The Current State Screening Information on the performance of the breast cancer system in BC is collected by SMPBC and reported to the Canadian Breast Cancer Screening Initiative (CBCSI), a program of the Public Health Agency of Canada (PHAC). [...] Factors that contribute to fragmentation include the lack of regional and provincial coordination of diagnostic services and integration with the SMPBC, lack of a clear clinical pathway, standards and performance measures, staffing challenges, issues related to the reimbursement of radiologists and aging diagnostic mammography equipment. [...] Improving the System In May 2010, we will establish a Provincial Steering Committee to create a vision for breast health in BC and oversee the implementation of the BHAP. [...] The desired outcomes of the BHAP are to increase screening to meet the FMM participation target of 70% for women aged 50 to 69 and to develop a smooth clinical pathway for women with abnormal mammograms. [...] The capital and operating costs of the screening centres are borne by the SMPBC and the schedule of payments is established through a budget-setting process.