Publications by authors named "Cassandra Garcia"

Objective: A quality improvement initiative (QII) was conducted with five community-based health systems' oncology care centers (sites A-E). The QII aimed to increase referrals, genetic counseling (GC), and germline genetic testing (GT) for patients with ovarian cancer (OC) and triple-negative breast cancer (TNBC).

Methods: QII activities occurred at sites over several years, all concluding by December 2020.

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Article Synopsis
  • Childhood obesity in the US affects about 1 in 5 children, with higher rates among uninsured and Medicaid populations. A study evaluated the effectiveness of the FitKids Mobile Lifestyle Modification Program aimed at overweight and obese uninsured children.
  • Eighty-six children participated, but attendance declined after initial visits; parents appreciated individual attention and gained knowledge about obesity, though barriers like family factors and distance hindered follow-up visits.
  • Despite attempts to improve attendance in the second trial by reducing visits and adding reminder calls, the return rates were similar, indicating a need for further research to enhance mobile clinic programs for better outreach to underserved youths.
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Introduction: Mobile clinics are vital health care delivery systems because they provide care to those who may not have access otherwise. Unfortunately, clinic flow on mobile clinics is often chaotic and inherently inefficient. Lean is a customer-centric methodology used in industries like health care to continuously improve processes by eliminating waste.

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