3 Grantee Exit Survey

Attachment 4: RPHWTNP Grantee Exit Survey
Question No.

Question

Skip Logic

Response Options

Required

Valid Response
Restriction

This survey is designed to collect exit/completion data from grantees that have been awarded funds for the Rural Public Health Workforce Training Network
Program (RPHWTNP) through the Health Resources and Services Administration (HRSA). The following questions will ask information about completed
program activities. Data should be collected after grantees have completed programs, after the period of performance ends. Should you have any questions
regarding this survey, please direct your questions to your HRSA Project Officer.
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 information collection is 0915/0906-XXXX and it is valid until XX/XX/202X. This information collection is required
to obtain or retain a benefit (42 U.S.C. § 254c(f) (§ 330A(f) of the Public Health Service Act); Section 2501 of the American Rescue Plan Act of 2021 (P.L. 1172) via the following funding opportunity: HRSA-22-117). Public reporting burden for this collection of information is estimated to average 0.25 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 14N136B, Rockville, Maryland, 20857 or [email protected].
General
1
Please select the name of your lead grantee
Drop-down (32 grantees)
*
organization.
2
Which workforce training track(s) was/were
Matrix response, 5 tracks x 3 columns:
*
selected for this program?
formally selected in application, informally
selected, N/A
Consortium (Training Network)
General Text

The following questions will ask about information relating to the training network, or consortium, that your organization has created for the
RPHWTNP.
Internal consortium members are organizations that have signed a memorandum of understanding, or MOU, with the lead grantee
organization for the purposes of the RPHWTNP.
External consortium members are organizations that have not signed a MOU, but will work with the lead grantee organization in some
capacity for the purposes of the RPHWTNP.

3

4

How many total (both internal and
external) network organizations/ entities, or
consortium members, were involved at the
end of the RPHWTNP? Please enter a numeric
value.

Skip to Q6

Free-text

*

No

*

numeric, 1-100

5

6

7

Were any of the above network members, or
consortium members, responsible for the
delivery of training content?
Please provide the names of organizations
outside of your consortium (external
consortium members) that were responsible
for the delivery of training and training
content?
Which types of organizations (both internal
and external) were involved in this consortium
throughout the duration of this program?
(Select all that apply.)

Were there any types of network members, or
consortium members, within your consortium
not listed in the previous question? Please
specify.

Yes
Free-text

max 500
characters

Area Health Education Center (AHEC)

*

community-based organization (CBO)
health center or FQHC
health department
hospital/health system (including critical
access)
nonprofit or not-for-profit organization
other health care provider
state office of rural health (SORH)
university/academic institution
No

*

Yes, the following types of organizations
were not listed in the previous question:

Training

Attachment 4: RPHWTNP Grantee Exit Survey

General Text

8

The following questions will ask about information relating to the trainings that are provided through the Rural Public Health Workforce
Training Network program. Training is defined as competency-based high-quality education, training, and other services, that:
a.) aligns with the skill needs of the workforce training tracks identified in the Rural Public Health Workforce Training Network Program
(RPHWTNP);
b.) prepares an individual (trainee) to be successful in any of a full range of secondary or postsecondary education options, including
apprenticeships;
c.) includes, as appropriate, education offered concurrently with and in the same context as workforce preparation activities and training for a
specific occupation or occupational cluster;
d.) organizes education, training, and other services that are culturally and linguistically competent to meet the particular needs of an
individual (trainee) in a manner that accelerates the educational and career advancement of the individual (trainee) to the extent practicable;
e.) helps an individual (trainee) enter or advance within a specific occupation or occupational cluster as listed in the
RPHWTNP.
For the purposes of
this survey, a “training” refers to a type of content-based training, and not a unit of training or modality of training. For example, if a
consortium is providing a motivational interviewing training on Monday’s, Wednesday’s, and Thursday’s, this is considered as one training. If a
consortium is providing a motivational interviewing training in person on Monday, virtually on Wednesday, and in person on Friday, this is still
considered as one training.
How many total trainings did your training
Free-text Matrix response, 5 tracks x 3
*
network, or consortium, offer through the
columns: formally selected in application,
RPHWTNP in the tracks selected:
informally selected, N/A

9

What trainings did this training network, or
consortium, offer throughout the duration of
the RPHWTNP?

Multi-select (20 options from training list)

*

10

Were there additional trainings offered by
your consortium not listed in the previous
options?
(please enter 1 entry per line)

No
Yes, our consortium offered trainings on
additional topics such as (please enter 1
training per line): [free-text]

*

11

What credentials or certificates did this
training network, or consortium, offer for
completion of these training programs?

