HL7 Clinical Quality Information Jan 2015 San Antonio WGM Minutes
Attendees: / Monday / Tuesday / Wednesday /Name / Company / Email / Q1 / Q2 / Q4 / Q1 / Q2 / Q4 / Q1 / Q2 / Q4 /
# of attendees for each quarter: / 19 / 18 / 17 / 36 / 15 / 15 / 42 / 16 / 24
Amy Wang / IMO /
Angela Flanagan / Lantana Consulting Group / / X / X / X / X / X / X / X / X
Anne Smith / NCQA / / X / X / X / X / X / X / X / X
Anneke Goossen / HL7 Netherlands / / X
Austin Kreisler / Leidos / / X / X
Aziz Boxwala / Meliorix / / X / X / X
Benjamin Flessner / Epic / / X / X
Brett Marquard / River Rock Associates / / X
Bryn Rhodes / Veracity Solutions / / X / X / X / X
Calvin Beebe / Mayo Clinic / / X / X
Cathy Welsh / St. Jude / / X
Chris Melo / Philips / / X
Chris Moesel / MITRE / / X / X / X / X / X / X / X / X
Christina Knotts / FBD /
Claude Nanjo / Cognitive Medical Systems /
Clem McDonald / NIH /
Crystal Kallem / Lantana / / X / X / X / X / X / X / X
Dan Pollock / CDC /
Daniel Lanphear / McKesson /
Darrell Woelk / Social Care / / X / X / X
David Pyke / Cognaissance / / X
David Sundaram-Stukel / Epic / / X / X / X / X
Derek White / Humana /
Emilie Kralicek / Lantana Consulting Group / / X
Eric Larson / NGC / CDC / / X / X
Floyd Eisenberg / iParsimony / / X / X / X / X / X / X / X / X
Galen Mulrooney / VA / / X
Gay Dolin / IMO / / X / X
George Cole / Allscripts / / X
Helmut Koenig / Siemens Healthcare /
Howard Strasberg / Wolter Kluwer / / X / X
Jason A. Walonoski / Mitre /
Jason Mathews / MITRE / / X / X / X
Jay Lyle / Ockham / / X
Jeff Brown / ASCO / / X / X
Jessa van Styn / NICTIZ / / X
Joseph Kunisch / Memorial Hermann / / X / X / X / X / X / X / X
Julia Skapik / ONC / / X / X / X / X / X / X / X / X / X
Juliet Rubini / Mathematica / / X / X
Karsten Fehre / Medextes / / X / X
Keith Boone / GE / / X
Ken Kawamoto / University of Utah / / X / X / X / X
Kendra Hanley / AMA-PCPI / / X / X / X / X / X / X / X
Kevin Coonan / SMS / / X
Kimberly Smuk / AMA-PCPI / / X / X / X / X / X / X
KP Sethi / Lantana / / X / X / X / X / X / X
Lauren Niles / NCQA / / X / X / X / X / X / X / X / X / X
Lisa Nelson / Lantana Consulting Group / / X
Marc Hadley / MITRE / / X / X / X / X / X
Mark Kramer / MITRE / / X / X / X / X / X / X / X
Mark Roche / ONC /
Martin Rosner / Philips /
Masaaki Hirai / HL7 Japan / / X
Mead Walker / MWC / / X
Michael Padula / Children's Hospital of Philadelphia / / X
Michael vander Zel / UMCG / m.van.der.zel@umcg / X
Mike Tushan / Lantana Consulting Group / / X / X / X
Patty Craig / Joint Commission / / X / X / X / X / X / X / X / X / X
Rick Geimer / Lantana Consulting Group / / X
Rob McClure / MD Partners /
Rob Savage / NGC/CDC /
Robert Jenders / UCLA / / X / X
Ryan Knepp / Epic / / X / X / X / X / X / X
Sadamu Takasaka / HL7 Japan / / X
Sarah Gaunt / Lantana Consulting Group / / X / X / X / X / X
Sarah Ryan / MITRE / / X / X / X
Suzanne Maddox / ASCO / / X
Tessa van Stijn / NICTIZ / / X / X / X
Thomson Kuhn / ACP / / X / X
Vadiu Polyakov / Inovalon / / X
Victor Lee / Zynx Health /
Viet Nguyen / Systems Made Simple / / X
Vinayak Kulkarni / Siemens Healthcare / / X / X
Walter G. Suarez / Kaiser Permanente / / X / X / X / X / X / X / X
Yukinori Konishi / HL7 Japan / / X
Yunwei Wang / Intelligent Medical Objects / / X / X / X
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HL7 Clinical Quality Information Jan 2015 San Antonio WGM Minutes
Time: Monday Q1Facilitator / 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
· Welcome/Introductions
· Agenda planning
o Agenda planning
o DMP Updates
o Strategic Planning/ 3 year plan
o May WGM Planning – Paris
Supporting Documents – CQI HL7 wiki agenda, draft DMP document
Minutes/Conclusions Reached:
Business Session
· Agenda Planning
o Added
§ FHIR Profile for Quality Reconciliation to Tue Q1 with SD
§ Added a discussion concerning what CQI would present at the combined workgroup meeting on Wed Q2 and at the payer summit
o Switched
§ Paper Ballot Reconciliation from Monday Q3 to Wed Q2
§ CQF-based HQMF IG Ballot Reconciliation from Wed Q1 to Tue Q2
· DMP
o The workgroup reviewed the newly updated HL7 generic DMP with previously approved CQI modifications included.
