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


Relevant Sections

Programs delivered through many individual facilities

Programs delivered through smaller number of system partners with a greater number of outlets

  • More efficient use of resources
  • Greater market penetration/ more people with arthritis reached
  • Wider geographic availability of programs
  • Easier to sustain programs over time
  • Easier to maintain quality control

1-1: Systems Approach and Effective Program Delivery

1-2: Identifying Potential System Partners

1-3: Marketing to System Partners

1-4: Securing the Commitment

1-5: Sustaining the Partnership

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

1-2: Identifying Potential System Partners

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

  • Less confusion
  • Better utilization of human resources

1-4: Securing the Commitment

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

1-4: Securing the Commitment

1-5: Sustaining the Partnership

Non-affiliated instructors are trained

Emphasis on recruiting personnel affiliated with system partner

  • Easier to sustain program instructors and trainers
  • System partner may provide salary
  • Quality control may be easier

2-3: Resources for Recruiting Leaders and Instructors

2-4: Resources for Training Leaders and Instructors

Staff are doers

Staff are facilitators/ catalysts/ brokers and relationship-managers with program personnel and organizations

  • More efficient use of human resources
  • Staff can share their workload
  • Staff have more time to develop partners

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

  • Better retention of program personnel
  • Improved utilization of volunteers
  • Increased satisfaction of program personnel
  • Improved bottom line

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

  • Improved program reach reports
  • Greater ability to recruit major partners due to ability to demonstrate accountability
  • Increased likelihood that quality, sustainability, fidelity and safety will be ensured


2-9: Resources for Monitoring Reach

2-10: Resources for Quality and Risk Management



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