Associate Degree (please specify): [free-text

*

Billing and Coding Specialist
Certified Doula: Birth Doula, Antepartum
Doula, Postpartum Doula, End of Life Doula
Certified Health Care Interpreter
Certified Nurse Assistant

Attachment 4: RPHWTNP Grantee Exit Survey

Certified Respiratory Therapist (CRT) /
Registered Respiratory Therapist
Clincal Medical Assistant/ Certified Medical
Assistant
Community Health Worker certification
Electronic Health Records (EHR) Specialist
EMT: Basic, Intermediate, Advanced,
General (no specific level)
Paramedic/ Mobile Integrated Health
Patient Navigator and/or Peer Support
Specialist certification

12

Throughout this program, were any efforts
made to equip trainees with the skills
necessary to support delivery of care for
patients with long COVID-19?

13

What efforts were made in equipping trainees
with the skills necessary to support delivery of
care for patients with long COVID-19?

14

Throughout this program, were any efforts
made to equip trainees with the skills
necessary to support patients in need of
behavioral health care services?

15

What efforts were made in equipping trainees
will the skills necessary to support patients in
need of behavioral health care services?

Pulmonary Rehabilitation Certificate
Something else: Please specify [free-text]
Yes
Skip to
Q14

No

*

Free-text

500 character max

Yes
Skip to
Q16

No

*

Free-text

500 character max

Access & Equity
16

In what languages were trainings offered?
(Select all that apply.)

English
Spanish

*

Not listed here. Please specify (1 language
per line):
Attachment 4: RPHWTNP Grantee Exit Survey

17

18

Trainees
General Text
19

In what formats were trainings offered?
(Select all that apply.)

Please provide some examples of strategies
your training network or consortium, is using
to incorporate cultural responsiveness and
racial equity in the trainings that were offered.

*

Web-based, live
In-person, self-paced
Web-based, self-paced
Not listed above. Please specify: [free-text]
Our consortium used the following
strategies to incorporate cultural
responsiveness and racial equity in the
trainings:
Our consortium did not use any strategies
to incorporate cultural responsiveness and
racial equity in the trainings.

*

The following questions will ask about information relating to the types of individuals that trainings were available to within the RPHWTNP.
How many of the following individuals were
trainings made available to in the tracks
selected? (For tracks that your organization
did not select, please type "NA" under the
column titled "Not applicable/ Not selected.")
a. currently employed

b. individuals

20

In-person, live

Of those trained in the RPHWTNP, how many
trainees successfully completed their trainings
and received a certification, degree, and/or
other credential? (For tracks that your
organization did not select, please type "NA"
under the column titled "Not applicable/ Not
selected.")

*

Matrix: Individual type (currently employed
individuals, non-employed individuals) x
track selected (within consortium, outside of
consortium).
Matrix: Individual type (currently employed
individuals, non-employed individuals) x
track selected (within consortium, outside of
consortium).
Free-text Matrix response, 5 tracks (Track 1: *
Community Health Support, Track 2: Health
IT and/or Technical Support, Track 3:
Community Paramedicine, Track 4a: Case
Management, Track 4b: Respiratory
Therapists) x 3 columns (Formally selected
in application, Informally selected, Not
applicable/Not selected)

Numeric only

Numeric only

Attachment 4: RPHWTNP Grantee Exit Survey

21

Of those trained in the RPHWTNP, how many
trainees were hired into employment with an
organization in the consortium? (For tracks
that your organization did not select, please
type "NA" under the column titled "Not
applicable/ Not selected.")

22

What is the annual salary range offered to
trainees that were hired into employment
within the consortium, through the following
tracks: (Please enter numbers only. For
example, "$36,000 should be written as
"36000")

23

Of those trained in the RPHWTNP, how many
trainees were hired into employment with an
organization outside of the consortium? (For
tracks that your organization did not select,
please type "NA" under the column titled "Not
applicable/ Not selected.")

24

What is the annual salary range offered to
trainees that were hired into employment
outside of the consortium, through the
following tracks: (Please enter numbers only.
For example, "$36,000 should be written as
"36000")

Costs
General Text
25

Free-text Matrix response, 5 tracks (Track 1:
Community Health Support, Track 2: Health
IT and/or Technical Support, Track 3:
Community Paramedicine, Track 4a: Case
Management, Track 4b: Respiratory
Therapists) x 3 columns (Formally selected
in application, Informally selected, Not
applicable/Not selected)
Free-text Matrix response, 5 tracks (Track 1:
Community Health Support, Track 2: Health
IT and/or Technical Support, Track 3:
Community Paramedicine, Track 4a: Case
Management, Track 4b: Respiratory
Therapists) x 2 columns (Minimum Salary
Offered, Maximum Salary Offered)
Free-text Matrix response, 5 tracks (Track 1:
Community Health Support, Track 2: Health
IT and/or Technical Support, Track 3:
Community Paramedicine, Track 4a: Case
Management, Track 4b: Respiratory
Therapists) x 3 columns (Formally selected
in application, Informally selected, Not
applicable/Not selected)
Free-text Matrix response, 5 tracks (Track 1:
Community Health Support, Track 2: Health
IT and/or Technical Support, Track 3:
Community Paramedicine, Track 4a: Case
Management, Track 4b: Respiratory
Therapists) x 2 columns (Minimum Salary
Offered, Maximum Salary Offered)

*

Numeric only

*

Numeric only

*

Numeric only

*

Numeric only

The following questions will ask about information relating to costs associated for trainings administered through the training network, or
consortium, within the RPHWTNP.
Were trainees required to pay any fees out of
pocket to attend trainings that were offered
through this program?

