Clinical Quality Information WG Meeting

Clinical Quality Information WG Meeting February 22nd from 1:00 – 2:00 pm ET

Attendees:

Name Affiliation Email Allison Viola eHealth Initiative [email protected] Bruce Grotenhuis Telligen [email protected] Chris Millet NQF [email protected] Crystal Kallem Lantana Consulting Group [email protected] David Shields OpenCDS [email protected] Enrique Meneses CareFlow Solutions [email protected] Finnie Flores CIHI [email protected] Floyd Eisenberg iParsimony LLC [email protected] Gora Datta CAL2CAL [email protected] Jason Kratz Epic [email protected] Jim McClay University of Nebraska Medical [email protected] Center Joe Obbish Epic [email protected] Judy Warren University of Kansas Medical [email protected] Center Kendra Hanley American Medical Association [email protected] Lindy Buhl 3M [email protected] Marc Hadley MITRE [email protected] Nagesh Bashyam (Dragon) Harris nbashy01.harris.com Nikolay Lipskiy Center for Disease Control and [email protected] Prevention Patty Craig The Joint Commission [email protected] Rachel Seeley 3M [email protected] Sarah Ryan [email protected] Saunya Williams Accenture [email protected] Shelly Spiro Pharmacy e-Health Information [email protected] Technology Collaborative Stan Rankins Telligen [email protected] Sue Kent Cleveland Clinic [email protected] Tiffany Harman 3M [email protected] Walter Suarez Kaiser PERMANENTE [email protected]

Minutes 1. The committee reviewed meeting minutes from the January WGM. Shelly Spiro moved to approve the minutes. Gora Datta seconded the motion. 0 opposed; 0 abstentions; 24 approved

2. Walter provided an overview of CQI WG charter (as approved during the January WGM. A variety of questions and suggestions were raised:  Gora asked why the term “clinical quality information” wasn’t defined. The definition wasn’t included as part of the charter but the WG can work toward defining this if needed. Gora suggested this may be helpful for engaging broader participation from the international community. The co-chairs will add this as a topic for further discussion during a future meeting.  Does this workgroup include other clinical aspects associated with quality that are not currently included in the charter?  What’s the rationale of including the word “clinical” in the name of the workgroup? Is it intended to limit the scope of this group’s work to only those aspects that are clinically related when it comes to quality monitoring activities? Should the term “clinical” be removed from the name?  The group discussed and felt the mission and charter helps clarify the scope of the WG beyond the name.  It was suggested to rename the workgroup to “Healthcare Quality Information Workgroup”. The group agreed that the first order of business is to clarify the scope, then readdress the name change later downstream.  Need to make sure that the mission/charter clearly indicates that the scope is not just clinical in nature.  The HL7 process does allow the committee to define the mission/charter as part of the downstream process as the workgroup matures.

The co-chairs will submit the charter to the Domain Experts Steering Division for review/approval processes. It was recommended that a comment be included indicating the charter will be enhanced over the year as the group matures.

3. Status of current clinical quality standards activities

Crystal provided updates on the Health Quality Measure Format (HQMF) Release 2, Quality Data Model (QDM)-based HQMF Implementation Guide, and Quality Reporting Data Architecture (QRDA) errata. HQMF R2 ballot reconciliation is still in progress. The specification is scheduled to be published as a DSTU by May 2013. The QDM-based HQMF IG was balloted in September. Ballot reconciliation will begin as soon as the HQMF R2 updates stabilize. QRDA errata (technical corrections) were approved by the Structured Documents WG and should be published soon.

Floyd provided an update on Virtual Medical Record (vMR)/QDM harmonization. A high level review of gaps is being conducted now as part of the May 2013 vMR ballot preparations. Chris shared that a small group is supporting this work, meeting regularly on Thursdays and Fridays. If folks from the CQI WG are interested, contact Chris Millet for more information. Changes need to be completed by March 17th in preparation for the ballot submission. Further discussion are required to assess the need for a full blown harmonization project under the CQI WG.

4. Workgroup logistics a) Use of the Wiki versus CQI WG web page Co-chairs reminded the workgroup that information is managed on both the CQI WG wiki (http://wiki.hl7.org/index.php?title=Clinical_Quality_Information_Work_Group) and the CQI WG web page (http://www.hl7.org/Special/committees/cqi/index.cfm). b) Conference calls The group currently plans to meet monthly. Please share your feedback with the co- chairs if you feel the meetings should be held more frequently. The next call will be held on March 29th from 1:00 – 2:00 pm ET. Addendum: Rescheduled for April 4th from 1:00 – 2:00 pm ET.

c) Co-chair elections Elections for permanent co-chair positions will take place at the May WGM. If interested, let the interim co-chairs know to be sure your nomination is received by HL7 HQ.

5. Future agenda topics: Due to time limitations, the following topics were not discussed during the call but will be saved for future discussions. a) Decision making practices b) May WGM Agenda Planning c) New business (10 min) c.1. Proposal for developing an informative document (or white paper) that describes quality-related standards and how they are used c.2. Sharing implementation experiences c.3. International aspects to the CQI WG – suggested new business item