Co-operative Models for Evidence-based Healthcare Redistribution (CoMEHeRe)

Lead Research Organisation: University of Surrey
Department Name: Business

Abstract

CoMEHeRe aims to transform personal healthcare for the benefit of individuals through the use and management of biometric information created by wearable devices.

To do this it will combine data from an individual's wearables with DLT (blockchains) and machine learning to securely store and access data to enable the individual to share and benefit from their generated information. Sharing will be with state and private healthcare providers to enable more targeted, personalised patterns of treatment. Other benefits may arise from the individual participating materially in new markets created through the monetisation of this data.

Recent interest in cryptocurrencies such as Bitcoin has ignited interest in DLTs and the role they play in how shared agreements are defined, managed, and evolved for a variety of ecosystems and information sources typical of today's digital economy. Indeed, the focus of attention has shifted from DLT as a technological phenomena supporting new types of currency e.g., bitcoin to their likely impact in changing business and society. DLTs have the potential for rewriting conventional notions of how business transactions relate with customers, enhance transparency and trust, and create fresh opportunities for value creation and capture. In domains such as healthcare, the potential of DLTs to disrupt the status quo is clear. However, a critical research need must be addressed: how to expose the opportunities and threats, such as privacy and security from emerging business models enabled by this technological revolution.

CoMEHeRe aspires to build and assess the feasibility of the first publicly available software demonstrator to interface with insurers (AXA/PPP and its Seed Factory labs will be a partner) and the general public, using distributed ledger technologies to allow for data to be curated, hosted, and used as tradeable value by the individual's' choice.

To achieve this CoMEHeRe will address a number of research challenges by utilising a novel combination of technologies, including the blockchain - a form of secure DLT - to store health evidence derived from multi-modal signals extracted from users' wearables and the Internet of Things (IoT) sensors they interact with in the environment. In addition, the project will examine the potential use of Smart Contracts (simple programs) in healthcare management at the research, public policy, and individual levels. Such a use will be challenged by many kinds of contractual, ethical and moral issues: for example if ownership is taken away from the individual, smart contracts could be made partially or fully self-executing, self-enforcing, or both, by authorities or businesses seeking to optimise for cost instead of health benefit to the individual.

The CoMEHeRe project is an 18 month research project designed to create value in an innovative application domain for DLT in healthcare. To undertake this exciting, ambitious project we build on a strategic multi-disciplinary partnership at the University of Surrey that unites world-leading research groups focused on examining the business and societal impact of applications of digital technology (CoDE), multi-modal signal processing (CVSSP), and IoT and sensor-based communications infrastructures (ICS and 5GIC). This partnership is contained within a broader delivery consortium. This includes Axa/PPP offering the application context and a basis for assessing practical impact, Guardtime providing a DLT foundation for the research work, and BioBeats delivering machine learning platform expertise. To govern this work there will be an experienced Advisory Board bringing governance and guidance to ensure the project delivers meaningful results from which new research and practice can emerge. This experienced partnership has a practical record of previous work in these areas, and a broad network of relationships bringing deep support, and rapid promotion of research results.

Planned Impact

Personal healthcare can be transformed by DLT and other new technologies through the design, development and evaluation of business models for commodifying and brokering casually captured personal healthcare data.

Impact on Individual Users
Relatively little attention is being directed at how the data from cheap mobile devices and wearable sensors, growing at an exponential rate, is secured, managed, and used for the benefit of individuals. As new technologies become more prevalent, many people are concerned about the use of these technologies in supporting, advising, and controlling key aspects of everyday life. CoMEHeRe will put individuals in the driving seat by giving them greater control over their data and health. This project will contribute to this critical debate, and explore the implications of wearable devices on healthcare provision. One of the most positive visible outcomes will be our contribution to understanding how individuals can achieve accurate insurance and care models tailored to their needs, enhancing their quality of life.

