Lung Cancer Screening Improvement Collaborative
Mammography Positioning Improvement Collaborative
Prostate MR Image Quality Improvement Collaborative
Recommendations Follow-Up Improvement Collaborative

Mammography Health Equity Improvement Collaborative Material

Project Management Templates


Project Title

Improving Mammography Health Equity at {Institution}


Global Aim

To reduce breast cancer disparities through screening.


Problem Statement

There are health disparities in the utilization of our mammographic screening programs by AHRQ priority patient populations, possibly leading to missed opportunities for early cancer detection and management.


Collaborative Measure

Measure:Increase the percentage of eligible patients who receive a screening mammogram within a specific AHRQ population
Metric:Number of new or returning AHRQ eligible population patients who receive a screening mammogram.
SMART Goal:Increase the percentage of eligible patients who receive a screening mammogram within a specific AHRQ priority population from baseline % to goal % by August 2025.


Current State Analysis

Use these Mammography Health Equity Current State Analysis Questions to plan your Gemba walk,  Observations should be recorded on a cause-and-effect or fishbone diagram and root causes prioritized in a pareto chart.


Mammography Health Equity Current State Analysis Questions (Click Here to Download CSA Questions)


Key Drivers

The following are common key drivers seen over multiple cohorts. Each project will select Key Drivers, that may or may not be on this list, related to the root causes identified during the Current State Analysis.

  • Clear and consistent communication with patients in their preferred language
  • Establish and maintain long-term community relationships with target demographic
  • Clearly define patient navigator roles and responsibilities
  • Reduce costs and create a process for uninsured patients to access screening mammograms
  • Patient centered availability and access to screening mammograms
  • Ensure accurate mammography history documentation
  • Ensure patients understand the value and process of the screening mammogram
  • Easy and effective scheduling
  • Broaden methods to identify more patients within demographic
  • Expand interpreter services and utilization


Collaborative Specific Resources

Maps of Cancer Disparities and Community Factors: https://www.neimanhpi.org/cec-main-page/

NIH State Cancer Profiles: https://statecancerprofiles.cancer.gov/

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