HL7 Clinical Quality Information Workgroup Conference Meeting Minutes

November 6, 2015

Attendees:

Name / Company / Email
Anne Marie Smith / NCQA /
Ashley McCrea / ESAC, Inc /
Ben West /
Bobby Jones / The Lazy Company /
Bryn Rhodes / Database Consulting Group /
Carsten Quinlan / EPIC /
Chris Millet / The Lazy Company /
Crystal Kallem / Lantana Consulting, Inc /
David Sundardam - Stukel / EPIC /
Floyd Eisenberg / iParsimony /
Jason Mathews / MITRE /
Jason Walonoski / MITRE /
Julia Skapik / ONC /
Juliet Rubini / Mathematica /
Justin Schirle / Epic /
Ken Kawamoto / University of Utah /
Kendra Hanley / AMA-PCPI /
KP Sethi / Lantana /
Marc Hadley / MITRE /
Mark Kramer / MITRE /
Michelle Dardis / Joint Commission /
Patty Craig / Joint Commission /
Ryan Clark / NCQA /
Sarah Ryan / MITRE /
Tammy Kuschel / McKesson /
Vaspaan Patel / NCQA /
Walter Suarez / Kaiser Permanente /
Yan Heras / Lantana Consulting Group /

CQI Co-chairs:Patty Craig, Floyd Eisenberg, Walter Suarez, Crystal Kallem, Chris Millet

Meeting Chair:Floyd

Meeting Scribe:Patty

Agenda

  • Add the following to the Agenda
  • QDM-based HQMF IG PSS update
  • FHIR Quality QI-Core / QUICK Profile PSS update
  • Business Updates
  • Need to approve Jan ballot content by Fri 11/20, otherwise CQI will need to meet on the Friday after Thanksgiving (11/27). This affects the QRDA Whitepaper ballot.
  • Harmonization proposal
  • Per the Vocab workgroup, it is OK that some of our standards still point to deprecated code systems (e.g., IPP vs IP).

Anne Smith moved to remove the harmonization proposal request and Chris Millet seconded

No Further Discussion

Opposed:0; abstentions: 0; approved: 23

Approved

  • DSTU Comment Review (if any)
  • QRDA Category I and III
  • Would like to perform an update to the standard. Workgroup reviewed open items.
  • Item #788 – Medication Discharge moodCode “RQO” is used in HQMF. However, QRDA uses moodCode “EVN” (medication active). Current QRDA template does not conform to a specific C-CDA template, so it could be changed to use “RQO” (request). Also need to remove ‘active’ from the QRDA template name and change the template’s description.

Chris Millet moved to approve change and Walter Suarez seconded

No Further Discussion

Opposed:0; abstentions: 0; approved: 25

Approved

  • Item #776–Question about deprecated value sets and QRDA Cat III. Put on hold until QRDA Cat I is checked to see if a problem exists.
  • Item #767 – Need to update the LOINC code for the Discharge Medication template in QRDA Cat I to be conformant with C-CDA R2.1.

Walter Suarez moved to approve change and Chris Millet seconded

No Further Discussion

Opposed:0; abstentions: 0; approved: 24

Approved

  • Item #745 – Applied disposition status. Disposition decision had already been voted on.

Walter Suarez moved to approve change and DavidSundaram-Stukelseconded

No Further Discussion

Opposed:0; abstentions: 0; approved: 24

Approved

  • Remaining items will be discussed on a future call, including Items #736, #730, #724
  • Chris Millet reviewed and completed an updated PSS for QRDA Category I R3 with the workgroup.
  • The scope of this DSTU update is to address approved DSTU comments with the type “errata report” and to incorporate updates to the Quality Data Model (QDM)version 4.2 as approved by the CQI workgroup.
  • CQI believes these are non-substantive as they correct errors and new information that has not yet been implemented.
  • DSTU comments approved by CQI through Friday 11/13 and disposed as errata will be included.
  • Chris Millet will send out a listserv to alert CQI members that we will be performing errata review next week.
  • This PSS needs to be submitted to US Realm Taskforce and DESD for approval – Chris Millet will submit to both groups.

Chris Millet moved to approve the updated PSS and Bryn Rhodesseconded

No Further Discussion

Opposed:0; abstentions: 0; approved: 20

Approved

  • Clinical Quality Language (CQL)-based Health Quality Measure Format (HQMF)
  • This item will be reviewed on a future call: Item #770
  • Project Updates
  • QRDA Category I DSTU R3
  • Update/errata discussion – see above
  • QRDA Category III– see above
  • QDM-based HQMF IG PSS update
  • CQI reviewed the PSS last week and KP Sethi noticed that it needed to be merged with a previous version of the PSS. This merge has been completed.
  • Purpose of this PSS is to conduct a DSTU update to address DSTU comments with an approved errata disposition that have not yet been addressed in the IG.

Bobby moved to approve the PSS update and Chris Millet seconded

No Further Discussion

Opposed:0; abstentions: 0; approved: 20

Approved

  • FHIR-based eCQMs
  • Ballot comment resolution (Block Vote – Comments 2, 4, 8, 9, 14, 35, 38, 58, 59, 60, 61, 67, 68, 69, 70, 76, 78, 82, 99, 100, 101, 102, 103, 104, 106, 109, 111, 136, 154, 158, 166)
  • Sent to CQI WG 4 November 11:20 AM.
  • Voting will occur during next week’s call (11/13).
  • Patty Craig requested that Item #78 is pulled from the vote because it is a similar comment to her Item #125 and she would like to make sure they are disposed of together in the same manner.
  • FHIR-based Quality Report – no update
  • FHIR on CDS (co-sponsoring with CDS WG)– no update

Calls: Wednesdays 11 AM-12 PM ET

+1-770-657-9270 Passcode: 6870541

URL:

  • FHIR Quality Profile (QI CORE) / QUICK Ballot

Calls: Wednesdays 1-2 PM ET

+1 770-657-9270 Passcode: 217663

URL:

  • FHIR Quality Profile PSS update
  • Project name: Harmonization of Health Quality Information Models – FHIR
  • Reviewed profile and updated individuals roles related to this project.
  • Bryn will review the PSS with Structured Documents; however, we do not need their approval.

Bryn Rhodes moved to accept the updated PSS and Walter Saurez seconded

No Further Discussion

Opposed:0; abstentions: 0; approved: 22

Approved

  • QRDA Use Cases White Paper – no update

Calls: Fridays 3-4 PM ET

+1 770-657-9270 Passcode: 217663

URL:

  • Guideline Appropriate Ordering (GAO) (co-sponsoring with CDS WG)– no update
  • Informational:
  • Harmonization Calls:
  • Final Proposals Due November 8
  • Harmonization Calls: November 10 and 12 (13th reserved for overflow day)
  • Ballot submission deadline: November 29 (Ballot opening December 4)
  • Deadline to post WGM agenda: December 14

Next Call Friday, November 13, 2015 from 1:00–3:00 PM ET

Meeting Adjourned: 3:00pm ET