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29 June 2018 CQI Conference Call Minutes
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29 June 2018 - CQI Conference Call Meeting Minutes
HL7 Clinical Quality Information Workgroup
Friday, June 29, 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: Floyd
Meeting Scribe: Yan
29 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 | yes |
| Angela Flanagan | Lantana Consulting Group | angela.flanagan@lantanagroup.com | yes |
| Ann Phillips | NCQA | phillps@ncqa.org | yes |
| 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 | yes |
| Chana West | ESAC Inc | chana.west@esacinc.com | yes |
| Claudia Hall | Mathematica | chall@mathematicampr.org | |
| 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 | |
| Howard Strasberg | Wolters Kluwer | howard.strasberg@wolterskluwer.com | yes |
| Humberto Mandirola | Biocom | hmandirola@biocom.com | |
| iIkka Kunnamo | Duodecim | jilkkakunnamo@duodecim.fl | |
| James Bradley | Mitre | jhbradley@mitre.org | yes |
| 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 | yes |
| 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 | 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 | |
| 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 | |
| Mike Hunt | Experian | mike.hunt@experian.com | |
| Mia Nievera | The Joint Commission | mnievera@jointcommission.org | yes |
| Mitra Biglari | The Joint Commission | mbiglari@jointcommission.org | yes |
| Nick Radov | UHC | nradov@uhc.org | |
| Pamela Mahan-Rudolph | Memorial | pamela.mahanrudolph@memorialhermann | yes |
| 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 | yes | |
| Rebeccah Baer | NCQA | baer@ncqa.org | |
| Rich Boyce | codehop.dev@gmail.com | yes | |
| 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 | yes | |
| Sue Kent | CCF | kents@ccf.org | |
| Sweta Ladwa | ESAC inc | sweta.ladwa@esacinc.com | yes |
| Thomas Reese | U of Utah | thomas.reese@hsc.utah.edu | yes |
| Thomson Kuhn | ACP | tkuhn@acponline.org | yes |
| Viet Nguyen | Strata Metrics | vietnguyen@stratametrics.com | yes |
| 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 |
Minutes
- Roll call
- Note - the first hour will be a combined meeting of the CQI and CDS Workgroups
- 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 1125 - QI Core - current PSS is valid, - discussed potential decision not to ballot until US Core returns to ballot (possibly January 2019)
- (Project ID 1429) - FHIR IG for Exchange of Data for Quality Measures - Still waiting for TSC approval
- (Project ID 1422) - EBM on FHIR - 1st ballot May 2019, Connectathons planned September 2018 and January 2019
- (Project ID 1427) - Gaps in Care - Still waiting for TSC approval
- Planned ballots for September 2018:
- CQL Ballot Reconciliation with CDS Workgroup
- CDS Co-chair Howard is present on the call
- Bryn Rhodes led the discussions of ballot reconciliation. The block vote spreadsheet was sent out on June 25th to the listserv. No comments were asked to be pulled out from the Block Vote #1 and #2.
- Block Vote#1 - Website comments (23 comments, Not persuasive for comments that referred to a spreadsheet or vote that was not submitted, Persuasive for the rest):
- Bryn Rhodes moved the motion to approve the Block Vote #1, Howard Strasberg seconded
- approve/oppose/abstain: 21/0/2
- Block Vote#2 - Clarification, Errata, Examples, Navigation, Typo, and Updates (90 comments, all Persuasive except for one Persuasive with Mod in the Formatting group)
- Bryn Rhodes moved the motion to approve the Block Vote #2, Howard Strasberg seconded
- approve/oppose/abstain: 20/0/3
- Comment #219 (Equality/Equivalence) was discussed individually
- Bryn Rhodes moved the motion to approve the disposition to #219, Howard Strasberg seconded
- approve/oppose/abstain: 21/0/3
- Comment #220 (Equality/Equivalence) was discussed individually
- Bryn Rhodes moved the motion to approve the disposition to #220, Howard Strasberg seconded
- approve/oppose/abstain: 21/0/3
- Comment #221 (Lists Membership/Duplicate Detection) was discussed individually
- Bryn Rhodes moved the motion to approve the disposition to #221, Howard Strasberg seconded
- approve/oppose/abstain: 20/0/5
- Comment #167 (Interval Promotion) was discussed individually
- Bryn Rhodes moved the motion to approve the disposition to #167, James Bradley seconded
- approve/oppose/abstain: 20/0/5
- Notice for Intent to Ballot (NIB) for CDS Workgroup NIB for Potential Drug-Drug Interaction (PDDI) project 1405
- Howard walked through the NIB for Potential Drug-Drug Interaction
- Howard and Richard confirmed that this NIB is for universal realm and for comment only
- CQI is an interested party to this project
- Howard made the motion to approve the NIB for the PDDI Project. Rich Boyce seconded.
- approve/oppose/abstain: 23/0/1
- Note: This concludes the CDS portion of this call.
- Howard walked through the NIB for Potential Drug-Drug Interaction
- Consider QI Core Publication Version (STU 3) Publication Draft QI Core STU 3
- Floyd showed the publication version during the call. The publication version has been available for the CQI WG review for almost two weeks.
- Yan made the motion to approve the publication version. Juliet seconded
- approve/oppose/abstain: 19/0/2
- QI Core Publication Request
- Floyd walked through the Publication Request.
- KP made the motion to approve the publication request. Gay Dolin seconded
- approve/oppose/abstain: 20/0/2
- Update Gaps in Care project
- The project is still waiting for TSC approval.
- KP gave an update to the project. Based on the feedback they have received, this project will be postponed to the January 2019 ballot cycle. They will continue to develop contents for the project as if it is still aimed for the upcoming Sept ballot.
- Update FHIR IG for Exchange of Quality Data (Viet Nguyen, Linda Michaelsen, Eric Haas)
- Viet presented the updates. Please see the FHIR Implementation Guide for Data Exchange for Quality Measures Project Update presentation slides for details.
- Will plan to submit NIBs in the next week's WG call. Floyd will follow up with TSC and find out whether two NIBs or only one NIB is needed when submit the NIB for this project.
- Consider CQI Comment for Draft Article for HL7 Newsletter - Healthcare IT Computable Interoperability Strategy Among HL7 Product Lines and Product Families (Steve Huffnagel) - Draft copy on CQI WG Document Site
- Steve gave an update of the current state of this article. Steve indicated if anyone has review comments/feedback, they could reach out to him.
- The draft article was posted to the CQI document site and has been available for review
- CQI Project Updates
- HL7 CDA® Release 2 Implementation Guide: Quality Reporting Document Architecture Category I (QRDA I) Release 1, STU Release 5 - US Realm (PI ID: 210)
- To support the QDM 5.4 updates, a STU update to the QRDA I STU 5 is anticipated in this July/August time frame. This will be the QRDA I STU 5.1.
- 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)
- To accommodate FHIR 4 udpates, a ballot will be prepared for this Sept for Clinical Reasoning
- 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)
- HL7 CDA® Release 2 Implementation Guide: Quality Reporting Document Architecture Category I (QRDA I) Release 1, STU Release 5 - US Realm (PI ID: 210)
- Co-sponsored Project 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)
- 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 6, 2018
Next CQI Workgroup Call: July 6, 2018
Meeting Adjourned: 2:53pm ET
