270564 Promoting Healthy People 2020 Genomics Objectives in Connecticut: Genetic Counseling and Testing for Hereditary Breast and Ovarian Cancer and Lynch Syndrome

Monday, October 29, 2012 : 10:50 AM - 11:10 AM

Beverly Burke, MSW , Genomics Office, Connecticut Department of Public Health, Hartford, CT
Joan Foland, MHS, MPhil , Genomics Office, Connecticut Department of Public Health, Hartford, CT
Carol E. Bower , Planning & Workforce Development, CT Department of Public Health, Hartford, CT
Kristin Sullivan, MA , Public Health Systems Improvement, Connecticut Department of Public Health, Hartford, CT
Connecticut has some of the highest cancer incidence rates in the nation, including the second highest incidence rate for breast cancer. Implementing cancer genomics best practices for prevention and early detection has potential for significant public health impact. Healthy People (HP) 2020 contains a new Genomics topic area with two objectives: to increase the proportions of persons with newly diagnosed colorectal cancer who receive genetic testing to identify Lynch syndrome; and to increase the proportion of women with a family history of breast and/or ovarian cancer who receive genetic counseling. Achieving these objectives requires a provider workforce with knowledge of cancer genomics best practices. The Connecticut Department of Public Health Genomics Office conducted an HP 2020 Action Project comprising educational outreach to healthcare providers. The effort provided Connecticut's hospitals with facility-specific Tumor Registry data on diagnosed cancers suggestive of hereditary breast and ovarian cancer and Lynch syndromes; provided targeted hospital staff with evidence-based “best practice” recommendations for genetic counseling and testing, fact sheets, and resources; and offered hospitals a Grand Rounds training on cancer genomics best practices by Certified Genetics Counselors. A training was recorded and made available via TRAIN-CT, a Web-based learning management system. Surveys were conducted to assess anticipated changes in provider referral practices. Connecticut's HP 2020 Project is expected to help health care providers improve their referral practices and patient care, ultimately leading to better health outcomes. This approach might be a useful model for providing feedback to hospitals on other diseases/conditions reported to the State.

Learning Areas:
Administer health education strategies, interventions and programs
Chronic disease management and prevention
Clinical medicine applied in public health
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Provision of health care to the public

Learning Objectives:
Define the public health and clinical importance of identifying individuals at high-risk for hereditary cancer syndromes. Describe related workforce needs when implementing a statewide program to increase assessments for hereditary breast and colon cancer risk. Define evidence-based genetic testing guidelines.

Keywords: Evidence Based Practice, Cancer Prevention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have served as the CT Department of Public Health Genomics Office Coordinator for over six years; have led numerous state and regional educational initiatives including family health history promotion and hereditary cancer efforts, the development and implementation of a statewide plan for Public Health Genomics, which was recognized as a "Success Story" in the ASTHO 2010 State PH Genomics Guide; and have presented in state, at regional genetics conferences, and previously at APHA.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.