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Timely Mammogram Results Leslie Marie Gorman

What is a Mammogram? ● Low dose X-Ray exam of breast tissue used to detect abnormalities, especially breast cancer. ● Also called full-field digital mammography (FFDM) ● X-rays pass through breast tissue to detect any abnormalities, ie: cysts, cancerous tissue

History & Advanced in Mammography ● The concept was developed in the 1920’s ● Came to more use in the 1960s as an accepted technology ● American Cancer Society officially recommended in 1972

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● Patients do not receive results in a timely manner ● Normal results not reports to 40% of patients for up to 4 weeks ● 8% of abnormal results can take up to 3 weeks ● Delaying results can delay medical care Issues with Obtaining Results

How to Correct the Issue By meeting the objective, patient satisfaction will increase. It will also assist in making sure patient health is at the top of the list. Create a tracking document and have team members follow a plan to get all results to the patient faster.

Create Mammogram result log, check off each step in the process Change begins with team members following through on patient care.

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Results Getting to Patients Plan was put in place effective immediately. All patients moving forward, if the provider ordered a mammogram, were placed on the mammogram result log. After 2 weeks on continuous data collection, we were able to obtain all information require to ensure patient satisfaction. All results, good and bad, were relayed to the patient. All steps for further treatment or action were taken.

● Results wait time due to review and processing (1-2 weeks) ● Different handling for abnormal vs. normal results. ● Tracking orders improved result delivery speed.

Mammogram Order Tracking Log Success: ● Adoption: The log's effectiveness led to its implementation throughout the practice. ● Improved Efficiency: Tracking ensured each test moved smoothly, minimizing delays. ● Faster Results: Team members identified bottlenecks, speeding up result delivery. ● Patient Benefit: Patients received results sooner, improving their healthcare experience. ● No Financial Impact: Implementing the log was financially neutral.

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References ● Centers for Disease Control and Prevention. (2023, February 14). Mammography. National Center for Health Statistics. https://www.cdc.gov/nchs/hus/topics/mammography.htm ● Faris, A. (2014, December 1). Mammography. SlideShare. https://www.slideshare.net/AliFaris12/mammography-88175284 ● Dolan, N. C., Feinglass, J., Priyanath, A., Haviley, C., Sorensen, A. V., & Venta, L. A. (2001). Measuring satisfaction with mammography results reporting. Journal of general internal medicine , 16 (3), 157–162.

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