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Difference between revisions of "04 January 2018 CQI Conference call Minutes"

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==Meeting Minutes==
 
==Meeting Minutes==
−
*Roll call and agenda review
+
*Roll call and agenda review<br>
  
−
*Unresolved QI CORE-Related FHIR Tracker Items Review
+
* Secondary use of CDAs from provider EHR or from local-to-provider HIEs for Reporting Quality Measure Information - Attachments Workgroup invited for presentation [Wendy Talbot (NCQA]
−
** [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=19682&start=0 19682]
+
** What is role of primary and supplemental data for quality reporting under HEDIS?
−
***Bryn made a motion to approve as persuasive. Ben Hamlin seconded. <b>Approve/Abstain/Oppose: 19/0/0</b>
+
** What is the NCQA audit process?
−
** [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=19642&start=0 19642]
+
** Why is a C-CDA considered supplemental and how are payers & ACOs audited
−
***Agreed and change mapping as suggested as the interval between the start of "MedicationRequest.dispensePeriod.validityPeriod and ending after the MedicationRequest.expectedSupplyDruation. This change has already been pre-applied.
+
** What is the current and planned NCQA approach for “validating HIE data feeds” with C-CDA in 2019
−
***Bryn made a motion to approve as persuasive. Rob Samples seconded. <b>Approve/Abstain/Oppose: 20/0/0</b>
+
* STU Comment Review (Monthly)
−
** [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=19641&start=0 19641]
+
** [http://www.hl7.org/dstucomments/showdetail.cfm?dstuid=198 QRDA Category I R4]
−
***The change has already been pre-applied. Agreed with the resolution.
+
*** No new comments as of Wednesday, January 2, 2019
−
***Bryn made a motion to approve as persuasive. Chana West seconded. <b>Approve/Abstain/Oppose: 20/0/0</b>
+
** [http://www.hl7.org/dstucomments/showdetail.cfm?dstuid=246 QRDA Category I R5]
−
** [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=17577&start=0 17577]
+
*** No new comments as of Wednesday, January 2, 2019
−
***This was reviewed during the last CQI call but did not vote for. Continued discussion this week.
+
** [http://www.hl7.org/dstucomments/showdetail.cfm?dstuid=220 QRDA Category I R5.1]
−
***Bryn made a motion to approve as persuasive with mod. Rob McClure seconded. <b>Approve/Abstain/Oppose: 21/1/0</b>
+
*** No new comments as of Wednesday, January 2, 2019
−
***US Core is now owned by the Structured Document WG.
+
** [http://www.hl7.org/dstucomments/showdetail.cfm?dstuid=212 QRDA Category III R2.1]
−
** [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=17325&start=0 17325]  
+
*** No new comments as of Wednesday, January 2, 2019
−
***Bryn indicated that this tracker item will be deferred and this does not apply to STU3.2. It will be addressed in STU4.
+
** [http://www.hl7.org/dstucomments/showdetail.cfm?dstuid=196 QDM-based HQMF R1.4]
−
<br>
+
*** No new comments as of Wednesday, January 2, 2019
−
*QI Core STU link - consideration for vote
+
** [http://www.hl7.org/dstucomments/showdetail.cfm?dstuid=210 CQL-based HQMF R2]
−
**(Information included for reference purpose: QI Core STU 3.2 Update was available for two-weeks Members Only review, the link to the specification: [http://build.fhir.org/ig/cqframework/qi-core/ QI Core STU 3.2]. [http://wiki.hl7.org/index.php?title=QI_Core_STU_3.2_Update_Comment_Page HL7 wiki comment page] was setup with instructions for submitting comments and summary of the updates that were incorporated: This STU update to the QI-Core profiles incorporates updates to the US-Core profiles, version 1.1.0. Specifically, it changes the QICore-Encounter and QICore-PractitionerRole profiles to be derived from the new USCore-Encounter and USCore-PractitionerRole profiles, rather than directly from the base resources, as well as changes the QICore-Coverage profile type element to bind to the SOP Payer value set.)
+
*** No new comments as of Wednesday, January 2, 2019
−
**Bryn made a motion to approve the STU 3.2 update for publication. Rob Samples seconded. <b>Approve/Abstain/Oppose: 22/0/0</b>
+
** [http://www.hl7.org/dstucomments/showdetail.cfm?dstuid=217 CQL-based HQMF R2.1]
−
**Floyd reviewed [http://wiki.hl7.org/index.php?title=File:HL7_Publication_Request_QICoreUpdate_2018Dec21.docx QI Core Update STU 3.2 Publication Request Form].
+
*** No new comments as of Wednesday, January 2, 2019
−
***Bryn made a motion to approve the STU 3.2 Publication Request Form. Thom Kuhn seconded. <b>Approve/Abstain/Oppose: 23/0/0</b>
+
** [http://www.hl7.org/dstucomments/showdetail.cfm?dstuid=230 CQL-based HQMF R3]
−
<br>
+
*** No new comments as of Wednesday, January 2, 2019
−
*Review Structured Documents and Public Health [http://wiki.hl7.org/index.php?title=File:HL7_Project_Scope_Statement_v2018.1_NHSN_LTC_IG-1-.docx PSS for National Health Safety Network] and consider CQI as an interested party [Zabrina Gonzaga, Lantana]
+
** No new FHIR Tracker Items for QICore as of Wednesday, January 2, 2019
−
**Zabrina reviewed the PSS. Under this PSS, there will be two implementation guides: "HL7 Implementation Guide for CDA® Release 2: NHSN Healthcare Associated Infection (HAI) Reports for Long Term Care Facilities (LTCF-CDA) and HL7 Implementation Guide for FHIR® Release 4: NHSN Healthcare Associated Infection (HAI) Reports for Long Term Care Facilities (LTCF-FHIR)"
+
** No new CQI (i.e., measurement-related) FHIR Tracker Items for FHIR Clinical Reasoning as of Wednesday, January 2, 2019
−
**Zabrina indicated that this is for long care care, and would like the CQI WG to be aware of this project. This is planned for Jan 2018 WG ballot.
+
 
