A Patient-Centric Health Information Exchange Framework Using Blockchain Technology

Health Information Exchange (HIE) exhibits remarkable benefits for patient care such as improving healthcare quality and expediting coordinated care. The Office of the National Coordinator (ONC) for Health Information Technology is seeking patient-centric HIE designs that shift data ownership from p...

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Vydané v:	IEEE journal of biomedical and health informatics Ročník 24; číslo 8; s. 2169 - 2176
Hlavní autori:	Zhuang, Yan, Sheets, Lincoln R., Chen, Yin-Wu, Shae, Zon-Yin, Tsai, Jeffrey J.P., Shyu, Chi-Ren
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	United States IEEE 01.08.2020 The Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Predmet:	Blockchain Computer Communication Networks Computer simulation Contracts Cryptography Data exchange Data models Data privacy data segmentation Distributed ledger electronic health records (EHR) Feasibility Health care Health care facilities Health Information Exchange health information exchange (HIE) Humans Informatics Information exchange Information technology Medical services patient-centric Patients Privacy Security Segmentation smart contract Stability analysis Technology Workflow
ISSN:	2168-2194, 2168-2208, 2168-2208
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Abstract	Health Information Exchange (HIE) exhibits remarkable benefits for patient care such as improving healthcare quality and expediting coordinated care. The Office of the National Coordinator (ONC) for Health Information Technology is seeking patient-centric HIE designs that shift data ownership from providers to patients. There are multiple barriers to patient-centric HIE in the current system, such as security and privacy concerns, data inconsistency, timely access to the right records across multiple healthcare facilities. After investigating the current workflow of HIE, this paper provides a feasible solution to these challenges by utilizing the unique features of blockchain, a distributed ledger technology which is considered "unhackable". Utilizing the smart contract feature, which is a programmable self-executing protocol running on a blockchain, we developed a blockchain model to protect data security and patients' privacy, ensure data provenance, and provide patients full control of their health records. By personalizing data segmentation and an "allowed list" for clinicians to access their data, this design achieves patient-centric HIE. We conducted a large-scale simulation of this patient-centric HIE process and quantitatively evaluated the model's feasibility, stability, security, and robustness.
AbstractList	Health Information Exchange (HIE) exhibits remarkable benefits for patient care such as improving healthcare quality and expediting coordinated care. The Office of the National Coordinator (ONC) for Health Information Technology is seeking patient-centric HIE designs that shift data ownership from providers to patients. There are multiple barriers to patient-centric HIE in the current system, such as security and privacy concerns, data inconsistency, timely access to the right records across multiple healthcare facilities. After investigating the current workflow of HIE, this paper provides a feasible solution to these challenges by utilizing the unique features of blockchain, a distributed ledger technology which is considered “unhackable”. Utilizing the smart contract feature, which is a programmable self-executing protocol running on a blockchain, we developed a blockchain model to protect data security and patients’ privacy, ensure data provenance, and provide patients full control of their health records. By personalizing data segmentation and an “allowed list” for clinicians to access their data, this design achieves patient-centric HIE. We conducted a large-scale simulation of this patient-centric HIE process and quantitatively evaluated the model's feasibility, stability, security, and robustness. Health Information Exchange (HIE) exhibits remarkable benefits for patient care such as improving healthcare quality and expediting coordinated care. The Office of the National Coordinator (ONC) for Health Information Technology is seeking patient-centric HIE designs that shift data ownership from providers to patients. There are multiple barriers to patient-centric HIE in the current system, such as security and privacy concerns, data inconsistency, timely access to the right records across multiple healthcare facilities. After investigating the current workflow of HIE, this paper provides a feasible solution to these challenges by utilizing the unique features of blockchain, a distributed ledger technology which is considered "unhackable". Utilizing the smart contract feature, which is a programmable self-executing protocol running on a blockchain, we developed a blockchain model to protect data security and patients' privacy, ensure data provenance, and provide patients full control of their health records. By personalizing data segmentation and an "allowed list" for clinicians to access their data, this design achieves patient-centric HIE. We conducted a large-scale simulation of this patient-centric HIE process and quantitatively evaluated the model's feasibility, stability, security, and robustness.Health Information Exchange (HIE) exhibits remarkable benefits for patient care such as improving healthcare quality and expediting coordinated care. The Office of the National Coordinator (ONC) for Health Information Technology is seeking patient-centric HIE designs that shift data ownership from providers to patients. There are multiple barriers to patient-centric HIE in the current system, such as security and privacy concerns, data inconsistency, timely access to the right records across multiple healthcare facilities. After investigating the current workflow of HIE, this paper provides a feasible solution to these challenges by utilizing the unique features of blockchain, a distributed ledger technology which is considered "unhackable". Utilizing the smart contract feature, which is a programmable self-executing protocol running on a blockchain, we developed a blockchain model to protect data security and patients' privacy, ensure data provenance, and provide patients full control of their health records. By personalizing data segmentation and an "allowed list" for clinicians to access their data, this design achieves patient-centric HIE. We conducted a large-scale simulation of this patient-centric HIE process and quantitatively evaluated the model's feasibility, stability, security, and robustness.
Author	Sheets, Lincoln R. Chen, Yin-Wu Shae, Zon-Yin Shyu, Chi-Ren Tsai, Jeffrey J.P. Zhuang, Yan
Author_xml	– sequence: 1 givenname: Yan orcidid: 0000-0003-1245-7203 surname: Zhuang fullname: Zhuang, Yan email: yznm9@mail.missouri.edu organization: Institute for Data Science and Informatics, University of Missouri, Columbia, MO, USA – sequence: 2 givenname: Lincoln R. orcidid: 0000-0002-1586-1474 surname: Sheets fullname: Sheets, Lincoln R. email: sheetslr@health.missouri.edu organization: Institute for Data Science & Informatics, Health Management & Informatics Department, Missouri Telehealth Network, and School of Medicine, University of Missouri, Columbia, MO, USA – sequence: 3 givenname: Yin-Wu orcidid: 0000-0002-6970-6867 surname: Chen fullname: Chen, Yin-Wu email: yin94087@yahoo.com organization: Artificial Intelligence Research Lab, Asia University, Taichung, Taiwan – sequence: 4 givenname: Zon-Yin orcidid: 0000-0003-1709-5416 surname: Shae fullname: Shae, Zon-Yin email: zshae1@asia.edu.tw organization: Artificial Intelligence Research Lab, Asia University, Taichung, Taiwan – sequence: 5 givenname: Jeffrey J.P. surname: Tsai fullname: Tsai, Jeffrey J.P. email: jjptsai@gmail.com organization: Department of Bioinformatics and Biomedical Engineering, Asia University, Taichung, Taiwan – sequence: 6 givenname: Chi-Ren orcidid: 0000-0001-9197-9522 surname: Shyu fullname: Shyu, Chi-Ren email: shyuc@missouri.edu organization: Institute for Data Science and Informatics, Department of Electrical Engineering and Computer Science, and School of Medicine, University of Missouri, Columbia, MO, USA
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Snippet	Health Information Exchange (HIE) exhibits remarkable benefits for patient care such as improving healthcare quality and expediting coordinated care. The...
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SubjectTerms	Blockchain Computer Communication Networks Computer simulation Contracts Cryptography Data exchange Data models Data privacy data segmentation Distributed ledger electronic health records (EHR) Feasibility Health care Health care facilities Health Information Exchange health information exchange (HIE) Humans Informatics Information exchange Information technology Medical services patient-centric Patients Privacy Security Segmentation smart contract Stability analysis Technology Workflow
Title	A Patient-Centric Health Information Exchange Framework Using Blockchain Technology
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