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1、Blockchain:OpportunitiesforHealthCareAugust2016I.Blockchain—ANewModelforHealthInformationExchangesAblockchainpoweredhealthinformationexchangecouldunlockthetruevalueofinteroperability.Blockchain-basedsystemshavethepotentialtoreduceoreliminatethefrictionandcostsofcurrentintermedia
2、ries.ParticularlycompellingusecasesforblockchaintechnologyincludethePrecisionMedicineInitiative,PatientCareandOutcomesResearch(PCOR),andtheNationwideInteroperabilityRoadmap.Fortheseandotherhigh-potentialareas,determiningtheviabilityofthebusinesscaseforblockchainisparamounttoreal
3、izethebenefitsofimproveddataintegrity,decentralizationanddisintermediationoftrust,andreducedtransactioncosts.TheexchangeofPersonalHealthRecordsandHealthInformationExchange(HIE)dataviatheIntegratingtheHealthcareEnterprise(IHE)protocolisanimportantpartofaddressingthechallengesofsy
4、steminteroperabilityandaccessibilityofmedicalrecords.ThestrategyoutlinedtodateprovidesthetechnicalrequirementsandspecificincentivesforhealthsystemstomeettheMeaningfulUseinteroperabilitystandardsnecessarytosupporttheenvisionedNationalHealthInformationNetwork,buttressedbyanetworko
5、fHIEsoperatingonabroadscale.Thatunrealizedscale,driveninlargepartbyinsufficientincentivesoutsideofcompliance,threatenstheviabilityofHIEsandmeritsexplorationofnewmodels.ItmaybepossiblethatnewvaluebasedmodelsembeddedinMACRAwillbesufficienttomakethemarketmodelwork,butHIEshavebeense
6、ekingalternativebusinessmodels.Meanwhilethehealthsystemsthatseetruebenefitsfromestablishingaclinicallyintegratednetworkinordertoengageinrisk-basedcontractsfocusonprivateexchangesandarelookingforlowcostsolutionsthatenablesecureintegrationandsupporttheassemblyofvirtualhealthsystem
7、sthatmovebeyondorganizationalboundaries.Whileblockchaintechnologyisnotapanaceafordatastandardizationorsystemintegrationchallenges,itdoesofferapromisingnewdistributedframeworktoamplifyandsupportintegrationofhealthcareinformationacrossarangeofusesandstakeholders.Itaddressesseveral
8、existingpainpointsandenablesasystemthatismoreef
