 And from the Hyperledger community who's joining us today, it's great to be back this year again at the Global Forum and we're going to be talking about lessons from some of the leading, working with some of the both on some of the business and industry thoughts as well as technical learnings. Just moving to speaker introductions. Elyse, would you like to kick it off and let everyone about? Yeah, sure. So I am the VP of Product Engineering over at Consensus Health. I used to work for Consensus prior to that. I've been building software with lots of cool, amazing people for the past 20 years and but am educated as a molecular biologist, so did that for some time as well. And my crossover into technology was, you know, it was apropos that I would end up in health care in the life sciences, I guess, and yeah, so super excited to be here. Thanks for having me. Yep, thanks. We're really excited to have you on the panel with us, Elyse. Steve? Hello, everyone. Steve Servany. Along with Sophia, I'm a co-founder of Kaleido. Kaleido is a technology company that specializes on blockchain solutions. So while we're here to talk about health care today, Kaleido is a cross-industry solution. It's a SaaS that's focused on helping to simplify the journey for enterprises who are looking to adopt and build decentralized applications and set up their own consortium or business network. So really looking forward to diving into some lessons learned in the health care space and to talk about maybe what we see, some new opportunities that are coming down the road as well later on in the session. Thanks, Steve. I guess one thing I'll add is that Steve and I have been working together in enterprise blockchain space for the last six years ever since really the beginning of enterprise blockchain and we're active in the initial launching of Hyperledger and launch industries first. Blockchain is serviced together and it works with hundreds of clients. So there's certainly a lot of learnings that have been distilled from the first generation of blockchain networks. And now as the industries move forward and adopted, those are really excited to be helping drive really a second evolution or generation of these projects. So in terms of what we'd like to cover today, health care is an industry. There's really a lot of areas where blockchain can solve some age-old problems and pain points with friction and cost of intermediaries. The holy grail in blockchain is interoperability and that can mean different things for different people. But when you're looking at shared data, shared application logic between parties, whether that's public, can be more public data or the most sensitive data that exists, there's been a lot of work in the space over the past half decade seeing how blockchain can help. But the core, similar to other industries, there's a fragmentation of systems or siloed systems and the ability to bring multiple parties together around a common view of the data to provide better outcomes, better client experiences. In health care space, we often talk about bringing together the payers, the providers, the employers, and the patients. So as the networks we're working with are really looking to reimagine health care and life science solutions using blockchain, what has that been looking like? So we'll get into that a bit. And then really spending a majority of the time on industry best practices, lessons learned, looking at technology, solution architectures, usability management and operation. And in terms of outcomes, I think really one interesting thing with COVID over the last years has been the acceleration of digital transformation efforts using these decentralized technologies, moving to the cloud and replatforming as well as launching brand new systems. So with that, I'll pass it over to Elix who'd like to take us through this survey. Yeah, so I'm like, is it a survey, what's happening? Let's get started. A lot of names on it, some of the really big names. It's most important that this, I think the talk has lots to do with consortiums as well and what does that even mean and why do we bring all of these big giants together. But we have consensus health and applied as well, we've helped with many different consortiums. You know, when we have a technology like blockchain, we have to ask ourselves, okay, why are we even using blockchain half of these times and, you know, fundamentally, I'm just happy that an emerging nascent technology and that's so much further along and even in healthcare than people realize is forcing like that reimagination of, you know, industries that are otherwise, you know, a little complacent or have been dormant and are really just jumping into innovation and I'm proud of movement amongst these consortiums that are listed here, particularly the work that they are doing in that patient-provider-payer relationship and how we make that end-user experience better, you know, when we institute a blockchain solution typically, at the core is that trust layer that is missing between these systems and we talk about interoperability, again, as Sophia alluded, it is different for everyone and in what that term means, I always question interoperability amongst many blockchains, many systems that have anything to do with, you know, the system, the blockchain at all. It is this trust layer that we can gather these insights and for good reason the consortiums and the partners that we've had along the way, like the cryptography involved with securing something to the blockchain, everyone feels very confident that, hey, if we share this information, it's going to be safe, if we share this information, it's immutable, can we please centralize everything, unfortunately, so we centralize all this data in order to decentralize it later and this is just the piece step-wise way this gets done. Ultimately, after we, we could probably advance to another slide because there's lots of big names and you see that there's lots of consortiums doing lots of things, sorry. Eventually, the end goal is, at least for the clients that I've worked with, is that there is this self-sovereignty of our healthcare, like digital blueprint, for lack of a better word off the top of my head, so the sense that the goal is the self-sovereign piece and that we will have the ownership of that healthcare data, who sees it, who uses it, then you get into topics that are like, because I'm sharing this data, I'm receiving some kind of benefit or reward and that leads us into the use cases beyond digital identity management, but into the clinical trials matching, clinical trials have difficulty with recruitment and retention, so we're now using this consortium and this shared data to glean results and compute, which a lot of people refer to as federated learnings or federated analytics. So as far as that goes, the other use cases in our industry in healthcare and life sciences are also around just like that fraud prevention for insurance and due to the verifiable credentials and the decentralized way in which somebody can control their own healthcare data at the end of the day. As far as this slide goes, we talk a lot about how we have these data lakes and then we have these data warehouses and what we're moving towards again by evolving and bringing together these giants and these consortiums and sharing each other's systems because