The Trusted Agent Concept
AAMC
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A Galaxy of Repositories
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
Why Don’t We Share Data Now
• Technical Barriers and
incompatibilities
–Legacy systems
–Operating systems
–Data storage systems
• Political and business issues
• Legal issues
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
Envision One Big Virtual Repository
How Would We Share Data in Real
Time?
Trusted Agent Data-Sharing
Infrastructure
NB Nothing happens without authorization of the MP identified by the data
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www.trustedagent.org
Creating a Sand Mandala
Expunging a Sand Mandala
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”
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
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
Common License Application Form -CLAF
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