HL7 Clinical Quality Information January 2014 San Antonio WGM Minutes

Mon / Tue / Wed / Thur
Name / Company / Email / Q1 / Q4 / Q3 / Q4 / Q2 / Q4 / Q1
Anne Smith / NCQA / / x / x / x / x / x / x / x
Atanu Sen / Accenture / / x / x
Aziz Boxwala / Meliorix / / x / x
Bryn Rhodes / Veracity Solution / / x / x
Chris Melo / Philips Healthcare / / x
Chris Millet / NQF / / x / x / x / x / x / x
Claude Nanjo / Cognitive Medical Systems / / x
Clayton Curtis / VA / / x
Crystal Kallem / Lantana Consulting / / x / x / x / x / x
Dan Pollock / CDC / / x
Divya Raghavachari / Accenture / / x / x / x / x
Emory Fry / Cognitive Medical Systems / / x
Floyd Eisenberg / iParsimony, LLC / / x / x / x / x
Fredick Strom / HL7 - Sweden / / x
Howard Strasberg / Wolter Kluwer / / x
Jerry Goodnough / Cognitive Medical Systems / / x
Karstien Fehre / Medexter / / x / x
Keith Boone / GE / / x
Kendra Hanley / AMA-PCPI / / x / x / x / x / x
Kensaku Kawamoto / Univ. of Utah / / x
Kimberly Bodine / HCA / / x / x
Kimberly Smuk / AMA-PCPI / / x / x / x / x / x
KP Sethi / Lantana Consulting / / x / x / x
Lauren Richie / ONC / / x / x / x / x / x
Marc Hadley / MITRE / / x / x / x / x
Mike Tushan / Lantana Consulting / / x
Patty Craig / The Joint Commission / / x / x / x / x / x / x / x
Peter Haug / Intermountain Healthcare / / x
Robert Jenders / UCLA / / x / x
Robert McClure / MD Partners / / x
Rosemary Kennedy / eCare Informatics / / x / x / x / x
Steve Daviss / APA (Psychiatric) / / x
Thomson Kuhn / ACP / / x
Vaspaan Patel / NCQA / / x / x / x / x / x / x
Walter G. Suarez / Kaiser Permanente / / x / x / x

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HL7 Clinical Quality Information January 2014 San Antonio WGM Minutes

Time: Monday Q1
Facilitator / Floyd Eisenberg / Scribe / Patty Craig
Attendee / Name / Affiliation
Attendance sheet for this meeting is at the beginning of this document.
Quorum Requirements Met: Yes

Agenda Topics

  1. Agenda Planning
  2. Approve Jan 17th Meeting Minutes
  3. Review/update 3 year plan
  4. Review SWOT
  5. Quality White Paper

Supporting Documents – CQI HL7 wiki agenda

Minutes/Conclusions Reached:

  • Introductions
  • Agenda Planning - Wiki agenda was updated real-time
  • Mon Q3 CQI will attend the VOC WG (Value Set Metadata topic). No separate Q3 CQI meetingwill occur.
  • Some CQI members and co-chairs will attend the joint Mon Q4 SD and PHER session to discussion using CDA to submit data to registries – specific discussion is concerning the Cancer Registry
  • The committee reviewed meeting minutes from the January 17th conference call.

Motion to approve - Walter, Floyd seconded

Opposed: 0; abstentions: 1; approved: 11

  • Discussed and updated CQI’s 3-year plan

Motion to approve - Crystal, Anne seconded

Opposed: 0; abstentions: 1; approved: 11

  • Discussed and began updating CQI’s SWOT. Will continue discussing later during the week.

