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Clinical Quality Framework (CQF) Homepage

The Clinical Quality Framework initiative is a public-private partnership sponsored by the Centers for Medicare & Medicaid Services (CMS) and the U.S. Office of the National Coordinator for Health Information Technology (ONC) to identify, develop, and harmonize standards for clinical decision support and electronic clinical quality measurement.

The CQF Initiative has been involved with several standards-related efforts. For more information, please visit the CQF Harmonizations and Standards page.

Weekly Meetings

CQF Project Meetings

All Hands Community Meeting

To communicate harmonization efforts with the HL7 work groups, Piloting groups, other ONC initiatives,
and a broad set of the clinical quality community.

Next meeting: Thursday, March 9 at 11am- 12:30pm ET
Agenda: TBD

Web Meeting: https://siframework1.webex.com/siframework1/onstage/g.php?t=a&d=666535029
Dial In: 1-650-479-3208
Access code: 666 535 029

NCCN Guidelines Project Meeting

Next meeting: Thursday, March 2 at 3pm- 4pm ET

Web Meeting: https://global.gotomeeting.com/join/606008445 
Dial In: 1-669-224-3212 
Access code: 606-008-445

HL7 Related Work Group Meetings[Note that calls are often canceled. For the latest information, please visit the Conference Link at HL7.org]

CIMI Project Call Meeting

Next meeting: Tuesdays at 12pm- 1pm ET

Web Meeting: https://global.gotomeeting.com/join/442585925
Dial In: 1-646-749-3131
Access code: 442 585 925

HL7 Clinical Decisions Support Meeting

Next meeting: Wednesdays at 12pm- 1pm ET

Web Meeting: https://global.gotomeeting.com/join/383926805
Dial In: 1-224-501-3312
Access code: 383 926 805

Note: Please use the custom GoToMeeting phone number rather than the HL7 conference call line.

HL7 CQI Work Group Meeting

Next meeting: Fridays at 1pm- 3pm ET

Web Meeting: https://global.gotomeeting.com/join/474457221
Dial In: 1-770-657-9270
Access code: 217663

Meeting Schedule


Clinical Quality Language (CQL) Q&As Now Available

CMS is engaging measure developers, implementers, and end users in Clinical Quality Language (CQL) development in the effort to harmonize standards between electronic clinical quality measures (eCQMs) and clinical decision support (CDS). CQL is an HL7 standard for trial use (STU) and is intended to replace the logic currently defined in the Quality Data Model (QDM) beginning with the QDM v5.0.

To learn more about CQL, CMS offers general and targeted CQL education sessions. Q&As gathered from previously held sessions are available on the eCQI Resource Center CQL Space at: https://ecqi.healthit.gov/cql/CQ-Qs%26As. The answers to questions are grouped by content categories and will be routinely updated with new content from future CQL sessions. If your question is not answered in a Q&A, please join us for an upcoming CQL event or submit your question to the JIRA CQL Issue Tracker.

Find more CQL educational resources including presentation slides and webinar videos at: https://ecqi.healthit.gov/cql/cql-educational-resources


CMS Issues Additional Guidance for the “Device, Order not done” Field Submission for VTE-1, VTE-2, and VTE-6 Measures for CY 2016 eCQM Reporting to the Hospital IQR and the Medicare EHR Incentive Programs

The purpose of this announcement is to notify hospitals participating in the Hospital Inpatient Quality Reporting (IQR) Program and the Medicare Electronic Health Record (EHR) Incentive Program for eligible hospitals and critical access hospitals that the Centers for Medicare & Medicaid Services (CMS) has issued additional guidance for the “Device, Order not done” field submission for Venous thromboembolism (VTE) measures: VTE-1, VTE-2, and VTE-6 electronic Clinical Quality Measures (eCQMs) for Calendar Year 2016 reporting. For more information, please view the following attachment: Device Order Not Done Guidance Announcement

Now Available: Technical QRDA-III Instructions for CY 2017 Eligible Clinician Reporting Programs (Version 0.1)

