Department of Management, Policy, and Community Health, University of Texas School of Public Health, 1200 Pressler Street, 77030, Houston, USA.
Department of Maternal and Child Health, University of North Carolina - Chapel Hill, 135 Dauer Drive, 27599, Chapel Hill, North Carolina, USA.
Matern Child Health J. 2022 Aug;26(Suppl 1):169-175. doi: 10.1007/s10995-022-03437-y. Epub 2022 Apr 27.
State Title V programs collaborate with diverse partners to improve maternal and child health. Since 2014, the National Maternal and Child Health Workforce Development Center has trained Title V leaders in facilitating system change. This article describes aspects of initial collaborative readiness differentiating state and jurisdiction teams that later reported meeting their goals to greater or lesser degrees.
We used quantitative data from initial team leader reports to characterize readiness to collaborate with external partners, and their responses twelve months later to a prompt about how fully they had accomplished their goals. In addition, we coded excerpts from team leader accounts six and twelve months into their work with the Center, and retrospective coach perspectives, to identify collaborative readiness patterns.
Teams whose leaders reported higher goal accomplishment twelve months after beginning work with the Center had initially reported higher levels of collaboration with key partners. Our analyses suggest that such teams were also better able to use their cohort experience with the Center to improve collaboration, including information sharing with external stakeholders. Challenges working with Medicaid were reported both by teams with more and less goal accomplishment.
Title V teams with lower levels of initial collaborative readiness may benefit from additional support in skill development, connections to key partners, and convening power. Given the crucial and increasing role of Medicaid in maternal and child health systems, more attention may be warranted to supporting all Title V programs in partnering with this funder.
州标题 V 计划与各种合作伙伴合作,以改善母婴健康。自 2014 年以来,国家母婴健康劳动力发展中心已培训标题 V 领导人以促进系统变革。本文描述了在最初的合作准备方面区别于州和司法管辖区团队的方面,这些团队后来报告在实现目标方面取得了更大或更小程度的成功。
我们使用初始团队领导报告中的定量数据来描述与外部合作伙伴合作的准备情况,以及他们在 12 个月后对完成目标程度的回应。此外,我们对团队领导在与中心合作的第六个月和第十二个月的记录以及回顾性教练观点进行了编码,以确定合作准备模式。
在开始与中心合作 12 个月后报告更高目标完成率的团队的领导者最初报告了与关键合作伙伴更高水平的合作。我们的分析表明,这些团队也能够更好地利用他们在中心的集体经验来改善合作,包括与外部利益相关者共享信息。与医疗补助合作的挑战,无论是在目标完成程度较高的团队还是较低的团队中都有报告。
在最初的合作准备方面水平较低的标题 V 团队可能需要在技能发展、与关键合作伙伴的联系以及召集权力方面获得额外支持。鉴于医疗补助在母婴健康系统中的关键和日益重要的作用,可能需要更多关注支持所有标题 V 计划与该资助者合作。