Clinical Quality Framework cqframework.info All Hands Meeting March 26, 2015 11am-12:30pm ET.

Clinical Quality Framework

cqframework.info

All Hands MeetingMarch 26, 2015

11am-12:30pm ET

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Agenda

Topic PresenterWelcome Sarah Ryan, Co-Coordinator

Ballot Update Marc Hadley, CQF Subject Matter ExpertMark Kramer, CQF Subject Matter Expert

Pilot Update Sarah Ryan, CQF Co-Coordinator

American College of Cardiology Rachel Davis, American College of Cardiology

Next Steps Ken Kawamoto, CQF Co-Coordinator

Questions and Discussion Ken Kawamoto, CQF Co-Coordinator

CQF Wiki: cqframework.info 3CQF=Clinical Quality Framework

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 bi-weekly on Thursdays (starting on 2/12/15) 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 Quality Improvement and Clinical Knowledge (QUICK) Data Model meetings are held weekly on Wednesdays from 1 to 2pm ET

• https://meet.mitre.org/mkramer/DY1F9VCD

• Dial In: +1-770-657-9270• Participant passcode: 217663

• CQF Clinical Quality Language (CQL) 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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Announcements

• The Quality Data Model-Based Health Quality Measure Format Implementation Guide (QDM-Based HQMF IG) R1.1 was published on February 12, 2015.

• The R1.1 publication updated the DSTU to align with the updates made in HQMF R2.1 and align it with the removals and additions of datatypes and operators made in QDM 4.1.1.

Welcome

Standards

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CQM-Specific Standards

CDS-Specific Standards

Common Metadata Standard

Common Data Model

Standard(Quality FHIR

Profile, QUICK)

Common Expression

Logic Standard

(CQL)

CDS=Clinical Decision SupportCIMI=Clinical Information Modeling InitiativeCQL=Clinical Quality LanguageCQM=Clinical Quality MeasurementDAF=Data Access FrameworkFHIR=Fast Healthcare Interoperability ResourcesQUICK=Quality Improvement and Clinical KnowledgeSDC=Structured Data Capture

Welcome

Notional Project Timeline

7

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: CQL*Comment-Only: CQF-Based HQMF IG*Comment-Only: Quality FHIR Profile

1/18/15-1/23/15

January 2015 HL7 Working Group Meeting

4/4/15-5/4/15

May 2015 HL7 Ballot Cycle*DSTU: CQL-Based HQMF IG*DSTU: Quality FHIR Profile*DSTU Update TBD: CDS KAS, DSS IG

5/4/15 Phase 2 of Pilots Concludes

5/10/15-5/15/15

May 2015 HL7 Working Group Meeting

8/31/15 Phase 3 of Pilots Concludes

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

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Ballot Update

Standard Subject Matter Expert

CQF-Based HQMF Implementation Guide Marc Hadley

Quality FHIR Profile Mark Kramer

CQF=Clinical Quality FrameworkCQL=Clinical Quality LanguageFHIR=Fast Healthcare Interoperability Resources HQMF=Health Quality Measures FormatIG=Implementation Guide

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Pilot Update

• Each pilot is meeting to review Phase I lessons learned and Phase II objectives

• Next featured Pilot: Breast Cancer Decision Support, April 9th.• Feedback received from pilots by the end of the May ballot

period (5/4/15) can be addressed in the draft standards; after May, feedback would be included in a DSTU update

Pilot POC Wiki (under development)Cardiology Appropriateness of Use

Rachel Davis http://wiki.siframework.org/Cardiology+Appropriateness+of+Use

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

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

ion+Support+Services

Ischemic Heart Disease and Anti-Platelet Use

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

Radiology Appropriateness of Use

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

Breast Cancer Decision Support

Chad Armstrong http://wiki.siframework.org/Breast+Cancer+Decision+Support

Multimodality Appropriate Use Criteria for the Detection and Risk Assessment of Stable

Ischemic Heart DiseaseDr. James Tcheng, American College of

Cardiology– Pilot Lead, SMEDino Damalas, American College of Cardiology –

IT LeadershipJoe Allen, American College of Cardiology –SMERachel Davis, American College of Cardiology –

Informatics SupportGanesan Srinivasan –Technical Support

Chris Moesel – Pilot SME Advisor

Agenda

• Completed Phase 1 Objectives

• CQL Translation Process

• Phase II Objectives

Completed Phase I Objectives

• Selected “No prior evaluation of CAD” to translate into HeD & CQL

• Understand AUC translation into HeD & CQL

• Created a strategic timeline to complete the translation

CQL Translation Process

• The AUC guidelines will be translated into– Health e Decisions (HeD): metadata / container– CQL: expression logical language

• The translated documents will allow our use case actors to utilize “No prior evaluation of CAD” in EMR systems

Phase II Objectives• Identify / define value sets

• Represent AUC as a comprehensive Health eDecisions document w/ CQL logic

• Initiate discussion with EMR vendor to utilize CQL at point of care

Questions

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

• Pilots– Individual Pilot Leads, Sarah Ryan, or Bridget Blake

• QUICK Data Model and Claude Nanjo– Claude Nanjo, Aziz Boxwala

• Clinical Quality Language – Bryn Rhodes

• Join us for the next Clinical Quality Framework meeting on April 9th from 11am to 12:30pm ET, and bi-weekly thereafter

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Questions and Discussion

Name E-MailSarah Ryan, Co-Coordinator [email protected] Kawamoto, Co-Coordinator [email protected] Blake, Project Manager [email protected]

cqframework.info

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