Table 4.

Lessons from the Queensland Genomics program.

Category	Description	Program experience	Suggested actions
People	Networking opportunities within program	Provide opportunities for inter-project networking, especially between funding rounds and geographically distance project teams.	− All of program meetings or symposiums − Facilitate meeting between projects with similar needs or intersecting interests − Seminars series
	Learning opportunties	Genomics is complex and new to many stakeholders. Queensland Genomics used the experienced stakeholder to upskill others.	− Multi-disciplinary team meetings to discuss project cases that are open to non-project members − Supporting projects to develop education resources for their discipline
Project implementation	Project coordinators	Projects struggled to establish themselves without a project coordinator, and this role was not factored into budgets or hiring was delayed.	− Include project co-ordinators as a line item in budget or as an expectation in project development or granting documentation − Support sharing of project co-ordinators as a resource across multiple projects
	Project specific-milestones	The main milestone for clinical projects was the number of patients sequenced, however this was not appropriate for some. For health implementation the process of establishing a health system embedded process is critically important.	− Plan projects milestones or deliverables to focus on areas that impactful for the individual project
Program design	Consumer and Community Engagement	Patient and health consumer input was beneficial for identifying unmet needs within the program and maintaining a patient-centred focus to the body of work.	− Establish a program wide consumer and community engagement plan with mechanism and expectations for project implementation − Include community and consumer engagement as a line item in budget − Supporting community-led, designed or initiated projects
	Flexibility in program design	Adaptive approach allowed the program to grow and develop the program as knowledge of genomics in the health system increased.	− Mechanisms for approval of new initiatives or changes to program by Governance Oversight Group − Pathways for projects to suggest new ideas or initiatives
	Program support during project development	More specialities can be involved in health system implementation program if there is are opportunity for supporting project development.	− Program engagement with Executive, clinical specialties and clinical networks that have not previously shown interest in genomics − Incubator process to support under-developed projects to a stage where they can be funded
	Program wide data sharing	Plan internal and external sharing of data early in the program.	− Contractual requirement for incorporating data sharing − Standardised program template documents for data sharing