Maternal & Child Health Bureau - Needs Assessment Report

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Local Health Departments

Table 22 Perceived Importance of Continuing Education Topics

CE Topics for Local Director Manager Staff

Coalition Building 82.2 80.3 36.5

Community Development; Empowerment 84.3 75 34.1

Interagency Collaboration 79.2 79 51.2

Marketing and Communication 79.2 75.8 40.7

Media Relations 81.5 66.1 24.6

Public and Consumer Involvement 69.4 74.1 42.3

Resource Development 72.3 70.6 29.7

Systems Development 73.4 63.2 15.8

Families as Partners in Policy Making 55.2 61.2 54

Legislative Advocacy 73.8 58.7 20.5

Needs Assessment 77.8 81.8 51.6

Performance Measurement 82.5 84.7 34.6

Program Evaluation 77.6 90.1 33.8

Program Implementation, Management 70.4 89.2 31.4

Program Planning, Development 80 88.4 26.4

Cultural Competency 58.4 76.7 79

Managing Change 82.5 84.2 60

MCH Epidemiology 56 69.7 41.2

Negotiation and Team building 84.3 87.5 52.4

Personnel Management 86.4 87.3 14.6

Data Analysis and Interpretation 79 78.5 18.6

Data-base Development 51.3 57.2 22

Data-base Linkage 53.4 53.9 24.6

Information Systems 71.4 70.4 37.1

Qualitative Methods 64.3 64.2 28.2

Quality Assessment and Assurance 76.5 80.5 50

Environmental Health 52 46.2 40.5

Geographic Data Analysis 67.5 62.4 17.9

Social Marketing, Health Education 57.9 70.2 50

Surveillance, Health Status Monitoring 64.8 67.7 40.7

Survey Design and Administration 67.7 56.2 21.1

Cost-effectiveness Analysis 87.3 75.9 19.5

Funding Formula, Resource Allocations 83.8 68.9 12

Health Care Financing and Delivery 80.9 57.3 10.5

Policy Development and Analysis 88.4 78.2 12.9

Clinical Skills 20.7 55.2 88.7

Family-Centered Care 48.4 69.2 72.3

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]

Local Director

Table 23 Perceived Importance of Continuing Education Topics
CE Topics for Local (Ranked from Greatest to Least Director
Policy Development and Analysis 88.4
Cost-effectiveness Analysis 87.3
Personnel Management 86.4
Negotiation and Team building 84.3
Community Development; Empowerment 84.3
Funding Formula, Resource Allocations 83.8
Performance Measurement 82.5
Managing Change 82.5
Coalition Building 82.2
Media Relations 81.5
Health Care Financing and Delivery 80.9
Program Planning, Development 80
Marketing and Communication 79.2
Interagency Collaboration 79.2
Data Analysis and Interpretation 79
Needs Assessment 77.8
Program Evaluation 77.6
Quality Assessment and Assurance 76.5
Legislative Advocacy 73.8
Systems Development 73.4
Resource Development 72.3
Information Systems 71.4
Program Implementation, Management 70.4
Public and Consumer Involvement 69.4
Survey Design and Administration 67.7
Geographic Data Analysis 67.5
Surveillance, Health Status Monitoring 64.8
Qualitative Methods 64.3
Cultural Competency 58.4
Social Marketing, Health Education 57.9
MCH Epidemiology 56
Families as Partners in Policy Making 55.2
Data-base Linkage 53.4
Environmental Health 52
Data-base Development 51.3
Family-Centered Care 48.4
Clinical Skills 20.7

Local Program Manager

Table 24 Perceived Importance of Continuing Education Topics
CE Topics for Local (Ranked from Greatest to Least) Manager
Program Evaluation 90.1
Program Implementation, Management 89.2
Program Planning, Development 88.4
Negotiation and Team building 87.5
Personnel Management 87.3
Performance Measurement 84.7
Managing Change 84.2
Needs Assessment 81.8
Quality Assessment and Assurance 80.5
Coalition Building 80.3
Interagency Collaboration 79
Data Analysis and Interpretation 78.5
Policy Development and Analysis 78.2
Cultural Competency 76.7
Cost-effectiveness Analysis 75.9
Marketing and Communication 75.8
Community Development; Empowerment 75
Public and Consumer Involvement 74.1
Resource Development 70.6
Information Systems 70.4
Social Marketing, Health Education 70.2
MCH Epidemiology 69.7
Family-Centered Care 69.2
Funding Formula, Resource Allocations 68.9
Surveillance, Health Status Monitoring 67.7
Media Relations 66.1
Qualitative Methods 64.2
Systems Development 63.2
Geographic Data Analysis 62.4
Families as Partners in Policy Making 61.2
Legislative Advocacy 58.7
Health Care Financing and Delivery 57.3
Data-base Development 57.2
Survey Design and Administration 56.2
Clinical Skills 55.2
Data-base Linkage 53.9
Environmental Health 46.2
Local Program Staff Medicaid

