 Hello everybody. Happy New Year. It's 2023 January 4th and this is the Hyperledger Foundation Health Care Special Interest Group general meeting. So today is the 4th and what we do in this meeting typically is one, first of all, it is recorded so this will be on YouTube. So anything if you do want to share anything will be shared publicly. So just be aware of that. You can view the Linux Foundation Antitrust Policy on this agenda page which you can click into. This is a public page and yeah other than that I just wanted to quickly say or ask the community if they have any announcements they want to share before we kind of jump into some of the upcoming events and news and articles that I found over the last couple weeks. All right, well welcome everybody. There's a few folks here. Thanks for joining. So I'm not going to talk too much about the upcoming events because there are a bunch here but just so you're not you're aware there is consumer electronic show happening now and there's a digital health summit going on as well. So actually that's starting tomorrow I think. So if you're there very curious how that's going please share in the comments or wherever. And yeah there's a bunch of other events. Innovator MD Global Summit 2023, the World Crypto Conference in Zurich, January 13th through the 15th. DSIDE London which will be an interesting event about decentralized science. This will be January 15th through the 16th European Blockchain Convention 2023 in Barcelona Spain will be held February 15th through the 17th. Harris Blockchain Week will be March 20th to the 24th. Vive 2023 in Nashville will be on March 26th to the 29th. Hymns April 17th through the 21st. Consensus 2023 which is a major blockchain event hosted by Coindesk is going to be in Austin and that'll be April 26th to the 28th and then Bitcoin 2023 will be in Miami May 18th through the 20th and then finally in September which is a long way away but this is a really I think important one for this community which is the Conv2x Global Blockchain in Healthcare 2023 in New Orleans. So you can access those events and feel free to ask questions to the community if you're curious or you can buy tickets right away and I'm happy to answer any questions about them as well as to the best of my ability too. So remember this is a community here so I think your involvement your comments your questions and feedback is really important and being that this is a very novel space blockchain healthcare I'm sure everyone has questions so I really encourage that communication across. All right well I did find a few different articles in the last couple of weeks that I thought were worth noting the first one is from second opinion it's 2023 predictions from healthcare tech experts so Christina Farr is a major digital health tech investor and she's a reporter as well has been in the industry for quite some time so I was able to read through some of this and it was interesting to see some of the expert opinions or predictions that we're going to happen or that are expected to happen this year so the first one is employers will face rising costs this is really not that surprising I think it says here some of that will be tolerable but there were there could be some surprises in 2023 we should expect to see pruning of digital health vendors particularly those that aren't performing so similar to the crypto space you have this consolidation of many small companies and some of them going bankrupt some of them merging with other companies so I think that's similar to what we're going to see with healthcare mainly due to like inflation and just market slowdown hospitals are shifting away from value based pricing it's kind of a surprising prediction because I think that there is this push towards v value-based services so the claim from Barzad Mostashari the founder of Eladad so this person is saying that we're going to see fee for service coming back and for hospitals it's because of financial pressures and that does sort of make sense it does sort of make sense because there are many hospitals struggling now to just survive I think because of the issues many issues that they're facing with inflation and other things here says hospitals accumulated primary care practices and dabbled in value based payment models in recent years as financial pressures mount many of them will double down on their core fee for service hospital business model and shed both their primary care practices and value-based payments does anyone know if this is going to violate any regulatory you know laws I think it's still sort of in the gray area with value-based payments but very curious to know if anyone has any opinions feel free to comment in the YouTube senior living industry will collide with healthcare so this has sort of been a prediction for a few years now I do think that there's a trend with senior living just the aging population in general the senior living industry will continue down a collision course with the healthcare system sounds scary special to care is convergence with value-based care will continue to accelerate interesting you know these are opinions from various tech experts so this is from Daniel Kaplan from Generator VC Nikhil Krishan from out of pocket health who will buy digital health tools it's not who you'd expect so here it won't he's this person saying Nikhil saying that it won't be the same brand name hospitals historically it's been Mayo Clinic Cleveland Clinic's major hospital chains hospital systems in the country but here Nikhil is saying that on the flip side there seems to be an increasing appetite to partner with tech companies from lesser known hospitals a combination of getting stretched extremely thin in operations running off the rails due to COVID and a need to figure out how to get referrals might be the reasons driving this as an example we've seen an a16z partner with Bassett healthcare network for their