this is a deal like what takes so long in the healthcare transaction is just the fact that some administrative person has to run over to their system and go okay let me tell you if in my system what you said is true and then you can go get your medication or then you can go have your service with your healthcare provider. If we could immediately make that decision on their behalf because we're sharing that information and there isn't that additional administrative payload we can have on-prem, on-demand availability for our end user which is the patient specifically in the healthcare industry. So due to all of that we're trying to evolve these data sets into these derived insights and this derived language of what that blueprint is and mapping to their payer and provider relationships and those payer and provider relationships as they join you know systems and consortiums they are able to better share and better better to accommodate and alleviate those pain points that the patient's going through. These are these are oftentimes very sick people this is oftentimes people that are you know caring for someone's healthcare journey on their behalf and have a guardian or an advocate of some sort so you know for all of us to come together and to alleviate some of these pain points is a tremendous effort and it's going to be good for all of us at the end of the day. So some other use cases that we see you could advance to the next slide. Thank you Sophia. What are these slides? I think there's maybe some stuff missing in here but that's okay. So there you know the other use cases that we see as well is you know the supply chain management where we're talking about medical supplies and pharma and you know track and trace methodologies that blockchain so cleverly employs and and everyone you know tends to appreciate you know when we when we look at blockchain really obvious areas of focus and vertices are you know financial services and then another obvious area of focus is to me has always been healthcare because that's where you know we have the need for an individual to be able to control that information and we have a need for them to be the one that validates that information that's been collected against them. In the use cases of clinical trials matching depending on like the therapeutic area of discussion you know having that distributed thought process of inclusivity of who gets to participate in those clinical trials but also knowing that it's it's crazy because when I entered this industry I just assumed I mean I assumed so many things but the persons getting the benefit of that participation and getting the reward and whatever tokenized way you want to do that you know that is something that we're trying to elevate in like clinical trials and I know pharma ledger I'm sorry DTRA which is like a decentralized trials and research alliance they're you know doing a lot of great work there we have an opportunity to build that space to where if you are participating in that clinical trial you are you know motivated to share your health data to share your journey and we can better you know the outcomes on the other side same with pharma ledger as I was about to mention you know they want to develop things like personalized medicines and you know in order to entrust that my either it's my genomic data or my healthcare blueprint is synthesized adequately what we commonly do is we compare contrasts that against other other healthcare data sets like mine be it from a genetic genetic basis be it from a therapeutic basis be it from you know just a symptoms basis you know there's there's all kinds of beautiful ways that we can we can involve that personalized medication and and catering to the human involved and not to general pop so I think I think this slide or there was a slide I know this is bananas I think what's happening up there um no I mean I don't see like some of the little things but I think then the day like that the the slide is saying it isn't blockchain exclusively is not what solves all these problems but it is that public private nested blockchain combo loco as we say in Texas it's it's going to be the you know it's going to be a lot of things and it's and it isn't you know sufficient on its own um so we've been working you know again that interoperability work word comes back up over and over again but you know blockchain is just is just one piece to this much larger puzzle especially when integrating healthcare systems and um over here to the side in that brilliant bubble of a venn diagram just to give it some flavor because I don't know if you can see it you know it's just those chronic pain points and reiteration is you know cybersecurity privacy identity um compliance and my most important favorite one there is the bioethics of all this all so yeah so that is kind of where consensus health is seeing the industry the use cases involved and I do want to close it out there because I believe we have a lot more from collido and their brilliant knowledge of hyper ledger and the other protocols of blockchain yeah all right um I was just trying to get back to present mode didn't realize the slide was a build I thought there were some issues with uh just images so oh thanks the leaks um so I guess one interesting thing about as you mentioned really what is a blockchain consortia some clients will start our companies will start with an internal project in their own company but then as these projects mature you know they bring in the business relationships that exist in their industry and it can often be you know a co-operative situation so you have you know pay to be efficient around claims or certain types of data sets and so it makes and then they're working ecosystem with the the providers and others so privacy is really important because they want to share needed for the use case but they also need to keep private um you know what's important for them as a business and confidential um so you really enter a lot of interesting situations in in healthcare and life sciences as you know one insight we've seen working you know half decade in this space is that the blockchain layer itself is only 5 to 10 percent of the solution um there there's typically over you know 40 or so components across um the different off-chain layers the decentralized tech and when you're looking at the application apps in middleware and and looking to solve you know different problems and provide different functionalities across those layers so I think in the of enterprise IT is that companies need to privately exchange documents um but you know there's a mismatch that happens the applications are talking to each other so in order to actually get to a successful solution you know how can you do this and build these solutions in a cost effective you know enterprise production grade manner um so what what you're really looking at with the enterprise blockchain solution is blockchain is the beating heart of that and you can you can see that here you know there's the data layers that people often look at you're looking at the transactions and elix mentioned some privacy considerations sending events you know out out and consuming them with other you know back end systems and vice versa and then of course the middle and application tiers as well as thinking about business operations and DevOps for for this whole consortium