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The Trusted Agent Concept

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Page 1: The Trusted Agent Concept. Med School College AAMCAMAFSMBABMSAHACMSSAHMEJCAHONCQAACGMELCMEACCME Residency (Individual in) Practice Practice Plans Physical

The Trusted Agent Concept

Page 2: The Trusted Agent Concept. Med School College AAMCAMAFSMBABMSAHACMSSAHMEJCAHONCQAACGMELCMEACCME Residency (Individual in) Practice Practice Plans Physical

Med SchoolCollege

AAMC AMAFSMB ABMS AHACMSSAHME

JCAHONCQAACGMELCME ACCME

Residency (Individual in) Practice

Practice Plans

Physical Facilities

Recert/MOCMCAT CME

Subject Exams

In-Training Exams

Cert ExamsUSMLE

Specialty Boards

State Boards

NBME

Specialty Societies Med Schools

Page 3: The Trusted Agent Concept. Med School College AAMCAMAFSMBABMSAHACMSSAHMEJCAHONCQAACGMELCMEACCME Residency (Individual in) Practice Practice Plans Physical

A Galaxy of Repositories

Page 4: The Trusted Agent Concept. Med School College AAMCAMAFSMBABMSAHACMSSAHMEJCAHONCQAACGMELCMEACCME Residency (Individual in) Practice Practice Plans Physical

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

Page 5: The Trusted Agent Concept. Med School College AAMCAMAFSMBABMSAHACMSSAHMEJCAHONCQAACGMELCMEACCME Residency (Individual in) Practice Practice Plans Physical

Why Don’t We Share Data Now

• Technical Barriers and incompatibilities–Legacy systems

–Operating systems

–Data storage systems

• Political and business issues

• Legal issues

Page 6: The Trusted Agent Concept. Med School College AAMCAMAFSMBABMSAHACMSSAHMEJCAHONCQAACGMELCMEACCME Residency (Individual in) Practice Practice Plans Physical

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

Page 7: The Trusted Agent Concept. Med School College AAMCAMAFSMBABMSAHACMSSAHMEJCAHONCQAACGMELCMEACCME Residency (Individual in) Practice Practice Plans Physical

Envision One Big Virtual Repository

Page 8: The Trusted Agent Concept. Med School College AAMCAMAFSMBABMSAHACMSSAHMEJCAHONCQAACGMELCMEACCME Residency (Individual in) Practice Practice Plans Physical

How Would We Share Data in Real Time?

Page 9: The Trusted Agent Concept. Med School College AAMCAMAFSMBABMSAHACMSSAHMEJCAHONCQAACGMELCMEACCME Residency (Individual in) Practice Practice Plans Physical

Trusted Agent Data-Sharing Infrastructure

9www.trustedagent.org

NB Nothing happens without authorization of the MP identified by the data

Trus

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Agen

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Appl

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Page 10: The Trusted Agent Concept. Med School College AAMCAMAFSMBABMSAHACMSSAHMEJCAHONCQAACGMELCMEACCME Residency (Individual in) Practice Practice Plans Physical

Creating a Sand Mandala

Page 11: The Trusted Agent Concept. Med School College AAMCAMAFSMBABMSAHACMSSAHMEJCAHONCQAACGMELCMEACCME Residency (Individual in) Practice Practice Plans Physical

Expunging a Sand Mandala

Page 12: The Trusted Agent Concept. Med School College AAMCAMAFSMBABMSAHACMSSAHMEJCAHONCQAACGMELCMEACCME Residency (Individual in) Practice Practice Plans Physical

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”

Page 13: The Trusted Agent Concept. Med School College AAMCAMAFSMBABMSAHACMSSAHMEJCAHONCQAACGMELCMEACCME Residency (Individual in) Practice Practice Plans Physical

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

Page 14: The Trusted Agent Concept. Med School College AAMCAMAFSMBABMSAHACMSSAHMEJCAHONCQAACGMELCMEACCME Residency (Individual in) Practice Practice Plans Physical

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

Page 15: The Trusted Agent Concept. Med School College AAMCAMAFSMBABMSAHACMSSAHMEJCAHONCQAACGMELCMEACCME Residency (Individual in) Practice Practice Plans Physical

Common License Application Form -CLAF

Page 16: The Trusted Agent Concept. Med School College AAMCAMAFSMBABMSAHACMSSAHMEJCAHONCQAACGMELCMEACCME Residency (Individual in) Practice Practice Plans Physical

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

Page 17: The Trusted Agent Concept. Med School College AAMCAMAFSMBABMSAHACMSSAHMEJCAHONCQAACGMELCMEACCME Residency (Individual in) Practice Practice Plans Physical