title: Facilitating survivorship program development for health care providers and administrators.
abstract: OBJECTIVE
  This manuscript will describe institutional changes observed through goal analysis that occurred following a multidisciplinary education project, aimed at preparing health care professionals to meet the needs of the growing numbers of cancer survivors.
  
  
  METHODS
  Postcourse evaluations consisted of quantitative questionnaires and follow-up on three goals created by each participating team, during the 3-day educational program. Evaluations were performed 6, 12, and 18 months postcourse for percent of goal achievement. Goals were a priori coded based on the Institute of Medicine's survivorship care components along with two additional codes related to program development and education.
  
  
  RESULTS
  Two hundred and four teams participated over the four yearly courses. A total of 51.6 % of goals were related to program development, 21 % to survivorship care interventions, 20.9 % on educational goals, and only 4.7 % related to coordination of care, 1.4 % on surveillance, and 0.4 % related to prevention-focused goals. Quantitative measures postcourse showed significant changes in comfort and effectiveness in survivorship care in the participating institutions.
  
  
  CONCLUSIONS
  During the period 2006-2009, health care institutions focused on developing survivorship care programs and educating staff, in an effort to prepare colleagues to provide and coordinate survivorship care, in cancer settings across the country.
  
  
  CONCLUSIONS
  Goal-directed education provided insight into survivorship activities occurring across the nation. Researchers were able to identify survivorship care programs and activities, as well as the barriers to developing these programs. This presented opportunities to discuss possible interventions to improve follow-up care and survivors' quality of life.
authors.affiliation: Nursing Research and Education, City of Hope Medical Center, 1500 East Duarte Rd Duarte, Los Angeles, CA, 91010, USA, mgrant@coh.org.
authors.forename: Marcia
authors.initials: M
authors.lastname: Grant
authors.forename: Denice
authors.initials: D
authors.lastname: Economou
authors.forename: Betty
authors.initials: B
authors.lastname: Ferrell
authors.forename: Gwen
authors.initials: G
authors.lastname: Uman
mesh_terms: D003266:Continuity of Patient Care / Q000458:organization & administration*; D003695:Delivery of Health Care / Q000379:methods / Q000458:organization & administration / Q000592:standards; D006282:Health Personnel / Q000458:organization & administration*; D006301:Health Services Needs and Demand / Q000458:organization & administration; D006801:Humans; D009313:National Health Programs / Q000458:organization & administration* / Q000592:standards; D009369:Neoplasms / Q000401:mortality / Q000534:rehabilitation*; D010347:Patient Care Planning / Q000458:organization & administration / Q000706:statistics & numerical data; D016730:Program Development / Q000379:methods* / Q000592:standards; D011788:Quality of Life; D011795:Surveys and Questionnaires; D015996:Survival Rate; D017741:Survivors / Q000706:statistics & numerical data; D014481:United States / Q000453:epidemiology