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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. 77: Data Ethics and Compliance – Wendy M. Charles, PhD, CIP, CCRP, CBP

Wendy M. Charles, PhD, CIP, CCRP, CBP is a researcher and regulatory compliance scientist with expertise in managing clinical research operations, quality assurance, and implementation of health information technologies. She has 28 years of research experience; 16 years of management experience with industry-sponsored and federally funded research. Wendy is Chief Scientific Officer at BurstIQ, co-chair of the IEEE Standards Development Working group for blockchain in healthcare and life sciences, and has contributed to numerous other blockchain/healthcare publications. BurstIQ Website: www.burstiq.com Blockchain Compliance by Design: Regulatory Considerations for Blockchain in Clinical Research: https://www.frontiersin.org/articles/10.3389/fbloc.2019.00018/full We talk about how we can start encouraging an ethics by design approach to building software and how dynamic consent management can provide more control over a patient’s own health data. Related episode: https://soundcloud.com/healthunchained/ep-56-securing-health-connections-frank-ricotta-ceo-burstiq IEEE HEALTHCARE VIRTUAL SERIES: BLOCKCHAIN & AI: https://attend.ieee.org/healthcare-blockchain-ai/ Show Notes •Introduction to Wendy's background •What drove you to the healthcare world? •How did you first hear about blockchain technology? •How does your academic research experience influence your perspectives in healthcare infotech industry? •Digital tattoos for temporary health monitoring •Impact of COVID-19 on Clinical research operations •Importance of Ethics by Design •World leadership summit link - https://worldleadersummit.com/topicscategories/blockchain/ •Dynamic Consent management, broad and specific consent •Describe your role as CSO at BurstIQ •What tactics is BurstIQ employing to address data privacy and personal ownership of one's data? •Customers like Intermountain Healthcare saved ~$90M over three years by using BurstIQ: https://www.burstiq.com/burstiq-brings-90-million-case-study-to-blockchain-through-intermountain-healthcare-spin-off-empiric-health/ •What are the biggest barriers to blockchain adoption in healthcare? •Balancing between regulatory compliance and technology innovation •Most influential book you've read – The Patient Will See You Now by Dr. Eric Topol •What are your thoughts about the singularity that is supposed to happen in 2045? •If you had to have micro chip implanted in your body, where would you want it to be implanted? •Thoughts on Neuralink technology •Final Takeaways News Corner https://deepmind.com/blog/article/alphafold-a-solution-to-a-50-year-old-grand-challenge-in-biology Alphabet’s decade old DeepMind artificial intelligence system has essentially solved a 50 year old grand challenge in biology. That problem is known as the protein folding problem. Proteins are the building blocks and operate all our functional biology systems. They are large complex molecules made up of chemical chains and amino acids. This is important because, right now, in order to figure out how a specific protein looks like and how it physically conforms in 3D space, scientists typically use X-Ray crystallography techniques which costs over $100k and takes up to a year to complete. There are currently over 200 million proteins in the main database and only about 170,000 have their 3D structures mapped out, a fraction of the 200M. This research is currently being peer-reviewed for final publication and scientists are absolutely excited about exploring this amazing technology for the advancement of scientific knowledge. Health Unchained Links Website: https://healthunchained.org Telegram: t.me/healthunchained Twitter: twitter.com/Healthunchaind
December 5, 2020

Ep. 76: Patient-Driven Real World Data – Robert Chu (CEO Embleema)

