Form approved
OMB No. 0920-0879
Expiration Date 03/31/2014
Attachment B– Data Collection Instrument: MS Word version
Questions for STD Directors
The Division of STD Prevention (DSTDP) seeks your feedback regarding the Federal staff that assists you with your state/city/county STD programs. Specifically, we are interested in your assessment of our program consultants (PC) and Federal field staff in three key areas (1) their value to your program, (2) their knowledge, skills, and abilities, and (3) the identification of any new skill sets or training needs to support your program efforts in this new era of prevention through healthcare. Your responses to this data collection will help DSTDP implement the appropriate experiences and training, to enhance our staff’s skills and improve your program.
Section One: About your STD Program
What type of STD Program do you manage?
State
City
County
Is your STD Program integrated with an HIV program?
<Drop down menu>
Yes
No
During the past year, the Program and Training Branch (PTB) was reorganized and separated into 2 distinct branches: the Program Development/Quality Improvement Branch (PDQIB) and the Field Services Branch (FSB). How has this reorganization impacted your ability to get appropriate support from DSTDP? <Drop down menu>
Made it more difficult/complicated/time-consuming
No change
Made it easier/clearer/ faster
Was not aware branches had split
Section Two: These questions refer to your program consultant (PC)
In the past 12 months, have you contacted your PC for assistance with any of the following?<Check all that apply>
Budget
Staffing needs
Training needs
Morbidity or outbreaks
Required reports
Funding Opportunity Announcement (FOA)
Other (specify)
How satisfied are you with the timeliness of your PC’s response to your questions/concerns?<Drop down menu>
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
How satisfied are you with the content/expertise of your PC’s response to your questions/concerns? <Drop down menu>
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
How would you describe the written reviews of the Interim Progress Reports (IPR) that your PC provides? <Check all that apply>
Increases my workload
Helps me identify target areas
Hypercritical, focuses too much on petty details
Helps me prioritize our prevention activities
Helps me direct funds and resources appropriately
Increases my knowledge
Contains action steps that I can address in my annual review
Arduous, expects too much
Poorly written
Other (specify)
In which areas do you think you will need additional Technical Assistance to improve your STD program? <Check all that apply>
Developing a strategic plan
Writing SMART objectives
Collecting data
Developing program evaluation
Quality Improvement
Expertise in billing and reimbursement
Program coordination/service integration
Public health in primary care
Other (specify)
Section Three: These questions refer to Federal Direct Assistance (DA) staff.
Does your STD program currently have assigned Federal Direct Assistance staff?<Drop down menu>
Yes (skip pattern if yes go to question 10)
No (skip pattern if no go to section “STD Program not assigned Direct Assistance (DA) Staff”)
How many Federal STD staff are assigned to your STD Program? <Drop Down Menu>
1 – 3
4 – 6
7 – 10
11- 13
How are assigned Federal STD staff utilized in your STD Program? <Check all that apply>
Disease Intervention Specialist (DIS)
DIS Supervisor
Surveillance/Data Manager
Program Manager
Assistant Program Manager
Special Projects Coordinator
Epidemiologist
Medical Epidemiologist
Other (specify) (Text Box)
Do you agree with the following statement: the current make-up of assigned Federal STD staff helps to meet your program needs? <Drop down menu>
Strongly disagree (skip pattern go to question 13)
Disagree (skip pattern go to question 13)
Neither agree nor disagree (skip pattern go to question 14)
Agree (skip pattern go to question 14)
Strongly agree (skip pattern go to question 14)
Why do you disagree with the statement: that Federal STD staff helps to meet your program needs? <Drop down menu>
We have sufficient staff to manage program
Program needs have changed and current staff does not have required knowledge, skills and abilities
Other (specify) (Text Box)
Overall, how satisfied are you with the Federal STD staff assigned to your STD Program? <Drop down menu>
Very dissatisfied (skip pattern go to question 15)
Dissatisfied (skip pattern go to question 15)
Neutral (skip pattern go to question 17)
Satisfied (skip pattern go to question 17)
Very Satisfied (skip pattern go to question 17)
Why are you dissatisfied with the Federal STD staff assigned to your STD program? (Text Box)
Based on your experience with Federal STD staff assigned to your STD Program, would you request a Federal STD employee? <Drop down menu>
Yes
No
Other (Specify)
Are there STD Prevention program needs that are not currently being met that could be addressed by additional Federal Direct Assistance (DA) staff? <Drop down menu>
Yes (skip pattern if yes go to question 18)
No (skip pattern if no go to Thank you, end of survey)
You answered yes to the previous question; please describe any program positions that would be addressed by additional Federal DA staff? <Drop down menu> (Check all that apply )
Disease Intervention Specialist (DIS)
DIS Supervisor
Surveillance/Data Manager
Program Manager
Assistant Program Manager
Health Educator
Special Projects Coordinator
Policy
IT Systems Programmer
Epidemiologist
Healthcare Informatics System Specialist
Nurse
Physician
Medical Epidemiologist
Laboratorian
Other (specify) (Text Box)
Would you accept additional Federal DA staff at no cost to your STD program? <Drop down menu>
Yes (skip pattern to question 21)
No (skip pattern to question 20)
Why would you decline an offer to receive additional Federal staff for your STD Program? <Drop down menu>
We have sufficient staff to manage program
Program needs have changed and current staff does not have required knowledge, skills and abilities
Other (specify) (Text Box)
What assistance is needed from CDC Atlanta to help you manage the career development needs of Direct Assistance (DA) staff in your STD Program?<Drop down menu> (Check all that apply )
Training
Skills Development
Assuring Competency
Administrative Oversight
Other (specify)
Would your STD program be impacted by the loss of assigned Federal FTEs?
