26 October 2018 CQI Conference call Minutes

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10.26.18 - CQI Conference Call Agenda

HL7 Clinical Quality Information Workgroup
10.26.18 – 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: KP

Agenda

	Agenda Item	Time Allotment
1	Roll call	5 minutes
2	FHIR Data Exchange for Quality Measures (project 1429)-Viet/ Bryn Ballot Reconciliation Deferred until November 2, 2018 Discuss potential expansion for individual and aggregate quality reporting	20 minutes
3	FHIR clinical reasoning tracker items - Bryn 18236 Define profiles in support of aggregate data exchange 19238 Fix History file (conflated with CRD) 18084 Consider changing the Coverage.type binding to the CMS Payer value set 17623 Support multiple components per stratifier	30 minutes
4	Composite related harmonization item - Informational item - no action required - Rob McClure Topic - Improvement notation Initial submission completed 10/25; Final submission due 11/6 (if changes requested after harmonization review of initial submission Next harmonization meeting 11/8	10 minutes
5	Draft QRDA Category I STU 5.1 for review (Yan) Review of changes Consider initiating QRDA Category I STU 5.1 Update 2-week comment period QRDA Category I STU 5.1 Update Comment Page	20 minutes
6	Confirm - no Notification of Intent to Ballot (NIB) for CQI for January 2019 ballot cycle NIB deadline - 10/28/2018	5 minutes
7	Confluence is coming! Confluence will replace the Wiki for agendas and the HL7 work group page for document posting Please sign up for an account here Draft confluence page available here	10 minutes
8	Project Updates CQI Project Updates Confluence link	10 minutes
9	Notifications Balloting Milestones October 14, 2018 – PSS deadline (submit to Steering Division and Project Management Office) - DEADLINE HAS PASSED October 28, 2018 – Notice for Intent to Ballot (NIB) Deadline November 5 – December 6 – Sign up period to be included in a ballot consensus group November 11, 2018 – Preview of artifacts and topics to be included in the ballot with CQI November 18, 2018 – Preview and content deadline (V3) November 25, 2018 – Final content available for CQI WG review [consistent with FHIR Core Substantive Change Freeze (must have completed ballot reconciliation if applicable) December 1, 2018 – Final CQI approval of content and submission (consistent with FHIR code freeze and QA, V3 Final content due dates) December 7, 2018 – January 7, 2019 – January ballot open for voting Harmonization October 25, 2018 – Initial Harmonization Proposal Deadline November 6, 2018 – Final Harmonization Proposal Deadline November 8 – Harmonization meeting	None

Minutes:

FHIR Data Exchange for Quality Measures (project 1429)-Viet/ Bryn

• Ballot Reconciliation Deferred until November 2, 2018
• Discuss potential expansion for individual and aggregate quality reporting
  • Davinci doing use case 4 discovery work. That would be a good place to do project calls. Prioritize the DEQM measures that will be used.
  • Asking the group if its ok that it takes 2-3 weeks until the discovery will be done.
  • The DEQM defines the framework and every time a new quality measure is based on the DEQM framework, does that live outside fo the IG/Framework? Dont want to ballot the IG every time.
  • QRDA doesn't define the a QRDA report for each eCQM. DEQM should do the same - define the framework but not have a profile per measure.
  • Bryn recommends separating concerns so that a general framework can be defined that doesn't change per measure. it supports a known set of measures and is a general framework.
  • Perhaps we need a guidance document that exists b/w DEQM and the specific quality measure that you want to support.
  • General concepts need to be sorted out - i.e. how does the framework work and what the structure is.
  • Gaps in Care might get included in the Davinci use case for reporting/DEQM - Viet to reach out to KP.

FHIR clinical reasoning tracker items - Bryn

• 18236 Define profiles in support of aggregate data exchange
  • Found Persuasive
  • No change required at this time.
  • Bryn Moved, KP seconded.
  • 23 Approved, 0 Abstain, 0 Against
• 19238 Fix History file (conflated with CRD)
  • skipped - Davinci related. Will do it as part of davinci reconciliation.
• 18084 Consider changing the Coverage.type binding to the CMS Payer value set
  • Found Persuasive
  • Gaye Moved, Bryn seconded.
  • 21 Approved, 0 Abstain, 0 Against
• 17623 Support multiple components per stratifier
  • Found Persuasive with Mod
  • Bryn Moved, Stan seconded.
  • 22 Approved, 0 Abstain, 0 Against

Draft QRDA Category I STU 5.1 for review (Yan) 

• Review of changes
• Consider initiating QRDA Category I STU 5.1 Update 2-week comment period
  • QRDA Category I STU 5.1 Update Comment Page
  • Yan presented the QRDA I Comments page. Majority of the comments are minor. No further discussion besides what is on the comments page (link above).
  • Members are encouraged to post comments on this page. They will then be discussed on the CQI call for resolution and disposition.
  • As part of CDA MG, Yan will post all the previous released versions of QRDA I (a product table) on the product page. Product page will list all the versions of QRDA published. CCDA product page is doing something similar.

Confirm - no Notification of Intent to Ballot (NIB) for CQI for January 2019 ballot cycle

• NIB deadline - 10/28/2018
  • None

Confluence is coming!

• Confluence will replace the Wiki for agendas and the HL7 work group page for document posting
• Please sign up for an account here
• Draft confluence page available here
  • Floyd walked the group through the CQI Confluence Page.
  • As of January meeting also switching to HL7 free conference call and confluence.

No Project updates or other business.