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Explore our cutting edge research, world-class patient care, career opportunities and more.
St. Jude Children's Research Hospital Home
The St. Jude Pediatric Oncology Facility Integrated Local Evaluation (PrOFILE) is a dynamic 360⸰ evaluation of health services delivery, helping care teams and institutions define an improvement strategy to increase childhood cancer survival.
We have developed two versions of PrOFILE, which are similar in terms of structure and delivery, but differ in terms of perspective, purpose, and subtle elements of the implementation process.
The Full Version of PrOFILE is a “look within” – it is an institutional journey and is meant for institutions that want to define a local improvement strategy. The Abbreviated Version is a “look across” institutions, it is a multisite collaborative journey that illustrates the Pediatric Hematology and/or Oncology (PHO) resource landscape for a subnational, national, or regional group of facilities, it guides conversations about collective strengths and opportunities, and it helps set priorities for collaborative work among stakeholders.
Explore where the PrOFILE tool is making an impact.
PrOFILE is divided into 5 components and 12 modules (Figure 1). These modules are based on evidence and expert consensus. They primarily contain questions with defined desirable thresholds to facilitate scoring and visualization of results.
Figure 1: Complete names of the Modules
Both versions are implemented in three phases: preparation, assessment, and interpretations and action (Figure 2). PrOFILE phases lead PHO teams, facilities, or cohorts to dynamic prioritization, emphasizing areas amenable to quality improvement and implementation science methodologies. Repeated use of PrOFILE permits insightful benchmarking and local tracking of progress over time.
Figure 2: Implementation Timeline
The PrOFILE team provides score-based and descriptive institutional reports and guides the assessment team through general uses for the data collected and how to interpret the site-specific results. The primary data are for PHO teams, facilities, or cohorts to use and leverage as they see fit to improve childhood cancer care delivery locally and globally.
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Paola Friedrich, MD, MPH
Associate Member, St. Jude Faculty
Director, Mexico Region, St. Jude Global
Paola Friedrich, MD, MPH
Associate Member, St. Jude Faculty
Director, Mexico Region, St. Jude Global
Affiliations
Research Interests
Contact Information
Paola Friedrich, MD, MPH
Global Pediatric Medicine
MS 721, Room L1600.15
St. Jude Children's Research Hospital
262 Danny Thomas Place
Memphis, TN 38105-3678
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Carlos Rodriguez-Galindo, MD
Member, St. Jude Faculty
Executive Vice President
Chair, Department of Global Pediatric Medicine
Director, St. Jude Global
Co-Associate Director, Outreach, Comprehensive Cancer Center
Four Stars of Chicago Endowed Chair in International Pediatric Outreach
Carlos Rodriguez-Galindo, MD
Member, St. Jude Faculty
Executive Vice President
Chair, Department of Global Pediatric Medicine
Director, St. Jude Global
Co-Associate Director, Outreach, Comprehensive Cancer Center
Four Stars of Chicago Endowed Chair in International Pediatric Outreach
Affiliations
Research Interests
Contact Information
Carlos Rodriguez-Galindo, MD
Global Pediatric Medicine
MS 721, Room S2015
St. Jude Children's Research Hospital
262 Danny Thomas Place
Memphis, TN 38105-3678
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Miriam Gonzalez-Guzman, MD, MSc
Clinical Research Scientist II
Affiliations
Short Biography
Miriam Gonzalez-Guzman, MD, MSc, is a pediatrician and native of El Salvador. She is a program coordinator with Metrics and Performance for St. Jude Global. She has a diverse academic record to include a master’s degree in Health Sciences from the University of Memphis.
At St. Jude, Dr. Gonzalez has been actively involved in improving the survival of children with cancer by designing and implementing infection control and educational quality improvement initiatives at international sites during the past 10 years. Currently, she is responsible for and participates in the planning, management and evaluation of the Global Metrics and Performance Unit projects implemented locally and at St. Jude Global international sites.
She has been particularly focused on the validation and implementation of the St. Jude Global Pediatric Oncology Facility Integrated Local Evaluation (PrOFILE) tool. Her research interests include the identification of metrics and organizational readiness factors that promote success during the implementation of evidence-based interventions in pediatric cancer centers in developing countries.
Contact Information
Miriam Gonzalez-Guzman, MD, MSc
St. Jude Children's Research Hospital
262 Danny Thomas Place
Memphis, TN 38105-3678
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Tracy Estevez, MBA
Program Manager, Metrics and Performance
Affiliations
Short Biography
Tracy Estevez is the program manager for the Metrics and Performance Transversal Program in the Department of Global Pediatric Medicine. Empathetic and analytical, she is a dynamic and results-driven problem solver with experience spanning business management, project management, clinical research, and healthcare.