Skip to
Q27

Yes
No

*

Attachment 4: RPHWTNP Grantee Exit Survey

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27

28

29
Funding
General Text
30
31

Please indicate the range of fees associated
with attending trainings offered through this
program.
Were there any trainings offered at a reduced
cost as a result of HRSA's funding?

Out of the funding received from HRSA, did
your organization ever provide any of the
following to one or more individuals enrolled
in this program? (Select all that apply.)

Cost per training min: free-text, cost per
training max: free-text

*

No
Unsure
Yes. Training costs will be reduced by the
following dollar ($) amount: [free-text]

Skip to
Q30
Skip to
Q30
Skip to
Q30
Skip to
Q30
Skip to
Q30
Skip to
Q30
Skip to
Q30

What is the total amount of funding in
scholarships that your organization distributed
to trainees in this program?

Numeric only

Numeric only

Yes. Training costs will be reduced by the
following percentage (%): [free-text]

*

Scholarships for trainings
Transportation

*

Numeric only

Childcare
Food assistance
Internet/ Internet access
Equipment (computer, headphones, tablets,
etc.)
Other. Please specify [ free-text]
None of the above was/ were provided to
any individuals in the RPHWTNP.
Free-text

Numeric only

The following questions will ask about information relating to funding, and funding sources, for your activities within the RPHWTNP.
Was HRSA the primary funding source your
organization utilized to implement this
program?
Did your organization receive additional, or
supplementary, funding outside of HRSA's
funding to support your efforts in this
program?

No
Yes
Skip to
Q33

*

No
Yes

*
Attachment 4: RPHWTNP Grantee Exit Survey

32

What other funding sources were used to
support your efforts in this program?

I prefer not to answer
Please describe other funding sources for
this program. [Free-text]

*

Sustainability
General Text

The following questions will ask about information relating to sustainability of the RPHWTNP after the period of performance ends.

33

Does your organization anticipate continuing
the program and maintenance of the training
consortium after HRSA's period of
performance ends?
How does your organization anticipate
continuing the program?

34
35

Skills
36

What challenges hinder your organization's
ability to continue the RPHWTNP? Please
select all that apply.

In building a stronger workforce, how would
you rate the importance of the skills listed
below? Please rate on a scale of 1 (not at all
important) to 5 (very important).
Technical Skills
Benefits counseling
Billing and coding
Case management
Contract management
CPR/AED

Skip to
Q35

No
Yes

*

Free-text

500 character max

Lack of funding

*

Low trainee participation
Limited partners to collaborate with
Challenges in managing partnerships
Limited/decreased buy-in from organization
leadership
Other. Please explain [free-text]

500 character max
*

Likert scale (not at all important - extremely
important)
Likert scale (not at all important - extremely
important)
Likert scale (not at all important - extremely
important)
Likert scale (not at all important - extremely
important)
Likert scale (not at all important - extremely
important)
Attachment 4: RPHWTNP Grantee Exit Survey

Crisis intervention
Math and science
Physical strength
Programming
Service coordination
Soft Skills
Analytical
Coordination
Critical thinking
Decision making
Listening
Interpersonal
Problem-solving
Time management
Verbal communication
Written communication
37

Please list up to 5 additional skills not
previously mentioned that your consortium
prioritizes with respect to one more specific
training tracks.

Likert scale (not at all important - extremely
important)
Likert scale (not at all important - extremely
important)
Likert scale (not at all important - extremely
important)
Likert scale (not at all important - extremely
important)
Likert scale (not at all important - extremely
important)
Likert scale (not at all important - extremely
important)
Likert scale (not at all important - extremely
important)
Likert scale (not at all important - extremely
important)
Likert scale (not at all important - extremely
important)
Likert scale (not at all important - extremely
important)
Likert scale (not at all important - extremely
important)
Likert scale (not at all important - extremely
important)
Likert scale (not at all important - extremely
important)
Likert scale (not at all important - extremely
important)
Likert scale (not at all important - extremely
important)
Free-text, up to 5 options

Attachment 4: RPHWTNP Grantee Exit Survey