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 |