Date Approved


Graduate Degree Type


Degree Name

Nursing (D.N.P.)

Degree Program

College of Nursing

First Advisor

Dr. Anne McKay

Second Advisor

Dr. Kellie Riley

Third Advisor

Dr. Tanya Rowerdink

Academic Year



Background: The process of diagnosing cancer and the time to treatment can influence a patient’s experience with diagnosis of cancer at a later stage being associated with poorer cancer outcomes and decreased quality of life post-treatment. With increasingly complex oncologic imaging and pathology findings, effective interventions for early diagnosis of cancer requires a cohesive approach including referral, diagnosis, staging, and treatment phases. Objectives: The aim of this article is to outline the program development efforts initiated to apply current literature findings and organizational assessment to create a program development toolkit and business plan for an Advanced Practice Provider (APP) led diagnostic clinic in an outpatient oncology practice. Methods: A review of recent literature, application of implementation frameworks, and an organizational assessment guided the creation of the program development toolkit. Findings: The proposed business plan with break-even analysis demonstrated the need for a minimum number of patients to sustain the diagnostic clinic. The business plan and toolkit displayed the significance and limitations of the goal for increased patient and provider satisfaction.

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