The problem we solve:
Today’s EHR systems are outdated and overly complicated. They rely on technology from the 1970s which limits their efficacy and prevents providers from tracking patient data in real-time. Medical errors, the third leading cause of death in the U.S., are often caused by a lack of sufficient healthcare information. These errors could be reduced if providers were operating on a modern platform that allowed them to track patient data in real-time. These legacy systems also cannot support the integration of medical data from multiple sources. This prevents relevant information, such as social determinants data, from being integrated into a patient’s EHR. This lack of data integration can also lead to duplicate testing for patients who receive coordinated care across multiple institutions, placing an undue financial burden on the entire healthcare system.
Lastly, current EHR systems leave sensitive patient information vulnerable to security breaches. Data breaches are the biggest concern for healthcare institutions. HIPPA reported that 3,230,060 healthcare records were exposed in November 2018 alone. Furthermore, while patient information remains vulnerable to outside attacks, EHRs are not available to the patient, meaning that patients do have access to their own medical records.
About our solution: Using Hyperledger Fabric (HF), our goal is to create a secure and permission-based blockchain electronic healthcare system. This system will allow for easy, real-time integration of patient medical data across multiple medical institutions as well the incorporation of patient genomic information. By having the patients’ complete medical record on a secure and encrypted system, we can significantly reduce redundancy and errors in data entry and in turn reduce preventable medical errors and improve clinical efficacy. The HF framework can also support a computational infrastructure that can support the expansion of the healthcare system to better manage patient care and ensure the security of patient medical information.Progress to date:
As of today, we have extensively researched the Hyperledger Fabric system and how we can utilize this open source software for our project. We have successfully created a Hyperledger Fabric network that contains a ledger and two organizations, each containing two peers that can participate on the network. We are currently working on reconfiguring the chaincode to manipulate the ledger to hold a patient's basic medical information, as well as their complete genomic information, which is an order of gigabytes per person.
Creator: Pedro Guardado
Education: Johns Hopkins University
Bio: Pedro Guardado is the CEO that will drive towards durable sustainable growth for Henrietta L., Inc as a company as well as being socially responsible to all those that it affects publicly. Pedro’s career first began as Naval Hospital Corpsman that provided services in multiple healthcare settings in the military. Received a BS in Psychology from University of Maryland University College, Post Baccalaureate from University of Maryland College Park and currently pursuing his Masters in Bioinformatics from Johns Hopkins University.
Advanced Degree(s): BS
CSO, BS, MS
Biography: Hana Lejmi is the chief strategy officer (CSO) for Henrietta L., Inc. Hana has received her Bachelors from University of California, Santa Cruz in Molecular Cell, and Developmental biology and is currently pursuing her Masters in Bioinformatics from Johns Hopkins University. She has worked as a biomedical research scientist and has worked on various NGS including the Harmony NIPT, HIV Drug Resistance, and Hereditary Oncology assays at Roche Sequencing Solutions. Throughout her career, she found great interest in Bioinformatics and the healthcare system, and has transitioned into this field.
Advanced Degree(s): BS, MS
Advisor, PhD and MBA
Biography: Sajung Yun is an advisor for Henrietta L., Inc. Sajung is a seasonal entrepreneur in healthcare space. He currently teaches genome analysis courses at Johns Hopkins University Biotechnology Masters program as an adjunct professor. He received Ph.D. in biomedical sciences from University of Hawaii at Manoa in 2009. He received M.B.A. with concentrations in healthcare management & entrepreneurship from Johns Hopkins University. He attended M.D. program for three and a half years at Johns A. Burns School of Medicine. He has five years experiences of post doctoral researches in bioinformatics & genome engineering at National Institutes of Health in Bethesda Maryland. He is a clinical data analyst with current certification of CHDA (Certified Health Data Analyst) from AHIMA (American Health Information Management Association).
Advanced Degree(s): PhD and MBA
Advisor , PhD Physics
Biography: Sijung Yun is an advisor for Henrietta L., Inc. to guide successful implementation of genomic data into the Henrietta’s Electronic Health Record System. Sijung is an expert in the genomics field with successful completion of projects both in industry and in academia. Currently, Sijung is a lecturer teaching genomics for Advanced Academic Programs for Johns Hopkins University. With a Ph.D. in physics from Boston University in 2007 for computational biology research on Alzheimer’s disease research, he got five years of postdoctoral training at National Institutes of Health (NIH) for genomics and bioinformatics. He started to teach genomics and bioinformatics at Foundation for Advance Educations in Sciences (FAES) graduate school at NIH since 2009. After postdoctoral training, he founded Yotta Biomed in 2013, and has provided genomics and bioinformatics services since then, specialized in next generation DNA sequencing. He started to teach bioinformatics and genomics as an adjunct professor for Advanced Academic Programs for Johns Hopkins University from August 2017.
