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A pooled electronic consultation program to improve access to genetics specialists.
Emma K Folkerts1,2, Renée C Pelletier1,2, Daniel C Chung3,4
1Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA.
Genetics in Medicine Open
|December 13, 2024
Summary
Genetics e-consults improve access to specialists, with most clinicians acting on recommendations. This innovative model addresses limited ambulatory access to genetics expertise.
Area of Science:
- Medical Informatics
- Genetics
- Healthcare Delivery
Background:
- Limited ambulatory access to genetics specialists necessitates innovative service delivery models.
- Electronic consultation (e-consult) programs are emerging as a solution to connect clinicians with specialists.
Purpose of the Study:
- To explore the utilization and outcomes of a genetics and genomics e-consult program.
- To assess the effectiveness of e-consults in improving access to genetics expertise within a healthcare system.
Main Methods:
- Retrospective observational analysis of genetics e-consults.
- Data collected from April 2021 to March 2022.
Main Results:
- The e-consult service triaged 153 requests and completed 122 in a median of 2.0 days.
- Actionable recommendations were provided in 97 e-consults, with 82% of ordering clinicians documented as following through.
- The service was utilized by a variety of providers, predominantly generalists (77%).
Conclusions:
- e-Consult models represent a viable strategy for enhancing access to genetics expertise.
- The findings support the integration of e-consults into routine clinical practice to improve specialist accessibility.
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