This week on NVTC’s Blog, LMI Senior Consultant Daniel DuBravec notes that we need to prepare for personalized medicine and the evaluation of genomic data.
Today’s electronic health record (EHR) systems cannot properly handle genomic data. Interpreting these huge and complex data, particularly in a visual manner, is challenging. Even when EHR systems can access these data, few standards exist for how to structure them to ensure seamless system integration, interoperability, and interpretation. Most medical schools do not teach doctors how to interpret genetic data, and local-level care centers require training on proper data storage and network security.
Precision medicine predicts, prevents, and treats diseases at the patient level. Its growth has created the need for internationally recognized genomic EHR standards and policies, which would protect individuals by ultimately improving patient outcomes. We need to prepare for a future in which medicine is more personalized and better able to evaluate genomic data.
Real, Inspiring Stories
Recently, I met a colleague whose daughter is suffering from a genetic condition known as Stargardt disease. Sadly, her daughter is rapidly losing her vision. This disease, a form of juvenile macular degeneration, can only appear in children when both parents carry the mutated gene. If the gene had been identified at an early stage, medical practitioners would have had more time to investigate new drug therapies and gene-editing technologies to treat my colleague’s daughter. As part of her interoperable medical genetic record, physicians at research institutions who were also working on her case could have then viewed and collaborated by using this critical information. Hitting close to home, this is one of many stories that inspire us to prepare for the widespread application of precision medicine and genomic data analysis.
Making Genomic Data Useful for Medical Practitioners
The future of patient care requires connecting large external data sets with electronic healthcare records. Precision medicine will customize treatments down to a patient’s genes and behavior. By analyzing genetic data across thousands of people, scientists will discover preventative treatments and cures for challenging health issues.
Given the complexity of health and genomic data, one can analyze the same data in different ways and achieve different outcomes. “Well-designed data visualization could help doctors interpret the data more rapidly, arriving at more challenging diagnoses in less time,” says Erin Gordon, data visualization trainer and graphic facilitator at LMI.
Before developing a framework for integrating and analyzing disparate health data sets, we test our models for validity. “The quality of our medical data models has a direct impact on patient outcomes and daily operations in medical facilities,” says Brent Auble, a consultant with the Intelligence Programs group at LMI. To support LMI’s research into healthcare data management, our team set up a Hadoop cluster, which is a group of servers designed to quickly analyze massive quantities of structured and unstructured data.
Building the Future of Healthcare Analytics
Ultimately, to meet the growth in precision medicine and the use of health data analytics, future EHR systems need to:
- automatically generate comparisons of multiple genomes,
- identify and match genetic variants based on known diseases,
- ensure patient data privacy, and
- integrate and search medical publications and scientific research for relevant patient data.
Preparation is key in order to predict, prevent, and treat disease as medicine evolves.
Dan DuBravec is a senior consultant at LMI, leading IT implementation projects. Mr. DuBravec holds multiple EHR certifications, as well as a BS in product design from Illinois State University and an MS in educational technology leadership from George Washington University.