portfolio companies to test out solutions and carbon partnering with john your health so we'll be seeing some according to this will be seeing more smaller health system partnerships with digital health companies which i think is a good thing because i do think that innovation can happen anywhere it doesn't have to be at the big hospital so this makes sense to me i don't think i saw any predictions on blockchain though that's the the one thing i wanted to mention or the decentralization yeah that's one thing i noticed that this doesn't have any predictions on blockchain a little disappointing for me but uh this is what it is here how bad will it get for tech back insurance it's gonna get worse according to them late stage capital raises will see more discipline i agree there's been a lot of investing lately last few years so i think now it's going to cool off a little bit greater transparency is coming in pharmacy i hope so startups will sell at steep discounts yeah probably uh virtual care will continue to grow but hybrid models will be most successful okay biosecurity will become more of a thing i agree i think bio i guess what do they mean by biosecurity as programmable biology becomes cheaper faster and more efficient new companies focused on biosecurity will emerge this is from morgan cheapman from best emmer venture partners vcs will start to seek out these opportunities so it seems to be that there's like a going to be a trend for securing um data let's see what kind of data they're referring to because biosecurity is sort of unclear to me we can now program biology to explore new chemical biological space that is not found in nature okay right uh companies focus on biosecurity will emerge in 2023 and will require interdisciplinary founding teams to marry deep biology and chemistry domain expertise with the cyrus cyber security and machine learning accurate it sounds like a really good opportunity for decentralized data management and blockchain and decentralized ledger technologies so and this is more about the data that's emerging from machine learning chemistry and biology less about patient clinical data so that's just an interesting thing to note and i think the last one here anything non-mission critical will struggle to sell keep that in mind people all right um so that was that anyone have any thoughts or opinions on this one cool all right next here is how open standards support enhanced distribution security so this was a not going to go through all of this but it was interesting to see how much content was shared this is from uh george jergus and um talks a lot about the dscsa which is the drug supply chain security act a lot of people are pushing blockchain technologies in order to make this um regulation more attainable or doable technologically speaking so it's interesting to see what he speaks about here and how he's promoting open standards which is really important and just so everyone is aware uh with less than a year to go until full dscsa enforcement on november 27th 2023 mark your calendars an interest in industry-wide collaborative push is needed to get everyone from manufacturers all the way to dispensers ready on time so a lot of work being done in the space there's a lot of videos here you can watch so how do manufacturers support small uh dispensers so if anyone is in the supply chain health care space for drugs i think this is just a really good resource that's fairly um new december 14th so i think you get a lot of value from this uh talks about um credentials and many other things here but specifically i think the point is what's the big deal about open standards and how important are they and the future for open standards and hyper ledger being an open uh community and i think it's really important to just emphasize that open source open access is something i think that benefits society as a whole and i'm just glad to see that this is happening for the supply chain space and drugs all right i hope that's useful and i move on to the next article here the usa today opinion article and i thought this was kind of controversial apple fitbit should use all that data they collect from you to protect public health so you know as you can imagine a lot of people wouldn't uh appreciate this stance because really they don't want to share their data or they believe that their data is private so there's no a right for the government to take that data from them and use it um also there's a risk of that data being sort of lost and shared with many other people and not really well secured and controlled so i think that's the other issue too it's not just privacy issue but it's the fact that it can get sent out into the wild and you know shared with anyone in the world potentially uh the marketing for the apple watch says it all a healthy leap ahead that's how the article starts here's to a healthier you uh so let's talk about the apple watch here and talk about you know mapping exercise or disease so how do you include these factors into um you know determining a person's health and then populations health for example um this says here fitbit publishes reports that show for example communities where people exercise the most cell phone location data is sometimes used to map disease outbreaks these models and their underlying data sets could prove to be a boon to those people and agencies responsible for protecting and improving all of our health interesting so aggregated health data reflects community wide factors uh that reflects community wide factors has for centuries now a public health practitioners allowing them to make seemingly simple improvements that nonetheless greatly impact people's lives so i mean this is interesting claim um to talk about specific samples like early warning systems for suicide i think this has been discussed as well in the veteran affairs communities i think that's where we see a lot of unfortunately a lot of