National Certification for Healthcare Interpreters of All Languages

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1 National Certification for Healthcare Interpreters of All Languages Natalya Mytareva, MA, CoreCHI CCHI Managing Director April 25,

2 What is Certification? Assessment of an individual s professional competencies, and Recognition that an individual has met certain predetermined standards recognized as sufficient for the professional performance Voluntary process Not a teaching experience

3 The Certification Commission administers A National, Valid, Credible, Vendor-Neutral Certification Program National A portable credential that follows the Interpreter throughout their career Valid The single most important concept the certification test measures what it intends to measure Credible Created by Interpreters, for Interpreters and the public good Vendor-Neutral Developed from the ground up and not reliant on any existing certification, training, testing or assessment developed or licensed by other organizations. No individual, organization, vendor or entity has any financial or other stake in the program's administration

4 Focused on Results By Interpreters, for Interpreters and the Public Good Over 1,800 CoreCHI and CHI Certifications Awarded Over 150 Continuing Education programs accredited with CEAP Accredited by a third party - National Commission for Certifying Agencies (NCCA)

5 Top 10 States with CCHI Certificants Top 10 states 75% 391 Certificants Florida #20, 16 certified CA WI MA OH TX IL AZ MN MI NY

6 Certifications Offered Core Certification Healthcare Interpreter (CoreCHI ) Certification of interpreter core knowledge in healthcare interpreting. Available for interpreters of any language. Certified Healthcare Interpreter (CHI ) Certification of interpreter performance skills in healthcare interpreting. Currently available in three languages Spanish, Arabic, Mandarin.

7 Who is CCHI Certification for? An Entry-Level Interpreter: A person who is able to perform the functions of a healthcare interpreter competently and independently in a healthcare setting with the knowledge, skill and ability required to relay messages accurately from a source language to a target language in a culturally competent manner and in accordance with established ethical standards.

8 Test Development Process Describe the Profession National Survey Job Task Analysis 2,479 participants Select Volunteers to Represent the Profession 115 volunteers became our Subject Matter Experts (SMEs) Demographic, linguistic, cultural, experience and geographic diversity Create Psychometrically Valid Tests Two nationally recognized psychometricians directed the process Followed the best practices for certification tests Pilot & Validate the Tests 347 candidates participated in the pilot A group of volunteers under the guidance of psychometricians evaluates and validated the results The process was validated by NCCA accreditation of the CoreCHI & CHI - Spanish certification

9 Information about certification

10 Review the Certification Process Review Eligibility Requirements, the certification process, and test center locations at our website: and in the Candidate s Examination Handbook: /images/pdfs/candidatehandbook.pdf

11 Healthcare Interpreting Training Requirement 30 hours must be on the subject of healthcare interpreting 5 hours may be attending any interpreting conference 5 hours may be in a related professional training, e.g. court or conference interpreting, medical specialty

12 Healthcare Interpreting Training Requirement It must be training, i.e. not just interpreting (even if under someone s supervision) and not self-study It may be on-the-job training provided by your employer, but you must have a document which states: Your name Organization s contact info that provided the training Dates and specific hours of training Specific topics of training

13 How to Apply

14 Create a CCHI Profile

15

16 Certification Timeline: CoreCHI Exam Week 1: Application Submitted Week 2-3: Application Reviewed Week 4-5: Pay for CoreCHI exam & Get Notice

17 Certification Timeline: CoreCHI Exam Week 4-6: Take CoreCHI exam Week 6-8: Receive the score & certificate

18 Certification Timeline: CHI Exam Arabic, Mandarin & Spanish Week 1-2: Pay for CHI exam & Get Notice Week 3-8: Take the exam in the upcoming window Week 7-14: Receive the score & certificate Check CHI testing schedule at

19 What to expect at the Core Certification Healthcare Interpreter (CoreCHI ) exam?

20 Measures the core professional knowledge that distinguishes a healthcare interpreter from a bilingual, including knowledge of safety precautions, universal protocols and HIPAA working in health and health care various settings, e.g. health departments, hospitals, community outreach Measures critical thinking and ethical decision-making abilities that are vital for the interpreter as a member of the care team

21 Cultural responsiveness (3-6%) Critical thinking & decision-making abilities Ability to prepare for an encounter (16-20%) Manage an interpreted encounter (30-35%) Knowledge of medical Terminology (22-25%) Effective interaction with other healthcare professionals (20-24%)

22 CoreCHI Exam 1. Logistics: Two-hour, computer-based, 100-question, 4-option multiple-choice exam in English, available at test centers on demand throughout a year (no testing on Sundays) 2. One correct answer 3. Preliminary results are immediate at test center (passing score 450 points out of 600)

23 CoreCHI Examination: Domain: Manage an Interpreting Encounter Tasks Maintain ethical standards in the encounter Explain rules of confidentiality to the patient Introduce yourself to the parties according to protocols Position self to manage room dynamics and support communication

