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The Use of HL7 FHIR and CQL By Measure Developers

[fa icon="calendar'] Dec 11, 2019 12:38:04 PM / by Jamie Lehner, MBA, CAPM posted in FHIR, interoperability, CMS, Clinical Quality Language, Quality Data Model, Data Exchange for Qualitiy Measures, QI Core, clinical decision support, Value Set Authority Center, Measure Authoring Tool

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Since the fall of 2017, electronic Clinical Quality Measures (eCQMs) logic has been written using Clinical Quality Language (CQL). With the introduction of CQL, the eCQMs included in the CMS federal programs had to be translated from Quality Data Model (QDM)-based expression logic to CQL.

Though CQL provides more flexibility in expressing measure criteria within the logic that allows measure developers to include greater specificity and precision within the measure requirements, this did not result in a direct translation process, as new attributes and timings were made available. What this means is that clinical workflow and input are perhaps more important because CQL is able to convey these nuances, whereas the QDM-based logic expressions were limited. CQL can also be used to develop Clinical Decision Support (CDS) rules and can reuse logic from measures in those CDS rules.

When composing measures using the CQL syntax, the QDM is still used in conjunction with CQL as the means to characterize required data elements within the measure logic. This conceptual model defines what type of clinical data is needed to satisfy the measure requirements. Therefore, the QDM is still very much a part of electronically specified measures, which is incorporated into the logic definitions written using CQL.

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Intro to HL7® Resources and Work Groups Important to the Quality Measurement Community

[fa icon="calendar'] Dec 9, 2019 12:23:56 PM / by Lisa Anderson, MSN, RN-BC posted in FHIR, interoperability, CIMI, CMS, Da Vinci, Quality Reporting, Clinical Quality Language, DEQM, Quality Data Model, Data Exchange for Qualitiy Measures, QI Core, clinical decision support, clinical quality measures

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Intro to HL7 QMC

Health Level Seven (HL7®) drives the standards upon which electronic Clinical Quality Measures (eCQMs) sit, so participation in these venues is crucial. The HL7 community already has a lot of technical input but lacks input from the clinical side – either from clinicians or clinical informaticists. There is a gap between the clinical intent of quality measures and the technical standard, but clinical informatics experts can help bridge this gap by contributing to the conversation and development of the HL7 standards and resources.

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Overview of Current State of the Use of HL7®FHIR® & Near-Term Future State

[fa icon="calendar'] Dec 4, 2019 4:40:07 PM / by Lisa Anderson, MSN, RN-BC posted in FHIR, interoperability, CMS, Da Vinci, Health Quality Measures Format, Quality Reporting, Clinical Quality Language, DEQM, Quality Data Model, Data Exchange for Qualitiy Measures, QI Core

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Measure development, as we know it, is changing. Quality improvement is important to keeping healthcare costs affordable and patients safe; however, it should not come as a huge burden to clinicians. Goals of electronic Clinical Quality Measures (eCQMs) include reducing the burden of manual abstraction and reporting for provider organizations, as well as fostering the goal of access to real-time data for bedside quality improvement and clinical decision support. We want to hit the “sweet spot” as depicted in this diagram:

 

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What is HL7 + Introduction to Product Lines

[fa icon="calendar'] Dec 3, 2019 12:30:08 PM / by Carol Macumber, MS, PMP, FAMIA posted in FHIR, CDA, Version 2, interoperability, C-CDA, Version 3, CMS, Health Quality Measures Format, Quality Reporting, Clinical Quality Language

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WHY STANDARDS?

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Role of Tools like FHIR Bulk Data Access for Provider and Payer Data Exchange

[fa icon="calendar'] Aug 15, 2019 7:55:34 PM / by Viet Nguyen, MD posted in FHIR, HL7 community, interoperability, Payers, Da Vinci, value based care

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Leading Healthcare Stakeholders Commit to Real-World Testing of HL7’s FHIR Bulk Data Implementation Guide

[fa icon="calendar'] Aug 7, 2019 10:38:22 AM / by Charles Jaffe, MD, PhD posted in FHIR, interoperability, CMS

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On July 30, as part of the second Blue Button Developers Conference at the White House, a broad coalition of health systems, health plans, and other health IT stakeholders committed to real-world testing of the soon to be published  HL7® FHIR® Bulk Data implementation guide (IG). 

The announcement was made on stage by HL7 International CEO Dr. Charles Jaffe, later joined by Steven Posnack from ONC and Dr. Shafiq Rab of Rush University System for Health. More than 20 early adopters who have committed to advance this important use of HL7 FHIR were identified.

Much of the focus around HL7 FHIR APIs to date has involved  transactions representing  a single patient. While those use cases are important, especially for patients desiring more seamless access to their data via their smartphones, the FHIR Bulk Data Implementation Guide (IG) unleashes FHIR’s potential to revolutionize population health by enabling new services powered by big data. The standardized approach offered by the Bulk Data IG is being used by CMS in its new Data at the Point of Care (DPC) pilot and could help transform the ways healthcare providers and health plans share data for quality improvement and cost accountability.

