29 June 2018 CQI Conference Call Minutes

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29 June 2018 - CQI Conference Call Meeting Minutes (DRAFT)

HL7 Clinical Quality Information Workgroup
Friday, June 29, 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

29 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	yes
Angela Flanagan	Lantana Consulting Group	angela.flanagan@lantanagroup.com
Ann Phillips	NCQA	phillps@ncqa.org	yes
Anne Smith	NCQA	smith@ncqa.org
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
Claudia Hall	Mathematica	chall@mathematicampr.org
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
Howard Strasberg	Wolters Kluwer	howard.strasberg@wolterskluwer.com	yes
Humberto Mandirola	Biocom	hmandirola@biocom.com
iIkka Kunnamo	Duodecim	jilkkakunnamo@duodecim.fl
James Bradley	Mitre	jhbradley@mitre.org	yes
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	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	yes
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
Mike Hunt	Experian	mike.hunt@experian.com
Mia Nievera	The Joint Commission	mbiglari@jointcommission.org
Mitra Biglari	The Joint Commission	mbiglari@jointcommission.org
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
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	yes
Stan Rankins	Telligen	SRankins@telligen.com	yes
Sue Kent	CCF	kents@ccf.org
Sweta Ladwa	ESAC inc	sweta.ladwa@esacinc.com	yes
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

Minutes

• Roll call
  
  • Note - the first hour will be a combined meeting of the CQI and CDS Workgroups

• Reminder
  • Planned ballots for September 2018:
    • Project 1234 - FHIR Clinical Reasoning - current PSS is valid, does not require Notice for Intent to Ballot as it is part of FHIR STU 4
    • Project 1125 - QI Core - current PSS is valid, - discussed potential decision not to ballot until US Core returns to ballot (possibly January 2019)
    • (Project ID 1429) - FHIR IG for Exchange of Data for Quality Measures - Still waiting for TSC approval
    • (Project ID 1422) - EBM on FHIR - 1st ballot May 2019, Connectathons planned September 2018 and January 2019
    • (Project ID 1427) - Gaps in Care - Still waiting for TSC approval

• CQL Ballot Reconciliation with CDS Workgroup
  • CDS Co-chair Howard is present on the call
  • Bryn Rhodes led the discussions of ballot reconciliation
  • Block Vote#1 - Website comment:
    • Bryn moved the motion to approve the Block Vote #1/Howard seconded
    • approve/against/abstain: 21/0/2
  • Block Vote#2 - Formatting, Clarification, Errata (90 comments total in this block)
    • Bryn moved the motion to approve the Block Vote #1/Howard seconded
    • approve/against/abstain: 20/0/3
  • Comment #219 was discussed individually
    • Bryn moved the motion to approve the #219 seconded by Howard
    • approve/against/abstain: 21/0/3
  • Comment #220 was discussed individually
    • Bryn moved the motion to approve the #220 seconded by Howard
    • approve/against/abstain: 21/0/3

• CQI Project Updates
  • HL7 CDA® Release 2 Implementation Guide: Quality Reporting Document Architecture Category I (QRDA I) Release 1, STU Release 5 - US Realm (PI ID: 210)
    • To support the QDM 5.4 updates, a STU update to the QRDA I STU 5 is anticipated in this July/August time frame. This will be the QRDA I STU 5.1.
  • 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)
    • To accommodate FHIR 4 udpates, a ballot will be prepared for this Sept for Clinical Reasoning
  • 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
  
  • Ballot opens – April 6, 2018 – May 7, 2018
  • WGM – May 12 – 18, 2018 (Cologne, Germany)
    

Next CQI Workgroup Call: June 15, 2018
Meeting Adjourned: 2:37pm ET