Joint with PCWG and CQIWG – PCWG Hosting
Time: Monday Q2
  • Discussion occurred related to measures and data elements concerning plans of care, care plans, educational materials, discharge instructions, and family history in both the professional and hospital environment.
  • Follow-up: Collaboration between CQI, PC, CG (genomics), and child health for care plan, family history, and quality measures – Chris will send out a meeting notice via the HL7 listserv for each group to schedule the first meeting.
  • See PC meeting minutes for more information

CQI members joined VOC (not a scheduled joint meeting) – VOCWG Hosting
Time: Monday Q3
  • Discussion occurred related to VOC Value Set Definition Project and metadata for value sets.
  • See VOCmeeting minutes for more information

Time: Monday Q4
Facilitator / Crystal Kallem / Scribe / Patty Craig
Attendee / Name / Affiliation
Attendance sheet for this meeting is at the beginning of this document.
Quorum Requirements Met: Yes

Agenda Topics

  1. Metadata Ballot Reconciliation (Keith Boone)

Supporting Documents – Metadata ballot reconciliation spreadsheet

Minutes/Conclusions Reached:

  • A summary of the Metadata comments that were received was provided. 66 comments were received: 32 negative majors, 18 negative minors, 2 affirmative typos, 11 affirmative suggestions, 3 affirmative questions.
  • Metadata ballot comments were reviewed and voted on as a block. Ballot comments that were addressed (by issue #): 1, 2, 3, 4, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 30, 31, 40
  • Motion to approve the 27above ballot comments that were discussed - Floyd, Marc seconded

Opposed: 0; abstentions: 1; approved: 13

  • The remaining ballot comments were deferred until the submitter is available for discussion. Discussion related to the ones that were deferred will occur as possible throughout the week.
  • The updated Metadata ballot reconciliation spreadsheet will be sent to the CQI listserv.

Joint with SDWG and CQIWG – SDWG Hosting
Time: Tuesday Q1
  • Discussion occurred concerning the transitions of quality standards (HQMF, QDM-based HQMF, and QRDA)
  • An HQMF implementation in the Netherlands was presented.
  • Additional Metadata ballot reconciliation occurred.
  • See SD meeting minutes for more information, including ballot results for the Metadata ballot reconciliation.

Joint with EHRWG, CICWG and CQIWG – EHRWG Hosting
Time: Tuesday Q2
  • Discussion occurred related to the EHR Usability Project.
  • See EHR meeting minutes for more information

Time: Tuesday Q3 and Q4
Facilitator / Walter Suarez / Scribe / Patty Craig
Attendee / Name / Affiliation
Attendance sheet for this meeting is at the beginning of this document.
Quorum Requirements Met: Yes

Agenda Topics

  1. Quality White Paper

Supporting Documents – CQI White Paper Outline

Minutes/Conclusions Reached:

Q3

  • Reviewed the purpose of the White Paper.
  • Updated outline for Chapter 6 Quality Measure Standard and Data Models

Q4

  • Updated outline for Chapter 3 The Domain of Quality in Health and Healthcare
  • Updated outline for Chapter 4 The Intersection of Quality Measurement, Quality Management and Clinical Decision Support
  • Updated outline for Chapter 5 Drivers of Healthcare Quality Measurement
  • Updated outline for Chapter 7 Gaps, Issues and Opportunities with Standards and Data Models
  • Updated draft will be uploaded to CQI’s document center, a listserv will be sent, and CQI’s wiki page will be updated.
  • Important HL7 Dates if this goes to ‘ballot’ in May:
  • NIB due to HL7 by Sunday, Feb. 16th
  • Final Content due to HL7 by Sunday, March 23rd
  • Ballot open Friday, March 28th through Monday, April 28th
  • Ballot reconciliation starts the week of Sunday, May 4th

Joint with SDWG and CDSWG – SDWG Hosting
Time: Wednesday Q1
  • Discussion occurred concerning HQMF R2.x modularization and related topics.
  • Ballot Reconciliation occurred on:
  • QI DAM
  • Metadata
  • Expression Logic
  • vMR
  • See SD meeting minutes for more information

