Clinical Quality Framework All Hands Meeting October 30, 2014 11am-12:30pm ET

Transcription

Clinical Quality Framework
All Hands Meeting
October 30, 2014
11am-12:30pm ET
cqframework.info
Logistics
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CQF Wiki: cqframework.info
2
Agenda
Topic
Presenter
Welcome
Bridget Blake, CQF Project Manager
Clinical Quality Language (CQL) Ballot Summary
Bryn Rhodes, CQL Subject Matter Expert
Quality Improvement and Clinical Knowledge
(QUICK) Update
Aziz Boxwala, CQF Subject Matter Expert
Claude Nanjo, CQF Subject Matter Expert
Pilot Updates
Sarah Ryan, CQF Co-Coordinator
Pilot Leads
Next Steps
Questions and Discussion
3
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: 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
•
4
Welcome
Announcements
• Don’t Miss the Upcoming American Medical Informatics
Association (AMIA) Panel Featuring CQF
– S53: The Clinical Quality Framework Initiative: Harmonizing
Clinical Decision Support and Clinical Quality Measurement
Standards to Enable Interoperable Quality Improvement
– Featuring Kate Goodrich (CMS), Marc Hadley (MITRE), Ken
Kawamoto (University of Utah), Jacob Reider (ONC)
– November 18, 2014 from 10:30 AM to 12:00 PM
– Washington, DC – Washington Hilton
• The CQF Issue Tracker is now on the Pilots page of
cqframework.info
• https://docs.google.com/spreadsheets/d/1WLMutJqLRGpbvSLr7
IT0eUq4CkE7c90kFsO0tXzo60U/edit#gid=0
5
Welcome
Standards
Common
Metadata
Standard
CQM-Specific
Standards
Common
Data Model
Standard
(QUICK)
CDS-Specific
Standards
Common
Expression
Logic
Standard
(CQL)
CDS=Clinical Decision Support
CQL=Clinical Quality Language
CQM=Clinical Quality Measurement
QUICK=Quality Improvement and Clinical Knowledge
6
Welcome
Notional Project Timeline
Date
Milestones
Mar 2014: Pre-Discovery - Call for participation
Date
Milestones
Through
August
2014 Group Meeting
9/14/14September
2014 HL7
Working
Apr-Jun 2014: Discovery - Charter, use case,
and functional requirements
development
May 2014-Nov 2015: Implementation – Standards
development*PSS:
and review
9/19/14
CQF-Based HQMF IG
4/11/14
Charter
Finalization
Jun 2014-Nov 2015: Pilots
12/31/14
Phase 1 of Pilots Concludes
Dec 2015: Evaluation
4/18-4/30/14 Initial Logical Model Development
Mar 2014
Kick-off
(3/21)
Pre-Discovery,
Call for
Participation
May 2014
Use Case
Kick-off
Discovery
12/12/14January 2015 HL7 Ballot Cycle
4/25/14
Use
Case Selection
1/12/15Jul 2014 *DSTU:
Nov 2015
… CQL Sep 2015
*Comment-Only:
CQF-Based
HQMFApproach
IG
5/1/14
Proposed
Harmonized
Logical Model
*Comment-Only: Quality FHIR Profile
Initiative
6/30/14
Pilot
Use CasePlanning
Consensus Begins
1/18/15January 2015 HL7 Working Group Meeting End
Pilot
Kick-off
7/3/14
Use Case Finalized
1/23/15
7/30/14
4/4/15Charter, Use Cases, Functional
5/4/15
Narrow
SlicesHL7
of Draft
Specifications
Ready for
May 2015
Ballot
Cycle
Pilots
*DSTU: QUICK Data Model
Requirements
*DSTU: (Incorporating
CQF-Based HQMF
IG Pilot Feedback)
8/3/14
Standards
Initial
*DSTU: Quality
Implementation
Submitted
for HL7 FHIR
BallotProfile
CDS=Clinical Decision Support
*DSTU Update TBD: CDS KAS, DSS IG
8/18/14 StandardsPilot
Implementation
Begins
CQL=Clinical Quality Language
Development
and Review
5/10/15May 2015 HL7
Working Group Meeting
DSS=Decision Support Service
DSTU=Draft Standard for Trial Use
8/8-9/8/14
September 2014 HL7 Ballot Cycle
5/15/15
Pilot
Evaluation
FHIR=Fast Healthcare Interoperability Resources
*Comment-Only:
QUICK Data Model
HQMF=Health Quality Measures Format
8/31/15
*Comment-Only:
CQL
IG=Implementation Guide
Technology
KAS=Knowledge Artifact Specification
QUICK=Quality Improvement and Clinical Knowledge
Use Case Pilots
Evaluations7
Welcome
Detailed Near-Term CQF Timeline
Task
Primary Owner
Due Date
QUICK and CQL Ballot Reconciliation
Standards SubTeam Leads
10/31/14
Notification of Intent to Ballot
Standards SubTeam Lead
11/2/14
Initial Pilot Survey
Pilot Leads
11/7/14
Preliminary Pilot Evaluations (Phase 1)
Pilot Leads
11/21/14
Preliminary HL7 Ballot Packages Submitted
Standards SubTeam Leads
12/7/14
Final Pilot Evaluations (Phase 1)
CQF Pilot Leads
12/31/14
CQF Pilot Leads
12/31/14
Vote on HL7 Ballot Packages (Start 12/12/14)
CQF Community
1/12/14
8
Pilot Update
Sarah Ryan, CQF Co-Coordinator
Pilot Leads
9
Pilot Update
Pilot
POC
Liaison SME Wiki
Aziz Boxwala
Cardiology Appropriateness Jimmy Tcheng
of Use
Johanna Goderre-Jones Bryn Rhodes
Chlamydia Screening
Immunization Decision
Support Services
Ischemic Vascular Disease:
Use of Aspirin or Another
Antithrombotic
Radiology Appropriateness