−
**Zabrina asked if the CQI WG is interested in being listed as Interested Party.
+
* Finalization of CDS and CQI Comments for the HL7 Policy Committee on [https://www.healthit.gov/sites/default/files/page/2018-11/Draft%20Strategy%20on%20Reducing%20Regulatory%20and%20Administrative%20Burden%20Relating.pdf ONC Draft for Public Comment "Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs"] - CDS Workgroup invited for comment review
−
**Juliet Skapik indicated that she thinks this is relevant to what CQI is doing, and would be favor of listing as interested party.
+
** email from Bryn Rhodes (12/20/2018 7:17 PM ET) with last set of comment edits (to be attached to agenda announcement)
−
**There is no existing measure specifically related to this project, but there are some interests expressed on the call to be as interested party, but not enough support to be as co-sponsor of this PSS.
+
 
−
**Juliet Skapik made a motion to have the CQI WG to be listed as an Interested Party on the PSS/Bryn seconded the motion but with this amendment: where profiles are considered for this project, it should consider US Core profiles for any overlaps and gaps. Juliet agreed with adding the amendment to the motion. <b>Approve/Abstain/Oppose: 20/0/0</b>
+
* Reminder: Sub groups for ballot content refinement
−
<br>
+
** Potential sub groups include: Composite scoring (Tuesdays at 1015a ET)
−
* Informational: CQI and CDS Comments submitted to the HL7 Policy Committee on [https://www.healthit.gov/sites/default/files/page/2018-11/Draft%20Strategy%20on%20Reducing%20Regulatory%20and%20Administrative%20Burden%20Relating.pdf ONC Draft for Public Comment "Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs"]
+
*** CQL-based HQMF Discussion RE: Composite Measures in CQL (call minutes on confluence: [https://confluence.hl7.org/display/CQIWC/CQI+Workgroup+Sub-Workgroup+on+CQL-Based+HQMF+Composite+Measure+Expressions+in+CQL Composite Measures in CQL SubGroup])
−
**CDS Workgroup initiated comments on Wednesday, December 12, CQI added comments on Friday, December 14, CDS continued to comment on Wednesday, December 19: [https://docs.google.com/document/d/13KLvxOI5T5bUMORW6EfjXF8tnUMAr-CUyuXf2Vgaswo/edit?usp=sharing Google Docs Comment Document]
 
−
**Floyd asked the group if anyone is interested in having a call on 12/28/2018 to review the comments. Decided to not review the comments here in the call today and not have call on 12/28 to review further. Instead, will ask everyone to review the email that Bryn sent out to the listserv and comment individually directly if there are additional comments.
 
−
<br>
 
−
*Floyd reviewed the San Antonio Jan 2019 Working Group Agenda
 
−
**Some modifications are made to the agenda directly during the call based on the discussions. The up-to-date Working Group Agenda can be found on confluence: [https://confluence.hl7.org/display/CQIWC/Jan+2019+WG%2C+San+Antonio%2C+TX+-+Agenda  San Antonio Jan 2019 Working Group Agenda]
 
−
<br>
 
−
*Sub groups for ballot content refinement
 
−
**Composite scoring project subgroup weekly call
 
−
*** Call minutes can be found on confluence: [https://confluence.hl7.org/display/CQIWC/CQI+Workgroup+Sub-Workgroup+on+CQL-Based+HQMF+Composite+Measure+Expressions+in+CQL Composite Measures in CQL SubGroup]
 
