Date: May 24th, 2023

Time: 3:30pm ET

Attendees (11)

Name AffiliationRoleAttended?

Randi Kudner

ASTRO

Champion / Primary Point of Contact

X

Samantha Dawes

ASTRO

Champion


Charlotte RaleyASTROASTRO measures and RT Support

Stephanie Jones

ASCO

Champion / Primary Point of Contact

X

Caitlin Drumheller

ASCO

ASCO Measure SME

X

Yvette Apura

ASCO

Clinical Informaticist / ASCO Measure SME

X

Becky Metzger

Telligen

Champion / Primary Point of Contact

X

Gail Winters

Telligen

Technical SME

X

Sharon Labbate

Telligen

Technical / Terminology SME


Jessica PughTelligenProject Management for Telligen-focused tasksX

Dennis Blair

Evernorth

Champion / Primary Point of Contact


Rick Emery

Evernorth

Champion


Dr. Mary Kay Barton

Evernorth

Medical Oncology SME

X

Dr. Vik Shah

Evernorth

Medical Oncology SME / Cigna Representative


Dr. Nimi Tuamokumo

Evernorth

Radiation Oncology SME


Sondra Berger

Evernorth

Business Development


Sharon Sebastian

MITRE

Clinical Informaticist / Terminology Support

X

Rob Dingwell

MITRE

Technical Support

X

Anthony DiDonato

MITRE

Project co-Coordinator

X

Doug Williams

CentanniPark

Project co-Coordinator


Action items

  •  See below

Planned Agenda Topics (Anthony to lead)

  1. Review action items from previous 5/10 Full Member meeting: 2023-05-10 Quality Measures Full Member Meeting (All)

Complete


  1. Draft agenda for 6/7 QM Demo (Gail Winters )
    1. Review measure narrative spec

    2. Review CQL / FHIR conversion

    3. Review where bundles are stored in AWS (brief)

      1. How to upload bundle, etc.
      2. # of test cases (from ASCO) used for this demo
    4. Evaluate measure from AWS environment / measure report

    5. Review FHIR resource itself

    6. Then, go to dashboard from AWS environment, and review results

Gail to connect with ASCO team (Caitlin) regarding ASCO measures used in the demo. 

Anthony to share recording with Yvette for when she returns to office June 11th (for offline review/feedback)


  1. mCODE Executive Committee - Quality Measures presentation - ASCO on June 2nd

Karen Hagerty, staff lead for mCODE EC team, asked ASCO to provide QM update. 


  1. USCDI+ Quality public comment opportunity (Stephanie Jones)
    1. See table below for additional details


Use "CodeX HL7 FHIR Accelerator" as signatory for pan-CodeX response

  • Consolidate all responses from CodeX members


  • Completeness: "Yes we love these" + if there is anything incomplete + rationale why its incomplete 
  • Specificity: 
  • Usefulness: 


Interested in responding: 

  • Prior Auth → Randi to connect 
  • RTTD → Sharon and Randi to connect 
  • Quality Measures → informed 

Overarching feedback: need for implementation timeline of subsequent versions. USCDI v1 required, but when for v2, v3, etc.? 


Anthony DiDonato  → see below notes for next steps


  1. Discuss call with PQA leadership
    1. Next steps: the CodeX Quality Measures team is meeting on Wednesday (5/24) and we will use part of our call to identify/define where both PQA and ONC could fit into the workflow or phases of work. We will focus on clarifying questions, such as: is there a quick turn of the crank that ONC could neatly fold into by end of the fiscal year (i.e., testing on datasets, etc.)?

    2. Next steps: I also tracked a second action item for @Lisa Hines to connect with @Stephanie.Jones@asco.org at ASCO to learn more about how ASCO is engaging with CodeX on the Quality Measures use case.
    3. See notes here: https://app.hubspot.com/contacts/8047841/company/15393321234


PQA reached out to Stephanie on LinkedIn. 


