Improvement efforts for women's breast health services were initiated to provide a coordinated comprehensive breast health system and increase patient satisfaction for women using the service. The Breast Health Center, initially established to better meet the needs of the community with screening services provided an environment that reduced the anxiety associated with screening mammography services. However, women that required diagnostic follow-up expressed dissatisfaction and increased anxiety as they waited for test results. The diagnostic follow-up process in need of improvement required additional scheduling for services and often lead to delays, added anxiety, and decreased patient satisfaction for women maneuvering through a complex system.