Clinical Quality Information Work Group

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HL7 Clinical Quality Information (CQI) Work Group Wiki

See https://confluence.hl7.org/display/CQIWC/Clinical+Quality+Information+WG+%28CQI%29+Home

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):

• Floyd Eisenberg
• Juliet Rubini
• Patty Craig
• Paul Denning
• Yan Heras

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:
  • CQI Common Metadata
  • Harmonization of Health Quality Information models
    • QI Core
      • QI Core STU 3.2 Update Comment Page
    • Official Project Name: HL7 FHIR® Profile: Quality, Release 1 - US Realm (PI ID: 1125)
    • Coordinating efforts to align QI Core with US Core (a US Realm Task Force Project) and with CIMI Logical Models.
  • Expression Logic Harmonization - Clinical Quality Language
    • Official Name: HL7 Cross-Paradigm Specification: Clinical Quality Language, Release 1 (PI ID: 1108) (CDS Primary, CQI co-sponsor)
  • Health Quality Measure Format (HQMF)
    • Official Project Name: HL7 Version 3 Standard: Representation of the Health Quality Measures Format (eMeasure), Release 1 (PI ID: 508)
    • Balloted in the January 2017 cycle as a normative standard. Ballot reconciliation is complete and final preparation of the publication package is in progress.

• 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
  • Official Project Name: HL7 Version 3 Implementation Guide: Clinical Quality Language (CQL)-based Health Quality Measure Format (HQMF), Release 1
  • CQL-based HQMF 2.1 Update Comment Page
  • CQL-based HQMF STU3 Errata Update Comment Page

- US Realm (PI ID: 1142)

• QRDA
  • QRDA Category I STU 5.1 Update Comment Page

• 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 Category I, Release 3
  • Official Project Name: HL7 CDA® Release 2 Implementation Guide: Quality Reporting Document Architecture Category I (QRDA I) Release 1, STU - Currently Release 3.1 is in use in the US for measure reporting. Release 4 was published in December 2016 for quality reporting in the 2018 timeframe in the US - US Realm (PI ID: 210)
  • The scope of this project is to create an update to the Quality Reporting Document Architecture, Release 3, DSTU.
  • QRDA Category I R3.1 Wiki Page
  • QRDA Category I R3.1 Errata March 2017 Wiki Page
  • QRDA Category I, Release 3 Project Scope Statement]
  • QRDA Category I Project Wiki Page]

• QRDA Category III
  • Official Project Name: HL7 CDA® R2 Implementation Guide: Quality Reporting Document Architecture (QRDA III), Release 1 - US Realm (PI ID: 896)
  • QRDA Category III STU2.1 Wiki Page
  • QRDA Category III R1.1 Wiki Page
  • Quality Reporting Document Architecture, Release 1 DSTU Project Wiki Page

• 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
  • [Quality White Paper]

• Related work for Coordination with QRDA Category I and III
  • CDA 2.1 Project (Structured Documents), calls Fridays, 11 AM ET URL: http://www.hl7.org/concalls/CallDetails.aspx?concall=28668

• QDM-based HQMF IG R1.2
  • Official Project Name: HL7 Version 3 Implementation Guide: Quality Data Model (QDM)-based Health Quality Measure Format (HQMF), Release 1 - US Realm (PI ID: 756)
  • QDM-based HQMF IG R1.2 Wiki Page
• QDM-based HQMF IG R1.3
  • QDM-based HQMF IG R1.3 Wiki Page
• QDM-based HQMF IG R1.4
  • QDM-based HQMF IG R1.4 Wiki Page

• Identifying use cases for Care Plans in Quality Measures

• Inpatient Prospective Payment System (IPPS) Notice of Proposed Rule-making (NPRM) – Topics related to the Hospital Inpatient Quality Reporting (HIQR) program.
  • PDF Download of the NPRM:
  • [IPPS comment spreadsheet]
  • [Comment review and submission from the HL7 Policy Advisory Committee]
  • Final HL7 public comment response - http://www.hl7.org/documentcenter/public/newsroom/HL7%20IPPS%20Comments%2006%2025%2013%20v2.pdf

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

• Physician Fee Schedule Notice of Proposed Rule-making (NPRM) - Topics related to Physician Office Quality Reporting
  • File:HL7 CQI Discussion on 2014 Medicare Physician Fee Schedule Proposed Rule...docx
  • File:DRAFT CQIWG Comments-2014 Medicare Physician Fee Schedule08142013.docx
  • File:HL7 Comment Letter-2014 Physician Fee Schedule Final for Policy Committee Review.docx

• Composite Measurement Discussion - December 2013
  • File:Composite User Technical Specification PSI.pdf
  • File:Sepsis Bundle 0500 20121031.pdf
  • File:Composite Measure Discussion Points.docx

• Voluntary 2015 Edition Electronic Health Record (EHR) Certification Criteria (NPRM)
  • File:2015 voluntary CQI comments.docx
  • File:CQI comments v2.docx
  • File:CQI comments v3.docx
  • File:CQI comments final.docx

• Archive CQI Pages
  • Expression Logic Harmonization - Initial CQL Development

CQI Wiki maintenance ideas