Draft 15 June 2018 CQI Conference Call Minutes

15 June 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
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
Bob Dieterle	Enable Care, LLC	rdieterle@enablecare.us	yes
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
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
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
Joe Quinn	Optum	joseph.quinn@optum.com
John Damore	Diameter Health	jdamore@diameterhealth.com
Julia Skapik	Cognitive Medicine	jskapik@cognitivemedicine.com
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
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	yes
Matthew Tiller	ESAC	matthew.tiller@esacinc.com	yes
Mia Nievera	The Joint Commission	mnievera@jointcommission.org	yes
Mike Hunt	Experian	mike.hunt@experian.com
Mitra Biglari	The Joint Commission	mbiglari@jointcommission.org	yes
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	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
Sam Sayer	Mitre	ssayer@mitre.org
Stan Rankins	Telligen	SRankins@telligen.com	yes
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
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 - 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 1429) - FHIR IG for Exchange of Data for Quality Measures (Project ID 1422) - EBM on FHIR - 1st ballot May 2019, Connectathons planned September 2018 and January 2019 (Project ID 1427) - Gaps in Care Floyd provided an overview of the projects expected to ballot in September 2018 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	Review QI Core Mapping from QDM for Intervention Intervention Proposal Using FHIR Task Floyd provided an overview of the potential to map the QDM intervention datatype to the Task resource in FHIR. No decisions made but the information will be provided in the next version of FHIR 4.0	20 minutes
4	FHIR Clinical Reasoning STU 4 Ballot Reconciliation Tracker Items #17274: Add a $collect-data operation to measure (Proposed resolution - Persuasive) Moved to approve: Linda Michaelsen Seconder: Thomson Kuhn 17 approve 0 against 0 abstain #17272: Add a data-collection type to MeasureReport (Proposed resolution - Persuasive) Moved to approve: Linda Michaelsen Seconder: Thomson Kuhn 18 for 0 against 0 abstain #17273: Evaluated resources element should be a reference to the resources directly, not to a bundle (Proposed resolution - Persuasive) Moved to approve: Linda Michaelsen Seconder: Thomson Kuhn 18 for 0 against 0 abstain #17331: add search params to MR (Proposed resolution - Persuasive) Moved to approve: Linda Michaelsen Seconder: Thomson Kuhn 18 for 0 against 0 abstain #14214: Need to support Measure Report for all measures on a single patient (Proposed resolution - Persuasive with mod) Moved to approve: Linda Michaelsen Seconder: Thomson Kuhn 19 for 0 against 0 abstain #17246: Measure.set should be a CodeableConcept (Proposed resolution - Persuasive with mod) Moved to approve: Gay Dolin Seconder: Linda Michaelsen 19 for 0 against 0 abstain #17247: ImprovementNotation should be a CodeableConcept (Proposed resolution - Persuasive) Moved to approve: Thomson Kuhn Seconder: Bob Dieterle 17 for 0 against 0 abstain #15912: Add PractitionerRole to MeasureReport.subject (Proposed resolution - Persuasive with mod) Moved to approve: Bob Dieterle Seconder: Gay Dolin 16 for 0 against 0 abstain #15980: Update Diagram Under G.7.1 Representing Quality Measures (Proposed resolution - Persuasive) (specific tracker items to be added) CQIF Diagram - G.7.1 CQIF Diagram 14.6.1 Moved to approve: Anne Smith Seconder: Juliet Rubini 17 for 0 against 0 abstain	30 minutes
5	Review and vote on updated CQI Mission and Charter Mission and Charter Track Changes Version Floyd reviewed changes to the Mission and Charter - namely the formal relationships section. Moved to approve: Linda Michaelsen Seconder: Juliet Rubini 15 for 0 against 0 abstain	20 minutes
6	Review and vote on final CQL-based HQMF ballot reconciliation spreadsheet --- Uploaded to CQI Document site (member access only) on June 13, 2018. Moved to approve: Anne Smith Seconder: Claudia Hall 16 for 0 against 0 abstain	20 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: 1429) Gaps in Care (PI ID: 1427) 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 1422)	10 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 22, 2018	None