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17 August 2018 CQI Conference call Minutes
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17 August 2018 - CQI Conference Call Minutes
HL7 Clinical Quality Information Workgroup
Friday, August 17, 2018 – 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: Yan
Meeting Scribe: Patty
Agenda
- Roll call
| 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 | |
| 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 | |
| Bo Borgnakke | Michigan Shared Services Network | borgnakke@mihin.org | |
| Bob Dieterle | Enable Care, LLC | rdieterle@enablecare.us | |
| 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 |
| Dan Donahue | ESAC | dan.donahue@esacinc.com | |
| David Sundarum-Stukel | Epic | dsundara@epic.com | yes |
| Floyd Eisenberg | iParsimony, LLC | FEisenberg@iParsimony.com | yes |
| 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 | |
| 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 | yes |
| Juliet Rubini | Mathematica | jrubini@mathematicampr.com | yes |
| Kanwarpreet Sethi | Lantana Consulting Group | kp.sethi@lantanagroup.com | |
| Kathleen Connor | US Dept of Veterans Affairs | kathleen_connor@comcast.net | |
| 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 | |
| Lizzie Charbonneau | Mitre | lizzie@mitre.org | |
| Lorraine Constable | HL7 Canada | lorraine@constable.ca | |
| Luke Osborne | MITRE | lwosborne@mitre.org | |
| Matthew Tiller | ESAC | matthew.tiller@esacinc.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 | yes |
| Myron Finseth | Medtronic | myron.finseth@medtronic.com | |
| Nick Radov | UHC | nradov@uhc.org | |
| Pamela Mahan-Rudolph | Memorial | pamela.mahanrudolph@memorialhermann | yes |
| Patty Craig | The Joint Commission | pcraig@jointcommission.org | yes |
| Paul Denning | MITRE | pauld@mitre.org | yes |
| Ping Jiang | The Joint Commission | pjiang@jointcommission.org | yes |
| Rathore Garima | rathore.garima1@gmail.com | ||
| Rebeccah Baer | NCQA | baer@ncqa.org | |
| Rich Boyce | codehop.dev@gmail.com | ||
| Richard Tran | Asymmetrik | rtworkmails@gmail.com | yes |
| Robert Samples | ESAC Inc | robert.samples@esacinc.com | |
| Rukma Joshi | ESAC Inc | rukma.joshi@esacinc.com | |
| Sam Sayer | Mitre | ssayer@mitre.org | |
| Stan Rankins | Telligen | SRankins@telligen.com | |
| 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 | |
| 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 |
- Review changes made to the Clinical Reasoning FHIR resources. Approve ballot content for ballot submission. - Bryn
- Measure Resource
- MeasureReport Resource
- Updates to the Resources included added ImprovementNotation to both Resources. In addition, the Resources have been 'cleaned up' based on discussions that have previously occurred.
- Discussed that Data Receivers would want to constrain this field in the MeasureReport to ensure that the measure is evaluated based upon the measure specification and not based upon how the sender populates this field.
- Motion by Bryn that the group finds the content ready for ballot, Floyd Seconds
- No further discussion
- 19 Approved, 0 Abstained, 0 Against
- Updates to the Resources included added ImprovementNotation to both Resources. In addition, the Resources have been 'cleaned up' based on discussions that have previously occurred.
- HL7 FHIR® Implementation Guide: Data Exchange for Quality Measures (DEQM) ballot review and approval for submission - Viet
- HL7 FHIR® Implementation Guide: Data Exchange for Quality Measures (DEQM)
- The review is limited to whether or not the guide is appropriate for ballot submission and is not a content review.
- Known issues that will be fixed before ballot:
- The examples are not all finalized
- The profile.element level examples are not all in place yet
- There are some broken links to HEDIS and QI-Core
- There are still a few minor items that will be added over the next few days
- Discussion included that the ballot material needs to include what is not being balloted (e.g., the HEDIS IG and components waiting on US Core to be balloted)
- Ballot material will be sent to HL7 by this Sunday evening by the ballot authors
- Motion by Floyd that the group finds the content ready for ballot, Bryn Seconds
- No further discussion
- 20 Approved, 0 Abstained, 0 Against
- Review the CQL-based HQMF IG errata update template changes
- QDM 5.4 errata - Floyd
- Provided an update concerning the changes being made in the QDM 5.4 errata
- There was no discussion
- STU comments
- An errata to CQL-based HQMF IG will be published based upon comments that have been received and to handle the changes needed for the QDM 5.4 errata
- Item 1620 - Persuasive
- Motion by Bryn that the group approves the disposition for the item, Gay Seconds
- No further discussion
- 22 Approved, 0 Abstained, 0 Against
- Item 1629 - Persuasive
- Motion by Bryn that the group approves the disposition for the item, Juliet Seconds
- No further discussion
- 22 Approved, 0 Abstained, 0 Against
- Item 1630 - Persuasive
- Motion by Bryn that the group approves the disposition for the item, Gay Seconds
- No further discussion
- 21 Approved, 0 Abstained, 0 Against
- Item 1631 - Persuasive
- Motion by Paul that the group approves the disposition for the item, Bryn Seconds
- No further discussion
- 22 Approved, 0 Abstained, 0 Against
- Item 1620 - Persuasive
- An errata to CQL-based HQMF IG will be published based upon comments that have been received and to handle the changes needed for the QDM 5.4 errata
- CQL-based HQMF IG R1 STU 3 - Vol 3 updates - Yan
- There will be a total of 6 errata items that will be included in the CQL-based HQMF IG errata.
