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Chair:  @ Juliet Rubini

Scribe: @ Yan Heras

Attendees


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AttendeeAttendee's OrganizationAttendee's emailPresent
1

Abdul Malik

Hi3 Solutions

abdulmalik.shakir@hi3solutions.com


2Abdullah RafiqiESAC

abdullah.rafiqi@esacinc.com

yes

3

Alex Liu

EPIC

aliu@epic.com


4

Andrea Pitkus

-

apitkus@gmail.com


5Andrews KanterIMO Healthakanter@imohealth.com
6

Andrey Soares

U C Denver

andrey.soares@ucdenver.edu


7

Angela Flanagan

Lantana Consulting Group

angela.flanagan@lantanagroup.com

yes
8Angie GlosteinCerner

angie.glostein@cerner.com


9

Ann Phillips

NCQA

phillps@ncqa.org


10

Anne Smith

NCQA

smith@ncqa.org


11

Apurva Dharia

ESAC

apurva.dharia@esacinc.com


12

Ben Ghahhari

CMS

benjamin.ghahhari@cms.hhs.gov


13

Ben Hamlin

NCQA

hamlin@ncqa.org


14

Bo Borgnakke

Michigan Shared Services Network

borgnakke@mihin.org


15

Bob Dieterle

Enable Care, LLC

rdieterle@enablecare.us


16

Bob Keyes

Telligen

bkeyes@telligen.com


17

Brett Marquard

River Rock Associates

brett@riverockassociates.com


18

Brian Alper

EBSCO

balper@ebsco.com


19

Bryn Rhodes

ESAC

bryn@databaseconsultinggroup.com

yes

20

Casey Thompson


casey@govhealth.com  


21

Chana West

ESAC Inc

chana.west@esacinc.com


22

Chris Moesel

MITRE

cmoesel@mitre.org


23

Claude Nanjo


cnanjo@gmail.com


24

Claudia Hall

Mathematica

chall@mathematicampr.org


25

Courtney Breece

 Inovalon

cbreece@inovalon.com 


26

Craig Newman

Altartum

craig.newman@altarum.org


27

Crystal Kallem

CK Consulting

crystal.kallem@ckconsultingllc.com


28Cynthia BartonCognitive Medicalcbarton@cognitivemedical.comyes
29

Dan Donahue

ESAC

dan.donahue@esacinc.com


30

Daryl Chertcoff 

HLN Consulting

daryl@hln.com


31

David Sundaram-Stukel

EPIC

dsandara@epic.com


32Deb HallMeditechdhall@meditech.comyes
33

Dipti Ghandi

The Joint Commission

dghandi@jointcommission.org


34

Durwin Day

BCBSA

dday@bsbsil


35

Eric Askegaard

UHG

eric_askegaard@uhg.com


36

Eric Sullivan

Inovalon

esullivan@inovalon.com


37

Fareeda Nazeer

The Joint Commission

fnazeer@jointcommission.org


38

Floyd Eisenberg

iParsimony, LLC

FEisenberg@iParsimony.com

yes
132Galen HamannVAgalen.hamann@va.govyes
39

Gay Dolin

Namaste Informatics

gdolin@namasteinformatics.com

yes
40Genny LuensmanCDCgluensman@cdc.gov



41

Glen Raley

Humana

graley@humana.com


42

Hafsa Subhan

The Joint Commission

hsubhan@jointcommission.org


43

Heather Patrick

CDC

htx7@cdc.gov


44

Howard Strasberg

Wolters Kluwer

howard.strasberg@wolterskluwer.com


45

Humberto Mandirola

Biocom

hmandirola@biocom.com


46

iIkka Kunnamo

Duodecim

jilkkakunnamo@duodecim.fl


47

isabel Zaru-Roque

ESAC

isabel.zaru-roque@esacinc.com


48

James Bradley

Mitre

jhbradley@mitre.org


49

Jamie Lehner

PCPI

jamie.lehner@thepcpi.org


50

Jana Malinowski

Cerner

cerjkm@cerner.com


51

Javier Espina

Philips

javier.espina@philips.com

yes
52

Jeff Schmitz

Health eFilings

jschmitz@healthefilings.com


53

Jeff Smith

UHC

jeffery_s_smith@uhc.com


54

Jen Seeman

ESAC

jennifer.seeman@esacinc.com


55

Jenny Brush

ESAC

jennifer.brush@esacinc.com


56

Jessica Ordoyne

Dynamic Health

jordoyne@dynamichealthit.com


57Joe BormelCognitive Medicinejbormel@cognitivemedicine.comyes
58

Joe Kunisch

Memorial Hermann

kunisch@memorialhermann.org


59

Joe Quinn

Optum

joseph.quinn@optum.com


60

John Damore

Diameter Health

jdamore@diameterhealth.com


61

John Loonsk


john.loonsk@cgifederal.com


133Jonathan LaDeauMeditechjladeau@meditech.comyes
62

Julia Skapik

Cognitive Medicine

jskapik@cognitivemedicine.com


63

Juliet Rubini

Mathematica

jrubini@mathematicampr.com

yes
64K ZapataDiameter Healthkzapata@diameterhealth.com
65

Kathleen Connor

US Dept of Veterans Affairs

kathleen_connor@comcast.net


66

Ken Hall

