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21 December 2018 CQI Conference call Minutes

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December 21, 2018 - CQI Conference Call Meeting Minutes

HL7 Clinical Quality Information Workgroup
December 21, 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: Floyd
Meeting Scribe: Yan

December 14th 2018 - 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
Angela Flanagan Lantana Consulting Group angela.flanagan@lantanagroup.com
Ann Phillips NCQA phillps@ncqa.org yes
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
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
Floyd Eisenberg iParsimony, LLC FEisenberg@iParsimony.com yes
Fareeda Nazeer The Joint Commission fnazeer@jointcommission.org yes
Gay Dolin IMO gdolin@imoonline.com
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 yes
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
Kanwarpreet Sethi Lantana Consulting Group kp.sethi@lantanagroup.com
Kathleen Connor US Dept of Veterans Affairs kathleen_connor@comcast.net
Kurt Allen US Dept of Veterans Affairs kurta@gjoll.com
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
Michael Okeefe MITRE mokeefe@mitre.org
Mike Hunt Experian mike.hunt@experian.com
Mia Nievera The Joint Commission mnievera@jointcommission.org
Mitra Biglari The Joint Commission mbiglari@jointcommission.org
Nancy Whipple GE nancy.whipple@ge.com
Nick Radov UHC nradov@uhc.org
Pamela Mahan-Rudolph Memorial pamela.mahanrudolph@memorialhermann yes
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 yes
Robert Samples ESAC Inc robert.samples@esacinc.com yes
Rukma Joshi ESAC Inc rukma.joshi@esacinc.com
Ryan Clark NCQA ryan@ncqa.org
Sam Sayer Mitre ssayer@mitre.org yes
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
Zach May ESAC Inc zachary.may@esacinc.com
Zabrina Gonzaga Lantana Consulting Group zabriana.gonzaga@lantanagroup.com yes

Meeting Minutes

  • Roll call and agenda review
  • Unresolved QI CORE-Related FHIR Tracker Items Review
    • 19682
      • Bryn made a motion to approve as persuasive. Ben Hamlin seconded. Approve/Abstain/Oppose: 19/0/0
    • 19642
      • Agreed and change mapping as suggested as the interval between the start of "MedicationRequest.dispensePeriod.validityPeriod and ending after the MedicationRequest.expectedSupplyDruation. This change has already been pre-applied.
      • Bryn made a motion to approve as persuasive. Rob Samples seconded. Approve/Abstain/Oppose: 20/0/0
    • 19641
      • The change has already been pre-applied. Agreed with the resolution.
      • Bryn made a motion to approve as persuasive. Chana West seconded. Approve/Abstain/Oppose: 20/0/0
    • 17577
      • This was reviewed during the last CQI call but did not vote for. Continued discussion this week.
      • Bryn made a motion to approve as persuasive with mod. Rob McClure seconded. Approve/Abstain/Oppose: 21/1/0
      • US Core is now owned by the Structured Document WG.
    • 17325
      • Bryn indicated that this tracker item will be deferred and this does not apply to STU3.2. It will be addressed in STU4.


  • QI Core STU link - consideration for vote
    • (Information included for reference purpose: QI Core STU 3.2 Update was available for two-weeks Members Only review, the link to the specification: QI Core STU 3.2. HL7 wiki comment page was setup with instructions for submitting comments and summary of the updates that were incorporated: 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.)
    • Bryn made a motion to approve the STU 3.2 update for publication. Rob Samples seconded. Approve/Abstain/Oppose: 22/0/0
    • Floyd reviewed QI Core Update STU 3.2 Publication Request Form.
      • Bryn made a motion to approve the STU 3.2 Publication Request Form. Thom Kuhn seconded. Approve/Abstain/Oppose: 23/0/0


  • Review Structured Documents and Public Health PSS for National Health Safety Network and consider CQI as an interested party [Zabrina Gonzaga, Lantana]
    • Zabrina reviewed the PSS. Under this PSS, there will be two implementation guides: "HL7 Implementation Guide for CDA® Release 2: NHSN Healthcare Associated Infection (HAI) Reports for Long Term Care Facilities (LTCF-CDA) and HL7 Implementation Guide for FHIR® Release 4: NHSN Healthcare Associated Infection (HAI) Reports for Long Term Care Facilities (LTCF-FHIR)"
    • Zabrina indicated that this is for long care care, and would like the CQI WG to be aware of this project. This is planned for Jan 2018 WG ballot.
    • Zabrina asked if the CQI WG is interested in being listed as Interested Party.
    • Juliet Skapik indicated that she thinks this is relevant to what CQI is doing, and would be favor of listing as interested party.
    • There is no existing measure specifically related to this project, but there are some interests expressed on the call to be as interested party, but not enough support to be as co-sponsor of this PSS.
    • Juliet Skapik made a motion to have the CQI WG to be listed as an Interested Party on the PSS/Bryn seconded the motion but with this amendment: where profiles are considered for this project, it should consider US Core profiles for any overlaps and gaps. Juliet agreed with adding the amendment to the motion. Approve/Abstain/Oppose: 20/0/0



  • Floyd reviewed the San Antonio Jan 2019 Working Group Agenda



  • Floyd asked group for anything to add before adjourn
    • Rob McClure made an announcement that NLM has announced yesterday the launch of Intensional Value Set Definition Functionality in the VSAC Authoring Tool.
      • (From the NLM annoucement: Through the VSAC Authoring user interface, value set authors can algorithmically define value sets with logical rule-based Boolean clauses and hierarchy operators, leveraging the structure and hierarchies of terminologies. Logically-defined value sets, combined with the value set author’s guidance, can incorporate future changes as terminologies evolve to add or remove concepts, increasing efficiency and accuracy of value set creation and maintenance.)
    • Bryn told the group that both the CDS Hook and FHIR Path ballot reconciliation packages are posted. Notifications should have been received for those who need to withdraw their negative votes.
    • Yan mentioned that Viet's presentation slide deck from Thursday's DEQM meeting (12/20) was uploaded to the CQI WG document area, the link to the slide deck is included in this meeting minutes.


  • Confluence is coming!
    • Note that this item not reviewed in the meeting, but keeping it here in the minutes for reference.
    • 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
    • Cancel December 28, 2018 Meeting
    • Next CQI WG meeting - January 4, 2019
    • Balloting Milestones
      • December 7, 2018 – January 7, 2019 – January ballot open for comments and voting


  • Meeting adjourned at 2:38 pm ET. Next CQI WG meeting will be on January 4th, 2018


Happy Holidays!

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