Impediments and Solutions to Telegenetics Practice: Meeting Report
Medical genetics is a prime example of a specialty to which many patients have insufficient access. Telemedicine has the potential to deliver health care to individuals and families in medically underserved areas to connect patients and providers across geographic distances. On November 5th and 6th, 2009, a working group, convened by the American College of Medical Genetics & Genomics (ACMG) and the National Coordinating Center for the Regional Genetic and Newborn Screening Service Collaboratives (NCC), met to discuss the challenges facing wider adoption of telemedicine for the provision of clinical genetics services. Broadly called telegenetics, this evolving mode of medical service delivery can be used for the assessment, diagnosis, management, treatment, education, and counseling of patients and families dealing with a wide array of genetics issues. This paper summarizes the working group meeting and the resulting recommendations including adoption of multistate licensing, national credentialing, appropriate financing and reimbursement, and continued investment in technological development to increase usability and national infrastructure.
Nirav N. Shah, MD, JD1, Lynn D. Fleisher, PhD, JD1, Hans H. Andersson, MD2, Becky B. Butler, MSSW, LCSW3, Barry H. Thompson, MD4, Judith Benkendorf , MS, CGC4, Alisha Keehn, MPA4, David Flannery MD5, Dale C. Alverson, MD6, Sylvia Au MS,CGC7, Lisa Robin8, James Puente8, Joey Ridenour, RN, MN9, and Michael S. Watson, MS, PhD4
1Sidley Austin, LLP, Chicago, Illinois; 2Tulane University School of Medicine, New Orleans, Louisiana; 3University of Arkansas for Medical Sciences, Little Rock, Arkansas; 4American College of Medical Genetics, Bethesda, Maryland; 5Medical College of Georgia, Augusta, Georgia; 6University of New Mexico School of Medicine, Albuquerque, New Mexico; 7Hawai’i Department of Health, Honolulu, Hawai’i; 8Federation of State Medical Boards, Washington, DC; 9 Nurse Licensure Compact Administrators, Chicago, IL