To Sum Up: A Gap Analysis
In summary, the Implementing the Arthritis Foundation Life Improvement Series through Partnerships: A Step-by-Step Guide enables AF and state health department staff to embed programs into sustainable delivery systems, and build an effective infrastructure that will support a broader, more comprehensive approach to disseminating and delivering the programs. Some chapters and states are already working with system partners and have an effective infrastructure. This Guide builds upon those successes to help ensure a more consistent and comprehensive approach nationwide. The chart below highlights how and why chapters and states can incorporate new approaches to accelerate the expansion of the AF programs.
Current Challenges and Issues | Desired approach | Rationale | Relevant Sections |
Programs delivered through many individual facilities | Programs delivered through smaller number of system partners with a greater number of outlets |
| 1-1: Systems Approach and Effective Program Delivery 1-2: Identifying Potential System Partners 1-3: Marketing to System Partners |
Reactive—programs are started wherever there is an interested instructor or facility | Proactive plan builds on knowledge of state/ community and gaps in service | More focused on where the biggest impact can be achieved | |
Unclear division of roles and responsibilities among those involved in the programs | Staff, program personnel and partner roles are defined and shared with those involved |
| 2-5 Resources for Retaining and Recognizing Program Personnel
|
Programs not sustained over time | Programs embedded into systems | More efficient use of resources over the long term | |
Non-affiliated instructors are trained | Emphasis on recruiting personnel affiliated with system partner |
| 2-3: Resources for Recruiting Leaders and Instructors |
Staff are doers | Staff are facilitators/ catalysts/ brokers and relationship-managers with program personnel and organizations |
| 2-5: Resources for Retaining and Recognizing Program Personnel |
Limited infrastructure for developing and maintaining leaders, instructors and trainers | Ongoing nationwide management system to track and nurture program personnel |
| 2-5: Resources for Retaining and Recognizing Program Personnel |
Collection of accountability/ reach data and quality control are not consistently done or not a priority | Improved data collection that documents people reached Improved risk and quality management mechanisms |
| 2-9: Resources for Monitoring Reach |