 
**** Tuesdays December 18, 2018 and January 8, 2019 from 10:15 to 11:15 AM ET US
 
**** Tuesdays December 18, 2018 and January 8, 2019 from 10:15 to 11:15 AM ET US
 
**** Webinar [http://gotomeet.me/alphora http://gotomeet.me/alphora]
 
**** Webinar [http://gotomeet.me/alphora http://gotomeet.me/alphora]
−
** DEQM Project Call Details:
+
*** DEQM Project Call Details:
−
***First call on Thursday, December 20th, 3 - 4 PM ET and subsequently every Thursday at 3 - 4 PM ET
+
**** First call on Thursday, December 20th, 3 - 4 PM ET and subsequently every Thursday at 3 - 4 PM ET
−
***Meeting Minutes of the December 20th call [http://www.hl7.org/documentcenter/public/wg/cqi/Data%20Exchange%20for%20Quality%20Measures%20-%20Project%20Call%20-%202018-12-20.pdf December 20th DEQM Meeting Presentation Slides]
+
**** https://www.gotomeet.me/DaVinciTechnical  
−
***https://www.gotomeet.me/DaVinciTechnical  
+
**** United States: +1 (646) 749-3122  
−
***United States: +1 (646) 749-3122  
+
**** Access Code: 255-559-629  
−
***Access Code: 255-559-629  
+
**** The recurring call details is available on HL7 website [http://www.hl7.org/concalls/CallDetails.aspx?concall=42213 Conference Calls Center]
−
***The recurring call details is available on HL7 website [http://www.hl7.org/concalls/CallDetails.aspx?concall=42213 Conference Calls Center]
 
 
** QUICK (to be scheduled post discussion at the HL7 WGM in San Antonio)
 
** QUICK (to be scheduled post discussion at the HL7 WGM in San Antonio)
 
** FHIR measures (time: potentially use second half Friday CQI meetings
 
** FHIR measures (time: potentially use second half Friday CQI meetings
−
<br>
+
* Review San Antonio schedule<br>
−
*Floyd asked group for anything to add before adjourn
+
** Found on confluence [https://confluence.hl7.org/display/CQIWC/Jan+2019+WG%2C+San+Antonio%2C+TX+-+Agenda  here]
−
** Rob McClure made an announcement that NLM has announced yesterday the launch of Intensional Value Set Definition Functionality in the VSAC Authoring Tool.
+
* Confluence is coming!<br>
−
***(From the NLM annoucement: Through the VSAC Authoring user interface, value set authors can algorithmically define value sets with logical rule-based Boolean clauses and hierarchy operators, leveraging the structure and hierarchies of terminologies. Logically-defined value sets, combined with the value set author’s guidance, can incorporate future changes as terminologies evolve to add or remove concepts, increasing efficiency and accuracy of value set creation and maintenance.)
+
** Confluence will replace the Wiki for agendas and the HL7 work group page for document posting  
−
** Bryn told the group that both the CDS Hook and FHIR Path ballot reconciliation packages are posted. Notifications should have been received for those who need to withdraw their negative votes.
+
** Please sign up for an account [https://jira.hl7.org/secure/Signup!default.jspa here]
−
** Yan mentioned that Viet's presentation slide deck from Thursday's DEQM meeting (12/20) was uploaded to the CQI WG document area, the link to the slide deck is included in this meeting minutes.
+
** Draft confluence page available [https://confluence.hl7.org/pages/viewpage.action?spaceKey=CQIWC&title=Clinical+Quality+Information+WG+%28CQI%29+Home here]
−
<br>
+
* Project Updates<br>
−
*Confluence is coming!<br>
+
** CQI Project Updates[https://confluence.hl7.org/display/CQIWC/Clinical+Quality+Information+WG+%28CQI%29+Home linked to Confluence here]
−
**Note that this item not reviewed in the meeting, but keeping it here in the minutes for reference.
+
* Notifications and Announcements<br>
−
**Confluence will replace the Wiki for agendas and the HL7 work group page for document posting  
+
** Cancel January 11, 2019 meeting due to travel to San Antonio WGM
−
**Please sign up for an account [https://jira.hl7.org/secure/Signup!default.jspa here]
+
** Next CQI WG meeting - at San Antonio HL7 WGM
−
**Draft confluence page available [https://confluence.hl7.org/pages/viewpage.action?spaceKey=CQIWC&title=Clinical+Quality+Information+WG+%28CQI%29+Home here]
+
** Balloting Milestones
 +
*** December 7, 2018 – January 7, 2019 – '''NOTE BALLOT COMMENT DEADLINE January 7, 2019'''
  
