Showing posts with label genomics. Show all posts
Showing posts with label genomics. Show all posts

Friday, July 13, 2012

Predictive Medicine & 'Open' Health IT Systems

The coming decades will see a continued shift from a focus on contemporary medicine practices to preventive medicine, predictive medicine, and regenerative medicine.

Predictive medicine is the emerging field of medicine that entails predicting the probability of disease and taking proactive steps to either prevent the disease altogether or significantly decrease its impact upon the patient. This proactive stance involves the use of new tools in bio-science to identify potential health risks, predict potential consequences, track treatment provided, measure progress, and report on health outcomes.

The following are examples of just a few types of predictive medical testing already in place that are being conducted by healthcare professionals:

·      Preconception testing
·      Prenatal testing
·      Diagnostic testing
·      Carrier testing
·      Health Risk Assessments
·      Prognostic modeling

The health information technology (IT) industry is already in the process of developing the first generation of predictive health IT systems.  These new systems gather and analyze a range of information from electronic health record (EHR) systems, various medical tests, health assessment instruments, genomic information systems, and other sources. A personalized predictive health profile is then generated to assist patients and their healthcare providers work together to improve an individual's health and help prevent the onset of certain diseases whenever possible.

Many of these new, cutting edge predictive health IT tools are coming out of the collaborative, 'open source' health IT community. Check out the following links to a few of the emerging predictive health IT projects, open source tools, organizations, and activities:

Information on other open source EHR, PHR and Genomic information systems can be found on the COSI Open Health or the Open Health News (OHN) web sites.

Right now the health IT industry is focused on the acquisition, development, and deployment of Electronic Health Record (EHR) systems, Health Information Exchange (HIE) networks, and Personal Health Records (PHR). But coming rapidly down the pike are  next generation Genomic Information and Predictive Medicine modules that will be integrated into future EHR systems. Here are some key management observations and recommendations to consider:

  • Predictive medicine and associated predictive health IT solutions offer great potential to improve care, reduce costs, and prevent disease.
  • Predictive medicine will require a fundamental realignment of many health care delivery processes. Individuals must be trained to take greater responsibility for their personal health.
  • Collaboration and sharing of 'open' solutions will lead to continuous innovation  and rapid advancements in the field of predictive medicine in the coming decades.

Finally, according to a recent national survey conducted by researchers at Tufts Medical Center, consumers placed a high value on information to predict their future health and indicated they were willing to pay for it.

Predictive healthcare is becoming a reality. Please share with us any new advances in predictive health IT systems that you know about.

Friday, October 7, 2011

Genomic Information, EHR Systems, & Open Source


Introduction

Next generation electronic medical record (EMR) will contain genomic information modules and provide predictive care capabilities supporting the continued movement towards more personalized medicine. Much of the work on genomic information systems being done involves extensive collaboration between public and private sector organizations with a heavy emphasis on standards and 'open source' solutions.

According to the journal, Nature Reviews Genetics (NRG), researchers from the McLaughlin-Rotman Centre for Global Health (MRC) in Toronto claim Mexico, India, Thailand and South Africa are blazing the way for other countries around the world. They report that those four countries are actively establishing domestic capacity in genomics and personalized medicine - efforts that will ultimately improve national health, slash medical costs through better resource allocation, and bolster their economies. See www.hoise.com/vmw/08/articles/vmw/LV-VM-10-08-10.html

Selected Genomic Information Projects & Related Activities


The following is a selection of major projects and activities related to genomic information systems and biorepositories that you might want to take the time to explore further. Many of these are either public domain or 'open source' solutions.


* Also see Alphabetic Listing of Other Genetic Analysis Software - http://linkage.rockefeller.edu/soft/list.html

Major Issues

Integrated longitudinal health records that include personal, clinical, and genomic information will provide unprecedented access to details about an individual in a manner that was previously inconceivable. Privacy and security are absolutely crucial when it comes to genomic information. To protect individuals and their genomic information will require everything from new legislation, policies, operating guideline, better access controls, data encryption, system audit tools, informed consent, release of information procedures, training, and more.

Findings & Conclusions


  • Over the next decade, one of the goals for R&D staffs working in genomics will be to transform knowledge about the human genome into improvements in clinical practice and patient care.
  • Numerous Federal agencies and private clinical research enterprises engaged in developing genomic information systems over the past decade are embracing collaborative ventures and 'open source' solutions.
  • Health care organizations need to be more proactive in collaborating with on the construction of the unified clinical and genomic health information systems of the future.
  • It is anticipated that genomic information will start to become a standard component of a person's electronic medical record (EMR) in the coming decade.

If you are involved with the development and testing of EMR systems that contain genomic information, please let us know about it. Tell us how its going.