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Scenarios and Use Cases

The HIT foundation is only the provider of the functionality of an online market place for personal health information. The HIT foundation is also responsible for the governance and functions as an advocate of the individual. The goal is to enable members of the network to implement their business cases in a much more efficient way as it is possible in the current healthcare systems.

There are many use cases/protocols possible on the basis of the HIT-network. The following is a non-exhaustive enumeration:

  1. Research (Clinical Trials and RWE, pure desk research)
    Researchers have direct access to potential study participants by searching their metadata that match the inclusion criteria; patient-generated health data on-demand; electronic informed consent; audit trail for the research data

    • Involved parties: Patient, healthcare professionals, university/research, hospital, pharma/medtech, health insurance, policy makers, pharma/medtech industry, CROs
    • Benefits: Researchers receive data that cannot be altered/manipulated; no unreported negative data from clinical trials; reduced cost and effort to recruit study participants; site-less studies possible; time-to-research, etc.
  2. Surveys
    Population survey and representative surveys can be conducted via contacting individuals directly or by invitation through the QR code. Authentication of participants is guaranteed via their wallet.

    • Involved parties: Market researchers, governments, health insurances, policy makers. pharma/medtech industry etc.
    • Benefits: reduced cost and effort to recruit participants, participants remain anonymous, time-to-survey
  3. Pay-for-performance models (enables value-based healthcare & risk-share agreement frames)
    Insurances and industries get patient reported outcome data to control the effectiveness of treatments and hence the reimbursement of the treatment

    • Involved parties: Health insurances, pharma/medtech industry, reimbursement bodies/payers, HTA agencies, governments, policy makers
    • Benefits: Only effective treatment will be reimbursed which results in cost savings and the allocation of resources where they are effective; time-to-RWE will be reduced significantly
  4. Hospital check-in
    Scanning of the QR code of a hospital when entering the hospital which initiates sending of the patients’ insurance data and health data to the hospitals ERP and CIS system. Patient gets token in return.

    • Involved parties: Patient, hospital
    • Benefits: Process optimization, reduced error rates, time
  5. Prescription refill/replenishment
    The prescription can be sent to the wallet of the individual or stored in the individual’s repository and be filled in a pharmacy of the patient’s choice. Pharmacies can offer tokens and/or bonuses if the prescription is filled with them as a customer loyalty measure. Electronic exchange of medication data reduces error rate.

    • Involved parties: Patient, pharmacy, health insurance
    • Benefits: Increased patient safety, customer retention, process optimization, reduced errors
  6. Second opinion Services
    Doctors can earn tokens by giving feedback, answer to mail, review treatment decisions

    • Involved parties: Patient, healthcare professional, hospital, health insurance
    • Benefits: increased patient safety, avoidance of unnecessary treatments
  7. DNA/ Biobank
    Samples can be traced, and consent of donors can be obtained.

    • Involved parties: Pharma, research institutions, hospitals, patients
    • Benefits: management ownership, privacy, security of personal data/samples
  8. Compliance Support
    Individuals receive tokens when predefined health goals that are incorporated in a smart contract are achieved. Verification can come from a third party, e.g. a healthcare professional. smart and connected devices

    • Involved parties: Health insurance, patient, healthcare professionals.
    • Benefits: Improved treatment adherence, reduction of administrative cost for bonus programs, reduced waste, enables behavior change of patients
  9. Donation and sponsoring of treatments
    The HIT can be used as a means to support treatments or research, e.g. of orphan diseases. Individuals can help others if they have surplus tokens.

    • Involved parties: Patients, healthcare professionals, hospitals, pharma/medtech industry
    • Benefits: No administrative costs for donations, time
  10. Alternative reimbursement system for developing countries
    HIT token can be established as an alternative reimbursement for healthcare provider in developing countries or as an alternative health insurance.

    • Involved parties: Patients, healthcare professionals, hospitals, health insurance, government
    • Benefits: Affordable and transparent payment, tracking of personal health data which is often kept in different places
  11. Volunteer work
    HIT token can be used as a reward for volunteer work. Vice versa token earned be volunteers can be used to get them health benefits.

    • Involved parties: individual, hospitals
    • Benefits: Reliable reward system for volunteer work
  12. Internet of Things (IoT)/Connected devices
    Tracking health data that is being generated without individuals’ knowledge and consent by connected devices

    • Involved parties: individual, pharma/medtech industry, fitness/wellness industry
    • Benefits: management of access and use of personal data, standardization of data, interoperability
  13. AI services
    HIT token can be used as a payment for bot services, e.g. medication interaction control, symptom checker, explanation and interpretation of lab results

    • Involved parties: individual, service provider, pharma/medtech industry
    • Benefits: incentive for (start-up) companies to develop disruptive services aimed directly to the patient
  14. Third party services
    Service Providers can get incentivized to tap into the HIT system, e.g. health coaches, labs that offer self-testing, service providers that digitalize paper records and documents, patient database traders (big data owners), IT-industry, pharma/medtech industry etc.

    • Involved parties: individual, service provider
    • Benefits: service providers can access their target group and offer tailored services, service providers can leverage their business model (like AI services) on top of the HIT-solution – HIT complements/enables many 3rd party business models
  15. Tracking adoption of Innovation / enabling Risk-Share agreements
    Interested stakeholders can track the adoption of recommended innovations by researching population in focus

    • Involved parties: individual, service provider, pharma/medtech industry, policy makers, HTA agencies, payers (health insurance, governments)
    • Benefits: stakeholders can track adoption of innovation to see whether healthcare provider follow guidelines/health policies, or to execute risk-share agreements based on volume thresholds

General business benefits are the ability to manage access to personal health information through smart contracts, building an incentive system and not having to rely on intermediaries. A dramatic reduction of administrative time and costs can be achieved. Privacy can be maintained, which is very important to those whose health data maybe of stigmatizing nature, such as HIV or mental health issues.

Direct access to individuals allows start-ups/companies to offer disruptive services without having to rely on the existing stakeholders in the healthcare system, as they usually don’t have an interest in sharing control and/or profit.