with the decentralized parties collido is really built to approach um these these problems with the a solution that takes the perspective of the network operator of the consortia and making these business networks radically simple for for the enterprise so enterprise grade and we've been as Steve mentioned working across industries worldwide what's really important for these consortia as they scale and grow is they need to have lots of flexibility and choice so depending on the use case um you know they may start on one blockchain protocol and move to another as they see where they're getting the best tradeoffs between performance and scale and security privacy um and then as they're onboarding new members in their network they typically start with maybe five or six participants across cloud multi region and hybrid deployments as well we offer consortia as a service for health care and life sciences and you can see users and admin perspectives a lot of rich analytics monitoring you can see what's happening across the consortia of health of the network as well as drill down on your own resources um that that you align a site to invisibility to to manage those I think another you know learning from a network operator you really need to look at this as a decentralized multi-party platform and think about the control where and needs to be completely decentralized and then the members have private isolated instances their own of their own resources as I mentioned we really you know phytos built for this in mind and if you look at blockchain as the core you know there's a variety you know 40 different plug and play services across b2b collaboration apps and integration digital assets key management and more that come into play to be able to rapidly assemble these sorts of solutions and we do have a very deep commitment to open source I think this is a good segue to transition to Steve's portion if you'd like to take it from here yeah that yeah Sophia um while you were just mentioning a minute ago really the the full stack problem of building a decentralized solution um you know and there are open source uh hyper ledger is is obviously leading the way there are open source communities focusing on different layers of that problem so as collido we think about the the full stack of the problem I know consensus health does as well we're involved in many of these communities from the protocol layers at the bottom you know through to off-chain pieces like chain link and ipfs and others you know standards bodies things like tokens um as well and I want to spend just a couple of minutes to let you know about an exciting new project called firefly that was it was just announced earlier this week with the hyper ledger global forum here and if you think about that that full stack problem we we see a gap there there's there's been a gap in some of the off-chain plumbing layers that Sophia was talking about a minute ago that are really important in in highly regulated industries like the healthcare industry where you know a lot of those consortia that elix was talking about earlier you know would choose to implement their data flows off-chain but there are just too many concerns uh you know around the fact that on-chain data is there forever the ability to update that data not just not just remove the data if needed that that alone is enough um you know any leakage to to parties you know unintended each blockchain protocol works differently but there are you know considerations and trade-offs there um you know in in in performance as well so so many of these healthcare use cases need high throughput or low latency uh and so for a variety of reasons those those data flows are often built off-chain um and that could mean for you in the past that has meant for you um you know just a lot of work and plumbing and trying to reinvent the wheel and build those plumbing layers over again and firefly is you know the the first open-source multi-party system you may have heard that that term in the industry before but you sort of define that as um you know a larger system that's powered by blockchain so there's still a blockchain running in the core providing you know the core value that blockchain does global ordering finality um and shared shared source of truth the all those sorts of things that blockchains great at doing um there are just a set of other infrastructure run times that are in the firefly node um that take all that common plumbing off off your hands so if you sort of zoom into a firefly node just to give you a quick sense of some of those other technologies um things like private off-chain messaging or exchanging a document between two parties within a network uh how do you do that reliably you know chunk it up a symmetric encryption pkcs seven encryption deliver that across a pipe reassemble it on the other end with pin proofs along the way um using the blockchain for example to to guarantee that the document is the original document um and and so those sorts of of technologies are just there they're just in the box or really encourage you to to check it out we found that um as many as 90 percent of the use cases looking even more broadly across industries have some of these sets of of needs uh and then sitting there at at the core is this very simple api that just comes up um and and you can code your your applications um with with very simple apis to just make those calls uh so if you if you move on to the next slide um so so i mentioned that that blockchain is in the box with firefly again this is this is a new project that was announced it's it's part of hyper ledger um the larger hyper ledger uh community um it it there is a support for the big three enterprise protocols so ethereum variants like hyper ledger basu um as well as hyper ledger fabric which is coming uh and in corda as well if you want to learn more about firefly there is an entire uh half day event uh going on tomorrow friday um it's um it it's if you want to sign up you can see the schedule there at that url will also put into the chat there there is a link directly through the the hyper ledger form that you can get to this it's what's called a co-located event so sort of part of the larger conference but it's it's dedicated as a launch event to firefly so it's a very exciting project that hopefully that's just a few minutes on it but we think it's going to be really important with the idea of these multi-party systems as a as a larger platform that for especially for industries like like the healthcare industry where um you know the data is is almost always sensitive just like Alix is talking about there are other systems that you need to connect to you're thinking about ai um big data you know iot type systems all sorts of other considerations that that you may want to think about so so with that i'll turn it back maybe to sofia who who can help uh wrap us up in the last couple minutes yeah yeah thank you steve um so just wanted to have extend a big thanks to elix for joining us and talking about a consensus health and your perspective on blockchain and healthcare and life sciences thank you steve and thanks everyone who joined the session i hope you have a great rest of the conference day today and feel free to reach out um to steve and myself with with any questions and elix as well um post the session thank you everybody