View source for Draft 15 June 2018 CQI Conference Call Minutes

===15 June 2018 - CQI Conference Call Attendance===

{|border="1" cellpadding="2" cellspacing="0" 
| align="center" style="background:#f0f0f0;"|'''Attendee'''
| align="center" style="background:#f0f0f0;"|'''Attendee's Organization'''
| align="center" style="background:#f0f0f0;"|'''Attendee's email'''
| align="center" style="background:#f0f0f0;"|'''Present'''
|-valign="top"
| row2cell1 | Abdul Malik
| row2cell2 | Hi3 Solutions
| row2cell3 | abdulmalik.shakir@hi3solutions.com
| row2cell4 | 
|-
| row2cell1 | Abrar Salam
| row2cell2 | The Joint Commission
| row2cell3 | asalam@jointcommission.org
| row2cell4 | 
|-
| row2cell1 | Angela Flanagan
| row2cell2 | Lantana Consulting Group
| row2cell3 | angela.flanagan@lantanagroup.com 
| row2cell4 | yes
|-
| row2cell1 | Ann Phillips
| row2cell2 | NCQA
| row2cell3 | phillps@ncqa.org
| row2cell4 | 
|-
| row2cell1 | Anne Smith
| row2cell2 | NCQA
| row2cell3 | smith@ncqa.org
| row2cell4 | yes
|-
| row2cell1 | Ben Ghahhari
| row2cell2 | CMS
| row2cell3 | benjamin.ghahhari@cms.hhs.gov
| row2cell4 | 
|-
| row2cell1 | Ben Hamlin
| row2cell2 | NCQA
| row2cell3 | hamlin@ncqa.org
| row2cell4 | 
|-
| row2cell1 | Bo Borgnakke
| row2cell2 | Michigan Shared Services Network
| row2cell3 | borgnakke@mihin.org
| row2cell4 | 
|-
| row2cell1 | Bob Dieterle
| row2cell2 | Enable Care, LLC
| row2cell3 | rdieterle@enablecare.us
| row2cell4 | yes
|-
| row2cell1 | Brett Marquard
| row2cell2 | River Rock Associates
| row2cell3 | brett@riverockassociates.com 

| row2cell4 | 
|-
| row2cell1 | Brian Alper
| row2cell2 | EBSCO
| row2cell3 | balper@ebsco.com
| row2cell4 | 
|-
| row2cell1 | Bryn Rhodes
| row2cell2 | ESAC
| row2cell3 | bryn@databaseconsultinggroup.com 
| row2cell4 | 
|-
| row2cell1 | Chana West
| row2cell2 | ESAC Inc
| row2cell3 | chana.west@esacinc.com 
| row2cell4 | yes
|-
| row2cell1 | Claudia Hall
| row2cell2 | Mathematica
| row2cell3 | chall@mathematicampr.org
| row2cell4 | yes
|-
| row2cell1 | Dan Donahue
| row2cell2 | ESAC
| row2cell3 | dan.donahue@esacinc.com
| row2cell4 | 
|-
| row1cell1 | Floyd Eisenberg
| row1cell2 | iParsimony, LLC
| row1cell3 | FEisenberg@iParsimony.com
| row2cell4 | yes
|-
| row2cell1 | Gay Dolin 
| row2cell2 | IMO
| row2cell3 | gdolin@imoonline.com
| row2cell4 | yes
|-
| row2cell1 | Hafsa Subhan
| row2cell2 | The Joint Commission
| row2cell3 | hsubhan@jointcommission.org
| row2cell4 | 
|-
| row2cell1 | Humberto Mandirola
| row2cell2 | Biocom
| row2cell3 | hmandirola@biocom.com
| row2cell4 | 
|-
| row2cell1 | iIkka Kunnamo 
| row2cell2 | Duodecim
| row2cell3 | jilkkakunnamo@duodecim.fl
| row2cell4 | 
|-
| row2cell1 | Jamie Lehner
| row2cell2 | PCPI
| row2cell3 | jamie.lehner@thepcpi.org
| row2cell4 | yes
|-
| row2cell1 | Jeff Schmitz
| row2cell2 | Health eFilings
| row2cell3 | jschmitz@healthefilings.com
| row2cell4 | 
|-
| row2cell1 | Jenny Brush
| row2cell2 | ESAC
| row2cell3 | jennifer.brush@esacinc.com
| row2cell4 | 
|-
| row2cell1 | Joe Kunisch
| row2cell2 | Memorial Hermann
| row2cell3 | kunisch@memorialhermann.org
| row2cell4 | 
|-
| row2cell1 | Joe Quinn
| row2cell2 | Optum
| row2cell3 | joseph.quinn@optum.com
| row2cell4 | 
|-
| row2cell1 | John Damore
| row2cell2 | Diameter Health
| row2cell3 | jdamore@diameterhealth.com
| row2cell4 | 
|-
| row2cell1 | Julia Skapik
| row2cell2 | Cognitive Medicine
| row2cell3 | jskapik@cognitivemedicine.com
| row2cell4 | 
|-
| row2cell1 | Juliet Rubini
| row2cell2 | Mathematica
| row2cell3 | jrubini@mathematicampr.com
| row2cell4 | yes
|-
| row2cell1 | Kanwarpreet Sethi
| row2cell2 | Lantana Consulting Group
| row2cell3 | kp.sethi@lantanagroup.com
| row2cell4 | 
|-
| row2cell1 | Kathleen Connor
| row2cell2 | US Dept of Veterans Affairs
| row2cell3 | kathleen_connor@comcast.net
| row2cell4 | 
|-
| row2cell1 | Linda Michaelsen
| row2cell2 | Optum
| row2cell3 | linda.michaelsen@optum.com
| row2cell4 | yes
|-
| row2cell1 | Lisa Anderson
| row2cell2 | The Joint Commission
| row2cell3 | landerson@jointcommission.org
| row2cell4 | 
|-
| row2cell1 | Lisa Nelson
| row2cell2 | Life Over Time Solutions, LLC
| row2cell3 | LisaRNelson@cox.net
| row2cell4 | 
|-
| row2cell1 | Lizzie Charbonneau
| row2cell2 | Mitre
| row2cell3 | lizzie@mitre.org
| row2cell4 | 
|-
| row2cell1 | Lorraine Constable
| row2cell2 | HL7 Canada
| row2cell3 | lorraine@constable.ca
| row2cell4 | 
|-
| row2cell1 | Luke Osborne
| row2cell2 | MITRE
| row2cell3 | lwosborne@mitre.org
| row2cell4 | yes
|-
| row2cell1 | Matthew Tiller
| row2cell2 | ESAC
| row2cell3 | matthew.tiller@esacinc.com
| row2cell4 | yes
|-
| row2cell1 | Mia Nievera
| row2cell2 | The Joint Commission
| row2cell3 | mnievera@jointcommission.org
| row2cell4 | yes
|-
| row2cell1 | Mike Hunt
| row2cell2 | Experian
| row2cell3 | mike.hunt@experian.com
| row2cell4 | 
|-
| row2cell1 | Mitra Biglari
| row2cell2 | The Joint Commission
| row2cell3 | mbiglari@jointcommission.org
| row2cell4 | yes
|-
| row2cell1 | Nick Radov
| row2cell2 | UHC
| row2cell3 | nradov@uhc.org
| row2cell4 | 
|-
| row2cell1 | Pamela Mahan-Rudolph
| row2cell2 | Memorial
| row2cell3 | pamela.mahanrudolph@memorialhermann
| row2cell4 | 
|-
| row2cell1 | Patty Craig
| row2cell2 | The Joint Commission
| row2cell3 | pcraig@jointcommission.org
| row2cell4 | 
|-
| row2cell1 | Paul Denning
| row2cell2 | MITRE
| row2cell3 | pauld@mitre.org
| row2cell4 | yes
|-
| row2cell1 | Ping Jiang
| row2cell2 | The Joint Commission
| row2cell3 | pjiang@jointcommission.org
| row2cell4 | 
|-
| row2cell1 | Rebeccah Baer
| row2cell2 | NCQA
| row2cell3 | baer@ncqa.org
| row2cell4 | 
|-
| row2cell1 | Robert Samples
| row2cell2 | ESAC Inc
| row2cell3 | robert.samples@esacinc.com
| row2cell4 | 
|-
| row2cell1 | Rukma Joshi
| row2cell2 | ESAC Inc
| row2cell3 | rukma.joshi@esacinc.com
| row2cell4 | 
|-
| row2cell1 | Sam Sayer
| row2cell2 | Mitre
| row2cell3 | ssayer@mitre.org
| row2cell4 | 
|-
| row2cell1 | Stan Rankins
| row2cell2 | Telligen
| row2cell3 | SRankins@telligen.com
| row2cell4 | yes
|-
| row2cell1 | Sue Kent
| row2cell2 | CCF
| row2cell3 | kents@ccf.org
| row2cell4 | 
|-
| row2cell1 | Sweta Ladwa
| row2cell2 | ESAC inc
| row2cell3 | sweta.ladwa@esacinc.com 
| row2cell4 | 
|-
| row2cell1 | Thomson Kuhn
| row2cell2 | ACP
| row2cell3 | tkuhn@acponline.org
| row2cell4 | yes
|-
| row2cell1 | Viet Nguyen
| row2cell2 | Strata Metrics
| row2cell3 | vietnguyen@stratametrics.com
| row2cell4 | 
|-
| row2cell1 | Walter Suarez
| row2cell2 | Kaiser Permanente
| row2cell3 | walter.g.suarez@kp.org
| row2cell4 | 
|-
| row2cell1 | Yan Heras
| row2cell2 | Optimum eHealth
| row2cell3 | yanheras@gmail.com
| row2cell4 | yes
|-
| row2cell1 | Yanyan Hu
| row2cell2 | The Joint Commission
| row2cell3 | yhu@jointcommission.org
| row2cell4 | yes
|-
| row2cell1 | Zach May
| row2cell2 | ESAC Inc
| row2cell3 | zachary.may@esacinc.com 
| row2cell4 | Yes
|}

