Workforce Considerations When Building a Precision Medicine Program
This paper describes one healthcare system’s approach to strategically deploying genetic specialists and pharmacists to support the implementation of a precision medicine program. In 2013, Sanford Health initiated the development of a healthcare system-wide precision medicine program. Here, we repor...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-11-01
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| Series: | Journal of Personalized Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2075-4426/12/11/1929 |
| _version_ | 1797464849132814336 |
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| author | Carrie L. Blout Zawatsky Jennifer R. Leonhard Megan Bell Michelle M. Moore Natasha J. Petry Dylan M. Platt Robert C. Green Catherine Hajek Kurt D. Christensen |
| author_facet | Carrie L. Blout Zawatsky Jennifer R. Leonhard Megan Bell Michelle M. Moore Natasha J. Petry Dylan M. Platt Robert C. Green Catherine Hajek Kurt D. Christensen |
| author_sort | Carrie L. Blout Zawatsky |
| collection | DOAJ |
| description | This paper describes one healthcare system’s approach to strategically deploying genetic specialists and pharmacists to support the implementation of a precision medicine program. In 2013, Sanford Health initiated the development of a healthcare system-wide precision medicine program. Here, we report the necessary staffing including the genetic counselors, genetic counseling assistants, pharmacists, and geneticists. We examined the administrative and electronic medical records data to summarize genetic referrals over time as well as the uptake and results of an enterprise-wide genetic screening test. Between 2013 and 2020, the number of genetic specialists employed at Sanford Health increased by 190%, from 10.1 full-time equivalents (FTEs) to 29.3 FTEs. Over the same period, referrals from multiple provider types to genetic services increased by 423%, from 1438 referrals to 7517 referrals. Between 2018 and 2020, 11,771 patients received a genetic screening, with 4% identified with potential monogenic medically actionable predisposition (MAP) findings and 95% identified with at least one informative pharmacogenetic result. Of the MAP-positive patients, 85% had completed a session with a genetics provider. A strategic workforce staffing and deployment allowed Sanford Health to manage a new genetic screening program, which prompted a large increase in genetic referrals. This approach can be used as a template for other healthcare systems interested in the development of a precision medicine program. |
| first_indexed | 2024-03-09T18:14:00Z |
| format | Article |
| id | doaj.art-9eb8a21672434a41bb0f39857a8feec3 |
| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-03-09T18:14:00Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Personalized Medicine |
| spelling | doaj.art-9eb8a21672434a41bb0f39857a8feec32023-11-24T08:54:41ZengMDPI AGJournal of Personalized Medicine2075-44262022-11-011211192910.3390/jpm12111929Workforce Considerations When Building a Precision Medicine ProgramCarrie L. Blout Zawatsky0Jennifer R. Leonhard1Megan Bell2Michelle M. Moore3Natasha J. Petry4Dylan M. Platt5Robert C. Green6Catherine Hajek7Kurt D. Christensen8Genomes2People, Department of Medicine (Genetics), Brigham and Women’s Hospital, Boston, MA 02115, USADepartment of Genetics, Sanford Health, Bemidji, MN 56601, USADepartment of Genetics, Sanford Health, Sioux Falls, SD 57117, USADepartment of Genetics, Sanford Health, Sioux Falls, SD 57117, USADepartment of Sanford Imagenetics, Sanford Health, Sioux Falls, SD 57117, USADepartment of Genetics, Sanford Health, Sioux Falls, SD 57117, USAGenomes2People, Department of Medicine (Genetics), Brigham and Women’s Hospital, Boston, MA 02115, USADepartment of Genetics, Sanford Health, Sioux Falls, SD 57117, USABroad Institute, Cambridge, MA 02142, USAThis paper describes one healthcare system’s approach to strategically deploying genetic specialists and pharmacists to support the implementation of a precision medicine program. In 2013, Sanford Health initiated the development of a healthcare system-wide precision medicine program. Here, we report the necessary staffing including the genetic counselors, genetic counseling assistants, pharmacists, and geneticists. We examined the administrative and electronic medical records data to summarize genetic referrals over time as well as the uptake and results of an enterprise-wide genetic screening test. Between 2013 and 2020, the number of genetic specialists employed at Sanford Health increased by 190%, from 10.1 full-time equivalents (FTEs) to 29.3 FTEs. Over the same period, referrals from multiple provider types to genetic services increased by 423%, from 1438 referrals to 7517 referrals. Between 2018 and 2020, 11,771 patients received a genetic screening, with 4% identified with potential monogenic medically actionable predisposition (MAP) findings and 95% identified with at least one informative pharmacogenetic result. Of the MAP-positive patients, 85% had completed a session with a genetics provider. A strategic workforce staffing and deployment allowed Sanford Health to manage a new genetic screening program, which prompted a large increase in genetic referrals. This approach can be used as a template for other healthcare systems interested in the development of a precision medicine program.https://www.mdpi.com/2075-4426/12/11/1929workforcegenetic counselinggenetic testingpharmacogeneticsprecision medicinehumans |
| spellingShingle | Carrie L. Blout Zawatsky Jennifer R. Leonhard Megan Bell Michelle M. Moore Natasha J. Petry Dylan M. Platt Robert C. Green Catherine Hajek Kurt D. Christensen Workforce Considerations When Building a Precision Medicine Program Journal of Personalized Medicine workforce genetic counseling genetic testing pharmacogenetics precision medicine humans |
| title | Workforce Considerations When Building a Precision Medicine Program |
| title_full | Workforce Considerations When Building a Precision Medicine Program |
| title_fullStr | Workforce Considerations When Building a Precision Medicine Program |
| title_full_unstemmed | Workforce Considerations When Building a Precision Medicine Program |
| title_short | Workforce Considerations When Building a Precision Medicine Program |
| title_sort | workforce considerations when building a precision medicine program |
| topic | workforce genetic counseling genetic testing pharmacogenetics precision medicine humans |
| url | https://www.mdpi.com/2075-4426/12/11/1929 |
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