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9 November 2018 CQI Conference call Minutes
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November 9, 2018 - CQI Conference Call Meeting Minutes
HL7 Clinical Quality Information Workgroup
November 9, 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: KP
Meeting Scribe: Juliet
November 9nd 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 | yes |
| Ben Ghahhari | CMS | benjamin.ghahhari@cms.hhs.gov | |
| Ben Hamlin | NCQA | hamlin@ncqa.org | yes |
| 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 | yes |
| 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 | |
| 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 | |
| Julia Skapik | Cognitive Medicine | jskapik@cognitivemedicine.com | yes |
| Juliet Rubini | Mathematica | jrubini@mathematicampr.com | yes |
| 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 | yes |
| 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 | |
| Matthew Tiller | ESAC | matthew.tiller@esacinc.com | |
| Mike Hunt | Experian | mike.hunt@experian.com | |
| Mia Nievera | The Joint Commission | mnievera@jointcommission.org | |
| 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 | |
| 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 | ||
| Rob McClure | MD Partners Inc | rmcclure@mdpartners.com | yes |
| 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 | |
| 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 | yes |
| Viet Nguyen | Strata Metrics | vietnguyen@stratametrics.com | |
| 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 | |
| Zach May | ESAC Inc | zachary.may@esacinc.com | yes |
Meeting Minutes
- Roll call and agenda review
- Juliet reminded the group that the FHIR Data Exchange for Quality Measures ballot reconciliation is deferred to next week
- Review changes to the Harmonization Proposal and vote required - Rob McClure
- Topic - Improvement notation - minor modification required by Harmonization group
- Initial submission completed 10/25; Final submission due 11/6 (since changes were requested after harmonization review of our initial submission, we will need to approve the changes and meet the final submission deadline)
- Rob walked through the changes made to the harmonization proposal that was approved by the CQI WG last Friday based on requests from the Harmonization group. Please see the Updated Harmonization Proposal with Track Changes for detailed changes made to the initial harmonization proposal approved by the CQI WG. All changes made are shown in track changes.
- Rob restated the the codes we are requesting to be added to the ObservationValue Code System. There are no changes from what was approved by the CQI WG last Friday.
- Rob talked about the changes to harmonization proposal about the Value Set Addition section. Refer to the updated harmonization proposal with track changes for details.
- Rob expects the harmonization proposal to be approved at the harmonization meeting with these changes made (Next harmonization meeting 11/8)
- Juliet asked why it is necessary to change from Code to Codable Concept? Rob explained that Code carries nothing, you don't know what code system it is from and nothing. Code carries all meanings in the code itself. Code is schema bound, and we are telling people you cannot change it. By moving from Code to Codable Concept, we are no longer schema bound and we are able to change. It gives more freedom, it does give more baggage to implementer, but allow us to be free to do things that we are currently doing.
- Rob reviewed the two related FHIR tracker items to this harmonization proposal #19445 and #19446 and requested a vote.
- FHIR Tracker #19445
- Rob made a motion to accept as Persuasive with Mod/Anne Smith seconded
- Approve/Oppose/Abstain: 20/0/0
- FHIR Tracker #19446
- Rob clarified the resolution: 1) Change datatype of improvementNotation in Measure and MeasureReport from Code to CodeableConcept with a Required binding to the existing value set. 2) Once the proposed harmonization to code system ObervationValue to represent measurement improvement notation is completed, then update the value set definition for value set "measure improvement notation" to be "all descendents of abstract code "_MeasurementImprovementNotation" in ObservationValue code system.
- Rob made a motion to accept as Persuasive with Mod/Anne Smith seconded
- Approve/Oppose/Abstain: 20/0/0
- FHIR Tracker #19445
- Rob made motion to approve and accept the changes to the harmonization proposal and submit it to Harmonization/Anne Smith seconded
- Approve/Oppose/Abstain: 20/0/0
- Rob will accept all the track changes that are approved today for the harmonization proposal and submit by the Final Harmonization Proposal deadline.
- QRDA Category I STU 5.1
- Yan reminded the group that the QRDA I STU 5.1 Update is currently in the two weeks member review period. The plan is to bring it back to the CQI WG meeting next Friday for a vote to submit to HL7 for publication
- QRDA Category I STU 5.1 Update Comment Page
- Juliet noted that the regular STU comments review during the first CQI call of the month is deferred to the next call.
- Confluence is coming!
- Confluence will replace the Wiki for agendas and the HL7 work group page for document posting
- CQI Project Updates Confluence Page
- Confluence link
- Gay Dolin gave a quick update about the code system discrepancy issue she brought up in the CQI WG call two weeks ago (document type is expected to be LOINC codes in C-CDA, but eCQMs have specified the value set using SNOMED codes for communication). Gay already entered an ONC JIRA item, Mathematica team is currently investigating. Floyd is also following up with the issue.
- CQI Project Updates (no updates are provided to the projects during today's call)
- 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: 1429) - Currently performing ballot reconciliation from September 2018 ballot
- Gaps in Care (PI ID: 1427)
- Co-sponsored Project Updates (no updates are provided to the projects during today's call)
- 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)
- 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
- NIB for Gaps in Care is postponed at this point.
- 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
- Meeting adjourned at 1:47ET. Next CQI WG meeting will be on Nov. 9th, 2018