Veradigm Health

kenneth.hall@veradigmhealth.com


67

Kurt Allen

US Dept of Veterans Affairs

kurta@gjoll.com


68

Laura

CDC

lconn@cdc.gov


69

Lenel James

BCBSA

lenel.james@bcbsa.org


70Leslie SmartHumana

lsmart3@humana.com


71

Linda Michaelsen

Optum

linda.michaelsen@optum.com


72Lyn LibertyMeditechlliberty@meditech.comyes
73

Lisa Anderson

NCQA

landerson@ncqa.org

yes
74

Lisa Nelson

Life Over Time Solutions, LLC

LisaRNelson@cox.net


75

Liz Hartley-Sommers

BCBSA

elizabeth.hartley@bcbsla.com


76

Lorraine Constable

HL7 Canada

lorraine@constable.ca


77

Luke Osborne

MITRE

lwosborne@mitre.org


78

Lynn Perrine

Lantana

lynn.perrine@lantanagroup.org

yes
79

Marc Hallez

The Joint Commission

mhallez@jointcommission.org

yes
80

Mark Taylor


mark.taylor@readycomputing.com


81Matt Elrod Max MD

elrod@max.md


82

Matt Hardman

Cerner

matt.hardman@cerner.com


83

Matthew Dugal

Dynamic Health

mdugal@dynamichealthit.com


84

Matthew Tiller

ESAC

matthew.tiller@esacinc.com

yes
85

May Terry

Mitre

mayt@mitre.org


86

Mia Nievera

The Joint Commission

mnievera@jointcommission.org

yes
87

Michael O'Keefe

MITRE

mokeefe@mitre.org


88Michelle MillerCerner

michelle.m.miller@cerner.com


89

Michelle Mish Turner

UHC

michelle-p-turner@uhc.org


90

Mike Ballie

UHC

michael.ballie@uhc.com


91

Mike Hunt

Experian

mike.hunt@experian.com


92

Mitra Biglari

The Joint Commission

mbiglari@jointcommission.org


93

Nancy Whipple

GE

nancy.whipple@ge.com


94

Nathan Bunker


nbunker@immregistries.org


95

Nick Radov

UHC

nradov@uhc.org


96

Pamela Mahan-Rudolph

Memorial

pamela.mahanrudolph@memorialhermann.org 


97

Patty Craig

The Joint Commission

pcraig@jointcommission.org


98

Paul Denning

MITRE

pauld@mitre.org

yes
99

Peter Muir


peter@pjmConsultingLlc.com

yes
100

Ping Jiang

The Joint Commission

pjiang@jointcommission.org

yes
101

Rathore Garima


rathore.garima1@gmail.com


102

Rebeccah Baer

NCQA

baer@ncqa.org


103

Rhonda Schwartz

ESAC Inc

rhonda.schwartz@esacinc.com


104

Ricardo Quintano

Philips

ricardo.quintano@philips.com


105

Rich Boyce


codehop.dev@gmail.com


106Rinku MasterNCQA

master@ncqa.org

yes
107

Rob McClure

MD Partners Inc

rmcclure@mdpartners.com

yes
108

Robert Samples

ESAC Inc

robert.samples@esacinc.com

yes
109Ron Chee


110

Rukma Joshi

ESAC Inc

rukma.joshi@esacinc.com


111

Ryan Clark

NCQA

ryan@ncqa.org


112

Ryan Weber


ryan.weber@uhc.com


113

Sam Sayer

Mitre

ssayer@mitre.org


114Scott FradkinFlexionsfradkin@flexion.us
115

Serafina Versaggi

JP Systems

serafina.versaggi@jpsystems.com


116Sharon Peters


117

Stan Rankins

Telligen

SRankins@telligen.com


118

Steve Hufnagel


steve.hufnagel.hl7@gmail.com


119

Sue Kent

CCF

kents@ccf.org


120

Sweta Ladwa

ESAC inc

sweta.ladwa@esacinc.com


121Tammy KuschelAcustafT.kuschel@acustaf.com
122

Thomas Reese

U of Utah

thomas.reese@hsc.utah.edu


123

Thomson Kuhn

ACP

tkuhn@acponline.org

yes
124Tom StrassnerMITRE

tsrassner@mitre.org


125

Traci Psihas

ESAC Inc 

traci.psihas@esacinc.com


126

Viet Nguyen

Strata Metrics

vietnguyen@stratametrics.com

yes
127

Walter Suarez

Kaiser Permanente

walter.g.suarez@kp.org

yes
128

Wendy Talbot

NCQA

talbot@ncqa.org


129

Yan Heras

Optimum eHealth

yanheras@gmail.com

yes
130

Yanyan Hu

The Joint Commission

yhu@jointcommission.org

yes
131

Zabrina Gonzaga 

Lantana Consulting 

 zabriana.gonzaga@lantanagroup.com


Minutes

Agenda Outline

Agenda Item

Minutes
Announcements 

FHIR Tracker move to Jira

  1. The migration is now complete:

    1. Paul has created a CQI filter based DEQM, QM IG and QI Core https://jira.hl7.org/secure/Dashboard.jspa?selectPageId=11102

    2. For those of you who are new to JIRA, a set of brief webinars on the basics of using JIRA have been posted at https://confluence.hl7.org/display/HDH/JIRA+Tracking.  

Juliet reviewed the agenda of today's call. 

