1. 1 Clinical Quality Framework cqframework.info All Hands Meeting January 7, 2015 11am-12:30pm ET

2. 2 2 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 CQF Wiki: cqframework.info 2 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).

3. 3 Agenda TopicPresenter WelcomeSwapna Bhatia, Project Administrative Support Logistical UpdatesKen Kawamoto, CQF Co-Coordinator HL7 Guideline Appropriate Ordering (GAO) Ballot Comments Review and Discussion Ken Kawamoto, CQF Co-Coordinator Next StepsFloyd Eisenberg, CQF Co-Coordinator Questions and DiscussionFloyd Eisenberg, CQF Co-Coordinator CQF Wiki: cqframework.info 3

4. 4 Welcome Announcements, Meeting Schedules, Agendas, Minutes, Reference Materials, Use Cases, Project Charter, and General Information are posted on cqframework.info cqframework.info Clinical Quality Framework (CQF) All Hands meetings are held bi-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 Data Model meetings are held weekly on Wednesdays from 1 to 2pm ET https://meetings.webex.com/collabs/#/meetings/detail?uuid=M8UL81KQZZKHCW46R28OYGI NQM-8ENJ&rnd=47738.082690 https://meetings.webex.com/collabs/#/meetings/detail?uuid=M8UL81KQZZKHCW46R28OYGI NQM-8ENJ&rnd=47738.082690 Dial In: +1-770-657-9270 Participant passcode: 217663 CDS-on-FHIR/CQF Office Hours 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 CQF Wiki: cqframework.info 4

5. 5 Welcome Bonnie Users Group CMS and ONC invite you to join the new Bonnie Users Group. Bonnie is a tool for testing electronic clinical quality measures (eCQMs). The purpose of this user group is to create a community of Bonnie users that can benefit from one another’s experience and questions, and to allow the development team to easily reach out to the community regarding new releases, proposed features, and focus group opportunities To join: Navigate to https://groups.google.com/forum/#!forum/bonniehttps://groups.google.com/forum/#!forum/bonnie Sign into a google account, or create one – You can create a google account tied to an existing email address: under “Choose your username” click “I prefer to use my current email address.” Click “Join group” Adjust your preferred settings in the pop-up dialog to indicate how you wish to receive group messages. You can change these settings later Click “Join this group” Contact us with questions at bonnie-feedback-list@lists.mitre.orgbonnie-feedback-list@lists.mitre.org CQF Wiki: cqframework.info 5

6. 6 Logistical Updates Ken Kawamoto, CQF Co-Coordinator CQF Wiki: cqframework.info 9

7. 7 Logistical Updates Floyd Eisenberg will be CQF co-Initiative Coordinator with focus on electronic clinical quality measurement Next week will be face-to-face HL7 Work Group Meeting in Orlando, Florida Clinical Quality Information Work Group will meet Mon-Thurs http://wiki.hl7.org/index.php?title=Clinical_Quality_Information_WG_Jan_2016_ Orlandohttp://wiki.hl7.org/index.php?title=Clinical_Quality_Information_WG_Jan_2016_ Orlando Clinical Decision Support Work Group will meet Wed-Thurs http://wiki.hl7.org/index.php?title=CDS_WG_Agenda_2016-01 CDS on FHIR Connectathon Sat-Sun http://wiki.hl7.org/index.php?title=FHIR_Connectathon_11#Track_3_- _CDS_on_FHIRhttp://wiki.hl7.org/index.php?title=FHIR_Connectathon_11#Track_3_- _CDS_on_FHIR For more information: bryn@databaseconsultinggroup.combryn@databaseconsultinggroup.com Next All-Hands call will be on 1/28 (Th) CQF Wiki: cqframework.info 7

8. 8 Review and Discussion of HL7 Guideline Appropriate Ordering (GAO) FHIR Implementation Guide Ballot Ken Kawamoto, CQF Co-Coordinator CQF Wiki: cqframework.info 9

9. 9 Background GAO is a FHIR implementation guide originally developed in IHE and being migrated to HL7 through a ballot process The focus is on guideline-appropriate ordering of advanced imaging studies to meet upcoming federal requirements Specific comments were sought on how to harmonize with the HL7 Clinical Quality Improvement Framework (CQIF) FHIR Implementation Guide CQF Wiki: cqframework.info 9

10. 10 Ballot Results Overall Votes 43 Affirmative 23 Negative 64 Abstentions Affirmative/(Affirmative + Negative): 65% 117 Comments 28 Negative Major 36 Negative Minor 9 Affirmative Clarification 8 Affirmative Questions 10 Affirmative Suggestions 24 Affirmative Typos 2 Unclassified CQF Wiki: cqframework.info 10

11. 11 Ballot Comments Review and Discussion https://docs.google.com/spreadsheets/d/1q3GQtZ- yqTmrdWomjI00Z8eSB4pSJHX77ES5aQbEBGc/edit?usp= sharinghttps://docs.google.com/spreadsheets/d/1q3GQtZ- yqTmrdWomjI00Z8eSB4pSJHX77ES5aQbEBGc/edit?usp= sharing See 2 nd tab CQF Wiki: cqframework.info 11

12. 12 Next Steps Engage in workgroups (www.cqframework.info)www.cqframework.info Pilots –Co-Coordinator, Ken KawamotoCo-Coordinator, Ken Kawamoto Standards Development –Subject Matter Expert, Bryn RhodesSubject Matter Expert, Bryn Rhodes Join us for the upcoming Clinical Quality Framework All Hands meetings: 1/14: Canceled (HL7 Work Group Meeting) 1/28: Regular schedule CQF Wiki: cqframework.info 12

13. 13 Questions and Discussion NameE-Mail Ken Kawamoto, Co-Coordinatorkensaku.kawamoto@utah.edu Floyd Eisenberg, Co-Coordinatorfloyd.eisenberg@esacinc.com Swapna Bhatia, Initiative Supportswapna.bhatia@esacinc.com cqframework.info CQF Wiki: cqframework.info 13