LEVERAGING BLOCKCHAIN TECHNOLOGY FOR SLA ENFORCEMENT IN HEALTH CARE CLOUD PARTNERSHIPS

The healthcare industry is rapidly adopting cloud-based solutions to improve operational efficiency and patient outcomes. However, healthcare cloud partnerships often face challenges related to the lack of scalability, trust, and Service Level Agreement (SLA) enforcement, and has a notable impact on consumer care quality. To address this issue, the study proposed leveraging blockchain technology to enhance SLA enforcement by using smart contracts in health care cloud partnerships for small and medium-sized facilities. The research questions were: Q.1 What are the current challenges facing small to medium sized healthcare facilities in enforcing SLAs in cloud partnerships? Q.2 How can BC-based smart contracts helps enhance scalability in cloud computing systems in healthcare SMEs by enforcing Service Level Agreements (SLAs) in a safe and efficient manner? Q.3 What are the factors that affect the implementation of blockchain-based smart contracts for SLA enforcement in healthcare SMEs cloud partnerships? The project utilized case studies to demonstrate the effectiveness of using BC technology based smart contracts to enhance SLA enforcement and improve patient outcomes. The findings and conclusions were as follows: 1. Current challenges facing healthcare SMEs in enforcing SLAs in cloud partnerships: SMEs may lack bargaining power, resources, and technical expertise to effectively negotiate, monitor, and enforce SLAs in cloud partnerships, leading to service disruptions, compliance issues, and financial losses. 2. BC-based smart contracts can enhance the scalability of cloud computing systems in healthcare SMEs by automating SLA execution, ensuring real-time data integrity, transparency, and accountability, reducing fraud, error, and transaction costs, and enabling decentralized trust among stakeholders. 3. Factors affecting the implementation of BC-based smart contracts to better SLA enforcement in healthcare SMEs cloud partnerships: regulatory uncertainty, interoperability, standardization, privacy, security, cost, complexity, governance, and user adoption, and 4. Unique Trends and challenges in the healthcare industry for its data analysis: increasing demand for real-time, patient-centered, personalized, and evidence-based care, generating and integrating large volumes of diverse and complex data from multiple sources, ensuring data quality, privacy, and security, complying with regulations and standards, and fostering collaboration and innovation across stakeholders. MedRec, SimplyVital Health, and Medical Chain demonstrate how BC provides secure data sharing, encryption and access control mechanisms, and promotes interoperability through standard data formats and protocols. Results showed improved scalability, trust, and SLA enforcement with the use of BC technology. Further research in the other domains of this area is recommended. It is required to address broader aspects related to the topic. The areas for further study that emerged from the findings and conclusions of this project include: 1. interoperability,2. trusted monitoring solutions, 3.user experience, 4. privacy and security,5. med tokens, cost and 6. integration with existing BSS and OSS. Keywords: Cloud computing, Blockchain technology, SLA enforcement, Smart Contracts, Healthcare cloud, Blockchain-based SLA enforcement, Smart Healthcare, e-healthcare, Scalability

Distributed service‐level agreement management with smart contracts and blockchain

The current cloud market is dominated by a few providers, which offer cloud services in a take‐it‐or‐leave‐it manner. However, the dynamism and uncertainty of cloud environments may require the change over time of both application requirements and service capabilities. The current service‐level agreement (SLA) management solutions cannot easily guarantee a trustworthy, distributed SLA adaptation due to the centralized authority of the cloud provider who could also misbehave to pursue individual goals. To address the above issues, we propose a novel SLA management framework, which facilitates the specification and enforcement of dynamic SLAs that enable one to describe how, and under which conditions, the offered service level can change over time. The proposed framework relies on a two‐level blockchain architecture. At the first level, the smart SLA is transformed into a smart contract that dynamically guides service provisioning. At the second level, a permissioned blockchain is built through a federation of monitoring entities to generate objective measurements for the smart SLA/contract assessment. The scalability of this permissioned blockchain is also thoroughly evaluated. The proposed framework enables creating open distributed clouds, which offer manageable and dynamic services, and facilitates cost reduction for cloud consumers, while it increases flexibility in resource management and trust in the offered cloud services

Trust Management For A Decentralized Service Exposure Marketplace: A Service Exposure Perspective

Enabling trust between entities to collaborate, without the necessity of a third-party mediator is a challenging problem. This problem is highlighted when the collaboration involves a complicated process, spans multiple systems, and encompasses a large number of entities. This is the case in a decentralized service exposure marketplace. In this work, we design and implement a \ac{PoC} suite of services to enable a blockchain to become the anchor of trust for a decentralized service exposure marketplace. We first formalize the necessary requirements to enable trust between a consortium of entities hosting the marketplace. We then follow with a threat model against the identified requirement, highlighting misbehaviour from the different entities. Finally, we propose a model, Trust Engine, which facilitates the trust management process and mitigates the identified threats. We showcase a proof-of-concept of our model, utilizing a combination of smart contracts (hyperledger fabric), blockchain, and service mesh technology (Istio). The Trust Engine successfully identifies the misbehaviour, documents it in the blockchain, and enforces polices to remediate the misbehaviour. Furthermore, we examined each component in our suggested system to identify the performance bottleneck. Lastly, we discuss the limitations of our suggested model with regards to other service mesh deployment models as well as potential future work and improvements