •DoD – Device on Dog problem •Will wearables improve patient adherence monitoring during clinical research? •What is the value/benefits of collecting personal healthcare data over time? •Gattaca (the movie) and it’s relation to healthcare data •What are the limits of technology for clinical trials research? •What impact do the big tech players have on the clinical trials industry? •What is Medidata's roadmap for the rest of 2020 and 2021? •Who are the people who have been your biggest influences? •When do you expect to go to space? - https://isglendevriesinspacerightnow.com/ •Final takeaways News Corner On August 26, 2020, in an effort to provide faster Covid-19 test results, the FDA authorized an emergency use of a rapid antigen test that can only be used by authorized labs and patient care settings. To be clear, the BinaxNOW™ COVID-19 Ag Test Card EUA has not been FDA cleared or approved for broad consumer use. A day after Abbott received this emergency FDA approval of its 15-minute COVID-19 test, HHS has awarded it a $760 million contract to produce 150 million tests, the department said this week. The HHS said the tests may be deployed to schools and other "special needs" populations. Healthcare providers using Abbott's test will swab a patient's nose, transfer the sample to a test card. Results become available In just 15 minutes with no instrumentation, using proven lateral flow technology with demonstrated sensitivity of 97.1% and specificity of 98.5% in clinical study. Abbott says they will ship tens of millions of tests in September, ramping to 50 million tests a month at the beginning of October. https://abbott.mediaroom.com/2020-08-26-Abbotts-Fast-5-15-Minute-Easy-to-Use-COVID-19-Antigen-Test-Receives-FDA-Emergency-Use-Authorization-Mobile-App-Displays-Test-Results-to-Help-Our-Return-to-Daily-Life-Ramping-Production-to-50-Million-Tests-a-Month https://www.beckershospitalreview.com/supply-chain/us-awards-abbott-760m-contract-for-rapid-covid-19-tests.html Health Unchained Links Website: https://healthunchained.org Telegram: t.me/healthunchained Twitter: twitter.com/Healthunchaind Bert’s Blockchain and Healthcare Weekly Newsletter: https://bert.substack.com/
August 30, 2020

Ep. 70: Drug Supply Chain Evolution – Mark Karhoff (CEO Ten Count Consulting)

Mark Karhoff is a Management Consultant and Founder of Ten Count Consulting. Mark provides life science clients guidance with program management, process improvement, supply chain solutions, as well as DSCSA (Drug Supply Chain Security Act) compliance. He has worked with his clients on developing blockchain based solutions for adapting to DSCSA regulations. Disclaimer: Remember, the Health Unchained podcast is for informational and entertainment purposes only and we are not providing any sort of legal, financial, or medical advice. Please do your own research and due diligence before making any important decisions related to these matters. Now let’s get to the show. Show Notes •Introduction of Mark's background •Journey from Logistics to Pharma supply chain with blockchain •Origins of Ten Count Consulting - value proposition (youtube channel) •How is COVID19 impacting healthcare supply chains? •FDA DSCSA Regulation - https://www.fda.gov/drugs/drug-supply-chain-integrity/drug-supply-chain-security-act-dscsa •Most challenging Supply Chain problems fit for DLT - data entry, track and tracing, temperature monitoring, fraud, counterfeits •DSCSA Interoperability requirements •What steps should pharmacies and pharma companies be considering? •How is blockchain adoption and awareness in healthcare developing in the US? •Bruinchain - https://www.bruinchain.com/ •What are some of the major barriers to blockchain adoption? •What are the biggest misconceptions of blockchain when you speak with various healthcare executives? •Mark’s article on 5 barriers to adoption - https://www.pharmaceuticalonline.com/doc/barriers-to-blockchain-adoption-in-the-rx-supply-chain-and-how-to-overcome-them-0001 •How can different trading partners align their interests •Managing between data transparency and privacy •340B Drug Pricing Program Complexity- https://en.wikipedia.org/wiki/340B_Drug_Pricing_Program •Industry traction - examples of pilot projects? •FDA pursuing Smart Food Initiative - https://www.fda.gov/food/new-era-smarter-food-safety •PDG (Partnership for DSCSA Governance) website is https://dscsagovernance.org/ •Favorite book- Dangerous Doses by Katherine Eban, Tattoos on the Heart by Greg Boyle •What do you believe in that most people would disagree with? •How are you handling with the physical distancing measures? •If you had to have micro chip implanted in your body, where would you want it to be implanted? •Final takeaways – “The time to change is now” News Corner https://federalnewsnetwork.com/cio-news/2020/08/hhs-cio-arrieta-unexpectedly-resigns/ On August 14, 2020, Federal News Network announced that, Jose Arrieta, the CIO of the department of Health and Human Services was resigning from the organization. Of course, it’s difficult for us to know all the circumstances of the situation, especially since it’s a cabinet-level executive branch department of the federal government in 2020. Jose has been a champion of blockchain in healthcare for years now, reportedly had positive things to say about the HHS Protect initiative (which I featured in my last episode’s News Corner). The program aims to increase hospitalization data transparency using their platform called the Coronavirus Data Hub. I wish the best for Jose going forward and hope he plans to stay in the industry. We can use a person with his experience and passion to keep educating people on the value of decentralized ledger technology in healthcare. I invite him to come talk with me on Health Unchained. Hit me up Jose. Health Unchained Links Website: https://healthunchained.org Telegram: t.me/healthunchained Twitter: twitter.com/Healthunchaind Bert’s Blockchain and Healthcare Weekly Newsletter: https://bert.substack.com/
August 15, 2020

