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14 December 2018 CQI Conference call Minutes

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December 14, 2018 - CQI Conference Call Meeting Minutes

HL7 Clinical Quality Information Workgroup
December 14, 2018 – 1-3 PM EDT
Dial in: 770-657-9270 Passcode: 217663
CQI Co-chairs: Patty Craig, Floyd Eisenberg, Juliet Rubini, KP Sethi, Yan Heras
Meeting Chair: Floyd
Meeting Scribe: Yan

December 14th 2018 - CQI Conference Call Attendance

Attendee Attendee's Organization Attendee's email Present
Abdul Malik Hi3 Solutions
Abrar Salam The Joint Commission
Alex Liu EPIC
Angela Flanagan Lantana Consulting Group yes
Ann Phillips NCQA
Anne Smith NCQA yes
Ben Ghahhari CMS
Ben Hamlin NCQA yes
Bo Borgnakke Michigan Shared Services Network
Bob Dieterle Enable Care, LLC
Bob Keyes Telligen
Brett Marquard River Rock Associates
Brian Alper EBSCO
Bryn Rhodes ESAC
Chana West ESAC Inc yes
Claudia Hall Mathematica yes
Craig Newman Altartum yes
Crystal Kallem CK Consulting
Dan Donahue ESAC
David Sundaram-Stukel EPIC
Floyd Eisenberg iParsimony, LLC yes
Gay Dolin IMO
Hafsa Subhan The Joint Commission
Howard Strasberg Wolters Kluwer
Humberto Mandirola Biocom
iIkka Kunnamo Duodecim jilkkakunnamo@duodecim.fl
isabel Zaru-Roque ESAC yes
James Bradley Mitre
Jamie Lehner PCPI yes
Jeff Schmitz Health eFilings
Jenny Brush ESAC
Joe Kunisch Memorial Hermann
Joe Quinn Optum yes
John Damore Diameter Health
Julia Skapik Cognitive Medicine
Juliet Rubini Mathematica yes
Kanwarpreet Sethi Lantana Consulting Group
Kathleen Connor US Dept of Veterans Affairs
Kurt Allen US Dept of Veterans Affairs
Linda Michaelsen Optum yes
Lisa Anderson The Joint Commission
Lisa Nelson Life Over Time Solutions, LLC
Lizzie Charbonneau Mitre
Lorraine Constable HL7 Canada
Luke Osborne MITRE
Matthew Tiller ESAC yes
Michael Okeefe MITRE yes
Mike Hunt Experian
Mia Nievera The Joint Commission
Mitra Biglari The Joint Commission
Nancy Whipple GE yes
Nick Radov UHC
Pamela Mahan-Rudolph Memorial pamela.mahanrudolph@memorialhermann yes
Patty Craig The Joint Commission
Paul Denning MITRE yes
Ping Jiang The Joint Commission
Rathore Garima
Rebeccah Baer NCQA
Rich Boyce
Rob McClure MD Partners Inc
Robert Samples ESAC Inc
Rukma Joshi ESAC Inc
Ryan Clark NCQA
Sam Sayer Mitre
Stan Rankins Telligen yes
Steve Hufnagel
Sue Kent CCF
Sweta Ladwa ESAC inc
Thomas Reese U of Utah
Thomson Kuhn ACP yes
Viet Nguyen Strata Metrics yes
Walter Suarez Kaiser Permanente
Yan Heras Optimum eHealth yes
Yanyan Hu The Joint Commission
Zach May ESAC Inc yes

