Measuring quality and value in genetic counseling: The current landscape and future directions.

Genetic counselors strive to provide high‐quality genetic services. To do so, it is essential to define quality in genetic counseling and identify opportunities for improvement. This Professional Issues article provides an overview of the evaluation of healthcare quality in genetic counseling. The N...

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Published in:Journal of Genetic Counseling Vol. 32; no. 2; pp. 315 - 325
Main Authors: Higgs, Emily, Wain, Karen E., Wynn, Julia, Cho, Megan T., Higgins, Sonja, Blaisdell, David, Dugan, Donna, Valek, Sara, Cohen, Stephanie
Format: review tables/charts Journal Article
Published: Wiley-Blackwell Apr2023
Online Access:View this record in EBSCOhost
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      dt: Apr2023
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1002/jgc4.1657
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        atl: Measuring quality and value in genetic counseling: The current landscape and future directions.
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          Higgs, Emily
          Wain, Karen E.
          Wynn, Julia
          Cho, Megan T.
          Higgins, Sonja
          Blaisdell, David
          Dugan, Donna
          Valek, Sara
          Cohen, Stephanie
        affil: Cardiovascular Genetics Program, University of California, San Francisco California,, USA
      sug:
        subj:
          Genetic Counseling Psychosocial Factors
          Counselors Psychosocial Factors
          Quality Assessment
          Health Care Delivery
          Genetic Screening
          Psychometrics
          Patient Care
          Task Performance and Analysis
          Medical Practice, Evidence-Based
          Patient Satisfaction
          Accountability
          Program Development
          Program Evaluation
      ab: Genetic counselors strive to provide high‐quality genetic services. To do so, it is essential to define quality in genetic counseling and identify opportunities for improvement. This Professional Issues article provides an overview of the evaluation of healthcare quality in genetic counseling. The National Society of Genetic Counselors' Research, Quality, and Outcomes Committee partnered with Discern Health, a value‐based healthcare policy consulting firm, to develop a care continuum model of genetic counseling. Using the proposed model, currently available quality measures relevant to genetic counseling in the US healthcare system were assessed, allowing for the identification of gaps and priority areas for further development. A total of 560 quality measures were identified that can be applied to various aspects of the care continuum model across a range of clinical specialty areas in genetic counseling, although few measures were specific to genetic counseling or genetic conditions. Areas where quality measures were lacking included: attitudes toward genetic testing, family communication, stigma, and issues of justice, equity, diversity, and inclusion. We discuss these findings and other strategies for an evidence‐based approach to quality in genetic counseling. Strategic directions for the genetic counseling profession should include a consolidated approach to research on quality and value of genetic counseling, development of quality metrics and patient‐experience measures, and engagement with other improvement activities. These strategies will allow for benchmarking, performance improvement, and future implementation in accountability programs which will strengthen genetic counseling as a profession that provides evidence‐based high‐quality care to all patients.
      pubtype: Academic Journal
      doctype:
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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