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Clinical Quality Framework

Clinical Quality Framework. All Hands Meeting July 24, 2014 11am-12:30pm ET. cqframework.info. Logistics. As a reminder, please mute your phone when you are not talking to the group. When speaking, please say your name before making your comment.

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Clinical Quality Framework

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  1. Clinical Quality Framework All Hands Meeting July 24, 2014 11am-12:30pm ET cqframework.info

  2. Logistics • As a reminder, please mute your phone when you are not talking to the group. • When speaking, please say your name before making your comment. • You can ask questions by unmuting or by using the “Chat” feature on the web meeting. To find the “Chat” feature, look for the “Chat” bubble at the top of the meeting window. • Send your “chat” to All Panelists in order to ensure the comments are addressed publicly. • This meeting is being recorded. • Should you need to take another call, please leave the meeting and rejoin (i.e., please do not put the meeting line on hold). From S&I Framework to Participants: Could you please explain how the terminologies are used in this instance? All Panelists CQF Wiki: cqframework.info 2

  3. Agenda CQF Wiki: cqframework.info 3

  4. Welcome • Announcements, Meeting Schedules, Agendas, Minutes, Reference Materials, Use Cases, Project Charter, and General Information are posted on cqframework.info • Clinical Quality Framework (CQF) All Hands meetings are held weekly on Thursdays from 11am to 12:30pm ET • https://siframework1.webex.com/siframework1/onstage/g.php?t=a&d=666535029 • Dial In: +1-650-479-3208 • Access code: 666 535 029 • CQF QUICK Data Model meetings are held weekly on Wednesdays from 1 to 2pm ET • http://fuze.me/24308131 • Dial In: +1-770-657-9270 • Participant passcode: 6870541 • CQF Clinical Quality Language meetings are held weekly on Wednesdays from 11am to 12pm ET • https://global.gotomeeting.com/meeting/join/554237525 • Dial In: +1-770-657-9270 • Participant passcode: 6870541 CQF Wiki: cqframework.info 4

  5. WelcomeNotional Project Timeline Mar 2014: Pre-Discovery - Call for participation Apr-Jun 2014: Discovery - Charter, use case, and functional requirements development May 2014-Nov 2015: Implementation – Standards development and review Jun 2014-Nov 2015: Pilots Dec 2015: Evaluation Mar 2014 May 2014 Jul 2014 Sep 2015 Nov 2015 … Use Case Kick-off Initiative End Use Case Consensus Kick-off (3/21) Pilot Kick-off Pre-Discovery, Call for Participation Discovery Charter, Use Cases, Functional Requirements Implementation Standards Development and Review Pilot Evaluation Use Case Pilots Technology Evaluations

  6. WelcomeStandards CQM-Specific Standards Common Metadata Standard CDS-Specific Standards Common Data Model Standard (QUICK) Common Expression Logic Standard (CQL) CDS=Clinical Decision Support CQL=Clinical Quality Language CQM=Clinical Quality Measurement QUICK=Quality Information and Clinical Knowledge CQF Wiki: cqframework.info 6

  7. Clinical Quality Expression LanguageStatus Update and Discussion Bryn Rhodes, CQF Expression Language Sub-Team Lead CQF Wiki: cqframework.info 7

  8. Clinical Quality Expression Language Status Update and DiscussionCurrent Status UPDATE CQF Wiki: cqframework.info 8

  9. Clinical Quality Expression Language Status Update and DiscussionDiscussion • The biggest outstanding issues are: • Handling precision-based comparisons for datetimes • Solidifying library scope, reference, and definition issues • Defining data model definition and reference • Solidifying/Defining valueset issues CQF Wiki: cqframework.info 9

  10. QUICK Data ModelStatus Update and Discussion Aziz Boxwala, Data Model Sub-Team Lead Claude Nanjo, Data Model Sub-Team Lead CQF Wiki: cqframework.info 10

  11. QUICK Data Model Status Update and DiscussionActivities performed this week • Alignment of QUICK prioritized concepts with FHIR • Review of attribute placement in hierarchy • Preparation of Ballot Overview material • https://docs.google.com/document/d/1N54SGKg6bKKe7oy-Adun88xTznYpe43PoLDXWAuQry4/edit# • Discussion of extension approach for QUICK • Preliminary thoughts can be found here: • https://docs.google.com/document/d/1w6tE3qQ4oIz3GVm3ab8CUNtLCZCMwaWTVh8ZjaWWROU/edit# FHIR=Fast Healthcare Interoperability Resources QIDAM=Quality Information Domain Analysis Model QUICK=Quality Information and Clinical Knowledge CQF Wiki: cqframework.info 11

