Clinical Genomics: Interoperability & Value-Based Medicine Peter Paul Yu, MD Hartford HealthCare Cancer Institute MSK Cancer Alliance
Cancer Data Ecosystem Genomics Institute Patients Internet of Things Genomic Data Sources Genomics Institute Research Networks and Knowledge Base Clinical Networks and Knowledge Base Patients Internet of Things Providers Payers Labs Imaging Patient Data Sources
Interoperability
Value Based Medicine Outcomes Shared Decision Making Clinical Decision Support Systems Patient Data Clinical Practice Guidelines KB Systems Biology KB Real World/Health Systems KB
Clinical Care Access to KBs-Clinical Annotation Visualization Tools PM trial matching Specialty pharmacy Coverage Patient engagement
Recommendations Interoperability Value Based Medicine Across Data Ecosystem Federal: FDA, SEER & CDC AJCC Molecular Staging CAP Biomarker & eCC GA4GH API’s & HL7 FHIR ASCO CancerLinQ Molecular Tumor Boards Clinical Utility of testing-Payers Guidelines Patient Centered Outcomes Clinical Decision Support Department of HHS Medicare APM/OCM MACRA-Meaningful Use Part B Drug Payment Model Reference-based Indication-based Outcomes-based