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	yes
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	mnievera@jointcommission.org	yes
Mitra Biglari	The Joint Commission	mbiglari@jointcommission.org	yes
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
Rich Boyce		codehop.dev@gmail.com	yes
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
Steve Hufnagel		steve.hufnagel.hl7@gmail.com	yes
Sue Kent	CCF	kents@ccf.org
Sweta Ladwa	ESAC inc	sweta.ladwa@esacinc.com	yes
Thomas Reese	U of Utah	thomas.reese@hsc.utah.edu	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. The block vote spreadsheet was sent out on June 25th to the listserv. No comments were asked to be pulled out from the Block Vote #1 and #2.
  • Block Vote#1 - Website comments (23 comments, Not persuasive for comments that referred to a spreadsheet or vote that was not submitted, Persuasive for the rest):
    • Bryn Rhodes moved the motion to approve the Block Vote #1/Howard Strasberg seconded
    • approve/oppose/abstain: 21/0/2
  • Block Vote#2 - Clarification, Errata, Examples, Navigation, Typo, and Updates (90 comments, all Persuasive except for one Persuasive with Mod in the Formatting group)
    • Bryn Rhodes moved the motion to approve the Block Vote #2/Howard seconded
    • approve/oppose/abstain: 20/0/3
  • Comment #219 (Equality/Equivalence) was discussed individually
    • Bryn Rhodes moved the motion to approve the disposition to #219, Howard Strasberg seconded
    • approve/oppose/abstain: 21/0/3
  • Comment #220 (Equality/Equivalence) was discussed individually
    • Bryn Rhodes moved the motion to approve the disposition to #220, Howard Strasberg seconded
    • approve/oppose/abstain: 21/0/3
  • Comment #221 (Lists Membership/Duplicate Detection) was discussed individually
    • Bryn Rhodes moved the motion to approve the disposition to #221, Howard Strasberg seconded
    • approve/oppose/abstain: 20/0/5
  • Comment #167 (Interval Promotion) was discussed individually
    • Bryn Rhodes moved the motion to approve the disposition to #167, James Bradley seconded
    • approve/oppose/abstain: 20/0/5

• Notice for Intent to Ballot (NIB) for CDS Workgroup NIB for Potential Drug-Drug Interaction (PDDI) project 1405
  • Howard walked through the NIB for Potential Drug-Drug Interaction
    • Howard and Richard confirmed that this NIB is for universal realm and for comment only
    • CQI is an interested party to this project
    • Howard made the motion to approve the NIB for the PDDI Project. Rich seconded.
    • approve/oppose/abstain: 23/0/1
  • Note: This concludes the CDS portion of this call.

• Consider QI Core Publication Version (STU 3) Publication Draft QI Core STU 3
• QI Core Publication Request

• 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