decentralized-id.github.io/unsorted/real-world/healthcare.md
2023-06-09 14:11:15 +05:30

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Healthcare

Company Stories

I began working with Lumedic in January of this year, specifically focused on digital identity standards, especially in self-sovereign identity, and also continuing to work in HL7. Lumedic is part of Providence Health Systems, and we play a very active role in several HL7 initiatives for health IT and data exchange. Its very complementary to the work were doing with groups like Sovrin, the Trust over IP Foundation, and so on.

Promising advances in digital personal health empower patients. Technologically, we could shift from symptom based intervention to prevention and early treatment.  But advanced innovations also generate debates on trust in sharing intrusive data and regulatory compliance. You can find details regarding our panel presentation here.

The hackathon held by INTEROPen, a leading organization to support & accelerate the delivery and adoption of Interoperability Standards in health & social, in partnership with NHS (National Health System) was aimed at developing innovative solutions for the management of access and safe mobility of staff in hospital facilities.

Participants in this co-creation use case were TNO, CZ, Rabobank and Accenture. The developed solution can be applied in other industries as well. For example in public services, which are often offered by a network of organisations that are all required to comply with high administrative standards.

Pilot

Healthcare is a key case-use of the SSI model employing blockchain given the significance and scalability of this sectoral. In this article, we give you details about a pilot project developed for the Andalusian Health Service in Spain to evidence the feasibility of a vaccination card according to the Alastria Self-Sovereign Identity system based on Blockchain technology.

  • SSI For Healthcare: Lessons from the NHS
    • Lessons learned from working with self-sovereign identity (SSI) at the NHS, and the needs highlighted when leading the frontline response during COVID-19
    • What digital health passes mean for the adoption of SSI
    • Applying the four principles of healthcare ethics to verifiable credential technology
    • The top use cases for healthcare, including “staff passports” and portable health records

explainer

When a medical accrediting agency provides a digitally signed certificate, the healthcare practitioner and owner of that certificate holds the credential in a digital wallet. The details of the credential such as the time stamp in which the certificate was given and how long it is valid for, can be optionally held within a blockchain network, digitally linked to the certificate, this process is called anchoring.

By integrating with Dock and utilizing verifiable credentials, the process of verifying a workers qualifications goes from analysing paper-based certificates and calling each educational body to certify the legitimacy of it, to having the accreditations sitting in a tamper-proof digital wallet, with a digital signature signature from the issuing body certifying the legitimacy.

If youre getting health care in the U.S., chances are your providers are now trying to give you a better patient experience through a website called MyChart.

This is supposed to be yours, as the first person singular pronoun My implies. Problem is, its TheirChart.

Meanwhile a new report has found that the majority of the British public is willing to embrace digital healthcare tools  such as apps and digital therapies prescribed by a trusted healthcare professional.

Shaw adds: “The vital point to make is this: innovations in health technology must ensure self-sovereign identity.

Devices

In 2021, #RuggedIoMD becomes an #IIoT category 2020-12-23

So theres demand for a new category of IoT and #IoMD that survives and thrives despite these challenges. Very low power consumption. Lots of storage and caching to hold on through power outages. Ruggedized for use outside clinics. Easy and cheap to field-repair. Lots of smarts inside so they work without an internet tap. Many flavors of connectivity to exploit opportunities as they knock. Open sourced, the better to adapt to new and unplanned problems.

Problem: So, what happens when you cant call home to conduct an identity conversation? Youre on Mars and the latency is long. Youre in Haiti and the bandwidth is very limited during a storm. Youre in a war zone and your signal is noisy due to interference.

Rugged Identity is hoped-for resilience from very long latency, noisy signal, low bandwidth, interrupted connections, very low power computing and radio, power outages, and attacks on physical integrity like device tampering.

paper

Results: MediLinker allows users to store their personal data on digital wallets, which they control. It uses a decentralized trusted identity using Hyperledger Indy and Hyperledger Aries. Patients use MediLinker to register and share their information securely and in a trusted system with healthcare and other service providers. Results: MediLinker allows users to store their personal data on digital wallets, which they control. It uses a decentralized trusted identity using Hyperledger Indy and Hyperledger Aries. Patients use MediLinker to register and share their information securely and in a trusted system with healthcare and other service provid-ers.

Real World

For patients who have a smartphone, they can directly view and manage their medical credentials on their wallet application; for patients who are equipped with feature phones, they can interact with their credentials via a dedicated USSD menu; for those who dont have a phone, the medical credentials will be stored in a printed QR code.

Business

Most healthcare organizations are and should be, focused on their core business pursuits, such as patient care or processing insurance claims. Information security and identity management is not their core business, yet is a critical factor in compliant, secure business operations.

Policy

The Interoperability and Patient Access final rule (CMS-9115-F) delivers on the government's promise to put patients first, giving them access to their health information when they need it most and in a way they can best use it. As part of the MyHealthEData initiative, this final rule is focused on driving interoperability and patient access to health information by liberating patient data using CMS authority to regulate Medicare Advantage (MA), Medicaid, CHIP, and Qualified Health Plan (QHP) issuers on the Federally-facilitated Exchanges (FFEs).

The Substitutable Medical Applications and Reusable Technologies (SMART) platform promises to solve these data fragmentation challenges by standardizing how patient data is accessed and shared. And given SMARTs inclusion in the 21st Century Cures Act, the platform will become the standard protocol for accessing electronic health records (EHRs) in the near future. 2020-05-01

Development

  • We have to get to protocol/standards like we did with email
    • It will be messy and competitive with new players who emerge and offer more freedom
    • Those who cant adapt will lose ground - need to be willing to let go
    • Messaging apps: Signal/Whats APp - PRESSURE...eventually someone will make it so that they work together and scoop up everyones business