==Agenda==
{|border="1" cellpadding="2" cellspacing="0" 
| align="center" style="background:#f0f0f0;"|
| align="center" style="background:#f0f0f0;"|Agenda Item
| align="center" style="background:#f0f0f0;"|Time Allotment
|-valign="top"

| row1cell1 | 1
| row1cell2 | Roll call<br>
| row1cell3 | 5 minutes
|-
| row2cell1 | 2
| row2cell2 | 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 [https://oncprojectracking.healthit.gov/support/browse/QRDA-691 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.   
| row2cell3 | 10 minutes
|-
| row1cell1 | 3
| row1cell2 | 
* Review QI Core Mapping from QDM for Intervention [http://wiki.hl7.org/index.php?title=Intervention_(QDM) 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
| row1cell3 | 20 minutes

|-
| row1cell1 | 4
| row1cell2 | 
* FHIR Clinical Reasoning STU 4 Ballot Reconciliation Tracker Items
** [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=17274&start=0 #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
** [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=17272&start=0 #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
** [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=17273&start=0 #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
** [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=17331&start=0 #17331]: add search params to MR (Proposed resolution - Persuasive)
***Moved to approve: Linda Michaelsen Seconder: Thomson Kuhn    18 for  0 against 0  abstain
** [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=14214&start=0 #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
** [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=17246&start=0 #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
** [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=17247&start=0 #17247]: ImprovementNotation should be a CodeableConcept (Proposed resolution - Persuasive)
***Moved to approve: Thomson Kuhn Seconder: Bob Dieterle    17 for  0 against 0  abstain
** [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15912&start=0 #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
** [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=15980&start=0 #15980]: Update Diagram Under G.7.1 Representing Quality Measures (Proposed resolution - Persuasive) (specific tracker items to be added)
*** [http://hl7.org/fhir/cqif/cqif-quality-reporting.html CQIF Diagram - G.7.1]
*** [http://build.fhir.org/clinicalreasoning-quality-reporting.html CQIF Diagram 14.6.1]
**** Moved to approve: Anne Smith Seconder: Juliet Rubini    17 for  0 against 0  abstain
| row1cell3 | 30 minutes
|-
| row2cell1 | 5
| row2cell2 | 
* Review and vote on updated CQI Mission and Charter [http://www.hl7.org/documentcenter/public/wg/cqi/CQI%20Mission%20and%20Charter%20final%20approved%20by%20CQI%20on%2015May2018.docx. 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
| row2cell3 | 20 minutes
|-
| row2cell1 | 6
| row2cell2 | 
* Review and vote on final CQL-based HQMF ballot reconciliation spreadsheet --- Uploaded to [http://www.hl7.org/Special/committees/cqi/docs.cfm CQI Document site (member access only)] on June 13, 2018. 
*** Moved to approve: Anne Smith Seconder: Claudia Hall    16 for  0 against 0  abstain
| row2cell3 | 20 minutes
|-
| row2cell1 | 7
| row2cell2 | Project Updates<br>
* 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)
** [http://wiki.hl7.org/index.php?title=File:FHIR%2BImplementation%2BGuide%2Bfor%2BExchange%2Bof_-data%2Bfor%2BQuality%2BMeasures%2B20180516_V1.5.docx FHIR IG for Exchange of Data for Quality Measures] (PI ID: 1429)
** [http://wiki.hl7.org/index.php?title=File:HL7_Project_Scope_Statement_Gaps_In_Care_(1).docx 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) [http://wiki.hl7.org/index.php?title=File:EBMonFHIR_Project_Initiation_Tasks.xlsx EBM on FHIR Project Initiation Tasks] (Project ID 1422)
| row2cell3 | 10 minutes
|-
| row2cell1 | 8
| row2cell2 | Notifications<br>
* 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 
| row2cell3 | None
|}