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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.
  • Reminder - The 2020 May Ballot Cycle ballot sign up close on April 9th
    • HL7 Cross-Pradiam Specification: Clinical Quality Language, Release 1
    • HL7 FHIR Guidance: Quality Reporting, Release 1 - US Realm
  • CQI will be one of the early adopters to switch to Zoom for weekly meetings - stay tuned 
  • The American Academy of Neurology (AAN) seeking input from measure developers and VSAC value set authors 
    • The American Academy of Neurology (AAN) is seeking input from other organizations who develop Clinical Quality Measures and value sets in the VSAC. We’ve noticed that some professional societies and other measure development entities use an organization-specific root OID for their value sets. Most of these are created under the ‘HL7 External Use’ root OID. When the AAN creates value sets, the OID automatically generated in VSAC is created under the NLM root OID. We’re looking for others’ insights into the advantages and disadvantages of requesting an organization-specific root OID under ‘HL7 External Use’ root OID and creating all society-specific value sets under this root.
2Monthly STU Comments Review

QRDA Category I STU 5.1 http://www.hl7.org/dstucomments/showdetail.cfm?dstuid=220

QRDA Category I STU 5.2 http://www.hl7.org/dstucomments/showdetail.cfm?dstuid=283

QRDA Category III STU 2.1: http://www.hl7.org/dstucomments/showdetail.cfm?dstuid=212

  • Comments as of April 3, 2020 - no new issues

CQL-based HQMF STU 3 http://www.hl7.org/dstucomments/showdetail.cfm?dstuid=230

  • Comments as of April 3, 2020 - no new issues

CQL-based HQMF STU 4 http://www.hl7.org/dstucomments/showdetail.cfm?dstuid=257

  • Comments as of April 3, 2020 - no new issues
3Quality Measure Reporting White Paper 

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

White paper was submitted to HL7 on March 31, 2020.

  • Follow up on the ballot commenting process for the white paper, whether it will be through Jira

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
4

FHIR Quality Measure IG

Quality Measure IG Jira Issues Filter

Continue to review issues related to measure populations and Eric's diagrams

  • 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

Tracker issues for discussion:

  • For discussion on April 10th:
    • FHIR-25642 Consider Library vs PublishedLibrary profiles (Bryn Rhodes)  
    • FHIR-25646 Provide terminology guidance usage (Bryn Rhodes)
    • FHIR-25636 Provide guidance for avoiding value set computations (Bryn Rhodes)
    • FHIR-25635 Use of terminology artifacts for quality measures should align with CPG work (Rob McClure)

Block vote 2 (for vote on April 10th)

  1. FHIR-26331 (Use of breadcrumbs) (Mark Bellezza) Persuasive
  2. FHIR-26329 (TOC to left side of page) (Mark Bellezza) Persuasive
  3. FHIR-26327 (guidance on profile governance) (Keith Salzman) Not Persuasive
  4. FHIR-25505 (Unclear Snippets) (Javier Espina) Persuasive
  5. FHIR-25486 (CQL and ELM references) (Javier Espina) Persuasive
5

DEQM IG

Da Vinci DEQM Trackers for upcoming DEQM calls Zulip stream 

Tracker issues for discussion:

  1. J#26613(fix oid from ITIN to EIN) (ehaas) Persuasive
  2. J#26092(Clarification needeed in incremental reporting section ) (celine_lefebvre) Persuasive with Modification
  3. J#26090(This vague statement opens the door to consumers receiving much more information than is needed for quality measure reporting.) (celine_lefebvre) Persuasive with Modification
  4. J#26089(It is important for physicians to know which CQMs they are being measured against.) (celine_lefebvre) Persuasive with Modification
  5. J#26084(How will data consumers communicate data requirements? ) (celine_lefebvre) Persuasive with Modification
  6. J#26079(We recommend fleshig out the incremental exchange process ) (celine_lefebvre) Considered for Future Use
  7. J#25721(Vendor name and software name/version) (patricia-craig) **
  8. J#25523(Are measurement period and reporting period synomys?) (javier_espina) **
6Depression Outcomes Project

Plan to present PSS on April 10th

7

QI-Core 

QI-Core IG Jira Issues Filter

FHIR-26592 - Naming of QUICK vs QI-Core Logical View TRIAGED   (change QUICK logical view name to QI-Core logical view)

8Gaps in Care 

Project confluence page

Gaps In Care Supporting Materials

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

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

May WGM 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

Planned list of joint meetings from cancelled May WGM to consider for joint conference calls:

  • Orders and Observations (CQI, CIMI, CDS) – Monday Q3 Also Observation Media DocumentReport/DiagnosticReport
  • CDS and FHIR Infrastructure (CQI, CDS, FHIR I) –
  • EHR WG – Usability, Podiatry, Wound Assessment Template FHIR IG
  • Patient Care (elective procedures, Principal Vs Primary Diagnosis) (Vocab, CIMI, Structured Documents, Orders and Observation, CQI)
  • CDS, CQI and CIMI (FHIR profiles for CDS and CQI – QUICK/QI-Core)
  • CDS and CQI – MedicationKnowledge, Potential Drug/Drug Interactions, EBM-on-FHIR, Clinical Trials Research, CQL
  • Learning Health Systems – Care Team DAM
11Connect-a-thons

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

https://confluence.hl7.org/display/FHIR/2020-05+Clinical+Reasoning

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)

    PSS Deadline Dates for Future Ballots
    September 2020 Ballot Cycle
    April 19, 2020
    TSC Approval of the PSS
    July 5, 2020
    NIB Deadline

    January 2021 Ballot Cycle


    June 5, 2020
    Submit Work Group Approved PSS to the PMO
    August 23, 2020
    TSC Approval of the PSS
    November 1, 2020
    NIB Deadline
    May 2021 Ballot Cycle
    October 9, 2020
    Submit Work Group Approved PSS to the PMO
    December 18, 2020
    TSC Approval of the PSS
    TBD
    NIB Deadline...................................



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