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2022-2023 Child Health Training Program Information Page

Overview and Program Sections

This page will provide you with information regarding the 2022-2023 Child Health Training Program.
Important Dates

Applications due: July 21, 2022

Registration/Payment deadline: August 15, 2022
*More information on the registration process and the application link are provided below.

Online Pre-Training Assignments: August 18 - September 9, 2022

In person Classroom Week One: September 19 - September 23, 2022

Supervised Clinical Practicum: September 26, 2022 - February 17, 2023

In person Classroom Week Two: February 27 - March 3, 2023
* See the link to the 2022-2023 CHTP Course Overview for details on the virtual classroom below.

Course Overview
The Child Health Training Program (CHTP) was designed to provide a standardized curriculum for registered nurses (RN) who perform Early and Periodic Screening and Diagnostic Treatment (EPSDT) or Health Check screenings. The course focus is on the American Academy of Pediatrics (AAP) Bright Futures evidence-based recommendations as the clinical framework. The course addresses all required components of the Health Check screening visit, focusing on the comprehensive pediatric history and the complete physical assessment. There is a strong emphasis on identification of problems, assuring appropriate consultation, referral and/or treatment of identified problems, along with documentation to support the quality of care and billing requirements. The course is a stand-alone training; public health nurses are not required to have completed other pediatric or physical assessment training programs prior to enrolling in the CHTP; however, six months of experience in ambulatory pediatrics is strongly recommended.

The Child Health Training Program is designed to provide nurses in local health departments with the skills they need to perform physical assessments and to function under standing orders.
  • The course includes a supervised clinical practicum with local agency physician(s) or advanced practice provider(s).
  • The course requires an application. (Must be completed with clinical preceptor information and applicant's signature.)
Learner Outcomes:
Upon completion of this course, the students will be able to:


  • Document the nursing assessment of the physical, developmental, and psychosocial status of children and adolescents based on AAP Bright Futures recommendations and the Health Check Program Guide requirements.
  • Develop an appropriate plan of care and provide appropriate consultation and/or referral for clients with identified or suspected abnormalities.
  • Demonstrate and follow agency appropriate nursing standing orders and clinical policies while following RN scope of practice.
  • Provide client-focused, age-appropriate anticipatory guidance to children, adolescents, and families.

  • 171.75 NCPD Contact Hours and CPH Recertification Credits may be earned upon successful completion. 
  • For successful completion, participants must attend 100% of the educational activity, make at least 80% passing grade on the final exam and complete the online course evaluations.
  • There will be no partial credit awarded.
  • No one with the ability to control the content of this activity has a relevant financial relationship with an ineligible company to disclose.  
  • No commercial support has been received for this activity.  
  • This educational activity is being jointly provided by the Public Health Nursing Institute for Continuing Excellence (PHNICE) and the North Carolina Public Health Association.    
Provider Statement
The Public Health Nursing Institute for Continuing Excellence is approved as a provider of nursing continuing professional development by the North Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

Medicaid Reimbursement for the Health Department
Successful completion of this course qualifies RNs to be rostered through the Office of the North Carolina Chief Public Health Nurse with the NC Division of Public Health as a Child Health Enhanced Role Registered Nurse (CHERRN). Once rostered, the CHERRN is qualified to perform comprehensive pediatric histories and EPSDT (Health Check) screenings using the American Academy of Pediatrics (AAP) Bright Futures evidence-based recommendations as the clinical framework. Rostered CHERRNs provide comprehensive pediatric preventative evaluations in compliance with agency nursing standing orders, NC Medicaid billing guidelines, and the North Carolina Nurse Practice Act.

The Division of NC Health Benefits reimburses for Health Check Screenings performed by a rostered CHERRN. The Medicaid reimbursement of Health Check visits by CHERRNs is the same as for physicians or nurse practitioners at a minimum rate of $90.00; the cost of CHERRN training can be recovered in as few as 28 billed Health Check visits. Activity 351 HMHC Child Health funds may be used at the same rate to offset the cost of preventative visits for non-Medicaid, non-insured clients. Additionally, with Division of Child and Family Well-Being (DCFW) approval, agencies may use Activity 351 funds to support the training of CHERRNs.

The Child Health Enhanced Role Registered Nurse
The CHERRN was established to increase access to preventative care for underserved and at-risk children. The N.C. Division of Public Health has a memorandum of understanding with NC Health Benefits to train and roster CHERRNs.  Only rostered CHERRNs may bill NC Health Benefits for services or use Title V funds to support preventative services. CHERRNs practice within the North Carolina Nurse Practice Act. Training and rostering allow the CHERRN to bill for Medicaid services but does not extend the RN scope of practice.