Walter moved to approve HL7 modifications to the DMP, CQI additional modifications, and accept the HL7 proxy vote language and Marc seconded
Further discussion concerning the proxy votes concluded that Patty will send a comment to Karen concerning them to request clarification concerning why it appears you cannot have a proxy, but then states that you can.
Opposed: 0; abstentions: 0; approved: 18
Approved
· Strategic Planning/ 3 year plan
o Discussion moved to Monday Q2
· May WGM Planning – Paris
o HL7 has requested that WGs provide an overview of the Workgroup.
§ Thoughts are about adding information about the CQI Whitepaper and Tacoma project.
o HL7 has requested that CQI performs out-reach with European groups to find out what they are doing in quality.
§ Walter will reach out – possibly France, UK,
§ Thoughts are about the MAT and QDM in the Netherlands
o Co-chairs will send a message to the CQI listserv to ask for interest in the overview and out-reach meetings.
§ Cross post SD, CDS, and PHER
o Lillian is investigating if CQI could hold webinars hosted from the US during the Working Group meeting so ballot reconciliation could begin that week.
Time: Monday Q2Facilitator / 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
· Approve Jan 9th Conference Call Meeting Minutes
· Strategic Planning/ 3 year plan
· New project initiation
· Existing Project work/progress
o Quality white paper
o QRDA
o CQF-based HQMF IG
o Clinical Quality FHIR profiles
o Clinical Quality Language
o Measure Reports on FHIR (?)
Supporting Documents: January 9th Meeting Minutes,
Minutes/Conclusions Reached:
· Reviewed agenda was modified by adding two items:
o Jan 9th Conference Call Meeting Minutes
o Strategic Planning/ 3 year plan
· Conference call minutes
o The committee reviewed meeting minutes from the 1/9 conference call.
Marc moved to approve and Crystal seconded
No Further Discussion
Opposed: 0; abstentions: 2; approved: 13
Approved
· Strategic Planning/ 3 year plan
o All standards have been transitioned from SD to CQI – specifically HQMF, QDM-based HQMF, QRDA and QDM-based QRDA Category I DSTU, QRDA Category III DSTU
§ Co-chairs will review the Wiki and the HL7 website to determine issues related to links to CQI instead of SD, who owns which standards, Project Insight, announcement of ballots – identified issues will be discussed with HL7 management.
o CQI strategy for evaluating and responding to CQI standards issues, questions, and comments:
§ US government contractors are expected to cross-post issues, questions, and comments related to CQI standards into the appropriate HL7 DSTU webpage.
§ CQI will add a standing once a month item to CQI’s conference call agenda for CQI to proactively review outstanding standards issues, questions, and comments.
o Instead of maintaining specifics about projects in the 3-year plan, CQI will periodically review Project Insight to ensure it is up-to-date and properly identifies scope, timeline, and deliverables.
o TSC and US Realm Task Force are asking when we will take CQI DSTUs to normative status.
§ CQI will add a task to explore options for moving CQI artifacts to normative status, including, but not limited to QRDA Category I, QRDA Category III, HQMF, and QDM- based HQMF IG.
o CQI will add line items for:
§ exploring possible future standards and
§ developing a process for maintaining alignment between and across quality-related and underlying standards.
o No vote was taken. Next steps is for co-chairs to review Project Insight and update the 3-year plan as needed and bring a ‘final’ draft to a CQI call for review.
