21 December 2018 CQI Conference call Minutes

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December 21, 2018 - CQI Conference Call Meeting Minutes

HL7 Clinical Quality Information Workgroup
December 21, 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
Ann Phillips	NCQA	phillps@ncqa.org	yes
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	yes
Chana West	ESAC Inc	chana.west@esacinc.com	yes
Claudia Hall	Mathematica	chall@mathematicampr.org
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	yes
Floyd Eisenberg	iParsimony, LLC	FEisenberg@iParsimony.com	yes
Fareeda Nazeer	The Joint Commission	fnazeer@jointcommission.org	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
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
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	yes
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
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
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	yes
Robert Samples	ESAC Inc	robert.samples@esacinc.com	yes
Rukma Joshi	ESAC Inc	rukma.joshi@esacinc.com
Ryan Clark	NCQA	ryan@ncqa.org
Sam Sayer	Mitre	ssayer@mitre.org	yes
Stan Rankins	Telligen	SRankins@telligen.com
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
Zabrina Gonzaga	Lantana Consulting Group	zabriana.gonzaga@lantanagroup.com	yes

Meeting Minutes

• Roll call and agenda review

• Unresolved QI CORE-Related FHIR Tracker Items Review
  • 19682
    • Bryn made a motion to approve as persuasive. Ben Hamlin seconded. Approve/Abstain/Oppose: 19/0/0
  • 19642
    • Agreed and change mapping as suggested as the interval between the start of "MedicationRequest.dispensePeriod.validityPeriod and ending after the MedicationRequest.expectedSupplyDruation. This change has already been pre-applied.
    • Bryn made a motion to approve as persuasive. Rob Samples seconded. Approve/Abstain/Oppose: 20/0/0
  • 19641
    • The change has already been pre-applied. Agreed with the resolution.
    • Bryn made a motion to approve as persuasive. Chana West seconded. Approve/Abstain/Oppose: 20/0/0
  • 17577
    • This was reviewed during the last CQI call but did not vote for. Continued discussion this week.
    • Bryn made a motion to approve as persuasive with mod. Rob McClure seconded. Approve/Abstain/Oppose: 21/1/0
    • US Core is now owned by the Structured Document WG.
  • 17325
    • Bryn indicated that this tracker item will be deferred and this does not apply to STU3.2. It will be addressed in STU4.

• QI Core STU link - consideration for vote
  • (Information included for reference purpose: QI Core STU 3.2 Update was available for two-weeks Members Only review, the link to the specification: QI Core STU 3.2. HL7 wiki comment page was setup with instructions for submitting comments and summary of the updates that were incorporated: 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.)
  • Bryn made a motion to approve the STU 3.2 update for publication. Rob Samples seconded. Approve/Abstain/Oppose: 22/0/0
  • Floyd reviewed QI Core Update STU 3.2 Publication Request Form.
    • Bryn made a motion to approve the STU 3.2 Publication Request Form. Thom Kuhn seconded. Approve/Abstain/Oppose: 23/0/0

• Review Structured Documents and Public Health PSS for National Health Safety Network and consider CQI as an interested party [Zabrina Gonzaga, Lantana]
  • Zabrina reviewed the PSS. Under this PSS, there will be two implementation guides: "HL7 Implementation Guide for CDA® Release 2: NHSN Healthcare Associated Infection (HAI) Reports for Long Term Care Facilities (LTCF-CDA) and HL7 Implementation Guide for FHIR® Release 4: NHSN Healthcare Associated Infection (HAI) Reports for Long Term Care Facilities (LTCF-FHIR)"
  • Zabrina indicated that this is for long care care, and would like the CQI WG to be aware of this project. This is planned for Jan 2018 WG ballot.
  • Zabrina asked if the CQI WG is interested in being listed as Interested Party.
  • Juliet Skapik indicated that she thinks this is relevant to what CQI is doing, and would be favor of listing as interested party.
  • There is no existing measure specifically related to this project, but there are some interests expressed on the call to be as interested party, but not enough support to be as co-sponsor of this PSS.
  • Juliet Skapik made a motion to have the CQI WG to be listed as an Interested Party on the PSS/Bryn seconded the motion but with this amendment: where profiles are considered for this project, it should consider US Core profiles for any overlaps and gaps. Juliet agreed with adding the amendment to the motion. Approve/Abstain/Oppose: 20/0/0

• Informational: CQI and CDS Comments submitted to the HL7 Policy Committee 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, CQI added comments on Friday, December 14, CDS continued to comment on Wednesday, December 19: Google Docs Comment Document
  • Floyd asked the group if anyone is interested in having a call on 12/28/2018 to review the comments. Decided to not review the comments here in the call today and not have call on 12/28 to review further. Instead, will ask everyone to review the email that Bryn sent out to the listserv and comment individually directly if there are additional comments.

• Floyd reviewed the San Antonio Jan 2019 Working Group Agenda
  • Some modifications are made to the agenda directly during the call based on the discussions. The up-to-date Working Group Agenda can be found on confluence: San Antonio Jan 2019 Working Group Agenda

• Sub groups for ballot content refinement
  • Composite scoring project subgroup weekly call
    • Call minutes can be found on confluence: Composite Measures in CQL SubGroup
      • Tuesdays December 18, 2018 and January 8, 2019 from 10:15 to 11:15 AM ET US
      • Webinar http://gotomeet.me/alphora
  • DEQM Project Call Details:
    • First call on Thursday, December 20th, 3 - 4 PM ET and subsequently every Thursday at 3 - 4 PM ET
    • Meeting Minutes of the December 20th call December 20th DEQM Meeting Presentation Slides
    • https://www.gotomeet.me/DaVinciTechnical
    • United States: +1 (646) 749-3122
    • Access Code: 255-559-629
    • The recurring call details is available on HL7 website Conference Calls Center
  • QUICK (to be scheduled post discussion at the HL7 WGM in San Antonio)
  • FHIR measures (time: potentially use second half Friday CQI meetings

• Floyd asked group for anything to add before adjourn
  • Rob McClure made an announcement that NLM has announced yesterday the launch of Intensional Value Set Definition Functionality in the VSAC Authoring Tool.
    • (From the NLM annoucement: Through the VSAC Authoring user interface, value set authors can algorithmically define value sets with logical rule-based Boolean clauses and hierarchy operators, leveraging the structure and hierarchies of terminologies. Logically-defined value sets, combined with the value set author’s guidance, can incorporate future changes as terminologies evolve to add or remove concepts, increasing efficiency and accuracy of value set creation and maintenance.)
  • Bryn told the group that both the CDS Hook and FHIR Path ballot reconciliation packages are posted. Notifications should have been received for those who need to withdraw their negative votes.
  • Yan mentioned that Viet's presentation slide deck from Thursday's DEQM meeting (12/20) was uploaded to the CQI WG document area, the link to the slide deck is included in this meeting minutes.

• Confluence is coming!
  
  • Note that this item not reviewed in the meeting, but keeping it here in the minutes for reference.
  • 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

• CQI Project Updates
  
  • CQI Project Updates linked to Confluence here

• Notifications and Announcements
  
  • Cancel December 28, 2018 Meeting
  • Next CQI WG meeting - January 4, 2019
  • Balloting Milestones
    • December 7, 2018 – January 7, 2019 – January ballot open for comments and voting

• Meeting adjourned at 2:38 pm ET. Next CQI WG meeting will be on January 4th, 2018

Happy Holidays!