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. 2019 Sep 6;22(2):381–388. doi: 10.1038/s41436-019-0648-1

Table 1.

Identified priorities based on national needs assessments and potential strategies to address them (not ranked; listed alphabetically)1

Data collection
• Facilitate the acquisition of new knowledge
• Utilize appropriate existing data sources
Education and training on genetics for non-genetic providers
• Provide access to appropriate genetic resources
• Facilitate ongoing relationships between nongenetics and genetics providers
• Provide genetic consults for non-genetic providers (more like ECHO and less like a direct service)
• Increase public education
• Target education at points of care, e.g., federally qualified health centers (FQHCs) and other large providers that don’t focus on genetics
Efficient practice
• Enhance effectiveness of workforce through telegenetics and other service delivery models
• Promote and facilitate entry into the field (workforce)
Formal relationships with state public health, healthcare institutions, and university centers
• Develop contract and/or partnerships agreements for specific services, e.g., provide telemedicine support in your institution, report specified data, provide referrals to specialists
• Formalize relationships between institutions, health departments
• Facilitate partnerships to bring resources to the table
• Provide technical assistance to states with no genetics beyond newborn screening (NBS) to internalize the importance of genetics in public health at a state level, e.g., cancer
• Work actively with Medicaid
• Demonstrate a minimum set of core partnerships (e.g., Medicaid, Department of Health, university centers, Title V)
Practice support
• Support authorization and reimbursement (including billing and insurance)
• Support contractual services
• Support medical home model
• Connect with or provide access to national level expertise
Promotion of family engagement
• Facilitate finding and providing ongoing care to underserved families and groups (broadly defined; underserved may include initial services)
• Detect health disparities
• Consider health equity
• Identify relevant resources and supports including where to find providers with knowledge of the condition
• Enhance availability of social and emotional support
• Improve care coordination
• Provide information to consumers on tests and treatments for their conditions
• Assure information is delivered at the right time, as part of a standard of care and is provided where people are receiving care