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Transformativ IP

We Exceed CMS's Rural Health Transformation in 2026 & Beyond

Our solution ensures robust, multi-domain data protection across healthcare, education, and financia

Key features include:

1 Protecting user data through shared agreements with providers and organizations.

2 Employing proxy authorization with our jurisdictional consent management system.

3 Creating user access control lists (ACLs) & utilizing AI solns to mask data via these ACLs.

4 Encrypting ACLs with approved NIST Post-Quantum Cryptography (PQC) algorithms to protect data in motion.

5 Providing the additional benefit of allowing users to download secure data to local mobile devices with ACL PQC protection.

3 Videos that overview Problem and Solution

CMS Interoperability Blueprint & AI Gaps

This initial video introduces PQC+, a unique solution that addresses two of the five new CMS interoperability pillars. PQC+ exceeds all 26 CMS criteria. The "explosion of generative AI" has revealed five hidden compliance gaps that the original blueprint did not cover. 

  • PQC+ is a secure, compliant fabric designed for AI/quantum challenges that exceeds CMS requirements.  
  • It stresses the need to evaluate current AI strategies for compliance risks. 
  • It features: Smart Compliance (automated AI/consent rules) and Smart InfoSec (a "quantum shield" for next-gen data protection).

Generate excitement

This video warns that AI and quantum computing pose a threat to the privacy of health data. The PQC+ platform is proposed as the solution. Current CMS interoperability framework pillars, like security, assume human users, not AI, for official health data sharing. The PQC+ platform addresses AI governance gaps ("Smart Compliance") and the quantum time bomb ("Smart InfoSec") by leveraging embedded policy encryption based on the new NIST Post-Quantum Cryptography (PQC) standards.

PQC+ meets all 26 CMS criteria & 5 CMS pillars

The 3rd video...PQC+ meets all 26 CMS criteria and five CMS pillars (patient/provider access, data availability, network connectivity, and identity/trust). It eliminates five critical AI governance vulnerabilities and exceeds standard High Risk (High RUST) assessments for compliance, AI governance, cryptography, and validation.

Addressing Critical Vulnerabilities:

PQC Plus resolves five key areas where the current standard is vulnerable:

  1. Lack of AI-specific consent.
  2. Absence of continuous model monitoring.
  3. Deficiencies in data rights and transparency.
  4. Workflow fragmentation.
  5. Post-quantum vulnerability.

5 PDFs for CTOs,CISOs & CEOs

Exceeds all 26 CMS Interoperability Framework criteria - 9 pg for CEo, CISO and CTO

The top 5 PDFs show the scope of RHT Value and Uniqueness.

  • Exceeds requirements in all areas.
  • It addresses all five critical gaps for AI solutions, including providing granular, AI-specific consent and continuous model monitoring.
  • It implements a superior level of security using Post-Quantum Cryptography (PQC) certified under NIST FIPS 203, 204, and 205.
  • It is an integrated platform that manages interoperability, consent, security, and AI governance for future AI-enabled healthcare.

Exceeds all 26 CMS Interoperability Framework criteria - 9 pg for CEo, CISO and CTO

The top 5 PDFs show the scope of RHT Value and Uniqueness.

  • Exceeds requirements in all areas.
  • It addresses all five critical gaps for AI solutions, including providing granular, AI-specific consent and continuous model monitoring.
  • It implements a superior level of security using Post-Quantum Cryptography (PQC) certified under NIST FIPS 203, 204, and 205.
  • It is an integrated platform that manages interoperability, consent, security, and AI governance for future AI-enabled healthcare.

20-page Technical PDF for CISO and CTO

  • The PQC+ platform, featuring SMARTCompliance® and SMARTInfoSecur®, is an AI-integrated technical solution for clinical workflows that exceeds CMS Interoperability Framework requirements, meeting all 26 criteria (including FHIR R4). 
  • It also addresses five critical AI governance gaps beyond current federal standards (e.g., AI consent and continuous model monitoring). 
  • To combat "Harvest Now, Decrypt Later" (HNDL) quantum threats, SMARTInfoSecur® uses NIST FIPS 203, 204, and 205 post-quantum standards. 
  • Its key innovation, Attribute-Based Encryption (ABE), embeds access control policies into cryptographic keys, providing a mathematical defense against HNDL by ensuring that decryption occurs only when specific policy conditions, such as temporal constraints, are met. 

7-pg insightful approach to reducing doj liability

  • One of our 5 most popular PDFs. Why it is smart for Hospital leadership to adopt NIST-standardized PQC to mitigate legal and financial risks.
  • For CTOs/CISOs, failure to adopt PQC violates the Learned Hand standard, given the low implementation cost relative to the catastrophic potential of a quantum breach.
  • PQC is a "proactive" DOJ compliance program, potentially reducing fines or avoiding corporate monitors.
  • PQC provides a "safe harbor" against HIPAA breaches, lowering costs and civil penalties, and shields CEOs under the Responsible Corporate Officer Doctrine.

CMS FAQ 13 Questions & 32 Term Glossary

  • Expands Traditional Frameworks: Includes granular consent, continuous AI model monitoring ("model drift" prevention), and "AI nutrition labels" for transparency.
  • Key Features:
    • AI Compliance Gateway: Uses the Model Context Protocol (MCP) for consent enforcement.
    • SMARTCompliance: Automates regulation adherence.
    • SMARTInfoSecur: Employs NIST-certified Post-Quantum Cryptography (PQC) to protect long-term healthcare data from "harvest now, decrypt later" threats.

    Meets CMS Requirements: Achieves patient/provider access via SMARTOpen Health, SMART on FHIR integration, and SMART Entity Resolution for unified records.

CMS Interoperability Framework guides secure health data through 5 areas:

The U.S. CMS Interoperability Framework guides secure health data exchange through five areas:

  1. Patient Access: Patients control their data and apps.
  2. Provider Access: Clinicians quickly get necessary information.
  3. Data Standards: Mandates FHIR and standard vocabularies (LOINC, RxNorm).
  4. Network: Creates a national network, including a National Provider Directory.
  5. Security: Protects data using strong identity verification (like IAL2/AAL2) and encryption.

This framework is vital, as standardized, machine-readable data supports modern health technology, including effective AI.

2 Podcasts

Achieving CMS interoperability faces two main challenges: AI Gap and & Quantum Gap - 27min

For CISOs & CTOs

  • The AI Gap refers to legacy systems' inability to process unstructured data.
  • Agentic AI is needed for "semantic translation" to understand non-standard content, as standard APIs are insufficient.
  • The Quantum Gap is the threat of quantum computing to current cryptography ("harvest now, decrypt later").
  • Post-Quantum Cryptography (PQC) adoption is required to counter the quantum threat.

Overcoming both gaps requires replacing static middleware with an intelligent, quantum-resistant fabric for fluid, searchable, and securely protected data.

For CEOs - 12 min

  • Post-Quantum Cryptography (PQC) is essential for future-proofing massive healthcare AI datasets against quantum computing threats, which currently exploit CMS blind spots.
  • PQC's quantum-resistant algorithms, aligned with NIST standards, prevent "harvest now, decrypt later" attacks on patient data, ensuring long-term HIPAA/EHR confidentiality.
  • PQC-based digital signatures ensure data provenance, verifying medical record authenticity and preventing manipulation of AI training data.


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