OUTLINE:~PHASE I: Patients' medical data are collected.~PHASE II: Patients complete family history questionnaires and their medical data are collected. Seattle Cancer Care Alliance (SCCA) subject matter experts and OMC providers review patients' medical data at bi-monthly virtual conferences. OMC providers will be consenting to release their patients' medical records to SCCA so that SCCA subject matter experts (cancer geneticist and/or genetic counselor) can identify patients with an underlying hereditary cancer syndrome to be offered genetic counseling and testing.~OMC providers receive coaching from SCCA subject matter experts for guidance on providing genetic counseling and testing to their patients.
This clinical trial reviews and develops a clinical operations workflow to identify cancer patients who meet criteria for genetic counseling and testing. This study may improve utilization of genetic counseling and testing amongst community-based providers caring for cancer patients in a rural and underserved area.