Many hospital administrators and providers are aware of the increasing relevance of genetics and precision medicine to health care, but few places have set up an efficient and standardized workflow to meet the genetic testing and treatment needs of their patients. By working with administrators, the hospital’s health care team and other internal stakeholders, we will develop a genomic medicine program that makes sense for staff and patients alike. Our customized solutions are evidence-based, follow medical guidelines, consider reimbursement by payers and are responsible with health care dollars.