The agenda item about DEQM IG and Gaps In Care were moved before the discussions of QI-Core.


QI-Core September 2019 Ballot Reconciliation

QI-Core IG - Status update of applying tracker resolutions and publishing date

Removing QI Core to QDM mappings - downstream impacts?

A lot of discussions occurred regarding the proposal to remove the QI-Core to QDM mappings in the QI-Core R4 based FHIR IG publication.

The reason for this proposal is because these mappings are complicated and difficult to do. Since often you need to base on the use case to drive the mapping. There are also things that can be said in FHIR but not in the QDM.  If there are interests from the work group, could consider keeping the mappings but add a disclaimer that these mappings are kind of stale.  

Bryn commented that for this publication, since there is no confidence about the fidelity of the mappings at this point, so the concern is to publish information that are known incorrect. 

Lyn raised a concern that if removing these mappings, we may loose these information that could be potentially useful. 

Rob McClure commented that if the information is incorrect, then we should remove these mappings and do not include because it might be useful. 

Viet made a motion to remove the QI-Core "Mappings for Quality Data Model" and add narratives on the mapping page to indicate why the removal. Floyd seconded. 

(The narrative would note that when these mappings are removed, and from implementer's perspective it may be needed from the direction of FHIR QI-Core to existing QDM implementations. The narrative would also note that these mappings are in the STU 3 QI-Core IG, and encourage one to submit a tracker Jira item if they see a need and use case to include the mappings for future ballot update. Bryn will draft narrative and provide to Floyd offline)

Discussions occurred again, concern was raised about removing the mappings and those information may be lost for reference and for potentially bringing it back in the future. Based on these discussions, Viet made an amendment to not remove the actual mapping but to add a clear disclaimer that the mapping information is incorrect.  Then again, discussions occurred and the sentiment from the group leaned toward not to include the incorrect mappings in the publication. Bryn also highlighted that the mappings are in the previous version, so it is not lost and is still accessible. 

Based on the final group discussions and agreement. Viet withdrew the above motions (which were not voted on) to start a clean motion for a vote. 

Viet made the motion for a vote: "Remove the particular session (http://build.fhir.org/ig/HL7/fhir-qi-core/StructureDefinition-qicore-observation-mappings.html Mappings for Quality Data Model), remove the content and replace it with a prominent note to be drafted by the committee members to 1) reference the published content that is in the published STU 3 QI-Core IG, 2) submit a Jira to request the mappings to be included in the future update/ballot"

Rob Samples seconded.

Paul asked if any other mappings that also may be incorrect? Bryn responded that the QIDAM mappings may not be accurate, but since QIDAM is a conceptual model, the mappings are informational and are still useful to be included in the IG. 

approve-oppose-abstain: 26-0-0

Action item: Bryn will submit a Jira ticket to write the narratives noted in the motion. 

**************************************************

The work group also discussed the topic whether there is a need to request an extension for the following IG version that was expired.

HL7 FHIR® Profile: Quality, Release 1 STU Release 2 - US Realm expired on December 05, 2019

  • This version of the IG expired on December 5, 2019. The work group discussed and confirmed that the STU 3 based version of this IG replaces this older version. It is okay to have it expired. No actions are needed. 