The Bulk Data IG is the result of a two-year effort funded by ONC’s cooperative agreement with HL7 in partnership with the SMART team at Boston Children’s Hospital/Harvard Medical School.

The following organizations will participate in real-world testing of the HL7 FHIR Bulk Data IG, and Steven noted ONC’s willingness to support these organizations. Participants will collaborate on providing a common set of artifacts, tools and services with an aim to lower standards implementation costs by making them as reusable and transferable as practicable.

Committed organizations include:

ORGANIZATION

NAME

 Anthem Inc.

Sheryl Turney

 BlueCross BlueShield of North Carolina

Joe Bastante and Robert Emerson

 BlueCross BlueShield of South Carolina

Dr. Shawn Stinson

 BlueCross BlueShield of Tennessee

Nick Coussoule and Heather Kennedy

 Boston Children’s Hospital/SMART

Dr. Ken Mandl

 Cambia Health Solutions

Laurent Rotival

CVSHealth (Aetna)

James Murray

 Florida Blue

Amit Shah

 Humana

Heather Cox

 Intermountain Healthcare

Marc Probst

 Jefferson Health

Neil Gomes

 Manifest Medex

Claudia Williams and David Kates

 Marshfield Clinic Health System and Security Health Plan

Dr. Greg Robinson

 Medical University of South Carolina & Health Sciences South Carolina

Dr. Leslie Lenert

 Medigold

Michael Demand

 Mount Sinai Health System (NY)

Mike Berger and Dave Kerwar

 MultiCare Health System and Physicians of Southwest Washington

Melanie Matthews

 OCHIN

Jennifer Stoll

 OrthoVirginia

Terri Ripley

 Oscar Health

Danny Dvinov

 Rush University System for Health

Dr. Shafiq Rab

 Trinity Health

Marcus Shipley and Michael DeBets

 U.S. Department of Veterans Affairs

Dr. Jonathan Nebeker


Signed,

Charles Jaffe, MD, PhD
HL7 International CEO 

 

Steven Posnack, MS, MHS
Executive Director, Office of Technology, ONC

 

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Cloud Providers Unite for Healthcare Interoperability

[fa icon="calendar'] Jul 30, 2019 12:58:38 PM / by HL7 posted in FHIR, HL7, interoperability, health IT, implementation

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WASHINGTON – Today a group of technology leaders from Amazon, Google, IBM, Microsoft, Oracle and Salesforce came together at the CMS Blue Button 2.0 Developer Conference to reaffirm a commitment to interoperability made one year ago, and to share progress and plans to move decisively forward on this pledge.

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C-CDA Implementation-A-Thon in September 2019 as Part of HL7 FHIR Connectathon

[fa icon="calendar'] Jun 20, 2019 11:32:39 AM / by Dave Hamill posted in CDA, HL7 working group meeting, C-CDA, Connectathon

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The next Consolidated Clinical Document Architecture (C-CDA) Implementation-A-Thon (IAT) is scheduled this September 14-15  in Atlanta, Georgia. It will be held as a track within the HL7 FHIR Connectathon, allowing attendees to optimize participation across CDA and FHIR-related tracks. 

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Going to FHIR DevDays and Want to be a Certified FHIR Rockstar? The FHIR Proficiency Exam Prep Course Can Help!

[fa icon="calendar'] Jun 5, 2019 3:09:20 PM / by Simone Heckmann posted in FHIR, HL7 education, HL7, certification, health IT, DevDays

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HL7 International offers a wide range of certification options for its products. The purpose of these certifications is to ensure the quality of the workforce implementing HL7's standards.

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API 101 – The Webinar

[fa icon="calendar'] May 14, 2019 4:04:53 PM / by Wayne Kubick posted in FHIR, HL7, health IT, news, API, SOA

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Join Our Webinar on May 22, 2019 at 12 pm Central!

API 101: An Introduction to APIs and How They Are Transforming Health IT

Webinar speakers and blog authors:

Wayne Kubick, HL7 CTO
John Orosco, CTO, Sansoro Health
Dave Levin, CMO, Sansoro Health

Application program interface (API) technology has transformed the digital economy and is now poised to do the same in health IT. The combination of the an increasingly robust HL7 Fast Healthcare Interoperability Resources (FHIR®) standard API and the rules proposed by ONC on interoperability will accelerate this trend. What should you know before diving in? Tune in to our live webinar on Wednesday May 22 at 12pm CT.

 APIs allow software applications to connect, communicate and collaborate through a combination of web services. This harnesses the power of internet “backbone” communication protocols to provide a secure channel for connecting two applications and standards like JSON and XML that provide data-interchange formats or “objects.”

APIs also allow businesses to collaborate more seamlessly. For example, businesses that ship packages via UPS can leverage the UPS API to easily track shipping status. This API hides the complexity of the UPS database and business logic. It’s an open API that is exposed to the world so almost anyone can use it. Simply register, learn how the API works and connect and your system can interrogate the UPS API, instantly retrieve the current status, and display it to your customers on your website or app.

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