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04 January 2018 CQI Conference call Minutes
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DRAFT January 4, 2019 - CQI Conference Call Meeting Minutes
HL7 Clinical Quality Information Workgroup
January 4, 2019 – 1-3 PM EDT
Dial in: 770-657-9270 Passcode: 217663
https://join.freeconferencecall.com/hl7cqi
CQI Co-chairs: Patty Craig, Floyd Eisenberg, Juliet Rubini, KP Sethi, Yan Heras
Meeting Chair: Juliet
Meeting Scribe: Floyd
January 4, 2019 - CQI Conference Call Attendance
| Attendee | Attendee's Organization | Attendee's email | Present |
| Abdul Malik | Hi3 Solutions | abdulmalik.shakir@hi3solutions.com | |
| Abrar Salam | The Joint Commission | asalam@jointcommission.org | |
| Alex Liu | EPIC | aliu@epic.com | |
| Andrey Soares | U C Denver | andrey.soares@ucdenver.edu | yes |
| Angela Flanagan | Lantana Consulting Group | angela.flanagan@lantanagroup.com | yes |
| Ann Phillips | NCQA | phillps@ncqa.org | |
| Anne Smith | NCQA | smith@ncqa.org | yes |
| Ben Ghahhari | CMS | benjamin.ghahhari@cms.hhs.gov | |
| Ben Hamlin | NCQA | hamlin@ncqa.org | yes |
| Bo Borgnakke | Michigan Shared Services Network | borgnakke@mihin.org | |
| Bob Dieterle | Enable Care, LLC | rdieterle@enablecare.us | |
| Bob Keyes | Telligen | bkeyes@telligen.com | |
| Brett Marquard | River Rock Associates | brett@riverockassociates.com | |
| Brian Alper | EBSCO | balper@ebsco.com | |
| Bryn Rhodes | ESAC | bryn@databaseconsultinggroup.com | yes |
| Chana West | ESAC Inc | chana.west@esacinc.com | yes |
| Claudia Hall | Mathematica | chall@mathematicampr.org | yes |
| Craig Newman | Altartum | craig.newman@altarum.org | yes |
| Crystal Kallem | CK Consulting | crystal.kallem@ckconsultingllc.com | |
| Dan Donahue | ESAC | dan.donahue@esacinc.com | |
| David Sundaram-Stukel | EPIC | dsandara@epic.com | yes |
| Dipti Ghandi | The Joint Commission | dghandi@jointcommission.org | yes |
| Durwin Day | BCBSA | dday@bsbsil | yes |
| Eric Askegaard | UHG | eric_askegaard@uhg.com | yes |
| Floyd Eisenberg | iParsimony, LLC | FEisenberg@iParsimony.com | yes |
| Fareeda Nazeer | The Joint Commission | fnazeer@jointcommission.org | |
| Gay Dolin | IMO | gdolin@imoonline.com | yes |
| Hafsa Subhan | The Joint Commission | hsubhan@jointcommission.org | |
| Howard Strasberg | Wolters Kluwer | howard.strasberg@wolterskluwer.com | |
| Humberto Mandirola | Biocom | hmandirola@biocom.com | |
| iIkka Kunnamo | Duodecim | jilkkakunnamo@duodecim.fl | |
| isabel Zaru-Roque | ESAC | isabel.zaru-roque@esacinc.com | |
| James Bradley | Mitre | jhbradley@mitre.org | |
| Jamie Lehner | PCPI | jamie.lehner@thepcpi.org | |
| Jeff Schmitz | Health eFilings | jschmitz@healthefilings.com | |
| Jenny Brush | ESAC | jennifer.brush@esacinc.com | |
| Joe Kunisch | Memorial Hermann | kunisch@memorialhermann.org | |
| Joe Quinn | Optum | joseph.quinn@optum.com | yes |
| John Damore | Diameter Health | jdamore@diameterhealth.com | |
| Julia Skapik | Cognitive Medicine | jskapik@cognitivemedicine.com | |
| Juliet Rubini | Mathematica | jrubini@mathematicampr.com | yes |
| Kanwarpreet Sethi | Lantana Consulting Group | kp.sethi@lantanagroup.com | yes |
| Kathleen Connor | US Dept of Veterans Affairs | kathleen_connor@comcast.net | |
| Kurt Allen | US Dept of Veterans Affairs | kurta@gjoll.com | |
| Ken Hall | Veradigm Health | kenneth.hall@veradigmhealth.com | yes |
| Lenel James | BCBSA | lenel.james@bcbsa.org | yes |
| Linda Michaelsen | Optum | linda.michaelsen@optum.com | yes |
| Lisa Anderson | The Joint Commission | landerson@jointcommission.org | yes |
| Lisa Nelson | Life Over Time Solutions, LLC | LisaRNelson@cox.net | |
| Liz Hartley-Sommers | BCBSA | elizabeth.hartley@bcbsla.com | yes |