DEQM IG 

Status update TSC-50 - Getting issue details... STATUS

[note - to access this link you will need to log in to Confluence]

Historical notes:

DEQM Continuous Integration Build STU 3 publication version is located at: http://build.fhir.org/ig/HL7/davinci-deqm/

  • Submitted for publication October 25, approved by FMG October 30, TSC eVote this week finalized on November 18.

DEQM R4 build: http://build.fhir.org/ig/HL7/davinci-deqm/branches/R4-Branch/

(https://healthedata1.github.io/tempIGViewer/)

  • DEQM IG Planning and Important Dates:
    • 10/18 Due - FHIR DEQM IG (FHIR STU3 based) content done
    • (10/18-11/1) Uplifting DEQM from FHIR STU3 to FHIR R4 
    • 10/25 Due - Publication request of FHIR STU3 based IG
    • 11/1 Due - FHIR IG (FHIR R4 based) content for CQI WG review
    • 11/17 Due - FHIR IG Substantively Complete  (FHIR R4 based) for the Feb. 2020 ballot cycle
    • 11/17 Due - NIB for Feb. 2020 ballot cycle Completed and approved by CQI 11/8/2019
    • Consider vote to approve current R4 build is substantially complete. Done 11/15

Viet gave an update about the status of STU 3 and R4 based DEQM IG.

  • There are a few technical issues (not content issues) around STU3 publishing. Eric is working on these with HL7. This should be published very soon.
  • Eric is working with ESAC on a few issues on R4 based IG.



Da Vinci - Gaps in Care 

DEQM PSS to support Gaps in Care status update

  • TSC approved this update

CDA based Gaps in Care project update - how do we cancel/ withdraw a project that never published?  Need committee vote to move forward.

Viet provided an update to the Gaps in Care project. 

  • Will be looking at the Gaps in Care operations from earlier CQF work that Bryn walked through during the Gaps In Care sub-group call yesterday (12/5). 
  • Has been continued to working with the community, reviewing workflows, etc. 
  • Gay participated in the Patient Care WG call regarding care plans, they are address Gaps in Care Plan DAM, so there may be potential collaboration with Patient Care around this. 
FHIR Quality Measure 

Status update TSC-51 - Getting issue details... STATUS

[note - to access this link you will need to log in to Confluence]

Historical notes:

Quality Measure Implementation Guide: http://build.fhir.org/ig/HL7/cqf-measures/branches/master/index.html 

  • Submitted for publication October 25, approved by FMG October 30, TSC eVote finalized on November 18.

FHIR Quality Measure IG R4 build: http://build.fhir.org/ig/HL7/cqf-measures/branches/R4_Lift/index.html  

  • FHIR Quality Measure IG Planning and Important Dates:
    • 10/18 Due - Complete applying changes for FHIR Quality Measure IG (FHIR STU3 based)
    • (10/18- 11/1) Uplifting FHIR Quality Measure IG from FHIR STU3 to FHIR R4 
    • 10/25 Due - Publication request of FHIR STU3 based IG 
    • 11/1 Due - FHIR IG (FHIR R4 based) content for CQI WG review 
    • 11/17 Due - FHIR IG Substantively Complete  (FHIR R4 based) for the Feb. 2020 ballot cycle
    • 11/17 Due - NIB for Feb. 2020 ballot cycle Completed and approved by CQI 11/8/2019
    • Consider vote to approve current R4 build is substantially complete.  Done 11/15


  • HL7 FHIR® Profile: Quality, Release 1 STU Release 2 - US Realm expired on December 05, 2019. 
    • Extension request

Bryn provided a brief update.

  • The current R4 Quality Measure IG is available (the link is provided left on the agenda). Currently is working on items related to packaging.
  • This development of the FHIR R4 based IG is on track. 
Connectathon

DaVinci Connectathon (Philadelphia) December 11-12, 2019 Philadelphia Connectathon Hosted by Independence Blue Cross

CMS/HL7 Connectathon (Baltimore) January 7-8, 2020 http://www.hl7.org/events/cms/2020/01/index.cfm

HL7 Sydney February 2-3 2020-02 Connectathon 23

When Viet provided the Gaps In Care update above, he noted that the connecthon will be looking into the Gaps In Care Operations.

QRDA

Yan reviewed the HL7 QRDA III STU 2.1 extension request

  • Yan made a motion to approve the Extension Request for QRDA III STU 2.1.
  • Paul seconded.
  • Approval-Oppose-Abstain: 23-0-0

Floyd commented that since we are considering of taking it to normative, it would be better to change it to requesting a two year extension instead of one year. Floyd and Rob McClure confirmed HL7 now allows/approves two year extension.