Impact on Policy Makers and the Economy
Availability of real-time data capture from wearable devices places new demands on policy, ethics, and law. New technologies such as DLTs expand the boundaries for policy makers and economists. CoMEHeRe will provide a testbed for exploring these questions in a critical domain of national importance. For example, CoMEHeRe will demonstrate the use of DLTs to execute peer-to-peer contracts. These will be used to measure and trade the value of any particular piece of healthcare evidence (or transaction) in order to optimise value both to healthcare suppliers such as the NHS, and more importantly to the individual.
Important questions can be explored through CoMEHeRe, including:
-- Which emerging health and insurance business models are enabled by digital technologies such as DLTs?
-- What is the role of health-based interventions in preventative care?
-- Is there a relationship between an individual's' biometric data, and increasing engagement and productivity in the workplace?
-- Can the motivation and commitment of individuals to the services offered by insurance providers be increased?

Impact on Society
There is a fundamental need to address workable, scalable solutions to improve preventative health and well-being which will be met by the CoMEHeRe project. It will leverage existing societal trends towards the use of technological interventions - computers, tablets and medical devices - supporting and increasing "external" connectivity to improve quality of life and promote a healthy lifestyle for individuals. For example, we will research how simple programs such as smart contracts can be used as computer protocols that facilitate healthcare advancement at the research and public policy (and later, product offering) levels. Increased use of DLTs will promote a new breed of smart applications for healthcare providers, health insurers and health-focused solution providers that would exploit more easily the latest medical research to develop personalised treatment paths. Health providers and patients will have access to the same information and be able to engage in a collaborative and informed discussion about best-case treatment options based on research and early intervention rather than using at present intuition and broad demographic targeting.

Impact on Knowledge
CoMEHeRe will impact all the academic and non-academic communities represented by the project consortium through contributing to the current body of knowledge with regards to implementation of DLT solutions in a healthcare context. The feasibility study taking place via CoMEHeRe will make a significant contribution to the beneficial increase in technology-enabled healthcare management through which individuals, healthcare providers, healthcare entities, and medical researchers share genetic, diet, lifestyle, environmental, and health data interventions.

Related Projects

Project Reference Relationship Related To Start End Award Value
EP/P03196X/1 30/06/2017 02/09/2018 £420,045
EP/P03196X/2 Transfer EP/P03196X/1 03/09/2018 30/06/2019 £184,160
 
Description The academic contribution of CoMEHeRe has drawn attention to several important research questions, and brought new insights through its publications:
1. In developing architectural patterns for implementing blockchain and Distributed Ledger Technology (DLT) solutions.
2. By applying DLT approaches to store and manage personal health data, the work of this grant has provided several critical recommendations for how to structure DLT-based solutions to improve privacy and allow individual agency over personal data.
3. Through the experiments carried out using wearable devices for understanding stress, this project has raised the importance of using physiological data in empirical approaches to social science research.

The work on CoMEHeRe has been instrumental in several areas beyond the academic community:
1. Informing educational offerings aimed at practitioners, executive leaders, and postgraduate students through the development of MBA modules, and via influences at corporate education groups such as Headspring, Oxford Group, Defacto Education, and Duke CE.
2. Inspiring and challenging conventional thinking at commercial organizations at corporate events for large corporations (e.g., SAP), for industry influencers (e.g., CIONET), and in industry consortia (e.g., LMForum).
3. Influencing thinking on digital strategy by delivering opinion pieces and commentary via blog posts, industry-focused articles, and through numerous informal discussions with industry leaders.
4. Impacting policy and decision makers through the personal influence of individuals from the CoMEHeRe project in their roles on advisory board and as consultants to key corporations.
Exploitation Route Other research teams in academia and industry can build on the results of CoMEHeRe by examining the research outputs of the project and seeking to adapt the methodologies and practice applied to their own contexts. Devices for data gathering such as wearables are in constant flux, and are increasing in accuracy and fidelity. Additional insights will be possible using such devices.
In addition, we see significant movement in business and industry toward new business models enabled by data collected from these devices. For example, several insurance companies such as Vitality have adopted solutions that partially overlap with the research work undertaken in this grant. By working with those organizations, new directions for this work could be established to take the academic/business relationships forward.
Sectors Digital/Communication/Information Technologies (including Software),Education,Financial Services, and Management Consultancy

