Dissemination of universal genetic testing to three unique oncology care settings.

1590Background: Efforts are occurring across the United States to improve the rates of identification and standard of care genetic counseling (GC) and genetic testing (GT) of pts with breast and ovarian cancer. Following a successful quality improvement (QI) initiative to increase referrals and utilization of GC/GT among pts with breast and ovarian cancer to >80% at our host site (HS), we sought to disseminate the QI project to three unique oncology care settings (OCS). Methods: The OCS described in the Table are certified members of the HS network, were strategically identified, and agreed to participate in the QI project. Genetic counselors at the HS and OCS built teams to plan and initiate the project. A 130-item environmental scan was created by the HS team to assess OCS structure, resources, and GC/GT processes. OCS teams completed the environmental scan and a semi-structured interview with the HS; and from this, barriers to GC/GT were identified, then categorized using Ishikawa diagrams. Clinical in...