Creation and Implementation of an Environmental Scan to Assess Cancer Genetics Services at Three Oncology Care Settings.

Autor: Bednar EM; The Department of Clinical Cancer Genetics, The University of Texas MD Anderson Cancer Center, Unit 1362 P.O. Box 301439, Houston, TX, 77230-1439, USA. embednar@mdanderson.org.; The Cancer Prevention and Control Platform, Moon Shots Program™, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. embednar@mdanderson.org., Walsh MT Jr; The Cancer Prevention and Control Platform, Moon Shots Program™, The University of Texas MD Anderson Cancer Center, Houston, TX, USA., Baker E; The Cancer Prevention and Control Platform, Moon Shots Program™, The University of Texas MD Anderson Cancer Center, Houston, TX, USA., Muse KI; The Department of Clinical Cancer Genetics, The University of Texas MD Anderson Cancer Center, Unit 1362 P.O. Box 301439, Houston, TX, 77230-1439, USA., Oakley HD; The Department of Clinical Cancer Genetics, The University of Texas MD Anderson Cancer Center, Unit 1362 P.O. Box 301439, Houston, TX, 77230-1439, USA., Krukenberg RC; Oncology Genetic Counseling, Community Health Network, Indianapolis, IN, USA., Dresbold CS; Oncology Genetic Counseling, Community Health Network, Indianapolis, IN, USA., Jenkinson SB; Oncology Genetic Counseling, Community Health Network, Indianapolis, IN, USA., Eppolito AL; Piedmont Cancer, Piedmont Healthcare, Atlanta, GA, USA., Teed KB; Piedmont Cancer, Piedmont Healthcare, Atlanta, GA, USA., Klein MH; Piedmont Cancer, Piedmont Healthcare, Atlanta, GA, USA., Morman NA; Genetic Counseling Program, OhioHealth, Columbus, OH, USA., Bowdish EC; Genetic Counseling Program, OhioHealth, Columbus, OH, USA., Russ P; Genetic Counseling Program, OhioHealth, Columbus, OH, USA., Wise EE; Genetic Counseling Program, OhioHealth, Columbus, OH, USA., Cooper JN; Genetic Counseling Program, OhioHealth, Columbus, OH, USA., Method MW; Gynecologic Cancer Care, Community Health Network, Indianapolis, IN, USA., Henson JW; Piedmont Cancer, Piedmont Healthcare, Atlanta, GA, USA., Grainger AV; Department of Cancer Services, OhioHealth, Columbus, OH, USA., Arun BK; Department of Breast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA., Lu KH; Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Jazyk: angličtina
Zdroj: Journal of genetic counseling [J Genet Couns] 2018 May 16. Date of Electronic Publication: 2018 May 16.
DOI: 10.1007/s10897-018-0262-4
Abstrakt: An environmental scan (ES) is an efficient mixed-methods approach to collect and interpret relevant data for strategic planning and project design. To date, the ES has not been used nor evaluated in the clinical cancer genetics setting. We created and implemented an ES to inform the design of a quality improvement (QI) project to increase the rates of adherence to national guidelines for cancer genetic counseling and genetic testing at three unique oncology care settings (OCS). The ES collected qualitative and quantitative data from reviews of internal processes, past QI efforts, the literature, and each OCS. The ES used a data collection form and semi-structured interviews to aid in data collection. The ES was completed within 6 months, and sufficient data were captured to identify opportunities and threats to the QI project's success, as well as potential barriers to, and facilitators of guideline-based cancer genetics services at each OCS. Previously unreported barriers were identified, including inefficient genetic counseling appointment scheduling processes and the inability to track referrals, genetics appointments, and genetic test results within electronic medical record systems. The ES was a valuable process for QI project planning at three OCS and may be used to evaluate genetics services in other settings.
Databáze: MEDLINE
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