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February 7, 2008. Building and Testing a Trusted Agent Data-Sharing Infrastructure. David R. Hooper Senior Director, Marketing and Communications Federation of State Medical Boards. Common Licensure Application Form (CLAF). One primary form, common data elements
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February 7, 2008 Building and Testing a Trusted Agent Data-Sharing Infrastructure David R. Hooper Senior Director, Marketing and Communications Federation of State Medical Boards
Common Licensure Application Form (CLAF) • One primary form, common data elements • Option for state-specific addendum • 3 States agreed to Pilot CLAF OH, KY, NH • Electronic or paper copy
Pre-CLAF • 70 licensure jurisdictions • different forms for initial application (even though data elements comparable) • paper-and-pencil • self-reported data, which is validated later
What is a Trusted Agent Platform? • Data-Sharing system • Real time access to data in many repositories • Gathers data specific to function • Report out to designated parties • Scalable, secure and confidential • Only functions when authorized by the user identified
Trusted AgentGeneral Concept Delivering the right data to the right people at the right time for the right purpose …with the authorization of the individual identified
The CLAF-TA Pilot • Streamlined Process • Data accessed from repositories through hub • Data source-verified (e.g. by Federation’s Credentials Verification Service FCVS) • Forms pre-populated with data • Real time formatting and submission 24/7
The CLAF-TA Pilot • 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 transmits to SMB
CLAF-TA Benefits • 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-TA Benefits • 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
Performance of Pilot • Around 3727 medical professionals have interacted with CLAF and TA Hub • 3681+ 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 Get FCVS
Possibilities: Add Compilations Serving Other Functions • Credentialing Functions • Relicensure • Certification/Maintenance of Certification • Privileging • Payor credentialing • Job application • Portfolio Functions • Self-assessment/Reflection • CME logs/Improvement • Demonstration of proficiency (e.g. case and procedure logs, processes of care, outcomes) • Learning objectives/practice goals