· New project initiation
o Marc Hadley would like to discuss a CQF-based FHIR profile during Tuesday Q3.
· Existing Project work/progress
o Quality Whitepaper
§ Reconciliation is planned for Wed Q2.
§ Quality Whitepaper was balloted for Comment Only for January ‘15
§ Overall ballot votes
Affirmative: 58
Negative: 2
Abstain: 73
No vote: 30
Line item votes (comments)
Row Labels / Count of NumberVarious flavors of Affirmative / 50
Neg-Mi / 4
Neg-Mj / 0
(blank) / 0
Grand Total / 54
o QRDA IG
§ Biggest identified problem is alignment with CDA
§ A number of comments were received on QDM. These will be closed as non-persuasive and sent to the QDM workgroup in ONC.
§ Reconciliation is planned for Mon Q4 and Tue Q1 with SD
§ QRDA was balloted for DSTU for January ‘15
§ Overall ballot votes
Affirmative: 30
Negative: 26
Abstain: 66
No vote: 19
Line item votes (comments)
Row Labels / Count of NumberA-C / 17
A-Q / 8
A-S / 16
A-T / 44
Neg-Mi / 29
Neg-Mj / 27
(blank) / 2
Grand Total / 143
o CQF-based HQMF IG
§ Biggest identified problem was that FHIR has removed the FHIR 'Query' Resource that was referenced within the IG.
§ Reconciliation is planned for Tue Q2 and Thur Q2 with CDS
§ CQF-based HQMF IG was balloted for Comment Only for January ‘15
§ Overall ballot votes
Affirmative: 49
Negative: 5
Abstain: 64
Line item votes (comments)
Row Labels / Count of NumberA-C / 7
A-Q / 3
A-S / 5
A-T / 2
Neg-Mi / 4
Neg-Mj / 3
(blank) / 0
Grand Total / 24
o Clinical Quality FHIR
§ There is some significant concern about using FHIR as a basis for a quality model. Questions including whether or not FHIR is stable enough and covers enough elements.
§ The plan is to move the profile to DSTU by the Paris meeting.
§ Reconciliation is planned for Tue Q1 with SD and Wed Q1 with CDS and SD
§ Clinical Quality FHIR was balloted for Comment Only for January ‘15
§ Overall ballot votes
Affirmative: 31
Negative: 48
Abstain: 44
Line item votes (comments)
Row Labels / Count of NumberA-C / 36
A-Q / 12
A-S / 15
A-T / 16
Neg-Mi / 27
Neg-Mj / 18
(blank) / 0
Grand Total / 125
o Clinical Quality Language (CQL)
§ CQL was balloted as a DSTU for January ‘15
§ Most comments were regarding the details and minutiae of the specification
§ Some questions/comments on using CQL with other data models (e.g., QRDA, CDA)
§ Overall ballot votes
Affirmative: 49
Negative: 7
Abstain: 64
Line item votes (comments)
Row Labels / Count of NumberA-C / 21
A-Q / 38
A-S / 88
A-T / 40
Neg-Mi / 43
Neg-Mj / 3
(blank) / 0
Grand Total / 233
o Measure Reports on FHIR
§ Did not go to ballot for January
§ No update
CQI cancelled our independent Monday Q3 sessionCQI joined VOCAB for Monday Q3
Time: Monday Q3
· Vocab workgroup performed ballot reconciliation for their Value Set Definition project
· See Vocab meeting minutes for more information
Time: Monday Q4Facilitator / 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
o QRDA Ballot Reconciliation
Supporting Documents: Reconciliation document
Minutes/Conclusions Reached:
· CQI performed 3 blocks of reconciliation voting on the QRDA Ballot.
o Block 1 contained items #127, 128, 130, 131, 132, 133, 134, 135, 136, and 140
Sarah moved to approve Block 1 and Anne seconded
No Further Discussion
Opposed: 0; abstentions: 0; approved: 15
Approved
o Block 2 contained items #62 and 137
Sarah moved to approve Block 2 and KP seconded
No Further Discussion
Opposed: 0; abstentions: 0; approved: 14
Approved
o Block 3 contained items #19, 66, 113, 114
KP moved to approve Block 3 and Kendra seconded
No Further Discussion
Opposed: 0; abstentions: 0; approved: 14
Approved
· CQI reviewed additional ballot comments that require SD feedback to assist with Tue Q1 discussions.
Time: Tuesday Q1 -- Joint with SDWGFacilitator / 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