OLD***Child Health Training Program Challenge Process

CHERRN Annual Re-rostering Requirements
The annual re-rostering requirements fall into three categories

Annual CHERRN Re-Rostering Requirements For CHERRNS who meet the minimum clinical hours, preventative visits, and continuing education hours requirements.
Challenge Process for Currently Rostered CHERRNs For CHERRNS who DID NOT meet the minimum requirements.
Challenge Process for Previously Rostered CHERRNs For RNs that did not meet the deadline for submitting the CHERRN Re-Rostering required information. This also applies for RNs that were previously rostered as a CHERRN within the past 5 years. If greater than 5 years since RN was rostered as a CHERRN, the RN will be required to complete the Child Health Training Program to become rostered as a CHERRN.

The Child Health Enhanced Role Registered Nurse (CHERRN) Training Program Challenge Process

CHERRNs who do not meet the required 10 hours of approved continuing education and 100 hours of clinical practice for annual re-rostering must complete the challenge process to be rostered. Only rostered CHERRNs may provide and bill for pediatric preventative services.

Challenge Process for CHERRNs with no previous lapse in rostering

If re-rostering requirements are not met, the Challenge Process for the CHTP will consist of the following:

A chart review of 2 preventative visits completed by the CHERRN to ensure the CHERRN understands the current Health Check Program Guide requirements and maintains RN Scope of practice. These charts will be randomly selected.
- Note: This review can be completed onsite or via remote access. If completing the review remotely, the LHD may grant access to review charts with “read-only” access, or the LHD can de-identify the chart, scan, and send documentation via password protected/encrypted email. The LHD HIPAA Officer will need to review all documentation to ensure all aspects of the chart have been de-identified prior to submitting to the RCHNC for review.
A physical exam check-off will be completed by the Regional Child Health Nurse Consultant (RCHNC) using the CHTP Clinical Performance Review Tool.
- Note: The physical exam check-off can be completed onsite or remotely through Microsoft Teams. If the physical exam is completed remotely, each challenge candidate will need a staff member to volunteer to serve as the videographer during the physical exam check-off and the Microsoft Teams app will need to be downloaded on a cellphone, I-Pad, or tablet which will be used by the videographer during the physical exam check-off.
- If the physical exam check-off is completed remotely, no actual client will be used to prevent inadvertent release of PHI.
  - Possible volunteers to serve as the client during the check-off include the following and will be based on the agency’s internal COVID-19 restrictions:
  - Staff member
  - Child/family member of student

Challenge Process for previously rostered CHERRNs - 1-5 years since previously rostered
If it has been less than six years since the CHERRNs were rostered, the CHERRNs may challenge the Child Health Training Program course to complete the rostering process.

The Challenge Process for the CHTP will consist of the following:

A Challenge Exam (75 multiple choice questions and 1 clinical practice scenario). A minimum grade of 80% must be obtained to successfully pass the exam.
- A link to access the online CHTP Challenge Process Exam will be sent to the RN.
- The exam will be completed online. The agency DON/Supervisor will work with the RCHNC to schedule a date and time for the student to complete the exam.
- The DON or designee will be responsible for proctoring the student during the entire exam. Please identify a quiet room where the student can expect minimal disruption. The candidate will have three hours to complete the exam and scenario. Students may take restroom breaks as needed during the three-hour testing period.
- The completed exam and scenario will be submitted to CHTP faculty electronically.
- The candidate must score a minimum of 80% on the exam to proceed with the challenge process.
A physical exam check-off will be completed by the RCHNC using the CHTP Clinical Performance Review Tool.
- Note: Due to the COVID-19 Pandemic and current travel restrictions, the physical exam check-off will be completed remotely through Microsoft Teams. Each challenge candidate will need a staff member to volunteer to serve as the videographer during the physical exam check-off and the Microsoft Teams app will need to be downloaded on a cellphone, I-Pad, or tablet which will be used by the videographer during the physical exam check-off.
- No actual client will be used for the checkoff to prevent inadvertent release of PHI.
  - Possible volunteers to serve as the client during the check-off include the following and will be based on the agency’s internal COVID-19 restrictions:
  - Staff member
  - Child/family member of student
The RCHNC will complete a chart review of 2 preventative visits completed by the CHERRN to ensure the CHERRN understands the current Health Check Program Guide requirements and maintains RN Scope of practice.
- Due to the candidate not being rostered and completing pediatric preventative assessments for greater than one year, the following process will be completed for the documentation review:
  - The candidate will observe 2 comprehensive preventative visits completed by an agency APP or physician. The candidate will observe all components of the assessment including the health record review, history, physical and development of the plan of care.
  - The candidate will document the visits in a EHR “test” format for submission to the RCHNC for review. The candidate will not access the visit documentation completed by the billing provider prior to completing the required “test” documentation for submission. The RCHNC will send the candidate a signature form to be completed by the candidate and the billing provider and submitted with the documentation for review.
  - As the billing provider, the APP or physician will complete the legal documentation of the visit in the EHR.
  - Note: The review of the candidate’s documentation can be completed via “Read-Only” remote access granted from the LHD. Or the LHD will be responsible for de-identifying the test chart, scanning, and sending documentation via password protected/encrypted email. Since the “test” chart is completed on an actual client, the LHD HIPAA Officer will need to review all documentation to ensure all aspects of the chart have been de-identified prior to submitting to the RCHNC for review.

Application

To apply, you must complete and submit the application for the Child Health Training Program Challenge Process. (See the link below for access to the application) Faxed applications will not be accepted. A copy of your application will be sent to your RCHNC. Your RCHNC will review the application. Upon approval of the application, your RCHNC will contact the agency to assure an appropriate proctor for the exam is available and schedule a date to begin the challenge process.
(click here for the Challenge Application)
(click here to download the RCHNC map).

Registration and Fee Process

Please Note: Fees for the Challenge Process have been waived for 2022 due to the COVID-19 Pandemic response efforts.

Rostering

Once the candidate has successfully completed the challenge process, the Children & Youth Branch will provide required rostering documentation to the NC DPH Office of the Chief Public Health Nurse. The official re-rostering letter will be sent from the NC DPH Office of the Chief Public Health Nurse to the DON in writing within one week. The official re-rostering letter will explain that the RN can resume providing and billing preventative services for infants, children, and adolescents from birth through 20 years of age.

For More Information

For more information, contact Tara Lucas at Tara.Lucas@dhhs.nc.gov.