Clinical Quality Framework

cqframework.info

All Hands MeetingOctober 2, 2014

11am-12:30pm ET

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.

From S&I Framework to Participants:Could you please explain how the terminologies are used in this instance?

All Panelists

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• 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).

Agenda

Topic PresenterWelcome Marc Hadley, CQF Subject Matter Expert

Pilot Updates Sarah Ryan, CQF Co-CoordinatorPilot Leads

Clinical Quality Language (CQL) Update Bryn Rhodes, CQF Subject Matter Expert

Quality Improvement and Clinical Knowledge (QUICK) Update

Aziz Boxwala, CQF Subject Matter ExpertClaude Nanjo, CQF Subject Matter Expert

Next Steps Sarah Ryan, CQF Co-Coordinator

Questions and Discussion Sarah Ryan, CQF Co-Coordinator

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Welcome

• Introducing Sarah Ryan, CQF Co-Coordinator

• The Medical University of South Carolina (MUSC) will join the CQF All Hands next week to share how they have driven their eCQM reporting requirements through a coordinated CDS program. Please join us at the October 9 CQF All Hands for this engaging discussion.

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Welcome

• Announcements, Meeting Schedules, Agendas, Minutes, Reference Materials, Use Cases, Project Charter, and General Information are posted on cqframework.info

• The Cypress 2.5 clinical quality measure testing and certification tool was released on September 25, 2014. Seehttp://projectcypress.org for details.

• Videos from the two-part training series conducted by the Quality Data Model (QDM) team and the Measure Authoring Tool (MAT) team are now available. – Part one, conducted by the QDM team, covers the changes

made to the QDM in releases v4.0 and v4.1. – Part two, conducted by the MAT team, provides an overview of

the updates made to the MAT for the July 25, 2014, release, which incorporate the QDM updates.

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Welcome

• eCQM Quality Assurance Training Videos Now Available– The “Quality Assurance (QA) Review Process Training in JIRA”

video provides a step-by-step view of the workflow for the v2.0 eCQM QA review process, both updates and measures under development (Meaningful Use 3).

https://www.youtube.com/watch?v=8ZSBeNqZm38

– The “Review Coordinator Training in JIRA” video covers the responsibilities of review coordinators for the eCQM review process. The video also mentions the resources available to review coordinators.

https://www.youtube.com/watch?v=vZ0Ja7w2XEY

CQF Wiki: cqframework.info 6eCQM=Electronic Clinical Quality Measurement

Welcome

• 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: 217663

• 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

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Welcome

Notional Project Timeline

8

Kick-off (3/21)

Pre-Discovery, Call for

Participation

May 2014 Sep 2015

Discovery

Initiative End

Mar 2014 Nov 2015Jul 2014

Implementation

Pilot

Charter, Use Cases, Functional Requirements

Standards Development and Review

Use Case Pilots Technology Evaluations

Use Case Kick-off Use Case Consensus

Pilot Kick-off

Evaluation

…

Mar 2014: Pre-Discovery - Call for participationApr-Jun 2014: Discovery - Charter, use case, and functional requirements developmentMay 2014-Nov 2015: Implementation – Standards development and review Jun 2014-Nov 2015: PilotsDec 2015: Evaluation

Date Milestones Through August 2014

4/11/14 Charter Finalization

4/18-4/30/14 Initial Logical Model Development

4/25/14 Use Case Selection

5/1/14 Proposed Harmonized Logical Model Approach

6/30/14 Pilot Planning Begins

7/3/14 Use Case Finalized

7/30/14 Narrow Slices of Draft Specifications Ready for Pilots

8/3/14 Standards (Incorporating Initial Pilot Feedback) Submitted for HL7 Ballot

8/18/14 Pilot Implementation Begins

8/8-9/8/14 September 2014 HL7 Ballot Cycle*Comment-Only: QUICK Data Model*Comment-Only: CQL

Date Milestones

9/14/14-9/19/14

September 2014 HL7 Working Group Meeting*PSS: CQF-Based HQMF IG

12/31/14 Phase 1 of Pilots Concludes

12/12/14-1/12/15

January 2015 HL7 Ballot Cycle*DSTU: QUICK Data Model*DSTU: CQL*Comment-Only: CQF-Based HQMF IG*Comment-Only: QUICK FHIR Profile*Comment-Only: CDS KAS

1/18/15-1/23/15

January 2015 HL7 Working Group Meeting

4/4/15-5/4/15

May 2015 HL7 Ballot Cycle*DSTU: CQF-Based HQMF IG*DSTU: QUICK FHIR Profile*DSTU: CDS KAS

5/10/15-5/15/15

May 2015 HL7 Working Group Meeting

8/31/15 Phase 2 of Pilots Concludes

CDS=Clinical Decision SupportCQL=Clinical Quality LanguageDSTU=Draft Standard for Trial UseFHIR=Fast Healthcare Interoperability Resources HQMF=Health Quality Measures FormatIG=Implementation GuideKAS=Knowledge Artifact SpecificationQUICK=Quality Improvement and Clinical Knowledge

Welcome

Standards

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CQM-Specific Standards

CDS-Specific Standards

Common Metadata Standard

Common Data Model

Standard(QUICK)

Common Expression

Logic Standard

(CQL)

CDS=Clinical Decision SupportCQL=Clinical Quality LanguageCQM=Clinical Quality MeasurementQUICK=Quality Improvement and Clinical Knowledge

Reconciling ballot comments

Reconciling ballot comments

Pilot Update

Sarah Ryan, CQF Co-Coordinator

Pilot Leads

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Pilot Update

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Pilot POC Liaison SME Wiki (under development)Cardiology Appropriateness of Use

Jimmy Tcheng Aziz Boxwala http://wiki.siframework.org/Cardiology+Appropriateness+of+Use

Chlamydia Screening Johanna Goderre-Jones Bryn Rhodes http://wiki.siframework.org/Chlamydia+ScreeningImmunization Decision

Support ServicesDaryl Chertcoff Claude Nanjo http://wiki.siframework.org/Immunization+Decis

ion+Support+Services

Ischemic Vascular Disease: Use of Aspirin or Another Antithrombotic

Julie Scherer Claude Nanjo http://wiki.siframework.org/Ischemic+Heart+Disease+and+Anti-Platelet+Use

Radiology Appropriateness of Use

Tom Conti Bryn Rhodes http://wiki.siframework.org/Radiology+Appropriateness+of+Use

Venous Thromboembolism Prophylaxis

TBD Aziz Boxwala http://wiki.siframework.org/Venous+Thromboembolism+%28VTE%29+Prophylaxis

Clinical Quality Language (CQL) Update

Bryn Rhodes, CQF Subject Matter Expert

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Quality Improvement and Clinical Knowledge (QUICK) Update

Aziz Boxwala, CQF Subject Matter Expert

Claude Nanjo, CQF Subject Matter Expert

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Next Steps• Engage in workgroups (www.cqframework.info)

• Pilots– Pilots 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 October 9 from 11am to 12:30pm ET • Medical University of South Carolina joins CQF to discuss current

efforts to drive eCQM reporting requirements through a coordinated CDS program

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Questions and Discussion

Name E-MailSarah Ryan, Co-Coordinator sarahryan@mitre.orgKen Kawamoto, Co-Coordinator kensaku.kawamoto@utah.eduBridget Blake, Project Manager bridget@mitre.org

cqframework.info

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