title: Stakeholder engagement: a key component of integrating genomic information into electronic health records.
abstract: Integrating genomic information into clinical care and the electronic health record can facilitate personalized medicine through genetically guided clinical decision support. Stakeholder involvement is critical to the success of these implementation efforts. Prior work on implementation of clinical information systems provides broad guidance to inform effective engagement strategies. We add to this evidence-based recommendations that are specific to issues at the intersection of genomics and the electronic health record. We describe stakeholder engagement strategies employed by the Electronic Medical Records and Genomics Network, a national consortium of US research institutions funded by the National Human Genome Research Institute to develop, disseminate, and apply approaches that combine genomic and electronic health record data. Through select examples drawn from sites of the Electronic Medical Records and Genomics Network, we illustrate a continuum of engagement strategies to inform genomic integration into commercial and homegrown electronic health records across a range of health-care settings. We frame engagement as activities to consult, involve, and partner with key stakeholder groups throughout specific phases of health information technology implementation. Our aim is to provide insights into engagement strategies to guide genomic integration based on our unique network experiences and lessons learned within the broader context of implementation research in biomedical informatics. On the basis of our collective experience, we describe key stakeholder practices, challenges, and considerations for successful genomic integration to support personalized medicine.
authors.affiliation: The Information School, University of Washington, Seattle, Washington, USA.
authors.forename: Andrea
authors.initials: A
authors.lastname: Hartzler
authors.forename: Catherine A
authors.initials: CA
authors.lastname: McCarty
authors.forename: Luke V
authors.initials: LV
authors.lastname: Rasmussen
authors.forename: Marc S
authors.initials: MS
authors.lastname: Williams
authors.forename: Murray
authors.initials: M
authors.lastname: Brilliant
authors.forename: Erica A
authors.initials: EA
authors.lastname: Bowton
authors.forename: Ellen Wright
authors.initials: EW
authors.lastname: Clayton
authors.forename: William A
authors.initials: WA
authors.lastname: Faucett
authors.forename: Kadija
authors.initials: K
authors.lastname: Ferryman
authors.forename: Julie R
authors.initials: JR
authors.lastname: Field
authors.forename: Stephanie M
authors.initials: SM
authors.lastname: Fullerton
authors.forename: Carol R
authors.initials: CR
authors.lastname: Horowitz
authors.forename: Barbara A
authors.initials: BA
authors.lastname: Koenig
authors.forename: Jennifer B
authors.initials: JB
authors.lastname: McCormick
authors.forename: James D
authors.initials: JD
authors.lastname: Ralston
authors.forename: Saskia C
authors.initials: SC
authors.lastname: Sanderson
authors.forename: Maureen E
authors.initials: ME
authors.lastname: Smith
authors.forename: Susan Brown
authors.initials: SB
authors.lastname: Trinidad
mesh_terms: D020000:Decision Support Systems, Clinical; D057286:Electronic Health Records; D023281:Genomics; D006801:Humans; D008490:Medical Informatics; D054560:National Human Genome Research Institute (U.S.); D011216:Practice Management, Medical; D057285:Precision Medicine; D057170:Translational Research, Biomedical; D014481:United States
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