26 October 2018 CQI Conference call Minutes

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10.26.18 - CQI Conference Call Agenda

HL7 Clinical Quality Information Workgroup
10.26.18 – 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: KP

Minutes:

FHIR Data Exchange for Quality Measures (project 1429)-Viet/ Bryn

• Ballot Reconciliation Deferred until November 2, 2018
• Discuss potential expansion for individual and aggregate quality reporting
  • Davinci doing use case 4 discovery work. That would be a good place to do project calls. Prioritize the DEQM measures that will be used.
  • Asking the group if its ok that it takes 2-3 weeks until the discovery will be done.
  • The DEQM defines the framework and every time a new quality measure is based on the DEQM framework, does that live outside fo the IG/Framework? Dont want to ballot the IG every time.
  • QRDA doesn't define the a QRDA report for each eCQM. DEQM should do the same - define the framework but not have a profile per measure.
  • Bryn recommends separating concerns so that a general framework can be defined that doesn't change per measure. it supports a known set of measures and is a general framework.
  • Perhaps we need a guidance document that exists b/w DEQM and the specific quality measure that you want to support.
  • General concepts need to be sorted out - i.e. how does the framework work and what the structure is.
  • Gaps in Care might get included in the Davinci use case for reporting/DEQM - Viet to reach out to KP.

FHIR clinical reasoning tracker items - Bryn

• 18236 Define profiles in support of aggregate data exchange
  • Found Persuasive
  • No change required at this time.
  • Bryn Moved, KP seconded.
  • 23 Approved, 0 Abstain, 0 Against
• 19238 Fix History file (conflated with CRD)
  • skipped - Davinci related. Will do it as part of davinci reconciliation.
• 18084 Consider changing the Coverage.type binding to the CMS Payer value set
  • Found Persuasive
  • Gaye Moved, Bryn seconded.
  • 21 Approved, 0 Abstain, 0 Against
• 17623 Support multiple components per stratifier
  • Found Persuasive with Mod
  • Bryn Moved, Stan seconded.
  • 22 Approved, 0 Abstain, 0 Against

Draft QRDA Category I STU 5.1 for review (Yan) 

• Review of changes
• Consider initiating QRDA Category I STU 5.1 Update 2-week comment period
  • QRDA Category I STU 5.1 Update Comment Page
  • Yan presented the QRDA I Comments page. Majority of the comments are minor. No further discussion besides what is on the comments page (link above).
  • Members are encouraged to post comments on this page. They will then be discussed on the CQI call for resolution and disposition.
  • As part of CDA MG, Yan will post all the previous released versions of QRDA I (a product table) on the product page. Product page will list all the versions of QRDA published. CCDA product page is doing something similar.

Confirm - no Notification of Intent to Ballot (NIB) for CQI for January 2019 ballot cycle

• NIB deadline - 10/28/2018
  • None

Confluence is coming!

• Confluence will replace the Wiki for agendas and the HL7 work group page for document posting
• Please sign up for an account here
• Draft confluence page available here
  • Floyd walked the group through the CQI Confluence Page.
  • As of January meeting also switching to HL7 free conference call and confluence.

No Project updates or other business.