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6 Possible Next Steps
Pages 53-60

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From page 53...
... (See Box 6-1 for actions suggested by individual workshop participants for facilitating the integration of genomics into health care systems.) Once the data are in the appropriate format and can be more easily transferred and used, clinical decision support algorithms can be developed to provide the necessary information at the point of care, said Sam Shekar, the chief medical officer within Northrop Grumman's information systems sector.
From page 54...
... (Chute) • Foster interoperable health care systems to enable genomic data shar ing.
From page 55...
... • Measure and track health and health care disparities to determine the impact of genomics-based interventions. (Ommaya)
From page 56...
... Instead of trying to fix the problems with the current EHR platforms, what may be needed is to "create a new [EHR] system that would be universal across all the different health care systems," suggested Debra Leonard, a professor and the chair of pathology and laboratory medicine at The University of Vermont Medical Center.
From page 57...
... Machine learning is one possible way to produce results to guide clinical decision support. But Ketan Paranjape, the worldwide director of health and life sciences in the Health Strategy and Solutions Group at Intel Corporation, said he was worried about decisions that are based on inadequate databases.
From page 58...
... Dixie Baker, a senior partner at Martin, Blanck & Associates, noted earlier that individuals provide the information that drives a knowledgegenerating health care system and that understanding their preferences for data sharing is key. The value of personalized user interfaces will require research to understand and generate, she said.
From page 59...
... Accounting for individual preferences may require applications of social science and behavioral research. Ommaya said that the Association of American Medical Colleges is involving the implementers of health care systems in the entire development process, from the formula
From page 60...
... Behavioral change involves incentives, disincentives, rewards, and recognition, Sanfilippo added, all of which are being studied by the field of behavioral economics. CLOSING REMARKS Aligning efforts to integrate genomics into the health care system and to use the information effectively will require an understanding of the priorities and values of patients and providers, Ginsburg said.


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