Decentralized Medical Record Management System - MedRec Overview

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"Learn about MedRec, a decentralized record management system developed by MIT media lab using blockchain technology for EMRs. Explore its benefits, how it works, and the impact on healthcare data security and interoperability."

  • Decentralized
  • Blockchain
  • Healthcare
  • EMRs
  • Data Security

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Presentation Transcript


  1. MEDREC Cryptoventures Emma Pham, Anna Cottone, Tailai Zhang, Scott Covington 2/7/2017 1

  2. $27B Electronic Medical/Health Records Market $27B Electronic Medical/Health Records Market $27B market 2

  3. Current State of Healthcare EMRs Provider maintains your data Provider maintains your data Today, patients have no control over their medical records and can wait up to 60 days to receive their records from providers Lack of Interoperability Lack of Interoperability between providers The current lack of interoperability costs 150,000 lives and $18.6 billion per year2 between providers Insecure Insecure medical records medical records Hospitals are facing increasing crypto-ransomware attacks3 3

  4. What is MedRec? Prototype developed by MIT media lab Decentralized record management system for EMRs Uses blockchain technology to manage authentication, confidentiality, accountability, and data sharing 3 types of smart contracts on 3 types of smart contracts on Ethereum Ethereum blockchain blockchain R REGISTRAR EGISTRAR C CONTRACT ONTRACT (RC) (RC) S SUMMARY UMMARY C CONTRACT ONTRACT (SC) (SC) P PATIENT ATIENT- -P PROVIDER C CONTRACT ROVIDER R RELATIONSHIP ELATIONSHIP ONTRACT (PPR) (PPR) 4

  5. How does it work? Patient s medical record is not be stored on the blockchain, instead data is kept securely in providers existing data storage infrastructure. Identity confirmation via public key cryptography Allows the use of already existing form of ID (e.g., SSN) Contracts contain metadata about the record ownership, permissions and data integrity 5

  6. Business Model Paid in data, not currency Paid in data, not currency Miners incentivized by census-level data Average Iron levels for 20-40 year old males Enables greater clarity in research Not driven by data power Large agencies (CDC, NIH) are incentivized as are small, individual researchers Not for monetary profit 6

  7. What are the benefits? Decentralized, single interface Decentralized, single interface to allow patients to choose when/whom they share their data Fast Fast access to data for patients Interoperability Interoperability between healthcare providers integrates with existing medical data storage infrastructure Integrates personal Apple HealthKit) personal health/fitness data (Fitbit, 23andMe, 7

  8. From big idea to practical application Next Steps Aside from all risks associated with blockchain technology (ex: bad actors, education) High implementation barriers Medical records are invaluable assets to hospital institutions, payers, etc. EMR is still new technology Evolving health care ecosystem Alignment of incentives MEDREC Prototype Additional research User testings Partner with local health care institution The best case scenario The best case scenario: major health systems + payers + set of ready-to-engage patients all come together to collaborate 8

  9. Acknowledgements & Sources MedRec created by Ariel Ekblaw, Asaf Azaria, Thiago Vieira, Joe Paradiso, Andrew Lippman https://www.pubpub.org/pub/medrec 9

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