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Workforce Considerations When Building a Precision Medicine Program
Carrie L Blout Zawatsky1,2,3,4, Jennifer R Leonhard5, Megan Bell6,7
1Genomes2People, Department of Medicine (Genetics), Brigham and Women's Hospital, Boston, MA 02115, USA.
Journal of Personalized Medicine
|November 24, 2022
Summary
Sanford Health strategically increased genetic specialists, leading to a 423% rise in genetic referrals and successful implementation of a precision medicine program. This workforce model can guide other health systems.
Area of Science:
- Healthcare Management
- Genetics
- Pharmacogenomics
Background:
- Precision medicine programs require strategic workforce planning.
- Genetic specialists and pharmacists are crucial for implementing genetic screening and pharmacogenetic testing.
Purpose of the Study:
- To describe Sanford Health's approach to deploying genetic specialists and pharmacists for a precision medicine program.
- To report staffing, referral trends, and genetic screening uptake and results.
Main Methods:
- Analysis of administrative and electronic medical records data.
- Tracking of genetic specialist FTEs and genetic service referrals from 2013-2020.
- Review of enterprise-wide genetic screening results from 2018-2020.
Main Results:
- Genetic specialist FTEs increased by 190% (10.1 to 29.3).
- Genetic referrals surged by 423% (1438 to 7517).
- 11,771 patients screened; 4% had actionable genetic findings, 95% had pharmacogenetic results.
Conclusions:
- Strategic workforce deployment enabled successful management of a new genetic screening program.
- The approach facilitated a significant increase in genetic referrals and patient engagement.
- This model offers a template for other healthcare systems developing precision medicine initiatives.
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