25 May 2018 CQI Conference Call Minutes

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25 May 2018 - CQI Conference Call Minutes

HL7 Clinical Quality Information Workgroup
Friday, May 25, 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: KP
Meeting Scribe: Juliet

25 May 2018 - CQI Conference Call Attendance

Attendee	Attendee's Organization	Attendee's email	Present
Abrar Salam	The Joint Commission	asalam@jointcommission.org
Angela Flanagan	Lantana Consulting Group	angela.flanagan@lantanagroup.com
Ann Phillips	NCQA	phillps@ncqa.org
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	yes
Bob Dieterle	Enable Care, LLC	rdieterle@enablecare.us
Brett Marquard	River Rock Associates	brett@riverockassociates.com
Brian Alper		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
Floyd Eisenberg	iParsimony, LLC	FEisenberg@iParsimony.com	yes
Gay Dolin	IMO	gdolin@imoonline.com
Hafsa Subhan	The Joint Commission	hsubhan@jointcommission.org
Humberto Mandirola	Biocom	hmandirola@biocom.com	yes
iIkka Kunnamo		jilkkakunnamo@duodecim.fl
Jamie Lehner	PCPI	jamie.lehner@thepcpi.org
Jeff Schmitz		jschmitz@healthefilings.com	yes
Jenny Brush	ESAC	jennifer.brush@esacinc.com
Joe Kunisch	Memorial Hermann	kunisch@memorialhermann.org	yes
Joe Quinn	Optum	joseph.quinn@optum.com
John Damore	Diameter Health	jdamore@diameterhealth.com	yes
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	yes
Lisa Nelson	Life Over Time Solutions, LLC	LisaRNelson@cox.net
Lizzie Charbonneau	Mitre	lizzie@mitre.org	yes
Lorraine Constable	HL7 Canada	lorraine@constable.ca
Luke Osborne	MITRE	lwosborne@mitre.org	yes
Matthew Tiller	ESAC	matthew.tiller@esacinc.com
Mitra Biglari	The Joint Commission	mbiglari@jointcommission.org
Nick Radov	UHC	nradov@uhc.org	yes
Pamela Mahan-Rudolph	Memorial	pamela.mahanrudolph@memorialhermann
Patty Craig	The Joint Commission	pcraig@jointcommission.org	yes
Paul Denning	MITRE	pauld@mitre.org	yes
Ping Jiang	The Joint Commission	pjiang@jointcommission.org
Rebeccah Baer	NCQA	baer@ncqa.org	yes
Robert Samples	ESAC Inc	robert.samples@esacinc.com
Rukma Joshi	ESAC Inc	rukma.joshi@esacinc.com
Stan Rankins	Telligen	SRankins@telligen.com
Sue Kent	CCF	kents@ccf.org
Sweta Ladwa	ESAC inc	sweta.ladwa@esacinc.com
Thomson Kuhn	ACP	tkuhn@acponline.org	yes
Viet Nguyen		vietnguyen@stratametrics.com	Yes
Walter Suarez	Kaiser Permanente	walter.g.suarez@kp.org	yes
Yan Heras	Optimum eHealth	yanheras@gmail.com	yes
Yanyan Hu	The Joint Commission	yhu@jointcommission.org
Zach May	ESAC Inc	zachary.may@esacinc.com	Yes

Minutes

• Roll call

• CQI Co-Chair election results

   Floyd Eisenberg (returning) and Juliet Rubini (new)

• CQI Cologne WGM Minutes Overview Cologne WGM Minutes
  

  Floyd provided a brief review of the Cologne working group meeting focusing on new project PSS's that will be voted on.

• • Comments regarding remote participation
  • PSS's approved and submitted to Clinical Steering Division:
    • Evidence-Based Medicine on FHIR (CDS sponsor, CQI co-sponsor) EBM on FHIR Project Initiation Tasks
    • FHIR IG for Exchange of Data for Quality Measures
  • 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 pending) - FHIR IG for Exchange of Data for Quality Measures
    • (Project ID pending) - EBM on FHIR - 1st ballot May 2019, Connectathons planned September 2018 and January 2019

• New PSS for Review: Project Scope Statement - Gaps in Care - MiHIN - Eric Parapini
  • Project looks to define common data elements to represent a patient or listlevel a gaps in care report.
  • Will allow providers to see why patients are not in compliance with eCQMs at the point of care.
  • Discussion on the overlap between FHIR IG for Exchange of Data for Quality Measures project and this Gap in Care project
  • Will review PSS with US Realm and FHIR management group
  • Was the PSS discussed with structured documents? Not at this point because we are not creating new templates or content - just reusing existing
  • Floyd moved to approve, Julia seconded
  • Vote: 21 approve, 1 abstain, 0 against

• CQL-based HQMF Ballot Reconciliation CQL-based HQMF Reconciliation Spreadsheet for consideration - Bryn Rhodes
  • Bryn reviewed that agreement was made in Cologne last week that Option 2 (with mod) would be used to respond to ballot comments moving forward. Option 2 proposes that CQL logic will be included in the composite measure packages to assist implementers with implementing composite measures.
    • Comment 19 disposition states that consensus is for Option 2, but with the addition that only individual-based composite calculation methods are supported. Population-based calculation methods (component-level linear combination and weighted) are not supported at this time.
  • Comments reviewed and reconciled: 14, 15, 16, 17, 18, 19, 40, 49, 81, 90, 91, 93, 95, 97 (96 was withdrawn)
  • Bryn moved to approve the above comments with their dispositions as discussed, Floyd seconded, no further discussion
  • Vote: 20 approve, 0 abstain, 0 against
• CQL ballot issue review (ballot still open until June 6) - Bryn Rhodes
  • Original ballot was posted with erroneous materials and was corrected - so ballot cycle was extended to June 6th
  • Should 'FROM' clause be required for all queries? Discussions ongoing but waiting for full ballot comments to be returned.
  • FHIRpath items will be voted on during Tuesday's ITS call
• IPPS Rule Comments - Walter Suarez
  • Walter provided an overview of the IPPS rule and items specific to quality measurement
  • Comments are do to HL7 policy advisory committee by June 3rd
  • CQI will review again during June 1 work group call
• 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: pending)

• • 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 pending)

• 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 1, 2018