combining structured data and connectivity to serve consumers presentation by w. gregory feero,...
TRANSCRIPT
Surgeon General’s My Family Health PortraitCombining Structured Data and Connectivity to Serve Consumers
Presentation by W. Gregory Feero, M.D., Ph.D. National Human Genome Research Institute
March 2, 2010
A crucial tool for primary care
• Family health history is an excellent indicator of genetic and shared environmental risk factors which can be important determinant of health.
• Family health history helps clinicians deliver better care, including prevention and early disease detection.
• However, family history is typically underused in primary care settings.
Surgeon General Initiative • In 2004, the Surgeon General introduced the first version
of the web-based tool, “My Family Health Portrait.”
• This tool helped consumers by enabling them to complete histories at home.
• However – the original tool was NOT standards-based,
interoperable, or EHR-ready.
New interoperable tool • In January 2009, the Surgeon General launched a new
“2.0” family health history tool.
• The new tool is standards-based, interoperable and EHR-ready.
• Consumers can share histories electronically – with other family members and doctors.
Standards-based
• XML-based• HL7 family history model• LOINC• SNOMED-CT• HL7 Vocabulary• Minimum core data set• Compatible with existing electronic
genealogy tools
• Achieved in 2008 by a public/private task force convened by the AHIC Personalized Health Care workgroup
• Defined the minimum FHH data elements that every EHR and PHR should be able to capture
• HITSP approved interoperability Dec. 2008– See:
http://hitsp.org/ConstructSet_Details.aspx ?&PrefixAlpha=1&PrefixNumeric=08 7
New Standards and Enhanced Utility for Family Health History Information in the Electronic Health Record: An Update from the American Health Information Community's Family Health History Multi-Stakeholder WorkgroupW. Gregory Feero, Mary Beth Bigley, Kristin M. Brinner The Family Health History Multi-Stakeholder Workgroup of the American Health Information Community J Am Med Inform Assoc 2008; 15: 723-728.
Arriving at Standards
Openly-available source code
• The Surgeon General’s new tool is openly-available for other organizations to adopt.
• Source code for the tool is available without charge. No attribution to Surgeon General is needed.
• However, the adopted tool must preserve interoperability features.
Partnerships: Broader Reach, Greater Impact
• The Office of the Surgeon General seeks connectivity partnership agreements to help expand the usefulness of the family health history tool, provided:
personal privacy is protected, and
interoperability is maintained.
The HealthVault Connection
• First connectivity partner to enter a cooperative agreement with the Office of the Surgeon General is Microsoft HealthVault.
• This collaboration offers:
Consumer control of personal information Seamless connection to HealthVault affiliates
What partnership means: Information Sharing
• Information entered and formatted on the MFHP tool can easily be saved to a Microsoft® HealthVault™ account.
• Structured information can be saved seamlessly from HealthVault to compatible PHRs and EHRs.
• Information can be shared securely with family members to help them build histories, or offer new information.
• Information can be shared easily with health care providers, to better inform primary care, support effective prevention, and ultimately be used with clinical decision support tools.
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What partnership means: Information Utility
• Unlike free-text entries, structured family health history data can interoperate with other standards-based tools.
• Information structured by the Surgeon General’s tool and saved in HealthVault can be integrated with other partner tools to deliver personalized information and services.
• Consumers can use tool-structured data saved to the HealthVault account to obtain personalized assessment of disease risk (eg, from Mayo Clinic’s “Health Manager”) and other individualized health information.
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Mary’s story
• Mary is a 41-year-old mother of three who recently returned to Minnesota to care for her aging parents.
• Mary’s brother Mel has recently been diagnosed with colorectal cancer.
• Mary needs personalized information about what her brother’s diagnosis may mean for her own health management and her family’s.
My Family Health PortraitStructured Data + Connectivity = Interoperability
35Surgeon General's My Family Health Portrait
Family Health History
