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Title V Workforce Development in the Era of Health Transformation


Purpose The National Maternal and Child Health Workforce Development Center at UNC Chapel Hill (the Center), funded by the Maternal and Child Health Bureau, provides Title V state/jurisdiction leaders and staff and partners from other sectors with opportunities to develop skills in quality improvement, systems mapping and analysis, change management, and strategies to enhance access to care to leverage and implement health transformation opportunities to improve the health of women and children. Description Since 2013, the Center has utilized a variety of learning platforms to reach state and jurisdiction Title V leaders. In the intensive training program, new skills and knowledge are applied to a state-driven health transformation project and include distance-based learning opportunities, multi-day, in-person training and/or onsite consultation, as well as individualized coaching to develop workforce skills. Assessment The first intensive cohort of eight states reported enhanced skills in the core areas of quality improvement, systems mapping and analysis, change management, and strategies to enhance access to care which guided changes at state system and policy levels. In addition, teams reported new and/or enhanced partnerships with many sectors, thereby leveraging Title V resources to increase its impact. Conclusion The Center’s provision of core workforce skills and application to state-defined goals has enabled states to undertake projects and challenges that not only have a positive impact on population health, but also encourage collaborative, productive partnerships that were once found to be challenging—creating a workforce capable of advancing the health and wellbeing of women and children.

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The National MCH Workforce Development Center is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under Grant number UE7MC26282 for $1,837,391 with no support from nongovernmental sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. government. We thank Michelle Tissue, the project officer, for her thoughtful guidance and contributions to the Center. Sarah Beth McClellan contributed to the evaluation. Kathryn Mitchell directed the qualitative analysis. Anita Farel served as the co-director of the Center and reviewed earlier drafts of the manuscript. This report would not have been possible without the key efforts of the four core teams and Center staff. We acknowledge the commitment and effort of the state teams from Colorado, Georgia, Hawaii, Illinois, Iowa, Minnesota, Mississippi, and Rhode Island.

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Correspondence to Lewis Margolis.

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Margolis, L., Mullenix, A., Apostolico, A.A. et al. Title V Workforce Development in the Era of Health Transformation. Matern Child Health J 21, 2001–2007 (2017).

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  • Workforce development
  • Title V workforce