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Draft 15 June 2018 CQI Conference Call Minutes

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15 June 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
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 yes
Brett Marquard River Rock Associates brett@riverockassociates.com
Brian Alper EBSCO balper@ebsco.com
Bryn Rhodes ESAC bryn@databaseconsultinggroup.com
Chana West ESAC Inc chana.west@esacinc.com yes
Claudia Hall Mathematica chall@mathematicampr.org yes
Dan Donahue ESAC dan.donahue@esacinc.com
Floyd Eisenberg iParsimony, LLC FEisenberg@iParsimony.com yes
Gay Dolin IMO gdolin@imoonline.com yes
Hafsa Subhan The Joint Commission hsubhan@jointcommission.org
Humberto Mandirola Biocom hmandirola@biocom.com
iIkka Kunnamo Duodecim jilkkakunnamo@duodecim.fl
Jamie Lehner PCPI jamie.lehner@thepcpi.org yes
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
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
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
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 yes
Matthew Tiller ESAC matthew.tiller@esacinc.com yes
Mia Nievera The Joint Commission mnievera@jointcommission.org yes
Mike Hunt Experian mike.hunt@experian.com
Mitra Biglari The Joint Commission mbiglari@jointcommission.org yes
Nick Radov UHC nradov@uhc.org
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
Rebeccah Baer NCQA baer@ncqa.org
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 yes
Sue Kent CCF kents@ccf.org
Sweta Ladwa ESAC inc sweta.ladwa@esacinc.com
Thomson Kuhn ACP tkuhn@acponline.org yes
Viet Nguyen Strata Metrics vietnguyen@stratametrics.com
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

Agenda

Agenda Item Time Allotment
1 Roll call
5 minutes
2 Reminder -
  • Planned ballots for September 2018:
    • Project 1234 - FHIR Clinical Reasoning - current PSS is valid, requires Notice for Intent to Ballot
    • Project 1125 - QI Core - current PSS is valid, requires Notice for Intent to Ballot
    • (Project ID 1429) - FHIR IG for Exchange of Data for Quality Measures
    • (Project ID 1422) - EBM on FHIR - 1st ballot May 2019, Connectathons planned September 2018 and January 2019
    • (Project ID 1427) - Gaps in Care
      • Floyd provided an overview of the projects expected to ballot in September 2018
  • Announcement - CMS released the draft 2019 Quality Reporting Document Architecture (QRDA) Category III Implementation Guide (IG) for Eligible Clinicians and Eligible Professionals. It is available for public comments from May 30, 2018, and ends on June 20, 2018.
10 minutes
3
  • Review QI Core Mapping from QDM for Intervention Intervention Proposal Using FHIR Task
    • Floyd provided an overview of the potential to map the QDM intervention datatype to the Task resource in FHIR. No decisions made but the information will be provided in the next version of FHIR 4.0
20 minutes
4
  • FHIR Clinical Reasoning STU 4 Ballot Reconciliation Tracker Items
    • #17274: Add a $collect-data operation to measure (Proposed resolution - Persuasive)
      • Moved to approve: Linda Michaelsen Seconder: Thomson Kuhn 17 approve 0 against 0 abstain
    • #17272: Add a data-collection type to MeasureReport (Proposed resolution - Persuasive)
      • Moved to approve: Linda Michaelsen Seconder: Thomson Kuhn 18 for 0 against 0 abstain
    • #17273: Evaluated resources element should be a reference to the resources directly, not to a bundle (Proposed resolution - Persuasive)
      • Moved to approve: Linda Michaelsen Seconder: Thomson Kuhn 18 for 0 against 0 abstain
    • #17331: add search params to MR (Proposed resolution - Persuasive)
      • Moved to approve: Linda Michaelsen Seconder: Thomson Kuhn 18 for 0 against 0 abstain
    • #14214: Need to support Measure Report for all measures on a single patient (Proposed resolution - Persuasive with mod)
      • Moved to approve: Linda Michaelsen Seconder: Thomson Kuhn 19 for 0 against 0 abstain
    • #17246: Measure.set should be a CodeableConcept (Proposed resolution - Persuasive with mod)
      • Moved to approve: Gay Dolin Seconder: Linda Michaelsen 19 for 0 against 0 abstain
    • #17247: ImprovementNotation should be a CodeableConcept (Proposed resolution - Persuasive)
      • Moved to approve: Thomson Kuhn Seconder: Bob Dieterle 17 for 0 against 0 abstain
    • #15912: Add PractitionerRole to MeasureReport.subject (Proposed resolution - Persuasive with mod)
      • Moved to approve: Bob Dieterle Seconder: Gay Dolin 16 for 0 against 0 abstain
    • #15980: Update Diagram Under G.7.1 Representing Quality Measures (Proposed resolution - Persuasive) (specific tracker items to be added)
30 minutes
5
  • Review and vote on updated CQI Mission and Charter Mission and Charter Track Changes Version
    • Floyd reviewed changes to the Mission and Charter - namely the formal relationships section.
      • Moved to approve: Linda Michaelsen Seconder: Juliet Rubini 15 for 0 against 0 abstain
20 minutes
6
  • Review and vote on final CQL-based HQMF ballot reconciliation spreadsheet --- Uploaded to CQI Document site (member access only) on June 13, 2018.
      • Moved to approve: Anne Smith Seconder: Claudia Hall 16 for 0 against 0 abstain
20 minutes
7 Project Updates
  • 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)
    • 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 (5 min)
    • 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)
10 minutes
8 Notifications
  • New Project Scope Statements - May 27, 2018
  • Harmonization
    • Initial proposals due - June 22, 2018
    • Final proposals due - July 20, 2018
    • Harmonization meeting - July 25 and 26, 2018
  • Notification for Intent to Ballot deadline - July 6, 2018
  • Initial Content Deadline - July 4, 2018
  • Reconciliation Content Deadline - August 3, 2018
  • Final ballot content due - August 19, 2018
  • Ballot opens – August 24, 2018 – September 24, 2018
  • WGM – September 29 - October 5, 2018 (Baltimore, MD)
  • Next CQI Workgroup Call: June 22, 2018
None