1 June 2018 CQI Conference Call Minutes

25 May 2018 - CQI Conference Call Attendance

Attendee	Attendee's Organization	Attendee's email	Present
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
Anne Smith	NCQA	smith@ncqa.org	yes
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	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
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
Humberto Mandirola	Biocom	hmandirola@biocom.com	yes
iIkka Kunnamo	Duodecim	jilkkakunnamo@duodecim.fl
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	yes
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
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
Matthew Tiller	ESAC	matthew.tiller@esacinc.com
Mike Hunt	Experian	mike.hunt@experian.com	yes
Mitra Biglari	The Joint Commission	mbiglari@jointcommission.org
Nick Radov	UHC	nradov@uhc.org
Pamela Mahan-Rudolph	Memorial	pamela.mahanrudolph@memorialhermann	yes
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
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	Strata Metrics	vietnguyen@stratametrics.com
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	yes
Zach May	ESAC Inc	zachary.may@esacinc.com	Yes

Agenda

	Agenda Item	Time Allotment
1	Roll call	5 minutes
2	Reminder to Review CQI Cologne WGM Minutes Cologne WGM Minutes 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 (Project ID pending) - Gaps in Care Announcement - CMS released the draft 2019 Quality Reporting Document Architecture (QRDA) Category III Implementation Guide (IG) for Eligible Clinicians and Eligible Professionals. It is available for public comments from May 30, 2018, and ends on June 20, 2018.	10 minutes
3	CQL-based HQMF Ballot Reconciliation Block Votes - Bryn Rhodes Clarification/Errata/Website Comment: CQL-based HQMF Ballot Reconciliation Block Vote1 Vote moved by Bryn; second Anne; 22 approved 0 opposed 0 abstained QDM Update/Conformance/Terminology: CQL-based HQMF Ballot Reconciliation Block Vote2 Vote moved by Bryn; second Floyd; 22 approved 0 opposed 0 abstained Continuous Variable Measures: CQL-based HQMF Ballot Reconciliation Block Vote3 Vote moved by Bryn; second Paul; 22 approved 0 opposed 0 abstained References/Examples/Translator: CQL-based HQMF Ballot Reconciliation Block Vote4 Vote moved by Bryn; second Floyd; 22 approved 0 opposed 0 abstained Numenclature/Wording: CQL-based HQMF Ballot Reconciliation Block Vote5 Vote moved by Bryn; second Floyd; 20 approved 0 opposed 0 abstained Individual Item Discussion CQL-based HQMF Reconciliation Spreadsheet for consideration - Bryn Rhodes Discussion of comment 100 but not vote - will table vote for future discussion after more information is gathered Comment 101 vote to approve: moved Bryn, second Paul; 21 approved 0 opposed 0 abstain Comment 127 vote to approve: moved Bryn, second KP; 21 approved 0 opposed 0 abstain Comment 128 vote to approve: moved Bryn, second Juliet; 21 approved 0 opposed 0 abstain Comment 129 vote to approve: moved Bryn, second Paul; 21 approved 0 opposed 0 abstain Comment 132 vote to approve: moved Bryn, second Paul; 21 approved 0 opposed 0 abstain	30 minutes
4	STU Comment Review QRDA Category I STU 4 No new comments as of June 1, 2018 QRDA Category I STU 5 No new comments as of June 1, 2018 QRDA Category III STU 2.0 No new comments as of June 1, 2018 QRDA Category III STU 2.1 No new comments as of June 1, 2018 QDM-based HQMF STU 1.4 No new comments as of June 1, 2018 CQL-based HQMF STU 2.0 No new comments as of June 1, 2018 CQL-based HQMF STU 2.1 No new comments as of June 1, 2018	5 minutes
5	Review updates to CQI Mission and Charter	10 minutes
6	IPPS Rule Comments - Walter Suarez The plan is to finalize and approve all our comments during the call today (Friday, June 1), and submit them to the HL7 Policy Advisory Committee by Sunday, June 3 The group reviewed the proposed general comments and provided guidance and clarification. Final comments (in slide deck form) can be found here: http://www.hl7.org/Special/committees/cqi/docs.cfm Floyd moved that we approve the updated comments; Walter seconded; 17 approved 0 against 2 abstain	30 minutes
7	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) Gaps in Care (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)	5 minutes
8	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 8, 2018	None