State MCH State CSHCN Local Medicaid
MCH Leadership Skills Training Institute: Year 2000 Assessment of Training Needs
Respondents were then asked to assess the level of need for CE for particular staff levels, using a scale of 1 (”least”) to 5 (“greatest”) to record their response. The specific types of staff included: 1) agency/organization director, 2) program manager, and 3) program staff. Table 13 presents the percentage of perceived need for CE according to staff level. Regardless of agency type, well more than 50 percent of program managers and more than two-thirds of program staff were perceived to have a need for continuing education. The level of need for CE was less among directors, possibly reflecting that some of their need in this area has already been met. Nevertheless, one-third or more of agency directors were reported to be in need of continuing education programs in MCH.
Table 13 % of Respondents Perceiving
Need for Continuing Education According to Staff Level
|
State MCH |
State CSHCN |
Local |
Medicaid |
| Agency/Organization Director |
38.6% |
55.0% |
46.6% |
32.0% |
| Program Manager |
80.4% |
57.9% |
77.3% |
71.4% |
| Program Staff |
91.1% |
75.0% |
80.7% |
67.9% |
|
[Data Source; MCH Leadership Skills Training Institute Year 2000-1 Assessment of MCH Training Needs]
For State MCH agencies, Table 14 presents information regarding the perceived importance of specific CE topics by staff level. The percentages of responses with either a value of 4 or 5 (those indicating the highest two levels of importance for the topic) are provided for each topic. The need for CE in a specific topic varied considerably by staff level, e.g., CE in clinical skills was perceived as important for 15 percent of directors and 60 percent of program staff. Tables 15-17 provide the same information ranked for each staff level. In Table 15, which ranks CE topics by importance for MCH directors, the highest ranked topics are managing change, health care financing and delivery, policy development and analysis, and interagency collaboration. Data, analytical, and clinical topics ranked toward the bottom of the list. However, a very different ranking was evident for MCH program managers (Table 16). For MCH program managers, the highest ranked CE topics were data analysis and interpretation, program evaluation, program planning/development, needs assessment, and marketing/communication. For MCH program staff (Table 17), the highest ranked CE topics in order of perceived importance were cultural competency, social marketing/health education, family centered care, families as partners, community development/empowerment, and quality assessment and assurance.
Table 14 Perceived Importance
of Continuing Education Topics
| CE Topics
for State MCH |
Director |
Manager |
Staff |
| Coalition
Building |
80 |
88.1 |
61 |
| Community Development;
Empowerment |
75 |
83.8 |
72.5 |
| Interagency
Collaboration |
90 |
90.9 |
57.5 |
| Marketing and
Communication |
82 |
95.4 |
53.7 |
| Media Relations
|
85 |
62.8 |
26.9 |
| Public and Consumer
Involvement |
69.3 |
72.1 |
65.9 |
| Resource Development
|
84.6 |
85.4 |
46.2 |
| Systems Development
|
79.5 |
90.2 |
48.7 |
| Families as
Partners in Policy Making |
68.3 |
76.7 |
73.1 |
| Legislative
Advocacy |
85.7 |
60.4 |
25 |
| Needs Assessment
|
77.5 |
95.4 |
63.4 |
| Performance
Measurement |
85 |
93 |
58.5 |
| Program Evaluation
|
82.5 |
97.6 |
50 |
| Program Implementation,
Management |
67.5 |
95.2 |
52.5 |
| Program Planning,
Development |
79.5 |
95.4 |
63.4 |
| Cultural Competency
|
80 |
93 |
95.2 |
| Managing Change
|
90.5 |
95.3 |
67.5 |
| MCH Epidemiology
|
62.5 |
78.6 |
62.5 |
| Negotiation
and Team building |
87.8 |
86.1 |
56.1 |
| Personnel Management
|
84.6 |
85.7 |
12.9 |
| Data Analysis
and Interpretation |
74.4 |
100 |
61 |
| Data-base Development
|
27.5 |
52.4 |
55 |
| Data-base Linkage
|
32.5 |
57.2 |
56.1 |
| Information
Systems |
55 |
83.7 |
56.1 |
| Qualitative
Methods |
51.3 |
61.4 |
46.3 |
| Quality Assessment
and Assurance |
79.5 |
88.4 |
70.7 |
| Environmental
Health |
27.5 |
21.4 |
