Blockchain in Healthcare Mind the Gap(s)...Analytics Maturity Adoption Model Continuity of Care Maturity Model Digital Imaging Adoption Model EMR Adoption Model Improved Patient Care

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Blockchain in Healthcare – Mind the Gap(s)Results from the HIMSS Analytics eHealth TRENDBAROMETER

JÖRG STUDZINSKI

Director of Research and Advisory Services, HIMSS Analytics | HIMSS Europe

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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

Analytics Maturity Adoption Model

Continuity of Care Maturity Model

Digital Imaging Adoption Model

EMR Adoption Model Improved

Patient Care

and Health IT

Insights

Infrastructure Adoption Model

Maturity Models Thought Leadership & Insights

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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

WHAT IS THE HIMSS ANALYTICS EHEALTH TRENDBAROMETER?

5 minSurvey Assessing trends and challenges in the European eHealth sector Supporting discussions within the European eHealth community

300

500

eHealth professionals from across Europe, representing : Health facilities (e.g. CIOs, CEOs, physicians, nurses) Software and consulting companies Health authorities Other eHealth related areas (e.g. research, journalism)

3 – 4 Topics per year

1 – 2Months of data collection Online survey Invite via email and public link

Free access to reports/results www.himss.eu/healthcare-providers/ehealth-trends

to

Published in April 2019

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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

Annual eHealth

Survey

eHealth Trends in

Europe

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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

EXCURSION: EHEALTH TRENDS

What do you see as the biggest eHealth TRENDS within the next 2 – 3 years?Multiple choice with a maximum of 3 responses; n = 567 (number of cases)

15%

10%

9%

9%

9%

9%

8%

8%

7%

7%

6%

2%

Patient self-monitoring

Population Health Management

Use of mobile devices by clinical staff

Provision of telemedicine services

Data analytics

Artificial intelligence

Personalised medicine

EMR implementation and adoption

HIE with external providers

Patient Health Records

Disruption of traditional healthcareprovision by new players

Blockchain

Results from the “HIMSS Europe Annual Health Survey”, carried

out in 2018, supported by HYLAND.

HP C

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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

BLOCKCHAIN TECHNOLOGY IN HEALTHCARE

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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

SAMPLE DISTRIBUTION – SURVEY PARTICIPANTS

Geographic distribution Respondents by organisation

n=361

Countries or regions with more than 30 respondents are shown individually.Nordic Countries = Denmark, Finland, Iceland, Norway, Sweden* “Others” include: Portugal, Poland, Greece, Russia, Malta, Bulgaria, Croatia, Cyprus, Georgia, Romania, Slovakia, Turkey and Ukraine.

OrgType

Health facility

Software VendorConsulting Company

Governmental health authority (13%)

OtherOther

Germany

Netherlands

Nordic Countries

SpainSwitzerland

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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

How familiar are

you with blockchain

technology?

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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

HOW FAMILIAR ARE YOU WITH BLOCKCHAIN TECHNOLOGY?

29%(Rather) not familiar

50%Somewhat familiar

21%(Rather) familiar

n = 358 (all respondents)

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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

HOW FAMILIAR ARE YOU WITH BLOCKCHAIN TECHNOLOGY?

Healthcare facilityn=150

Software vendorn=48

Consulting companyn=44

Governmentalhealth authority

n=46

1&2 - (Rather) not familiar 3 - Somewhat familiar 4&5 - (Rather) familiar

3.1

3.0

3.0

2.8

2.5

1

2

3

4

5

By type of organization By country

n=44

n=56

n=38

n=39

n=59

29%

9%

8%

24%

48%

50%

50%

69%

50%

44%

21%

41%

23%

27%

8%

29% 50% 21%

Totaln=359

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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

LESSON 1

• Most eHealth professionals are somewhat familiar with blockchain, but deeper knowledge is limited.

• The knowledge gap is largest among professionals working in healthcare facilities.

• Especially in Germany.

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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

Does your organisation use/provide

products or services with regard to

blockchain technology?

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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

USE AND PROVISION OF BLOCKCHAIN TECHNOLOGY OR SERVICES

Consulting companyn = 43

Software vendor n = 95

Healthcare facilityn = 146

We use blockchain tools We provide blockchain products We provide blockchain related services

14%No, but plans

3%Yes

55%No

27%Don’t know

25%No, but plans

6%Yes

18%No

51%Don’t know

33%No, but plans

23%Yes

40%No

5%Don’t know

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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

USE AND PROVISION OF BLOCKCHAIN TECHNOLOGY OR SERVICES

Consulting companyn = 43

Software vendor n = 95

Healthcare facilityn = 146

We use blockchain tools We provide blockchain products We provide blockchain related services

If plans, what is your current interest in blockchain?

