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Pediatric Informatics: Computer Applications in Child Health (Health ...

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14 Support<strong>in</strong>g Cont<strong>in</strong>u<strong>in</strong>g <strong>Pediatric</strong> Education and Assessment 201<br />

educational and assessment activities, to def<strong>in</strong>e what activities are acceptable and<br />

eligible to fulfill MOC requirements for pediatricians. Once a process to establish<br />

this eligibility was <strong>in</strong> place, there was a need for a standard method by which activity<br />

completion could be communicated between the two organizations.<br />

14.3.2 Case Study: Develop<strong>in</strong>g Data L<strong>in</strong>ks Between<br />

Two <strong>Pediatric</strong> Organizations<br />

14.3.2.1 Problem<br />

The American Academy of <strong>Pediatric</strong>s (AAP) and the American Board of <strong>Pediatric</strong>s<br />

(ABP) needed to create a standard by which electronic data about activities completed<br />

by AAP members could be transmitted to the ABP for use <strong>in</strong> MOC. The<br />

AAP and ABP use different computer platforms, languages and databases and<br />

therefore needed a common denom<strong>in</strong>ator to encode and share this data.<br />

14.3.2.2 Requirements<br />

In addition to be<strong>in</strong>g able to enable data shar<strong>in</strong>g between the ABP and AAP, the<br />

ABP had an additional requirement for the standard to be flexible enough to handle<br />

data from any other organization that provided activities that met MOC criteria.<br />

Data fields for educational activities that needed to be shared with ABP <strong>in</strong>clude:<br />

sponsor<strong>in</strong>g organization <strong>in</strong>formation, activity name, start and end dates of the<br />

activity, completion status, number of credits earned for the activity as well as data<br />

for the participant. In addition, ABP and AAP shared many members, requir<strong>in</strong>g a<br />

match<strong>in</strong>g process between the two organizations.<br />

14.3.2.3 Design and Implementation<br />

To accomplish this task, the ABP and the AAP agreed to use the MedBiquitous<br />

<strong>Health</strong>care Professional Profile that allowed match<strong>in</strong>g of ABP diplomates with<br />

AAP members. The two organizations decided jo<strong>in</strong>tly what data po<strong>in</strong>ts would be<br />

required to match physician identities across databases. A comb<strong>in</strong>ation of fields,<br />

<strong>in</strong>clud<strong>in</strong>g Social Security Number, date of birth, first name, middle name, last name<br />

and address were used to perform an <strong>in</strong>itial match, yield<strong>in</strong>g 85% exact identification<br />

on all fields, with most of the rest successfully matched. The few that did not<br />

match may have been boarded pediatricians who were never members of the AAP.<br />

Once identities were matched, the MedBiquitous Activity Report was (developed<br />

and) used to transfer data on specific activities between the two organizations.<br />

The two organizations employed a Web Services model to implement this<br />

transfer, <strong>in</strong> which each was able to export data <strong>in</strong> a format (eXtensible Markup

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