Table 25 Perceived Importance of Continuing Education Topics
CE Topics for Local Staff
Clinical Skills 88.7
Cultural Competency 79
Family-Centered Care 72.3
Managing Change 60
Families as Partners in Policy Making 54
Negotiation and Team building 52.4
Needs Assessment 51.6
Interagency Collaboration 51.2
Social Marketing, Health Education 50
Quality Assessment and Assurance 50
Public and Consumer Involvement 42.3
MCH Epidemiology 41.2
Surveillance, Health Status Monitoring 40.7
Marketing and Communication 40.7
Environmental Health 40.5
Information Systems 37.1
Coalition Building 36.5
Performance Measurement 34.6
Community Development; Empowerment 34.1
Program Evaluation 33.8
Program Implementation, Management 31.4
Resource Development 29.7
Qualitative Methods 28.2
Program Planning, Development 26.4
Media Relations 24.6
Data-base Linkage 24.6
Data-base Development 22
Survey Design and Administration 21.1
Legislative Advocacy 20.5
Cost-effectiveness Analysis 19.5
Data Analysis and Interpretation 18.6
Geographic Data Analysis 17.9
Systems Development 15.8
Personnel Management 14.6
Policy Development and Analysis 12.9
Funding Formula, Resource Allocations 12
Health Care Financing and Delivery 10.5

Table 26 Perceived Importance of Continuing Education Topics

CE Topics for Medicaid Director Manager Staff

Coalition Building 72.8 72 45.9

Community Development; Empowerment 52.4 64 33.3

Interagency Collaboration 95.5 84 45.9

Marketing and Communication 61.9 60 39.1

Media Relations 72.7 38.4 0

Public and Consumer Involvement 81 72 41.7

Resource Development 57.2 56 37.5

Systems Development 42.8 56.4 34.8

Families as Partners in Policy Making 42.9 58.3 32

Legislative Advocacy 81.8 56 9

Needs Assessment 40.9 72 54.2

Performance Measurement 77.3 96.1 58.3

Program Evaluation 70 92 57.6

Program Implementation, Management 50 84.6 64

Program Planning, Development 65 88.4 50

Cultural Competency 47.6 70.8 72

Managing Change 73.9 76 54.2

MCH Epidemiology 23.8 50.1 24

Negotiation and Team building 82.6 76 52.1

Personnel Management 72.7 73.1 4.3

Data Analysis and Interpretation 68.2 88 41.7

Data-base Development 23.8 62.5 52

Data-base Linkage 23.8 50 40

Information Systems 57.1 64 52

Qualitative Methods 65 75 43.4

Quality Assessment and Assurance 81 76 50

Environmental Health 14.3 16.7 16.7

Geographic Data Analysis 55 62.5 41.7

Social Marketing, Health Education 23.8 56 44

Surveillance, Health Status Monitoring 42.8 62.5 47.7

Survey Design and Administration 19 54.2 48

Cost-effectiveness Analysis 61.9 60 25

Funding Formula, Resource Allocations 80.9 68 17.4

Health Care Financing and Delivery 100 88.4 34.7

Policy Development and Analysis 80.9 84.6 46.2

Clinical Skills 14.3 26 45.8

Family-Centered Care 40 60.8 68

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]

