Development of Customizable Implementation Guides to Support Clinical Adoption of Pharmacogenomics: Experiences of the Implementing GeNomics In pracTicE (IGNITE) Network
Author
Duong, Benjamin QArwood, Meghan J
Hicks, J Kevin
Beitelshees, Amber L
Franchi, Francesco
Houder, John T
Limdi, Nita A
Cook, Kelsey J
Obeng, Aniwaa Owusu
Petry, Natasha
Tuteja, Sony
Elsey, Amanda R
Cavallari, Larisa H
Wiisanen, Kristin
Date
2020-07Journal
Pharmacogenomics and Personalized MedicinePublisher
Dove PressType
Article
Metadata
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Introduction: Clinical adoption of genomic medicine has lagged behind the pace of scientific discovery. Practice-based resources can help overcome implementation challenges. Methods: In 2015, the IGNITE (Implementing GeNomics In pracTicE) Network created an online genomic medicine implementation resource toolbox that was expanded in 2017 to incorporate the ability for users to create targeted implementation guides. This expansion was led by a multidisciplinary team that developed an evidence-based, structured framework for the guides, oversaw the technical process/build, and pilot tested the first guide, CYP2C19-Clopidogrel Testing Implementation. Results: Sixty-five resources were collected from 12 institutions and categorized according to a seven-step implementation framework for the pilot CYP2C19-Clopidogrel Testing Implementation Guide. Five months after its launch, 96 CYP2C19-Clopidogrel Testing Implementation Guides had been created. Eighty percent of the resources most frequently selected by users were created by IGNITE to fill an identified resource gap. Resources most often included in guides were from the test reimbursement (22%), Implementation support gathering (22%), EHR integration (17%), and genetic testing workflow steps (17%). Conclusion: Lessons learned from this implementation guide development process provide insight for prioritizing development of future resources and support the value of collaborative efforts to create resources for genomic medicine implementation.Keyword
Clinical pharmacogenomicsClopidogrel
CYP2C19
CYP2D6
Implementation
Personalized medicine
Pharmacogenomics
Precision medicine
Identifier to cite or link to this item
http://hdl.handle.net/10713/13420ae974a485f413a2113503eed53cd6c53
10.2147/pgpm.s241599
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Except where otherwise noted, this item's license is described as http://creativecommons.org/licenses/by-nc/3.0/