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    A telemedicine genetic counseling program improved access and outcomes in community oncology. This remote model enhanced patient participation and reduced no-show rates, effectively scaling genetic services.

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    Area of Science:

    • Oncology
    • Genetics
    • Telemedicine

    Background:

    • Community oncology practices face challenges in providing timely genetic counseling.
    • Expanding access to genetic services is crucial for personalized cancer care.

    Purpose of the Study:

    • To evaluate a third-party telemedicine genetic counseling program in a large community oncology practice.
    • To assess the program's impact on patient access, engagement, and genetic testing rates.

    Main Methods:

    • Referrals were made through the electronic health record (EHR) based on National Comprehensive Cancer Network guidelines.
    • Telemedicine (TM) and genetic counseling assistants were utilized to enhance convenience and access.
    • Physician education on mutation-positive screening was integrated into the EHR.

    Main Results:

    • The program expanded to 35 clinics, with referrals increasing from 195 to 885 between 2019 and 2022.
    • 82% of patients completed TM genetic counseling, and over 70% completed genetic testing.
    • The average turnaround time from referral to consultation was 4-6 days, with a no-show rate below 7%.

    Conclusions:

    • Remote genetic counseling programs are effective for scaling genetics care in community oncology.
    • EHR integration of TM genetic counseling improves identification of high-risk patients and test adoption.
    • The program demonstrated improved patient keep rates, reduced turnaround times, and better patient outcomes.