Data Exchange for Quality Measures DEQM Project Working

Data Exchange for Quality Measures (DEQM) Project Working Call Thursday, October 31, 2019

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Agenda 1. Companion Guide Discussion – Linda and Viet 2. Update on DEQM IG publishing status and tour of the two IGs (STU 3 and R 4) – Eric 3. Update on Measures work – Robert 4. Community sponsored scenario a. HEDIS Measures and Bulk FHIR 5. Connectathon planning – Bryn/Sam/Viet a. Philadelphia, December 11 -12 b. Track planning i. FHIR Bulk Data ii. R 5 Subscriptions

Guides for Use with Da Vinci FHIR IG’s October 24, 2019

Three Types of Guides • Supplemental Guides • Measure Authority Guides • Companion Guides

Companion Guide • Similar to implementer specific (like a specific payer) Companion Guides related to other standards (e. g. X 12) • Not balloted • Contains details of how to connect to a specific entity • Including OAuth Details • May contain link to FHIR server Capability. Statement • Content could inform and be added to future IG versions • Authored and maintained by specific implementers (not HL 7 or Da Vinci) to assist their exchange partners

Provider Vendor Secondary Consumer Secondary Data Essential Measure Data Provider Vendor Payer Secondary Data TJC Essential Measure Data

Measure Authority Measure Producer/Receiver FHIR Measure IG Creates Measure Specific IG

Supplemental (Example) Guide Information • Higher level, not organizational or implementation specific • Provides FHIR examples as well as operation examples based on a specific IG version • Like the current DEQM examples • Allows the community to create valid examples faster, not constrained by balloting. • Use FHIR IG framework • Could combined • • This guide would not suffice for meeting a specific measure. They would not provide conformance language. Similar to CCDA Examples Task Force Created by community Updated on Da Vinci work group Test scripts Reference Implementation created with examples if possible Can be used in Connectathons • Including test scripts, test data, etc. • Can be downloaded as a single package • Content could inform and be added to future balloted IGs

Measure Authority Implementation Guides • Created and Intellectual Property of the Measure Authors (HEDIS, The JOINT COMMISSION, REGISTRIES, etc. ) • Not balloted • Details on their specific measures (e. g. measure specific content, CQL) • Example – HEDIS FHIR IG • Downloadable and computable content • Would be versioned and maintained by the authority • May need to reference other IGs – example CMS has measures that are derivative of another authorities measure. • ? Quality Measure Program Guide? • ? Content Implementation Guide?

Next Steps • Discuss and socialize with CQI WG and other HL 7 WG • When to start work on these additional guides? • Who should be involved? • How should this process be managed? • Confluence, Jira, other? • IG build process – would require additional community resources, training and expertise

DEQM Version Sequencing Quality Measure IG STU 1 (v 3. 0. 1) DEQM STU 1 (v 3. 0. 1 & v 3. 5. 0 Presumptive R 4) - Completed Ballot Reconcilliation - Split STU 3 and R 4 versions into separate IGs - No Additional Updates for FHIR STU 3 DEQM STU 1 (v 3. 0. 1) Est Publish 2019 Q 4 No Additional Updates for FHIR STU 3 FHIR R 4 (v 4. 0. 0) Published 12/2018 US-Core STU 3. 0. 1 (v 4. 0. 0) Est. Publish 11/2019? QI-Core IG STU 4 (v 4. 0. 0) In reconciliation Quality Measure IG STU 2 (v 4. 0. 0) Balloted – Sept 2019 Est Publish Date – 2020 Q 2? In Progress? Dependent on QI Core STU 4 Ballot Cycle – Feb 2020? Est Publish Date – 2020 Q 2? Discussed on CQI WG call 10/25/2019 DEQM STU 2 (v 4. 0. 0) DEQM STU 3 (v 4. 0. 0) In draft. Not yet balloted. Plan to ballot in Feb 2020 Add Support for FHIR Bulk Data Access ? Add support for Subscription (R 4 based but forward compatible to R 5)? Ballot sometime in 2020? As an update or a new ballot?