# Conceptualizing Actionability in Clinical Genomic Screening

> **NIH NIH R00** · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · 2022 · $247,333

## Abstract

Project Summary/Abstract. Clinical genomic sequencing (CGS) produces large amounts of data, much of
which is hard to characterize or may have a negligible influence on health. The concept of actionability is
commonly used to help separate information that may be useful from information that is likely irrelevant for
patients. Actionability directs attention to whether genomic information warrants action and reflects its initial
development as a strategy to augment diagnosis and treatment in sick patients. As CGS expands towards
healthy populations in primary care settings, actionability is still widely embraced despite little consensus
regarding its definition and use. Because this ambiguity could become an obstacle to the successful
implementation of clinical genomic sequencing in healthy populations, greater clarity about this concept is
necessary. The proposed research will fulfill this need by characterizing the emergence and varied meanings
of actionability in clinical genomics, focusing on clinical genomics' transition into primary care settings. By
identifying underlying values and assumptions related to actionability, this research will push beyond
definitional disputes and provide a deeper framework for assessing how genetic information is valued. The
specific aims are: 1. Identify and characterize, through in-depth interviews, how genomics experts and primary
care providers conceptualize what makes genomic information actionable for healthy populations. 2. Identify
and characterize, through a natural language processing (NLP) analysis of published literature, how the
concept of actionability emerged, spread, and is used throughout clinical genomics. 3. Convene a workshop
with genomics experts, primary care providers, and ELSI scholars to produce a white paper on actionability
and the ethical, effective integration of CGS into primary care, guided by the results from Aims 1 and 2. This
K99/R00 Pathway to Independence Award includes a highly-structured, mentored training program that will
support the candidate's goal to become an independent, mixed-methods ELSI investigator focused on
assessing the value of genomic information. To achieve this career goal, the candidate will: 1. Receive training
in genetic and genomic science to facilitate collaboration with genomics care teams and make scientifically
accurate policy recommendations 2. Build new methodological skills in biomedical informatics and natural
language processing to conduct generalizable research 3. Publish and engage with scientific and medical
audiences to have a more direct impact on future guidelines and policies. 4. Develop a collaborative and
interdisciplinary research network. This training will include coursework, guided readings, network building, and
sustained mentorship by a highly-qualified team of faculty with expertise in ELSI research, bioethics, clinical
genomics, biomedical informatics, and the history and sociology of medicine. This training will prepare the
ca...

## Key facts

- **NIH application ID:** 10700303
- **Project number:** 4R00HG010905-03
- **Recipient organization:** NEW YORK UNIVERSITY SCHOOL OF MEDICINE
- **Principal Investigator:** Kellie Nicole Owens
- **Activity code:** R00 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2022
- **Award amount:** $247,333
- **Award type:** 4N
- **Project period:** 2020-09-11 → 2025-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10700303

## Citation

> US National Institutes of Health, RePORTER application 10700303, Conceptualizing Actionability in Clinical Genomic Screening (4R00HG010905-03). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10700303. Licensed CC0.

---

*[NIH grants dataset](/datasets/nih-grants) · CC0 1.0*
