 Good afternoon everyone and welcome to the really long title that's around blockchain and health care My name is Jim St. Clair. I'm the executive director for Linux Foundation Public Health And I'm very pleased to have four of my friends here today to talk about both health care as an industry and life sciences As well as implications for blockchain and I think just get into some of the details Great question. Perhaps opposed everyone Is there anyone here that comes from a health care background or associated with health care of life sciences in your business practice? Great fantastic one two three. Yeah, that's great. The numbers building four got a good one. Yeah, it's standing good Good five. I said five snuck in there. Do I get six? I want six everybody got six on the floor Yeah, it's good. Absolutely well great Well, so this is intended to be informative as much about the wild and wacky world of health care and life sciences Which are commonly associated with one another but really constitute huge industries on their own And then of course those aspects of blockchain from an architecture from a decentralization from this standpoint with that I'm going to turn it over to me to my panelists in La Florida introduce yourself and pass the mic down and and talk to everybody Okay. Thank you. Jim. Hi everyone. Nice to see you all. My name is Flora Nanda. I am from Pfizer I am the technology and process lead for Pfizer and one of the main focus of technology areas is blockchain So we have like different projects. We are part of different consortium which are our external initiatives and We have in internal initiatives as well. So Before Pfizer I am in this corporate industry for quite a while I come from semiconductor hardware manufacturing software licensing and as well an academician So I have a long career. So when you come to blockchain I kind of understand the pain point cross industry as well though. I'm from healthcare or life sciences right now Hi, I'm Sophia Lopez. I'm one of the founders of collido a web three infrastructure company. We've been Very focused on helping enterprises adopt what three technology over the last five years Prior and we run thousands of chains for cross industry So but healthcare has a special place in my heart Just because it touches all of our lives and then also I had the privilege to work in that space I was at IBM for 10 years. I'm an engineer by training, but I actually worked for two and a half years Just you know with clients trying to bring Bring technology to help solve their problems work primarily with providers in that role, but A lot of interesting things going on even even back then in the healthcare space So happy to talk about what we're seeing in web three and healthcare Thanks. We have a great mix of Perspectives here. My name is Alan Bachman. I'm an identity practitioner and research architect over the last five years I've explored supply chains B2B and identity and my views today will be my own and not reflective of my employer Hello, my name is Charles a coach who I work for a small book store Call AWS Amazon Amazon now for about three years I run global business development for our Amazon managed blockchain service and also quantum ledger database So we you know, we're seeing a lot of innovation in the space, especially in health care Digital transformations taking place across the industry and a lot of them are looking to adopt blockchain services And you know, so I'll be happy to talk to you guys about some use cases that we're seeing Being adopted Great and Charles since you you're the last one over the mic I'll kick off with you for questions sure as we mentioned before we even get into the blockchain aspects of it Just provide briefly to the audience your perspective on some of the challenges that you see health care industry life Sciences is wise and then of course share with everyone else. Sure. So I think you know initially, you know When block chains started becoming, you know Adopted, you know, a lot of the challenges that we saw are focused on creating cost consortiums and you know for to allow different health care providers to share information and so there have been some Challenges as far as you know getting different organizations to work together and and that's kind of where we saw a lot of resistance But over time we're seeing more adoption and not in for a hybrid model where some data or some information is stored on private chains and then using public chains for more, you know information that's can be Anonymized or allowing for a faster adoption for from a customer perspective. So in decentralized identities one area where that's We're seeing a lot of interest to allow, you know Patients to store their data and also have control over the data and you know and share the data and give access to Patient data across public chain. So that's we're seeing a lot of increased usage and increased adoption in that space. I Think an area, you know, that's a simple But in a consideration that should be emphasized when you're starting out just so that you don't get stuck is Focusing on alignment. So the first part of alignment is getting people together to talk about this is what the technology can do What it should do What's the hype around it? Let's you know get past the terminology and then the second part is look at What the group needs, you know identify the basic common Shared services that you need Focus on creating those basic shared common Services that you need and then promoting apps that are built in those consortiums to use those, you know shared common services and Hopefully that sticks with everyone because as you elevate your app or you know, go forward You want people to have trust. So Anything that's built in a dev set gop or repeatable manner that's