New Technologies

1. Informational Technology for Personalized MedicineJohn D. Halamka, MD, MSCIO, CareGroup and Harvard Medical School

2. New Technologies • Google Health • Microsoft Health Vault • Dossia/Indivo

6. PatientSite • Patientsite over the past 7 years • 2.5 million transactions and 40,000 monthly patient users • All the worries about provider and patient information overload have not occurred

8. Patient Access to Record • What should they see? • When should they see it? • Who else should have access? • How should we present it?

9. Educational Partners • PreOp – Patient Education • UpToDate – Provider Edition • UpToDate – Patient Edition • Medical Dictionary • Multum – medication information database • Lab Test Online

10. Messaging Volume • Clinical messages: 27.8* • Prescription renewals: 3.1* • Referrals: 2.1* • Appointment requests: 2.6* *monthly volume per 100 patients

11. Patients • 57% female • Median age ~43 • 4% over 70 years old

12. Patient Drivers • Secure Messaging with Provider • Access to Medical Records • Convenience • Request Appointments • Medication Refills • Referrals to Specialists • Review Bills Online • Education • Disease specific content by experts at CareGroup • Links to medication information • Personalized drug interaction information

13. 500,000 base pairs analyzed on an Affymetrix device 15

14. Full Sequencing of 60 million base pairs

15. My Genome • Hereditary Motor and Sensory Neuropathy • Severe Combined Immunodeficiency Carrier • Prostate Cancer Risk • Susceptibility to Tuberculosis • Negative Kell Antigen 18

16. Summary • BIDMC has shared the electronic record with the patient for 8 years • Patients and Providers are very enthusiastic about this technology • The genome and personalized medicine will accelerate use of Personal Health Records