THE CONTEXT

Data silos in our health system can complicate and slow down patient care, while patients should benefit from an informed, timely and accurate diagnosis.

BLOCKCHAIN ​​TRANSFORMATION

MYPL offers an innovative solution to improve the decision-making process of oncology health professionals by facilitating access to structured health data for their patients. This digital mobile solution, Talium’s technical partner, aggregates the “best of breed” current blockchain technologies, as well as a powerful, stable and scalable interoperability solution.

RESULTS

MYPL enables real-time sharing of patient data collected for practitioners, while ensuring blockchain integrity and quality, as well as a secure environment.

The MYPL solution uses proprietary AI technologies to leverage these data to meet the specific needs of each practitioner.

THE CONTEXT

Our health system suffers from a compartmentalization of information (medical, administrative …), to the detriment of the patients themselves and their efficient care. Interoperability between health facilities and / or practitioners is often problematic or non-existent. In addition, many data are made inaccessible outside an institution.

Beyond interoperability, many reluctances exist:

Healthcare institutions want to continue to control data from their facility
A centralized architecture allowing access to this data would potentially be more exposed to hacking, without appropriate technological solution
In the interest of the patients, the establishment of a reinforced control for the access to their data would bring a new complexity to the system, without guarantee of their adhesion
This complexity related to security needs has impacts on the performance, speed, flexibility and cost of the system / organizations
Flexibility is also impacted, making it difficult for RGPD compatibility or anonymized data processing for applications in research or epidemiology.
However, real-time access to patient records would improve the decision-making process, in some cases to prevent bad decisions from being made with validated and complete information. Even avoid medical errors.

Currently, the search for information is done on the initiative of the practitioner, based on the history provided by the patient himself. The data obtained may be incomplete, not counting the time spent obtaining them from other practitioners, and then sorting out irrelevant information. Providing this information is also burdensome for health facilities. Local initiatives are emerging for the electronic sharing of patient records, particularly between health facilities and city practitioners. These projects are often initiated by institutions to reduce their burdens, and praised by practitioners who see them as time savers and improved decision-making. However, they are often isolated and limited to the radiation of a health center and therefore do not cover the entire history of patients.

In addition, access alone is not the solution, as these data remain raw and not exploitable in the state. It is essential to structure and give them a medical sense.

The inaccessibility of patient records also does not make it possible to use the mass of information collected by practitioners for analytical purposes (epidemiology or clinical research, for example).

However, this situation is evolving with the emergence of decentralized architectures that provide a response to barriers to the entry of previously considered solutions. Christophe Vergne, CEO of MYPL, says: “the advent of the blockchain was a trigger for the resolution of the problem of partitioning health data.”

BLOCKCHAIN ​​TRANSFORMATION

Indeed, the MYPL blockchain solution today opens the way to more secure and accessible solutions (in terms of complexity, cost, performance) by using the native properties of distributed registers, smart contracts and protocols allowing selective access to key information.

Jean-Alexandre Kaminisky COO of MYPL, says: “The blockchain was able to change the paradigm of the partitioning of health data, it remained to propose a solution that meets the needs of patients, practitioners, academics and institutions, all together. We quickly understood the value of aggregating the best technology solutions globally, to achieve an ambitious promise with multiple clinical applications.

This offer meets the expression of need of the actors of the health and the patients, namely:

Preserve the integrity of patient information. The information can, depending on the valuation that one wants to make, remain stored in the systems of institutions or practitioners who generated them, or, after anonymization, be exploited by machine learning applications.
Securing: some blockchains among which the SMPC protocols (see our article: http://talium.fr/secured-multiparty-computation-leconomie-de-la-donnee-disruptee/) guarantee the security of access to the information and its transfer: the data do not need to be centralized, the risk of hacking is considerably reduced. The blockchain technology used in the MYPL solution ensures that the patient has given the necessary permissions to access his data, that they are completely secure and that the data remains intact,
Compatibility RGPD (or GDPR in English): the solution MYPL is “GDPR compliant by design”, and this thanks to the blockchain properties that it has retained and by the IT architecture of its solution,
Transparency: thanks to the blockchain properties, the MYPL solution is auditable in real time by all the stakeholders, thus building a quality referent.
Speed: blockchain and cloud infrastructure simplify the overall architecture chosen, while ensuring data interoperability, enabling fast, real-time access to information.
The MYPL solution is built on three technological pillars: interoperability, blockchain and artificial intelligence, within a cloud infrastructure.

The blockchain technologies used have characteristics meeting the needs of robustness, speed, scalability but also governance. MYPL is surrounded by recognized partners to lead its project, including AWS for Cloud Infrastructure, IBM for its involvement in Hyperledger Fabric, Talium for the development and aggregation of different technologies within this complex architecture.

In terms of interoperability, a major industrial agreement is being validated.

Talium is also responsible for the mobile development of the solution, which will be key to meeting the needs of healthcare staff working in ambulatory and offline environments.

As Jean-Alexandre Kaminisky puts it: “MYPL chose Talium for its proven experience as an architect integrator of high value-added solutions and expert blockchains on projects in production. We found in Talium a trusted partner, attentive and strong proposal. ”

In its development, and given the issue of adoption by a large number of actors for the widest possible access to health information, MYPL has adopted a niche strategy, perfectly mastered, by designing a solution initially dedicated to oncologist practitioners, their medical teams and their patients. This has the advantage of reducing the initial scope of adoption to this target. The strategy is then to gradually expand the use to other specialties by completing the features.

Oncology is one of the many applications that can benefit most from this solution, especially given the prevalence of comorbidities.

For its product development, MYPL applies an agile approach involving health personnel and institutions, academic and institutional partners. The application, thanks to the AI ​​brick, aims to perfectly meet the qualitative needs of each, delivering structured data and valued.

Blockchain-backed protocols could also make possible the anonymized processing of an inestimable volume of previously inaccessible data because they are siled; this application is of particular interest to research organizations, but also to the entire health profession for the performance indicators it will generate and monitor over time. MYPL thus asserts itself as a key player in this digital transformation at the very heart of health.

Thanks to Christophe Vergne and Jean-Alexandre Kaminisky of MYPL for their contribution to the writing of this article.

About MYPL: http://www.MYPL.io/ and https://youtu.be/0_cT3AC_EWM

About Talium: http://talium.fr/