1. ONC Blockchain – Observations 3 year later
Debbie Bucci, Office of the National Coordinator for Health IT (ONC)

2. RECAP
Use of Blockchain in Health IT and Health-related Research Challenge
77 response – still referenced today
Follow up to formal publications
Use of Blockchain in Healthcare Workshop
NIST Issue guidance
Blockchain in Healthcare Code-A-Thon
personal health record
identity management API
decentralized provider directory
Interoperability in Action Webinar Series #4 Blockchain in Healthcare
“Oh the Places Data Goes: Health Data Provenance” Challenge
2 winners – one of them blockchain related

3. Potential Health Care Blockchain Use Case – 3 years later
Identity Management (Identity (paitent/provider/researcher), authentication, authorization,)
Access Control
Provenance
Auditing
New and Improve Workflows
IRB Clinical Trial approval
Patient sharing of data
Drug dispensing, monitoring
Tracking and access to Internet of Healthy Thing
Hospital Stays
Medicaid Eligibility
Off chain record location and viewing
Microservices

4. Federal Government Use Cases
Blockchain use cases other agencies are exploring touch many parts and processes of an organization, including:
Financial management
Procurement
IT asset and supply chain management
Smart contracts
Patents, Trademarks Copyrights, Royalties
Government-issued credentials like visas, passports, SSN and birth certificates
Federal personnel workforce data
Appropriated funds
Federal assistance and foreign aid delivery

5. Observations Health Records are an important part of the ecosystem
Many block-chain pilots and proof of concepts occurred over the last 2 years. Waiting for an authoritative source or public entity willing to publish valid claims/information to a node.
Vendors have stopped talking about blockchain - now focusing on value add of their service to Health IT environment
Early success using Distributed Ledger Technology – private chains within and enterprise to extend existing SOA/SOAP based services – enables agile microservices that support Big DATA - AI type services (HHS Procurement is an example)
There are few flavors of blockchain taking most of the market with input support by major companies.   (Etherum and Hyperledger in particular)
Slow progress for reward program – earn credit/coins - stood up to support patient participation in a PHR or Research clinical trial

6. Question & Answer Session

7. Thank you for joining us!
Debbie Bucci Phone: (202) More info: