A talk about Blockchain and how this new technology could have an effect on the healthcare and pharma industries.

1. Blockchain: Just a game or a real game
changer in Pharma and Healthcare?
MARCH 2018
@BorisReinhard www.reinhard.one

2. 2
BORIS REINHARD
Profile: Boris Reinhard.
“ MY MISSION IS TO COACH AND GUIDE COMPANIES,
VENTURES AND STARTUPS THROUGH THE DIGITAL
SHIFT AND THROUGH BLOCKCHAIN CHALLENGES.
§ Dipl.-Ing. & M.Sc.
§ History: E-Business & UX, EAM, Digital
§ Topics Digital, Transformation & Blockchain
§ Focus on business value, not features
§ Initiator & Organizer EAM Community CH, Digital Community CH
§ Member of D_BREAK, www.dbreak.ch
§ Certified Bitcoin Professional (CBP) , ID 2f7220
§ Curator for 'Blockchain & Crypto' with Scope

3. 3
Profile: Boris Reinhard.
> https://thescope.com/blockchain

4. Jimmy Carter (1978)
Source: https://medium.com/validitylabs/ethereum-smart-contracts-hello-1970s-83c18e3d6398
“The Intel 4004 processor,
produced for the first time in
seventies, has about as much
computational power as (…) the
Ethereum Blockchain today.”

5. 5
2008 - The Lehman Brothers.
Source: zerohedge.com
> TRUST ?

6. Source: http://bitcoinliberationfront.blogspot.ch/2014/03/satoshi-nakamoto-nope.html +
http://s.newsweek.com/sites/www.newsweek.com/files/styles/cover/public/2014/04/02/2014/03/05/67-2014-3-14-cover.jpg
The Bitcoin-Blockchain.
6
> TRUST !

7. 7Source: https://twitter.com/lopp/status/965721853963599878

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Not only Intermediaries…
> TRUST ?

9. Because of the reduced trust
in central organizations,
we are more and more heading
to a decentralised economy.
9Source: Bettina Warburg

10. Not just a Ledger.
network of computers (nodes)
validated transactions
immutable transactions
distributed ledger, transparent
Blockchain
peer-to-peer
central computation
difficult to validate
tamper-able
centralised ledger, private
‘classic’ ledger
intermediary needed
From a first point of view, a Blockchain is just a ledger, but there are some differences…
=
10

11. The Blockchain ledger is
a new paradigm and
an epic update to ledgers.
11Source: Richie Etwaru

12. 12
Blockchain Applications.
Source:
Ethereum generalized the
Blockchain. It is a
decentralized infrastructure
to run thousands
of applications.
Blockchains like Ethereum
allow us to automate
§ business logic
§ and governance.
TO THE WORLD COMPUTER…FROM FINANCIAL TRANSACTIONS…

13. 13
A Smart Contracts Platform.
Source: https://www.draglet.com/Blockchain-applications/smart-contracts/use-cases
The current problem with insurance policies is that the
claims process can take weeks or even months to be paid.
The process is still very manual and requires a large
degree of human action. This adds up to a lot of
administrative costs, which result in higher premiums for
customers.
Insurance companies can automate insurance policies by
writing them into a smart contract.
When the input conditions of the smart contract change
in an insured event, for example in the event of a
catastrophic natural disaster, then the claims process is
triggered immediately.
Smart contracts in insurance policies (IFTTT)

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Pharma, Life Science & Healthcare.

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Opportunities through Blockchain.
Some opportunities…
Source: https://www.youtube.com/watch?v=LyO0DPyosLY&t=1440s&list=WL&index=19
Patient
consent &
health data
exchange
A … Drug supply
chain
provenance &
traceability
Payments &
claims
Rethinking
clinical trial
management
Auditing
services
Records
management
and archiving
…
?

16. Use Case: Pharmaceutical Supply Chain.
16Source: https://www.pharmpro.com/article/2017/08/experts-comment-fdas-dscsa-serialization-extension-manufacturers-now-have-until-2018
Which one would you buy?

17. Use Case: Pharmaceutical Supply Chain.
17Source: https://www.pharmpro.com/article/2017/08/experts-comment-fdas-dscsa-serialization-extension-manufacturers-now-have-until-2018
Which one would you buy?
COUNTERFEIT. ORIGINAL.

18. Use Case: Pharmaceutical Supply Chain.
18Source: https://www.pharmpro.com/article/2017/08/experts-comment-fdas-dscsa-serialization-extension-manufacturers-now-have-until-2018 +
https://www.interpol.int/Crime-areas/Pharmaceutical-crime/Pharmaceutical-crime
Which one would you buy?
COUNTERFEIT. ORIGINAL.
Interpol: up to 30%
in some markets
Illicit drugs can
contain the wrong dose
of active ingredient, or
none at all, or a
different ingredient.
They are associated
with a number of
dangers and, at worst,
can result in heart
attack, coma or death.
Interpol