26.8 |
| Geographic Data
Analysis |
48.7 |
73.8 |
48.8 |
| Social Marketing,
Health Education |
53.8 |
79.1 |
76.2 |
| Surveillance,
Health Status Monitoring |
62.5 |
83.3 |
68.3 |
| Survey Design
and Administration |
35 |
64.3 |
52.5 |
| Cost-effectiveness
Analysis |
71.1 |
90.7 |
41.5 |
| Funding Formula,
Resource Allocations |
84.6 |
85.7 |
26.2 |
| Health Care
Financing and Delivery |
90.3 |
81 |
24.4 |
| Policy Development
and Analysis |
90 |
95.3 |
30 |
| Clinical Skills
|
15 |
7.3 |
59.6 |
| Family-Centered
Care |
56.1 |
70.8 |
73.8 |
|
Table 15 Perceived Importance of
Continuing Education TopicsState MCH Director
| CE Topics for State
MCH (Ranked From Greatest to Least) |
Director |
| Managing
Change |
90.5 |
| Health Care Financing
and Delivery |
90.3 |
| Policy Development
and Analysis |
90.0 |
| Interagency Collaboration
|
90.0 |
| Negotiation and Team
building |
87.8 |
| Legislative Advocacy
|
85.7 |
| Performance Measurement
|
85.0 |
| Media Relations |
85.0 |
| Resource Development
|
84.6 |
| Personnel Management
|
84.6 |
| Funding Formula, Resource
Allocations |
84.6 |
| Program Evaluation
|
82.5 |
| Marketing and Communication
|
82.0 |
| Cultural Competency
|
80.0 |
| Coalition Building
|
80.0 |
| Systems Development
|
79.5 |
| Quality Assessment
and Assurance |
79.5 |
| Program Planning,
Development |
79.5 |
| Needs Assessment |
77.5 |
| Community Development;
Empowerment |
75.0 |
| Data Analysis and
Interpretation |
74.4 |
| Cost-effectiveness
Analysis |
71.1 |
| Public and Consumer
Involvement |
69.3 |
| Families as Partners
in Policy Making |
68.3 |
| Program Implementation,
Management |
67.5 |
| Surveillance, Health
Status Monitoring |
62.5 |
| MCH Epidemiology |
62.5 |
| Family-Centered Care
|
56.1 |
| Information Systems
|
55.0 |
| Social Marketing,
Health Education |
53.8 |
| Qualitative Methods
|
51.3 |
| Geographic Data Analysis
|
48.7 |
| Survey Design and
Administration |
35.0 |
| Data-base Linkage
|
32.5 |
| Environmental Health
|
27.5 |
| Data-base Development
|
27.5 |
| Clinical Skills |
15.0 |
|
Note: Percentages indicate combined ratings of “4” and “5” on a scale of 1 (“least”) to 5 (“most important”)
[Data Source: MCH Leadership Skills Training Institute Year 2000-1 Assessment of MCH Training Needs]
State MCH Program Manager State MCH Program Staff
Table 16 Perceived Importance of Continuing Education Topics
| CE Topics for State
MCH (Ranked from Greatest to least) |
Manager |
| Data
Analysis and Interpretation |
100 |
| Program Evaluation
|
97.6 |
| Program Planning,
Development |
95.4 |
| Needs Assessment |
95.4 |
| Marketing and Communication
|
95.4 |
| Policy Development
and Analysis |
95.3 |
| Managing Change |
95.3 |
| Program Implementation,
Management |
95.2 |
| Performance Measurement
|
93 |
| Cultural Competency
|
93 |
| Interagency Collaboration
|
90.9 |
| Cost-effectiveness
Analysis |
90.7 |
| Systems Development
|
90.2 |
| Quality Assessment
and Assurance |
88.4 |
| Coalition Building
|
88.1 |
| Negotiation and Team
building |
86.1 |
| Personnel Management
|
85.7 |
| Funding Formula, Resource
Allocations |
85.7 |
| Resource Development
|
85.4 |
| Community Development;
Empowerment |
83.8 |
| Information Systems
|
83.7 |
| Surveillance, Health
Status Monitoring |
83.3 |
| Health Care Financing
and Delivery |
81 |
| Social Marketing,
Health Education |
79.1 |
| MCH Epidemiology |
78.6 |
| Families as Partners
in Policy Making |
76.7 |
| Geographic Data Analysis
|
73.8 |
| Public and Consumer
Involvement |
72.1 |
| Family-Centered Care
|
70.8 |
| Survey Design and
Administration |
64.3 |
| Media Relations |
62.8 |
| Qualitative Methods
|
61.4 |
| Legislative Advocacy
|
60.4 |
| Data-base Linkage
|
57.2 |
| Data-base Development
|
52.4 |
| Environmental Health
|
21.4 |
| Clinical Skills |
7.3 |
Table 17 Perceived Importance of
Continuing Education Topics
| CE Topics for State
MCH (Ranked from Greatest to Least) |
Staff |
| Cultural
Competency |
95.2 |
| Social Marketing,
Health Education |
76.2 |
| Family-Centered Care
|
73.8 |
| Families as Partners
in Policy Making |
73.1 |
| Community Development;
