The Massachusetts GeneralHospital and the NewtonWellesleyHospital initially developed software to help identify and manage women at high risk for hereditary cancer. The software is available as freeware.
This system allows the patient to input his or her own family history and risk data using a Tablet or thru a web interface; data may also be entered by a clinician or staff member through a desktop PC. When the Tablet system is used, the patient’s data is wirelessly transmitted to the server, where the clinician can view, edit and print it.
The data is analyzed for breast and ovarian cancer risk, and a printout of risk information is generated. Printouts include risk calculations, family history and a graphical pedigree.
The software has been developed in a modular format, and, in addition to the Risk Clinic module, we have also developed modules for:
- Breast Surgery
- Pre-Anesthesia Evaluation
- Prenatal evaluation (Genetic and environmental risk to the fetus)
- Plastic surgery photo management
- Rheumatology joint function/pain evaluation
Some of our modules are discussed below.
You can download our software at:
Risk Clinic Module
The Risk Clinic Module is designed to manage the data and the workflow of a Breast/Ovarian Cancer High Risk Clinic. It is currently under modification to increase its utility for other Hereditary Clinics, such as Cardiac Disease or Colon Cancer. A set of screenshots and an overview of the module can be reviewed via this downloadable PowerPoint presentation.
HRA has been developed in an extensable manner, and we plan ot expand our genetic footprint to other cancers as well as benign disease, as outlined in the following document.
Breast Surgery Module
The Breast Surgery module is designed to manage the data and workflow of a breast surgery practice.
A set of screenshots and an overview of the module can be found at:
Pre-Anesthesia Evaluation Module
The Pre-Anesthesia Evaluation Module is designed to manage the data and workflow of pre-anaesthesia evaluation, either at the pre-admission testing visit or at the surgeon’s office. Medical history is collected from patients via a self-administered Tablet questionnaire, and available data regarding that patient is also downloaded from the EHR. This data is used to determine what testing is needed prior to anesthesia. This system can be used in the surgeon’s office, to help avoid anesthesia complications and help prevent canceled or delayed cases. A set of screenshots and an overview of the module can be reviewed via this downloadable PowerPoint presentation.
To address family history collection, interpretation, and application in busy primary care practices, NCHPEG has collaborated collaborating with the March of Dimes, Genetic Alliance, Harvard Partners, and the Health Resources and Services Administration to develop and evaluate a novel family history tool that focuses on prenatal and neonatal health. The tool helps to improve health outcomes for the female patient, fetus, and family by providing clinical decision support and educational resources for risk assessment based on family history. A set of screenshots and an overview of the module can be reviewed via this downloadable PDF.
More information on HughesRiskapps and a downloadable version can be found at: