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Chair:  Viet Nguyen , Linda Michaelsen , Bryn Rhodes

Scribe: Dana Marcelonis 


Attendees

PresentNameAffiliation
  •  
SureScripts
  •  
Regence
  •  
Optum
  •  
Michael BaillieUHC
  •  
Humana
  •  
BCBS AL
  •  
Rush
  •  
SureScripts
  •  
Rush
  •  
Cerner
  •  
Independence Blue Cross
  •  
Allscripts
  •  
Regence
  •  
InterSystems
  •  
BCBS IL
  •  
Allscripts
  •  
Cambia Health
  •  
Enable Care
  •  
Howard FollisJuxly
  •  
Reliant Medical Group
  •  
Lantana Consulting
  •  
SureScripts
  •  

  •  
Independence Blue Cross
  •  
NCQA
  •  
Optum
  •  
Jackie HardisonHumana
  •  
Cigna
  •  
HealthLX
  •  
ZeOmega
  •  
BCBSA
  •  
Point of Care Partners
  •  
Edifecs
  •  
Edifecs
  •  
BCBS AL
  •  
Stephen LaneSutter Health
  •  
InterSystems
  •  
Anthem
  •  
Erin MajderBCBS IL
  •  
Point of Care Partners
  •  
Cognosante
  •  
BCBS AL
  •  
Optum
  •  
Humana
  •  
MaxMD
  •  
Stratametrics
  •  
Sean ParsonsBCBS OK
  •  
BCBS AL
  •  
Allscripts
  •  
HealthLx
  •  
Optum
  •  
Regence
  •  
InterSystems
  •  
NewWave
  •  
NewWave
  •  
ZeOmega
  •  
Anne Marie SmithNCQA
  •  
InterSystems
  •  
UHC
  •  
Casenet
  •  
Cigna
  •  
HealthLX
  •  
Independence Blue Cross
  •  
Joel WalkerHealthLX
  •  
BCBS AL
  •  
Cambia
  •  
Anthem
  •  
Cambia
  •  
NewWave
  •  
Edifecs
  •  

  •  
Regence
  •  
Frank Hone
  •  
GunjitZeOmega
  •  
Eddie Hurt
  •  
Justin Howe
  •  
MamataThakkar
  •  
Sathya Krishnasamy
  •  
Zemp Davis
  •  

  •  
Apurva Dharia
  •  

  •  
John CassidyMoxe Health
  •  
Optum
  •  
Ken SalyardsHHS
  •  
Laurie BurckhardtWPS Healthcare Solutions
  •  
Luis MaasEMR Direct
  •  
Rashmi MenonKMHP
  •  
Nandini GangulyScopeInfoTec
  •  
Aaron Kohn
  •  
Dawn PerreaultBCBSM
  •  
TorQuailla Aultman
  •  
Jana MalinowskiCerner
  •  
Jodie ZellerhoffCambia

Present

Name

Affiliation

  •  
Michael O'Keefe

Mitre

  •  
Rob SamplesESAC
  •  
Rose AlmonteMitre
  •  
Regence
  •  

  •  
Susan BellileAvaility
  •  
Tejay CardonCare Kenesis
  •  
Yan Herras
  •  
Bryn Rhodes
  •  
Danny
  •  
EMDI Team
  •  

  •  
Humana
  •  
Joint Commission
  •  
Altarum
  •  
Bryan Rossi
  •  

  •  
BCBSM
  •  
Laura
  •  
Shanna HartmanCMS
  •  
Brent WoodmanBCBSM
  •  
David DodgeCambia
  •  
IMO
  •  
Kenny
  •  
Mitre
  •  
Tori WillowsWellcare
  •  
Sam
  •  
Mark Taylor
  •  
Kasi
  •  
Deborah KraussCMS
  •  
Aim Specialty Health
  •  

  •  
Mark HallezJoint Commission
  •  
Matthew Tiller
  •  
ESAC
  •  
Ralph Saint-PhardeClinical Works
  •  
BCBST
  •  
Joint Commission
  •  
Yolanda VillanovaCMS
  •  
ESAC
  •  
Advent Advisory Group
  •  
Reena DusejaCMS
  •  
Mitra BiglariJoint Commission
  •  

  •  
Tibco
  •  
David HillMitre
  •  
Hafsa SubhanJoint Commission
  •  
Fareeda NazeerJoint Commission
  •  
Eric SullivanInovalon
  •  
Cognizant
  •  

  •  
Dipti Gandhi
  •  
Ping Jiang
  •  
Denny BrennanMA Health Data
  •  
Floyd EisenbergESAC
  •  
Allscripts
  •  
Mike FlaniganESAC
  •  
Shanna HartmanCMS
  •  
Benjamin HulseyLumeris
  •  
Jim AdamsonArkansas BCBS
  •  
Rohit ShindeeClinicalWorks
  •  
Allscripts
  •  
Lauren HobsonProvidence
  •  
Leia
  •  
Lesley WatsonLumeris
  •  
Rich GuyCimr
  •  
Sreekanth PuramMettle Solutions
  •  
Tom WillisMoxe Health
  •  
Traci PsihasESAC
  •  
Bart CarlsonAzuba
  •  
Sheryl TurneyAnthem
  •  
Sam SayerMitre
  •  
Wanda Govan-JenkinsHHS
  •  
Praveer MathurWellcare
  •  
Interopion
  •  
Laura ClarkMitre
  •  
Duane WalkerBCBSM
  •  
Edward Yurcicsn
  •  

