@article{631e3a23f28a45f39c17805621cfc48c,
title = "Creation and Implementation of an Environmental Scan to Assess Cancer Genetics Services at Three Oncology Care Settings",
abstract = "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{\textquoteright}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.",
keywords = "Cancer genetics, Environmental scan, Genetic counseling, Genetic testing, Health systems, Hereditary cancer, Quality improvement",
author = "Bednar, {Erica M.} and Walsh, {Michael T.} and Ellen Baker and Muse, {Kimberly I.} and Oakley, {Holly D.} and Krukenberg, {Rebekah C.} and Dresbold, {Cara S.} and Jenkinson, {Sandra B.} and Eppolito, {Amanda L.} and Teed, {Kelly B.} and Klein, {Molly H.} and Morman, {Nichole A.} and Bowdish, {Elizabeth C.} and Pauline Russ and Wise, {Emaline E.} and Cooper, {Julia N.} and Method, {Michael W.} and Henson, {John W.} and Grainger, {Andrew V.} and Arun, {Banu K.} and Lu, {Karen H.}",
note = "Funding Information: Concept or design of the study: Erica M. Bednar, Michael T. Walsh Jr., Ellen Baker, Kimberly I. Muse, Holly D. Oakley, Banu K. Arun, Karen H. Lu Acquisition, analysis, or interpretation of data for the study: Erica M. Bednar, Kimberly I. Muse, Holly D. Oakley, Rebekah C. Krukenberg, Cara S. Dresbold, Sandra B. Jenkinson, Amanda L. Eppolito, Kelly B. Teed, Molly H. Klein, Nichole A. Morman, Elizabeth C. Bowdish, Pauline Russ, Emaline E. Wise, Julia N. Cooper, Michael W. Method, John W. Henson, Andrew V. Grainger Drafted or critically revised the article for important intellectual content: Erica M. Bednar, Michael T. Walsh Jr., Ellen Baker, Kimberly I. Muse, Holly D. Oakley, Rebekah C. Krukenberg, Cara S. Dresbold, Sandra B. Jenkinson, Amanda L. Eppolito, Kelly B. Teed, Molly H. Klein, Nichole A. Morman, Elizabeth C. Bowdish, Pauline Russ, Emaline E. Wise, Julia N. Cooper, Michael W. Method, John W. Henson, Andrew V. Grainger, Banu K. Arun, Karen H. Lu Final approval of the version of the article to be published: Erica M. Bednar, Michael T. Walsh Jr., Ellen Baker, Kimberly I. Muse, Holly D. Oakley, Rebekah C. Krukenberg, Cara S. Dresbold, Sandra B. Jenkinson, Amanda L. Eppolito, Kelly B. Teed, Molly H. Klein, Nichole A. Morman, Elizabeth C. Bowdish, Pauline Russ, Emaline E. Wise, Julia N. Cooper, Michael W. Method, John W. Henson, Andrew V. Grainger, Banu K. Arun, Karen H. Lu Agree to be accountable for all aspects of the article in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved: Erica M. Bednar, Michael T. Walsh Jr., Ellen Baker, Kimberly I. Muse, Holly D. Oakley, Rebekah C. Krukenberg, Cara S. Dresbold, Sandra B. Jenkinson, Amanda L. Eppolito, Kelly B. Teed, Molly H. Klein, Nichole A. Morman, Elizabeth C. Bowdish, Pauline Russ, Emaline E. Wise, Julia N. Cooper, Michael W. Method, John W. Henson, Andrew V. Grainger, Banu K. Arun, Karen H. Lu Funding This project was funded by the MD Anderson Breast Cancer and Ovarian Cancer Moon Shots{\texttrademark} Programs and Phillips 66. This work was also supported by the NIH/NCI under award number P30CA016672. Funding Information: We would like to thank Pamela Dickerson, Rhonda Broome, and Gail Frankeberger for their assistance with MD Anderson Cancer?Network-related questions, Dr. Laura Bashoura of the MD Anderson Cancer Center Quality Improvement Assessment Board for her guidance on the QI project, the Department of Scientific Publications, the leadership of the MD Anderson Cancer Network and MD Anderson Physician Network, and the leadership of the MD Anderson Cancer Moon Shots Program for their support. Concept or design of the study: Erica M. Bednar, Michael T. Walsh Jr., Ellen Baker, Kimberly I. Muse, Holly D. Oakley, Banu K. Arun, Karen H. Lu Acquisition, analysis, or interpretation of data for the study: Erica M. Bednar, Kimberly I. Muse, Holly D. Oakley, Rebekah C. Krukenberg, Cara S. Dresbold, Sandra B. Jenkinson, Amanda L. Eppolito, Kelly B. Teed, Molly H. Klein, Nichole A. Morman, Elizabeth C. Bowdish, Pauline Russ, Emaline E. Wise, Julia N. Cooper, Michael W. Method, John W. Henson, Andrew V. Grainger Drafted or critically revised the article for important intellectual content: Erica M. Bednar, Michael T. Walsh Jr., Ellen Baker, Kimberly I. Muse, Holly D. Oakley, Rebekah C. Krukenberg, Cara S. Dresbold, Sandra B. Jenkinson, Amanda L. Eppolito, Kelly B. Teed, Molly H. Klein, Nichole A. Morman, Elizabeth C. Bowdish, Pauline Russ, Emaline E. Wise, Julia N. Cooper, Michael W. Method, John W. Henson, Andrew V. Grainger, Banu K. Arun, Karen H. Lu Final approval of the version of the article to be published: Erica M. Bednar, Michael T. Walsh Jr., Ellen Baker, Kimberly I. Muse, Holly D. Oakley, Rebekah C. Krukenberg, Cara S. Dresbold, Sandra B. Jenkinson, Amanda L. Eppolito, Kelly B. Teed, Molly H. Klein, Nichole A. Morman, Elizabeth C. Bowdish, Pauline Russ, Emaline E. Wise, Julia N. Cooper, Michael W. Method, John W. Henson, Andrew V. Grainger, Banu K. Arun, Karen H. Lu Agree to be accountable for all aspects of the article in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved: Erica M. Bednar, Michael T. Walsh Jr., Ellen Baker, Kimberly I. Muse, Holly D. Oakley, Rebekah C. Krukenberg, Cara S. Dresbold, Sandra B. Jenkinson, Amanda L. Eppolito, Kelly B. Teed, Molly H. Klein, Nichole A. Morman, Elizabeth C. Bowdish, Pauline Russ, Emaline E. Wise, Julia N. Cooper, Michael W. Method, John W. Henson, Andrew V. Grainger, Banu K. Arun, Karen H. Lu Authors Bednar, Walsh, Baker, Muse, Oakley, Krukenberg, Dresbold, Jenkinson, Eppolito, Teed, Klein, Morman, Bowdish, Russ, Wise, Cooper, Method, Henson, Grainger, Arun, and Lu (all authors) declare that they have no conflict of interest. Publisher Copyright: {\textcopyright} 2018, National Society of Genetic Counselors, Inc.",
year = "2018",
month = dec,
day = "1",
doi = "10.1007/s10897-018-0262-4",
language = "English (US)",
volume = "27",
pages = "1482--1496",
journal = "Journal of Genetic Counseling",
issn = "1059-7700",
publisher = "Kluwer Academic/Human Sciences Press Inc.",
number = "6",
}