−
* CQI Project Updates<br>
+
* Meeting Adjourned at:
−
** CQI Project Updates [https://confluence.hl7.org/display/CQIWC/Clinical+Quality+Information+WG+%28CQI%29+Home linked to Confluence here]
 
−
 
 
−
*Notifications and Announcements<br>
 
−
** Cancel December 28, 2018 Meeting
 
−
** Next CQI WG meeting - January 4, 2019
 
−
** Balloting Milestones
 
−
*** December 7, 2018 – January 7, 2019 – January ballot open for comments and voting
 
−
<br>
 
−
*Meeting adjourned at 2:38 pm ET. Next CQI WG meeting will be on January 4th, 2018
 
−
<br>
 
−
<b>Happy Holidays!</b>
 

Revision as of 17:14, 4 January 2019

Back to CQI Agenda and Minutes Page
Back to CQI Wiki Page

January 4, 2019 - CQI Conference Call Meeting Minutes

HL7 Clinical Quality Information Workgroup
'January 4, 2019 – 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: Juliet
Meeting Scribe: Floyd

January 4, 2019 - 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
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
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
Chana West ESAC Inc chana.west@esacinc.com yes
Claudia Hall Mathematica chall@mathematicampr.org
Craig Newman Altartum craig.newman@altarum.org
Crystal Kallem CK Consulting crystal.kallem@ckconsultingllc.com
Dan Donahue ESAC dan.donahue@esacinc.com
David Sundaram-Stukel EPIC dsandara@epic.com yes
Floyd Eisenberg iParsimony, LLC FEisenberg@iParsimony.com
Fareeda Nazeer The Joint Commission fnazeer@jointcommission.org yes
Gay Dolin IMO gdolin@imoonline.com
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
James Bradley Mitre jhbradley@mitre.org
Jamie Lehner PCPI jamie.lehner@thepcpi.org
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
Julia Skapik Cognitive Medicine jskapik@cognitivemedicine.com yes
Juliet Rubini Mathematica jrubini@mathematicampr.com
Kanwarpreet Sethi Lantana Consulting Group kp.sethi@lantanagroup.com
Kathleen Connor US Dept of Veterans Affairs kathleen_connor@comcast.net
Kurt Allen US Dept of Veterans Affairs kurta@gjoll.com
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
Michael Okeefe MITRE mokeefe@mitre.org
Mike Hunt Experian mike.hunt@experian.com
Mia Nievera The Joint Commission mnievera@jointcommission.org
Mitra Biglari The Joint Commission mbiglari@jointcommission.org
Nancy Whipple GE nancy.whipple@ge.com
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
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
Rob McClure MD Partners Inc rmcclure@mdpartners.com yes
Robert Samples ESAC Inc robert.samples@esacinc.com
Rukma Joshi ESAC Inc rukma.joshi@esacinc.com
Ryan Clark NCQA ryan@ncqa.org
Sam Sayer Mitre ssayer@mitre.org
Stan Rankins Telligen SRankins@telligen.com
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
Viet Nguyen Strata Metrics vietnguyen@stratametrics.com yes
Walter Suarez Kaiser Permanente walter.g.suarez@kp.org
Yan Heras Optimum eHealth yanheras@gmail.com
Yanyan Hu The Joint Commission yhu@jointcommission.org
Zach May ESAC Inc zachary.may@esacinc.com
Zabrina Gonzaga Lantana Consulting Group zabriana.gonzaga@lantanagroup.com

Meeting Minutes

  • Roll call and agenda review
  • Secondary use of CDAs from provider EHR or from local-to-provider HIEs for Reporting Quality Measure Information - Attachments Workgroup invited for presentation [Wendy Talbot (NCQA]
    • What is role of primary and supplemental data for quality reporting under HEDIS?
    • What is the NCQA audit process?
    • Why is a C-CDA considered supplemental and how are payers & ACOs audited
    • What is the current and planned NCQA approach for “validating HIE data feeds” with C-CDA in 2019
  • STU Comment Review (Monthly)
  • Reminder: Sub groups for ballot content refinement
    • Potential sub groups include: Composite scoring (Tuesdays at 1015a ET)
    • QUICK (to be scheduled post discussion at the HL7 WGM in San Antonio)
    • FHIR measures (time: potentially use second half Friday CQI meetings
  • Review San Antonio schedule
    • Found on confluence here
  • 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
  • Project Updates
  • Notifications and Announcements
    • Cancel January 11, 2019 meeting due to travel to San Antonio WGM
    • Next CQI WG meeting - at San Antonio HL7 WGM
    • Balloting Milestones
      • December 7, 2018 – January 7, 2019 – NOTE BALLOT COMMENT DEADLINE January 7, 2019
  • Meeting Adjourned at:
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