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

October 19 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
Alex Liu	EPIC	aliu@epic.com
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
Bob Keyes	Telligen	bkeyes@telligen.com
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	yes
Claudia Hall	Mathematica	chall@mathematicampr.org	yes
Crystal Kallem	CK Consulting	crystal.kallem@ckconsultingllc.com	yes
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
Humberto Mandirola	Biocom	hmandirola@biocom.com
iIkka Kunnamo	Duodecim	jilkkakunnamo@duodecim.fl
Isabel Zaru-Roque	ESAC	isabel.zaru-roque@esacinc.com	yes
James Bradley	Mitre	jhbradley@mitre.org
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
John Damore	Diameter Health	jdamore@diameterhealth.com
John Loonsk	CGI Federal	john.loonsk@cgifederal.com	yes
Julia Skapik	Cognitive Medicine	jskapik@cognitivemedicine.com	Yes
Juliet Rubini	Mathematica	jrubini@mathematicampr.com
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
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
Lorraine Constable	HL7 Canada	lorraine@constable.ca
Luke Osborne	MITRE	lwosborne@mitre.org
Matthew Tiller	ESAC	matthew.tiller@esacinc.com	yes
Mike Hunt	Experian	mike.hunt@experian.com
Mia Nievera	The Joint Commission	mnievera@jointcommission.org	yes
Mitra Biglari	The Joint Commission	mbiglari@jointcommission.org
Nick Radov	UHC	nradov@uhc.org
Pamela Mahan-Rudolph	Memorial	pamela.mahanrudolph@memorialhermann
Patty Craig	The Joint Commission	pcraig@jointcommission.org
Paul Denning	MITRE	pauld@mitre.org	yes
Ping Jiang	The Joint Commission	pjiang@jointcommission.org
Rathore Garima		rathore.garima1@gmail.com
Rebeccah Baer	NCQA	baer@ncqa.org
Rich Boyce		codehop.dev@gmail.com
Richard Zhu	JHU	zhu@jhu.edu
Rob McClure	MD Partners Inc	rmcclure@mdpartners.com
Robert Samples	ESAC Inc	robert.samples@esacinc.com	yes
Rukma Joshi	ESAC Inc	rukma.joshi@esacinc.com
Ryan Clark	NCQA	ryan@ncqa.org
Sam Sayer	Mitre	ssayer@mitre.org	yes
Stan Rankins	Telligen	SRankins@telligen.com	yes
Steve Hufnagel		steve.hufnagel.hl7@gmail.com
Sue Kent	CCF	kents@ccf.org
Sweta Ladwa	ESAC inc	sweta.ladwa@esacinc.com
Thomas Reese	U of Utah	thomas.reese@hsc.utah.edu
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	yes

==Meeting 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.