The Roundtable on Translating Genomic-Based Research for Health (now the Roundtable on Genomics and Precision Health) was established by the Institute of Medicine (IOM) to provide a structured opportunity for dialogue and discussion of relevant issues related to the translation of genomic information for use in maintaining and improving health. At its second meeting, the Roundtable members identified the need for a public workshop that will feature presentations and discuss strategies regarding service delivery in the age of genomics, seeking to understand the current status of service delivery, how needs will change as genomic innovation progresses, and what types of alternative practice models will be needed. An ad hoc committee planned and conducted the workshop and an individually authored summary was prepared by a designated rapporteur.