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?the