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20 July 2018 CQI Conference Call Minutes
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20 July 2018 - CQI Conference Call Minutes DRAFT
HL7 Clinical Quality Information Workgroup
Friday, July 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, Juliet Rubini, KP Sethi, Yan Heras
Meeting Chair: Yan
Meeting Scribe: Patty
Agenda
- Roll call
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 | |
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 | |
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 | |
Chana West | ESAC Inc | chana.west@esacinc.com | |
Claudia Hall | Mathematica | chall@mathematicampr.org | |
Dan Donahue | ESAC | dan.donahue@esacinc.com | |
Floyd Eisenberg | iParsimony, LLC | FEisenberg@iParsimony.com | |
Gay Dolin | IMO | gdolin@imoonline.com | |
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 | |
James Bradley | Mitre | jhbradley@mitre.org | |
Jamie Lehner | PCPI | jamie.lehner@thepcpi.org | |
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 | |
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 | |
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 | |
Myron Finseth | Medtronic | myron.finseth@medtronic.com | |
Nick Radov | UHC | nradov@uhc.org | |
Pamela Mahan-Rudolph | Memorial | pamela.mahanrudolph@memorialhermann | |
Patty Craig | The Joint Commission | pcraig@jointcommission.org | yes |
Paul Denning | MITRE | pauld@mitre.org | |
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 | ||
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 | |
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 | |
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 |
- Reminder
- Planned ballots for September 2018:
- Project 1234 - FHIR Clinical Reasoning - current PSS is valid, does not require Notice for Intent to Ballot as it is part of FHIR STU 4
- (Project ID 1429) - FHIR IG for Exchange of Data for Quality Measures - still needs NIB
- Planned ballots for September 2018:
- Decision regarding CQL-based HQMF IG
- CQL-based HQMF content for publication
- Posted since this previous Monday for review
- Minor updates were made to correct identified issues
- Updates made for Continuous Variable measures
- Updates made for Composite measures
- Publication Request for CQL-based HQMF IG
- CQL-based HQMF content for publication
- Clinical Reasoning FHIR Tracker items
- For details of each tracker item, search the FHIR Tracker Website by tracker item ID:
- Block Vote Tracker Items:
- 16807 Does this mean that stratisfier always relates to a value set or boolean? Integers and doublesbooleans are not allowed? - 2018-May Core STU #37 (Bas van den Heuvel) In Person Considered - Question Answered
- 16819 How does this work in CQL. context Patient is supported the other ones are less clear. - 2018-May Core STU #40 (Bas van den Heuvel) In Person Considered - Question Answered
- 16839 What context? And why not always populate it ? - 2018-May Core STU #46 (Bas van den Heuvel) In Person Considered - Question Answered
- 14098 Extend Measure/MeasureReport to better support public health/health system use cases (Carl Leitner) Persuasive
- 15913 MeasureReport.reporter should not include Group (Lloyd McKenzie) Persuasive
- 16783 Criteria use a different pattern than is expressed in the dynamic language specification. Suggest to align. - 2018-May Core STU #31 (Bas van den Heuvel) In Person Persuasive
- 16822 The spec is clear on Patient parsing. For the othber ones tha other part of the spect ofting refer to patient based measurs where subject should be used instead. - 2018-May Core STU #41 (Bas van den Heuvel) In Person Persuasive
- 16836 How the information enclosed in the supplmentalData element is to be used is unclear form the provided information. - 2018-May Core STU #45 (Bas van den Heuvel) In Person Persuasive
- 16842 Don't understand how this relates to the previous part of the sentence. Does this assume measures are always profiled ? - 2018-May Core STU #47 (Bas van den Heuvel) In Person Persuasive
- 16845 How does this element relate to the element purpose or usage or description ? - 2018-May Core STU #48 (Bas van den Heuvel) In Person Persuasive
- 16847 Probably logic refers to the logic included in the Library object. Refering to the library as logic is not clear. - 2018-May Core STU #49 (Bas van den Heuvel) In Person Persuasive
- 16803 Multiple InitialPopulations? InitialPopulation consisting of multiple populations? Or is meant just having multiple population fields? - 2018-May Core STU #36 (Bas van den Heuvel) In Person Persuasive with Mod
- 16811 What about very large populations ? you would have for example 20000 references included in the measure report ? - 2018-May Core STU #38 (Bas van den Heuvel) In Person Persuasive with Mod
- 16815 Is elm no longer supported? - 2018-May Core STU #39 (Bas van den Heuvel) In Person Persuasive with Mod
- 16826 Add element on measure resource related to Meaningful Measures domain (https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityInitiativesGenInfo/MMF/General-info-Sub-Page.html) as defined by CMS - 2018-May Core STU #42 (Bas van den Heuvel) In Person Persuasive with Mod
- Individual tracker items for discussions
- 17355
- 16853
- 16850
- 16833
- 16830
- Notice for Intent to Ballot (NIB) for FHIR Exchange of Data for Quality Measures
- Floyd went over the NIB for FHIR Exchange of Data for QUality Measures with Viet.
