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Clinical Quality Information Work Group

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HL7 Clinical Quality Information (CQI) Work Group Wiki

The Clinical Quality Information Work Group Mission and Charter:

(Updated and Approved May 20, 2016)

Mission
The mission of the Clinical Quality Information Workgroup is to create and maintain information technology standards in support of measuring and improving health, health care and health care quality, including fostering collaboration and alignment among stakeholders addressing clinical decision support, quality measurement, outcomes, and improving clinical workflow.
Charter
The Clinical Quality Information Workgroup will coordinate activities with other workgroups to establish and maintain standards that support directed queries, clinical decision support artifacts and data sharing to determine the effectiveness of health processes and achievement of outcomes. The result of coordination of efforts will encourage harmonized standards to manage data capture, clinical workflow and interoperability.
Work Products and Contributions to HL7 Processes
The Clinical Quality Information workgroup will coordinate with all relevant groups to
1. Provide required domain expertise in development, maintenance and enhancement of standards;
2. Create and maintain HL7 standards related to health quality measurement and reporting;
3. Harmonize standards with clinical decision support to enable improvement in health care processes and health outcomes.

Co-chairs:

(CQI Co-chair Page):

Previous Co-chairs:
Walter Suarez, Crystal Kallem, Chris Millet, KP Sethi

CQI Workgroup Meetings:

Conference Calls
Fridays from 1:00 - 3:00 pm ET US
Dial in: 770-657-9270
Passcode: 217663
Webinar https://join.freeconferencecall.com/hl7cqi

Recurring Monthly Conference Call Topics
First Friday of each month - STU comments (if any)
Second Friday of each month - Industry updates


Face-to-face Working Group Meetings (WGM)
Next HL7 WGM
September 29 - October 5, 2018 (CQI meeting October 1-4, 2018)
Baltimore, Maryland, USA

Clinical Quality Information WGM Agendas

Minutes for CQI Workgroup WGM and Conference Calls 30 March 2018 and Earlier
Clinical Quality Information WGM and Conference Call Minutes Through March 2018

CQI WG Conference Call Agendas and Minutes 6 April 2018 and Forward

Clinical Quality Information Conference Call Agendas and Minutes April 2018 Forward

Implementation-Related Listserves

  • fhir-cri - FHIR-based Clinical Reasoning Implementers - The purpose of this list serve is for discussions and information sharing among implementers of FHIR-based clinical reasoning content (including CQF-on-FHIR and QI Core/QUICK). Requests for updates or modifications to existing standards will still require entry of issues on the respective HL7 STU sites. The CQI Workgroup provides this service to enable communication among implementers.
  • hqmf-qrda - HQMF-QRDA Implementers - The purpose of this list serve is for discussions and information sharing among implementers of HL7 standards used for clinical quality measurement and reporting, specifically HQMF and QRDA. Requests for updates or modifications to existing standards will still require entry of issues on the respective HL7 STU sites. Specific issues about standards and about individual measures should still be addressed through the ONC Jira process. The CQI Workgroup provides this service to enable communication among implementers.

Interest Groups:

Behavioral Health HL7 Interest Group

CQI Work Group Projects:

  • Clinical Quality Framework (CQF) Overview - Follow the CQF link to review all CQI and CDS activities to harmonize standards for clinical decision support and clinical quality measurement.
  • Alignment of Health Quality Related Standards - based on discussions at the Sept. 2013 WGM with CDS and SDWG, new Project Scope Statements were identified to help move forward with aligning the health quality standards. The following are the links to the different project pages:
  • FHIR-Based Clinical Quality Framework (CQF on FHIR) (Shared Sponsorship with CDS WG)
    • FHIR eCQM
      • Official Name: HL7 FHIR® Implementation Guide: Clinical Quality Framework (CQF on FHIR), Release 1 (PI ID: 1234) (Co-Primary with CDS)
      • Currently managed as FHIR Clinical Reasoning Module in FHIR 2.0, FHIR 3.0 and FHIR 4.0
      • This project is to define FHIR profiles for represent electronic clinical quality measures, requests for execution, and the measure reports themselves. Initially balloted for comment September 2015, it has been combined with the FHIR CDS into the FHIR-Based Clinical Quality Framework (CQF on FHIR).
    • Project wiki page
    • FHIR on CDS
      • Initially balloted for comment September 2015, it has been combined with the FHIR eCQM into the FHIR-Based Clinical Quality Framework (CQF on FHIR).
  • CQL-based HQMF 
- US Realm (PI ID: 1142)


  • Measure Reports Profile (Withdrawn)
    • This project has been withdrawn. It was initiated to explore creating a FHIR Profile for representing measure reports. The project is is subsumed by the FHIR eCQM Profile which includes definition of a quality measure and a measure report. As of January 2016, the FHIR eCQM and FHIR CDS projects have merged into a single project, the FHIR-Based Clinical Quality Framework (CQF on FHIR).
    • project wiki page
  • Other Co-sponsored Projects:
    • 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)
  • QRDA Use Cases White Paper
    • QRDA Use Cases White Paper
    • Official name: HL7 CDA® R2 Implementation Guide: Supplemental QRDA Clinical Quality Data Sharing User Guide, Release 1 (PI ID: 1215)
    • Development of a white paper describing additional use cases for QRDA in preparation for January 2016 Ballot
      • The ballot was submitted for the January 2016 cycle. Finalization of ballot comment reconciliation is pending.
  • Whitepaper: A Framework for Standards to Report Quality Measures




  • Hospital Outpatient Prospective Payment System (OPPS) Notice of Proposed Rule-making (NPRM) - Topics related to Hospital Outpatient Quality Reporting






CQI Wiki maintenance ideas

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