  1. Prepare for QM Public Call
    1. Outreach list: Quality Measures Outreach
      1. InfoWerks, CodeX D/I member, is interested in learning more during the demo and discussing how they can collaborate
    2. Timeline for Phase 0 roll-out
      1. Finalize Phase 0 demo
        1. 5/24 internal Full Member call
        2. 6/7 internal Full Member call, as well? 
      2. Receive confirmation from CodeX PM about QM use case moving Planning stage
      3. Target QM Public Call mid- to late-June?
        1. Next steps:
          1. prepare outreach list
          2. set-up meeting invite
          3. confirm content
          4. prepare Public Call materials during 5/31 + 6/14 + 6/28 calls?
        2. Content topics:
          1. overview/background of CodeX and QM use case
          2. progress to date (Phase 0 completion and move to Planning stage)
          3. Demo of Phase 0 
          4. Future plans – Phase 1 modeling of radiotherapy measures
          5. Call to Action - request for new orgs - vendors, etc. 

Team agrees with Public Call plans/content


  1. ASCO Quality Care Symposium 2023 - begin drafting abstract submission 
    1. Abstract Category: Quality, Safety, and Implementation Science
      1. "Standardization and Technology Efforts to Improve Safety"
    2. Abstract Details: 
      1. Each submission is allowed a maximum of 2,600 characters
      2. Sections include: Background, Methods, Results, Conclusions
      3. https://asco.confex.com/asco/qcs2023/sci/papers/index.cgi?stepsonly=1&username=427596&password=748817

As we build out the abstract submission, here is some content to pull from: Quality Measures - Use Case Development Guidelines Checklist


DateUSCDI+ Quality Public Comment details

 

SUMMARY: CMS/ONC’s USCDI+ Quality initiative has released its USCDI+ Quality data element list and is seeking comments on its level of completeness, level of specificity, and usefulness of companion guidance. https://ecqi.healthit.gov/uscdi-quality. Public comment is open until Jun 16. Must have a valid Jira account to submit comments.


Of note, the following mCODE fields are included:

Draft USCDI+QM

 

Data Class

 

Draft USCDI+QM

Data Element USCDI Level Source

Cancer Care

Primary Cancer Condition

Level 2

mCode

Cancer Care

Secondary Cancer Condition

Level 2

mCode

Cancer Care

Radiotherapy Course Summary

Comment

mCode

Cancer Care

Radiotherapy Volume

Comment

mCode

Cancer Care

Cancer Stage Group (non- TNM staging classification systems)

Comment

mCode

Cancer Care

M-Stage

Comment

mCode

Cancer Care

N-Stage

Comment

mCode

Cancer Care

T-Stage

Comment

mCode


Others collecting comments that I know about:

  • Karen Hagerty has added this to the agenda for the mCODE meeting that is being held at our Annual Meeting on Fri, June 2.
  • This is being brought forward to the Registry Coalition to see if there is interest in doing a joint letter.
  • College of American Pathologists (CAP) has shared they plan to submit comments.
  • Battelle who manages the Gordon and Betty Moore Grantees (of which ASCO is one), is also collecting comments and asked that we send by COB on Thursday, June 15 to be included in their response.


TO NOTE: anything CodeX QM team submits would not be able to come from MITRE. We could address the submission on behalf of, for example, “the CodeX HL7 FHIR Accelerator” so long as someone with an active JIRA account is able to submit.


Use "CodeX HL7 FHIR Accelerator" as signatory for pan-CodeX response

  • Consolidate all responses from CodeX members


  • Completeness: "Yes we love these" + if there is anything incomplete + rationale why its incomplete 
  • Specificity: 
  • Usefulness: 


Interested in responding: 

  • Prior Auth → Randi to connect 
  • RTTD → Sharon and Randi to connect 
  • Quality Measures → informed 

Overarching feedback: need for implementation timeline of subsequent versions. USCDI v1 required, but when for v2, v3, etc.? 









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