been scanned and has had transparency You know will accelerate software development and confidence I Was thinking One thing I wanted to start with it just looking at least from the shoes of the The folks in the trenches. So, you know over the last decade if you were talking to a CIO and a lot of Healthcare providers who got hit with meaningful use accountable care act moving to value-based outcomes Get you know Issues like you can't have the same person with a chronic care condition come back into the ER within 30 days Or you won't get paid. So, you know 30-day re-admit Issues are on data blocking. So over the last decade in the healthcare space. There has been, you know drive to digitally transform Obviously moving to the cloud as part of that working together as more of an ecosystem because you have population health You have coordinated care. So you can't have all the data and all the silos like traditionally has been in the industry So I think you know I first start working in the space some a lot of CIOs started thinking this is a good time to retire Because we've got these regulations We've got You know fees and penalties if we don't comply So how can technology help us and and you'd see often in a lot of these organizations, you know They were buying packaged apps and didn't really have the skills to to deal with some of these new challenges So I think you know that applies to now looking at Web 3 blockchain digital assets, you know, how do you get the skills internally to do this? You know try to avoid Focusing on the real problems of bringing multiple parties together and solving issues like what can we do? That's a common shared service working together versus everyone trying to reinvent the wheel But trying to stay a couple layers above just, you know, the technology itself and and how could they move quickly and show real business value? Yeah, I agree with all of them I would I would tackle this question in a different little different way over the years with working with different business use cases and blockchain technology We categorized all the problem areas into three groups from the life sciences perspective one is from the health data Second one is clinical trial and third one is supply chain When it comes to health data, it sounds easier than done It's very complex all the way from collecting the data storing the data processing the data and who owns the data, right? We just I was listening to this Cali health down and everything so true the problem is so that is one challenging area We can use blockchain to solve some of it But we need blessing from the ecosystem partners and all of it The second category is clinical trial starting from the discovery phase all the way to marketing post marketing survey real-world Evidence everywhere. I see where the technology can fit. There are challenges, but there are opportunities as well using this technology And supply chain everyone knows about supply chain. It's multiple parties. It's the good transfer through multiple hands. It's a low hanging fraud But technology adoption wise there are many challenges. I would not talk about this one like multi-party bringing everyone on board And adoption of the technology. There are many technology providers, but who is buying it, right? Who is consuming those ones? Those are the main areas we have to look at. So that that is my perspective Great and floor if I could pick up from there since Sophia opened the door and digital transformation Kind of everyone's thoughts on where your organization's a digital transformation journey and what are these things to consider? Okay, that's that's an interesting question. Yeah So everyone is talking about digitization and digitalization So I got to understand recently that there are two different concepts digitization is automation Digitalization and changing the mindset as well as the automation So from from the digital transformation perspective. Yes, the mindset is there. The culture is gradually changing the leaders and Management team are trying to put together teams that think in the digital transformation way. I would talk specifically about blockchain So there are many technologies out there. I would compare blockchain with cloud AI ML and all those technologies Cloud and AI ML got their adoption but blockchain from the enterprise perspective struggling a little bit That is because like it's a multi-party business not a single party I cannot simply say that Pfizer has a blockchain network running its own note. That doesn't make sense So we are not not yet there But what what we are planning to do here is like we can go towards public blockchain And try to think of some use cases that we can go alone So that that would be a faster route to adoption but digital transformation is pursuing agile methodology product management All these things are coming to Enterprises so yes, we are out there. Maybe next two three years All organization will be digital transparent I must tell the same things like I always closely observe the market the work force that market is looking for right now I get requirements like Digitalization of sales organization Digitalization of quality organization digitalization of marketing organization So it's good to see and these are very business focused with digital strategies. So our organization is also out there One comment I was reflecting when you were speaking is you know, if you just look at digital transformation and organizational change, there's Well-known change management specialist John Cotter who said 70% of organizational change initiatives fail So a lot of times people will look at the technology but it's not the technology. It's the people and the processes So, you know, he has a number of principles that help make you know What are our principles that