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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.

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|November 24, 2022
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Summary
This summary is machine-generated.

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.

Keywords:
delivery of health caregenetic counselinggenetic predisposition to dis-easegenetic testinghumansmass screeningpharmacogeneticsprecision medicineworkforce

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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.