- Project has approvals from FMG, US Realm and Clinical Steering. TSC will review and (hopefully) approve next week.
- No questions were raised during the review of the NIB.
- KP moves to approve the NIB, Viet Seconds. No further discussion.
- 17 Approved, 0 Abstained, 0 Against
- Review CQL-based HQMF content for publication (Link to publication version documents sent to CQI Workgroup on Monday, July 9, 2018)
- Will get a draft out monday at the latest and will seek approval following friday.
- Primary questions related to comment 87 and 88 around continuous variable measure support
- Some conformance language was added to address these comments' cconcern.
- Changed referencing in the measure populations to use IDs so its unique
- similarly changed referencing of included CQL files to be unique by using a URI and then extension of the CQL file.
- these are the differences b/w draft shared before to now
- There were a couple of resolutions that were handled differently in the IG than what was voted on the ballot spreadsheet. We should vote on that change to the spreadsheet resolution.
- Motion by Bryn and KP Seconded to reopen Comment 53 and 99 for resolution.
- 18 Approved, 0 abstain, 0 against
- Comment 53: Changed disposition to not persuasive with mod, as the production examples are now dated compared to the changes introduced in the IG.
- KP makes the motion to approve the updated disposition, Bryn Seconded.
- 18 Approved, 0 abstain, 0 against
- Comment 99: Changed disposition to Considered for future use because no current example exists but will add one when we have a clinically relevant one.
- Bryn Moved, Paul seconded.
- 18 Approved, 0 abstain, 0 against
- Paul made the motion to reopen comments 87 and 88. Bryn seconded.
- 18 Approved, 0 abstain, 0 against
- Both 87 and 88 dispositions are changed to Persuasive with Mod. See updated spreadsheet for modified dispositions.
- Bryn moved to approve the modified dispositions. Paul Seconded.
- 17 Approved, 0 abstain, 0 against
- Juliet made the motion to approve the ballot spreadsheet with the updates discussed today. Gaye seconded.
- 17 Approved, 0 abstain, 0 against
- Review Harmonization Items under consideration
- Need to review the harmonization proposals and vote to approve that the CQI group has no comments/concerns.
- Floyd discussed the proposals posted for this harmonization cycle.
- No concerns were brought up on the call
- Floyd asked if the group was comfortable stating that we have no concerns with the proposals and will not be joining.
- Juliet made the motion that we're satisfied with the proposals. KP Seconded.
- 17 Approved, 0 abstain, 0 against
- STU Comment Review
- QRDA Category I STU 4
- No new comments as of July 13, 2018
- QRDA Category I STU 5
- No new comments as of July 13, 2018
- QRDA Category III STU 2.0
- No new comments as of July 13, 2018
- QRDA Category III STU 2.1
- No new comments as of July 13, 2018
- QDM-based HQMF STU 1.4
- No new comments as of July 13, 2018
- CQL-based HQMF STU 2.0
- No new comments as of July 13, 2018
- CQL-based HQMF STU 2.1
- No new comments as of July 13, 2018
- Suggested modifications to CQI WG Mission and Charter Uploaded to CQI Document Site
- Minor modifications were recommended which are posted in the document as tracked changes on the documents page. On approval Floyd will send a final update.
- Mostly stylistic changes so will go to TSC right away.
- KP makes the motion to approve the changes. Bryn seconded.
- 16 Approved, 0 abstain, 0 against
- 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)
- 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 15, 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: July 20, 2018