ENGAGING AND INCENTIVIZING HEALTHCARE STAKEHOLDERS TOWARD SUSTAINABLE VALUE USING BLOCKCHAIN

Well-established episode of care examples exist in which the concerted effort of stakeholder engagement, from providers to patient, has provided sustainable clinical and cost-effective
benefits. Specific examples include post-operative PT; opioid management; chronic diseases such as diabetes, hypertension etc. Nonetheless, even such episode-driven efforts are vulnerable to the threat of multi-stakeholder “inconsistencies.” Within this context, sustainable (and scalable) operational achievement of value from these and other episode-of- care efforts underscores the reliance on a standardized/consistent, objective goal-defined, and feedback/ reinforcing stakeholder engagement platform. Our proposal is that a ‘Smartcare Contracts’ platform built using Blockchain technology will function to engage the critical stakeholders that represent the value chain components of standardized, consensus-/evidence-
based clinical episode-driven outcomes. In addition to breaking the data silos that exist in healthcare today,Blockchain technology promises value creation by engaging stakeholders across
care delivery and incentivizes stakeholders by automatically distributing the value through smart contracts.

Methods:

  • We provide examples of established, evidence-based episodes of care
    e.g. post-surgical length-of- stay (LOS), post-surgical re-
    hospitalization, avoidable hospitalization for cancer patients on chemo,
    etc.
  • Draw out the stakeholder relationships involved in each Smartcare
    Contract
  • List out the objectives of each Contract e.g. time-based goals,
    medication discontinuation goals, etc.
  • List out the incentives for each stakeholder to comply and aim for the
    above objective goals

Srikanth Challa, Senior Director of Blockchain, Infosys
Aymen Elfiky, MD, MSc, MBA, Instructor, Medical Oncology, Dana-Farber Cancer Institute & Instructor, Medicine, Harvard Medical School