Sept.

1, 2017

IMPORTANT INFORMATION ABOUT YOUR

MAMMOGRAM (BREAST X-RAY EXAM)

CERTIFIED MAIL

Thank you for choosing JPS Health Network as your partner in improving your health.
We are honored to be your health care provider.

Although you may have already been contacted by JPS, we are writing to let you know
about a potential concern with the image quality of the mammogram we performed for you
at JPS Medical Home Southeast Tarrant, located at 1050 W. Arkansas Lane, Arlington, TX
76013 (Arlington Facility). We have also sent a letter to your health care provider about this
issue.

JPS strongly believes in providing the highest quality care. Likewise, the Texas
Department of State Health Services (DSHS) ensures mammography facilities meet certain
quality standards. A sample of mammograms taken at the Arlington Facility on behalf of
DSHS between May 2, 2015 and May 2, 2017 was recently reviewed. During this review, some
mammograms in the sample were determined not to meet certain image quality standards as
defined by federal and state regulatory agencies.

JPS always wants to put quality patient care first. Therefore, we are checking back
with you out of an abundance of caution. If you have not had a mammogram taken since the
one you had taken between the May 2, 2015 and May 2, 2017, we recommend you talk with
your physician to decide whether you should schedule another exam.

HERE ARE OUR RECOMMENDATIONS:

If you have had a mammogram at another facility since the one taken at the Arlington
Facility between May 2, 2015 and May 2, 2017, you do not need to do anything other than
follow your physicians recommendations from that subsequent mammogram.

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 If you have not had a mammogram taken since the one you had taken at the Arlington
Facility between May 2, 2015 and May 2, 2017:

- We recommend you talk with your physician about your medical follow up. We have
sent a letter to the physician who referred you to us for your mammogram explaining
this concern. Your physician may consider ordering a repeat mammogram.

- If your physician wants you to have your mammogram repeated, it should be done at a
MQSA-certified facility. JPS Health Network will be happy to schedule you at our
other MQSA-certified facilities. Additionally, the following facilities are conveniently
located near the Arlington Facility where you last had your mammogram:

1. Arlington Medical Imaging, 3025 Matlock Road, Suite 100, Arlington, TX 76015
2. Solis Mammography at Medical Center of Arlington, 515 W. Mayfield Drive, Suite
100, Arlington, TX 76014
3. Touchstone Medical Imaging Arlington, 601 W. Arbrook Blvd., Arlington, TX 76014

- If you are JPS Connection eligible, your subsequent mammogram will be paid under
your Connection membership.

The accuracy of our tests and the quality of the care we provide our patients are of
the highest importance to JPS. If you have any questions or concerns, you may contact the
Mammography Department at JPS Medical Home Southeast Tarrant at 817-702-4498.