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25 May 2018 CQI Conference Call Minutes
DRAFT MINUTES CQI WG Call May 25, 2018
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25 May 2018 - CQI Conference Call Minutes
HL7 Clinical Quality Information Workgroup
Friday, May 25, 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
25 May 2018 - CQI Conference Call Attendance
| Attendee | Attendee's Organization | Attendee's email | Present |
| Abrar Salam | The Joint Commission | asalam@jointcommission.org | |
| 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 | yes |
| Bob Dieterle | Enable Care, LLC | rdieterle@enablecare.us | |
| Brett Marquard | River Rock Associates | brett@riverockassociates.com | |
| Brian Alper | 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 | |
| Hafsa Subhan | The Joint Commission | hsubhan@jointcommission.org | |
| Humberto Mandirola | Biocom | hmandirola@biocom.com | yes |
| iIkka Kunnamo | jilkkakunnamo@duodecim.fl | ||
| Jamie Lehner | PCPI | jamie.lehner@thepcpi.org | |
| Jeff Schmitz | jschmitz@healthefilings.com | yes | |
| Jenny Brush | ESAC | jennifer.brush@esacinc.com | |
| Joe Kunisch | Memorial Hermann | kunisch@memorialhermann.org | yes |
| Joe Quinn | Optum | joseph.quinn@optum.com | |
| 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 | US Dept of Veterans Affairs | kathleen_connor@comcast.net | |
| Linda Michaelsen | Optum | linda.michaelsen@optum.com | yes |
| 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 | yes |
| Matthew Tiller | ESAC | matthew.tiller@esacinc.com | |
| Mitra Biglari | The Joint Commission | mbiglari@jointcommission.org | |
| Nick Radov | UHC | nradov@uhc.org | yes |
| Pamela Mahan-Rudolph | Memorial | pamela.mahanrudolph@memorialhermann | |
| 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 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 | vietnguyen@stratametrics.com | Yes | |
| 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 | |
| Zach May | ESAC Inc | zachary.may@esacinc.com | Yes |
Minutes
- Roll call
- CQI Co-Chair election results
Floyd Eisenberg (returning) and Juliet Rubini (new)
- CQI Cologne WGM Minutes Overview Cologne WGM Minutes
Floyd provided a brief review of the Cologne working group meeting focusing on new project PSS's that will be voted on.
- 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
- New PSS for Review: Project Scope Statement - Gaps in Care - MiHIN - Eric Parapini
- Project looks to define common data elements to represent a patient or listlevel a gaps in care report.
- Will allow providers to see why patients are not in compliance with eCQMs at the point of care.
- Discussion on the overlap between FHIR IG for Exchange of Data for Quality Measures project and this Gap in Care project
- Will review PSS with US Realm and FHIR management group
- Was the PSS discussed with structured documents? Not at this point because we are not creating new templates or content - just reusing existing
- Floyd moved to approve, Julia seconded
- Vote: 21 approve, 1 abstain, 0 against
- CQL-based HQMF Ballot Reconciliation CQL-based HQMF Reconciliation Spreadsheet for consideration - Bryn Rhodes
- Bryn reviewed that agreement was made in Cologne last week that Option 2 would be used to respond to ballot comments moving forward. Option 2 proposes that CQL logic will be included in the composite measure packages to assist implementers with implementing composite measures.
- Comments reviewed and reconciled: 14, 15, 16, 17, 18, 19, 40, 49, 81, 90, 91, 93, 95, 97 (96 was withdrawn)
- Bryn moved to approve the above comments with their dispositions as discussed, Floyd seconded, no further discussion
- Vote: 20 approve, 0 abstain, 0 against
- CQL ballot issue review (ballot still open until June 6) - Bryn Rhodes
- Original ballot was posted with erroneous materials and was corrected - so ballot cycle was extended to June 6th
- Should 'FROM' clause be required for all queries? Discussions ongoing but waiting for full ballot comments to be returned.
- FHIRpath items will be voted on during Tuesday's ITS call
- IPPS Rule Comments - Walter Suarez
- Walter provided an overview of the IPPS rule and items specific to quality measurement
- Comments are do to HL7 policy advisory committee by June 3rd
- CQI will review again during June 1 work group call
- 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)
- CQI Project Updates
- 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)
- Co-sponsored Project Updates (5 min)
- 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 1, 2018
