1. Building and Testing a Trusted Agent Data-Sharing Infrastructure
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
bob

2. 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

3. 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

4. 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
Bob

5. 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
bob

6. 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

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

8. Near real time is dependent on FCVS completeness - vclaf
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
Near real time is dependent on FCVS completeness - vclaf

9. 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

10. 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

11. 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