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Building and Testing a Trusted Agent Data-Sharing Infrastructure
Bob Galbraith and Rita Mohsin
NBME and FSMB
April 17, 2007
www.trustedagent.org
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Trusted Agent Team
FSMB – Dale Austin, Tim Knettler, Rita Mohsin, Graham Calvert, Elizabeth Miles, Cyndi Streun, Dennison Herger, Bobby Dowling, Kevin Caldwell, Roxanne Huff
NBME – Bob Galbraith, Joe Crick, Kenny Yu, Madhav Iyer, Sue Gebeline, Martin Lambert, Kathie Rose
Ohio State Medical Board – Dianne Thompson, Penny Grubb, Kay Rieve
New Hampshire & Kentucky Board – Penny Taylor and Brenda Knopp
Input from Medbiquitous
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Data-Sharing infrastructureReal time access to data in many
repositories Gathers data specific to functionReport out to authorized viewersScaleable, secure and confidential ONLY functions when authorized by
the physician identified by the data
What is a Trusted Agent?
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Trusted Agent General Concept
Delivering the right data to the right people at the right time for the right purpose…with the authorization of the individual identified
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Paper-and-Pencil (20th Century)
70 licensure jurisdictions had different forms for initial application (even though data elements comparable) paper-and-pencil self-reported data, validated later
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Common License Application Form (CLAF) One primary form, common data Option for state-specific addendum 3 States agreed to Pilot – viz. OH, KY, NH
Streamlining of the Application Process Data called from repositories through hub Data already source-verified (by
Federation’s Credentials Verification Service FCVS)
CLAF pre-populated with verified data Real time formatting and submission 24/7
The CLAF Pilot (21st Century)
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Web services architecture Real-time access to repositories Independent of system & data base
structure
Actual gathering, compilation and report out of data occur only upon authorization of the physician identified.
The CLAF Pilot - 2
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The CLAF Pilot - 3
The Medical Professional accesses CLAF, which requests necessary data from the Trusted Agent Hub
Hub gathers data from FSMB & NBME, and returns to CLAF
CLAF compiles application form and after inspection by the physician, transmits to SMB
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Electronic medium/Online Near real time 24/7 Reduces burden of paperwork
Data pre-population Increases accuracy and completeness Reduces burden of data entry
Enables license applications to multiple jurisdictions simultaneously
CLAF - Benefits
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Trusted Agent Hub and CLAF Design
Document/Literal Web Services All applications and services registered in Trusted Agent – no
UDDI Generic XML schemas for applications and providers interface Custom XML schemas for data returned from provider Unique security KEY for each member of Trusted Agent Data encrypted (using KEY) for service specific
request/response Successful user login to return a time-expired certificate Service request (except login) requires a valid certificate Secure VPN communication with applications and providers SSL based Trusted Agent registration application on internet
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Technology used:Trusted Agent CLAF
Oracle Application Server 10.1.2.0.2 on Linux
J2EE 1.3 Oracle Database
10.2.0.1.0 with VPD Java JDeveloper 9.0.5.2 XML SOAP 1.1 WSDL 2.0
Oracle Application Server 10g on Solaris
J2EE 1.3 Oracle Database 9i Microsoft .Net Framework
2.0 C# Microsoft Server 2003 IIS 6.0 XML/XSLT SOAP 1.1 WSDL 2.0
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CLAF/Trusted Agent Hub Interaction
CLAFCLAF Web
FCVS
FCVSWS
FCVS WebDB
Trusted Agent
Generic WS
Login WS
DB
Registration Web
USMLE Scores WS
NBME
Apply for
Licensure
Medical Professional
CLAF
eCLAR Web
Retrieve in PDF, XML, HTML
eCLAR Web Service
State Medical Board
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Performance of Pilot
Around 1000 medical professionals have interacted with CLAF and TA Hub 100+ completed applications submitted <1% reported issues on their online
surveyAverage time (seconds) for round trip
web service calls: 1.95 Authentication 1.80 GetPacketStatus 2.63 GetSFCVS
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Lessons learned from CLAF
More messages on faults/detailed logging
Need to collaborate with business units and state member boards to repurpose data
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Queuing of requests & responsesAccounting and e-commerceAdding biometrics for authentication Integration with current standardsMatching multiple IDs for applicants Integrating other compilations &
data providers
Enhancements:Trusted Agent Hub
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Enhancements: CLAF
Fault tolerance 24/7More robust database connectionsCustom logging for troubleshooting
issuesPDF to be generated by a report
(cleaner)
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Demonstration of Online CLAF
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Brought to you by:
Robert M. Galbraith, M.D. Executive Director, Center for InnovationNational Board of Medical Examiners (NBME)3750 Market Street, Philadelphia, PA [email protected]
Rita MohsinDirector, Information ServicesFederation of State Medical Boards (FSMB)PO Box 619850Dallas, TX 75261- [email protected]
