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The Trusted Agent Concept

Explore the concept of a Trusted Agent facilitating real-time data sharing in healthcare, promoting evidence-based practices, lifelong learning, and professional self-regulation. Learn about the obstacles to data sharing and the potential for new technical solutions. Discover how Data Mandalas can enhance individual and regulatory data sharing without compromising privacy. Discover the benefits of a Trusted Agent system for efficient and secure data dissemination across multiple organizations.

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The Trusted Agent Concept

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  1. The Trusted Agent Concept

  2. AAMC FSMB AHME ABMS CMSS AMA AHA State Boards Specialty Societies Med Schools Specialty Boards NBME MCAT USMLE Cert Exams CME Recert/MOC Subject Exams In-Training Exams Med School Residency LCME ACGME ACCME NCQA JCAHO Practice Plans College (Individual in) Practice Physical Facilities

  3. A Galaxy of Repositories

  4. The Result • Inability to compile an evidence base to support • Lifelong learning • Self-improvement • Program evaluation • Professional self-regulation Needed: the ability and willingness to share data massively and in real time

  5. Why Don’t We Share Data Now • Technical Barriers and incompatibilities • Legacy systems • Operating systems • Data storage systems • Political and business issues • Legal issues

  6. New Promise for Data Sharing • New technical solutions (XML, web services, service-oriented architecture) • Concept of co-opetition LEADING TO • Massive Growth in online commerce and services creating • Value for the user • Efficiencies for all • Revenues for the providers

  7. Envision One Big Virtual Repository

  8. How Would We Share Data in Real Time?

  9. Trusted AgentData-Sharing Infrastructure Users Applications Trusted Agent NB Nothing happens without authorization of the MP identified by the data 9 www.trustedagent.org

  10. Creating a Sand Mandala

  11. Expunging a Sand Mandala

  12. Data Mandalas for Individuals • Compiled and reported to the individual • Expunged from system after reporting • Recompiled ad libitum • “Just-in-time, just for you” • No “super” new repository • no new discoverability • No data refresh issues • No threat to primary repositories • No “big brother”

  13. Dissemination of Data Mandalas Beyond the Individual • e.g. to satisfy regulatory requirements (licensure, certification, credentialing, privileging) • If data is identified, reportable to third parties only with authorization of the individual • De-identified or grouped data can be used for research purposes

  14. Why “Trusted Agent”? • Has access to participating repositories 24/7 • Can act on behalf of physician 24/7 • Is functionally effective, saves time and hassle • Never compiles data mandalas unless requested by the individual identified • Never reports mandala to third parties unless authorized by the individual identified • Ownership and governance across more than one participating organization

  15. Common License Application Form -CLAF

  16. CLAF – Results To Date • 2810 MD and DO applicants in KY, NH or OH have registered • 533 submitted completed applications without major problem. • To date the shortest time to complete the process is eight minutes

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