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27 April 2018 CQI Conference Call Minutes
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27 April 2018 - CQI Conference Call Minutes
HL7 Clinical Quality Information Workgroup
Friday, April 20, 2018 – 1-3 PM EDT
Dial in: 770-657-9270 Passcode: 217663
https://join.freeconferencecall.com/hl7cqi
CQI Co-chairs: Patty Craig, Floyd Eisenberg, Walter Suarez, KP Sethi, Yan Heras
Meeting Chair: KP
Meeting Scribe: Yan
27 April 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 | |
| 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 | |
| Bo Borgnakke | borgnakke@mihin.org | Yes | |
| Bob Dieterle | rdieterle@enablecare.us | Yes | |
| Brett Marquard | River Rock Associates | brett@riverockassociates.com | Yes |
| 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 | |
| Jamie Lehner | PCPI | jamie.lehner@thepcpi.org | Yes |
| Jenny Brush | ESAC | jennifer.brush@esacinc.com | |
| Joe Quinn | Optum | joseph.quinn@optum.com | Yes |
| John Damore | Diameter Health | jdamore@diameterhealth.com | Yes |
| 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 | . | . | |
| Linda Michaelsen | Optum | linda.michaelsen@optum.com | Yes |
| Lisa Anderson | The Joint Commission | landerson@jointcommission.org | Yes |
| Lisa Nelson | LisaRNelson@cox.net | Yes | |
| Lorraine Constable | . | lorraine@constable.ca | |
| Matthew Tiller | ESAC | matthew.tiller@esacinc.com | |
| Mitra Biglari | The Joint Commission | mbiglari@jointcommission.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 | Yes |
| Robert Dieterle | . | . | |
| Robert Samples | ESAC Inc | robert.samples@esacinc.com | Yes |
| Stan Rankins | Telligen | SRankins@telligen.com | Yes |
| Sue Kent | CCF | kents@ccf.org | Yes |
| Sweta Ladwa | ESAC inc | sweta.ladwa@esacinc.com | |
| Thomson Kuhn | ACP | tkuhn@acponline.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 |
Agenda
- Roll call
- No modifications to the proposed agenda items.
- Sue Kent indicated in the chat that she will be abstaining from all voting.
- Cologne WGM Agenda
- Since four people already signed up for the remote access option, CQI WG will be joining this remote access pilot. Any one who is interested, please let the co-chairs know to add to the list.
- CQI reviewed the agenda.
- Da Vinci Request for Consideration of Implementation Guide PSS Reconciliation Post-Discharge
- Bob Dieterle provided background to the Da Vinci project. The intent of this PSS is to do attestation first, then come back later to do other pieces of the Da Vinci project
- Linda Michaelsen presented the PSS (see PSS for details).
- Asked CQI to be primary sponsor because it involves measures.
- Time line is to have it ready for ballot in Sept. 2018
- The CQI WG provided the following comments:
- When things go through multiple components, it is best to have an estimated timeline, and the timeline can be modified at a later stage.
- Why there is a need for a PSS around how to do a measure and it is an IG, and how this differs than an existing measure out there already look at attestation for med reconciliation occurred.
- The CQI WG feels that the existing FHIR Measure Report Resource is capable of supporting the use case for this PSS. The use case does not warrant its own implementation guide, therefore, a PSS and a ballot.
- The CQI WG does not think it is appropriate to create measure specific IG.
- The CQI WG suggests for this particular project, Bob and Linda and their project team could be using existing Measure Report Resource and invite the WG members to their project discussions to establish the communications.
- Da Vinci Request for Consideration of Implementation Guide PSS Reconciliation Post-Discharge
- Status Discussion - HL7 CDA® R2 Implementation Guide: Supplemental QRDA Clinical Quality Data Sharing User Guide, Release 1 (PI ID: 1215)
- Julia Skapik indicated that in her mind the document is ready for publication. She also thinks htat people may need to review one more time, then it could be brought back for approval the next meeting
- Floyd Suggested that the document needs to be updated to QRDA I STU 5. It does not have the last ballot reconciliation occurred information (who moved/seconded). So the spreadsheet needs to be udpated.
- Julia indicated that the plan is to publish it as an informative document.
- The publication request form needs to be prepared and bring it to the next meeting as well.
- Julia Skapik indicated that in her mind the document is ready for publication. She also thinks htat people may need to review one more time, then it could be brought back for approval the next meeting
- QI Core Ballot Reconciliation - comment 15002
- QRDA Category I STU 5 - Follow up from April 6 call
- Comment #15002 - persuasive with mod Rob moved; Bryn seconded; No further discussion; 0 opposed, 0 abstention, 29 approved
- QRDA Category I STU 5 - Follow up from April 6 call
- Continued QDM to QI Core Mapping
- Fourth installment – QDM to QI Core Review Set 4: Encounter, Family History, Immunization, Medication, Substance
- Documentation on CQI Wiki under Harmonization of Health Quality Information Models, updated 9 April 2018: (http://wiki.hl7.org/index.php?title=Harmonization_of_Health_Quality_Information_models)
- CQI discussed the mapping and several decisions made by the QDM Workgroup. No further changes were made to the mapping based upon CQI discussion.
- This concludes the mapping discussion during CQI calls.
- Individuals may follow this work on the CMS/ONC QDM Issue Tracker
- CQI Project Updates - no updates other than those addressed above
- 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)
- Co-sponsored Project Updates - no updates
- 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)
- Notifications
- Ballot opens – April 6, 2018 – May 7, 2018
- WGM – May 12 – 18, 2018 (Cologne, Germany)
Next CQI Workgroup Call: May 4th, 2018
Meeting Adjourned: 3:02pm
