Harvard Business Review March 3, 2017
John D. Halamka, MD, Andrew Lippman, Ariel Ekblaw

A vexing problem facing health care systems throughout the world is how to share more medical data with more stakeholders for more purposes, all while ensuring data integrity and protecting patient privacy.

Traditionally, the interoperability of medical data among institutions has followed three models: push, pull, and view (discussed below), each of which has its strengths and weaknesses. Blockchain offers a fourth model, which has the potential to enable secure lifetime medical record sharing across providers.

Push is the idea that a payload of medical information is sent from one provider to another. In the U.S. a secure email standard called Direct is used to provide encrypted transmission between sender (for example, an E.R. physician) and receiver (for example, your...

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Topics: Big Data, CMS, EMR / EHR, Health IT, Health System / Hospital, HHS, HIE (Interoperability), HIM (Health Inf Mgmt), HITECH, Medicare, Patient / Consumer, Payer, Physician, Primary care, Provider
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