suicides uh by our military people especially retired people again i'm glad that they mentioned privacy concerns here there are to be sure many hurdles to using social and community data and digital health products some users may have privacy concerns about sharing data with power with uh companies or public health agencies overcoming these hurdles could involve developing more open source standards for transparency about data management or ensuring that people can control when and with which agencies to share personal data so i think if we can give people the control of when and which agency which agencies can get this data i think it makes sense to me again that wasn't in details but it's just good to see that this is becoming more part of the public conversation now any thoughts on this one all right moving on here so there's a shared a predictions article and there's another article in Forbes with anti predictions what won't change in health care and this was kind of fun one to read number one consumers won't and maybe shouldn't take control of their health care okay a lot of things we talk about in the blockchain distributed or web three communities is about taking control of your own data taking control of your own life and how you can do that so this is interesting because of the president of amwell who is amwell is like a major telehealth company in the united states i used to work for them actually so i i definitely know about them and i think that they're doing really you know a great job reaching lots of patients and providers so i think what they're doing is important however i i don't know if i agree with this statement that consumers don't want to control or don't need to control their their own health or health care i think there's somewhere in between i think and the claim here is that you know health care is there to help us when we're vulnerable and health care providers are there to provide that they are the experts so it's this way of just pushing over responsibility to the providers and away from the individual and i think many patients are in that situation many people might not want to invest time to understand their health data or data at all and i think this you know is reflected by uh roi here and yeah it's just interesting to see i i think there's some in between zone where there's a trend where people i think will want to own their own data but we're not there yet so i just to make a point here the chief legal and still health officer at basset health care network says people seem to care less about control of their data and more about getting the right data to the right place at the right time without them having to worry about it and if you're putting you know here health data on the blockchain you're probably have to worry about it it's kind of not an easy user experience so i think the user experience is what will bridge the gap between uh wanting to own your data and not wanting to own it uh moving on 2023 will be a big year for big tech in health care we'll talk about here you know in 2023 we'll see a continuation of this failure to launch across big tech because of lack of specialized insider knowledge involving the many facets of health care delivery so the ceo of point click care um very interesting yeah and i think we've we've kind of realized that it's hard for big tech to get health care right we've seen it with google amazon there's a lot of examples um they keep trying and i think that's a good thing and they should keep trying because it's an important space but um yeah digital health does not rebound very quickly anyway may feel boring okay i won't disagree with that things will be tough in the first half of 2023 at least it may feel boring uh interesting value-based care doesn't take center stage and we've seen with the previous examples uh that's also what they were claiming too there will be no retreat from virtual care and telehealth yeah i agreed there here's an example regardless um with the united health group which is the largest health insurance plan health insurance company in the united states recently reporting that 30 of new members seeking virtual first care plans that seems that telehealth and virtual care is here to stay not too surprised there but that's good that the industry is recognizing this smaller health systems won't recover quickly agreed um and we'll see what happens but that's a trend washington won't solve all our problems people are waiting for major federal policy but nothing happens in 2023 speculates don trig ceo of apri health formerly their health and cast light health uh so that's interesting larry ellison isn't going to achieve a unified patient record but hopefully contributes to an industry solution so if you didn't know larry ellison founder of oracle recently acquired serner which is a major the second largest electronic health record vendor bought them last year and claimed to have a solution for a unified patient record system um this prediction is saying that that's not going to happen at least not in 2023 good luck larry we're rooting for you um so grit passion resilience and hard work to innovate doesn't go away so i believe this is this is true and i think that we're going to continue seeing a lot of grit passion and resilience from the health care community and industry because that's why we're doing it i don't think anyone does health care because it's easy i think they do it because it's important and this article or this prediction agrees with that so those are the anti predictions predictions uh from forbes next we have i thought an interesting article about ip nfts in great detail from tyler golato and vincent weiser this was published a couple weeks ago december 21st and it talks about the future of research with ip nfts so for those that may not under know this ip nfts stand for intellectual property non-fungible tokens and they talk about how ip nfts and decentralization