| Lizzie Charbonneau | Mitre | lizzie@mitre.org | |
| Lorraine Constable | HL7 Canada | lorraine@constable.ca | |
| Luke Osborne | MITRE | lwosborne@mitre.org | |
| Lynn Perrine | Lantana | lynn.perrine@lantanagroup.org | yes |
| Matthew Tiller | ESAC | matthew.tiller@esacinc.com | yes |
| Michael Okeefe | MITRE | mokeefe@mitre.org | |
| Mike Ballie | UHC | michael.ballie@uhc.com | yes |
| Mike Hunt | Experian | mike.hunt@experian.com | |
| Mia Nievera | The Joint Commission | mnievera@jointcommission.org | yes |
| Mitra Biglari | The Joint Commission | mbiglari@jointcommission.org | |
| Michelle Mish Turner | UHC | michelle-p-turner@uhc.org | yes |
| Nancy Whipple | GE | nancy.whipple@ge.com | |
| Nick Radov | UHC | nradov@uhc.org | yes |
| Pamela Mahan-Rudolph | Memorial | pamela.mahanrudolph@memorialhermann | |
| Patty Craig | The Joint Commission | pcraig@jointcommission.org | |
| Paul Denning | MITRE | pauld@mitre.org | yes |
| Ping Jiang | The Joint Commission | pjiang@jointcommission.org | |
| Rathore Garima | rathore.garima1@gmail.com | ||
| Rebeccah Baer | NCQA | baer@ncqa.org | |
| Rich Boyce | codehop.dev@gmail.com | ||
| Rob McClure | MD Partners Inc | rmcclure@mdpartners.com | |
| Robert Samples | ESAC Inc | robert.samples@esacinc.com | yes |
| Rukma Joshi | ESAC Inc | rukma.joshi@esacinc.com | |
| Ryan Clark | NCQA | ryan@ncqa.org | yes |
| Sam Sayer | Mitre | ssayer@mitre.org | |
| Serafina Versaggi | JP Systems | serafina.versaggi@jpsystems.com | yes |
| Stan Rankins | Telligen | SRankins@telligen.com | yes |
| Steve Hufnagel | steve.hufnagel.hl7@gmail.com | ||
| Sue Kent | CCF | kents@ccf.org | |
| Sweta Ladwa | ESAC inc | sweta.ladwa@esacinc.com | |
| Thomas Reese | U of Utah | thomas.reese@hsc.utah.edu | |
| Thomson Kuhn | ACP | tkuhn@acponline.org | yes |
| Viet Nguyen | Strata Metrics | vietnguyen@stratametrics.com | yes |
| Walter Suarez | Kaiser Permanente | walter.g.suarez@kp.org | |
| Wendy Talbot | NCQA | talbot@ncqa.org | yes |
| Yan Heras | Optimum eHealth | yanheras@gmail.com | yes |
| Yanyan Hu | The Joint Commission | yhu@jointcommission.org | yes |
| Zach May | ESAC Inc | zachary.may@esacinc.com | yes |
| Zabrina Gonzaga | Lantana Consulting Group | zabriana.gonzaga@lantanagroup.com |
Meeting Minutes
- Roll call and agenda review
- Secondary use of CDAs from provider EHR or from local-to-provider HIEs for Reporting Quality Measure Information - Attachments Workgroup invited for presentation [Wendy Talbot (NCQA] - NCQA Audit Supplemental Data Presentation
- Questions addressed by the presentation:
- What is role of primary and supplemental data for quality reporting under HEDIS?
- What is the NCQA audit process?
- Why is a C-CDA considered supplemental and how are payers & ACOs audited
- What is the current and planned NCQA approach for “validating HIE data feeds” with C-CDA in 2019
- See slide deck provided by Wendy Talbot. The primary issue is the need to validate the original source of information. Once a reviewer/auditor has reviewed a specific source, the information can be considered "standard" when checked in subsequent years. If 2 sources are using the same EHR, can the answer work for two different providers. The requirement is to assure the data are coming from the right place within the program. The effort is to assure NCQA is receiving the information expected (provenance, correct fields, etc.). Without validation back to the source causes challenges with reliability and validity of data. Claims are also validated, not just C-CDAs. To avoid receiving information about ordered procedures Vs completed procedures, QDM and/or FHIR profiles can increase eCQM specificity that may help with the need to audit in the future. The auditors also work with plans and vendors to address issues identified.
