BlockApps – Confidential 1Welcome!

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Agenda

1. Blockchain Overview

2. Clinical Trials

3. Identity Management

4. Medical Credentialing

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Enterprise Blockchain Overview

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• Decentralized database that stores

information as blocks of data

• It can be public or private

• Stored data is immutable – can never

be changed or deleted

• Single source of truth

• Smart Contracts used to enforce

governance requirements

What is Blockchain?

Enterprise blockchain platforms address the lack of trust, visibility, automation, and data validation prevalent in current systems

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Public vs. Enterprise Blockchain

Enterprise blockchain technology is based on permissioned, private networks.

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Public Blockchains Enterprise Blockchains(AKA Private or Permissioned)

• All activity visible to the public• Network members can self-identify, but

are usually anonymous• Network latency does not scale well

• Activity visible by network members only• Visible identity of network members• Lower network latency

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Concept of Use Cases - Characteristics

• Defines a gap or problem in current enterprise systems

• Solution utilizes blockchain platform strengths

• Used in emerging tech apps

• Innovative and practical

• Scalable and expandable

• Modular design

Visit blockapps.net/healthcare/for detailed use cases and success stories in the healthcare ecosystem.

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Innovation in Clinical Trials

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Current Clinical Trials Process

• Cost to take a new drug to market in 2020 is $985 million USD1

• Time frame is 5-15 years on average, though the FDA can accelerate, and can involve thousands of patients.

• FDA review occurs between phases, indicated by and can take up to 6 months each to complete.

• Take advantage of blockchain features to shrink the review time between phases and overall approval.

1Biospace, March 2020

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Clinical Trial Components

Why are clinical trial results invalidated?• Identity of patient cannot be ascertained• Poor and incomplete record keeping• Ability to alter the study protocol or

parameters during the trial• Chain of custody issues with patient

medication and supplies

What are some Pain points and bottlenecks?• Lack of trust by regulatory agencies• Patient recruitment and diversity

requirements• Ability to track patient adherence • Track flow of money from sponsor to site

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Blockchain Solutions to Improve Outcomes

Immutability of data drives trust by regulatory bodies – eliminate multiple reviews

Utilize Smart Contracts to set & lock the study protocols for the duration of the trial

Creation of patient profile in a secure environment joins and improves the flow between the different activities in the clinical trials process, including third-parties

Track medication & supplies in real time to improve chain-of-custody requirements

Real time data and tracking aspects allow for the accelerated flow of funds from Sponsor to Sites, and eventually patients

Address privacy & governance components allowing patient ownership of data

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The Future of Clinical Trials is Today with Blockchain!

• Utilize blockchain tokenization functions to allow patients to monetize data

• Drive continued innovation in the overall trials process by supporting a “Virtual Clinical Trial” concept:• Direct-to-patient (DTP) clinical trials• Allow patient data to be used to create patients in silico

• Robust supply chain “track and trace” blockchain functions for breakthrough treatments like CAR-T cell therapy• The patient is a part of the supply chain itself!

CURRENT EVENTS QUESTION: Do you think improvements in the clinical trials process utilizing blockchain could have mitigated some of the daily disruption, loss of income for many and reduced mortality rates with the COVID-19 pandemic? HINT: Answer is YES!

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Clinical Trials Powered by BlockApps’ STRATO Platform

• App is available to Clinical Research Organizations (CRO’s) and trial sponsors.

• Manages many data collection efforts, including digital health records, informed consent forms and supply chain/accounting functions.

• HIPAA and GDPR compatible• Modular design allows for rapid

growth covering other components.• Utilizes strengths of BlockApps’ STRATO

platform including privacy, governance, consensus and system performance.

• First of its kind app in this space powered by STRATO and blockchain!

• Work closely with the Enterprise Ethereum Alliance and clients to set industry standards.

Be a Trailblazer – Interested in a Product DEMO?:Visit blockapps.net/healthcare/ and click on ASK AN EXPERT to email the Speaker. Also, requests can be made through your Rejolut Representative.

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Identity Management

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Identity Management - Facts

Q: What is the definition of Identity Management?A: Identity management includes all the processes and IT technology contained in an organization to identify, authenticate and authorize access to internal and external systems and services.

Q: Everyone has some form of identity, otherwise they would be unable to prove their existence?A: Surprisingly, the facts1 disprove the statement:

1 BILLION People do not have an official

proof of identity

1 in 2 WOMEN in low income countries do

not have an ID

161 Countries have ID systems based on

digital technologies

1 The World Bank, 2020 ID4D Report

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Identity Management – A Better Way?

CURRENT SITUATION

• Username/password combinations are subject to hacking as the information usually resides on a centralized server

• Medical wearable devices collect sensitive patient-specific data. Do we really know who has access to this data?

• Governments utilize multiple systems that provide traditional forms of ID, i.e. drivers license, birth certificates. These systems rarely communicate with each other.

