2021-08-27 Meeting Agenda

• September connectathon page: 2021 - 09 Connectathon 28
  • Clinical Reasoning Track Kick off 1 Sept (next Wednesday at 10am ET instead of CQI Sub-group call)
  • TDB whether to use Whova or CQI Zoom for the kick off
• September Ballot comment period is now open through September 13th, 2021
• Jira Balloting Q&A Sessions Start Next Week

Lloyd McKenzie and Melva Peters will be hosting three Q&A sessions to answer questions on Jira balloting. There will be no formal presentation. Please come prepared with your questions.

Lloyd presented a webinar on Jira Balloting on March 2, 2021 which should be reviewed prior to attending the Q&A sessions. Ideally, you should try first voting on items using Jira as well. The recording is at: https://youtu.be/Qb-02MWgugM.

Registration is required for the following:

Jira Balloting Q&A Session | Aug 31, 2021 04:00 PM Eastern Time (US and Canada)

Register in advance for this meeting:
https://hl7-org.zoom.us/meeting/register/tJYvcOivpzwrEtcoSY-OrJxZZwohs9yB8HeO

Jira Balloting Q&A Session | Sep 7, 2021 04:00 PM Eastern Time (US and Canada)  

Register in advance for this meeting:
https://hl7-org.zoom.us/meeting/register/tJUpdO2prTsrGtaiFP-quYTgPvViKLf0myLj

Jira Balloting Q & A Session | Sep 8, 2021 01:00 PM Eastern Time (US and Canada)  

Register in advance for this meeting:
https://hl7-org.zoom.us/meeting/register/tJ0kdOitrzMiHNV_xhL-VMJc83NUG0W5gGtW
 
After registering, you will receive a confirmation email containing information about joining the meeting.

ONC Trusted Exchange Framework and Common Agreement (TEFCA) Recognized Coordinating Entity (RCE) final draft of the Qualified Health Information Network (QHIN) Technical Framework.  Your input to the HL7 policy advisory committee (PAC) should be submitted to Tricia Gerber and me no later than COB Friday, August 27^th, 2021.

• The QHIN Technical Framework (QTF) specifies functional and technical requirements for information exchange including privacy and security steps, approaches for identifying and authenticating exchange participants, how to conduct patient discovery and identity resolution, and support for required exchange protocols. QHINs will be responsible for routing queries, responses, and messages to and from their participants.
• In considering your proposed HL7 comments the PAC asks you to focus on and emphasize elements to include or points to consider in a FHIR Roadmap for exchange (including potential recommendations for cross-domain FHIR based exchange), as requested by the ONC RCE, in addition to considering comments on the existing and legacy set of frameworks, profiles, and methods for information sharing under TEFCA using HL7 CDA XML document based exchange.
• More information is at https://rce.sequoiaproject.org/qhin-technical-framework-feedback/.  Feedback due 17 September 2021.
  

Documents for review: QTF-Summary_Rev-7-28-2021.pdf; QTF-V1-Draft.pdf

Add comments in Confluence here: CQI Comments on TEFCA QHIN Technical Framework

• Physician Fee Schedule: https://www.federalregister.gov/documents/2021/07/23/2021-14973/medicare-program-cy-2022-payment-policies-under-the-physician-fee-schedule-and-other-changes-to-part   It contains revisions to the Quality Payment Program and an RFI to Advance transformation to Digital Quality Measures (from current eCQMs), including the use of FHIR standards

  • From Policy Advisory Committee: https://www.govinfo.gov/content/pkg/FR-2021-07-23/pdf/2021-14973.pdf. Your input for the HL7 policy advisory committee (PAC) should be submitted to Ticia Gerber and me no later than COB Friday, September 3rd, 2021.

    The physician fee schedule rule includes several RFI sections on HL7 FHIR and aspects of other items of potential interest including DQMs, the SAFER guidelines, public health reporting, electronic prescribing of controlled substances, and health information exchange measures.  Some of these key proposals and RFI questions are posed on pages 224-230, 236-241, 262, 269, 307, and 324 of the file linked above. 

• Outpatient Prospective Payment System: https://public-inspection.federalregister.gov/2021-15496.pdf
  • Tell PAC to use the same language for the definition of dQM and any language related to FHIR that was included in HL7 comments to the IPPS rule. https://www.regulations.gov/comment/CMS-2021-0070-5466
    

 Instructions for how to review the PSS are available here: https://confluence.hl7.org/display/PSS/How+to+Create+and+Review+a+Project+Scope+Statement+using+Jira

TSC has received a request for a new Work Group entitled “Human and Social Services Work Group.”  As per section 11.01.02 of the HL7 GOM, which describes the process of establishing a Work Group, the proposal is now being distributed to the cochairs of all existing Work Groups for a vote. The proposal may be viewed here: https://confluence.hl7.org/display/HL7/Human+and+Social+Services+Work+Group+Formation+Proposal

Clinical Reasoning FHIR Resources (owned by CQI)

• Measure
• MeasureReport 

CQI open items tracker filter (FHIR Core/CQI WG/triaged)

FHIR-33150 $evaluateMeasure reportType and subject params unclear (Rick Geimer)

• FHIR-33084 In Data Exchange MeasureReport profile, the .measureScore should not be allowed (Linda Michaelsen)
• FHIR-32980 Add a value to GIC Status to represent when a Patient is not in the Initial Population for a Measure (Linda Michaelsen)
• FHIR-33086 Individual MeasureReport profile doe snot support performance rate (measureScore) of undefined (Yan Heras)
• FHIR-32875 Definition of sub measures in a Measure Resource and Measure Report resource (Ramyapriyadarshini Theivam)

Status update https://build.fhir.org/ig/HL7/davinci-ra/

ANSI status update - out for comment until September 12th

Balloting schedule (confirm on HL7 Calendars):

Approvals for September 2021, January 2022, May 2022 Ballot Cycles: