What is precision medicine? And how can EHR help?
“Precision medicine” is an emerging discipline that demands attention. The Food and Drug Administration, National Cancer Institute, and the National Institute of Health are working on precision medicine initiatives. Google created an AI tool to address some of the challenges.
So what exactly is precision medicine? And why do we care?
According to NIH’s Precision Medicine Initiative, “[it[ is “an emerging approach for disease treatment and prevention that takes into account individual variability in genes, environment, and lifestyle for each person.
Precision medicine allows doctors and researchers to hypothesize which treatments might work better for different groups of people.
In short, medicine is becoming more personal. A universal approach, that targets an “average” patient does not address the differences that inherently exist between individuals.
The Precision Medicine Initiative addresses this further: “Although the term ‘precision medicine’ is relatively new, the concept has been a part of healthcare for many years. For example, a person who needs a blood transfusion is not given blood from a randomly selected donor; instead, the donor’s blood type is matched to the recipient to reduce the risk of complications.”
Though there are examples, precision medicine is not a healthcare standard. But, as the concept continues to grow more popular, this is changing.
But is precision medicine – ready for primetime? In my opinion, the answer is quite clear: no.
Before we reap the full benefits of precision medicine, a few things need to change:
(Healthcare IT News mentioned 5 of them in a recent article.)
- Regulatory requirements
- Insurance reimbursement guidelines
- Physician education and support
- Patient empowerment
- Cumbersome and expensive clinical trials
- Accuracy of data
It goes without saying that, in order for precision medicine to be effective, we have to have accurate patient data (genetics, lifestyle, environment, history, etc.).
Therefore, it could be argued that the first step to a successful precision medicine initiative starts with its technology, mainly that which gathers a patient’s health records (i.e. an EHR).
While there are several initiatives to launch new companies in this sector, it is important to note that the ecosystem for gathering comprehensive health records is still incomplete. Records remain siloed and interoperability remains a challenge. .
EHR design is a fundamental issue that could hinder the progress of precision medicine. Most are effectively designed and built with the concept of “one size fits all.” This inherently runs against the very definition of precision medicine.
Currently, EHR systems are built to standardize processes. Many are more elaborate – practically a euphemism for an ERP system that is meant to run the practice or health system like a business. This enforces rigidity into the systems implemented. This complexity means many organizations have sunk millions of dollars in the adoption of such systems, making a transition essentially cost prohibitive.
It is time to rethink the EHR concept in a more customized personalized framework… As is, there are very few systems that are flexible and adaptable enough for a precision medicine initiative.
- 3A’s (Aggregate, Analyze and Act) of Healthcare ITSep 19 , 2019
- Telemedicine – Benefits and ChallengesSep 04 , 2019
- Health Data Exchange StandardsJul 31 , 2019
- Telehealth: Technology meets HealthcareApr 11 , 2019
- Integrated Care: The Future of Behavioral HealthMar 29 , 2019
- Troubles with Getting Mental Health Help and InsuranceMar 15 , 2019
- 7 Things to do to Protect Against Ransomware AttacksAug 08 , 2018
- Oh EHR, how can we love thee?Apr 20 , 2018
- What’s in Store for Practice Fusion UsersJan 31 , 2018
- What is precision medicine? And how can EHR help?Jan 05 , 2018
- What’s the SOAPware alternative?Dec 15 , 2017
- Artificial Intelligence, EHRs and the future of health technologyNov 02 , 2017
- ACA Executive order’s impact on EMR and eHealth technologyOct 25 , 2017
- EHRs and Mental Health: What Needs to Change?Sep 29 , 2017
- American Medical Association (And Others) Unhappy With EHR ProvidersSep 22 , 2017
- A Celebration of Citizenship DaySep 18 , 2017
- Amazon’s Stealthy Foray Into the World of EHRAug 18 , 2017
- Google, the Gender Gap and Personal ResponsibilityAug 10 , 2017
- Neal Patterson and the Mission of Health ITJul 21 , 2017
- The Myth About Motivating People To PerformJul 14 , 2017
- Fragmented health data and personalized medicine: What to do?Jul 07 , 2017
- Apple’s Venture Into the World of EHR SoftwareJun 23 , 2017
- What does the U.K. health record hack mean for eHealth security?Jun 15 , 2017
- Why Doctors need an All-rounder Healthcare Solution?Mar 19 , 2016
- Are we ready for data-driven healthcare?Mar 12 , 2016
- Using Medicare And Private Sector Claims Data for Patient care QualityFeb 26 , 2016
- The Doctor must “Evolve” with the TechnologyFeb 26 , 2016
- The 2015 Practice Profitability IndexFeb 25 , 2016
- ‘Mind Your Risks’ – The NIH health campaignFeb 22 , 2016
- Middle East and Arab Health 2016Feb 03 , 2016
- Medical Billing in 2016Jan 08 , 2016
- CMS publishes 2014 National Health ExpendituresJan 02 , 2016
- Results from the Practice Profitability Index 2015Dec 16 , 2015
- This National Diabetes Month, you have a role in diabetes education and supportNov 26 , 2015
- Safe Texting in HealthCare: Do’s & Dont’sNov 18 , 2015
- Is TeleMedicine the future of healthcare ?Nov 13 , 2015
- Evaluating specific KPIs can improve business performanceNov 09 , 2015
- 50 Years of Medicare: More than 55 million Americans covered by MedicareSep 23 , 2015
- How Much Does Healthcare Cost Matter To A Patient?Sep 18 , 2015
- How does Affordable Care Act Change Your Practice?Sep 11 , 2015
- A ‘Don’t Do’ List to avoid patient no-showsAug 21 , 2015
- Add more patients and grow your medical business in 5 easy stepsAug 05 , 2015
- Medicare Trust Fund is now protected by the Fraud Prevention SystemJul 16 , 2015
- ICD-10: A Short StoryMay 19 , 2015
- Patient portals and patient engagement: Is there a link?Apr 21 , 2015
- Meaningful Use Stage 3: First LookApr 07 , 2015
- 6 Ways Physicians can Free Patient RecordsMar 17 , 2015
- Is the EHR market saturated?Dec 04 , 2014
- 5 Benefits of healthcare information exchanges for small practicesApr 22 , 2014
- New Study shows EMR Adoption Increases Patient Confidence, Loyalty and SatisfactionApr 22 , 2014
- Cloud-Based EMR Vendors and Patient Data SecurityApr 22 , 2014