caa a22 4500 445331380 CHVBK 20180317142738.0 cr unu---uuuuu 170323e20110601xx s 000 0 eng 10.1007/s10689-011-9417-2 doi (NATIONALLICENCE)springer-10.1007/s10689-011-9417-2 Impact of computer-assisted data collection, evaluation and management on the cancer genetic counselor's time providing patient care [Elektronische Daten] [Stephanie Cohen, Dawn McIlvried] Cancer genetic counseling sessions traditionally encompass collecting medical and family history information, evaluating that information for the likelihood of a genetic predisposition for a hereditary cancer syndrome, conveying that information to the patient, offering genetic testing when appropriate, obtaining consent and subsequently documenting the encounter with a clinic note and pedigree. Software programs exist to collect family and medical history information electronically, intending to improve efficiency and simplicity of collecting, managing and storing this data. This study compares the genetic counselor's time spent in cancer genetic counseling tasks in a traditional model and one using computer-assisted data collection, which is then used to generate a pedigree, risk assessment and consult note. Genetic counselor time spent collecting family and medical history and providing face-to-face counseling for a new patient session decreased from an average of 85-69min when using the computer-assisted data collection. However, there was no statistically significant change in overall genetic counselor time on all aspects of the genetic counseling process, due to an increased amount of time spent generating an electronic pedigree and consult note. Improvements in the computer program's technical design would potentially minimize data manipulation. Certain aspects of this program, such as electronic collection of family history and risk assessment, appear effective in improving cancer genetic counseling efficiency while others, such as generating an electronic pedigree and consult note, do not. Springer Science+Business Media B.V., 2011 Computer-assisted nationallicence Efficiency nationallicence Electronic pedigree nationallicence Genetic counseling nationallicence Risk assessment nationallicence Service delivery nationallicence Software nationallicence NSGC : National Society of Genetic Counselors nationallicence SIG : Special Interest Group nationallicence ICD : International Statistical Classification of Diseases and Related Health Problems nationallicence SPSS : Statistics Package for the Social Sciences nationallicence SD : Standard deviation nationallicence GC : Genetic counselor nationallicence Hx : History nationallicence F/U : Follow-up nationallicence CPT : Current Procedural Terminology nationallicence Cohen Stephanie Cancer Genetics Risk Assessment Program, St. Vincent Hospital, 8301 Harcourt Road #100, 46260, Indianapolis, IN, USA aut McIlvried Dawn Cancer Genetics Risk Assessment Program, St. Vincent Hospital, 8301 Harcourt Road #100, 46260, Indianapolis, IN, USA aut Familial Cancer Springer Netherlands 10/2(2011-06-01), 381-389 1389-9600 10:2<381 2011 10 10689 https://doi.org/10.1007/s10689-011-9417-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10689-011-9417-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Cohen Stephanie Cancer Genetics Risk Assessment Program, St. Vincent Hospital, 8301 Harcourt Road #100, 46260, Indianapolis, IN, USA aut NATIONALLICENCE 700 1- McIlvried Dawn Cancer Genetics Risk Assessment Program, St. Vincent Hospital, 8301 Harcourt Road #100, 46260, Indianapolis, IN, USA aut NATIONALLICENCE 773 0- Familial Cancer Springer Netherlands 10/2(2011-06-01), 381-389 1389-9600 10:2<381 2011 10 10689 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer