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14 December 2018 CQI Conference call Minutes

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December 14, 2018 - CQI Conference Call Meeting Minutes

HL7 Clinical Quality Information Workgroup
December 14, 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

December 14th 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
Alex Liu EPIC aliu@epic.com
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 yes
Bo Borgnakke Michigan Shared Services Network borgnakke@mihin.org
Bob Dieterle Enable Care, LLC rdieterle@enablecare.us
Bob Keyes Telligen bkeyes@telligen.com
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
Craig Newman Altartum craig.newman@altarum.org yes
Crystal Kallem CK Consulting crystal.kallem@ckconsultingllc.com
Dan Donahue ESAC dan.donahue@esacinc.com
David Sundaram-Stukel EPIC dsandara@epic.com
Floyd Eisenberg iParsimony, LLC FEisenberg@iParsimony.com yes
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
isabel Zaru-Roque ESAC isabel.zaru-roque@esacinc.com yes
James Bradley Mitre jhbradley@mitre.org
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
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
Kurt Allen US Dept of Veterans Affairs kurta@gjoll.com
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
Matthew Tiller ESAC matthew.tiller@esacinc.com yes
Michael Okeefe MITRE mokeefe@mitre.org yes
Mike Hunt Experian mike.hunt@experian.com
Mia Nievera The Joint Commission mnievera@jointcommission.org
Mitra Biglari The Joint Commission mbiglari@jointcommission.org
Nancy Whipple GE nancy.whipple@ge.com yes
Nick Radov UHC nradov@uhc.org
Pamela Mahan-Rudolph Memorial pamela.mahanrudolph@memorialhermann yes
Patty Craig The Joint Commission pcraig@jointcommission.org
Paul Denning MITRE pauld@mitre.org yes
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
Rob McClure MD Partners Inc rmcclure@mdpartners.com
Robert Samples ESAC Inc robert.samples@esacinc.com
Rukma Joshi ESAC Inc rukma.joshi@esacinc.com
Ryan Clark NCQA ryan@ncqa.org
Sam Sayer Mitre ssayer@mitre.org
Stan Rankins Telligen SRankins@telligen.com yes
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 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
Zach May ESAC Inc zachary.may@esacinc.com yes

Meeting Minutes

  • Roll call and agenda review
  • Viet gave an update to DEQM
    • Thinking of developing reusable patterns
    • DaVinci project is thinking of to start with colon cancer screening quality measure. Then possibly to move on to breast cancer screening.
    • DEQM Project Call has been set up. See DEQM project call details below:
    • Floyd asked about if gaps in care is still in scope. Viet indicated that gaps in care is one of the 2019 projected use cases that DaVinci project would initiate. Good discussions around gaps in care occurred during the Quality Summit, they captured items such as what does it mean, work flow, etc.
    • Floyd also asked Viet which quarter on which day would be good to discuss DEQM during Jan 2019 HL7 WG meeting, so we can add in schedule. Viet will let the WG know.
  • Floyd announced that a sub group project call has been set up to discuss Composite Scoring.
    • Details of the Composite scoring project call: (Tuesdays at 10:15a ET)
    • QUICK (to be scheduled)
    • FHIR measures (time: potentially use second half Friday CQI meetings)
  • QI CORE STU link - consideration for vote
    • QI Core STU 3.2 Update is now available for two-weeks Members Only review, here is the link to the specification: http://build.fhir.org/ig/cqframework/qi-core/. An HL7 wiki comment page (http://wiki.hl7.org/index.php?title=QI_Core_STU_3.2_Update_Comment_Page) is also now available with instruction for submitting comments.
    • This STU update to the QI-Core profiles incorporates updates to the US-Core profiles, version 1.1.0. Specifically, it changes the QICore-Encounter and QICore-PractitionerRole profiles to be derived from the new USCore-Encounter and USCore-PractitionerRole profiles, rather than directly from the base resources, as well as changes the QICore-Coverage profile type element to bind to the SOP Payer value set.
    • The CQI WG reviewed the following tracker items:
      • FHIR Tracker ID 19770
        • Yan made the motion to approve as Persuasive/Juliet seconded: Approve/Abstain/Oppose: 21/0/0
      • FHIR Tracker ID 19778
        • Paul Denning made the motion to approve as Persuasive/Anne Smith seconded: Approve/Abstain/Oppose: 21/0/0
      • FHIR Tracker ID 19777
        • Ben Hamlin made the motion to approve as Persuasive/Paul Denning seconded: Approve/Abstain/Oppose: 21/0/0
      • FHIR Tracker ID 19776
        • Paul Denning made the motion to approve as Persuasive/Juliet seconded: Approve/Abstain/Oppose: 21/0/0
      • FHIR Tracker ID 19706
        • Ben Hamlin made the motion to approve as Persuasive/Anne Smith seconded: Approve/Abstain/Oppose: 21/0/0
      • FHIR Tracker ID 19705
        • Anne Smith made the motion to approve as Persuasive/Thom Khun seconded: Approve/Abstain/Oppose: 21/0/0
      • FHIR Tracker ID 19704
        • Juliet made the motion to approve as Persuasive/Linda Michaelsen seconded: Approve/Abstain/Oppose: 21/0/0
      • FHIR Tracker ID 17577
        • No resolution is reached for this issue. Today's discussions are documented in the tracker item itself.
    • It is decided that we will not move forward with approving QI-Core STU today, will review the tracker items more later.
  • Comments on ONC Draft for Public Comment "Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs"
    • CDS Workgroup initiated comments on Wednesday, December 12: Google Docs Comment Document
    • Floyd led the discussions of reviewing the document and added comments during the call to the google docs directly.
      • Added comment to Strategy 3, Recommendation 1: Consider the feasibility of adopting a first-year test reporting approach for newly developed electronic clinical quality measures.
      • Added comment to Strategy 3, Recommendation 2: Continue to evaluate the current landscape and measurement and provide a roadmap toward increased electronic reporting through the eCQM Strategy Project.
      • Added comment to Strategy 3, Recommendation 3: Explore alternate, less burdensome approaches to electronic quality measurement through pilot programs and reporting program incentives.
  • Review San Antonio schedule
    • Found on confluence here
  • 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


  • Notifications and Announcements
    • Meetings for the remainder of 2018 - 12/21 and 12/28 - who will be in the office?
    • Balloting Milestones
      • December 7, 2018 – January 7, 2019 – January ballot open for comments and voting
  • Meeting adjourned at 3pm ET. Next CQI WG meeting will be on December 21st, 2018