Time: Wednesday Q2
Facilitator / Crystal Kallem / Scribe / Patty Craig
Attendee / Name / Affiliation
Attendance sheet for this meeting is at the beginning of this document.
Quorum Requirements Met: Yes

Agenda Topics

  1. HQMF R2.x modularization and related topics

Supporting Documents – Marc Hadley’s slide decks HL7_Tacoma-Jan_2014_WGM.pdf and HQMF_Modularization-Jan_2014_WGM.pptx

Minutes/Conclusions Reached:

  • Discussion continued concerning HQMF R2.x modularization and related topics that were raised during Q1.
  • Reviewed TSC guidelines for updating a DSTU vs putting a DSTU back out for ballot. In addition, reviewed how to perform a peer review.
  • Walked through the current HQMF, QRDA, MAT, eMeasure release schedules
  • CQI canceled our Wed Q3 meeting and will join CDS instead so we can be involved in the Expression Language ballot reconciliation.

CQI members joined CDS (not a scheduled joint meeting) – CDSWG Hosting
Time: Wednesday Q3
  • Discussion occurred concerningExpression Language ballot reconciliation.
  • See CDS meeting minutes for more information

Time: Wednesday Q4
Facilitator / Chris Millet / Scribe / Patty Craig
Attendee / Name / Affiliation
Attendance sheet for this meeting is at the beginning of this document.
NOTE: CDS representation attended this session
Quorum Requirements Met: Yes

Agenda Topics

  1. QI DAM Ballot Reconciliation

Supporting Documents – QI DAM ballot reconciliation spreadsheet

Minutes/Conclusions Reached:

  • A summary of the QI DAM comments that were received was provided. 203 comments were received: 64 negative majors, 83 negative minors, 10 affirmative typos, 27 affirmative suggestions, 5 affirmative questions, 11 affirmative with comment, 3 comments with no vote affirmative or negative.
  • QI DAM ballot comments were reviewed and voted on as a block. Ballot comments that were addressed (by issue #): 1, 2, 3, 4, 5, 8, 10, 12, 13, 15, 17, 18, 20, 32, 33, 35, 36
  • Motion to approve the above 17 ballot comments - Crystal, Ken seconded

Opposed: 0; abstentions: 0; approved: 23

  • Ballot review will continue Thursday Q1.
  • Plans for joint CQI and CDS meetings at the May 2014 WGM in Phoenix:
  • CQI will host CDS Wed Q4
  • CDS will host CQI Wed Q6 (starts at 7pm)

Time: Thursday Q1
Facilitator / Floyd Eisenberg / Scribe / Patty Craig
Attendee / Name / Affiliation
Attendance sheet for this meeting is at the beginning of this document.
NOTE: CDS representation attended this session
Quorum Requirements Met: Yes

Agenda Topics

  1. QI DAM Ballot Reconciliation

Supporting Documents – QI DAM ballot reconciliation spreadsheet

Minutes/Conclusions Reached:

  • Reviewed CQI’ agenda for all Thursday sessions.
  • QI DAM ballot comments were reviewed and voted on as a block. Ballot comments that were addressed (by issue #): 96, 97, 98, 99, 100, 101, 102, 103, 111, 190, 192, 193, 197, 199, 203
  • Motion to approve the above 15 ballot comments - Rosemary, Howard seconded

Opposed: 0; abstentions: 0; approved: 18

  • Remainder will be discussed and voted on as soon as possible on our Friday calls.
  • Thursday Q2 has been cancelled due to a lack of agenda items.

Joint with ArB and CDSWG – ArB Hosting
Time: Thursday Q3
  • Discussion occurred related to CQI’ QI DAM.
  • How do we get to a logical model?
  • What format? Should it align with FHIR?
  • Bryn and Aziz to write a PSS to investigate different options for moving this forward and start implementing. Also, bring it back for a potential vote as early as May or Sept.
  • Interested party: ArB
  • See ArBmeeting minutes for more information

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