 
Description The work on CoMEHeRe has been instrumental in several areas beyond the academic community: 1. Informing educational offerings aimed at practitioners, executive leaders, and postgraduate students through the development of MBA modules, and via influences at corporate education groups such as Headspring, Oxford Group, Defacto Education, and Duke CE. 2. Inspiring and challenging conventional thinking at commercial organizations at corporate events for large corporations (e.g., SAP), for industry influencers (e.g., CIONET), and in industry consortia (e.g., LMForum). 3. Influencing thinking on digital strategy by delivering opinion pieces and commentary via blog posts, industry-focused articles, and through numerous informal discussions with industry leaders. 4. Impacting policy and decision makers through the personal influence of individuals from the CoMEHeRe project in their roles on advisory board and as consultants to key corporations.
First Year Of Impact 2019
Sector Digital/Communication/Information Technologies (including Software),Education,Energy,Healthcare,Transport
Impact Types Economic

 
Description Lord Holmes Roundtable on Distributed Ledger Technology for the Public Good
Geographic Reach National 
Policy Influence Type Gave evidence to a government review
Impact Led to co-founding of several working groups with attendees of the roundtable e.g. with HMRC and DWP around use of Distributed Ledger Technology in government.
 
Description MBA Module on Digital Innovation
Geographic Reach Europe 
Policy Influence Type Influenced training of practitioners or researchers
Impact Developed and delivered an MBA module for the Emlyon MBA Programme. This was delivered over 2 days on 8/9 April 2020 to 35 students.
 
Description Video recordings on digital disruption and its impacts
Geographic Reach National 
Policy Influence Type Influenced training of practitioners or researchers
Impact Recorded a short series of videos for Oxford Group as part of a broader set of educational materials they created on digital disruption, digital transformation, and the future of business. These were released online and via youtube.
URL https://www.youtube.com/watch?v=1Iettq6qVzI&t=11s
 
Description Blockstart: Blockchain-based applications for SME competitiveness (BSTART)
Amount € 4,000,000 (EUR)
Funding ID NWE 870 
Organisation INTERREG IIIC North 
Sector Public
Country France
Start 04/2019 
End 01/2022
 
Description DIGIT
Amount £3,699,961 (GBP)
Funding ID EP/T022566/1 
Organisation Engineering and Physical Sciences Research Council (EPSRC) 
Sector Public
Country United Kingdom
Start 03/2021 
End 02/2026
 
Description Next Stage Digital Economy Centre in the Decentralised Digital Economy (DECaDE)
Amount £3,816,713 (GBP)
Funding ID EP/T022485/1 
Organisation Engineering and Physical Sciences Research Council (EPSRC) 
Sector Public
Country United Kingdom
Start 09/2020 
End 09/2025
 
Description vHive Collaboration 
Organisation Zoetis
Country United States 
Sector Private 
PI Contribution We have attended meetings and discussions with the Veterinary Health Innovation Engine (vHive) project (www.vhive.buzz) to discuss wearable devices, health management systems, blockchain for health, and the relationship between human and animal health. The CoMEHeRe project has presented details of its work and findings to the vHive participants and reviewed relationships between digital transformation in animal and human health. We frequently communicate and share experiences on these topics, and are actively in discussion about open research calls and development of future grant proposals.
Collaborator Contribution The vHive project is funded primarily by Zoetis through a multi-million-pound research investment. An additional award was made by the Local Enterprise Partnership, Enterprise M3. The University of Surrey provides a home for the vHive project within the university's School of Veterinary Medicine. Through this collaborative project, a number of projects are underway under the broad theme of digital health.
Impact New research bids to EPSRC for a Centre for Doctoral Training (CDT). On-going commercial discussions to spin out technologies into new joint ventures. Several discussions have taken place on food standards and animal welfare policy with DEFRA and DIT. Additional partnership discussions have taken place with Pirbright research centre. This is a multi-disciplinary collaboration between the Surrey School of veterinary Science, the Surrey Engineering Centre for Vision, Speech, and Signal Processing (CVSSP), and the Exeter Business School.
Start Year 2018
 
Title Biobeats circadian analysis tool 
Description Project partner development of circadian analysis tool for determining effects of stress partially influenced by CoMeHere study on student stress, now being deployed to over 5000 employees in pharma and advertising companies in London and Australian cities, as well as New York. 
Type Of Technology Software 
Year Produced 2019 
Impact Project partner development of circadian analysis tool for determining effects of stress partially influenced by CoMeHere study on student stress, now being deployed to over 5000 employees in pharma and advertising companies in London and Australian cities, as well as New York. 
 