Meeting Minutes

  • Roll call and agenda review
  • Viet gave an update to DEQM
    • Thinking of developing reusable patterns
    • DaVinci project is thinking of to start with colon cancer screening quality measure. Then possibly to move on to breast cancer screening.
    • DEQM Project Call has been set up. See DEQM project call details below:
    • Floyd asked about if gaps in care is still in scope. Viet indicated that gaps in care is one of the 2019 projected use cases that DaVinci project would initiate. Good discussions around gaps in care occurred during the Quality Summit, they captured items such as what does it mean, work flow, etc.
    • Floyd also asked Viet which quarter on which day would be good to discuss DEQM during Jan 2019 HL7 WG meeting, so we can add in schedule. Viet will let the WG know.
  • Floyd announced that a sub group project call has been set up to discuss Composite Scoring.
    • Details of the Composite scoring project call: (Tuesdays at 10:15a ET)
    • QUICK (to be scheduled)
    • FHIR measures (time: potentially use second half Friday CQI meetings)
  • QI CORE STU link - consideration for vote
    • QI Core STU 3.2 Update is now available for two-weeks Members Only review, here is the link to the specification: An HL7 wiki comment page ( is also now available with instruction for submitting comments.
    • This STU update to the QI-Core profiles incorporates updates to the US-Core profiles, version 1.1.0. Specifically, it changes the QICore-Encounter and QICore-PractitionerRole profiles to be derived from the new USCore-Encounter and USCore-PractitionerRole profiles, rather than directly from the base resources, as well as changes the QICore-Coverage profile type element to bind to the SOP Payer value set.
    • The CQI WG reviewed the following tracker items:
      • FHIR Tracker ID 19770
        • Yan made the motion to approve as Persuasive/Juliet seconded: Approve/Abstain/Oppose: 21/0/0
      • FHIR Tracker ID 19778
        • Paul Denning made the motion to approve as Persuasive/Anne Smith seconded: Approve/Abstain/Oppose: 21/0/0
      • FHIR Tracker ID 19777
        • Ben Hamlin made the motion to approve as Persuasive/Paul Denning seconded: Approve/Abstain/Oppose: 21/0/0
      • FHIR Tracker ID 19776
        • Paul Denning made the motion to approve as Persuasive/Juliet seconded: Approve/Abstain/Oppose: 21/0/0
      • FHIR Tracker ID 19706
        • Ben Hamlin made the motion to approve as Persuasive/Anne Smith seconded: Approve/Abstain/Oppose: 21/0/0
      • FHIR Tracker ID 19705
        • Anne Smith made the motion to approve as Persuasive/Thom Khun seconded: Approve/Abstain/Oppose: 21/0/0
      • FHIR Tracker ID 19704
        • Juliet made the motion to approve as Persuasive/Linda Michaelsen seconded: Approve/Abstain/Oppose: 21/0/0
      • FHIR Tracker ID 17577
        • No resolution is reached for this issue. Today's discussions are documented in the tracker item itself.
    • It is decided that we will not move forward with approving QI-Core STU today, will review the tracker items more later.
  • Comments on ONC Draft for Public Comment "Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs"
    • CDS Workgroup initiated comments on Wednesday, December 12: Google Docs Comment Document
    • Floyd led the discussions of reviewing the document and added comments during the call to the google docs directly.
      • Added comment to Strategy 3, Recommendation 1: Consider the feasibility of adopting a first-year test reporting approach for newly developed electronic clinical quality measures.
      • Added comment to Strategy 3, Recommendation 2: Continue to evaluate the current landscape and measurement and provide a roadmap toward increased electronic reporting through the eCQM Strategy Project.
      • Added comment to Strategy 3, Recommendation 3: Explore alternate, less burdensome approaches to electronic quality measurement through pilot programs and reporting program incentives.
  • Review San Antonio schedule
    • Found on confluence here
  • Confluence is coming!
    • Confluence will replace the Wiki for agendas and the HL7 work group page for document posting
    • Please sign up for an account here
    • Draft confluence page available here

  • Notifications and Announcements
    • Meetings for the remainder of 2018 - 12/21 and 12/28 - who will be in the office?
    • Balloting Milestones
      • December 7, 2018 – January 7, 2019 – January ballot open for comments and voting
  • Meeting adjourned at 3pm ET. Next CQI WG meeting will be on December 21st, 2018