can enable this autonomous science or decentralized science approach uh here you can see ip nfts upgrade legacy intellectual systems by unifying ip so patents and legal um documents underlying data through decentralized storage and access control and economics related to royalties and license fees and sales into one programmable transactable digital unit great that's awesome i think this is the future when we get there and when the majority of health care or scientists let's say are you know starting to use this i think it'll take some time but it's certainly going to be faster than we expect this is just the nature of exponential technology and i think it's it's quite interesting to see you know this level of detail because it only helps the community understand in more detail what is possible and what is being built today uh so they talk through how an example of this could work so they talk about the funders patients communities as well as researchers biotech and pharmaceutical companies funders and patients and their roles involved here so i think it's just interesting to to be aware of this especially if you're in the space if you don't know this stuff i think it's worth your while to to digest just to kind of this you know just give some more details here i just want to share their vision is to enable open decentralized science using building blocks and these building blocks are an on-chain research execution layer on-chain verifiable scientific data and research execution enabling machine learning computation over encrypted data this is a key one which is has been difficult historically but really important if you can do it make it work novel decentralized researcher identity and reputation same or lower hanging fruit potentially uh trusted ip licensing networks to revolutionize patent quality verification enabling ip commons enable novel mechanisms for funding collaboration community participation explore novel price discovery mechanisms this is really interesting i think uh and then ultimately enabling a global patent settlement and arbitration layer and an alternative open and decentralized scientific system for researchers and broad public to participate in great vision um i'm definitely following them to see how the that works out okay uh next year it was a an opinion article that was interesting about medical tourism and bitcoin and using bitcoin and i presume other cryptocurrencies but specifically here bitcoin in order to reduce the friction with medical tourism so one issue with medical tourism is that you have to exchange currencies abroad and then you know there are other things involved with that as well but um what they're saying here is we're gonna be nice if we can use bitcoin or providers can accept bitcoin in order to pay for services so what's interesting here is medical tourism often occurs in less economically developed countries right people travel to countries where services or surgeries are cheaper makes sense bitcoin can help these nations close the wealth inequality gap by encouraging a fair free flowing exchange of funds in return for legitimate health care services currently the top 10 countries for bitcoin adoption include brazil india and pakistan many of these countries are popular popular destinations for medical tourism and india is a particularly popular destination for medical tourism in asia um india also scores highly in bitcoin adoption is ranked first in centralized service value received and retail centralized service value received okay um so yeah this is just i thought it interesting who knows when we'll be able to pay with bitcoin for our medical services here in the united states but in other countries it might happen faster so again very curious about your thoughts on this feel free to leave comments below under the video all right next and last year in the news section is a post that i actually had the opportunity of co-publishing with vi bio and we talk about the trillion dollar biotech industry and how it can be disrupted with patient communities and how patient communities can begin to start funding or participate in the funding of early research um and we specifically focused on rare disease in this article and just a note here there's over 10 000 rare diseases that have been catalogued and that number keeps growing as the diagnostics for detecting those diseases are improved you might be surprised to learn that considering that one in 10 americans actually suffer from rare disease and fewer than 10 of these conditions have FDA approved treatment so 98 percent of these diseases don't have an approved treatment this means that there are a lot of people suffering that can potentially want to help accelerate research especially early research in this space so we talk about the role of patient communities and decentralization more broadly um we talk about patient advocacy organizations and how they're starting to exert more influence on health policy specifically which determines the urgency of research development so very very important i think to be aware of the rare disease space because it is sort of unique in the way that um communities are important for for them to really get traction with with commercialization of products so yeah i think this is you know really enjoyed writing this with vibe bio and i hope you guys are able to check it out all right a couple educational nuggets i found one was a response to chat gpt3 this was published in the analytics india magazine and basically they're talking about how there's new tools and services um chat bot services for health care and specifically the one that google introduced called um i think it's called here med palm or it's called multi med qa a newly introduced open source medical question answering benchmark it combines health search qa a new free response data set of medical questions saw online with six existing open question answering data sets