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Agenda Outline

Agenda Item

1Announcements 
  • Virtual Connect-a-thon dates: Wednesday May 13, Thursday May 14, and Friday May 15. Stay tuned for more information
  • CQI will be one of the early adopters to switch to Zoom for weekly meetings - stay tuned 
  • Ballot opened on April 10th: 
    • HL7 Cross-Paradigm Specification: Clinical Quality Language, Release 1 (Jira Specification = "Clinical Quality Language")
    • HL7 FHIR Guidance: Quality Reporting, Release 1 - US Realm (Jira Specification = "US FHIR Guidance - Quality Reporting")
2Quality Measure Reporting White Paper 

Ballot is now open - balloting period April 10th - May 11th

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

  • Follow up on the ballot commenting process for the white paper, whether it will be through Jira
3

FHIR Quality Measure IG

Quality Measure IG Jira Issues Filter

Block Vote 3 (Rob Samples sent out the block vote to the listserv on 4/13)

  • 26534 Clarify guidance on referencing library expressions in a Measure (Bryn Rhodes)
  • 26656 Clarify inclusion criteria usage in Measure (Bryn Rhodes)
  • 25642 Consider Library vs PublishedLibrary profiles (Bryn Rhodes)
  • 26456 Provide guidance on the use of direct-reference codes (Bryn Rhodes)
  • 21107 conformance requirement 1 does not mention composite measures. Should it? (Lizzie Charbonneau)
  • 26689 Add publicationStatus and publicationDate extensions to relatedArtifact (Bryn Rhodes)
  • 26561 Add general guidance on terminology usage for measure authors (Bryn Rhodes)
  • 26564 Provide guidance about use of calendar duration vs UCUM units for time-valued quantities in CQL (Bryn Rhodes)
  • 20957 Discuss applying attribution in an eCQM (Floyd Eisenberg)

Review and vote for the diagrams proposed by The Joint Commissions to resolve the following issues. (Note: diagrams reviewed and discussed on the Tuesday's sub-group call (April 7th) and last Friday's call.  – 

  • 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:

  • 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)
    4

    DEQM IG

    Da Vinci DEQM Trackers for upcoming DEQM calls Zulip stream 

    Status: total 11 open DEQM trackers.

    Block Vote 4 for April 17th - Eric sent out the Block Vote to the listserv on 4/9/2020

    1. J#21999, CDS Hooks can be used in the screening data. - DEQM #145 (nandini_ganguly) Considered - No action required
    2. J#21993, Data Exchange Interactions are helpful to track history/status of exchange - DEQM #142 (nandini_ganguly) Considered - No action required
    3. J#18672, Show CMS eCQM - DeQM #51 (kpsethi) Persuasive with Modification

    Tracker issues for discussion on April 17th:

    1. Ready for Vote
      1. J#25523 (Are measurement period and reporting period synomys?) (javier_espina) *
      2. J#26088 (Are denominator exclusions going to be determined automatically through structured data?) (celine_lefebvre)
      3. J#25624 (Changes to allow for evaluation of measures by Provider) (sfradkin) Persuasive
      4. J#26084 (How will data consumers communicate data requirements? ) (celine_lefebvre) Persuasive with Modification
    5

    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)

    FHIR-26656 - New measure component details and definitions

    FHIR-26829 - Consideration for Medication List for patient-reported medications

    6Gaps in Care 

    Project confluence page

    Gaps in Care Meetings and Minutes

    Gaps In Care Supporting Materials

    7Depression Outcomes Project

    Outcome Criteria Framework Implementation Guide

    PSS was approved on April 10th. Follow up on the status of getting PSS approved through HL7. 

    8CQL 

    Normative ballot is now open - balloting period April 10th - May 11th

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

    9SANER Project

    Discuss COVID-19 project managed by Patient Administration WG (uses FHIR Measure and Measure Report): 

    Project Page for Situation Awareness for Novel Epidemic Response FHIR IG

    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:

    NOTE - HL7 will be sending out information for Co-chairs to be able to invite each other's WGs to joint calls (similar to the invitation system used for the WGMs). If we identify joint calls we want and potential content for such sessions, your co-chairs will know which WGs to invite.

    • 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

    Virtual Connectathon May 13 - 15

    2020-05 Clinical Reasoning Track Confluence Page 

    2020-05 Da Vinci Gaps in Care Track Confluence Page

    12FHIR Resources owned by CQI
    • Measure
      • Jira
        serverJira
        serverId9b965702-34a7-3433-bf10-7f66fd69238c
        keyFHIR-26844
        Ready for Vote
    • MeasureReport
    13Project 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

    14Balloting 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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