Form 1 TACC Needs Assessment

Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration

MIECHV TACC Needs Assessment Survey_12 20 12docx

MIECHV TACC Needs Assessment Survey

OMB: 0915-0212

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MIECHV TACC Needs Assessment Survey

Introduction (this would be included in the email sent to grantees about the survey, and include the link to the survey)

The MIECHV TACC (Technical Assistance Coordinating Center) is tasked with conducting a technical assistance (TA) needs assessment of MIECHV state/territory grantees. The purpose of the needs assessment is to identify your TA priorities for the current fiscal year. Please keep in mind that the TACC can design TA to meet an array of needs, from basic TA focused on assisting you in meeting MIECHV requirements, to TA focused on moving well-functioning systems even further forward.

We want to thank each of you for your recent feedback on the TACC via the annual feedback form, which is part of our internal CQI process. This survey has a different goal: we want to gather information on what your priorities are for TA in the coming year. Given the comprehensive nature of MIECHV, the survey covers a wide-ranging list of potential topics that you may find valuable to receive TA on to further strengthen your MIECHV work. Part A includes a list of topics you can prioritize given your current needs. Part B includes a few open-ended questions where you can provide more descriptive information about your priorities.

The survey should take no more than15 minutes to complete. If you have any questions, please contact Kathleen Strader with the TACC ([email protected]). Your responses will remain confidential. We ask that you complete this survey within the next 10 days and no later than X.

Note: when the survey is opened, it will have a short intro and then move into the questions.

Introduction: We’d like to thank you for responding to the TACC needs assessment survey. We anticipate that it will take approximately 15 minutes to complete. If you have any technical difficulties while completing the survey, please contact Kathleen Strader ([email protected]).

Part A: List of Potential TA Topics

Below is a list of potential TA topic areas, grouped into four broad categories: State Level Infrastructure, Systems Integration, Implementation, and Participants: Family and Children. We recognize that this is not an exhaustive list, and there is an opportunity later in the survey to write in any other areas of TA that were not included in this list.

Instructions: Please check which state/territory you represent. Please check the topic areas below that reflect your TA interests. In order to help identify your most pressing TA needs, please also rank your top three priorities.

Question 1: State/territory (will be a drop-down list)

Question 2: TA Topics (there will be checkboxes and boxes for ranking next to each topic)

MIECHV TACC TA CATEGORIES

State Level Infrastructure

  • Utilizing an Implementation Science framework

  • Building system capacity/developing a statewide system to support home visiting programs

  • Managing the expansion of direct service capacity

  • Applying Adaptive Leadership Development approaches – theory and practice

  • Applying a Life Course Development Model – theory and practice



Workforce Development

  • Workforce issues/staff retention

  • Developing training content and methods

  • Developing a professional development system

  • Developing core competencies for home visitors

  • Developing capacity for reflective supervision/ reflective practice

  • Fostering a culturally diverse and competent workforce



Data Collection and Analysis

  • Centralized data collection and analysis around home visiting

  • Screening and assessment tools

  • Integrated data systems across agencies (e.g. health, child welfare, education)

  • Using benchmarks and constructs data

  • Continuous quality improvement / quality assurance

  • Program/system evaluation and research



Administration

  • Program administration and management

  • Financial sustainability/fiscal leveraging

  • Communication and marketing (including use of social media) to reach policy makers and/or general public

  • Needs assessment

  • Strategic planning

  • Policy development

  • Addressing HIPPA and privacy issues



System Integration (state and/or community levels)

  • Developing Systems of Care

  • Place-based initiatives

  • Integrating home visiting with other services

    • Mental Health systems

    • Substance Abuse systems

    • Early Intervention

    • Education/child care/preschool

    • Public Health

    • Domestic violence

    • Child Protective Services

    • Primary Care

  • Integrating Home Visiting within a broader Early Childhood system

    • Collaboration and partnerships

    • How to work effectively with a State Advisory Committee or ECAC

    • Integration with ECCS

    • Integration with other maternal and child health and early childhood initiatives (Help Me Grow, Race to the Top, Project LAUNCH, early care and education)

    • Integration across early childhood professional development systems



Implementation

  • Engaging and supporting implementing agencies

  • Addressing model fidelity

  • Implementing multiple models

  • Developing a continuum of home visiting services with multiple models

  • Providing centralized/coordinated intake

  • Establishing screening/referral systems

  • Applying trauma informed care

  • Home visiting service enhancements

  • Use of technology on home visits

  • Use of social media in home visiting



Participants: Families and Children

  • Addressing recruitment, engagement and retention

  • Strengthening families/protective factors

  • Family/Parent leadership

  • Identifying or reporting child abuse and neglect

  • Working with Special populations

    • Mental health

    • Domestic violence

    • Families involved with child protective services

    • At-risk (high ACES score)

    • Fathers

    • Grandparent (or other relative) parenting

    • Substance abuse

    • Parents with special needs

    • Children with special health needs or disabilities

    • Teen parents

    • Multi-generational families

    • Rural and frontier

    • Military

    • Tribal

    • Others



Part B: Descriptive Information

Now that you have identified areas you’d potentially like assistance with, we want to ask you a few open-ended questions about your TA priorities for the year.

Question 1: What do you see as your most pressing needs and/or opportunities for growth related to the MIECHV work in your state/territory this year? Please include any specific information that will help us in planning TA for your state.

Question 2: Are there any TA topics you are interested in that were not listed in Part A? If so, please tell us about them here.

This is the end of the survey. Thank you again for your time in completing the survey. Our next steps will be to analyze the survey responses we receive to provide HRSA with a general view of TA priorities across the country. We will also use the information you provide to follow up with the RPO for your region to begin a conversation about meeting your TA needs directly.

Public Burden Statement:  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.  The OMB control number for this project is 0915-0212.  Public reporting burden for this collection of information is estimated to average .25 hours per response, including the time for reviewing instructions, searching existing data sources, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to HRSA Reports Clearance Officer, 5600 Fishers Lane, Room 10-29, Rockville, Maryland, 20857.



OMB Number (0915-0212); Expiration date (7/31/2015)


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