Improving Care With EHR Integrated Testing and Discrete Genomic Reporting-Improving Care With EHR Integrated Testing and Discrete Genomic Reporting

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Video Summary

Karen Hulsman of TriHealth described how her community cancer center integrated precision oncology into Epic EMR to improve ordering, reporting, and care coordination. TriHealth connected 12 genomic labs and now has over 54,000 discrete genomic procedures in its system. She explained how they created a “Primary Tumor Profile” ordering menu, used genomic result filters and dashboards, and built reporting tools that save time, reduce scanning of PDF reports, and support clinical decision-making.<br /><br />She highlighted several benefits of discrete genomic data: faster identification of actionable mutations, tracking of incidental germline findings, improved referral workflows, and development of genomic indicators that trigger alerts and care-gap reminders. Her team used reports and AI-based workflows to close biomarker testing gaps in lung cancer, reaching 100% compliance after starting at 70%. They also improved follow-up for incidental germline variants and expanded use of MyChart messaging, specialty pharmacy support, and surveillance reminders.<br /><br />Hulsman also reported strong operational impact, including increased testing utilization, faster lab integration, better guideline compliance, clinical trial matching, and significant downstream revenue and 340B savings. She concluded that combining discrete genomics, AI, and EMR integration will enable more advanced, efficient, and personalized oncology care.

Keywords

precision oncology

Epic EMR

genomic data

community cancer center

biomarker testing

clinical decision support

cancer care coordination

AI workflows