2019 Educational Series Survey: Gaining Ground: The Primary Care Pediatrician's Role in Public Health Systems of Care for CYSHCN

Thank you for participating in the National Resource Center for Patient/Family-Centered Medical Home 3 episode podcast series, "Gaining Ground: The Primary Care Pediatrician's Role in Public Health Systems of Care for Children and Youth with Special Health Care Needs."

Please complete the following survey about your podcast series listening experience. Your feedback will be used to improve the quality of our podcasts and educational opportunities in the future.

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* 1. Overall, how would you rate this podcast series?

Excellent

Good

Fair

Poor

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* 2. Which of the topics covered in this podcast series were most useful to you?

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* 3. How likely are you to use what you learned in your practice, state, or organization?

Very likely

Somewhat likely

Not very likely

Not at all likely

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* 4. We would like to know more about how you plan to use what you learned from this podcast series - please tell us in the space below.

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* 5. Please rate the extent to which you feel the podcast series achieved the stated learning objectives.

	A great deal	Somewhat	Not much	Not at all
Describe the history and purpose of the Maternal and Child Health, or MCH, Services Block Grant (or Title V of the Social Security Act)	Describe the history and purpose of the Maternal and Child Health, or MCH, Services Block Grant (or Title V of the Social Security Act) A great deal	Describe the history and purpose of the Maternal and Child Health, or MCH, Services Block Grant (or Title V of the Social Security Act) Somewhat	Describe the history and purpose of the Maternal and Child Health, or MCH, Services Block Grant (or Title V of the Social Security Act) Not much	Describe the history and purpose of the Maternal and Child Health, or MCH, Services Block Grant (or Title V of the Social Security Act) Not at all
Discuss the role of primary care pediatricians in state Title V MCH/ Children and Youth with Special Health Care Needs (hereafter referred to as Title V MCH / CYSHCN) block grant programs and partners	Discuss the role of primary care pediatricians in state Title V MCH/ Children and Youth with Special Health Care Needs (hereafter referred to as Title V MCH / CYSHCN) block grant programs and partners A great deal	Discuss the role of primary care pediatricians in state Title V MCH/ Children and Youth with Special Health Care Needs (hereafter referred to as Title V MCH / CYSHCN) block grant programs and partners Somewhat	Discuss the role of primary care pediatricians in state Title V MCH/ Children and Youth with Special Health Care Needs (hereafter referred to as Title V MCH / CYSHCN) block grant programs and partners Not much	Discuss the role of primary care pediatricians in state Title V MCH/ Children and Youth with Special Health Care Needs (hereafter referred to as Title V MCH / CYSHCN) block grant programs and partners Not at all
Identify opportunities for partnership or collaboration between Title V MCH/ CYSHCN programs, families, and primary care pediatricians in advancing the medical home model of care for CYSHCN	Identify opportunities for partnership or collaboration between Title V MCH/ CYSHCN programs, families, and primary care pediatricians in advancing the medical home model of care for CYSHCN A great deal	Identify opportunities for partnership or collaboration between Title V MCH/ CYSHCN programs, families, and primary care pediatricians in advancing the medical home model of care for CYSHCN Somewhat	Identify opportunities for partnership or collaboration between Title V MCH/ CYSHCN programs, families, and primary care pediatricians in advancing the medical home model of care for CYSHCN Not much	Identify opportunities for partnership or collaboration between Title V MCH/ CYSHCN programs, families, and primary care pediatricians in advancing the medical home model of care for CYSHCN Not at all
Describe benefits of collaboration between Title V MCH/ CYSHCN programs, families, and pediatricians	Describe benefits of collaboration between Title V MCH/ CYSHCN programs, families, and pediatricians A great deal	Describe benefits of collaboration between Title V MCH/ CYSHCN programs, families, and pediatricians Somewhat	Describe benefits of collaboration between Title V MCH/ CYSHCN programs, families, and pediatricians Not much	Describe benefits of collaboration between Title V MCH/ CYSHCN programs, families, and pediatricians Not at all

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* 6. Specific to your involvement/interest in pediatric medical home, which of the following BEST describes you?

Health Care Provider/Professional

Pediatrician

Family Member or Family Advocate

Community-based/Local Organization Staff

State Maternal and Child Health Agency Staff

Education/Academia

Other (please specify)

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* 7. What specific topics would interest you for future educational opportunities hosted by the National Resource Center for Patient/Family-Centered Medical Home?

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* 8. If you do not currently receive emails via the National Resource Center for Patient/Family-Centered Medical Home listserv, would you like to join and receive information about upcoming webinars, educational opportunities, and new resources?

Yes

If "Yes" please provide your contact information including full name and email address.

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* 9. Do you have any additional comments about this podcast series?

Thank you!