Medicaid Director Medicaid Program Manager

Table 27 Perceived Importance of Continuing Education Topics
CE Topics for Medicaid (Ranked from Greatest to Least) Director
Health Care Financing and Delivery 100
Interagency Collaboration 95.5
Negotiation and Team building 82.6
Legislative Advocacy 81.8
Quality Assessment and Assurance 81
Public and Consumer Involvement 81
Policy Development and Analysis 80.9
Funding Formula, Resource Allocations 80.9
Performance Measurement 77.3
Managing Change 73.9
Coalition Building 72.8
Personnel Management 72.7
Media Relations 72.7
Program Evaluation 70
Data Analysis and Interpretation 68.2
Qualitative Methods 65
Program Planning, Development 65
Marketing and Communication 61.9
Cost-effectiveness Analysis 61.9
Resource Development 57.2
Information Systems 57.1
Geographic Data Analysis 55
Community Development; Empowerment 52.4
Program Implementation, Management 50
Cultural Competency 47.6
Families as Partners in Policy Making 42.9
Systems Development 42.8
Surveillance, Health Status Monitoring 42.8
Needs Assessment 40.9
Family-Centered Care 40
Social Marketing, Health Education 23.8
MCH Epidemiology 23.8
Data-base Linkage 23.8
Data-base Development 23.8
Survey Design and Administration 19
Environmental Health 14.3
Clinical Skills 14.3

Table 28 Perceived Importance of Continuing Education Topics

CE Topics for Medicaid (Ranked from Greatest to Least) Manager

Performance Measurement 96.1

Program Evaluation 92

Program Planning, Development 88.4

Health Care Financing and Delivery 88.4

Data Analysis and Interpretation 88

Program Implementation, Management 84.6

Policy Development and Analysis 84.6

Interagency Collaboration 84

Quality Assessment and Assurance 76

Negotiation and Team building 76

Managing Change 76

Qualitative Methods 75

Personnel Management 73.1

Public and Consumer Involvement 72

Needs Assessment 72

Coalition Building 72

Cultural Competency 70.8

Funding Formula, Resource Allocations 68

Information Systems 64

Community Development; Empowerment 64

Surveillance, Health Status Monitoring 62.5

Geographic Data Analysis 62.5

Data-base Development 62.5

Family-Centered Care 60.8

Marketing and Communication 60

Cost-effectiveness Analysis 60

Families as Partners in Policy Making 58.3

Systems Development 56.4

Social Marketing, Health Education 56

Resource Development 56

Legislative Advocacy 56

Survey Design and Administration 54.2

MCH Epidemiology 50.1

Data-base Linkage 50

Media Relations 38.4

Clinical Skills 26

Environmental Health 16.7

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]

Medicaid Program Staff

Table 29 Perceived Importance of Continuing Education Topics
CE Topics for Medicaid (Ranked from Greatest to Least) Staff
Cultural Competency 72
Family-Centered Care 68
Program Implementation, Management 64
Performance Measurement 58.3
Program Evaluation 57.6
Needs Assessment 54.2
Managing Change 54.2
Negotiation and Team building 52.1
Information Systems 52
Data-base Development 52
Quality Assessment and Assurance 50
Program Planning, Development 50
Survey Design and Administration 48
Surveillance, Health Status Monitoring 47.7
Policy Development and Analysis 46.2
Interagency Collaboration 45.9
Coalition Building 45.9
Clinical Skills 45.8
Social Marketing, Health Education 44
Qualitative Methods 43.4
Public and Consumer Involvement 41.7
Geographic Data Analysis 41.7
Data Analysis and Interpretation 41.7
Data-base Linkage 40
Marketing and Communication 39.1
Resource Development 37.5
Systems Development 34.8
Health Care Financing and Delivery 34.7
Community Development; Empowerment 33.3
Families as Partners in Policy Making 32
Cost-effectiveness Analysis 25
MCH Epidemiology 24
Funding Formula, Resource Allocations 17.4
Environmental Health 16.7
Legislative Advocacy 9
Personnel Management 4.3
Media Relations 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]
Contrasting by agency type the CE topics perceived to be of highest importance, Tables 30-32 summarize the findings presented in Tables 14-29. The CE topics of highest importance for agency directors are presented in Table 30. For agency directors, similar leadership, systems development and administrative CE themes emerge across all agencies, including health care financing, policy development, interagency and systems-level collaboration, managing change and performance, team building, negotiations, personnel management, and working with families, communities, the public, and legislative bodies. Program management and administrative themes are the most important CE topics for program managers and include program planning, development, implementation, management and evaluation, needs assessment, performance management, data analysis and interpretation, personnel management, team building and policy development (Table 31). For program staff, the most important themes for CE topics tend to be more direct service and program performance oriented and include cultural competency, family centered care, families as partners, clinical skills, and program evaluation, performance and management (Table 32).
Directors

