A Mammography FastTrack Program in Increasing the Number of Women Undergoing Breast Cancer Screening
A Mammography FastTrack Program in Increasing the Number of Women Undergoing Breast Cancer Screening
RATIONALE: Screening may help doctors find breast cancer cells early and plan better
 treatment for breast cancer. The Mammography FastTrack program may be effective in increasing
 the number of patients who undergo mammography.

 PURPOSE: This randomized clinical trial is studying the use of a Mammography FastTrack
 program to increase the number of women who undergo mammography.
OBJECTIVES:

 -  Classify all patients within the Massachusetts General Primary Care-Practice Based
 Research Network (MGPC-PBRN) according to patient-primary care provider (PCP) linkage
 status.

 -  Develop a breast cancer screening intervention program called Mammography FastTrack that
 facilitates the ordering of mammograms to be used either by PCPs (for PCP-linked
 patients) or by practice managers (for practice-linked patients).

 -  Compare the impact of the Mammography FastTrack program on mammography screening rates
 in PCP-linked vs practice-linked patients overdue for breast cancer screening.

 OUTLINE: This is a randomized, multicenter study.

 Mammography-eligible women are linked to either a provider or a practice within the
 Massachusetts General Primary Care Practice-Based Research Network (MGPC-PBRN). Practices
 within the MGPC-PBRN are stratified according to baseline mammography screening rates (high
 vs low) and practice type (community health center vs hospital-based vs community-based) and
 are randomized to 1 of 2 arms.

 -  Arm I: Physicians and practice managers receive e-mail alerts at months 1 and 3
 informing them of the availability of mammography screening data for their panel of
 primary-care patients. A hyperlink refers the provider to a web-portal for the
 Mammography FastTrack program that lists all eligible patients who have not undergone
 mammography. The provider may then click a button to schedule, defer (providing reason
 for deferral), or provide the date of a recent mammogram.

 -  Arm II: Practices continue standard care. At the end of 12 months, electronic report and
 billing data and a review of electronic health records are used to determine the
 completion of mammograms.

 PROJECTED ACCRUAL: A total of 6,730 patients will be accrued for this study.
DISEASE CHARACTERISTICS:

 -  Any outpatient at a participating Massachusetts General Primary Care Practice-Based
 Research Network (MGPC-PBRN) practice within the past 3 years

 -  No patient who the Massachusetts General Hospital system lists as having a
 primary care provider who is not in one of the MGPC-PBRN networks (linking
 patients with a provider or practice)

 -  No patient who is not linked to specific provider or practice (randomized portion
 of study)

 -  Billing, scheduling, and clinical electronic data sources required

 -  No mammogram within the past 2 years (randomized portion of study)

 -  Hormone receptor status not specified

 PATIENT CHARACTERISTICS:

 -  Age 42 to 69 years (randomized portion of study)

 -  Female

 -  Menopausal status not specified

 PRIOR CONCURRENT THERAPY:

 -  No prior bilateral mastectomy (randomized portion of study)