  • Yan made another motion to change the extension period from one year to two years. Floyd seconded
  • Approval-Oppose-Abstain: 23-0-0

The WG will take QRDA III STU 2.1 to normative during 2020. 

Yan reviewed the HL7 QRDA I STU 5.1 extension request

  • Yan mode a motion to approve Extension Request for QRDA I STU 5.1, noting the requested extension period as two years.
  • Paul seconded. 
  • Approval-Oppose-Abstain: 23-0-0

Yan will add in today's approval meeting minutes link to the Request Forms and take it to HL7.

Yan provided an update to the QRDA I STU 5.2

  • It is planned to do a walk through of the completed draft QRDA I STU 5.2 during the next Friday's CQI call
  • The plan is to have the package ready for a two weeks of CQI WG review starting next Friday.
  • Depending on whether the December 27th CQI call will be held or not, plan to request for a vote on Jan 3rd, 2020. 

Final Rule review

(Walter Suarez guest presenter)

Quick At-A-Glance 2019 regulatory review (link to slides here)

  • Medicare Program – CY 2020 Physician Fee Schedule (including MIPS) (Nov 1, 2019)
  • Medicare Program – CY 2020 Outpatient Prospective Payment System (OPPS – including prices transparency of hospitals) (Nov 1, 2019)
  • Medicare/Medicaid Programs – Hospital Discharge Planning (Sept 30, 2019)
  • Medicare/Medicaid Programs – Regulatory Provisions to Promote Program Efficiency, Transparency and Burden Reduction (Sept 30, 2019)
  • Medicare Program – FY 2020 Inpatient Prospective Payment System (IPPS) (July, 2019)
  • A brief overview of 2020 rulemaking
Walter led the final rule review. See presentation slides (link provided on the left in agenda) for details. 
Connectathons

DaVinci Connectathon (Philadelphia) December 11-12, 2019 Philadelphia Connectathon Hosted by Independence Blue Cross

CMS/HL7 Connectathon (Baltimore) January 7-8, 2020 http://www.hl7.org/events/cms/2020/01/index.cfm

HL7 Sydney February 2-3 2020-02 Connectathon 23

Details and planning of the CMS/HL7 Connectathon will be forthcoming. 
CQL Specification Status

Update on the STU comments for CQL Specification (http://www.hl7.org/dstucomments/showdetail.cfm?dstuid=264)

CQL 1.4 Errata - status update

This agenda item was not discussed during the call
February Working Group meeting (Sydney)

DRAFT CQI Agenda February 2020 WGM (Sydney, Australia)

This agenda item was not discussed during the call
Project Updates

Review of current projects - found on home page here.

Reminder:

  1. CQI FHIR Quality Measure Project Subgroup calls:
    1. Call Information: 
  2. DEQM / DaVinci calls: 
  3. Gaps in Care DaVinci calls: 

Balloting timeline

Balloting schedule (confirm on HL7 Calendars):

February 2020 Ballot Cycle

  • November 3, 2019 - FHIR IG Proposals Due
  • November 17, 2019 - NIB Deadline and FHIR IG Proposals Due http://www.hl7.org/special/committees/tsc/ballotmanagement/index.cfm
  • November 17, 2019 - FHIR IGs substantially complete
  • November 25, 2019 - Consensus Group (Ballot commenter) Sign-Up
  • November 29, 2019 - FHIR Ballot Core substantially complete
  • December 3, 2019 - FHIR Connectathon (For February WGM) due
  • December 4, 2019 - Harmonization Meeting
  • December 1, 2019 - Initial Content Due
  • December 8, 2019 - Ballot Resource Reconciliation Deadline
  • December 22, 2019 - Final Ballot Content Deadline
  • December 23, 2019 - Final Content Readiness Sign-off
  • December 26, 2019 - Consensus Group (Ballot Commenter) sign-up closes.
  • December 27, 2019 - January 27, 2020 - Ballot open for comments
  • February 2-3, 2020 - FHIR Connectathon (Sydney, Australia)

Approvals for May 2020 Ballot Cycle

  • October 4, 2019 - PSS deadline
  • January 5, 2020 - TSC approval for all PSS for May 2020 Ballot Cycle (requires approval by sponsors, co-sponsors, Steering Division, and Management Group, and other groups such as Architectural Review Board if indicated)

Meeting adjourned: 3:00 pm ET

Next meeting: December 13 th, 2019 12pm - 3pm ET

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