The Veterans Health Administration nationwide is composed of 23 Veterans Integrated Service Networks. Each network comprises hospitals, ambulatory facilities, and community-based outpatient centers. In Veterans Integrated Service Network 9, located in the mid-south and including the states of Kentucky and Tennessee, there are more than 1 million veterans, including approximately 65 000 women. Almost half of these female veterans are older than 45 years of age (Alvarez V. Personal communication). Of the 6 health care systems in the Veterans Integrated Service Network 9, the Veterans Affairs Tennessee Valley Healthcare System (VA-TVHS), a convenience sample, was selected to be the intervention group. The VA-TVHS comprises 2 teaching hospitals and 8 community-based outpatient centers. The VA-TVHS offers outpatient primary, secondary, and tertiary care to more than 150 000 veterans who are predominantly in middle Tennessee. Ambulatory care, including women's health care, is provided at all of the sites. In 2002, 2576 female veterans older than 45 years of age enrolled for care within the VA-TVHS (Alvarez V. Personal communication).