  12. QUICK Data Model Status Update and Discussion Discussion • To join the HL7 Clinical Decision Support (CDS) and Clinical Quality Information (CQI) listservs • Access the HL7 homepage • Select Listserv on the bottom menu • Select Subscribe to list services at the upper right of the page • Click on the listserv name (e.g., Clinical Decision Support) • Select Join Select Subscribe to list services Select Listserv CQF Wiki: cqframework.info 12

  13. Health Level 7 International (HL7) Ballot Process Ken Kawamoto, CQF Co-Coordinator CQF Wiki: cqframework.info 13

  14. HL7 Ballot ProcessTypes of HL7 Ballots Note: Letter designations are used at the ballot site to indicate ballot level • There are four basic types of ballots • O – Comment -only • I – Informative • D – Draft Standard for Trial Use • Trial period 12-24 months • N – Normative • Standards may be “Universal” or “Realm-specific” (e.g., US-specific) • CQF will be balloting for September 2014: • Clinical Quality Language (CQL) – Comment-only, US Realm • Quality Improvement and Clinical Knowledge (QUICK) Logical Model – Comment-only, US Realm CQF Wiki: cqframework.info 14

  15. HL7 Ballot ProcessTypes of Ballots: Ballot Type Summary CQF Wiki: cqframework.info 15

  16. HL7 Ballot ProcessTypes of Ballots: Ballot Type Summary (Cont.) CQF Wiki: cqframework.info 16

  17. HL7 Ballot ProcessOverview of Comment-Only Ballot An HL7 Work Group submits and proposes content for Comment-Only review The intent is to gather input from members outside of the Work Group on the viability and clarity of the proposed content The review of proposed content does not seek a vote, per se, but will capture all comments CQF Wiki: cqframework.info 17

  18. HL7 Ballot ProcessParticipation in Comment-Only Ballot • Members enroll in the review group via the HL7 Ballot Desktop • The enrollment period ends one week prior to the review closing date • Ballot pool sign-up begins July 7 and ends August 1 • Nonmembers may also enroll, and this is encouraged • Nonmembers must register their intent with HL7 during the stated enrollment period by mail, telephone, or email • We will also collect CQF community comments for submission by the CQF team • There is no minimum review group • At the close of the comment-only review period the responsible Work Group shall consider all comments with the intent of improving the quality and clarity of the submitted content before submission to a subsequent ballot. • The Work Group shall post the results of their consideration of the comments submitted to the HL7 Ballot Desktop • Note: A Comment-only Ballot does not require reconciliation CQF Wiki: cqframework.info 18

  19. HL7 Ballot ProcessThe Ballot Desktop http://www.hl7.org/ctl.cfm?action=ballots.home • Objectives • Learn how to join in a ballot pool • Learn how to navigate the ballot desktop CQF Wiki: cqframework.info 19

  20. HL7 Ballot ProcessLocating the Ballot Desktop • The link below will take you directly to the Ballot Desktop http://www.hl7.org/ctl.cfm?action=ballots.home • You can also get there from the HL7 Home Page. Find the link to Online Balloting and follow the links to the Ballot Desktop. CQF Wiki: cqframework.info 20

  21. HL7 Ballot ProcessDesktop Home Page • When you link to the ballot desktop members should log in at the home page using your HL7 User ID and Password. CQF Wiki: cqframework.info 21

  22. HL7 Ballot ProcessNavigate to the Ballot Page Appendix • Click on the Ballots Tab to navigate to the Ballots Page. • Then from the list of ballot cycles on the left, click on the current ballot cycle (the top link) CQF Wiki: cqframework.info 22

  23. HL7 Ballot ProcessJoin the Ballot Pools Appendix • Click on the Join a Pool link to select the ballots you wish to participate in. • On the Join a Pool Page, Select from the list of all open ballots CQF Wiki: cqframework.info 23

  24. Next Steps • Engage in workgroups (www.cqframework.info) • Pilots • Pilot Sub-Team Lead Peggy Tsai • Individual Pilot Leads or Bridget Blake • QUICK Data Model • Claude Nanjo, Aziz Boxwala • Clinical Quality Language • Bryn Rhodes • Join us for the next Clinical Quality Framework meeting on July 31 from 11am to 12:30pm ET CQF Wiki: cqframework.info 24

  25. Questions and Technical Discussion cqframework.info CQF Wiki: cqframework.info 25

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