Company Name UNITIES LIMITED 
Description Advice and research-led consulting services in digital transformation 
Year Established 2019 
Impact Performed reviews and offered advice to several large commercial organizations.
Website http://www.unities.co.uk
 
Description Blog Article on Digital Strategy 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact An invited blog article on digital strategy and its role in business.
Year(s) Of Engagement Activity 2019
URL https://disruptionhub.com/there-is-no-such-thing-as-a-digital-strategy-alan-brown-6357/
 
Description Blog Post on Research Impact on Education and Business 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact A blog post on the Surrey CoDE website discussing the impact of research in education and business. The CoMEHeRe project is specifically referenced as an illustration of the work that is being carried out to align academic and business interests at Surrey.
Year(s) Of Engagement Activity 2017
URL https://surreycode.org/2017/10/03/research-impact-and-the-connected-business-school/
 
Description Blog article 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Blog article on "How disciplined management can deliver successful digital transformation".

Digital Leaders is a network of over 10,000 leaders/practitioners in digital transformation.
Year(s) Of Engagement Activity 2019
URL https://digileaders.com/how-disciplined-management-deliver-successful-digital-transformation/
 
Description Blog article 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Blog article on "Accelerate your innovation to drive digital transformation".

Digital Leaders is a network of over 10,000 leaders/practitioners in digital transformation.
Year(s) Of Engagement Activity 2019
URL https://digileaders.com/foster-innovation-to-drive-digital-transformation/
 
Description Blog article 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Blog article on "How agile delivery can power digital transformation".

Digital Leaders is a network of over 10,000 leaders/practitioners in digital transformation.
Year(s) Of Engagement Activity 2019
URL https://digileaders.com/how-agile-delivery-power-digital-transformation/
 
Description Blog article 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Blog article for Digital Leaders on "Three Keys Digital Transformation" looking at issues in digital transformation.

Digital Leaders is a network of over 10,000 leaders/practitioners in industry and government.
Year(s) Of Engagement Activity 2019
URL https://digileaders.com/three-keys-ways-delivering-digital-transformation/
 
Description Blog posts and opinion pieces 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact A new series of weekly blog posts and opinion pieces was started in mid-2020. These discuss the implications of data-driven digital innovation on business and society. They are strongly influences by experiences from CoMEHeRe and refer to result obtained from that work.
Year(s) Of Engagement Activity 2020,2021
URL http://www.alanwbrown.com/dispatches
 
Description Discussions at CIONET Events 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Invited speaker at CIONET events. These are roundtable events with senior executives at companies, typically at CIO or CTO level. The talks I presented on digital transformation and future digital skills were strongly influences by research results and experiences.
Year(s) Of Engagement Activity 2020
 
Description HR Practitioner article 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Article in HR Magazine discussing the impact and implications of digital transformation.
Year(s) Of Engagement Activity 2020
URL https://www.hrmagazine.co.uk/
 
Description Hackathon participation and support 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact I participated in a Hackathon to help practitioners and postgraduate students design digital solutions. This was supported by Zoetis. I participated by mentoring a team delivering a solution to the hackathon.
Year(s) Of Engagement Activity 2020
 
Description Invited presentation at SAP InnovationX 2020 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Invited presentations on the impact of digital disruption at a large-scale event in London in March 2020. The SAP InnovationX event was attended by over 1000 senior business leaders from a variety of business domains.
Year(s) Of Engagement Activity 2020
URL https://events.sap.com/gb/uki-innovation-x/en/home
 
Description Keynote at Blockchain for Healthcare 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Collomosse delivered keynote on COMEHERE project outcomes and use of Blockchain for Healthcare at the International Congress on Blockchain for Healthcare 2018, at London Radisson Blu Heathrow 3-4 May 2018
Year(s) Of Engagement Activity 2018
 
Description Meeting to discuss DLTs in the context of accreditation and MiFID2 certification 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Industry/Business
Results and Impact Santander Bank is conducting a training and certification programme in accordance with MiFID2 regulations. Santander Bank and IE Business School (training services provider) are exploring the use of DLTs to implement a distributed, decentralized infrastructure to certify those employees who are MiFID2 certified. COMEHERE shared its views and experience in the development of DLTs to Mr Guemes (VicePresident IE Business School), Mr Caras-Ubeda (Chief Learning Officer, Santander Bank) among others.
Year(s) Of Engagement Activity 2018
 
