Post on 22-Sep-2020
Artificial Intelligence, Machine Learning
& Blockchain – What do they mean for
the Healthcare Supply Chain?Presenters:
John Bass, Founder & CEO, Hashed Health
Chris Holt, Leader, Global Healthcare, Amazon Business
Artificial Intelligence, Machine Learning
& Blockchain – What Do They Mean for
the Healthcare Supply Chain?Presenters:
Chris Holt, Leader, Global Healthcare, Amazon Business
A system or service which can perform tasks that usually require human intelligence, such as visual perception, speech recognition, decision-making or translation
Artificial Intelligence
What is Machine Learning?
• Adapt based on recorded data
• Predict new data based on recorded data
• Optimize an action given a utility function
• Extract hidden structure from the data
• Summarize data into concise descriptions
Machine Learning are methods and systems that
• Can yield Garbage-In-Knowledge-Out
• Perform good predictions without data modeling & feature engineering
• Avoid the curse-of-dimensionality
• Are a replacement for business rules – they augment them!
Machine Learning are not methods and systems that
The Challenge For Artificial Intelligence: SCALE
Data
Data Training
The Challenge For Artificial Intelligence: SCALE
Data Training Prediction
The Challenge For Artificial Intelligence: SCALE
Aggressive migration
New data created on AWS
Data
Training PredictionPBs of existing data
The Challenge For Artificial Intelligence: SCALE
Tons of GPUs
Elastic capacity
Training
PredictionPre-built images
The Challenge For Artificial Intelligence: SCALE
Aggressive migration
New data created on AWS
Data
PBs of existing data
Tons of GPUs and CPUs
Serverless
At the Edge, On IoT Devices
Prediction
The Challenge For Artificial Intelligence: SCALE
Tons of GPUs
Elastic capacity
Training
Pre-built images
Aggressive migration
New data created on AWS
Data
PBs of existing data
The Promise Of Artificial Intelligence: INNOVATION
New Features
for Existing Products
New Experiences
and Product Categories
The Promise Of Artificial Intelligence: INNOVATION
New Features
for Existing Products
Breakthrough
Advances
New Experiences
and Product Categories
The Promise Of Artificial Intelligence: INNOVATION
New Features
for Existing Products
Common use-cases of Machine/Deep Learning
PersonalisationFraud
Detection
Cyber Threat
Prediction
Sensor Data Analysis
Personal Assistants
Natural Language
Understanding
Human Emotion
Analysis
Computer Vision
ProcessingPredictive
Maintenance
Flight Path Analysis
Early Detection of
Diabetic Complications
Leading cause of blindness in adults
Catch it early enough:
prevented 90% of time
Source: AWS
Skin Cancer Detection
At Physician-Levels (or better)
Source: AWS
FDA-Approved Medical Imaging
Source: AWS
Autonomous Driving Systems
Source: AWS
Real Time, Per Pixel
Object Segmentation
Source: AWS
Centimeter-accurate
positioning
Source: AWS
Computational
Knowledge Engine
Source: AWS
Visual Search
Pinterest Lens
Recommendations & Ranking At Netflix
Personalized ranking,
page generation,
search, similarity, ratings
In 140 new countries,
simultaneously
What is driving Healthcare?
Competition and changing reimbursements
More and more data to Analyze
Precision Medicine and Genomics
Bundled Payments / Value Based Reimbursement
Population Health (Chronic and Comorbid)
Increase Patient Safety and Patient Satisfaction• Joint Commission
• HCAPS
Improve Hospital Efficiency • Charge Capture and MS-DRG
• Decreasing readmissions
Regulatory Compliance• HIPAA, and PCI
What is on the hospital CIO’s mind?
• Managing and Securing a growing Tsunami of Data• Constantly evolving Cyber Security
• Healthcare is complicated, the average hospital is managing hundreds of applications (many are patient facing Tier 1 applications)
• The impact of analytics and data visualization
• Interoperability w/ ACOs, HIEs mean new integration points, more data
• Growing number of clinical and business applications
• Growing number of backlog of projects and department requests
• Increasing need to access applications at the point of care
• Technology influencing safety, and the customer experience
• Regulatory compliance
• Limited Capital budget, doing more with less
What makes Healthcare IT so Complicated?
• Admitting (patient access)
• Ambulatory care
• BioMed
• Cardiology
• Case management
• Communications
• Emergency department
• Environmental services (housekeeping)
• Finance
• Human resources
• Infection control
• Information services (systems)
• Laboratory
• Laundry and linen
• Materials management
• Medical records (HIM)
▪ Nuclear medicine
▪ Nursing
▪ Nutritional services (dietary)
▪ OR
▪ Pharmacy
▪ Quality assurance/utilization review (QA/UR)
▪ Physical plant (facilities mgt)
▪ Physician services
▪ Radiology (medical imaging, x-ray)
▪ Rehabilitation services
▪ Respiratory therapy
▪ Safety
▪ Security
▪ Social work
▪ Volunteer services
▪ Etc.
