Final Capacity Survey CBCS 7_13_2016
OMB Control No.: xxxx-xxxx
Expiration Date: xx/xx/20xx
THE
PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) Public reporting
burden for this collection of information is estimated to average 18
minutes per response, including the time for reviewing instructions,
gathering and maintaining the data needed, and reviewing the
collection of information. 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.
Below are skills and approaches that people sometimes use and develop when working on solving problems, or developing strategies to make improvements to their services or agency’s functioning. No group is expected to have, or develop, all of these skills.
Administration One:
Please think about the group of people from your child welfare agency who are currently working with the Center for States on (prefill name of component from CapTRACK) and describe the group’s current knowledge for each task listed. Then please give us your opinion of the group’s knowledge before your work with Center for States (First administration: prefill date work plan began from CapTRACK).
Administration Two and Three:
Please think about the group of people from your child welfare agency who are currently working with Center for States on (prefill name of component from CapTRACK) and describe the group’s current knowledge for each task listed. Then please give us your opinion of the group’s knowledge one year ago (prefill date of last survey administration from CapTRACK).
CM Knowledge & Skills Constructs (Steps construct found) |
CURRENT KNOWLEDGE |
BEFORE working with Center for States/ ONE YEAR AGO |
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Not knowledgeable at all |
Slightly knowledgeable |
Moderately knowledgeable |
Very knowledgeable |
Extremely knowledgeable |
Not knowledgeable at all |
Slightly knowledgeable |
Moderately knowledgeable |
Very knowledgeable |
Extremely knowledgeable |
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When we want to explore a problem, or make an improvement in our services, we know how to: |
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Engage Partners (Step 2,3,4,5) |
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Engage Partners (Step 2,3,4,5) |
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Seek Data (Steps 1,3,4) |
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Analyze data (Steps 1,3,4,10,11) |
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When considering ways that we might make improvements to our services, we know how to: |
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Use Research (Steps 4,5,6) |
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Assess Capacity (Step 1, 5, 7, 8, 12) |
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Assess Capacity (Step (1,5,7,8,12) |
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When we select, or design strategies, programs, or interventions) to make improvements, we know how to: |
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Design Innovation (5,6) |
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When we are planning on implementing a strategy, program or intervention, we know how to: |
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Build Capacity (Steps 7,8) |
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Implement-ation (Step 9) |
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Implement-ation (Steps (7,9,10,11,12) |
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When we want to evaluate the improvements we are trying to make, we know how to: |
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Design Evaluation (4,6) |
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Design Evaluation (4,6) |
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Use Data (9,10,11,12) |
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Some jurisdictions may be working with the Capacity Building Center for States on more than one issue. For this survey, please think about your current work on (prefill name of component from CapTRACK) and choose the response that best reflects your current opinion.
Please then provide us with your opinion as it was (before working with Center for States/one year ago) (First administration: prefill date work plan began from CapTRACK)/second administration: prefill date of last survey administered one year ago).
Assessment of Capacities: Org Culture/Climate, Engagement/Partnership, Resources, Infrastructure (Governance/Decision making) |
NOW |
BEFORE working with Center for States/ ONE YEAR AGO |
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Strongly disagree |
Disagree |
Neither agree nor disagree |
Agree |
Strongly Agree |
Strongly disagree |
Disagree |
Neither agree nor disagree |
Agree |
Strongly Agree |
Org Culture/ Climate: Leadership |
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Org Culture/ Climate: Leadership |
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Org Culture/ Climate: Norms/Values |
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Org Culture/ Climate: Workforce |
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Resources: staffing |
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Infrastructure: Governance/ Decision Making |
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Engagement/partnership: internal |
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Engagement/partnership: external |
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Infrastructure: Policies & Procedures |
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If no, check the closest reason why not:
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NOW |
ONE YEAR AGO |
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Where are you NOW in your planning/ implementation of these court rules and/or policies? |
Where were you (before working with Center for States/one year ago) in your planning/implementation of these policies and/or procedures? |
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Have not yet started work (move to next Infrastructure Q) |
Planning/ designing/ (move to One Year Ago Q) |
Starting to Implement (move to One Year Ago Q) |
Partly implemented (move to On Year Ago Q) |
Fully implemented (continue to Quality indicators) |
Had not yet started work (move to next Infrastructure Q) |
Planning/ designing (move to next Infrastructure Q) |
Starting to Implement (move to next Infrastructure Q) |
Partly implemented (move to next Infrastructure Q) |
Fully implemented (continue to Quality indicators) |
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Quality indicators:
In thinking about the policies and/or procedures you have implemented, please check if you agree with the following:
Policies and/or procedures that we’ve developed with Center for States
(move to One Year Ago Q) |
Quality indicators:
In thinking about the policies and/or procedures you implemented, please check if you agree with the following:
Policies and/or procedures that we developed (before working with Center for States/one year ago):
(move to next infrastructure Q) |
Infrastructure: Staff Selection/ Recruitment |
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If no, check the closest reason why not:
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NOW |
