7 September 2018 CQI Conference call Minutes

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DRAFT Sept 7, 2018 - CQI Conference Call Minutes

HL7 Clinical Quality Information Workgroup
Sept 7, 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: Patty

Roll Call

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	yes
Chana West	ESAC Inc	chana.west@esacinc.com
Claudia Hall	Mathematica	chall@mathematicampr.org	yes
Crystal Kallem	C K Consulting, LLC	crystal.kallem@ckconsultingllc.com	yes
Dan Donahue	ESAC	dan.donahue@esacinc.com
David Sundarum-Stukel	Epic	dsundara@epic.com
Floyd Eisenberg	iParsimony, LLC	FEisenberg@iParsimony.com	yes
Gay Dolin	IMO	gdolin@imoonline.com
George Dixon	Allscripts	george.dixon@allscripts.com	yes
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
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
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
Mike Hunt	Experian	mike.hunt@experian.com
Mia Nievera	The Joint Commission	mnievera@jointcommission.org	yes
Mitra Biglari	The Joint Commission	mbiglari@jointcommission.org
Myron Finseth	Medtronic	myron.finseth@medtronic.com
Nick Radov	UHC	nradov@uhc.org
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	yes
Rathore Garima		rathore.garima1@gmail.com
Rebeccah Baer	NCQA	baer@ncqa.org	yes
Rich Boyce		codehop.dev@gmail.com
Richard Tran	Asymmetrik	rtworkmails@gmail.com
Robert Samples	ESAC Inc	robert.samples@esacinc.com
Rukma Joshi	ESAC Inc	rukma.joshi@esacinc.com
Sam Sayer	Mitre	ssayer@mitre.org
Stan Rankins	Telligen	SRankins@telligen.com	yes
Steve Hufnagel		steve.hufnagel.hl7@gmail.com	yes
Sue Kent	CCF	kents@ccf.org
Sweta Ladwa	ESAC inc	sweta.ladwa@esacinc.com
Thomas Reese	U of Utah	thomas.reese@hsc.utah.edu
Traci Psihas	ESAC	traci.psihas@esacinc.com
Thomson Kuhn	ACP	tkuhn@acponline.org	yes
Viet Nguyen	Strata Metrics	vietnguyen@stratametrics.com
Walter Suarez	Kaiser Permanente	walter.g.suarez@kp.org	yes
Yan Heras	Optimum eHealth	yanheras@gmail.com	yes
Yanyan Hu	The Joint Commission	yhu@jointcommission.org	yes
Zach May	ESAC Inc	zachary.may@esacinc.com	yes

Agenda

	Agenda Item
1	Roll call
2	ONC Interoperability Standards Advisory (ISA) [Led by Walter Suarez] ISA Website HL7 Comments on ONC’s 2018 ISA Advisory ONC issued a request for information (RFI) on criteria to measure the performance of certified electronic health record technology (CEHRT). The Cures Act requires that health IT developers report information on certified health IT as a condition of certification and maintenance of certification under the ONC Health IT Certification Program. Walter walked through the different areas of the ISA Advisory CQI discussed the different areas and identified a number of comments that CQI will provide to HL7 for their inclusion in the combined HL7 comments that will be provided to ONC. Comments includes updates to Adoption Level for currently listed standards and addition of new versions of existing standards and new standards Walter will create an updated document based upon today's discuss and will present it next week for final review and approval by CQI
3	STU Comments - First Friday of the Month CQL-based HQMF STU 3 Comment 1633 Comment is a Clarification, Persuasive with Mod Moved by Bryn Rhodes, seconded by Anne Smith No further discussion Abstain: 2, Opposed: 0, Affirmative: 19 Comment 1634 Comment is an Errata, Persuasive Moved by Bryn Rhodes, seconded by Anne Smith No further discussion Abstain: 1, Opposed: 0, Affirmative: 20 QDM-based HQMF STU 1.4 No new comments as of September 7, 2018 QRDA Category III STU 2.1 No new comments as of September 7, 2018 QRDA Category III STU 2.0 No new comments as of September 7, 2018 QRDA Category I STU 4.0 No new comments as of September 7, 2018 QRDA Category I STU 5.0 Comment 1632 Comment is an Errata, Persuasive Moved by Yan Heras, seconded by Anne Smith No further discussion Abstain: 1, Opposed: 0, Affirmative: 21
4	Review RDAM Immunization Report White Paper (Steve Huffnagel) - for comments and feedback - Immunization Pilot White Paper September 2018 Steve presented the White Paper Discussion occurred related to the usage of the term 'maturity' related to CQI standards and add missing CQI works (.e.g, Clinical Reasoning). Next cycle, the White Paper group will clinical validate the artifact and update the White Paper based upon findings. It was stated that the White Paper group needs to work with Public Health to ensure their activities are represented within the White Paper.
5	Request for CQI member agenda items for CQI Baltimore HL7 Work Group Meeting Agenda Open discussion
6	Project Updates CQI Project Updates 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) FHIR IG for Exchange of Data for Quality Measures (PI ID: 1429) - Currently in ballot Gaps in Care (PI ID: 1427) Co-sponsored Project Updates (5 min) 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) Evidence-Based Medicine on FHIR (CDS sponsor, CQI co-sponsor) EBM on FHIR Project Initiation Tasks (Project ID 1422)
7	Notifications Ballot opens – August 24, 2018 – September 24, 2018 WGM – September 29 - October 5, 2018 (Baltimore, MD) Next CQI Workgroup Call: September 14, 2018