Impact of integrating genomic data into the electronic health record on genetics care delivery.
Electronic health record
Genomics
Integration
Journal
Genetics in medicine : official journal of the American College of Medical Genetics
ISSN: 1530-0366
Titre abrégé: Genet Med
Pays: United States
ID NLM: 9815831
Informations de publication
Date de publication:
11 2022
11 2022
Historique:
received:
18
02
2022
revised:
15
08
2022
accepted:
15
08
2022
pubmed:
16
9
2022
medline:
9
11
2022
entrez:
15
9
2022
Statut:
ppublish
Résumé
Integrating genomic data into the electronic health record (EHR) is key for optimally delivering genomic medicine. The PennChart Genomics Initiative (PGI) at the University of Pennsylvania is a multidisciplinary collaborative that has successfully linked orders and results from genetic testing laboratories with discrete genetic data in the EHR. We quantified the use of the genomic data within the EHR, performed a time study with genetic counselors, and conducted key informant interviews with PGI members to evaluate the effect of the PGI's efforts on genetics care delivery. The PGI has interfaced with 4 genetic testing laboratories, resulting in the creation of 420 unique computerized genetic testing orders that have been used 4073 times to date. In a time study of 96 genetic testing activities, EHR use was associated with significant reductions in time spent ordering (2 vs 8 minutes, P < .001) and managing (1 vs 5 minutes, P < .001) genetic results compared with the use of online laboratory-specific portals. In key informant interviews, multidisciplinary collaboration and institutional buy-in were identified as key ingredients for the PGI's success. The PGI's efforts to integrate genomic medicine into the EHR have substantially streamlined the delivery of genomic medicine.
Identifiants
pubmed: 36107166
pii: S1098-3600(22)00900-5
doi: 10.1016/j.gim.2022.08.009
pmc: PMC10176082
mid: NIHMS1876879
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
2338-2350Subventions
Organisme : NHLBI NIH HHS
ID : K23 HL143161
Pays : United States
Organisme : NHGRI NIH HHS
ID : T32 HG009495
Pays : United States
Organisme : NCI NIH HHS
ID : U01 CA232836
Pays : United States
Organisme : NHGRI NIH HHS
ID : U24 HG010862
Pays : United States
Informations de copyright
Copyright © 2022 American College of Medical Genetics and Genomics. Published by Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflict of Interest K.S.L.-M. has an immediate family member who is employed by GlaxoSmithKline. All other authors declare no conflict of interest.
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