ONE YEAR AGO |
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Where are you NOW in your development or improvement of identifying, hiring, and/or selecting qualified people for the right tasks and roles? |
Where were you (before working with Center for States/one year ago) in the development or improvement of your identifying, hiring, and or selecting qualified people for the right tasks and roles? |
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Have not yet started work (move to next Infrastructure Q) |
Planning/ designing/ (move to One Year Ago Q) |
Starting to Implement (move to One Year Ago Q) |
Partly implemented (move to On Year Ago Q) |
Fully implemented (continue to Quality indicators) |
Had not yet started work (move to next Infrastructure Q) |
Planning/ designing (move to next Infrastructure Q) |
Starting to Implement (move to next Infrastructure Q) |
Partly implemented (move to next Infrastructure Q) |
Fully implemented (continue to Quality indicators) |
Quality indicators: In thinking about the activities you have implemented, please check if you agree with the following: Our work with Center for States on identifying, hiring, and/or selecting qualified people include:
(move to One Year ago Q)
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Quality indicators: In thinking about the activities you implemented, please check if you agree with the following: Our work with Center for States (before working with Center for States/one year ago) in identifying, hiring, and/or selecting qualified people included:
(move to next infrastructure Q) |
Infrastructure: Training |
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If no, check the closest reason why not:
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NOW |
ONE YEAR AGO |
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Where are you NOW in your development or improvement of training? |
Where were you (before working with Center for States/one year ago) in your development or improvement of training? |
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Have not started work yet (move to next Infrastructure Q) |
Planning/ designing/ developing (move to One Year Ago Q) |
Starting to Implement/Put in place (move to One Year Ago Q) |
Partly implemented/Put in place (move to One Year Ago Q) |
Fully implemented/ In place (continue to Quality indicators) |
Had not started to work on (move to next Infrastructure Q) |
Planning/ designing/ developing (move to next Infrastructure Q) |
Starting to Implement/ Put in place (move to next Infrastructure Q) |
Partly implemented/ Put in place (move to next Infrastructure Q) |
Fully implemented/ In place (continue to Quality indicators) |
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Quality indicators: In thinking about the training, or training system improvements you have implemented, please check if you agree with the following: Training/training system improvements developed with Center for States includes:
(move to One Year ago Q)
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Quality indicators: In thinking about the training, or training system improvements you implemented, please check if you agree with the following: Training/training system improvements developed (before working with Center for States/one year ago) included:
(move to next infrastructure Q) |
Infrastructure: Supervision |
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If no, check the closest reason why not:
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NOW |
ONE YEAR AGO |
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Where are you NOW in your development/improvement of supervisory or other processes to coach and support professionals/staff? |
Where were you (before working with Center for States/one year ago) in your development/improvement of supervisory or other processes to coach and support professionals/staff? |
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Have not yet started work (move to next Infrastructure Q) |
Planning/ designing/ (move to One Year Ago Q) |
Starting to Implement (move to One Year Ago Q) |
Partly implemented (move to On Year Ago Q) |
Fully implemented (continue to Quality indicators) |
Had not yet started work (move to next Infrastructure Q) |
Planning/ designing (move to next Infrastructure Q) |
Starting to Implement (move to next Infrastructure Q) |
Partly implemented (move to next Infrastructure Q) |
Fully implemented (continue to Quality indicators) |
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Quality indicators: In thinking about the activities you have implemented, please check if you agree with the following: Supervisory or other coaching/mentoring processes that we’ve developed with Center for States include:
(move to One Year ago Q)
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Quality indicators: In thinking about the activities you have implemented, please check if you agree with the following: Supervisory or other coaching/mentoring processes that were developed (before working with Center for States/one year ago) included:
(move to next Infrastructure Q) |
Infrastructure: Evaluation/CQI |
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If no, check the closest reason why not:
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NOW |
ONE YEAR AGO |
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Where are you NOW in your planning/ implementation of these data collection, data use, and/or evaluation activities? |
Where were you (before working with Center for States/one year ago) in your planning/implementation of these data collection, data use, and/or evaluation activities? |
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Have not yet started work (move to next Infrastructure Q) |
Planning/ designing/ (move to One Year Ago Q) |
Starting to Implement (move to One Year Ago Q) |
Partly implemented (move to On Year Ago Q) |
Fully implemented (continue to Quality indicators) |
Had not yet started work (move to next Infrastructure Q) |
Planning/ designing (move to next Infrastructure Q) |
Starting to Implement (move to next Infrastructure Q) |
Partly implemented (move to next Infrastructure Q) |
Fully implemented (continue to Quality indicators) |
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Quality indicators: In thinking about the activities improvements you have implemented, please check if you agree with the following: Data collection/data use/evaluation activities that we’ve implemented with Center for States include:
(move to One Year Ago Q) |
Quality indicators: In thinking about the activities you implemented, please check if you agree with the following: Data collection/data use/evaluation activities that we implemented (before working with Center for States/one year ago) included:
(move to next Infrastructure Q)
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Infrastructure: Communication structures - External |
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If no, check the closest reason why not:
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NOW |
ONE YEAR AGO |
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Where are you NOW in your development or improvement of strategies to communicate with external partners/the community?
