Lori Orlando, M.D., M.H.S. is the PI of a newly awarded NIH sub-contract for a supplemental proposal to Vanderbilt University’s Electronic MEdical Records and GEnomics (eMERGE) project. The goal of the project is to incorporate structured and standardized family health history (FHH) into the electronic health record (EHR) to enable an integrated system of genomic risk prediction, test results and clinical decision support.
MeTree is a validated and flexible patient-facing FHH collection tool that was the backbone of Duke’s Implementing GeNomics In PracTicE (IGNITE) FHH clinical utility study in primary care practices (PIs: Ginsburg/Orlando).
Harmonizing and fully integrating FHH into clinical workflow is the next priority. With the availability of FHH applications that collect and analyze family data for clinical care such as MeTree, and new innovations in informatics technology, full integration of FHH into diverse EHR systems is possible.
Currently, MeTree is being evaluated at five sites in the U.S.: Duke, Essentia Health, Medical College of Wisconsin, University of North Texas, and Travis Air Force base (California). The proposal will work to integrate MeTree at three new sites in the U.S. (Geisinger, Northwestern University, and Vanderbilt) and at one international site the National Health Service (England).
“We are thrilled to have this opportunity to work towards integrating Metree with the EMRs using current health data standards,” Dr. Orlando said.