The Public Health Nursing and Professional Development Unit (PHNPDU) and the Child Health Program work collaboratively to support the CHERRN. PHNPDU consultants provide nursing scope of practice and billing and coding guidance. Regional Child Health Nurse Consultants (RCHNCs) provide Health Check Program Guide and programmatic guidance and training as well as quality improvement resources.

CHERRNs are jointly rostered with the agency – rostering is not transferable. If a CHERRN changes agencies, the CHERRN must reapply for rostering with the new agency. It is the responsibility of the CHERRN and the agency to assure that the CHERRN remains on the roster in order to be able to bill Medicaid for the child health screening completed by the CHERRN. The agency is responsible for assuring compliance with rostering requirements and establishing the consultation support and infrastructure, including nursing standing orders, competency assessment and policies and procedures to support safe, effective and licensure compliant practice. 


The curriculum is for registered nurses who are currently working or who are preparing to work in clinics at North Carolina local health departments. Selection of applicant(s) is the responsibility of the local public health nurse supervisors and Directors of Nursing in cooperation with the Regional Child Health Nurse Consultants and the State Child Health Nurse Consultant. Applicants are not required to have completed other pediatric or physical assessment training programs prior to enrolling in the Child Health Enhanced Role Registered Nurse Program; however, six months of experience working in ambulatory child health services is strongly recommended. 

Please note:  Due to the Child Health Program transitioning from the Division of Public Health to the Division of Child and Family Well-Being, the Child Health Training Program is unable to provide training to Registered Nurses employed outside NC Governmental Public Health entities until further notice. Principles and Practices of Public Health Nursing (a prerequisite to the Child Health Training Program) is transitioning to a credential program that will require ongoing training. The credential training is not open to Registered Nurses employed outside NC Governmental Public Health entities at this time.

  • Division of Child and Family Well-Being/Whole Child Health Section, North Carolina Department of Health and Human Services
  • NC Office of the Chief Public Health Nurse and the Public Health Nursing and Professional Development Unit, Division of Public Health, North Carolina Department of Health and Human Services
  • North Carolina Public Health Association (NCPHA)
The CHTP consists of distance learning sessions during which students must participate in Clinical Topic Webinars and successfully pass the post-test for each topic; and two weeks of onsite classroom training, separated by a 60+ hour clinical practicum in the student’s employing agency. During the practicum, students under the guidance of clinical preceptors will perform comprehensive histories and physical examinations on children and adolescents. Students must also complete additional Clinical Topic Webinars, complete three clinical practice scenarios with their preceptors, and submit four detailed write-ups documenting clinical findings, assessments, and plans of care for children seen.

Click HERE to access the 2022-2023 CHTP Course Outline

BSN or completion of Principles and Practices of Public Health Nursing for RNs. Agencies must provide documentation of completion of Principles and Practices of Public Health Nursing.

Required Textbooks
The following texts are required for the course. 
  • Bates’ Guide to Physical Examination and History Taking, Lynn S. Bickley, 13th edition
  • Mosby's Pediatric Assessment Pocket Guide, Joyce K. Engel
  • Bright Futures: Guidelines for the Health Supervision of Infants, Children and Adolescents, 4th edition, American Academy of Pediatrics, Edited by Joseph F. Hagan, Jr, MD, FAAPJudith S. Shaw, EdD, MPH, RN, FAAPPaula M. Duncan, MD, FAAP
  • Bright Futures Nutrition, 3rd Edition, Katrina Holt, MPH, MS, RD; Nancy H Wooldridge, MS, RD, LD; Mary Story, PhD, RD; Denise Sofka, MPH, RD
Note:  The texts are included with registration and provided to Participants for this cohort.

Required Pre-course Planning

Each local agency must arrange for an on-site clinical preceptor that will oversee and provide feedback regarding skills progression during the clinical practicum and assure time and support for the student and clinical preceptor.  A Local Planning Document signed by the student, clinical preceptor, nursing supervisor, and Regional Child Health Nurse Consultant (RCHNC) must be completed after application and prior to registration for the course.