Advanced Degree(s): PhD Physics
IT Director, MS
Biography: Zechuan Shi is the IT Director for Henrietta L., Inc.. He holds a Master’s degree in Biotechnology from Johns Hopkins University, and currently works for Perelman School of Medicine at the University of Pennsylvania. He used to work in a startup company, as a researcher, developing ELISA chip. One of his project at Johns Hopkins was developing early radiotherapy resistance diagnosis chip. He has been working extensively in the field of preclinical drug trials, biostatistics and whole genome sequencing on breast cancer research. With his previous working and studying experience in diagnosis and data science in the field of healthcare, he firmly believes the implementation of genomic data could help precision medicine in the future.
Title: IT Director
Advanced Degree(s): MS
PR Director , MS
Biography: Christaphine Bob-Ray is the Public Relation Director to Henrietta L. Christaphine has a Bachelors in psychology from UNC Charlotte and is pursuing a Masters in Biotechnology from Johns Hopkins University. She has experience in research, missions, and the hospital setting as a cardiac tech. She has a heart for mentorship, global health, and bringing people together. While doing research in Sierra Leone, she saw how genomic data could be used in maternal health to personalize medicine and was intrigued to join Henrietta L to one day bring this technology to the world especially regarding maternal health. She facilitated discussions to bring together scrub nurses to be the change they wanted to see in their hospital and community. As a cardiac tech in a small town hospital in Connecticut, she saw both middle-aged and elderly patients felt powerless regarding their own health and depended so much on the doctor because they didn’t have access to their own information and to resources that could help them understand how they could live healthier lives. Christaphine is dedicated to connecting people to technology and using the power of the mind to inspire people to live healthy, well-informed lives.
Title: PR Director
Advanced Degree(s): MS
Business development director, MPA
Biography: Blake Neilsen is a business development associate for Henrietta L., Inc., where she provides market research and analysis, identifies problems within the industry, and helps to develop relevant business solutions. She worked for three years at the National Association for Home Care and Hospice where she developed a passion for healthcare policy. Her previous experience in healthcare helped Blake identify a variety of problems with the current healthcare system. She believes that new technology can be leveraged to help provide new and innovative solutions to many of the system’s existing problems. She holds a bachelor’s degree in sociology, political science, and international studies from the University of Utah and is currently pursuing a Master of Public Administration from the Evans School of Public Policy and Governance at the University of Washington.
Title: Business development director
Advanced Degree(s): MPA
How We Address the Mission of The Challenge(s)
Real Time Results Challenge: Our project will invert the current healthcare system to prioritize patients and provide them with real-time access to their medical data, leaving them in control and empowering them to be more involved in their healthcare. Having a HF blockchain based platform, we provide parties of a trade transaction to access the same source of information, and this is how we achieve the real time results. We also aim to streamline the order-to-settlement process and reducing the amount of extra work required to complete a transaction. Patients and healthcare providers currently have to navigate several servers in order to gather information, putting patients’ lives at risk each minute. We will provide the platform in which healthcare institutions can retrieve information from the seamlessly integrated real time EHR system, and utilize our toolset to integrate the data from existing systems into one concise source. This will be a one stop shop for an integrated, secure, and robust healthcare system.
Social Determinants Data Challenge: Our project would use HF to create a platform that can integrate preexisting data from multiple sources, including Ochsner Health System and Blue Cross and Blue Shield of Louisiana, to create a structured, shared network open to rich query. We are able to pull data from various sources that can be analyzed and compared to a patients’ individual health record, allowing our network to be used to provide individual-level risk assessments based on a large pool of social determinant data.
In addition, our platform allows us to communicate directly with patients on a secure network providing an opportunity to collect additional information directly tied to a patients’ social determinants. This additional data can help providers make better-informed decisions when structuring high-risk value-based-purchasing contracts. Many providers already deliver services beyond the traditional clinical realm that address social determinants of a patient’s health, and our platform will assist providers in analyzing how these services can be integrated into their value-based-purchasing contracts to offer reimbursement structures that pay for the consistent delivery of these services.
New Orleans and Our CompanyEHR is the integration part of the whole healthcare. Close collaborations from healthcare institutions are required. Looking at the four organized healthcare challenges of NOLAHI, New Orleans healthcare community is willing to pursue collaborative efforts. It makes New Orleans one of the most attractive places to incorporate our Blockchain based EHR project. If we win this challenge, we'll unify the EHR system. Unlike other competitors, we can allow each hospital to use its own EHR system. However, with our Henrietta L. system, they can share the medical data instantaneously and securely. Once our system is incorporated, the whole New Orleans patients don’t have to redo the tests or exams any more when they switch to a new hospital. No matter where the patients received healthcare treatments, the records will be shared instantaneously. In this way, New Orleans patients would save money and efforts as well as hospitals and insurance agencies.
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