Expanding Genetic Counseling Access for Idaho Cancer Patients
GrantID: 78979
Grant Funding Amount Low: $200,000
Deadline: November 6, 2026
Grant Amount High: $1,500,000
Summary
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Grant Overview
Idaho's Operational Requirements for Genetic Counseling Expansion
Idaho's operational landscape for cancer genetic services is defined by low population density across 44 counties and reliance on a single academic medical center in Boise. With 1.9 million residents and only 12 board-certified genetic counselors statewide, patients in the Snake River Plain and northern panhandle regions must travel an average of 180 miles for initial consultation. Agricultural and timber economies dominate workforce composition, producing irregular shift schedules that conflict with standard clinic hours.
Operations must therefore prioritize mobile clinic rotations and telehealth endpoints located at critical access hospitals in towns such as Lewiston and Pocatello. These sites serve populations with median ages five years above the national average, increasing demand for hereditary risk assessment tied to colorectal and pancreatic cancers. State licensing rules require counselors to maintain Idaho-specific credentials even when delivering services across state lines to adjacent Montana or Wyoming patients, adding administrative layers.
Infrastructure limitations include variable electronic health record interoperability between rural hospitals and the Boise hub, necessitating dedicated data liaison roles within any funded operation. Transportation corridors along Interstate 84 and 95 remain the primary arteries, yet winter closures can interrupt scheduled in-person sessions for weeks.
Applicants must present operational plans that include redundant scheduling systems and documented agreements with at least four critical access hospitals. Unlike programs in neighboring Oregon, Idaho review criteria require explicit contingency protocols for counselor travel during agricultural harvest periods when patient availability drops sharply. Budgets must allocate for satellite equipment that functions without reliable high-speed connections in mountainous terrain.
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