Ep. 69: Right to Data Privacy – Dr. Ali Loveys (CPO ConsenSys Health)

Ali Loveys, MD, FAAP, FHIMSS, ABP-CI is the Chief Privacy Officer, Foundation Relations and North American Markets Leader at Consensys Health. Ali is board-certified in clinical informatics and has had tons of experience as Chief Medical information officer at multiple organizations. During 2018-2020, she was Managing Director Federal Practice Digital Health and US Healthcare Blockchain Leader at Ernst and Young. In this episode we talked bout healthcare, data, cybersecurity, AI, and blockchain. Disclaimer: Remember, the Health Unchained podcast is for informational and entertainment purposes only and we are not providing any sort of legal, financial, or medical advice. Please do your own research and due diligence before making any important decisions related to these matters. Show Notes •Introduction of Ali's background •Journey into technology, business, and healthcare in your career •Working on the RHIO (Rochester Health Information Organization) •Experience at EY as digital healthcare blockchain lead •COVID19 affect on the healthcare data and public trust •Describe your role at ConsenSys Health •When did you first hear about blockchain? •How do we bridge the gap between technology and healthcare? •How is blockchain adoption and awareness in healthcare developing in the US? •Biggest misconceptions of blockchain from various healthcare executives •How important is community governance when developing a DLT solution? •Why should people care about their data privacy? •Patient Consent data sharing •What can we do about unread Terms of Service and Privacy Policies? It feels like we don't really have a choice if we want to use many tech platforms. •Data privacy - Realistic technology expectations - HIPAA and GDPR •Ethical Responsibilities for AI development and big data in Healthcare •Industry Partners - existing partners and pilot projects •What do you believe in that most people would disagree with? •If it’s not too personal, what would you consider to be your biggest mistake? •Favorite book - Historical non-fiction •If you had to have micro chip implanted in your body, where would you want it to be implanted? •Final Takeaways Health Unchained News Corner The US Department of Health and Human Services announced its blockchain platform called HHS Protect to collect and share Covid-19 hospitalization data. HHS Chief Information Officer, Jose Arrieta, has been leading efforts at HHS to use blockchain to secure, validate, and share procurement data for a few years now. According to the CIO, HHS Protect coordinates data from 6,200 hospitals across the United States, including numbers of ventilators, hospital beds, ER admittance, and discharge, lab test data across the U.S., warehouse implications, and nursing home data. https://www.forbes.com/sites/jasonbrett/2020/07/24/us-health-department-chief-discloses-functioning-blockchain-project-to-track-covid-19/#26cc64e01949 https://protect-public.hhs.gov/ Health Unchained Links Website: https://healthunchained.org Telegram: t.me/healthunchained Twitter: twitter.com/Healthunchaind Bert’s Blockchain and Healthcare Weekly Newsletter: https://bert.substack.com/
August 2, 2020

Ep. 68: Clinical Trials on Hyperledger – Rama Rao (CEO Bloqcube)

Rama Rao is the CEO of Bloqcube, a startup he started in 2017 that uses blockchain technology to improve clinical trials operations and research data management. Rama is an industry veteran with over 20 years of experience in life sciences having spent most of his career as a finance executive at Eli Lilly and Novartis. Company Website: https://bloqcube.com/ Disclaimer: The Health Unchained podcast is for informational and entertainment purposes only and we are not providing any sort of legal, financial, or medical advice. Please do your own research and due diligence before making any important decisions related to these matters. Show Notes •Introduction to Rama's background •Why did you get into healthcare? •How does your experience in pharma shape your understanding of clinical research innovation? •Eroom's law is the observation that drug discovery is becoming slower and more expensive over time, despite improvements in technology, a trend first observed in the 1980s. The cost of developing a new drug roughly doubles every nine years. •Origins of Bloqcube - value proposition •How is the company structured? How big is the team? •Why blockchain in healthcare? •COVID-19 Clinical Trials/Studies •How do you think the government has handled the COVID19 response so far? •Remote Monitoring and Telemedicine •What is your opinion on the decision to send COVID-19 data to HHS instead of CDC? •Describe the actual User Experience - Patients, Providers, researchers, others •General technical specifications (architecture) of Bloqcube oData privacy & Encryption security oIdentity verification oETMF – Electronic Trial Master Form oStripe payment processing oOpen Source software oProtocol layers – Hyperledger fabric oAre you issuing tokens? •Bloqcube was reviewed by HITLAB •Smart Contracts for clinical trials •Describe C2TA™ (Continuous Clinical Trial Accounting) and why it's important - "this minimizes reconciliations and integrates into existing financial systems and closes the loop with a financial planning record indicating the budget and actuals." •Will this improve patient adherence monitoring during clinical research? •Regulatory audits and blockchain auditability •How do you make money? •Technical and social adoption challenges •Industry Partners and concept traction - existing partners and pilot projects (NTT DATA partnership, results of India diabetes observational study pilot) •Can you describe the competitive landscape and any direct competitors to your business? •Who is your favorite scientist of all time? Norman Ernest Borlaug, Sir Chandrasekhara Venkata Raman, Albert Einstein Mentioned guests – Jim Nasr: https://soundcloud.com/healthunchained/ep-59-tracking-covid19-on-hashgraph-jim-nasr-ceo-acoer Dr. Alex Cahana: https://soundcloud.com/healthunchained/insights-from-the-crypto-sherpa-dr-alex-cahana-venture-partner-cryptooracle News Corner https://www.transgene.fr/wp-content/uploads/20200709-PR-Hypertrust-Transgene-final-EN.pdf The life sciences industry continues to develop new immunotherapies that can specifically treat a patient based on their personal genes and diagnosis. A recent partnership was announced on July 9th 2020, between Transgene, a French biopharma company, and Hypertrust Patient Data Care, a blockchain-based supply and data chain company. Emerging personalized treatments have a massive need for trustworthy and decentralized solutions, due to the strong cross-company collaborative nature of the production process. Developing new clinical protocols for personalized medicine is one of the toughest supply and data chain problems facing the industry and it’s great to see that blockchain technologies are beginning to be tested at the enterprise level. Health Unchained Links Website: https://healthunchained.org Telegram: t.me/healthunchained Twitter: twitter.com/Healthunchaind Bert’s Blockchain and Healthcare Weekly Newsletter: https://bert.substack.com/
July 18, 2020

Health Unchained

Health Unchained features insights from the top healthcare innovators, entrepreneurs, and executives who are applying blockchain technology solutions to disrupt the health industry. We discuss their strategies, challenges, and unique experiences in this exciting new field.

Blockchain technology has the potential to create a new layer of trust, reducing the friction to participate in a healthcare network. Combined with other emerging technologies, blockchain can dramatically improve population health management, medical supply chain, health-monitoring devices, genetics research, and other health-related sectors. A diverse mix of healthcare leaders and blockchain experts is needed to accelerate the adoption of blockchain-based solutions that our healthcare system so desperately needs. The field includes economists, technologists, healthcare providers, policymakers, and financial institutions.

Listen to Health Unchained to learn about the impact that blockchain technology is having, and will continue to have, on the healthcare industry.
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Host

Ray Dogum

Ray Dogum

Ray Dogum is the producer and host of the Health Unchained podcast. On his show, he interviews leaders in the blockchain/healthcare industry where he covers topics such as health data integrity management, efficiency improvement opportunities in healthcare administration, and the future of decentralization. He also manages the deployment of enterprise-scale telehealth solutions for Health Systems at American Well, a telemedicine company based in Boston.

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