Genetic Services

SCOPE OF WORK 1. Genetic services will be provided through hospital consults, University of Kentucky center based and outreach sites. Training and technical assistance on genetic issues and data collection and reporting for the Kentucky Birth Surveillance Registry (KBSR) will be provided. 2. Provide genetic services though 7 outreach clinic sites in Eastern Kentucky for a total of 28 clinics a year for 238 visits. Outreach clinics will be held an average of four times a year in each site with an average of eight patients served per clinic. 3. Provide genetic evaluations through hospital consults and center-based services for at least 375 visits. 4. Provide limited laboratory and diagnostic support services. Bill third party payors as appropriate for patients covered by other sources of funds. Collect fees according to an established fee schedule for patients above 100% poverty. 5. Collect a) basic genetic data for outreach and center-based services: university site, outreach clinic site, date of service, sex, race, Hispanic status, date of birth and (CD9 diagnostic code for all genetic encounters, and b) total number of encounters and unduplicated patients. 6. Schedule and provide at least ten regional training sessions for the purpose of increasing local provider's skills in identifying appropriate referrals for genetic services. 7. Plan and provide one Continuing Education workshop for the purpose of updating nurses and other health care providers about genetics. Planning will include the Division of Adult and Child Health and the University of Louisville. 8. Offer one hour of Continuing Medical Education (CME) at local health departments at each of the seven regional clinical sites. 9. Provide medical consultation for the Division of Adult and Child Health for KBSR through participation in advisory committee meetings and activities, consultation for data verification and evaluation, and presentations to promote birth defects surveillance. 10. Collaborate with KBSR, Division of Adult and Child Health to report monthly on patient data from the genetic clinics on children diagnosed with KBSR reportable conditions. 11. The second party agrees to support Joyce Robl, Genetic Counselor to provide the following services hereinafter described with particularity as follows: 12. KBSR Program activities supported by this contract include expert consultation and guidance on system component development and implementation, identification, verification and interpretation of birth surveillance genetic data, strategic visioning and planning of public supported health and intervention efforts, and education and awareness efforts. The activities support the attainment of health goals and objectives outlined in Health Kentuckians 2010, which address prevention of birth defects and intervention for the prevention of potential longterm disabilities. 13. Serve as director for KBSR and ensure that the goals and objectives of the Department for Public Health (DPH) and Centers for Disease Control and Prevention federal grant are implemented. Responsible for development of grant proposals, annual reporting, and budget management. 14. Develop standards and protocols for medical records abstraction and education at hospitals. Provide in-service trainings to medical records staff to improve the quality of data collected. 15. Provide training on genetics, birth defects, and abstraction protocol to local health department staff that will complete medical records abstraction. Supervise these individuals to ensure high standards for the quality of data submitted by these individuals, and development of educational outreach efforts. 16. Provide educational offerings at local, state and national meetings on the KBSR and the use of data in health .program planning. Serve as the primary state trainer on issues related to genetics and birth defects in Kentucky. 17. Maintain the neural tube defect (NTD) registry and track the referral and follow-up patterns for these families. 18. Develop resources and educational materials for the promotion of the goals and objectives of the KBSR Program: 1) Participate on a statewide folic acid partnership, 2) genetic focused content of KBSR newsletter and web page, 3) presentations, and 4) KBSR Program Annual Report. 19. Review stillbirth reports and KBSR database monthly to manage data analysis, identify research efforts and interpretation guide medical abstraction activity, programmatic interventions,and policy development. 20. Identify, develop and link additional data sources to KBSR by collaborating with appropriate agencies and health care providers throughout the state. 21. Develop and administrate a referral system to early intervention services for children identified by KBSR to minimize secondary disabilities. 22. Provide ongoing technical consultation in genetic related issues to DPH. Coordinate genetic initiatives in DPH to assure that genetic services are accessible by collaborating with other state agencies and service providers. 23. Coordinate the KBSR Advisory Committee meetings. Maintain communication with advisory committee members on the progress of KBSR. 24. Contract bills must be broken down to show Joyce Robl's salary, fringe, and travel for the purpose of management of the federal grant. 25. The second party will submit in their annual report to DPH a description of and progress on activities that address one or more of the four CDC National Tobacco Control Program goals of : 1) Preventing initiation; 2) Promoting quitting; 3) Eliminating exposure to secondhand smoke; and 4) Reducing disparities among population groups disproportionately affected by tobacco use. One or more of the following strategies may be used to address these national goals: professional training and development; policy development; information dissemination; community mobilization; and surveillance and/or evaluation. This is the Master Agreement. There is no other scope of work available.