If plans, what is your current interest in blockchain?

If plans, what is your current interest in blockchain?

62%

33%

0%

0%

5%

63%

21%

13%

0%

4%

57%

36%

0%

7%

0%

Still learning

Proof of concept

RFP

Don‘t know

Pilot testing

Still learning

Proof of concept

RFP

Don‘t know

Pilot testing

Still learning

Proof of concept

RFP

Don‘t know

Pilot testing

14%No, but plans

25%No, but plans

33%No, but plans

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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

LESSON 2

• Blockchain technology tools and products are rarely used and provided in European healthcare at the moment.

• A significant share of professionals is unaware about ongoing blockchain activities.

• Consultants appear to be the most active group of blockchain “users” so far.

• Most stakeholders are still in their learning phase.

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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

What do you see as

the top use cases

for blockchain in

healthcare?

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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

TOP USE CASES FOR BLOCKCHAIN IN HEALTHCARE

What do you see as the top use cases for blockchain in healthcare?Multiple choice with a maximum of 3 responses; n = 804 (number of responses)

15%

13%

12%

12%

11%

11%

9%

6%

3%

7%

Protect patient data/medical records

Secure data exchange by using cryptographic functions

Provide new access points for healthcare data

Accelerate/improve data transfer between stakeholders

Increase security among traditional systems by connecting them

Enable data exchange for new actors in healthcare

Push standardisation by using shared data

Reduce data transactions costs

Other

Don’t know

Software vendorHealthcare facility Consulting Company Health authorityn = 109 n = 91n = 318 n = 112

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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

TOP USE CASES FOR BLOCKCHAIN IN HEALTHCARE

What do you see as the top use cases for blockchain in healthcare?Multiple choice with a maximum of 3 responses; n = 804 (number of responses)

15%

13%

12%

12%

11%

11%

9%

6%

3%

7%

Other

Don’t know

Software vendorHealthcare facility Consulting Company Health authorityn = 109 n = 91n = 318 n = 112

Protect patient data/medical records

Secure data exchange by using cryptographic functions

Provide new access points for healthcare data

Accelerate/improve data transfer between stakeholders

Increase security among traditional systems by connecting them

Enable data exchange for new actors in healthcare

Push standardisation by using shared data

Reduce data transactions costs

19

© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

TOP USE CASES FOR BLOCKCHAIN IN HEALTHCARE

What do you see as the top use cases for blockchain in healthcare?Multiple choice with a maximum of 3 responses; n = 804 (number of responses)

15%

13%

12%

12%

11%

11%

9%

6%

3%

7%

Other

Don’t know

Software vendorHealthcare facility Consulting Company Health authority

ES

ES

DECH

SWHA

SW

SW

n = 109 n = 91n = 318 n = 112

Protect patient data/medical records

Secure data exchange by using cryptographic functions

Provide new access points for healthcare data

Accelerate/improve data transfer between stakeholders

Increase security among traditional systems by connecting them

Enable data exchange for new actors in healthcare

Push standardisation by using shared data

Reduce data transactions costs

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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

LESSON 3• Blockchain can be used in many fields, for many purposes.

• Across all countries, blockchain is expected to improve data protection, enable secure data exchanges, and accelerate the collaboration of different stakeholders.

• Expectations about blockchain benefits differ significantly by stakeholder segment.

• Blockchain is unlikely to reduce data transaction costs.

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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

Which are the

biggest challenges

for blockchain in

healthcare?

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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

KEY CHALLENGES FOR BLOCKCHAIN IN HEALTHCARE

Which are the biggest challenges for blockchain in healthcare?Multiple choice with a maximum of 3 responses; n = 893 (number of responses)

Software vendorHealthcare facility Consulting Company Health authorityn = 121 n = 108n = 350 n = 129

20%

17%

17%

10%

7%

6%

5%

4%

4%

3%

4%

4%

Lack of in-house skills & insufficient user knowledge

Insufficient product maturity & unproven technology

Regulatory and GDPR-related issues

Interoperability with other soft-/hardware

Uncertain Return-on-Investment

Lack of trust from medical staff

Potential security threats

Lack of trust from patients

Implementation of new soft-/hardware

High costs

Other

Don’t know

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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