19. Use Case: Pharmaceutical Supply Chain.
19
Pharmaceutical supply chain and the counterfeit drug problem (LifeCrypter)
Each item of medicine is attached with an unambiguous identification
tag, which allows for virtual and physical ownerships to be transferred
from the upstream suppliers to the downstream consumers, in
parallel, through a trusted network verified by smart contracts on a
Blockchain and the global drug supply chain at the same time.
The smart contract enables free and trustless trade for all parties
involved, with the capability to introduce rules for trades that are at
all stages transparent and self-enforcing.
Source: https://www.pharmpro.com/article/2017/08/experts-comment-fdas-dscsa-serialization-extension-manufacturers-now-have-until-2018
Goal: “Identify and trace certain prescription drugs as they are distributed”

20. Use Case: Pharmaceutical Supply Chain.
20
Pharmaceutical supply chain and the counterfeit drug problem (LifeCrypter)
Each item of medicine is attached with an unambiguous identification
tag, which allows for virtual and physical ownerships to be transferred
from the upstream suppliers to the downstream consumers, in
parallel, through a trusted network verified by smart contracts on a
Blockchain and the global drug supply chain at the same time.
The smart contract enables free and trustless trade for all parties
involved, with the capability to introduce rules for trades that are at
all stages transparent and self-enforcing.
Source: https://medium.com/@philippsandner/Blockchain-technology-in-the-pharmaceutical-industry-3a3229251afd

21. Use Case: Pharmaceutical Supply Chain.
21Source: https://www.pharmpro.com/article/2017/08/experts-comment-fdas-dscsa-serialization-extension-manufacturers-now-have-until-2018
Which one would you buy now?

22. Use Case: Pharmaceutical Supply Chain.
22Source: https://www.pharmpro.com/article/2017/08/experts-comment-fdas-dscsa-serialization-extension-manufacturers-now-have-until-2018
Which one would you buy now?

23. Use Case: Electronic Medical Records.
23
Challenges.
The Electronic Medical Record (EMR) has been around since the 1960's,
despite a slow rate of adoption within the industry. Digital records were
meant to replace paper-based systems by creating new efficiencies and
interoperability that were previously nonexistent.
However, even though these records are held online, they remain siloed in
non-interoperable databases. Accessing them across different hospitals,
insurance providers, and doctors can be a vexatious task.
Adding to the inefficiencies is the cost to maintain the databases.
Individual hospitals store terabytes of information each year, costing
millions of dollars to secure.
Source: https://worldlink-us.com/healthcare.html + https://www.flickr.com/photos/stevendepolo/16431366377/

24. Use Cases: Electronical Medical Records.
24Source: https://viral.pubpub.org/pub/medrec + https://medium.com/mit-media-lab-digital-currency-initiative/medrec-electronic-medical-records-on-the-Blockchain-c2d7e1bc7d09
‘In a new digital and payment era, consumers should have control and
access to their own health information in a secure manner.’
Brian Forde, MIT
“Medicalchain uses Blockchain technology to securely store health records and
maintain a single version of the truth. The different organisations such as
doctors, hospitals, laboratories, pharmacists and health insurers can request
permission to access a patient’s record to serve their purpose and record
transactions on the distributed ledger.
Medicalchain provides solutions to today’s health record problems. The
platform is built to securely store and share electronic health records. By
digitizing health records and empowering users we can leverage countless
industry synergies.”
https://medicalchain.com
Use Case: Electronic Medical Records.

25. Use Cases: Electronical Medical Records.
25Source: https://viral.pubpub.org/pub/medrec + https://medium.com/mit-media-lab-digital-currency-initiative/medrec-electronic-medical-records-on-the-Blockchain-c2d7e1bc7d09
Use Case: Electronic Medical Records.
Another example: MedRec

26. Use Cases: Electronical Medical Records.
26Source: https://www.e-health-suisse.ch/en/electronic-patient-record/for-healthcare-professionals/what-is-the-epr.html +
https://www.post.ch/en/business/a-z-of-subjects/industry-solutions/industry-solution-healthcare/electronic-patient-record
Swiss Electronic Patient Record (EPR)
THE IDEA
• The electronic patient record contains
only documents that are relevant for
other specialists or further treatment,
such as a referral report or medication
list.
• Only copies are saved. The originals
remain in the systems of the healthcare
professionals in charge of the medical
history as a whole (e.g. family doctor or
hospital).
• Patients can also upload their own
relevant documents (e.g. existing
allergies, living wills etc.)
No Blockchain: Swiss Electronic Patient Record.

27. Use Cases: Electronical Medical Records.
27Source: https://www.e-health-suisse.ch/
> TRUST ?
Swiss Electronic Patient Record (EPR)
THE THEORY
• (Regional) communities can choose a
provider who supplies them with the
technical infrastructure for the EPR.
• Transparency: Every access to and every
action in the EPR is logged automatically.
PLEASE NOTE
• The key data is managed by a
centralized provider and does not have
much advantages against a classic
ledger.
No Blockchain: Swiss Electronic Patient Record.

28. Instead of Middleman we can now actually
use Blockchain Technology to do Business...
28
Open discussion
§ Ideas?
§ Use cases?
§ Questions?

29. Dipl.-Ing. & M.Sc.
+41 79 813 95 59
boris@reinhard.one
www.reinhard.one
www.thescope.com/blockchain
@borisreinhard
Contact.
Boris Reinhard
17mFTRdNXA75s8vNYb5sbDGCs4UjDgQ43X