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Building and Testing a Trusted Agent Data-Sharing Infrastructure Bob Galbraith and Rita Mohsin NBME and FSMB April 17, 2007

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Presentation on theme: "Building and Testing a Trusted Agent Data-Sharing Infrastructure Bob Galbraith and Rita Mohsin NBME and FSMB April 17, 2007"— Presentation transcript:

1 Building and Testing a Trusted Agent Data-Sharing Infrastructure Bob Galbraith and Rita Mohsin NBME and FSMB April 17, 2007

2 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

3  Data-Sharing infrastructure  Real time access to data in many repositories  Gathers data specific to function  Report out to authorized viewers  Scaleable, secure and confidential  ONLY functions when authorized by the physician identified by the data What is a Trusted Agent?

4 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

5 Paper-and-Pencil (20 th Century)  70 licensure jurisdictions had different forms for initial application (even though data elements comparable)  paper-and-pencil  self-reported data, validated later

6  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 (21 st Century)

7  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

8 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

9  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

10 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

11 Technology used: Trusted Agent CLAF  Oracle Application Server on Linux  J2EE 1.3  Oracle Database with VPD  Java  JDeveloper  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

12 CLAF/Trusted Agent Hub Interaction

13 Performance of Pilot  Around 1000 medical professionals have interacted with CLAF and TA Hub  100+ completed applications submitted  <1% reported issues on their online survey  Average time (seconds) for round trip web service calls:  1.95 Authentication  1.80 GetPacketStatus  2.63 GetSFCVS

14 Lessons learned from CLAF  More messages on faults/detailed logging  Need to collaborate with business units and state member boards to repurpose data

15  Queuing of requests & responses  Accounting and e-commerce  Adding biometrics for authentication  Integration with current standards  Matching multiple IDs for applicants  Integrating other compilations & data providers Enhancements:Trusted Agent Hub

16 Enhancements: CLAF  Fault tolerance 24/7  More robust database connections  Custom logging for troubleshooting issues  PDF to be generated by a report (cleaner)

17 Demonstration of Online CLAF

18 Brought to you by: Robert M. Galbraith, M.D. Executive Director, Center for Innovation National Board of Medical Examiners (NBME) 3750 Market Street, Philadelphia, PA 19104-3102 Rita Mohsin Director, Information Services Federation of State Medical Boards (FSMB) PO Box 619850 Dallas, TX 75261- 9850

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