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The Fred Hutchinson Cancer Research Center, the University of Washington, and the Washington State Department of Health are collaborating to develop and implement a mammography quality improvement. program (MQIP), in order to demonstrate its feasibility and effectiveness for dissemination. The MQIP emphasizes continuous quality improvement (CQI) in film interpretation, within the context of a comprehensive program designed to meet the requirements of the Mammography Quality Standards Act (MQSA) of 1994. During the second year of funding, project investigators and staff focused on recruitment for the MQIP, development of the CQI, and training of mammography technologists and tumor registrars. Participating mammography facilities are working with staff of the Washington Mammography Tumor Registry (WMTR) to link their data to cancer registries for purposes of surveillance and audit report generation. Overall evaluation of the MQIP will be conducted and reported during Year 03.