might guarantee a better chance of success and one the first one is you need a burning platform People need to be a jump from where they are because their feet are on fire So we did see that with COVID. So, you know, we collider runs networks across industries and You know in the insurance space, which is Probably just as mired in compliance and regulation and legacy systems as healthcare They told us that their digital transformation roadmaps accelerated by decade and we saw that they and they were doing really interesting projects There's actually one consortium. That's over a hundred years old They have 24 different projects going on industry working groups with the across life and annuities property and casualty reinsurance Doing things like creating a master death record in the US. We did, you know when COVID was happening There was no way, you know people you're asking the widow Who's seven-year-old husband passed away to take a paper copy of the death certificate to the bank to the funeral home And get like 15 copies of these in the middle of a pandemic. So I'm that's pretty crazy So nationwide prudential and others said we need to come together to get solve the shared data problem across industry And that's what blockchain is really good for, you know digital assets now layer on incentives with tokens So there's a healthcare network that many of you are familiar with called synaptic that we work with and they use tokenized incentives really is a data monetization Play that if you contribute data or you update data you get paid You avoid the tragedy the commons other people who are not participating not contributing They'll have to pay to subscribe to that data and in other cases we see instead of the fungible tokens and non fungible So documents like powers of attorney, you know as you're digitizing I didn't actually know the difference between those two. So I love when I learned something new So digitizing these very paper-based manual processes, you know Now you can represent something with global identity with these token standards And, you know, there's a group of 200 insurers We're working with around the surety bonds and their power of attorney represented with NFTs or things like credentialing in the space as well So it's a lot of interesting developments but a lot of it's trying to put the easy button into technology and letting people focus on some of the Organizational business legal issues of getting Multiple parties and ecosystem to work together and I guess in multiple people mentioned I think enterprise blockchain started thinking about solving the frenemies Alan said in our prep problem competition, you know, this shared problem But we're also seeing a lot of enterprise saying hey, I'm gonna participate in a dozen or more use cases So I need a web3 gateway. I might run a node in one network I might launch my own solution and it's really more of just the decentralized app that people can access Might be to see could be b2b So how can I do that at scale and that's an interesting next evolution? We're getting to what people are planning, you know, multiple types of participation across web3 projects So I'm gonna just talk about from like just a generalized perspective and when I look back at you know Open-source projects and how they you know progress The thing that sticks to me is the accountability, you know, how do we add? Accountability to make these systems that we say are trustworthy actually trustworthy Just because it's on a blockchain doesn't mean it's you know, awesome And I look at you know Existing industries, you know, they do know your customer and they do the proofing they do account resolution And if you can not only verify that the transaction on your blockchain is High confidence, maybe not perfect And you can also identify that the people behind it are real. They're not bots or some type of duplicate account Some pretty big things can happen And you can get to some of those, you know root issues that we were looking for the big thing that I see when you have Accountability is the overall trust that you don't have to tell people right they get it they they can see You know what you're trying to do so at AWS we work with a lot of customers who are going through their digital transformation as She mentioned earlier, you know during COVID we saw like a you know Giant increase in customers wanting to adopt blockchain for you know, COVID Vaccine tracking, you know for certifications and lots of our two or three projects and We also see for you know supply chain like as you mentioned earlier but not just tracking the Those location and but also tracking the chain, you know tracking the condition for instance COVID vaccines require, you know cold storage So, you know, we see all that we saw a lot of implementations of you know using Temperature sensors IOT devices to track and storing all that information on the blockchain So that's actually led to a lot of other conversations that we're having with traditional, you know healthcare life sciences companies for in things like patient consent tracking and other use cases another very interesting use case like you mentioned was for incentivizing patients or help, you know to share the healthcare records for or Ensuring that they're leveraging or taking taking their doctors advice, you know taking their medicines and offering them tokens So they can be paid so the law very interesting use cases that we're seeing And it's definitely you know as in the Elka industry. We get a lot of you know customers asking what their competitors or their peers are doing and you know they want to you know do a POC or some sort of Pilot to see if they can leverage it. So that's driving a lot of adoption of the service across the industry And Charles, I'll just pull in that