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Agenda Outline

Agenda Item

1Announcements 

NIBs for May 2020 ballot cycle are due March 1st

2Quality Measure Reporting White Paper 

NIB for Quality White Paper: http://www.hl7.org/Special/committees/tsc/ballotmanagement/index.cfm?wg_id=143 (NIB prepped and ready for review with Bryn and group)


FHIR-Based Quality Reporting White Paper :  

Google Drive Live Link
urlhttps://docs.google.com/document/d/1yOtJJIAeARqaPxGOsXSKtEOw9Jxwr897dEQ07hNASKM/edit#heading=h.evmiikpf7rar

Initial ballot content due March 15th

3FHIR Quality Measure IG

FHIR Quality Measure IG now published for FHIR STU 3: http://hl7.org/fhir/us/cqfmeasures/

R4 version in ballot: http://hl7.org/fhir/us/cqfmeasures/2020FEB/index.html

Block vote #1:

  • FHIR-26332 Recommend remove the word "local" from text in Step 3 (Mark Bellezza)
  • FHIR-26330 Recommend the IOM name be updated to the current name: National Academy of Medicine (NAM) (Mark Bellezza)
  • FHIR-25644 Provide additional versioning and lifecycle guidance (Bryn Rhodes)
  • FHIR-25641 Relax requirement for both XML and JSON; require only one (Bryn Rhodes)
  • FHIR-25640 Require profile in CQFM Measure  (Bryn Rhodes)
  • FHIR-25740 Add extensions to identify the packaging and testing tooling for a measure/library (Bryn Rhodes)
  • FHIR-25639 Require profile in CQFM Library (Bryn Rhodes)
  • FHIR-25645 Add versioning and lifecycle guidance for Measures  (Bryn Rhodes)
  • FHIR-25638 Measure resources SHALL provide narrative (Bryn Rhodes)
  • FHIR-25720 Constraint numbering doesn't follow convention (Bryn Rhodes)
  • FHIR-25637 Library resources SHALL provide narrative (Bryn Rhodes)
  • FHIR-25712 Glossary - definition of Stratification (Patricia Craig)
  • FHIR-25545 Based on the VSAC formatting, all value sets are defined as "http" not "https" (Mia Nievera)
  • FHIR-25722 Packaging section (Paul Denning)
  • FHIR-25694 Use new template-based publishing mechanism (Paul Denning)
  • FHIR-25672 Align with final published QI-Core (Paul Denning)
  • FHIR-25510 Adding some explanation of measure test case basics would be useful for implementers. (Javier Espina)
  • FHIR-25509 It would be very appropriate to mention the name(s) or link to the described conversion tooling (Javier Espina)
  • FHIR-25482 Suggest to delete 2.2, since it is a repetition of 1.2 (Javier Espina)
  • FHIR-26326 Spell out HQMF acronym on first use  (Mullai Murugan)

Follow up on tickets related to measure populations: 

  • 25501 In Figure 3-9, shouldn't the patient that gets into the Measure Population also get into the Initial Population?
  • 25551 Revise the Calculation flow for Proportion Measures
  • 25550 Remove Initial population from the Denominator Exclusion definition for proportion measures

Technical Correction Tickets have been updated: 

Jira issues for QM IG

Time Permitting:

FHIR-263726347 Discussion of use of eCQM vs. eMeasure (Angela Flanagan)

FHIR-25643 Use of Measure vs. PublisheMeasure PublishedMeasure profiles (Bryn Rhodes)

FFHIR-2634726327 Avoiding proliferation of profiles (Keith Salzman)

4DEQM IG

Remaining JIRA issues: https://chat.fhir.org/#narrow/stream/179283-Da-Vinci/topic/Da.20Vinci.20DEQM.20Trackers.20for.20upcoming.20DEQM.20Calls

DEQM for FHIR STU 3 now published: http://hl7.org/fhir/us/davinci-deqm/STU1/

R4 version in ballot: http://hl7.org/fhir/us/davinci-deqm/2020FEB/index.html

Jira issues for DEQM IG

The JIRA ISSUE Summary (Reporter) that Eric Haas provided on Feb. 20th

  1. J#26089: It is important for physicians to know which CQMs they are being measured against. (celine_lefebvre)
  2. J#26088: Are denominator exclusions going to be determined automatically through structured data? (celine_lefebvre)
  3. J#26087: "Defintion of ""data of interest"" needed, currently it is inconsistent " (celine_lefebvre)
  4. J#26086: Bulk data exchanges should be based on mutually agreed upon methodolgy or demonstration of relationship (celine_lefebvre)
  5. J#26072: May be useful to include the sources of quality measures (bonnie_briggs)
  6. J#25721: Vendor name and software name/version (patricia-craig)
  7. J#25719: Need more example use cases (patricia-craig)
  8. J#25716: Measure report profiles should require id element (bryn.rhodes)
  9. J#25624: Changes to allow for evaluation of measures by Provider (sfradkin)
  10. J#25592: Profile requires identifier.type (craig.newman)
  11. J#25586: "Possible missing ""not"" in Guidance section" (craig.newman)
  12. J#25523: Are measurement period and reporting period synomys? (javier_espina)
5QI-Core 

The publication version of QI-Core R4 approved for publication by CQI on February 14 as was the publication request. Location of pre-publication content: http://build.fhir.org/ig/HL7/fhir-qi-core/index.html

Jira issues for QI-Core

Consider plans for May 2020 HL7 Connectathon to test QI-Core's QUICK Logical View for authoring of eCQMs.

QI-Core vs QUICK - Seeking broad input to establish a business case to help with decisions moving forward.  To be discussed at 10 am Tuesday sub group calls.

6Gaps in Care 

Project confluence page

Gaps In Care Supporting Materials

Recording of DEQM Overview

Old Gaps in Care: As of 1/13/2020 project has been deactivated and Dave Hamill aware for Project Insight record keeping (Project 1427)

7QRDA 

QRDA I STU 5.2 - PUBLISHED! (Note that updated QRDA schematrons will now be stored to new GitHub site (https://github.com/HL7/wg-cqiwg))

8CQL 

Project updates as needed

For reference - STU comments for CQL Specification are located here http://www.hl7.org/dstucomments/showdetail.cfm?dstuid=264

9Working Group Meetings

San Antonio (May 16-22):  Draft agenda review WGM Agenda/Minutes San Antonio May 2020 - DRAFT

10Connect-a-thons

HL7 San Antonio May 16 - 17

11Project 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: 
  4. Cross Workgroups Project WG (now managing US Core balloting) - Considering new PSS for metadata for Apps: Marketplace Product Packaging and Metadata

12Balloting timeline

Balloting schedule (confirm on HL7 Calendars):

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
  • Harmonization initial proposals due February 20, 2020
  • NIBs due March 1, 2020
  • Harmonization final proposals due March 5, 2020
  • Initial ballot content March 15, 2020
  • Harmonization meeting March 19, 2020
  • Reconciliation Deadline and Ballot Preview Period March 22, 2020
  • Final ballot content April 5, 2020
  • Ballot sign up March 9 - April 9, 2020
  • Ballots open for voting April 10 - May 11, 2020

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