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

Report: Cyber Attackers Using Simple Tactics, Tools to Target Healthcare, Other Industries

The number of reported breach incidents in healthcare grew by 22 percent in 2016 from 269 breach incidents in 2015 to 328 last year, according to Symantec’s 2017 Internet Security Threat Report (ISTR).

The Sequoia Project Touts Interoperability Growth in Fifth Year

The Sequoia Project is celebrating its fifth anniversary this month by announcing that its various interoperability initiatives have grown by health organization participants, by geographic reach, and by the sheer number of health records exchanged electronically.

Report: HHS to Open Healthcare Cybersecurity Center

HHS will be opening a Cybersecurity and Communications Integration Center in which healthcare organizations and consumers can get educated about the risks of using mobile apps and data.

Survey: Two-Thirds of Healthcare Employees Share Confidential Data On Occasion

Seventy-two percent of employee say they would share sensitive, confidential or regulated company information under certain circumstances and 68 percent of healthcare employees report that they share confidential or regulated data on occasion, according to the Dell End-User Security Survey.

KLAS Report Examines Adoption of Sepsis Solutions and Impact on Outcomes

Sepsis detection and treatment is taking a big step forward as providers increasingly utilize surveillance and monitoring technology available through electronic medical records (EMR) vendors and third-party providers, according to a new report by KLAS Research.

Partners HealthCare, Persistent Systems Collaborate on Digital Platform for Clinical Care

Boston-based Partners HealthCare has announced a strategic collaboration with Persistent Systems to develop a new industry-wide open-source platform with the goal of bringing digital transformation to clinical care.