Yes
No
Other (specify)
What impact would losing one assigned Federal FTE have on your STD program?
Very High
High
Medium
Low
None
Other (specify)
What impact would losing two assigned Federal FTEs have on your STD program?
Very High
High
Medium
Low
None
Other (specify)
What impact would losing three or more assigned Federal FTEs have on your STD program?
Very High
High
Medium
Low
None
Other (specify)
<Skip logic> Go to end of survey.
STD Program not assigned Direct Assistance (DA) Staff
The remaining questions are for those without Direct Assistance (DA) staff: We want to assess the probability you would use financial assistance to acquire Direct Assistance staff. Your information and that of others will be used to implement the appropriate experiences and trainings to enhance staff’s competencies and improve the quality of our field staff as a whole. We appreciate your partnership and want to make sure we meet project area expectations when assigning Direct Assistance staff to state/city/county health department.
Section One: These questions are for STD programs without DA Staff
Has your state/city/county STD program ever had Direct Assistance staff assigned to it?<Drop Down Menu>
Yes (skip pattern if yes go to question 27)
No (skip pattern if no go to question 29)
Based on your experience with Direct Assistance STD staff assigned to your state/city/county STD Program, how likely are you to request a Direct Assistance STD employee in the future? <Drop Down Menu>
Very Unlikely (skip pattern go to question number 28)
Unlikely (skip pattern go to question number 28)
Neutral (skip pattern go to question number 29)
Likely (skip pattern go to question number 29)
Extremely Likely (skip pattern go to question number 29)
Why wouldn’t you request a Direct Assistance STD employee to meet your program needs? <Drop Down Menu>
We have sufficient staff to manage program
Other (specify) (Text Box)
As a CDC grantee you have the option to use your CDC financial assistance funds to hire “embedded” staff to meet your program needs. http://www.cdc.gov/stltpublichealth/GrantsFunding/direct_assistance.html.
Did you know this option existed? <Drop Down Menu>
Yes
No
Does your program have the ability to hire or fill critical vacancies? <Drop Down Menu>
Yes (skip pattern if yes go to question 32)
No (skip pattern if no to question 31)
What prevents you from hiring and/or filling critical vacancies to meet program needs?<Drop Down Menu> (Check all that apply )
Hiring freeze
Unable to find qualified staff
Salary structure will not support
Other (specify)
Would you be willing to use your Financial Assistance funds to hire federal staff to fill critical vacancies? <Drop Down Menu>
Yes (skip pattern if yes go to question 33)
No (skip pattern if no go to question 34)
You indicated yes to the previous question; what types of CDC Direct Assistance STD staff, would you request to fill critical vacancies in your state/city/county STD Program?<Drop down menu> (Check all that apply)
Disease Intervention Specialist (DIS)
DIS Supervisor
Surveillance/Data Manager
Program Manager
Assistant Program Manager
Health Educator
Special Projects Coordinator
Policy
IT Systems Programmer
Epidemiologist
Healthcare Informatics System Specialist
Nurse
Physician
Medical Epidemiologist
Laboratorian
Other (specify) (Text Box)
Section Two: Possible Use of CDC Direct Assistance Staff
If you could have CDC Direct Assistance staff assigned to your program at no cost to you how would you use them in your program? <Drop down menu> (Check all that apply)
Disease Intervention Specialist (DIS)
DIS Supervisor
Surveillance/Data Manager
Program Manager
Assistant Program Manager
Health Educator
Special Projects Coordinator
Policy
IT Systems Programmer
Epidemiologist
Healthcare Informatics System Specialist
Nurse
Physician
Medical Epidemiologist
Laboratorian
Other (specify) (Text Box)
Who would provide the day-to-day direction and guidance (supervise) to this employee? <Drop down menu>
State/Local Supervisor
Other (specify) (Text Box)
Can Federal staff supervise and/or provide direction and guidance to local staff in your project area? <Drop down menu>
Yes
No
Are you aware of any other state/city/county human resource or fiscal restrictions or policies (e.g., in-state travel reimbursement, ID badge access, access to project area training, etc.) that would prohibit a Federal employee from working in your project area? <Drop down menu>
Yes (skip pattern go to question 38)
No (skip pattern go to Thank you, end of survey)
You indicated yes to the previous question; what kind of state/city/county human resource or fiscal restrictions or policies prohibits a Federal employee from working in your project area? <Drop down menu> (Check all that apply )
In-state travel reimbursement
ID badge access
Access to project area training
Other (specify) (Text Box)
Thank you for your feedback. We sincerely appreciate your opinion, time and assistance with completing this data collection. Questions and concerns about the functionality of this data collection should be sent to Bryan Lindsey at 404.639.6299 or email [email protected].
Public reporting burden of this collection of information is estimated to average 30 minutes per response, including the time for reviewing the instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspects of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Rd, NE, MS D-75, Atlanta, GA 30333; ATTN: PRA (0920-0879).
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Admin1 |
| File Modified | 0000-00-00 |
| File Created | 2021-01-31 |