of Use
Venous Thromboembolism
Prophylaxis
http://wiki.siframework.org/Cardiology+Appropri
ateness+of+Use
http://wiki.siframework.org/Chlamydia+Screenin
g
http://wiki.siframework.org/Immunization+Decis
ion+Support+Services
Daryl Chertcoff
Claude Nanjo
Julie Scherer
Claude Nanjo
http://wiki.siframework.org/Ischemic+Heart+Dis
ease+and+Anti-Platelet+Use
Tom Conti
Bryn Rhodes
http://wiki.siframework.org/Radiology+Appropri
ateness+of+Use
TBD
Aziz Boxwala
http://wiki.siframework.org/Venous+Thromboe
mbolism+%28VTE%29+Prophylaxis
10
Pilot Update
CQF Issue Tracker
• The CQF Issue Tracker is on the Pilots page of
cqframework.info
– Please enter CQF-related questions or issues in the CQF Issue Tracker
found at
https://docs.google.com/spreadsheets/d/1WLMutJqLRGpbvSLr7IT0eUq
4CkE7c90kFsO0tXzo60U/edit#gid=0
– You will need a gmail account and access privileges
– Please contact Sarah Ryan for access
11
Pilot Update
CQF Issue Tracker
• Includes the following fields: ID, Reported date, Reported by,
Project, Issue description, Current status, Status comments, About
CQL, About QUICK, About HeD, About HQMF, About Value Set,
About Other (Describe), Assigned to, Last update
Clinical Quality Language (CQL)
Ballot Summary
Bryn Rhodes, CQF Subject Matter Expert
12
CQL Ballot Summary
Vote Summary
Vote
Number
Abstain
67 (53%)
Affirmative
54 (42%)
Negative
5 (4%)
Total
126
91.5% Affirmative
13
CQL Ballot Summary
Comment Summary
Comment Type
Number
Neg-Mj
39
Neg-Mi
46
A-C
9
A-Q
34
A-S
40
A-T
14
Total Comments
191
15
CQL Ballot Summary
Major Comment Categories
•
•
•
•
•
•
•
Audience
– General concerns over the intended audience of the various
sections
Clarity
– Suggestions and requests for clarification
Data Model
– Concerns about the relative coupling of CQL/QUICK
Syntax
– Comments about complexity and/or expressivity of the syntax
Timing
– Comments relating to temporal comparisons and support
Examples
– Requests for more or better examples
Questions/Comments/Errata
16
CQL Ballot Summary
Final Disposition Summary
Disposition
Number
Persuasive
120
Persuasive with mod
21
Not persuasive
19
Not persuasive with mod
5
Considered – No action required
2 (Thank you!)
Considered – Question Answered
19
Considered for future use
1
Not related
3
Withdrawn
1
17
CQL Ballot Summary
Change Summary
Type
Number
Complete
22
In Progress
1
Not Started
167
Withdrawn
1
Major Change Areas:
• Syntax Changes – Complete
• ELM Changes – In Progress
• Specification Changes – Not Started
18
CQL Ballot Summary
Syntax Changes
•
•
•
•
•
•
•
•
•
•
•
•
Changed “let” to “define”
Removed “during” from the retrieve expression
Changed “as” to “called” in library definitions
Changed “where” to “such that” in with/out clauses
Quoted identifiers are now allowed for all identifiers
Removed “define retrieve”
Removed “u” prefix for quantity literals
Changed “at least/most” to “or before/after” and “or less/more”
Removed “started by” and “ended by”
Added “foreach” and “define” clause to the query
Now allow “ascending” and “descending” i/o just “asc”/”desc”
Refined valueset definition syntax
19
CQL Ballot Summary
Syntax Changes (examples)
20
CQL Ballot Summary
Syntax Changes (example)
21
CQL Ballot Summary
22
CQL Ballot Summary
23
CQL Ballot Summary
Next Steps
• Changes to the ELM structures
– Mostly just changes to align with CQL, should be done in the
next few days or so
• Changes to the specification
– Update for changes to Syntax
– Update for changes to ELM
– Better documentation strategy for ELM
– Function Reference
– Advanced Topics Chapter
– Clarifications
– Typographical/Errata Corrections
– Examples Sweep
24
Quality Improvement and Clinical
Knowledge (QUICK) Update
Aziz Boxwala, CQF Subject Matter Expert
Claude Nanjo, CQF Subject Matter Expert
25
QUICK Update
• HL7 September 2014 comment-only vote distribution
Affirmative Negative
Abstain
No Vote
# Votes
60
20
58
39
% of Votes
33.9
11.3
32.77
22.03
• Ballot reconciliation for the QUICK specification is complete
• The specification is being updated in preparation for the HL7 May
2015 ballot
• Work continues on mapping the QUICK leaf classes to FHIR profiles
26
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 November
6 from 11am to 12:30pm ET
27
Questions and Discussion
cqframework.info
Name
E-Mail
Sarah Ryan, Co-Coordinator
[email protected]
Ken Kawamoto, Co-Coordinator
[email protected]
Bridget Blake, Project Manager
[email protected]
28

Clinical Quality Framework All Hands Meeting October 30, 2014 11am-12:30pm ET

Transcription

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