Date of Award

January 2016

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


Yale University School of Nursing

First Advisor

Lois S. Sadler

Second Advisor

Deborah F. Horowitz


Breast Cancer Referral and Screening Rates in a Federally Qualified Health

Center: Implementing the Point of Care Integrated Breast Cancer Screening Model

In this paper we discuss the implementation of the point of care integrated breast

cancer screening model (PCISM) to improve breast cancer screening rates in a federally

qualified health center. Comparison of mammogram patterns for 8 providers (classified

according to their use of PCISM versus conventional practice models) demonstrated a

statistically significant difference (p=<0.001). In the PCISM group, 2451 women (43%)

were referred and 2444 women (42%) completed mammograms versus the conventional

group where 1409 (37%) received referrals and 581 (16%) completed mammograms.

These results support the usefulness of PCISM for improving mammography screenings

in this setting.


This thesis is restricted to Yale network users only. It will be made publicly available on 02/22/2018