Date Available


Year of Publication


Degree Name

Doctor of Nursing Practice

Committee Chair

Dr. Elizabeth Tovar

Clinical Mentor

Jessica Sass

Committee Member

Dr. Julianne Ossege

Committee Member

Dr. Julianne Ewen



Background and Significance: Breast cancer is the 2nd leading cause of cancer death among women worldwide. Mammography is a screening approach used in the detection of breast cancer and proven to help reduce mortality. Only 72.8% of eligible American women have been screened for breast cancer within the past 2 years. One urban family and community medicine clinic (FCM) fell below the national average with a rate of 60.9%; as a result, they implemented an evidence-based strategy to improve mammography rates within the clinic.

Purpose: The purpose of this study was to evaluate the implementation of a telephone outreach with direct scheduling intervention within the FCM Clinic and Women’s Health (WH) Clinic.

Methods: The study design was a descriptive study with a comparison group to evaluate a process change in ordering and scheduling mammograms. A chart audit and a perceived barriers survey was conducted at the FCM Clinic and the WH Clinic, the comparison group.

Results: A total of 200 patients (100 pre, 100 post) were analyzed at the FCM and WH Clinic. There was a non-significant increase in mammography completion at the FCM Clinic from 20% (n = 10) pre- to 32% (n = 16) post-intervention. There was a significant increase (p = 0.04) in mammography completion at the WH Clinic from 66% (n = 33) pre- to 84% (n = 42) post-intervention. Providers’ perceptions of barriers to mammography completion were time constraints and fear of mammography-related pain.

Conclusion: Telephone outreach with direct scheduling was found to be an effective method for increasing mammography rates. However, the addition of a proactive approach to ordering and scheduling mammograms could increase rates to meet or exceed the quality measure target.

Keywords: mammography, breast cancer screening, telephone outreach