Powering the Physician?Patient Relationship with HIE of One Blockchain Health IT
Adrian Gropper, MD
August 7, 2016
●Address whether there is a place in health IT and/or healthcare related research for
the technology [?1?]?
Physicians steer treatment together with patients and are responsible for the vast
majority of decisions, and therefore expenditures, in healthcare. Yet the technology that
mediates the physician?patient relationship today is not directly purchased or controlled
by either the physicians or the patients. Electronic health records and health information
exchange technology are sold as strategic assets to institutions, typically very large
businesses, that currently have incentives to maximize institutional growth. We seek a
better balance of institutional needs with the needs of physicians and patients.
It is widely accepted that reducing healthcare cost growth requires genuine practice
reform. Few institutions, however, are planning to reduce their own size. By focusing
health information technology and interoperability on the physician?patient relationship
we bypass the inertia of institutions, fertilize the environment for value?based payment,
and optimize care options among hospitals, the community, and home, as appropriate.
Blockchain is widely recognized for its ability to empower innovators and individuals on
a large scale in an environment that includes the necessity of institutions. The
appropriate application of blockchain technology to health IT can shift the balance to the
physician?patient relationship. It’s hard to imagine a more effective lubricant for
innovation in our complex privatized healthcare system.