TrustHarbor

trustharbor-logo-mediumNATE is actively collaborating with numerous organizations to establish a new trust mechanism known as the TrustHarbor, which is designed to be the flexible enabling infrastructure that fosters broad adoption of API-based technologies across all types of use cases.  The TrustHarbor will be a registry of consumer controlled apps (CCAs) that access consumer facing APIs such as those required by the 2015 certified EHR requirements.  This will reduce the burden of registering apps to the APIs offered by providers to share health information with their patients.

TrustHarbor graphic 2

The TrustHarbor will also support a secondary market that allows confirmed endorsers of consumer apps to apply their endorsements to CCAs in a verifiable way.  NATE has a great deal of experience working in the domain of trust mechanisms and is incorporating those lessons learned into the realization of the TrustHarbor.

Experience has proven that when it comes to trust, no single set of criteria are sufficient to answer all the questions that every consumer or data provider might have.  A minimum set of evaluation criteria is beneficial to many users and data providers, but is unlikely to suffice for everyone.  The demands of the consumer market cannot be encapsulated in a single set of criteria that any one organization can be relied upon to evaluate, and under applicable laws and regulations, many data providers are unwilling to trust such a set of criteria without additional local validation in the context of their enterprise.  In other words, what is important to one consumer or data provider may be insufficient, irrelevant or immaterial to the interests of another.  Therefore, the design for the TrustHarbor also establishes a secondary market of endorsements.  This secondary market would allow many types of endorsers to make their endorsements public in a way that minimizes the level of effort required by the provider organization and the consumer app to enable app registration to the EHR’s APIs at the local level.

What’s in It for Me?

How Does the Prototype Work?

LEARN MORE ABOUT TRUSTHARBOR

The Benefits to Patients and their Caregivers:

  • Maximizes Choice. Multiple apps register to the NATE TrustHarbor. This gives patients a choice in where they choose to manage their records and allows them to use the one that best suits their needs, not the needs of their provider.
  • Supports Individual Preferences. Descriptive endorsements of individual apps allow patients to find the app that best serves their needs and feel confident that its policies match their comfort level.
  • Eases Data Consolidation. Because all of the apps in the NATE TrustHarbor utilize the same API requirements, patients can choose one app to access their data from multiple data holders.

The Benefits to Consumer Controlled Applications:

  • Leverages Existing Standards and Enables One to Many. Because all of the apps in the NATE TrustHarbor utilize the same API requirements, one app can access data from multiple data holders.
  • Accelerates Innovation and Encourages Diversification. The NATE TrustHarbor allows multiple types of endorsements for a single app and multiple levels of endorsement, supporting diversification of the offerings you can bring to market. This creates a free market effect, allowing app developers to seek out endorsements from competing organizations and supporting concurrent development of capabilities to meet a variety of use cases.
  • Streamlines Discovery. The NATE TrustHarbor allows relying parties to discover endorsements that meet local requirements, accelerating connections between data holders and apps for all types of use cases and modes of exchange.
  • Improved Market Visibility. The NATE TrustHarbor makes app endorsements publicly accessible, allowing patients and their caregivers to easily identify apps that meet their needs. This brings new customers to the app, instead of the app having to go find them.

The Benefits to Endorsers:

  • Leverages Reputation. NATE TrustHarbor endorsements are only as good as the endorser that applies them. Apps will pursue endorsements from endorsers that are respected by relying parties over those that are self proclaimed or deemed by edict.
  • Prevents Repetition. Because the NATE TrustHarbor aggregates a diverse menu of apps, consumers and providers will be able to readily find endorsed apps associated with your organization.
  • Eases Affiliation. The NATE TrustHarbor registration process makes it easy to create new endorsements and revise existing endorsements, reducing the time to market with new endorsement types.

The Benefits to Data Holders (Provider Organizations and Other HIPAA Covered Entities):

  • Leverages Existing Standards and Enables One to Many. Because all of the apps in the NATE TrustHarbor utilize the same API requirements, one data holder can connect to multiple apps.
  • Streamlines Discovery. The NATE TrustHarbor allows data holders to easily discover whether a patient’s choice of app meets local requirements, accelerating connections and data exchange between data holders and patients.
  • Support for Computable Policy Enforcement Points – By verifying that a consumer app has the endorsement claimed before making a disclosure, the provider organization is able to make confident exchange decisions.
  • Creates a Regulatory Shield. Making consumer facing APIs available to apps in the NATE TrustHarbor provides evidence against accusations of “information blocking.”

The Benefits to Policy Makers and Regulatory Enforcement Organizations:

  • Establishes a Mechanism to Codify “Safe-Harbors” at the Use Case Level. No longer do we have to try to force fit a one-size fits all approach. The NATE TrustHarbor model allows us to manage requirements at a granular level, appropriately matching the policy to a given set of evaluation criteria.  We won’t have to settle for setting policy at the highest common denominator to satisfy all use cases – rather we will have the fidelity to match the endorsement to the need.
  • Maximizes Choice and Supports Diversity. Multiple apps register to the NATE TrustHarbor, providing choice for the consumer. Descriptive endorsements of individual apps allow patients to find the app that best serves their needs and feel confident that its policies match their comfort level.
  • Enables Measurement of Consumer Access. The NATE TrustHarbor can leverage utilization data to help identify which access types and methods most resonate with consumers. The TrustHarbor provides a framework to support measurement of the effectiveness of different policy decisions made to enable a consumer’s access to their data in the real world.