KEY CHALLENGES FOR BLOCKCHAIN IN HEALTHCARE

Which are the biggest challenges for blockchain in healthcare?Multiple choice with a maximum of 3 responses; n = 893 (number of responses)

Software vendorHealthcare facility Consulting Company Health authorityn = 121 n = 108n = 350 n = 129

20%

17%

17%

10%

7%

6%

5%

4%

4%

3%

4%

4%

Lack of in-house skills & insufficient user knowledge

Insufficient product maturity & unproven technology

Regulatory and GDPR-related issues

Interoperability with other soft-/hardware

Uncertain Return-on-Investment

Lack of trust from medical staff

Potential security threats

Lack of trust from patients

Implementation of new soft-/hardware

High costs

Other

Don’t know

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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

KEY CHALLENGES FOR BLOCKCHAIN IN HEALTHCARE

Which are the biggest challenges for blockchain in healthcare?Multiple choice with a maximum of 3 responses; n = 893 (number of responses)

Software vendorHealthcare facility Consulting Company Health authorityn = 121 n = 108n = 350 n = 129

20%

17%

17%

10%

7%

6%

5%

4%

4%

3%

4%

4%

Lack of in-house skills & insufficient user knowledge

Insufficient product maturity & unproven technology

Regulatory and GDPR-related issues

Interoperability with other soft-/hardware

Uncertain Return-on-Investment

Lack of trust from medical staff

Potential security threats

Lack of trust from patients

Implementation of new soft-/hardware

High costs

Other

Don’t know

CH

ES

DE

CH NC

NL

NL

NL

DE

HA

HA

HA

HA

C

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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

LESSON 4• Further spread of blockchain is restricted by

lack of in-house skills and knowledge immaturity of available products healthcare-specific interoperability and regulatory challenges (e.g. GDPR)

• Country variation is rather moderate, but… Dutch eHealth professionals are more concerned about ROI than their peers from

other countries

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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

Which vendors for

blockchain technology

in the healthcare

ecosystem do you

know?

“MINDSHARE”

27

© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

MINDSHARE

Which vendors for blockchain technology in the healthcare ecosystem do you know?All vendors mentioned more than once displayed

n = 322

76%Don’t know any vendor

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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

LESSON 5

• Most eHealth professionals are not aware of any blockchain vendor.

• Vendors have a rare opportunity to “mark this territory”.

• Brand awareness drives consumer decisions.

29

© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

When do you expect a

breakthrough for

blockchain tools in the

healthcare space?

(When will they become powerful, useful and

widespread in your country)

30

© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

NetherlandsSpain

Health facilitySoftware vendor

Consulting company GermanyNordic Countries

Switzerland

Governmental health authorityOther organisations

BREAKTHROUGH FOR BLOCKCHAIN TECHNOLOGY

When do you expect a breakthrough for blockchain tools in the healthcare space, i.e. when will they become powerful, useful and widespread in your country?

Total: n = 238; Germany: n = 30; Netherlands: n = 27; Nordic Countries: n = 33; Spain: n = 35; Switzerland: n = 28; Other countries: n = 85; Consulting company: n = 35; Governmental health authority: n = 27; Health facility: n = 87; Software vendor: n = 39; Other organisation: n = 50Values for countries/regions weighted according to the distribution of “type of organisation” in the sample

Expected year of blockchain technology

breakthrough

2023Germany

Nordic CountriesSwitzerland

Health authoritiesOther organisations

NetherlandsSpain

Health facilitySoftware vendor

Consulting company

31

© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

LESSON 6• Blockchain supported tools and processes won’t be around (much) immediately. But they will

be in a few years.

• It’s time to get prepared.

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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

• Knowledge and skills

• Value and use cases

• Guidelines & Policies

• Brand awareness

• Timing

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© HIMSS Analytics | Results from eHealth TRENDBAROMETER on “Blockchain Technology in Healthcare”, published April 2019

UPCOMING EHEALTH TRENDBAROMETER TOPICS

Annual European eHealth Survey

Telemedicine

Cloud Computing

Healthcare Analytics

Value of Health IT

If you are not part of our our panel yet, please register here: https://www.himss.eu/healthcare-providers/ehealth-trends

Or send an email to: research@himssanalytics.eu (Subject: Subscribe me to the eHealth Trendbarometer)

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Thank you!

JÖRG STUDZINSKI

Director of Research and Advisory Services, HIMSS Analytics | HIMSS Europe

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