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Where were you (before working with Center for States/one year ago) in your development or improvement of strategies to communicate with external partners/the community? |
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Have not yet started work (move to next Infrastructure Q) |
Planning/ designing/ (move to One Year Ago Q) |
Starting to Implement (move to One Year Ago Q) |
Partly implemented (move to On Year Ago Q) |
Fully implemented (continue to Quality indicators) |
Had not yet started work (move to next Infrastructure Q) |
Planning/ designing (move to next Infrastructure Q) |
Starting to Implement (move to next Infrastructure Q) |
Partly implemented (move to next Infrastructure Q) |
Fully implemented (continue to Quality indicators) |
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Quality indicators: In thinking about the strategies that you have implemented, please check if you agree with the following: External communication strategies that we’ve developed with Center for States include:
(move to One Year Ago Q) |
Quality indicators: In thinking about the strategies you implemented, please check if you agree with the following: External communication strategies that were developed (before working with Center for States/one year ago) included:
(Move to next Q) |
Infrastructure: Communication structures - Internal |
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If no, check the closest reason why not:
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NOW |
ONE YEAR AGO |
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Where are you NOW in your planning/ implementation of these internal communication activities? |
Where were you (before working with Center for States/one year ago) in your planning/implementation of these internal communication activities? |
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Have not yet started work (move to next Infrastructure Q) |
Planning/ designing/ (move to One Year Ago Q) |
Starting to Implement (move to One Year Ago Q) |
Partly implemented (move to On Year Ago Q) |
Fully implemented (continue to Quality indicators) |
Had not yet started work (move to next Infrastructure Q) |
Planning/ designing (move to next Infrastructure Q) |
Starting to Implement (move to next Infrastructure Q) |
Partly implemented (move to next Infrastructure Q) |
Fully implemented (continue to Quality indicators) |
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Quality indicators: In thinking about the activities you have implemented, please check if you agree with the following: Internal communication strategies that we’ve developed with Center for States include:
(move to One Year Ago Q) |
Quality indicators: In thinking about the activities you implemented, please check if you agree with the following: Internal communication strategies developed (before working with Center for States/one year ago) included:
(move to next Infrastructure Q) |
Knowledge and Skills: Practice- Innovation Specific |
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If no, check the closest reason why not:
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NOW |
ONE YEAR AGO |
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Where are you NOW in your improvement of skills and knowledge within your agency? |
Where were you (before working with Center for States/one year ago) in your planning/implementation of developing skills within your agency? |
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Have not yet started work (move to next Infrastructure Q) |
Planning/ designing/ (move to One Year Ago Q) |
Starting to Implement (move to One Year Ago Q) |
Partly implemented (move to On Year Ago Q) |
Fully implemented (continue to Quality indicators) |
Had not yet started work (move to next Infrastructure Q) |
Planning/ designing (move to next Infrastructure Q) |
Starting to Implement (move to next Infrastructure Q) |
Partly implemented (move to next Infrastructure Q) |
Fully implemented (continue to Quality indicators) |
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Quality indicators: In thinking about the development of these increased knowledge and skills, please check if you agree with the following: Our work with Center for States to increase knowledge and skills includes:
(move to One Year Ago Q) |
Quality indicators: In thinking about the development of these increased knowledge and skills, please check if you agree with the following: Our work to increase knowledge and skills (before working with Center for States /one year ago) included:
Move to next Q |
Please think about the group of people from your child welfare agency who are currently working with Center for States on (prefill name of component from CapTRACK) and describe the group’s current knowledge for each question below. Then please give us your opinion of the group’s knowledge (before working with Center for States/one year ago) (First administration: prefill date work plan began from CapTRACK)/second administration: prefill date of last survey administered one year ago).
CM Knowledge - Approach (Approach introduced in Phase) |
CURRENT KNOWLEDGE |
BEFORE working with Center for States / ONE YEAR AGO |
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By working with Center for States, our team has developed knowledge in: |
Not knowledgeable at all |
Slightly knowledgeable |
Moderately knowledgeable |
Very knowledgeable |
Extremely knowledgeable |
Not knowledgeable at all |
Slightly knowledgeable |
Moderately knowledgeable |
Very knowledgeable |
Extremely knowledgeable |
(Overall Approach) |
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(Phase 1) |
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(Phase 2) |
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(Phase 3) |
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(Phase 4) |
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(Phase 5) |
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What is your team, or group receiving services from the Capacity Building Center, able to do --or able to do better-- that you weren’t able to before receiving services from Center for States? (open ended)
What is challenging for you in your work with Center for States? (open ended)
Is there anything else you would like us to know about your work with the Center for States? (open ended)
Purple
= constructs/evaluation references, will not be visible on actual
survey;
Blue
= administration/programming instructions, not visible on survey;
(italics
= customized prefill)
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Tammy Richards |
File Modified | 0000-00-00 |
File Created | 2021-01-23 |