Empowerment |
72.5 |
| Quality Assessment
and Assurance |
70.7 |
| Surveillance, Health
Status Monitoring |
68.3 |
| Managing Change |
67.5 |
| Public and Consumer
Involvement |
65.9 |
| Program Planning,
Development |
63.4 |
| Needs Assessment |
63.4 |
| MCH Epidemiology |
62.5 |
| Data Analysis and
Interpretation |
61 |
| Coalition Building
|
61 |
| Clinical Skills |
59.6 |
| Performance Measurement
|
58.5 |
| Interagency Collaboration
|
57.5 |
| Negotiation and Team
building |
56.1 |
| Information Systems
|
56.1 |
| Data-base Linkage
|
56.1 |
| Data-base Development
|
55 |
| Marketing and Communication
|
53.7 |
| Survey Design and
Administration |
52.5 |
| Program Implementation,
Management |
52.5 |
| Program Evaluation
|
50 |
| Geographic Data Analysis
|
48.8 |
| Systems Development
|
48.7 |
| Qualitative Methods
|
46.3 |
| Resource Development
|
46.2 |
| Cost-effectiveness
Analysis |
41.5 |
| Policy Development
and Analysis |
30 |
| Media Relations |
26.9 |
| Environmental Health
|
26.8 |
| Funding Formula, Resource
Allocations |
26.2 |
| Legislative Advocacy
|
25 |
| Health Care Financing
and Delivery |
24.4 |
| Personnel Management
|
12.9 |
|
Tables 18-21 provide similar information for State CSHCN agencies. Table 18 presents information regarding the perceived importance of specific CE topics by staff level. The percentage of responses with either a value of 4 or 5 (those indicating the highest two levels of importance for the topic) is provided for each topic. As was found for MCH agencies, the need for CE in a specific topic varied considerably by staff level.
In Table 19, which ranks CE topics by importance for state CSHCN directors, the highest ranked topics are systems development, personnel management, and performance measurement. MCH epidemiology, data, analytical, and clinical topics ranked toward the bottom of the list. For CSHCN program managers, clinical skills were also ranked as least important, while program implementation/management, performance measurement, program evaluation, and families as partners in policy making were ranked highest (Table 20). The highest ranked CE topics for CSHCN program staff were family centered care, families as partners in policy making, and cultural competency (Table 21).
The importance of specific CE topics for Local health departments is provided in Tables 22-25. Using the same format as Tables 14 and 18, Table 22 presents the perceived importance of specific CE topics by staff level, while Tables 23-25 present the same information ranked for each staff level. In Table 23, which ranks CE topics by importance for Local health department directors, the highest ranked topics are policy development and analysis, cost-effectiveness analysis, and personnel management. For Local health department program managers, program evaluation, program implementation/management, program planning/development, negotiation & team building, and personnel management were ranked as the most important CE topics (Table 24). The highest ranked CE topics for Local health department program staff were clinical skills, cultural competency, and family centered care (Table 25).
Tables 26-29 provide the results of the responses regarding the importance of specific CE topics for Medicaid agencies. Using the same format as Tables 14, 18 and 22, Table 26 presents the perceived importance of specific CE topics by staff level, while Tables 27-29 present this information ranked for each staff level. In Table 27, which ranks CE topics by importance for Medicaid directors, the highest ranked topics are health care financing and delivery, interagency collaboration, negotiation and team building, and legislative advocacy. For Medicaid program managers, performance measurement, program evaluation, program planning/development, health care financing and delivery, and data analysis and interpretation were ranked as the most important CE topics (Table 28). The highest ranked CE topics for Medicaid program staff were cultural competency, family centered care, and program implementation/management (Table 29).