Minimum Technical Requirements

Faculty feedback sessions for Participants and Preceptors are delivered using MS Teams.  Participants and Preceptors will need MS Teams agency or individual account access for these sessions.  The RCHNC will discuss access options during the Local Planning Document review.
Microsoft Teams Requirements:
Additionally, the required and archived content webinars, Orientation webinars, and the Clinical Practicum Check-ins webinars are via Adobe Connect. In order for you to successfully complete this course, you must have access to the following:
Adobe Connect Requirements:
  • A sound card (most new computers have a sound card already installed)
  • Reliable, high-speed internet access (minimum of 1.8 Mbps upload speed per person & 10 Mbps download speed per person or higher; DSL/cable option is recommended, may use Wi-Fi if you have a stable and secure connection).  You can test your internet speed using this link: Internet speed test
  • An email account that can handle attachments and email encryption.
  • An up-to-date web browser such as: 
    • Mozilla Firefox (v 65.0 or above)
    • Google Chrome (v 70.0 or above)
    • Note: Mozilla Firefox or Google Chrome is the preferred browser
  • The free plug-in: 
  • To test your Adobe Connect Capabilities, you can complete a quick diagnostic test (should take 2 minutes or less) by visiting:
    • Adobe Connect Meeting Support Diagnostic Test
    • The diagnostic test will check:
      • Your operating system
      • Your browser
      • Connectivity (network connection)
      • Speed (upload and download speeds)
      • You will also have the option to set you your speaker & microphone settings.
      • Please note and complete any recommendations.  Also note that your connectivity and speed may vary throughout the day, based on your provider and specific demands of your internet connection at the time of the test.
  • A copier/scanner or a desktop scanner for scanning non-electronic homework assignments that you will upload to the Child Health Training Program page.
  • For the Orientation and Practicum Check-Ins, participants will need to have access to both the internet (visual) and the telephone (audio). For the archived Clinical Topic Webinars, you will need either speakers or a headset.  If you do not have the latest versions of the plug-ins (Adobe Reader) or web browsers listed above, please download them before starting the course. If you have questions or need assistance in verifying that you have the necessary equipment, or MS Teams access, please contact your agency’s computer support person. This is especially true if your employer utilizes firewalls for security. 

Role of the Participant

  • Complete all Pre-training requirements, including reading and video assignments and eight archived webinars and obtain a minimum score of 80% on all post-tests.
  • Participate in the face-to-face training sessions in Raleigh for Weeks One and Two.
  • Complete all assignments with a score of “satisfactory” on all visit write-ups during the clinical practicum.  The participant will submit four Documentation by Exception (DBE) writeups that are developed by the participant and reviewed by the preceptor prior to submission.  The Director of Nursing/Nurse Supervisor/or designee is asked to review and sign-off on each write-up prior to submission to prevent an inadvertent HIPAA breech.
  • Complete eight clinical practicum archived webinars and two live webinars and obtain a minimum score of 80% on all post-tests.
  • Complete three Clinical Practice Scenarios with the primary preceptor during the practicum.
  • Participate in all Faculty Office Hours.
  • Participate in Child Health Training Program Check-in webinars.  The participant, preceptor(s), and nurse supervisor are expected to participate in the check-in webinars.
  • Complete at least 60 hours during the clinical practicum providing comprehensive histories and physicals (includes seeing 30 children/youth with a minimum of five from each required age group: 0-2; 3-5; 6-10; and 11-20).
  • Maintain and submit Clinical Logs to demonstrate progress towards meeting practicum requirements.
  • Receive a rating of “satisfactory” on the final clinical evaluation by the participant’s primary preceptor.
  • Receive a rating of “satisfactory” on the final clinical check-off by faculty.
  • Obtain a minimum score of 80% on the final examination which includes two Clinical Practice Scenarios and 60 multiple choice questions.

Expectations of Agency

For successful completion, the agency must:
  • Assure time to complete course assignments and provide experienced preceptor with designated time to spend with the student. 
    • 50% of the FTE should be focused on the CHTP beginning two weeks prior to Virtual Classroom Series One (prep requirements) through the end of Virtual Classroom Series Two.
    • The primary preceptor is responsible for ongoing mentoring and review of the participants assignments; it is estimated that this time commitment would average 1.5 hours per day, or 7.5 hours per week.