- The errata will be posted for 2 weeks for review and comment.
- Motion by Paul to post the updated IG with the errata items for review by CQI, Bryn Seconds
- No further discussion
- 22 Approved, 0 Abstained, 0 Against
- QDM 5.4 errata - Floyd
CQI Project Updates
- HL7 CDA® Release 2 Implementation Guide: Quality Reporting Document Architecture Category I (QRDA I) Release 1, STU Release 4 - US Realm (PI ID: 210)
- HL7 CDA® R2 Implementation Guide: Quality Reporting Document Architecture (QRDA III), Release 1 - US Realm (PI ID: 896)
- CMS has posted their IG for CY 2018 data submission - view the eCQI Resource Center for this IG
- HL7 Version 3 Standard: Representation of the Health Quality Measures Format (eMeasure), Release 1 (PI ID: 508)
- HL7 Version 3 Implementation Guide: Quality Data Model (QDM)-based Health Quality Measure Format (HQMF), Release 1 - US Realm (PI ID: 756)
- HL7 Version 3 Implementation Guide: Clinical Quality Language (CQL)-based Health Quality Measure Format (HQMF), Release 1 - US Realm (PI ID: 1142)
- HL7 FHIR® Implementation Guide: Clinical Quality Framework (CQF on FHIR), Release 1 (PI ID: 1234) (Co-Primary with CDS)
- HL7 FHIR® Profile: Quality, Release 1 - US Realm (PI ID: 1125)
- HL7 CDA® R2 Implementation Guide: Supplemental QRDA Clinical Quality Data Sharing User Guide, Release 1 (PI ID: 1215)
- FHIR IG for Exchange of Data for Quality Measures (PI ID: 1429)
- Gaps in Care (PI ID: 1427)
Co-sponsored Project Updates
- HL7 Cross-Paradigm Specification: Clinical Quality Language, Release 1 (PI ID: 1108) (CDS Primary, CQI co-sponsor)
- HL7 Cross-Paradigm Specification: CIMI Logical Models, Release 1 (PI ID: 1253) (CIMI Primary, CQI co-sponsor)
- HL7 Cross Paradigm Specification: Neutral Mapping Notation, R1 (Project 1237 – FluentPath - Aligning FHIRPath with CQL --- co-sponsoring with CDS, ITS <primary>, FHIR)
- CrossParadigm IG Medical Device Interoperability (PSS: CrossParadigm_IG_Medical_Device_interoperability.v.4.docx)
- Composite KNART Investigation (PSS: 1336)
- CrossParadigm_Storyboard_Artifact_Payer_Value_Based_Care(PSS: 1347)
- Clinical Decision Support Big Picture Implementation Guide (PI ID: tbd) (Arden Syntax Primary, CQI and CDS co-sponsor)
- FHIR Public Health Electronic Case Reporting (eCR) (PI ID: tbd) CQI and CDS co-sponsor with CIMI as an interested party)
- US FHIR Core Updates PSS (PI ID: 1265) (US FHIR Primary, CQI and CDS co-sponsor with CIMI as an interested party)
- Evidence-Based Medicine on FHIR (CDS sponsor, CQI co-sponsor) EBM on FHIR Project Initiation Tasks (Project ID 1422)
Notifications
- Final ballot content due - August 19, 2018
- Ballot opens – August 24, 2018 – September 24, 2018
- WGM – September 29 - October 5, 2018 (Baltimore, MD)
Non-HL7 Notifications
- ONC has posted their 2018 Interoperability Standards Advisory (ISA) document for review and comment.
- Feedback is due to ONC no later than October 1, 2018 at 5pm ET
- CQI workgroup members are encouraged to review the ISA on their own
- CQI co-chairs will schedule time for a review by the workgroup
Next CQI Workgroup Call: August 24, 2018
Meeting Adjourned: 2:15pm ET
