The COVID-19 pandemic caused significant disruptions to the delivery of genetic counseling services and clinical operations. Understanding how these pivots in practice affected patient care across both a county hospital system and academic medical center can help provide models of clinical operations for other genetic counselors. Programmatic data were analyzed between March 18, 2020 and September 18, 2020, including visit completion rates and genetic testing completion outcomes for genetic counseling services during the COVID-19 pandemic. In addition to analyzing the effects on patient care, we provide commentary on technological adaptations that aided our operations, billing practices, onboarding and engaging new and existing staff, and coordination of education and outreach opportunities. Through this work, we highlight barriers encountered and successful adaptations that will influence future clinical practices and may guide other providers in the development of strategies to meet their clinical and operational needs.

中文翻译：

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在 COVID-19 大流行期间调整遗传咨询操作


COVID-19 大流行对遗传咨询服务和临床操作的提供造成了严重干扰。了解这些关键点在实践中如何影响县医院系统和学术医疗中心的患者护理，有助于为其他遗传咨询师提供临床操作模型。对2020年3月18日至2020年9月18日期间的程序数据进行了分析，包括COVID-19大流行期间遗传咨询服务的就诊完成率和基因检测完成结果。除了分析对患者护理的影响之外，我们还对有助于我们运营、计费实践、新员工和现有员工的入职和参与以及教育和外展机会协调的技术调整提供评论。通过这项工作，我们强调了遇到的障碍和成功的适应，这些障碍将影响未来的临床实践，并可能指导其他提供者制定满足其临床和操作需求的策略。