Table 30 Perceived Importance of Continuing Education Topics

State MCH State CSHCN Local Medicaid

Managing Change Systems Development Policy Development and Health Care Financing

Analysis and Delivery

Health Care Financing and Personnel Cost-effectiveness Interagency Collaboration

Delivery Management Analysis

Policy Development and Performance Measurement Personnel Management Negotiation and Team

Analysis building

Interagency Collaboration Program Planning, Negotiation and Legislative Advocacy

Development Team building

Negotiation and Managing Change Community Development; Quality Assessment and

Team building Empowerment Assurance

Families as Partners in Public and

Policy Making Consumer Involvement

[Data Source: MCH Leadership Skills Training Institute Year 2000-1 Assessment of MCH Training Needs]
Program Managers

Table 31 Perceived Importance of Continuing Education Topics

State MCH State CSHCN Local Medicaid

Data Analysis and Program Implementation, Program Performance

Interpretation Management Evaluation Measurement

Program Performance Program Implementation, Program

Evaluation Measurement Management Evaluation

Program Planning, Program Program Planning, Program Planning,

Development Evaluation Development Development

Needs Families as Partners in Negotiation and Health Care Financing and

Assessment Policy Making Team building Delivery

Marketing and Program Planning, Personnel Data Analysis and

Communication Development Management Interpretation

Policy Development and Policy Development and

Analysis Analysis

Managing Personnel

Change Management

Negotiation and

Team building

Needs Assessment

Family-Centered Care

[Data Source: MCH Leadership Skills Training Institute Year 2000-1 Assessment of MCH Training Needs]
Program Staff

Table 32 Perceived Importance of Continuing Education Topics

State MCH State CSHCN Local Medicaid

Cultural Family-Centered Clinical Cultural

Competency Care Skills Competency

Social Marketing, Families as Partners in Cultural Family-Centered

Health Education Policy Making Competency Care

Family-Centered Cultural Family-Centered Program Implementation,

Care Competency Care Management

Families as Partners in Clinical Managing Performance

Policy Making Skills Change Measurement

Community Development; Quality Assessment and Families as Partners in Program

Empowerment Assurance Policy Making Evaluation

[Data Source: MCH Leadership Skills Training Institute Year 2000-1 Assessment of MCH Training Needs]
34
As collaboration with other agencies and organizations is an essential component of the work of MCH, CSHCN and Local health agencies, it was deemed of value to request information from respondents regarding: 1) what MCH-related agencies and their personnel need to know about other agencies with which they collaborate, and 2) what those collaborating agencies need to know about MCH. Tables 33-36 provide information regarding the first question: what do MCH-related agencies need to know about other agencies? For specific continuing education topics related to the operations of other agencies, Table 33 provides the responses to the question of how useful would be this specific information about other agencies to MCH professionals by type of MCH agencies, i.e., state MCH, state CSHCN and Local health department. The responses were recorded on a scale of 1 (“least useful”) to 5 (“most useful”). The percentage of responses with either a value of 4 or 5 (those indicating the highest two levels of usefulness for the topic) is provided in Table 33 for each topic by MCH-related agency type. Tables 34-36 present this information ranked for agency type.

Table 33 % Perceived Usefulness to MCH-Related Agencies of Specific CE Topics about Other Agencies

Topics State MCH State CSHCN Local

Current program and policy priorities 95.7 85.7 85.3

Data systems, client or target population information gathered, needs assessments 87 85.8 73.3

Funding streams and allowable expenditures 66.7 70 50

Mission, goals and objectives 82.2 70 70.3

Organizational structures, staffing patterns 33.3 45 32.9

Relationship to other related programs or agencies 69.5 70 61.9

Service delivery capacity; size of client population; geographic service areas 75.6 70 77

Statutory basis and regulations, federal 43.5 55 38.5

Statutory basis and regulations, state 48.9 50 39.8

Underlying philosophy, theory or history 47.8 45 35.8

How to access and utilize the services they offer 78.2 90.5 92.7

How to refer clients or families to them 77.2 90 93.3

Note: Percentages indicate combined ratings of “4” and “5” on a scale of 1 (“least”) to 5 (“most useful”) [Data Source: MCH Leadership Skills Training Institute Year 2000-1 Assessment of MCH Training Needs]

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