thread for a minute from your perspective AWS We've heard quite a bit so far about things like governance and accountability and building consortiums What do you see for consortiums and consortium governance coming along with Customers as a bedrock to their to their blockchain exploration efforts Yeah, I think you know Generally what we've seen is we when we ask customers You know especially customers reach out to us and say hey, we're interested in doing a blockchain project I mean one of the first things we ask is what which which partners are you interested in working with are you or partners? are you expecting to join the consortium and one very easy to indicate of Whether a project is gonna be successful is if you can identify one or two partners that are willing to join you in that POC if you're not if you can't find somebody you're just gonna build it and hope they come Most likely it's not gonna go anywhere And and we've also seen that sometimes it's best to look at the market leaders or you know companies like Pfizer You know who are who I've already and a lot of market presence And there are lots of projects in that space regarding things like you know settling pharmaceutical claims and you know PBRs which is a pharmacy benefit management and so working with those large those organizations were able to actually you know build You know more successful consortiums, you know going forward He knows too much Yeah, it's interesting there are a lot of different models And one thing I didn't mention actually in the intro so I was at IBM and launched IBM blockchain platform Actually, Chum who's here we worked in the early days with lots of different models I think you had a slide of a lot of these or a member With we're observing the patterns. So you mean there could be an existing consortium So we see that in some industries like I mentioned insurance in the US There's one that's over a hundred years old So they naturally have these sort of working groups of membership and then they're looking at how can they sort of operationalize going from you know a lab and I identify use case project and then graduating the projects up But you can see companies who form a new co or basically join venture so to Charles point People don't like joining their competitors thing. They want to be equals around a table So we've seen some models of that especially like the first generation of enterprise projects and the cautions there are Even if you're well funded by deep pockets Who are each of the members you're basically a startup and then the people who are on that In the new co need to think and act like a startup. You need to be very focused on product market fit There was you know great discussion by one of those consortiums in the member summit talking about what they learned And you know you need to listen to what the market needs and is the problem Solving urgent pervasive and people are willing to pay for it Because you can't have this sort of corporate mindset like there's gonna be some CFO who just keeps funding you and you need to you know You need to you know, you need to be able to deliver value and Not spend like five years reinventing all the plumbing layers and never get to providing value So so those are some different models and then there are people who you know have the industry relationships A lot of this are existing business relationships that now you're digitally transforming There could be things you couldn't do before that you could do now So we have some industries who say we've been trying to solve this for 10 years and now we finally the technology is here and we can do this So there could be situations where there is an industry solution provider and people are subscribing to that service But you know, there's better faster cheaper. They're evolving the way they're working or more like an evolution Or that could be a revolution just using some of the new web 3 constructs. We do see in some of these Networks instead of forming a new co and a legal entity that sort of makes decisions. They stay completely decentralized so they're just an alliance and It's really has tokens It's almost like an enterprise Dow that they're trying to align sentence that way So so lots of different approaches and you sort of have to think about what makes the most sense for what you're trying to accomplish But keeping an eye on What's the product that the product market fit, you know, what's the value you're driving should be what you start with and then You know the technology there's a lot of plot projects were involved with her people don't even know blockchain is delivering the like better, you know product or efficiency and they're getting a lot more traction and you don't need to say Hey, there's blockchain inside because it should get to that across many of these use cases where people are using it Because it makes sense or it drives some additional benefit But not because of the technology inside and I think that's where you know AI started 30-plus years ago. It's gotten to you know It's woven into the tapestry of a lot of offerings today, but it took a while to get there And I think blockchain is actually moving and web 3 much faster than that So that's the good news, but there's a lot of learnings along the way, which is why it's great to be Discussing this with a lot of the industry leaders Okay, I forgot the question maybe it was around consortium Okay, the first thing for us like I will talk strictly from a corporate perspective because we are not selling service We are consumers of the service, right? So it's interesting that you mentioned that we don't have to worry about funding. Oh, yeah We have to worry about funding. So for the first thing we need to do before even jumping into any decision We have to get business buy-in