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APPLYING GAP ANALYSIS TO OPTIMIZE AYA CANCER  SURVIVORSHIP CLINICS Lana  N. Clay-Monaghan April 22, 2021

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The problem of practice in this dissertation drew upon the inconsistencies in cancer survivorship clinic structure and identified the gap in unmet organizational programming.

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Revision of Cancer Survivorship Clinic Organizational Structure Define Program Administration roles Increase Program Administration value Develop knowledge and skills related to training

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Oncologist  Program Managers Social Workers Patient Navigators/patient Advocates Internal Program Administration

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Global Organizational Performance  I nitiative  The NCI Cancer MoonshotSM Initiative seeks to reduce health disparities, increasing data sharing, and creating new collaborations and partnerships. AYA-ORGs  lead organizational change efforts that improve clinic structure and programming of AYA cancer survivorship resources on site.

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Program Administrator Engagement Survivor Engagement Funding

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Funding Grants Private Funding Collaboration Program Administrators training Program effectiveness data A Post COVID eHealth HIPPA

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Program Administration 	 Training 6 Cancer Institutes 	Framework Creation

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Goal Improve Cancer Survivor Clinics Audience Internal: Program Administrators External: NCI Partners Messages Mission Driven Training Channels 6 National Clinics  Activities Meetings Presentations Framework Proposal Partnerships NIH/NCI

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Context Why do survivorship clinics need structure?  Input Administrator training Process Product Framework Investment into programming prioritization  Program Administration Feedback through surveys What are the problems survivors face? How to clinics vary? Continuous clinic improvement Implementation of policy and clinic/ program changes Are more survivors participating? Invest into survivor outreach

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