Skip to content Skip to navigation

Mount Sinai to Test, Monitor Patients’ Genomic Information through EHR

August 1, 2013
by Gabriel Perna
| Reprints

The New York City-based, Icahn School of Medicine at Mount Sinai and the Institute for Family Health have received a $3.7 million grant from the government for a personalized medicine initiative that will allow providers to test and monitor patients’ genomic information through their electronic health record (EHR).

The providers will use the patients' genomic information at the point-of-care to individualize treatment, testing and monitoring. Linking genomic information with the EHR has become Mount Sinai’s calling card in 2013. In May, it announced 25,000 people signed on to participate in its biobank program, BioMe, where each patient has broadly consented to DNA sequencing, contact from researchers, and longitudinal studies related to data embedded in the electronic medical record (EMR). 

Along with monitoring through the EHR, the latest genomic initiative allows providers to use Clipmerge, which is a clinical-decision support engine for delivering guidelines with genetic variants of clinical significance to enhance treatment. Clipmerge was the basis for another pilot announced back in April.

The program, Sinai says, is the first ever genetic testing in a primary care setting to identify genetic risk for kidney disease in patients with hypertension. It’s aimed at Africa American patients, which according to Sinai research have a one-in-eight chance of a gene that makes them greater risk for developing chronic kidney disease or end-stage kidney disease if they have hypertension, or high blood pressure.

"We believe that with genomic information made available to doctors through a patient's electronic health record, we will be able to achieve better and stricter control of blood pressure and targeted use of medications that inhibit the renin angiotensin system, which are recommended in hypertensive patients at risk for kidney disease. More comprehensive tracking will also help ensure that optimal tests will be performed to stop progression of kidney disease,” stated Erwin Bottinger, M.D., Director of the Charles Bronfman Institute of Personalized Medicine at the Icahn School of Medicine at Mount Sinai, and one of two principal investigators of the grant.

The program will begin with a cluster-randomized controlled trial that will be conducted at 12 primary care sites in New York, including practices at Mount Sinai and the Institute for Family Health, which operates an independent network of community health centers in Manhattan and the Bronx.

Mount Sinai is part of a larger trend where more and more providers are linking genomic information to the EHR.

Topics

News

IBM Watson Health Hires Health IT Vet Paul Tang as Chief Health Transformation Officer

May 27, 2016
Paul Tang, M.D., former vice president and chief innovation and technology officer at the Palo Alto Medical Foundation in California, has joined IBM Watson Health as its vice president and chief health transformation officer.

Mayo Clinic Gets $142M to Serve as Precision Medicine Initiative Biobank

May 27, 2016
Rochester, Minn.-based Mayo Clinic will be awarded $142 million in funding over five years by the National Institutes of Health (NIH) to serve as the national Precision Medicine Initiative (PMI) Cohort Program biobank.

House Ways and Means Committee Advances Bill to Provide Regulatory Relief for Docs

May 26, 2016
The U.S. House Committee on Ways and Means has passed a bill that among other provisions, would provide relief to hospital outpatient departments as well as consider patients’ socioeconomic status before penalizing hospitals in the Hospital Readmissions Reduction Program.

Health IT Leaders Address Cybersecurity Responsibilities at HHS during Congressional Hearing

May 25, 2016
During a House Energy and Commerce Subcommittee on Health hearing, healthcare IT leaders and security experts testified in support of proposed legislation to elevate and empower the CISO at the U.S. Department of Health and Human Services (HHS).

Study: Automated, Real-Time Surveillance Significantly Reduced Sepsis Mortality

May 25, 2016
Automated surveillance and real-time analysis led to a significant reduction in sepsis mortality at Alabama’s Huntsville Hospital, according to research recently published in the Journal of the American Medical Informatics Association (JAMIA).

Report: Bill to Fight Zika Could Strip HHS of MACRA Funds

May 25, 2016
With a House bill providing money to fight the Zika virus pending, the Department of Health and Human Services (HHS) may be stripped of funds that it was planning to use for Medicare Access and CHIP Reauthorization Act (MACRA) information technology provisions, according to a Morning Consult report.

Healthcare Organizations Push to Look at New Data Sources to Assess Telemedicine in Medicare

May 24, 2016
Several healthcare organizations have sent a letter to the Congressional Budget Office (CBO) and the Medicare Payment Advisory Commission (MedPAC) regarding the use of alternative data sources for cost estimates and analyses of telemedicine utilization in the Medicare program.

Study: Sharing Visit Notes with Patients Improves Patient Satisfaction, Trust and Safety

May 24, 2016
Improving transparency between physicians and their patients by allowing patients to view their visit notes in their health records can improve patient satisfaction, trust and safety, according to a recently published study.

CareFirst BlueCross BlueShield Awards $3M to Regional Telemedicine Programs

May 24, 2016
Baltimore-based CareFirst BlueCross BlueShield plans to award nearly $3 million to ten healthcare organizations to help develop or expand existing regional telemedicine initiatives.

Intermountain Launches New Telehealth Service

May 24, 2016
Intermountain Healthcare has launched a new telehealth service that connects patients in Idaho and Utah with the health system’s providers 24 hours a day, 7 days a week, through video and audio conferencing on the web.

Kansas Heart Hospital Hit With Ransomware; Hackers Do Not Unlock Files After Receiving Ransom Payment

May 23, 2016
Wichita, Kan.-based Kansas Heart Hospital was hit with a ransomware attack last Wednesday, but after the hospital paid an undisclosed ransom, the hackers demanded more, according to local news reports.

Intermountain Healthcare Names New CEO

May 23, 2016
Salt Lake City-based Intermountain Healthcare has appointed A. Marc Harrison, M.D., as its new president and CEO to take the helm when current CEO Charles Sorenson, M.D., retires in October.

Study: Hospitals Making Significant Investments in Smartphone-Based Communications

May 20, 2016
Sixty-three percent of hospitals and health systems have deployed or plan to deploy a mobile communications platform supporting more than 500 smartphones in the next year, according to a new survey from Spyglass Consulting Group.

UConn Health Appoints Dirk Stanley, M.D., as First CMIO to Oversee EMR Implementation Project

May 20, 2016
The University of Connecticut Health Center (UConn Health), based in Farmington, Conn., has announced the appointment of Dirk Stanley, M.D., as its first Chief Medical Information Officer.

Potential Data Breach at Children’s National Health System Due to Vendor Misconfiguration

May 20, 2016
Children’s National Health System, based in Washington, D.C., has issued a notice about a potential data breach after a third-party vendor inadvertently misconfigured a file site that enabled patient information to be accessed online.

Pages