Description Presentations and Reports via Headspring Corporate Education group 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Industry/Business
Results and Impact Invited to work with Headspring Corporate Education group to develop and deliver presentation materials on digital transformation topics for their major clients. This includes multi-national organizations in financial services, industrial manufacturing, and retail.
Year(s) Of Engagement Activity 2020
URL https://www.headspringexecutive.com/
 
Description Presentations at SAP InnovationX 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Industry/Business
Results and Impact Invited presentations on the impact of digital disruption at a large-scale event in London in March 2019. The SAP InnovationX event was attended by over 1000 senior business leaders from a variety of business domains.
Year(s) Of Engagement Activity 2019
URL https://events.sap.com/gb/uki-innovation-x/en/home
 
Description Talk at Animal Health Investment Europe Forum 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Gave an invited talk at the Animal Health Investment Europe forum in London. The presentation addressed opportunities for data-driven innovation in health. The CoMEHeRe project was described and discussed in relation to disruption in the health industry.
Year(s) Of Engagement Activity 2018
URL https://www.animalhealthevent.com/events/animal-health-innovation-europe
 
Description Talk at LMForums - Driving change in the new world 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact A talk presented at the LMForums event -- Driving change in the new world. This looked at digital disruption and included lessons from CoMEHeRe on blockchain technologies.
Year(s) Of Engagement Activity 2020
URL https://www.lmforums.com/
 
Description Talk at the International Federation of Health Plans biannual conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact A talk at The International Federation of Health Plans biannual conference outlining the ComeHere project and potential implications for private medical insurance. This presented the CoMeHeRe project as part of a broader discussion on digital disruption in healthcare.
Year(s) Of Engagement Activity 2017
 
Description Talk on CoMEHeRe at INNOVACION EN SALUD workshop 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Industry/Business
Results and Impact A talk was given to provide a vision of the latest trends in healthcare where the CoMEHeRe project was used as a significant example of future directions. It was an annual meeting in public healthcare, hosted by IE Business School and sponsored by NOVARTIS.
The audience was Healthcare decision makers in Spain, including National Healthcare systems. Public sector, national, regional and local level. Attendees included major insurance companies and mayor independent hospitals & clinics.
Year(s) Of Engagement Activity 2018
 
Description Visit to Surrey Business School by IoD Representatives 
Form Of Engagement Activity Participation in an open day or visit at my research institution
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Industry/Business
Results and Impact Visit to Surrey Business School by Institute of Directors (IoD) representatives. This meeting was focused specifically on UK-China relations. included Mei Sim Lai OBE DL, Hon Secretary and Chairman of China Interest Group, IoD City. David Stringer-Lamarre, Chairman, IoD London Region, John McLean OBE, Chairman, City Governance Group, Director of China Britain Business Council and 3 others. The work of CoMEHeRe was a key element of the presentation, and its research approach discussed in relation to future opportunities.
Year(s) Of Engagement Activity 2018
 
Description Webinar on Agile Leadership 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact An invited webinar presentation to a large audience via scrum.org, the largest aorganization worldwide delivering training an education to software practitioners on agile delivery methods.
Year(s) Of Engagement Activity 2020
URL https://www.scrum.org/resources/agile-leadership-and-challenges-digital-transformations
 
Description Workshop on potential research partnership at SAS 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Industry/Business
Results and Impact We held a half day workshop with SAS at their HQ in Marlowe to discuss the CoMEHeRe project and other research activities. The aim was to explore future possible interactions and potential exploitation of CoMeHeRe research outcomes at SAS and its clients.
Year(s) Of Engagement Activity 2018
 
Description Workshops with AXA, SwissRE and other insurance and risk companies 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Industry/Business
Results and Impact Workshops with AXA, SwissRE and other insurance and risk companies outlining potential learnings from CoMeHere outcomes for future actuarial science. Attendance: 30. Conducted throughout January and February 2020. Outcomes potentially influential in the wider practice of private medical insurance companies, particularly within AXA (105 million lives insured).
Year(s) Of Engagement Activity 2020