Presenters:
John Bass, Founder & CEO, Hashed Health
Twitter: @johngbass
Email: jbass@hashedhealth.com
LinkedIn: https://www.linkedin.com/in/johngbass/
Find Resources & Join the Conversation at https://chat.hashedhealth.com
Transformations TrackArtificial Intelligence, Machine Learning, and Blockchain –
What Do They Mean for the Healthcare Supply Chain?
Faculty Disclosure
The faculty reported the following financial relationships or
relationships to products or devices they or their spouse/life
partner have with commercial interests related to the
content of this CE activity:
John Bass - Ownership interests: HCA and Medtronic
“Blockchain”• The Blockchain is a time-stamped registry that
securely records & shares transactions / events / data across a network.
• Public or private records are linked using cryptography, creating an immutable record of events that can be used to enforce business rules (“smart contracts”) across a marketwithout a third party governor.
• It is a transformative new way of developing products at the market level.
• ”Blockchain” represents a spectrum of technologies that power distributed networks.
• Chronological• Shared• Immutable• Market-
Focused• Development
Platform
Bitcoin proved:
by moving
trustto the software we change how
digital assets are transacted across value chains.
The world’s second blockchain is called
Ethereum opened the door to digital assets & a new wave of innovation.
Gartner: $3T by 2030
www www 2.0 www 3.0
Primary focus information reputation value
Primary unit search / links likes assets
Dominant Platform
Google Facebook ?
Blockchain: The Internet of Value
1. Market Level, multi-constituent process2. Trust3. Transparency4. Alignment of incentives
When Do You Use A Blockchain?
Medical RecordsClaimsProducts/SuppliesHealth ServicesPatientsDataIdentityClinical Trials
digital health assets+
enterprise businesses+
decentralized health infrastructure
1. Immutable Shared Ledger
• Move trust to the protocol
• Overcome limitations of current infrastructure (ex. claims built for volume, fiat currency not programmable)
2. Smart Contracts: Programmable Value Transfer / Tokenization
• Reduce administrative burden
• Connect payments and benefits / incentives
• Create new applications on top of shared, market-level data structures
Two Levels of Value / Complexity
Blockchain Enabler: New Business ModelsExample: Decentralized exchange / marketplace
• “Tokenized” digital assets are created• List asset on the Exchange for consumers• Creates a rational, decentralized market for trading• Allows for innovation on the buy & sell side• Creates a foundation for smart value-exchange innovation & automation
“Imagine a day when health care delivery in the United States functions the way other parts of our economy do… drive quality and cost-effectiveness with information, competition and genuine choice.”
Alex Azar, HHS Secretary 3/6/18
Blockchain Enabler: IoT, AI, ML: Example: IoT / devices as trusted actors in the supply chain
• Create / Register device• Authenticate as trusted source• Record to ledger• Wallets & smart contracts
• Use Cases:• Track & Trace• Wellness• Contracting Oracle• M2M / DAO
New Pricing & Contracting Models Programmable Value Transfer: Creating a relationship between payments & real-world activities
Examples:• Proof of Service• Proof of Outcome• Dynamic Pricing• Episodic Value-Based Contracting / Value-Based Payments
“fundamentally reorient how Medicare and Medicaid pay for care, and create a true competitive playing field where value is rewarded handsomely.”
Alex Azar, HHS Secretary 3/6/18
Other Supply Chain Use Cases of Interest at Hashed:
• EDI• Decentralized Master Data Management• Shared Ledgers Between ERPs / EHRs• Inventory Sharing• Device Lifecycle
What Success Looks Like: The Challenge & The Opportunity
Business ModelTechnical Model
Network Governance Structure
Finding this is hard(but your future may depend on it)
The Healthcare Innovator’s Dream Come True!
• Create new infrastructure designed for trust, transparency & incentive alignment in healthcare
• Create new business models designed for adoption / network effects
• Create new economies• Create new value chains & markets• Create new actors in markets
Lead or Follow?
MeaningfulInnovation
Market Structure
Readiness
Culture
Business Model
Technical Model
Governance Structure
Thank You!
Presenters:
John Bass, Founder & CEO, Hashed Health
Twitter: @johngbass
Email: jbass@hashedhealth.com
LinkedIn: https://www.linkedin.com/in/johngbass/
Find Resources & Join the Conversation at https://chat.hashedhealth.com