She brings a unique blend of skills and expertise to her role, driven by a passion for innovation and a commitment to making a positive impact on local and global communities by leveraging health, financial and technological literacy with business and organizational acumen.
With a background in both medical and non-medical sectors, Tracy has demonstrated her ability to lead complex projects and develop innovative solutions that drive efficiency, productivity and improved outcomes. Her career journey has seen her take on diverse roles, from managing multimillion-dollar portfolios to spearheading the overhaul of project budgets and operations, and conducting impactful pediatric hematology research in the Dominican Republic.
Outside of her professional endeavors, Tracy is deeply committed to volunteer work, particularly in initiatives aimed at supporting children's health and well-being. Through her roles as a childhood-resilience advocate and a community capacity-building specialist, she has made significant contributions to empowering vulnerable populations and driving sustainable development initiatives, at home and abroad.
Tracy holds a Master of Business Administration with a specialization in healthcare management from Franklin University, complemented by a Bachelor of Science in biomedical sciences from The City College of New York. She is also a Lean Six Sigma Greenbelt certified professional and holds certificates in Spanish Language & Literature from Universidad de la Rioja.
Contact Information
Tracy Estevez, MBA
Global Pediatric Medicine
St. Jude Children's Research Hospital
262 Danny Thomas Place
Memphis, TN 38105-3678
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Melissa Vickers, MBA
Program Coordinator, Metrics and Performance
Affiliations
Short Biography
Melissa Vickers is a program coordinator with Metrics and Performance for the Department of Global Pediatric Medicine. She was born and raised in the Memphis area.
Melissa received her Bachelor of Science in sport and entertainment management from the University of South Carolina. She then received her master’s in business administration from Wichita State University. Her diverse business experience includes working in college athletics and lawn care and even some brief government work. She started as a contractor with Metrics and Performance in March 2022. While a contractor, Melissa has overseen multiple cohorts through the Full Version of PrOFILE and organized multiple steering committee meetings.
When she is not working, Melissa enjoys spending time with her dogs, watching sports and reading. She is excited to use her business background to improve childhood cancer care around the world.
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Melissa Vickers, MBA
Global Pediatric Medicine
St. Jude Children's Research Hospital
262 Danny Thomas Place
Memphis, TN 38105
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Alyana Alvarez
Project Coordinator, Metrics and Performance
Affiliations
Short Biography
Alyana Alvarez is a Program Coordinator, Metrics and Performance for the department of Global Pediatric Medicine. She was born in the Philippines and moved to Alexandria, VA at the age of three. With continuous visits to the Philippines, Alyana was exposed to the diverse lifestyle and quality of life which grew her passion for global health. Alyana received her Bachelor of Science in Cognitive and Behavioral Neuroscience with a minor in Psychology from Virginia Tech and is currently pursuing a Master’s in Public Health in Epidemiology at George Washington University.
Throughout undergrad and post-graduation, she held a wide range of positions from research assistant to a children's program coordinator as well as an administrative assistant. This blend of experiences within healthcare, non-profit, and laboratory settings helped cultivate her understanding of the mechanics in public health. Alyana is thrilled to be working at St. Jude Children’s Research Hospital knowing its vibrant community and endless opportunities will help strengthen her footprint within the public health realm.
Contact Information
Alyana Alvarez
St. Jude Children's Research Hospital
262 Danny Thomas Place
Memphis, TN 38105-3678
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Nadya Sullivan Viñas, MPH
Clinical Research Associate I
Affiliations
Short Biography
Nadya is a clinical research associate for the Department of Global Pediatric Medicine at St. Jude Children’s Research Hospital.
Nadya started as an intern and researcher at the University of Puerto Rico Medical Science Campus. After graduating with her bachelor’s degree in integrative biology, she completed a master’s in public health and epidemiology in 2019. During her master’s degree, she worked in the Department of Public Health and Prevention at Arkansas Children’s Hospital, creating a program to enhance the health of women, infants and families by reviewing individual fetal and infant health cases.
Nadya is currently completing her Ph.D. in Public Health and Epidemiology. Working with and for children has always been essential to her professional and academic career and joining the Department of Global Pediatric Medicine at St. Jude has been a breakthrough. She looks forward to learning, growing and developing to become an agent of positive change.
Contact Information
Nadya Sullivan Viñas, MPH
Global Pediatric Medicine
St. Jude Children's Research Hospital
262 Danny Thomas Place
Memphis, TN 38105