Clinical Quality Framework

Clinical Quality Framework

cqframework.info

All Hands MeetingJuly 24, 2014

11am-12:30pm ET

http://wiki.siframework.org/Clinical+Quality+Framework+Initiative

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Agenda

Topic PresenterWelcome Bridget Blake, CQF Project Manager

Clinical Quality Expression Language Status Update and Discussion

Bryn Rhodes, CQF Expression Language Sub-Team Lead

QUICK Data Model Status Update and Discussion

Aziz Boxwala, CQF Data Model Sub-Team Co-LeadClaude Nanjo, CQF Data Model Sub-Team Co-Lead

HL7 Ballot Process Kensaku Kawamoto, CQF Co-Coordinator

Next Steps Kensaku Kawamoto, CQF Co-Coordinator

Questions and Technical Discussion Kensaku Kawamoto, CQF Co-Coordinator


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


http://wiki.siframework.org/Clinical+Quality+Framework+Initiative+Contacts

https://siframework1.webex.com/siframework1/onstage/g.php?t=a&d=666535029

http://fuze.me/24308131

http://fuze.me/24308131

https://global.gotomeeting.com/meeting/join/554237525

https://global.gotomeeting.com/meeting/join/554237525

Welcome

Notional Project Timeline

5

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 Milestone

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

Welcome

Standards


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 Information and Clinical Knowledge

Clinical Quality Expression Language

Status Update and Discussion

Bryn Rhodes, CQF Expression Language Sub-Team Lead



Current Status


UPDATE


Discussion


• 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

QUICK Data ModelStatus Update and Discussion

Aziz Boxwala, Data Model Sub-Team Lead

Claude Nanjo, Data Model Sub-Team Lead



Activities performed this week


FHIR=Fast Healthcare Interoperability Resources QIDAM=Quality Information Domain Analysis ModelQUICK=Quality Information and Clinical Knowledge

• 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/1w6tE3qQ4oIz3GVm3ab8C

UNtLCZCMwaWTVh8ZjaWWROU/edit#

https://docs.google.com/document/d/1N54SGKg6bKKe7oy-Adun88xTznYpe43PoLDXWAuQry4/edit

https://docs.google.com/document/d/1N54SGKg6bKKe7oy-Adun88xTznYpe43PoLDXWAuQry4/edit

https://docs.google.com/document/d/1w6tE3qQ4oIz3GVm3ab8CUNtLCZCMwaWTVh8ZjaWWROU/edit

https://docs.google.com/document/d/1w6tE3qQ4oIz3GVm3ab8CUNtLCZCMwaWTVh8ZjaWWROU/edit


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 Listserv

Select Subscribe to list services

Health Level 7 International (HL7) Ballot Process

Ken Kawamoto, CQF Co-Coordinator


HL7 Ballot Process

Types of HL7 Ballots• 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

Note: Letter designations

are used at the ballot site to indicate

ballot level


HL7 Ballot Process

Types of Ballots: Ballot Type SummaryBallot Type IntentFor Comment To gather input from members wide audience on viability & clarity of

proposed specification. Seeking: Constructive comments.

Informative A non-normative specification intended for general publication. Seeking: Review and validation of content not yet intended to be normative.

DSTU A DSTU is a draft standard for validating the standard during the 12-24 month DSTU period. Seeking: Objective assessment of viability of implementation of proposed standard.

Normative The normative, validated standard.Seeking: Approval as an American National Standard (ANS).


HL7 Ballot Process

Types of Ballots: Ballot Type Summary (Cont.)

Ballot Type Ballot Pool Quorum ApprovalFor Comment N/A N/A

Informative N/A 60%

DSTU 10 registered HL7 members

60%

Normative 60% of registered HL7 voters

75%


HL7 Ballot Process

Overview 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


HL7 Ballot Process

Participation 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


HL7 Ballot Process

The Ballot Desktophttp://www.hl7.org/ctl.cfm?action=ballots.home• Objectives

– Learn how to join in a ballot pool– Learn how to navigate the ballot desktop


http://www.hl7.org/ctl.cfm?action=ballots.home

HL7 Ballot Process

Locating the Ballot DesktopThe link below will take you directly to the Ballot Desktop

http://www.hl7.org/ctl.cfm?action=ballots.homeYou can also get there from the HL7 Home Page. Find the link to

Online Balloting and follow the links to the Ballot Desktop.


http://www.hl7.org/ctl.cfm?action=ballots.home

HL7 Ballot Process

Desktop Home Page

• When you link to the ballot desktop members should log in at the home page using your HL7 User ID and Password.


HL7 Ballot Process

Navigate to the Ballot Page

• 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)

Appendix


HL7 Ballot Process

Join the Ballot Pools

• 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

Appendix


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


http://www.cqframework.info/

mailto:[email protected]





Questions and Technical Discussion

Name E-MailMarc Hadley, Co-Coordinator [email protected] Kawamoto, Co-Coordinator [email protected] Blake, Project Manager [email protected]

cqframework.info





http://wiki.siframework.org/Clinical+Quality+Framework+Initiative

Clinical Quality Framework

Documents

Transcript of Clinical Quality Framework