Date of Graduation

Summer 8-14-2017

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions

First Advisor

Cathy Coleman



The goal of implementing a comprehensive cancer risk assessment (CRA) program prompted the evaluation of a community-based breast center microsystem and previous CRA program for feasibility and sustainability. The development of a value proposition by the Clinical Nurse Leader student highlights the role in the advancement of the nursing profession as an interdisciplinary leader. Review of current literature facilitated development of program structure and identification of downstream revenue sources. Data analysis includes historical patient volume, screening and procedural reimbursement rates, population statistics and organization market share, and program financial impacts. Data synthesis reveals a CRA program demonstrates potential revenue generation of $283,996.20 by the second year of implementation. The associated costs related to staffing and start up capital total $231,988.00, determining an estimated break-even point to be within the first 18 months of the program. With evidence demonstrating improvements in patient outcomes related to early disease detection, the recommendation to the institution is therefore to invest in implementing a comprehensive cancer risk assessment program.