State CSHCN
Table 18 Perceived Importance of Continuing Education Topics
| CE
Topics for State CSHCN |
Director |
Manager |
Staff |
| Coalition
Building |
79 |
84.2 |
52.7 |
| Community Development;
Empowerment |
73.8 |
63.1 |
70 |
| Interagency
Collaboration |
89 |
88.9 |
73.7 |
| Marketing and
Communication |
82.4 |
88.3 |
47.4 |
| Media Relations
|
82.3 |
76.4 |
27.8 |
| Public and Consumer
Involvement |
83.4 |
88.9 |
47.4 |
| Resource Development
|
68.8 |
58.8 |
35.2 |
| Systems Development
|
100 |
88.3 |
41.1 |
| Families as
Partners in Policy Making |
94.5 |
94.5 |
94.7 |
| Legislative
Advocacy |
76.4 |
55.5 |
27.8 |
| Needs Assessment
|
88.3 |
94.4 |
50 |
| Performance
Measurement |
100 |
100 |
42.1 |
| Program Evaluation
|
88.9 |
94.5 |
47.4 |
| Program Implementation,
Management |
83.4 |
100 |
30 |
| Program Planning,
Development |
94.5 |
94.4 |
26.4 |
| Cultural Competency
|
72.3 |
84.2 |
94.7 |
| Managing Change
|
94.5 |
94.1 |
75 |
| MCH Epidemiology
|
41.1 |
58.8 |
26.3 |
| Negotiation
and Team building |
94.1 |
94.4 |
73.6 |
| Personnel Management
|
100 |
94.4 |
11.1 |
| Data Analysis
and Interpretation |
76.5 |
83.3 |
33.4 |
| Data-base Development
|
41.1 |
68.4 |
41.2 |
| Data-base Linkage
|
47 |
72.2 |
35.3 |
| Information
Systems |
58.8 |
78.9 |
47.4 |
| Qualitative
Methods |
70.6 |
83.3 |
22.3 |
| Quality Assessment
and Assurance |
82.3 |
89.4 |
79 |
| Environmental
Health |
29.4 |
27.8 |
23.5 |
| Geographic Data
Analysis |
55.6 |
70.6 |
17.6 |
| Social Marketing,
Health Education |
47 |
55.5 |
27.8 |
| Surveillance,
Health Status Monitoring |
52.9 |
66.7 |
22.2 |
| Survey Design
and Administration |
55.6 |
83.3 |
31.6 |
| Cost-effectiveness
Analysis |
78.9 |
70 |
25 |
| Funding Formula,
Resource Allocations |
89 |
77.8 |
11.1 |
| Health Care
Financing and Delivery |
88.9 |
77.7 |
26.4 |
| Policy Development
and Analysis |
94.1 |
94.4 |
16.7 |
| Clinical Skills
|
11.1 |
26.4 |
84.2 |
| Family-Centered
Care |
88.9 |
94.4 |
100 |
Note: Percentages indicate combined ratings of “4” and “5” on a scale of 1 (“least”) to 5 (“most important”)
[Data Source: MCH Leadership Skills Training Institute Year 2000-1 Assessment of MCH Training Needs]
State CSHCN DirectorState CSHCN Program Manager State CSHCN Program Staff
Table 19 Perceived Importance of Continuing Education Topics
| CE Topics for State
CSHCN (Ranked from Greatest to Least) |
Director |
| Systems
Development |
100 |
| Personnel Management
|
100 |
| Performance Measurement
|
100 |
| Program Planning, Development
|
94.5 |
| Managing Change |
94.5 |
| Families as Partners
in Policy Making |
94.5 |
| Policy Development and
Analysis |
94.1 |
| Negotiation and Team
building |
94.1 |
| Interagency Collaboration
|
89 |
| Funding Formula, Resource
Allocations |
89 |
| Program Evaluation |
88.9 |
| Health Care Financing
and Delivery |
88.9 |
| Family-Centered Care
|
88.9 |
| Needs Assessment |
88.3 |
| Public and Consumer Involvement
|
83.4 |
| Program Implementation,
Management |
83.4 |
| Marketing and Communication
|
82.4 |
| Quality Assessment and
Assurance |
82.3 |
| Media Relations |
82.3 |
| Coalition Building |
79 |
| Cost-effectiveness Analysis
|
78.9 |
| Data Analysis and Interpretation
|
76.5 |
| Legislative Advocacy
|
76.4 |
| Community Development;
Empowerment |
73.8 |
| Cultural Competency |
72.3 |
| Qualitative Methods |
70.6 |