covering professional medical exams research and consumer queries so they go into detail about how this works and where the data is coming from in more detail um here it says these comprise the clinical topics data sets med qa med c qa pub med qa live qa medication qa and ml u not entirely sure what mml u stands for um but i'm sure someone does and if you do please leave a comment in the video under the video below in addition a new data set cure of curated frequently searched medical inquiries called health search qa was added to improve multi med qa so i guess the point of all this is instead of you know the open ai chat tool that we might have all played around with already it doesn't have the capabilities to answer really detailed medical questions if we introduce these new data sets with chat gp3 i think we can improve the results of those questions and they have some examples here um about questions they asked so here they asked how do you know if ear pain is serious you can see here that i know ear pain can be a sign of several underlying conditions including all this information which seemed to be pretty good i think this is what a doctor may say don't quote me on this this is not medical advice at all of course i think you guys can judge for yourself um you know so i just think it's interesting that this is happening so quickly and i think that we're going to need to be careful about trusting the data that the ai will spit out but i think we're getting much better at detecting what's not true so um and they mentioned here google isn't the first tech behemoth to venture into ai driven healthcare solutions microsoft is also working closely with open ai with the open ai team to employ gpt3 to facilitate collaboration between employees and clinicians and improve healthcare teams efficiencies so in addition to that actually meta ai introduced galactica the ai-generated program that claimed it would support academic researchers by generating comprehensive literature review and wiki entries entries on any subject however it failed due to unreliable results excuse me yeah so a lot of things happening i think 2023 we'll see a lot more assisted chat chatbot ai systems especially in healthcare where a lot of the work that is done is sort of education patient based and i think that we can leverage ai to do some of that work for us although there needs to be a balance between the human touch and i think ai um yeah any thoughts questions on this okay and then just finally i wanted to share with you all a conversation i had with the founders the core people the core leaders of the dci world organization which is a organization trying to raise awareness about decentralized science more broadly um you can check it out at any podcast player and yeah that's pretty much it it's with uh joshua bait and jelani clark uh about an hour long so a lot of insights in there and talk about the you know experience of starting the company and what they're working on and they'll be at the d-side london event as well in january so uh with that if there's no comments or questions i just want to thank you all very much for watching listening and being part of this uh growing community it really is important that you know even in these down times uh we need to focus on what's important and to build and communicate educate people on how decentralized ledger technologies and open source communities can really help create awesome products and grow and grow many things uh for people thank you all do you have any questions or comments i see a chat here yeah i just uh shared uh like they used to do some like industry uh honestly to find that this is pretty nice so maybe someday others should be used to help you here or not if you can see whether uh so yeah thanks for sharing that and i'm looking at this article now i'm seeing the different areas here so explore transformation maps um so the future of health click into this you should log in to see it okay very interesting i'm going to add this into the agenda as well so people can get access to this link in terms of your question like where is hyper ledger overlapping i think that was your question is that right yeah basically all this areas that the work there's this economic forum analysis um which area which um does it have to limit that i just have to play a role basically yeah it's a good question um i think there's a lot of overlap in many areas and i don't think it's um you know mutually exclusive but i think there's many many different teams and groups and communities and i'm not aware of all of them either so i won't be able to answer fully your question um but i hope that if there is someone who's sort of in a particular area and would like to share with you you know victor um if they want to reach out to me or or anyone on the in the community i can try to connect you with them as well um i mean i know that there's a lot of coven 19 efforts i know there's been a lot of related you know just broadly speaking health care technology and data science digital economy innovation a lot of these areas artificial intelligence economic progress global health for sure so there are a lot of areas here where there's overlaps and i think it could be cool to maybe even like have world economic forum um join a meeting or discuss with us what they're thinking in terms of this just you know map i think it's pretty cool thanks for sharing this by the way again sorry i didn't answer your question 100 but i hope that was helpful oh no no that that's just a big area i'm just sharing this is something we can probably discuss in the future yeah it's really cool i do agree awesome okay um with that uh is there anything else anyone wants to share any events you have going on i think you created you wanted to share talk about get feedback on all right well thank you again you all have a great day and great week and we'll see you back in a couple weeks thank you