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Agenda Outline

Agenda Item

1Announcements 

Reminder - HL7 May WGM is cancelled. Stay tuned for information about a virtual Connect-a-thon.  Ballots will go forward as scheduled and WGs will manage reconciliation through regular and/or ad hoc calls.

  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. 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 

FHIR-Based Quality Reporting White Paper :  https://github.com/HL7/cqi-fhir-based-quality-reporting/tree/master

Plan for vote on submission to ballot today (March 27, 2020)

Initial ballot content due March 15th

  • March 13 - IG must be substantively complete
  • content availability for CQI WG by March 23 - complete (email sent by Bryn)
  • CQI WG vote on March 27 - vote to submit content for ballot
  • 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
  • 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) - Require follow up from March 20, 2020 discussions

  1. J#26076 How will these records be stored? (celine_lefebvre)
  2. J# 26613 fix oid from ITIN to EIN (eric_haas)

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

Issue Summary

  • J#26090 This vague statement opens the door to consumers receiving much more information than is needed for quality measure reporting.
  • J#26087 

    IReady to Vote on the following trackers

    • J#25023
    • J#26074 ("""Data of interest"" is too broad and needs to be narrowed ") & J#26087 ("Definition of ""data of interest"" needed, currently it is inconsistent ")
    • J#26080
    • J#26082
    • J#26083 Only data needed for measure calculation should be submitted.
    J#26074 """Data of interest"" is too broad and needs to be narrowed "

    These trackers need further Discussion:

    "data of interest" theme

    • J#26090 This vague statement opens the door to consumers receiving much more information than is needed for quality measure reporting.
    • J#26085

    "incremental data" theme

    • J#26079
    • J#26092
    • J#26076 How will these records be stored? (celine_lefebvre)
    • J#26083 Only data needed for measure calculation should be submitted.
    5Depression Outcomes Project

    Depression Outcomes project presentation last week - to follow up with PSS. 

    • Plan to present PSS on April 10th
    6QI-Core 

    QI-Core R4 v4.0.0 for FHIR v4.0.1 now published: http://hl7.org/fhir/us/qicore/

    Jira issues for QI-Core:

    FHIR-26592 - Naming of QUICK vs QI-Core Logical View TRIAGED   (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 

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

    9CQL 

    Updates for normative ballot in April 2020

    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):  Cancelled - review agenda for potential need for combined calls with other WGs as initially planned for the face-to-face meeting —  WGM Agenda/Minutes San Antonio May 2020 - DRAFT

    11Connect-a-thons

    HL7 San Antonio May 16 - 17 - Further information pending for virtual meeting

    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
    • WG approval of final content - March 29, 2020
    • Final ballot content April 5, 2020
    • Ballot sign up March 9 - April 9, 2020
    • Ballots open for voting April 10 - May 11, 2020 (ballots will go on as planned even without WGM)

    ...