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Announcements

Next All Hands Meeting on 7/28 will be canceled.
The next Community Call meeting on 7/28 will be canceled due to ballot preparations for HL7. We will resume our All Hands meetings on 8/11.

Call for Participation
We welcome all participants to contribute actively. To volunteer as a Pilot team(s) or a Standards Sub-team, please contact one of the CQF team members.

Weekly Meetings

Clinical Quality Framework All Hands Meeting

To communicate harmonization efforts with the HL7 work groups, other S&I framework initiatives, and a broad set of the clinical quality community.
Meeting Time: Thursdays 11am-12:30pm ET

CDS on FHIR / Clinical Quality Framework Office Hours
Working meeting to develop CDS-on-FHIR and address CQF questions.
Meeting Time: Tuesdays 1PM - 2PM ET

Clinical Quality Framework Data Model Meeting
Working meeting to develop the Clinical Quality Framework Data Model.
Meeting Time: Tuesday 12PM - 1PM EST

HL7 CDS Work Group Meeting
To discuss single-patient-focused and population health care decision support capabilities. This work group is the primary sponsor of the Clinical Quality Expression Language.
Meeting Time: Wednesday 12PM - 1PM EST

HL7 Clinical Quality Information (CQI) Work Group Meeting
To ballot specifications and implementation guides and resolve ballot-related issues for clinical quality-related HL7 standards work. This work group is the primary sponsor of the Clinical Quality Data Model.
Meeting Time: Fridays 1-3pm ET (2-3pm ET joint with Clinical Decision Support)

More Information

eCQI Resource Center is Here
The Electronic Clinical Quality Improvement (eCQI) Resource Center launched the week of February 2, 2015. This web-based tool will provide:
  • Centralized One-Stop-Shop location for electronic quality resources
  • List of electronic clinical quality measures and their specifications
  • Links to tools for measure development, testing, and certification

The intent of the resource center is to provide a central repository for eCQI resources in an effort to reduce burden for the eCQI community and improve user experience by connecting related activities and streamlining the process for obtaining guidance and feedback. Please note that eCQI Resource Center will be enhanced in a phased approach.

eCQM Testing Tool Cypress Latest Release
Cypress version 2.6, a testing and certification tool for electronic clinical quality measures, was released on January 22, 2015. The latest version can be downloaded from http://projectcypress.org/. Cypress v2.6 requires a fresh install of Cypress due to breaking changes in the QRDA Errata release. The upgrade to HL7 2014 QRDA Errata release is necessary to align with CMS submission systems for 2015 that also comply with the new errata release.

What’s New in the Cypress v2.6 Release*:
•HL7 QRDA Errata IG for 2014
–Support for the 2014 Errata Update to the HL7 Implementation Guide for CDA® Release2: Quality Reporting Document Architecture – Category I and Category III.
•Cypress V2.6 Measure Bundle
–Measure Bundle v2.6 includes updated patients. Measure Bundle v2.6 will be the only option available to the Cypress user for testing.

*Allows for a 90-day window for vendors to upgrade to Cypress v2.6. Cypress v2.5.1 and Cypress v2.4.1 will continue to be available for vendors to complete their existing test cycles before needing to upgrade.

Detailed release notes can be found here. Please send feedback about the Cypress eCQM certification releases and future enhancements to talk@projectcypress.org.

Quality Data Model 4.1.2 Released
The Quality Data Model (QDM) describes clinical concepts in a standardized format to enable electronic clinical quality measurement. Quality Data Model specification, version 4.1.2 was released on January 14, 2015. Support for the 4.1.2 changes were made in the Measure Authoring Tool (MAT) v4.1.0.

QDM 4.1.2 contains the following changes:

–Removal of the anatomical approach site attribute from all Physical Examdatatypes
–Removal of the method attribute from Procedure, Intolerancedatatype
–Clarification of the meaning of start datetime and stop datetime in all Orderdatatypes
–Clarification regarding where quantity-based temporal comparisons can and cannot be used

CQF Profiles are Available as Part of the Continuous Build of FHIR
To see the profiles:
  • Go to http://hl7-fhir.github.io/
  • Click on Clinical Resources
  • Click on the resource name
  • Click on the Packages tab
  • Click on a CQF package
  • Click on the profile name

CQF Issue Tracker
If you have CQF-related questions or issues, please enter them in the CQF Issue Tracker (available at
https://docs.google.com/spreadsheets/d/1WLMutJqLRGpbvSLr7IT0eUq4CkE7c90kFsO0tXzo60U/edit#gid=0). You will need a gmail account and access privileges. Please contact Swapna Bhatia for access.

New Proposed Timeline:
December 2014
April 2015
Summer 2015

Cypress v2.6 Release
Upgrade to HL7 QRDA Errata
Field on SITE: Utility to Validate CMS 2015
QRDA Combined IG
Cypress v2.7 Release
2015 Annual Update
Utility for CMS 2015 Combined IG
Key Discussion Points:
  1. Use the Cypress v2.6 December Release to field the upgrade for the HL7 QRDA Errata published in July 2014.
  2. Field a utility in April 2015 to validate QRDA documents for conformance to the CMS 2015 QRDA Combined IG. Make available on the Standards Implementation and Testing Environment (SITE) location in April 2015. Add this feature to Cypress in the next planned release for Cypress at the time of the 2015 Annual Update.

QDM and MAT Training Video Series Now Available
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.

Timeline

March 2014: Pre-Discovery - Call for participation
April 2014: Discovery - Charter, use case, and functional requirements development
May 2014-November 2015: Implementation – Standards development and review
June 2014-November 2015: Pilots
December 2015: Evaluation

Initiative Contacts

Co-Coordinator
Ken Kawamoto
kensaku.kawamoto@utah.edu
Co-Coordinator
Floyd Eisenberg
floyd.eisenberg@esacinc.com
ONC Lead
Julia Skapik
julia.skapik@hhs.gov
Standards Development SME
Bryn Rhodes
bryn@databaseconsultinggroup.com
Project Support
Swapna Bhatia
swapna.bhatia@esacinc.com
CMS Sponsor
Minet Javellana
minet.javellana@cms.hhs.gov
Use Case Sub-Team Co-Lead
Julie Scherer
jscherer@motivemi.com
Use Case Sub-Team Co-Lead
Catherine Staes
catherine.staes@hsc.utah.edu
HL7 CDS Work Group Liaison
Howard Strasberg
howard.strasberg@wolterskluwer.com
HL7 CQI Work Group Liaison
Walter Suarez
walter.g.suarez@kp.org
Chlamydia Screening Pilot Point of Contact
Johanna Goderre
johanna.goderrejones@hhs.gov
Ischemic Vascular Disease: Use of Aspirinor Other Antithrombotic Pilot Point of Contact
Julie Scherer
jscherer@motivemi.com
Radiology Appropriateness of Use Pilot Point of Contact
Tom Conti
tconti@acrselect.org
Breast Cancer Decision Support
Chad Armstrong
chad.armstrong@evinance.com
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