| Resource Development
|
68.8 |
| Information Systems |
58.8 |
| Survey Design and Administration
|
55.6 |
| Geographic Data Analysis
|
55.6 |
| Surveillance, Health
Status Monitoring |
52.9 |
| Social Marketing, Health
Education |
47 |
| Data-base Linkage |
47 |
| MCH Epidemiology |
41.1 |
| Data-base Development
|
41.1 |
| Environmental Health
|
29.4 |
| Clinical Skills |
11.1 |
Table 20 Perceived Importance
of Continuing Education Topics
| CE Topics
for State CSHCN (Ranked from Greatest to Least) |
Manager
|
| Program
Implementation, Management |
100 |
| Performance
Measurement |
100 |
| Program Evaluation
|
94.5 |
| Families as
Partners in Policy Making |
94.5 |
| Program Planning,
Development |
94.4 |
| Policy Development
and Analysis |
94.4 |
| Personnel
Management |
94.4 |
| Negotiation
and Team building |
94.4 |
| Needs Assessment
|
94.4 |
| Family-Centered
Care |
94.4 |
| Managing Change
|
94.1 |
| Quality Assessment
and Assurance |
89.4 |
| Public and
Consumer Involvement |
88.9 |
| Interagency
Collaboration |
88.9 |
| Systems Development
|
88.3 |
| Marketing
and Communication |
88.3 |
| Cultural Competency
|
84.2 |
| Coalition
Building |
84.2 |
| Survey Design
and Administration |
83.3 |
| Qualitative
Methods |
83.3 |
| Data Analysis
and Interpretation |
83.3 |
| Information
Systems |
78.9 |
| Funding Formula,
Resource Allocations |
77.8 |
| Health Care
Financing and Delivery |
77.7 |
| Media Relations
|
76.4 |
| Data-base
Linkage |
72.2 |
| Geographic
Data Analysis |
70.6 |
| Cost-effectiveness
Analysis |
70 |
| Data-base
Development |
68.4 |
| Surveillance,
Health Status Monitoring |
66.7 |
| Community
Development; Empowerment |
63.1 |
| Resource Development
|
58.8 |
| MCH Epidemiology
|
58.8 |
| Social Marketing,
Health Education |
55.5 |
| Legislative
Advocacy |
55.5 |
| Environmental
Health |
27.8 |
| Clinical Skills
|
26.4 |
|
Table 21 Perceived Importance of
Continuing Education Topics
| CE Topics for State
CSHCN (Ranked from Greatest to Least) |
Staff |
| Family-Centered
Care |
100 |
| Families as Partners
in Policy Making |
94.7 |
| Cultural Competency
|
94.7 |
| Clinical Skills |
84.2 |
| Quality Assessment
and Assurance |
79 |
| Managing Change |
75 |
| Interagency Collaboration
|
73.7 |
| Negotiation and Team
building |
73.6 |
| Community Development;
Empowerment |
70 |
| Coalition Building
|
52.7 |
| Needs Assessment |
50 |
| Public and Consumer
Involvement |
47.4 |
| Program Evaluation
|
47.4 |
| Marketing and Communication
|
47.4 |
| Information Systems
|
47.4 |
| Performance Measurement
|
42.1 |
| Data-base Development
|
41.2 |
| Systems Development
|
41.1 |
| Data-base Linkage
|
35.3 |
| Resource Development
|
35.2 |
| Data Analysis and
Interpretation |
33.4 |
| Survey Design and
Administration |
31.6 |
| Program Implementation,
Management |
30 |
| Social Marketing,
Health Education |
27.8 |
| Media Relations |
27.8 |
| Legislative Advocacy
|
27.8 |
| Program Planning,
Development |
26.4 |
| Health Care Financing
and Delivery |
26.4 |
| MCH Epidemiology |
26.3 |
| Cost-effectiveness
Analysis |
25 |
| Environmental Health
|
23.5 |
| Qualitative Methods
|
22.3 |
| Surveillance, Health
Status Monitoring |
22.2 |
| Geographic Data Analysis
|
17.6 |
| Policy Development
and Analysis |
16.7 |
| Personnel Management
|
11.1 |
| Funding Formula, Resource
Allocations |
11.1 |
|
