20 April 2018 CQI Conference Call Minutes

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CQI Minutes for APRIL 20, 2018

20 April 2018 - CQI Conference Call Minutes

HL7 Clinical Quality Information Workgroup

Friday, April 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, Walter Suarez, KP Sethi, Yan Heras

Meeting Chair: KP
Meeting Scribe: Patty

20 April 2018 - CQI Conference Call Attendance

Attendee	Attendee's Organization	Attendee's email	Present
Abrar Salam	The Joint Commission	asalam@jointcommission.org	Yes
Angela Flanagan	Lantana Consulting Group	angela.flanagan@lantanagroup.com
Ann Phillips	NCQA	phillps@ncqa.org	Yes
Anne Smith	NCQA	smith@ncqa.org	Yes
Ben Ghahhari	CMS	benjamin.ghahhari@cms.hhs.gov	Yes
Ben Hamlin	NCQA	hamlin@ncqa.org	Yes
Bryn Rhodes	ESAC	bryn@databaseconsultinggroup.com	Yes
Chana West	ESAC Inc	chana.west@esacinc.com	Yes
Claudia Hall	Mathematica	chall@mathematicampr.org	Yes
Dan Donahue	ESAC	dan.donahue@esacinc.com	Yes
Floyd Eisenberg	iParsimony, LLC	FEisenberg@iParsimony.com	Yes
Gay Dolin	IMO	gdolin@imoonline.com
Hafsa Subhan	The Joint Commission	hsubhan@jointcommission.org	Yes
Jamie Lehner	PCPI	jamie.lehner@thepcpi.org	Yes
Jenny Brush	ESAC	jennifer.brush@esacinc.com	Yes
Joe Quinn	Optum	joseph.quinn@optum.com	Yes
Juliet Rubini	Mathematica	jrubini@mathematicampr.com	Yes
Kanwarpreet Sethi	Lantana Consulting Group	kp.sethi@lantanagroup.com	Yes
Kathleen Connor	.	.
Linda Michaelsen	Optum	linda.michaelsen@optum.com	Yes
Lisa Anderson	The Joint Commission	landerson@jointcommission.org	Yes
Lorraine Constable	.	lorraine@constable.ca
Matthew Tiller	ESAC	matthew.tiller@esacinc.com	Yes
Mitra Biglari	The Joint Commission	mbiglari@jointcommission.org	Yes
Pamela Mahan-Rudolph	Memorial	pamela.mahanrudolph@memorialhermann	Yes
Patty Craig	The Joint Commission	pcraig@jointcommission.org	Yes
Paul Denning	MITRE	pauld@mitre.org	Yes
Ping Jiang	The Joint Commission	pjiang@jointcommission.org
Robert Dieterle	.	.
Robert Samples	ESAC Inc	robert.samples@esacinc.com	Yes
Stan Rankins	Telligen	SRankins@telligen.com	Yes
Sue Kent	CCF	kents@ccf.org	Yes
Sweta Ladwa	ESAC inc	sweta.ladwa@esacinc.com	Yes
Thomson Kuhn	ACP	tkuhn@acponline.org	Yes
Yan Heras	Optimum Health	yanheras@gmail.com	Yes
Yanyan Hu	The Joint Commission	yhu@jointcommission.org	Yes
Zach May	ESAC Inc	zachary.may@esacinc.com	Yes

Agenda

• Roll call
  

• Cologne WGM Agenda
  • CQI reviewed the agenda
  • Discussion about interest in potential remote access
    
    • Co-chairs will confirm that CQI members can call into both CQI and CDS co-chaired meetings with only one fee.

• STU Comment Review - Follow up from April 6 call
  
  • QRDA Category I STU 5 - 6 comment deferred from April 6
    • Comment #1562 - persuasive errata Yan moved; Paul seconded; No further discussion; 0 opposed, 0 abstention, 26 approved
      
    • Comment #1566 - referred to Structured Documents as an errata because the template is a C-CDA template Yan moved; Matt seconded; No further discussion; 0 opposed, 0 abstention, 26 approved
      
    • Comment #1565 - referred to Structured Documents as an errata because the template is a C-CDA template Yan moved; Matt seconded; No further discussion; 0 opposed, 0 abstention, 28 approved
      
    • Comment #1564 - referred to Structured Documents as an errata because the template is a C-CDA template Ann Phillips moved; Yan seconded; No further discussion; 0 opposed, 0 abstention, 28 approved
      
    • Comment #1563 - referred to Structured Documents as an errata because the template is a C-CDA template Yan moved; Matt seconded; No further discussion; 0 opposed, 0 abstention, 28 approved
      
    • Comment #1568 - persuasive errata Yan moved; Matt seconded; No further discussion; 0 opposed, 0 abstention, 29 approved
      

• Status Discussion - HL7 CDA® R2 Implementation Guide: Supplemental QRDA Clinical Quality Data Sharing User Guide, Release 1 (PI ID: 1215)
  
  • CQI has decided they will either evaluate the Guide (which needs to be posted by Monday) or vote to close the project during next Friday's call.
    

• QI Core Ballot Reconciliation - comment 15002
  
  • QRDA Category I STU 5 - Follow up from April 6 call
    
    • Comment #15002 - persuasive with mod Rob moved; Bryn seconded; No further discussion; 0 opposed, 0 abstention, 29 approved

• Continued QDM to QI Core Mapping
  • Fourth installment – QDM to QI Core Review Set 4: Encounter, Family History, Immunization, Medication, Substance
  • Documentation on CQI Wiki under Harmonization of Health Quality Information Models, updated 9 April 2018: (http://wiki.hl7.org/index.php?title=Harmonization_of_Health_Quality_Information_models)
    • CQI discussed the mapping and several decisions made by the QDM Workgroup. No further changes were made to the mapping based upon CQI discussion.
    • This concludes the mapping discussion during CQI calls.
    • Individuals may follow this work on the CMS/ONC QDM Issue Tracker

• CQI Project Updates - no updates other than those addressed above
  
  • 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)

• Co-sponsored Project Updates - no 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)

• Notifications
  
  • Ballot opens – April 6, 2018 – May 7, 2018
  • WGM – May 12 – 18, 2018 (Cologne, Germany)
    

Next CQI Workgroup Call: April 27, 2018
Meeting Adjourned: 3:02pm