DIGITAL IDENTITY USING BLOCKCHAIN

• Digital identities are made up of personal information from the web and web activities

• Digital identities arise through the creation of Decentralized Identities (DID’s)

• The DID is secured by cryptography, which provides authentication and encryption functions via paired public and private keys.

• DID’s take decentralized data from across the web to verify ownership.

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Identity Management

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Tech Talk: BlockApps STRATO Approach to Identity

Use existing system credentials on the blockchain platform

Other third-party applications with the same authorization systems can also directly access the STRATO API.

How it WorksSTRATO sign-on works with enterprise identity management systems, allowing a seamless SSO experience for users and simple connection to other 3rd party enterprise applications.

Identity ManagementLogin to the network using existing credentials and authorization systems (e.g., SSO, OpenID, SAML). Use the same authorization to connect STRATO and other enterprise applications.

Main Benefits• Simplifies login for end-users, limiting interruption of

existing business activities• Streamlines access management control from IT and

operations• Provides infrastructure to link STRATO login to other

enterprise applications

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Why is this Important in Healthcare?

• Digital and Decentralized Identities address privacy, identity and security concerns that have hindered patient access and control over their own health data and informed consent.

• The driver here is a concept called INTEROPERABILITY, with patients providing seamless access and control of their health data across multiple platforms. NEW US LAW IN EFFECT!

• TELEMEDICINE has benefitted greatly from stronger digital identity protocols, allowing for verification in the absence of physical presence and supporting the exchange of patient health information. NEW US LAW IN EFFECT!

• Continued work in these areas is focused on the following patient-centric use cases:• Self-Sovereign Identity (SSI) – device-based identity storage that requires no validation from

traditional identity sources • Data Monetization – utilize tokenization aspects of blockchain to allow patients to sell their health

and genetic data• Data Portability – supports EU-GDPR which allows patients to authorize data to be moved

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Medical Credentialing

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Medical Credentialing – Current Process• Process by which many healthcare

professionals collate their educational and professional qualifications for submission and verification. This will allow the HC professional to practice in their specialty, renew licensure, secure admitting privileges and submit/ collect insurance payments for services performed.

• US Licensing process typically is governed at the state level, limiting mobility and opportunities, hindering the free movement of healthcare resources to where they are needed most.

• Interconnected parties in the medical credentialing industry represent a group that would see a more immediate payback from a blockchain solution.

THINK AHEAD: Pay close attention to the role of identity management and interoperability and how it relates to this use case.

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Current Medical Credentialing Process

• Healthcare professionals submit documents for review:

• Board certifications• Academic background• References• Work history• Background checks• Immunization history• Continuing education

• Depending on resources and size of the practice, the verification process begins.

• Average time to complete process is around 120 days.

NOTEWORTHY: For Payers (Insurers), their respective PROVIDER DIRECTORY must also be updated.

Payers spend approximately $2 BILLION USD per year keeping their provider databases up-to-date.

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Costs, Flexibility and Less Patient Contact

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Solution Developed on BlockApps STRATO Platform

• Standards approach utilizes inefficient single blockchains

• Patient-based approach lacks interoperability

• Solution involves a decentralized identity (DID) and the creation of a flexible ID wallet for HC worker

• Decentralized identity (DID) with verifiable claims authenticated through cryptography

• HC Worker is now bridge to support interoperability

• Identity Management concepts of interoperability and DID are key to developing the STRATO solution.

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Addition and Updating Credentials Made Easy

• Provider creates wallet and stores information from the educational institution forward.

• Interoperability derived from Decentralized Identity (DID) allows Provider to bring and store credentials in the wallet.

• Smart Contracts Templates are generated for each credential.

• Additional Smart Contracts govern the exchange of information between network members and the checking and updating of credentials.

• Credentialing process is now a more immediate process from Providers wallet versus the average of 120 days.

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Resources blockapps.net/healthcare/

• Top Industry Use Cases

• Blockchain for Clinical Trials

• Healthcare Partner Network

• Find a Healthcare Partner

• Become a BlockApps Partner

• Industry News and Events

• Ask an Expert

Your Trusted Source for Information on Blockchain in Healthcare!

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About BlockApps

WHAT WE DOMultiple Fortune 500 organizations use the BlockApps STRATO platform to create and manage programmable business networks

WHO WE ARE

We are a Brooklyn-based firm with a mission to:

Restore the reliability & efficiency of face-to-face interactions to digital transactions through secure and connected information

CORE VALUE

Transactions on STRATO networks leverage blockchain technology to satisfy modern business needs for speed, reliability, extensibility & security…

…addressing the shortcomings of existing billion-dollar business networks across industries

THE FIRST…

…Fortune 500 Non-Financial Production Supply Chain BaaSApplication

…Partner with Microsoft, AWS, and Google Cloud Platform

…Founding board members of the EEA (Enterprise Ethereum Alliance)

+ others

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