Clinical Scorecard: Ensuring Fairness in Genomic Screening Across Populations
At a Glance
| Category | Detail |
|---|---|
| Condition | Genomic Screening |
| Key Mechanisms | Equitable representation in health programs and implementation science. |
| Target Population | Individuals meeting genetic or familial high-risk assessment criteria for breast and ovarian cancer, particularly in rural and underserved populations. |
| Care Setting | Community-based collection events and clinical appointments. |
Key Highlights
- South Carolina Medicaid implemented a BRCA testing policy expanded to include whole-exome and whole-genome sequencing.
- Program aims to provide free DNA tests to 100,000 people to enhance representation across diverse communities.
- Participants with relevant variants offered genetic counseling and access to condition-specific resources.
- Use of the RE-AIM framework to assess program effectiveness.
- Demographic data collected to evaluate program reach and engagement.
Guideline-Based Recommendations
Diagnosis
- Utilize genetic testing for individuals meeting high-risk assessment criteria.
Management
- Offer genetic counseling and condition-specific resources for individuals with relevant variants.
Monitoring & Follow-up
- Implement a web-based data visualization platform to monitor program enrollment and screening test completion.
Risks
- Address disparities in access to genetic testing among socioeconomically disadvantaged and minority populations.
Patient & Prescribing Data
Individuals in South Carolina with genetic or familial high-risk assessment criteria.
Follow-up care includes colonoscopy for Lynch syndrome and breast imaging for relevant variants.
Clinical Best Practices
- Engage community organizations to enhance outreach and participation.
- Collect real-time demographic data to assess program effectiveness.
- Ensure follow-up processes are in place for individuals who receive positive test results.
Related Resources & Content
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