HL7 File Storage Bucket - Family Care...
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Transcript of HL7 File Storage Bucket - Family Care...
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Family Care Path
❖Exclusive Worldwide Licensing Agreement
❖Cleveland Clinic is Shareholder and provides algorithmic updates/support
❖SMART on FHIR app within Cerner
Family Care Path current program offerings:
➢ MyLegacy
➢ CarePathConnect
➢ CancerNav
Primary objectives are to mitigate costs and to improve care and patient outcomes
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“Today, ‘you can get fancy DNA tests for hundreds of dollars,’ . . . but your better bet for now may be a simple family tree of health, checking what ailments Mom, Dad and Grandpa had to predict your own future. That's a free genetic test of great power.”
Dr. Francis Collins, Director of NIH, July 8, 2009
“An individual’s family history has the potential to capture information about shared factors that contribute to that individual’s risk for developing common diseases, such as diabetes, stroke, cancer, and heart disease.”“The combination of these attributes makes the systematic collection of family history a potentially important step in personalizing medical care.“
National Institutes of Health State-of-the-Science Conference Statement on Family History and Improving HealthAugust 24–26, 2009
MyLegacy ValueSupporting Statements
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Charis Eng, MD, PhD, Director of Genomic Medicine Institute of the Cleveland Clinic
One of the top 400 Biomedical Researchers in the World
Family Care Path, Inc.
❖Member of the National Academy of Medicine (formerly Institute of Medicine of the National Academies)
❖ Named to US News & World Report Top Doctor List and “The 50 Best Cleveland Clinic Doctors- Ever” by MedCity News
❖ Task Force for Whole Genome Sequencing for Clinical Application for Department of Health and Human Services Advisory Committee on Genetics, Health and Human Society
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MyLegacy History
❖ Unique patient-entered web-based clinical decision support tool that creates more systematic ascertainment
❖ Represents genetic & genomic factors COMBINED with environmental factors
❖ Inexpensive, effective screening tool for genetic/genomic predisposition to diseases like diabetes
❖ Triages to genetic testing if, or when appropriate, eliminating testing that is expensive, risky, or inappropriate
Originally created in 2007 by Charis Eng, MD, PhD, Chair of Cleveland Clinic Genomic Medicine Institute because:
❖ Manual collection of family medical history incomplete and inconsistent
❖ Need a system for “interpreting” complex genetic information
❖ Extremely limited medical genetics workforce
MyLegacy HistoryA Population Health Management and Germline Genetic Disease Risk Assessment Tool
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MyLegacyStandardized, Patient-entered, web-based, family history
collection and automated disease-risk assessment tool
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❖ Breast cancer❖ Ovarian cancer❖ Colorectal cancer❖ Endometrial cancer❖ Lung cancer
❖ Breast and Ovarian cancer
❖ Non-polyposis Colorectal cancer ❖ Diffuse Gastric cancer
❖ Diabetes
❖ Fracture Risk
❖ Abdominal Aortic Aneurysm
❖ Cardiomyopathy❖ Thoracic Aortic Disease
MyLegacy Report: Disease Risk Modules
Current AlgorithmsLive in MyLegacy
Familial Cancer
Hereditary Cancer Syndrome
Multifactorial
Cardiovascular
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New Modules Forthcoming
❖ Familial hypercholesterolemia
❖ Pediatric Dyslipidemia
❖ Stroke
❖ Behavioral Health
❖ Orthopedics
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MyLegacy
❖ Provides standard, systematic intake of discrete data for a consistent approach
❖ Offers valuable data to further risk stratification and initiate process of personalized healthcare
❖ Easy to use - online and dynamic
❖ Family pedigree drawing saves genetic counselors and physicians significant time
❖ Reduces significant expense of incorrect and unnecessary testing
“Having rigorous family history information can dramatically improve the patient’s quality of life, and
also the cost of treatment. We can’t afford any longer just to treat diseases as they arise. We need to
get much better at preventing them. It’s the only way to bring costs down. I expect MyLegacy to
spread quickly”
Dr. Daniel Sullivan, Primary Care Physician, Cleveland Clinic Family Health Center
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MyLegacy Report: Family Pedigree
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MyLegacy Disease Risk Reference Summary Page
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Thank You!
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