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Implementation of a genetic testing stewardship program in a pediatric hospital setting
Descriptive
TitleInfo
Title
Implementation of a genetic testing stewardship program in a pediatric hospital setting
Name
(type = personal)
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Barbarese
NamePart
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Alexandra
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Alexandra Barbarese
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author
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Seymour
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Christine
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Christine Seymour
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Advisory Committee
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chair
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Rutgers University
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degree grantor
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School of Graduate Studies
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school
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Text
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theses
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ETD graduate
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2021
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2021-05
Language
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English
Abstract
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Genetic testing and genetic counseling are crucial components of the growing Precision Medicine initiative in healthcare. It has been established that the implementation of utilization management programs that include genetic counselors in laboratory settings has contributed to improved outcomes (Mathias et al., 2016; Miller et al., 2014; Riley, Procop, Kottke-Marchant, Wyllie, & Lacbawan, 2015). This study aims to assess a novel Genetic Testing Stewardship Program (GTSP) in a clinical pediatric setting, and its financial and clinical effects. A retrospective analysis of a clinical database maintained by genetic counselors in the GTSP was performed to determine the impact and outcome of 460 consults placed for genetic testing and counseling between January 1st, 2019 and December 31st, 2019. An overall cost savings was estimated to be $470,568. The GTSP influenced testing outcomes of 187 (40.7%) cases through adjustment of test requests. They also provided additional services to consulting providers with regards to several aspects of the genetic testing process. Data regarding provider experiences with the program was collected via a survey of providers who consulted the GTSP in 2019. We analyzed responses from 46 provider surveys and determined a significant difference in comfort levels with aspects of genetic testing and counseling with and without the use of the program. These results suggest that the implementation of the GTSP resulted in measurable institutional cost savings for genetic testing and an improvement in clinical patient care as perceived by providers using the service.
Subject
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Topic
Microbiology and Molecular Genetics
Subject
(authority = LCSH)
Topic
Genetic counseling
Subject
(authority = LCSH)
Topic
Human chromosome abnormalities -- Diagnosis
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Rutgers University Electronic Theses and Dissertations
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ETD_11607
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application/pdf
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1 online resource (iv, 30 pages) : illustrations
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M.S.
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Includes bibliographical references
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School of Graduate Studies Electronic Theses and Dissertations
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rucore10001600001
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NjNbRU
Identifier
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doi:10.7282/t3-xd4c-1b24
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Rights
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The author owns the copyright to this work.
RightsHolder
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Name
FamilyName
Barbarese
GivenName
Alexandra
Role
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Type
Permission or license
DateTime
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2021-03-25 16:37:19
AssociatedEntity
Name
Alexandra Barbarese
Role
Copyright holder
Affiliation
Rutgers University. School of Graduate Studies
AssociatedObject
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Name
Author Agreement License
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I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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Embargo
DateTime
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2021-05-31
DateTime
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2022-05-31
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after May 31st, 2022.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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ETD
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DateCreated
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2021-03-19T19:04:21
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2021-03-25T13:47:50
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