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Asynchronous telemedicine for clinical genetics consultations in the NICU: a single center's solution
Emily Boothe1, Brayden West2, Laura Godfrey Hendon2,3
1Division of Medical Genetics, Department of Pediatrics, University of Mississippi Medical Center, Jackson, MS, USA. eboothe@umc.edu.
Background:
Many infants in the neonatal intensive care unit (NICU) have genetic disorders or birth defects. The demand for genetic services is often complicated by a shortage of genetic providers.
Problem:
Our hospital experienced a significant reduction in genetic workforce, leading to insufficient genetic services to meet demand.
Methods:
The Plan-Do-Study-Act method of quality improvement was used to assess available resources, select an intervention plan, and collect patient outcome and provider satisfaction data.
Intervention:
An asynchronous telehealth model was deployed for clinical genetics consultations in our NICU utilizing a remote clinical geneticist.
Results:
The pilot study included 111 asynchronous telehealth consultations; 21% received a genetic diagnosis before discharge. Diagnoses were primarily chromosomal and single gene disorders. Referring NICU providers reported high satisfaction.
Conclusion:
Asynchronous telehealth for clinical genetics is a feasible and successful alternative to an on-site clinical geneticist and should be considered in areas with a genetic workforce shortage.
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