Robert Chu is the Co-founder & CEO of Embleema. He is the former SVP of Global Technology for IQVIA & has created & managed data networks in over 20 countries in the U.S., Asia & Europe. Robert and I talk about the tremendous value of provable, secure real world data that can be directly shared by patients to improve bio-statistical models. We also discuss his recent business partnership with Alira Health and the origins of the HIVE data analytics platform. Embleema Website: https://embleema.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. Topics Overview •Introduction to Robert's background •What drove you to the healthcare industry? •Experience at IBM, IMS Health, and IQVIA •How did you first hear about blockchain technology? •What is the vision for Embleema? Why did you start it? •Impact of COVID-19 on on Embleema •Epilepsy Foundation partnership and Epilepsy Digital Engagement Navigator (EDEN) •Long-term studies are difficult to track •Why should people care about real world evidence/data? •Can you describe Embleema's services/products/platforms and their technology stacks? •Hyperledger •HIVE – High Performance Integrated Virtual Environment – data repository and analytics platform built by Dr. Vahan Simonyan who transferred HIVE property to Embleema https://en.wikipedia.org/wiki/High-performance_Integrated_Virtual_Environment •Tracking patient consent •What tactics are you employing to address data privacy and personal ownership of one's data? •Any feedback from beta-testers of your platform? •What are the biggest barriers to blockchain adoption in healthcare? •Synthetic control arms in clinical studies – simulation of placebo group •Embleema's business model? •Company partners and major investors? •Alira Health Partnership goals •How would you describe the company culture at Embleema? •Outlook for 2021 and beyond •Favorite DLT projects doing important work •Most influential book you've read – The Lorax by Dr. Seuss •Thoughts about the singularity that is supposed to happen in 2045 •If you had to have micro chip implanted in your body, where would you want it to be implanted? •Final Takeaways News Corner https://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-update-fda-authorizes-first-covid-19-test-self-testing-home On November 17, 2020, the FDA issued an emergency use authorization for the first COVID-19 diagnostic at-home self-test which provides rapid results. The Lucira COVID-19 All-In-One Test Kit is a molecular (real-time loop mediated amplification reaction) single use test that is intended to detect the novel coronavirus SARS-CoV-2 that causes COVID-19. The Lucira COVID-19 All-In-One Test Kit test has been authorized for home use with self-collected nasal swab samples in individuals age 14 and older who are suspected of COVID-19 by their health care provider. Health Unchained Links Website: https://healthunchained.org Telegram: t.me/healthunchained Twitter: twitter.com/Healthunchaind
November 23, 2020

Ep. 75: Drug Supply Chain & Privacy – Ben Taylor (CEO LedgerDomain)

Ben Taylor is the CEO of LedgerDomain, founded in 2016 to bring blockchain solutions to enterprise ecosystems. Ben spent a quarter of a century incubating and investing in early-stage technology companies. In partnership with the Clinical Supply Blockchain Working Group, LedgerDomain developed the world's first iOS blockchain app for the clinical supply chain. He's also founder of Sophrosyne Capital which has been running for over 15 years. LedgerDomain Website: https://www.ledgerdomain.com/ Ben recently spoke at the IEEE Virtual Series on Blockchain and AI. Ben's presentation on Blockchain and Vaccine Supply Assurance: https://ieeetv.ieee.org/channels/ieee-future-directions/2020-ieee-healthcare-blockchain-ai-medical-devices-industry-day-bruinchain-ben-taylor REGISTER FOR THE IEEE HEALTHCARE VIRTUAL SERIES: BLOCKCHAIN & AI - https://attend.ieee.org/healthcare-blockchain-ai/ Introduction to Ben's background •How did you first hear about blockchain technology? •What is the vision for LedgerDomain? Why did you start it? •What drove you to the healthcare industry? •What's your take on the impact of the recent FDA delay who said they do not intend to take action against wholesale distributors who do not, prior to November 27, 2023, verify the product identifier prior to further distributing returned product as required under section 582(c)(4)(D) of the [Federal Food, Drug, and Cosmetic Act] FD&C Act? How may this impact competition who can enter the space? •What is the last mile of the pharma supply chain? •What is the impact of COVID-19 on pharma supply chain and on LedgerDomain? •COVID-19 Vaccine supply chain expectations •Can you describe LedgerDomain's services/products/platforms and their technology stacks? oOpen Source, Hyperledger Fabric, AWS servers, Linux Foundation oKitchain (push system) and BRUINchain (pull system) oDocuSeal oXATP App •Distributed Identity •What is LedgerDomain's business model? •What are the biggest barriers to blockchain adoption in healthcare? •Privacy/Security enclaves on Mobile •How does running a hedge fund (Sophrosyne Capital) inform the way you approach the blockchain world? •Inventory management accuracy solutions •How would you describe the company culture at LedgerDomain? •Outlook for 2021 and beyond •Favorite DLT projects doing important work not our own? Really like Atomyze for precious metals. Spam deterrence in India. •What’s your take on Bitcoin? •Most influential book you've read - Creative Industries: Contracts Between Art and Commerce by Richard E. Caves •Final Takeaways Health Unchained News Corner With the passing of California’s ballot measure Proposition 24 or the California Privacy Rights Act (CPRA), the state has become the country’s leader in data privacy legislation. CPRA adds to California’s existing law, the California Consumer Privacy Act (CCPA) which gives Californians the power to know what data businesses collect about them and prevent businesses from selling that data to anyone else. The new CPRA law would close some legal loopholes in the CCPA. Proposition 24’s provisions give Californians the ability to tell businesses not to use certain categories of sensitive information, including race, health, religion, location, sexual orientation, and biometrics. It makes more explicit that “do not sell” includes data shared between companies. And it triples fines for violations if the affected consumer is younger than 16 years old. It provides funding for a Privacy Protection Agency that would be charged with enforcing privacy laws. Overall, the passage of the CPRA will drive more interest in privacy preserving technologies that decentralized ledger technology can potentially offer our society. https://www.vox.com/2020/11/4/21534746/california-proposition-24-digital-privacy-results Health Unchained Links Website: https://healthunchained.org Telegram: t.me/healthunchained Twitter: twitter.com/Healthunchaind
November 7, 2020

[IEEE Blockchain Series #1] – Q&A with John Greaves (Technology Standards)

Episode 1: Q&A with John Greaves, Director, Global Standards, Architecture, Conformity and Propagation at ConsenSys Health Hosted by Ray Dogum, Podcast Chair, IEEE Healthcare: Blockchain and AI Virtual Series, this episode kicks off a special podcast series covering blockchain and AI in the healthcare industry. In this episode Ray chats with John Greaves, a globally recognized leader in technology who has pioneered development in distributed ledger technologies (DLT) and blockchain. John shares about the importance of standards for the evolving blockchain and AI space, as it relates to healthcare. It's amazing to witness the rapid growth of the blockchain in healthcare community. Learn more about John's work on Dec. 5 at the Global Standards Collaboration Kickoff. Register here: https://attend.ieee.org/healthcare-blockchain-ai/ Health Unchained Links Website: https://healthunchained.org Telegram: t.me/healthunchained Twitter: twitter.com/Healthunchaind
October 31, 2020

Ep. 74: Self-Sovereign Physician Community – Leah Houston, MD (CEO HPEC)

Dr. Leah Houston, founder and CEO of an early-stage startup called Humanitarian Physicians Empowerment Community. If you are a doctor or physician, this episode is for you. Her solution is to develop a platform that uses self-sovereign digital identities to allow physicians to manage their own provable credentials, cutting the administrative waste involved with provider credentialing. Show Notes •Introduction to Leah's background •What drives you to the healthcare industry? •How did you first hear about blockchain technology? •As a trained physician, when did you realize the flaws in provider credentialing system? •What is the vision for HPEC? •Importance of Self-sovereign Identity •What is a DID? https://www.w3.org/TR/did-core/ •Explain the current process for a doctor to gain medical privileges in a clinic or hospital? •What problems exist for healthcare professionals in regard to provider credentialing? •Blockchain adoption and awareness in healthcare •What are the biggest barriers to adoption? •What does it mean when people say blockchain can provide more trust? •How can HPEC affect the traditional credentialing workflow of a health system? •Can decentralized provider credentialing improve overall digital health technology adoption? •What kind of traction have you had so far? •Can you describe your technology stack? •Cost to build? •What is HPEC's business model? •How did you find your crowdfunding platform? •Physician investors •What other companies are working on similar projects? How are you different? •Outlook for 2021 and beyond •Most influential book you've read – Zero to One by Peter Thiel •Will the future of decentralized identity be hardware based or bio-metrics? •Final Takeaways Health Unchained News Corner https://www.hibcc.org/mediledger-2/ The Health Industry Business Communications Council (HIBCC) recently announced that its Health Industry Number (HIN) System is now available to registered HIN licensees via Chronicled’s blockchain-enabled MediLedger Network. By using Mediledger, HIN pharma industry licensees will both be able to access and use real-time HIN data and incorporate it directly into their live business processes. Manufacturers, Distributors, and GPOs on the MediLedger Network use its Contracts & Chargebacks Solution to ensure pricing contracts are aligned. The solution guarantees that distributors always have valid pricing for customers (Hospitals, pharmacies, clinics, etc.) and that chargebacks are accurate. I’ve interviewed Susanne in episode 66 of Health Unchained. I highly recommend you listen to that episode to learn more about her vision and plans for Chronicled and the MediLedger Network. 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/
October 12, 2020

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

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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