because business is the one who funds all the projects even with the digital innovation The operating model has not been changed though the mindset is changing the operating model to change the operating model It will take a while So first thing is we get the business buy-in once the business is ready. Then we think about the consortium building So there are different models. We follow for example, we can partner with other external consortium with our all our peers and all our Actors like maybe for pharma industry to be wholesalers or the dispensers like Wal-Mart Walgreens in the US. I'm sorry. We are in Ireland. I'm not familiar with the pharmacy system But that is one thing for example, we are in part of pharma leisure where although there are 17 Pharmaceutical industries, we are part of that group as well There is another model that we follow that is kind of startup-led model that is a chronicle and middle-aged model So that start up will get funding from the venture capitals and then the start-ups Responsibility is to build a consortium Then the start-up invites us to join the consortium But remember we have to get business buy-in to join that one because we have to finance our participation as well So that is another model the third kind of model, which is an interesting model like we start internally Then we build a POC in a small scale Then though we invite our peers to join the network in the POC then pilot then then then and then right then scale it In all those models the governance is very important Actually, if we do not have a proper governance the first question we go out and get from our peers or the partners Who has Right to decide who joins your network, right? This is a permission network for the enterprises So then who deploys the court who decide the court change management like Dave say coughs So if we work on the governance from the gate go in parallel So by the time we reach the end of the POC and we are ready to jump in the pilot We have the governance model, but it is very crucial for the enterprise models The last model, which is my favorite model, which I always Advocate for forget about all the enterprise blockchains forget about all the permission blockchains and everything you said wave 3 is Advancing why can't we deploy our use cases using public blockchain? We are talking about some regulatory aspects of it, but it totally depends on what data I'm actually you are putting on the public blockchain. Why can't we build our own use case using public blockchain as? So I am an advocate for that one But as I mentioned, we are we have to get business buying we are not yet there But we are pushing for some public blockchain use cases Interesting enough that there is a decentralized autonomous organization dowels in clinical resource space. They call it decentralized science I think we were talking about that So Pfizer has expressed interest to invest in Vita Dow. It's a public news That's why I am at the liberty of discussing it with the audience So that mindset is there is from Pfizer ventures, which is a very good thing. So that is the first Step in the right direction. So that is where we stand from the consortium perspective Excellent excellent good feedback. And I think we have about five minutes left on our schedule So I want to give the audience a chance. I'm sure there are some Questions brewing that I can I don't there's a mic out there if there's not I'll be happy to bring it over to you For any questions or anything you want to bring up? Okay, no questions. Oh, there we go. One right there. Yeah All right. Hi, I'm John Coltrane. I think we've all met but I'm I'm with polygon So I like the sound of the public blockchain stuff, but I'm curious what the Dow concept What are the what would be the kind of? Operations of the Dow. What is the Dow trying to achieve? I think dowels are a great use case also for enterprises, but just curious what you're, you know How it's working with Pfizer. I'm gonna bring the mic back to you. So you get the recording Okay, so this is this is Pfizer's interest to invest in the Dow as a venture capitalist I mentioned it's a Pfizer ventures interest. So we are investing in this company not like we are Participating in the day-to-day operations are buying their token. I think that token is called Vita token We are not buying that token. So we have a considerable amount. We are investing there But our interest is in clinical resource base, which is the decentralized science concept The concept of this clinical research is like we we will fund the project that will not get funding Otherwise, there are many research initiatives, but they die soon because they don't get the funding The intent of this clinical research or the dowels in clinical research and decentralized science in general is to provide them funding I think Vita Dow is working on some product in the longevity area and we are interested in that one But if you follow the Vita Dow's paper, they white paper, they the use case is very interesting It is not about in the token you buy to get the voting rights because Dow is all about voting rights and everything It's not only the token you buy, but it's the intellectual property as well There is an NFT angle to use the intellectual property getting generated with this research would be deployed as an NFT and You can monitor monetize it in the marketplace selling it or leasing it. So that is another interesting angle So we are interested in the whole concept. So we are in this we expressed interest in investing in this organization. Makes sense Okay, thanks for the question Yes, great question time for one more and no more questions and if we have no If we have no more questions, I'd like you to thank my outstanding panel and appreciate your participation today Thank you