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.



Survey: Digital Tomosynthesis and Cloud-Based Image Sharing Are on Radiology Providers’ Radars

November 30, 2015
There continues to be rapid advancements in medical imaging technology and many radiology providers see breast tomosynthesis as one of the most exciting new and emerging imaging technologies, according to a peer60 report.

ONC Report: Personal Health Records Should be Integrated into HIEs

November 30, 2015
A report from the Office of the National Coordinator for Health IT (ONC) recommends that patients’ personal health records (PHRs) be implemented in health information exchanges (HIEs).

Lahey Hospital and Medical Center Fined $850K for Potential HIPAA Security Violations

November 25, 2015
Burlington, Mass.-based Lahey Hospital and Medical Center this week agreed to pay $850,000 to settle potential violations of the Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security Rules stemming from a 2011 security breach.

Genomic Medicine Clinic in Alabama Opens its Doors

November 25, 2015
Last week, a genomic medicine clinic opened in Huntsville, Ala. with the aim of utilizing the power of the genomic sequence to identify the causes of illness in children and adults with undiagnosed disease.

DoD, VA Say Interoperability Requirements Have Been Met

November 24, 2015
The Department of Defense (DoD) says that it has met the interoperability requirements for electronic health records (EHRs) as called for in the National Defense Authorization Act (NDAA) of 2014.

Senate Committee Advances Rural Health Care Connectivity Act

November 24, 2015
The U.S. Senate Committee on Commerce, Science and Transportation last week passed a bipartisan bill that would enable rural nursing facilities to tap into funding from the government’s Universal Service Fund for telecommunications and broadband services.

Black Book Research: IT Outsourcing Poised for Growth in Healthcare Payer Sector

November 23, 2015
A new Black Book Research report estimates the demands of data security, population health and value-based benefits solutions—and revenue cycle modernization—will drive the payer IT outsourcing market in excess of $60 billion by the end of 2017.

EHRA, HIMSS Comment on CMS Value-Based Payment Models

November 23, 2015
The Electronic Health Record Association (EHRA) and the Health Information and Management Systems Society (HIMSS) last week weighed in on the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and voiced concerns about new data reporting requirements and new certification criteria for alternative payment models.

CMS Online Drug Mapping Tool Details Opioid Prescribing Patterns

November 20, 2015
The Centers for Medicare & Medicaid Services (CMS) recently unveiled an interactive online mapping tool which shows geographic comparisons at the state, county and ZIP code levels of de-identified Medicare Part D opioid prescription claims data.

Physician Optimization Project Proves Successful at Emory Healthcare

November 20, 2015
Physicians at the Atlanta, Ga.-based Emory Healthcare removed up to one-third of clicks from their ambulatory workflow and, on average, are spending 36 percent less time finishing charts from home as a result of its physician optimization project.

USDA Awards $23.4M in Grants for Rural Telemedicine Projects

November 20, 2015
In conjunction with National Rural Health Day yesterday, Agriculture Secretary Tom Vilsack announced that the United States Department of Agriculture (USDA) is investing $23.4 million in distance learning and telemedicine projects in rural areas.

Geisinger Health System Launches Patient Refund App

November 20, 2015
Geisinger Health System unveiled last week its ProvenExperience pilot program, which will offer refunds to dissatisfied patients.

Health IT Now Coalition Supports Veterans Telemedicine Bill

November 20, 2015
The Health IT Now Coalition, an organization comprised of healthcare providers, payers, patient groups and employers, wrote an endorsement letter of the Veterans E-Health and Telemedicine Support Act to the bill's cosponsors Senators Joni Ernst and Mazie Hirono.

KLAS: Providers Turn to Outside Firms for Value-Based Care Transitions

November 20, 2015
While some providers may have the ability to make the transition to value-based care (VBC) on their own, the vast majority of them are turning to firms who provide VBC consulting services and VBC managed services, according to a new survey from Orem, Utah-based KLAS Research.

Can Digital Health Tools Help People with Mental Illness Manage Chronic Conditions?

November 19, 2015
Dartmouth Centers for Health and Aging has partnered with Boston-based digital health startup Wellframe to examine the use of mobile technology to help older adults with serious mental illness, such as schizophrenia, self-manage chronic medical conditions.