- Some health plans capture a lot of information, not only those required for specific measured. Therefore, all the information is passed through a C-CDA.
- C-CDA provenance not necessarily included in files. C-CDA elements allow author, performer, dateTime, recorder but these are not necessarily shared at the data level.
- Sharing of the logs of issues found by NCQA auditors would help with standards reviews. These issues can be shared at the Implementation-a-thon.
- Provenance is not the major problem, it is more an issue of building C-CDAs. Feedback will be very helpful to encourage better implementations. The C-CDA scorecard will not be sufficient. The Examples Task Force provides another path to provide standard examples. C-CDA Scorecard
- NCQA meets with the auditors next week and will bring information for discussion at the San Antonio WGM. The Examples Task Force is also meeting Saturday Evening 1/12/2019 as another venue for reviewing the issues identified.
- Questions addressed by the presentation:
- STU Comment Review (Monthly)
- QRDA Category I R4 - No new comments as of Wednesday, January 2, 2019
- QRDA Category I R5
- Comment 1699 - indicating 404 error - not a standards question - referred to Webmaster. No vote required.
- QRDA Category I R5.1 - No new comments as of Wednesday, January 2, 2019
- QRDA Category III R2.1 - No new comments as of Wednesday, January 2, 2019
- QDM-based HQMF R1.4 - No new comments as of Wednesday, January 2, 2019
- CQL-based HQMF R2 - No new comments as of Wednesday, January 2, 2019
- CQL-based HQMF R2.1 - No new comments as of Wednesday, January 2, 2019
- CQL-based HQMF R3 - No new comments as of Wednesday, January 2, 2019
- FHIR Tracker Items for Clinical Reasoning:
- 19855 - Discussed a need for FHIR Measure IG which will require a PSS. To ballot in May or September 2019, we will need to start the process during the San Antonio WGM for approval within 4 weeks prior to the May WGM. Note - this comment was not resolved during the meeting today.
- No new CQI (i.e., measurement-related) FHIR Tracker Items for FHIR Clinical Reasoning as of Wednesday, January 2, 2019
- Finalization of CDS and CQI Comments for the HL7 Policy Committee on ONC Draft for Public Comment "Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs" - CDS Workgroup invited for comment review
- email from Bryn Rhodes (12/20/2018 7:17 PM ET) with last set of comment edits (to be attached to agenda announcement)
- The CQI WG reviewed the comments available thus far and had no additions or corrections.
- Floyd Eisenberg moved to submit the comments to the HL7 Policy Committee; Anne Marie Smith seconded. 18 Approve, 0 Opposed, 1 Abstention.
- Reminder: Sub groups for ballot content refinement reviewed. Meeting information below:
- Potential sub groups include: Composite scoring (Tuesdays at 1015a ET)
- CQL-based HQMF Discussion RE: Composite Measures in CQL (call minutes on confluence: Composite Measures in CQL SubGroup) - No updates presented
- Tuesdays December 18, 2018 and January 8, 2019 from 10:15 to 11:15 AM ET US
- Webinar http://gotomeet.me/alphora
- DEQM Project Call Details (no updates presented):
- First call on Thursday, December 20th, 3 - 4 PM ET and subsequently every Thursday at 3 - 4 PM ET
- https://www.gotomeet.me/DaVinciTechnical
- United States: +1 (646) 749-3122
- Access Code: 255-559-629
- The recurring call details is available on HL7 website Conference Calls Center
- CQL-based HQMF Discussion RE: Composite Measures in CQL (call minutes on confluence: Composite Measures in CQL SubGroup) - No updates presented
- QUICK (to be scheduled post discussion at the HL7 WGM in San Antonio)
- FHIR measures (time: potentially use second half Friday CQI meetings
- Potential sub groups include: Composite scoring (Tuesdays at 1015a ET)
- Reviewed and updated San Antonio schedule
- Found on confluence here
- Confluence is coming!
- Project Updates
- CQI Project Updateslinked to Confluence here - No updates provided
- Notifications and Announcements
- Cancel January 11, 2019 meeting due to travel to San Antonio WGM
- Next CQI WG meeting - at San Antonio HL7 WGM
- Balloting Milestones
- December 7, 2018 – January 7, 2019 – NOTE BALLOT COMMENT DEADLINE January 7, 2019
- Meeting Adjourned at: 2:56 PM ET, Friday, January 4, 2019
