1. The quality assurance technologist/engineer (see item 12.c) shall perform tests on all site equipment prior to screening start-up to ensure it meets provincial equipment standards (see Appendix E) and to provide a baseline standard of performance for comparative purposes during ongoing quality control testing. The quality assurance technologist/engineer shall also perform ongoing tests on equipment as specified in Appendix E17,21,22. Test results shall be made available to Radiation Protection Services of the Department of Health and Community Services.

10. REPORTING AND FOLLOW-UP
  1. Letters indicating the screening mammography results shall be forwarded to the women. In addition, a report on the results of the screening mammogram shall be sent to their family physician or designated Health Center. This information should be made available as soon as reasonably possible following the examinations. In at least 95 % of cases, the women and their physicians or designated Health Center shall be informed within 15 working days of the screening visit (See Appendices F and G).
  2. When mammography screening results are "normal", a letter (see Appendix F) shall be sent to the woman and her physician or designated Health Center advising them of the results and recommendations for appropriate ongoing screening. This letter shall also advise women to have physical breast examinations as part of their comprehensive women's health care and to continue practising breast self-examination.
  3. The coordination of follow-up and diagnosis for "abnormal" mammograms shall be the responsibility of the woman's family physician or designated Health Center. When mammography screening results are "abnormal", notice (see Appendix G) shall initially be sent to the woman's physician or designated Health Center advising that further follow-up is required. A copy of the radiologic report with recommendations for further follow-up shall also be included (see Appendix H).
    1. All screening reports in the abnormal category should be communicated to the family physician or designated Health Center by telephone, certified mail, or in such a manner that receipt of the report is assured and documented. This correspondence shall be clearly marked to indicate that immediate action is required. It shall note that the physician's office or designated Health Center may wish to contact the woman immediately to advise her of the results, prior to her receipt of the results letter from the screening site.