Role of the Agency Supervisor

  • Agree to facilitate learning experience during training period (time for assignments and preceptor accessibility); see time commitment estimation on page one of this document.  RECOMMENDATION: See CHTP Course Outline and CHTP Participant Key Dates Calendar for suggestions on assuring time available for Primary Preceptor participation and review of assignments prior to Participant submission.
  • Agree to assess participant learning requirements and make appropriate accommodations to support successful completion of course requirements, for example, providing a quiet environment in the agency to complete assignments or allowing participant to work from home.
  • Facilitate application of skills during practicum, including arranging for 60 hours of clinical practicum time during which Participant is relieved of other duties, and assuring Primary Preceptor is available to support the learning process (see time recommendations above).  
  • Facilitate regular check-ins with the Preceptor(s) and Participant to assure successful completion of practicum requirements.
  • Review and sign-off on each write-up prior to submission to prevent an inadvertent HIPAA breech.
  • Schedule initial planning session by September 8, 2022, with the Participant and Preceptor(s) to schedule time for completion of course assignments by the Participant and review by the Preceptor(s), and ongoing mentoring to support clinical practice skill building.  Please utilize the CHTP Participant Key Dates Calendar to assist with the planning efforts.
  • Schedule periodic check-ins with the Participant, and Preceptor (s) to assess the Participant’s progress toward meeting the CHTP Course requirements.  Please utilize the CHTP Participant Key Dates Calendar to assist with the planning efforts.
  • If applicable, schedule periodic check-in conference calls with the partnering agency that has agreed to provide a Preceptor and serve as the clinical practicum experience to assess the progress of the Participant’s course requirements and to address any identified questions or concerns.
  • Clarify agency CHERRN role expectations for Participant prior to and once course is completed.  Assure appropriate consultative support, and policy and procedures are in place to support the RN after completion of the course.
Role of the Primary Clinical Preceptor RECOMMENDATION: see CHTP Course Outline and the CHTP Participant Key Dates Calendar for suggestions on assuring time available for preceptor review of assignments prior to participant submission.  
  • Review faculty feedback for each assignment and work with the Participant to assure understanding of the feedback and application in the next assignment.
  • Complete with the Participant three Clinical Practice Scenarios (CPS) to support critical thinking process.  CPS #1 to be submitted by November 4, 2022, CPS #2 by December 2, 2022, and CPS #3 on January 20, 2023. 
  • Complete the Clinical Practice Scenario Archived webinar prior to September 9, 2022, submit the Attestation of Completion form.
  • Participate in the Faculty Office Hours review of the first CPS assignment:  November 15, 2022.
  • Observe and evaluate a pediatric assessment at the end of the clinical practicum and complete an evaluation form on the Participant’s performance using the Clinical Performance Review document.  Participants must submit the Clinical Performance Review document (signed by Participant and Preceptor) by February 3, 2023. Participants submit the signed Clinical Practicum Hours and Patient Log form by February 17, 2023.
  • Participate in Practicum Check-in meetings with Participants and Supervisors.
To register, you must complete and submit the Application for PHN Enrollment in the Child Health Training Program.  (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 Regional Child Health Nurse Consultant (RCHNC).  Your RCHNC will review the course requirements with your agency, verify that you have completed the necessary prerequisites, assure that an appropriate clinical preceptor is available and understands his or her role in the practicum, assure adequate time and resources are made available by the agency, and if approved, refer you to register for the program.

Click HERE to access a PDF version of the application.  Applicant may utilize this document to gather necessary information to assist completion of the application.

HERE to access the application

Course Registration Fees
Course Fee: $2500 for full course including clinical practicum.  After your application is approved, you will receive a link to the online registration form from your Regional Child Health Nurse Consultant. Checks will be made payable to NCPHA.  *Important: The registration fee must be received or postmarked no later than August 15, 2022 or your registration will be CANCELLED. 

The Child Health Training Program will be held on the Division of Public Health/Division of Child and Family Well-Being Six Forks Campus:

5601 Six Forks Road, Building #3
Raleigh, NC 27609

Hotel Accomodations
A block of rooms is being held for participants for each of the two weeks that training will be face-to-face.  (4 nights accommodations for each week of onsite training)   Any participant who needs lodging during these onsite trainings should contact the hotel and make a reservation once you receive your registration confirmation page.  Contact information is as follows.

Comfort Inn Raleigh Midtown
1001 Wake Towne Drive
Raleigh, NC 27609

Group Name: Dept of Health and Human Services

Contact Information for questions
Angie Moody RCHNC

Challenge Exam
For more information about the challenge exam or to see if you meet the requirements to challenge this course, Click Here to visit the Child Health Enhanced Role Nurse Challenge Process Information Page.

If you have any questions, you can contact Tara Lucas, State Child Health Nurse Consultant by email at or by phone at 919-624-6652.