The Centers for Medicare & Medicaid Services (CMS) has published Version 0.1 of the 2017 CMS Implementation Guide for Quality Reporting Document Architecture Category III (QRDA-III) Eligible Clinician Programs with schematrons and sample files. For more information, please view the following attachment: Technical QRDA-III Instructions 

Cooking with CQL: or How to Incorporate CQL into HQMF for eCQMs Webinar

CMS invites you to a “Cooking with Clinical Quality Language (CQL): or How to Incorporate CQL into Health Quality Measure Format (HQMF) for Electronic Clinical Quality Measures (eCQMs)” webinar. The Cooking with CQL series provides an interactive environment for measure developers. The upcoming session will feature open discussion from subject matter experts on the Measure Authoring Tool (MAT), show how to express measures using CQL and review prepared questions.

To register for the webinar taking place on Thursday February 16, 2017 at 4:00 PM ET go to: https://battelle.webex.com/battelle/onstage/g.php?MTID=e1ff826300eba99c9244b2bb1b24ebcd0. Please submit CQL related questions to cql-esac@esacinc.com. If you have any other questions or need additional information about this webinar, please contact Amira Elhagmusa at elhagmusa@battelle.org


How to Correct Common Schema Validation Errors for 2016 QRDA I Submissions Webinar

CMS invites you to the webinar titled “How to Correct Common Schema Validation Errors for 2016 QRDA I Submissions”. This presentation will provide an overview of topics related to Quality Reporting Document Architecture (QRDA) Category I file submission for Calendar Year 2016 reporting period for the following CMS programs: 

  • Hospital Inpatient Quality Reporting (IQR)
  • Medicare Electronic Health Record (EHR) Incentive Program for Eligible Hospitals and Critical Access Hospitals
  • Medicare Electronic Health Record (EHR) Incentive Program for Eligible Professionals
  • Physician Quality Reporting System (PQRS)

This presentation will provide a technical review of these topics:

  • Common Clinical Document Architecture (CDA) Schematron errors and the process for successfully testing, validating, and submitting QRDA Category I documents
  • Guidance on the Device Order, Not Done Issue
  • Guidance on Single Substance Administration

Please join us for this in-depth review taking place on Friday February 17, 2017 from 2:00-3-00 PM ET. To register for the webinar, go to: https://esac-ecqm-2.webex.com/esac-ecqm-2/onstage/g.php?MTID=ec099c35576d8023bccfed8007fe23ff8. If you have any other questions or need additional information about this webinar, please contact Amira Elhagmusa at elhagmusa@battelle.org.

For More Information:

You can find current and past QRDA Implementation Guides, Schematrons, and Sample Files on the CMS eCQM Library and the eCQI Resource Center. For questions related to the QRDA Schematron, visit the ONC QRDA JIRA Issue Tracker.


January 2016- September 2017: Implementation (Standards Development and Review)

September 2016- September 2017: Current Projects (NCCN Oncology Guidelines, IOM DIGITizE, Zika Virus, CDC Opioid)

October 2017: Evaluation

Initiative Contacts

Co-CoordinatorKen Kawamotokensaku.kawamoto@utah.edu
Co-CoordinatorFloyd Eisenbergfloyd.eisenberg@esacinc.com
ONC LeadJulia Skapikjulia.skapik@hhs.gov
Standards Development SMEBryn Rhodesbryn@databaseconsultinggroup.com
Project SupportSwapna Bhatiaswapna.bhatia@esacinc.com
CMS SponsorMinet Javellanaminet.javellana@cms.hhs.gov
HL7 CDS Work Group LiaisonHoward Strasberghoward.strasberg@wolterskluwer.com
HL7 CQI Work Group LiaisonWalter Suarezwalter.g.suarez@kp.org
NCCN Oncology Guidelines Project Point of ContactLee Surprenantlmsurpre@us.ibm.com
IOM DIGITizE Project Point of ContactSarah Beachysbeachy@nas.edu
Zika Virus Project Point of ContactFloyd Eisenbergfloyd.eisenberg@esacinc.com
CDC Opioid Project Point of ContactJan LosbyJLosby@cdc.gov


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