  •  
CaseNet
  •  
Katherine LuskChildrens
  •  
Sloan HollidayUnited
  •  
Dacarba
  •  

  •  
James BradleyMitre
  •  
Anupam ThakurBCBSFL
  •  
BCBSFL
  •  
Dynamic Health IT
  •  
Dynamic Health IT
  •  
Matthew GramignaMitre
  •  
Cigna
  •  
Interopion
  •  

  •  
Ric LightHumana
  •  
Mitre
  •  
Rhea SwardJPSYS


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Links

DEQM IG: http://build.fhir.org/ig/HL7/davinci-deqm/index.html

May Onsite Connecthon - Guidewell - Jacksonville, FL - May 29-30



NCQA/HL7 Digital Quality Conference

NCQA/HL7 Digital Quality Conference - July 16-18 in Boston, MA

https://www.ncqa.org/about-ncqa/sponsorship-events/digital-quality-summit/?utm_source=NCQA&utm_medium=HomepageCTA&utm_campaign=DQS2019



Jacksonville Connectathon Recap
  • 112 people registered
  • Focused on VTE measure for Clinical Reasoning track in Jacksonville
  • Test data and testing code available
  • Couple of track members who implemented in their systems
  • Discussed building VTE app in HSPC sandbox
  • How do we handle long-running task (minutes or hours)
    • Bryn pointed out a solution - MeasureReport has an in progress indicator
    • Could test this at an upcoming Connectathon
  • Will test additional measures at future Connectathons
  • Michael O'Keefe will update Clinical Reasoning track pages with information re: endpoints, available data
  • Mitre built test scripts for CollectData and SubmitData - we can validate exactly what should be returned/expected results (~1,000 patients for VTE measure)
  • Operations
    • Can exchange raw data as well as a summary of data at patient and population level
    • Data Exchange Scenario


  • Da Vinci Discovery Session re: Gaps in Care
    • 3-4 hour session - notes will be posted in Confluence
    • Defined stakeholders - includes quality measure community
    • Different levels of authorities around quality measures
      • NCQA, Joint Commission, etc. at high level
      • There are others who create measures around gaps in care - payers, professional societies, etc.
      • Hospital systems or physician groups pick and choose which quality measures their providers are being measured by (e.g., MIPPS)
    • Set of gaps in care that are specific to a specific patient with a specific provider (PCP or Specialist) and a specific payer
      • What are quality measures/ gaps in care that apply to that patient - present that information to the provider so they can identify gaps that need to be closed, what's aleady been closed, and things that are pending (e.g., within next month or so)
    • Providers doing population management where they would want gaps in care information for a set of patients and do their disease management activities based on that information
    • Data requirements to represent these gaps
      • Same as quality measures - inclusion/exclusion, numerator/denominator, look back period, etc.
    • How do we put this info together at patient or population level so we can send it to a provider to healthcare organization
      • There's a lot of overlap with DEQM framework
    • Created workflow diagrams for from 3 perspectives
      • Patient in front of provider
      • Payer 
      • Population management
    • Next Steps
      • Initiate a set of calls for Gaps in Care (PSS with CQI) - mid to end of summer
      • Further define patterns, what it means to send gaps in care information
      • Work on additional examples
      • How do you represent a collection of quality measures or gaps in care (right now query is measure-specific)


  • Discussing possibility of doing virtual Connectathons leading up to HL7 Atlanta Connectathon


Ballot Reconciliation
  • Block vote took place in CQI workgroup


Next Measure Options
  • Received feedback from a number of organizations that Diabetic Retinopathy would be high value to work on
  • CCSQ priority is to convert program measures for 2020 reporting year
    • Diabetic Retinopathy (167) was removed from the program list - Viet may have picked the wrong one to send to Da Vinci community?
      • 131 is the one we wanted - it has the HEDIS component
      • 131 is on the program list
    • Hip and Knee Replacement and related, Functional Status of Hip and Knee Replacement is on the list
    • Stroke 6 is on the list and was recently converted
    • Suicide Risk Assessment is on the list
  • Looking for different types of measures, different types of data, more complex types of data
    • Example
      • US Core doesn't just have an observation - it's part of a lab report or diagnostic report
      • Do you use that profile for ejection fraction, or just make it an observation off of FHIR directly and ignore US Core
      • Reach out to PCPI as a next step?
        • Standing Tuesday measure collaboration call hosted by CMS and measure developers are involved in those calls
  • Need a measure where we have enough author support, and enough interest/priority from the Da Vinci community
  • CCSQ program does measure expression, and then DEQM discusses how to exchange the data
  • Reach out to measure authors for next week's call to get input into measure selection
  • EP contract runs out June 18th


Next agenda
 Adjournment
Adjourned at 4:01pm ET

Supporting Documents

Outline Reference

Supporting Document

Minute Approval


Action items

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