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Agenda Outline

Agenda Item

1Announcements 
  1. CMS has posted the Draft 2021 CMS QRDA IG and Schematron for Hospital Quality Reporting (HQR) for public comment starting March 5, 2020 and ending on April 1, 2020. The draft IG and schematrons are available for download at QRDA-861.
  2. May HL7 meeting (WGM and Connectathon) - awaiting decision on San Antonio Vs virtual - expect announcement in early April.
  3. Final Rule notifications:

CMS Final Rule

Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Interoperability and Patient Access for Medicare Advantage Organization and Medicaid Managed Care Plans, State Medicaid Agencies, CHIP Agencies and CHIP Managed Care Entities, Issuers of Qualified Health Plans in the Federally Facilitated Exchanges and Health Care Providers

Rule Text: 

 https://www.cms.gov/Regulations-and-Guidance/Guidance/Interoperability/index

Fact Sheet: 

https://www.cms.gov/newsroom/fact-sheets/interoperability-and-patient-access-fact-sheet

ONC Final Rule
21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program

Rule Text: 
https://protect2.fireeye.com/url?k=f9e21b2d-a5b63206-f9e22a12-0cc47a6d17cc-f19fbf5cef959860&u=https://healthit.gov/curesrule
Fact Sheet:
https://www.healthit.gov/cerus/sites/cerus/files/2020-03/CuresUpdateOverview.pdf

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

  • March 13 - IG must be substantively complete
  • content availability for CQI WG by March 23
  • CQI WG vote on March 27
  • March 24 - Content freeze and QA period begins - that means your IG must be ready for review by the sponsoring Work Groups by this date
    • NOTE:  if you will not be ready for QA to begin on March 24, you MUST get approval for a delay by the sponsoring WG (that decision must be documented in their minutes before March 24th).  This will give you until March 31st to complete your IG, but it must be delivered to the sponsoring Work Group for QA review and sign off
  • April 2 - QA period ends
  • April 3 -5 - apply final QA
  • April 6-7 - complete Ballot Readiness Checklist and submit
  • April 10 - Ballot opens


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

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
  • 26342 Harmonize population terminology

      Proposed Calculation Flow for Proportion Measures diagram for Figure 3-3

      Proposed Calculation Flow for Continuous Variable Measure Score diagram for Figure 3-9

Jira issues for QM IG

FHIR-25646 Provide terminology guidance usage

FHIR-25636 Provide guidance for avoiding value set computations

FHIR-25635 Use of terminology artifacts for quality measures should align with CPG work

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

Ready for Vote: ( Dispositions proposed on the Thursday DEQM calls )

Issue Summary(Reporter)

  1. J#26091 The provider should be notified when data is missing. (celine_lefebvre)
  2. J#26082 Who is inlcuded in this group? (celine_lefebvre)
  3. J#26077 The AMA suggests adding a little more detail here to explain the negation pattern (celine_lefebvre)
  4. J#26076 How will these records be stored? (celine_lefebvre)
  5. J#26072 May be useful to include the sources of quality measures (bonnie_briggs)
  6. J# 26613 fix oid from ITIN to EIN (eric_haas)
  7.  J#26081 Suggest removing this line (Celine Lefebvre)

To Discuss: ( Not discussed on the Thursday DEQM Calls)

Issue Summary

  1. J#26090 This vague statement opens the door to consumers receiving much more information than is needed for quality measure reporting.
  2. J#26087 "Definition of ""data of interest"" needed, currently it is inconsistent "
  3. J#26083 Only data needed for measure calculation should be submitted.
  4. J#26074 """Data of interest"" is too broad and needs to be narrowed "


5Depression Outcomes ProjectDepression Outcomes project presentation  ~ 20-30 minutes (Michelle Leavy and Bob Dolin be available during the 2nd hour of the meeting)
6QI-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

Status of FMG review (3/4) and TSC eVote (week of 3/9)

Jira issues for QI-Core:

Jira
serverJira
serverId9b965702-34a7-3433-bf10-7f66fd69238c
keyFHIR-25716
 (this is a DEQM comment)

Jira
serverJira
serverId9b965702-34a7-3433-bf10-7f66fd69238c
keyFHIR-26592
 (change QUICK logical view name to QI-Core logical view)

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

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

7Gaps 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)

8QRDA 

QRDA I STU 5.2 - PUBLISHED!

(Note that updated QRDA schematrons are now stored to GitHub site (https://github.com/HL7/wg-cqiwg))

9CQL 

Project updates as needed

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

10Working Group Meetings

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

11Connect-a-thons

HL7 San Antonio May 16 - 17

12Project 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

13Balloting 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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