24 What Do I Need To Know? Understanding Healthcare Terminology Including nutrition, dental and mental health terminology Interacting with Other Healthcare Professionals Best practices when working with the healthcare team, including when and how to advocate appropriately, how to preserve role boundaries

25 CoreCHI Examination: Domain: Interacting with Other Healthcare Professionals Tasks Instruct healthcare providers in how to work with interpreters and LEP patients Debrief with clinicians or other interpreters Assist patients in navigating the healthcare system

26 CoreCHI Examination: Domain: Preparing for an Interpreting Encounter Tasks Determine your ability to interpret a healthcare encounter Confirm dialect or regional language issues Assess need for personal protective gear and/or universal precautions

27 What Do I Need To Know? Cultural Responsiveness Knowledge of the culture of the client, healthcare environment, and healthcare professionals

28 Resources to Prepare for CCHI Exams

29 How to Prepare Practice CoreCHI Test

30 CoreCHI Practice Exam Available for purchase online Cost - $30 Test interface and questions are similar to the actual examination Consists of 27 questions, gives correct answers and references for them

31 How to Prepare Mini-Glossaries Medical Terminology links

32 Logistics: At the CoreCHI Exam Bring the CoreCHI Notice to Schedule to the test center and a photo ID. Arrive early so you can park, etc. You are NOT allowed to take anything into the testing room (no phones, bags, paper, pens, etc.). A proctor will be monitoring the exam. You will have about minutes to read the instructions. This time does not count towards the exam. The exam lasts 2 hours (120 minutes). Even if you don t finish after 2 hours, the exam will stop.

33 At the CoreCHI Exam A timer on the screen will show you how much of the exam s time is left. You may bookmark a question and go back to it at the end, before you submit the exam. There is only one correct answer it is the most appropriate for the scenario described. If you experience any IT issues call the proctor s attention immediately.

34 CoreCHI Exam Screenshot

35 At the CoreCHI Exam Your final step is to press the Submit button. After that you will see the score and know if you passed the exam. If you have any comments about the testing experience, you must submit them in writing to CCHI within 5 days of your exam to info@cchicertification.org.

36 How is the CoreCHI exam scored? Scoring for this exam, as for any multiple choice exams is automated, i.e. done by a software not humans. Total scores are weighted according to a proprietary psychometric formula and scaled to the distribution of 300 to 600 with the passing score set at 450 points. Because each question has a different weight, we can t say how many questions need to be answered correctly for passing.

37 After the CoreCHI Exam If you did NOT pass, you may re-take the exam only after 90 days of the date of your original exam date. If you failed, you will need to pay the CoreCHI fee ($175) again and repeat the process. CCHI allows up to 3 retakes within one year. If you have concerns about your score or wish to appeal it, please submit them in writing to CCHI at appeal@cchicertification.org.

38 What to expect at the Certified Healthcare Interpreter (CHI ) oral performance exam?

39 Language-specific performance certification, currently available in Spanish, Arabic and Mandarin Certificants pass two exams: multiple-choice core knowledge (CoreCHI ) examination + computer-based oral performance, language-specific (CHI ) examination

40 When can you take the oral CHI exam? You have 12 months to take the oral CHI exam after you pass the CoreCHI exam. If you don t do it within 12 months, you will have to re-take the CoreCHI exam. After you get the CoreCHI score, you should login to your Profile and pay the CHI exam fee ($275). Within 10 days you will get a Notice to Schedule your CHI exam.

41 CHI Testing Locations CHI testing takes place 4 times a year. Each testing window is approximately 3 weeks. Number and locations of testing sites varies, so please check the link in your Notice to Schedule before you plan your exam. Each testing site has its own schedule. No testing on Sundays.

42

43 Specific CHI Testing Locations from the NTS link

44 CHI oral performance exam measures Language skills (being bilingual) Sight Translation & Written Translation skills Consecutive Interpreting skills Simultaneous Interpreting skills

45 Why is Evaluating Simultaneous Interpreting Skills Important? Interpreters must interpret simultaneously to maintain the accuracy of communication in these situations: Emergency Dept Emotionally charged situations Mental health encounters

46 CHI Exam Components 1. 4 consecutive interpreting vignettes (bidirectional, English to/from L2) 2. 2 simultaneous vignettes (unidirectional, one L2 and one English) 3. 3 brief sight translation passages from documents that healthcare interpreters might encounter to sight translate into L2 4. Testing of translation skills from English to L2

47 Consecutive Vignettes Each vignette may have up to 24 utterances You can re-play each utterance in a vignette a maximum of 2 times You can't "Pause" the utterance, just re-play it Time will continue to run if you re-play utterances. You must manage your time and not spend too much time re-playing utterances or you may not have enough time to complete the entire examination.

48 Simultaneous Vignettes Each simultaneous vignette may be up to 2 minutes long You will press play/record to begin the simultaneous vignette. You must begin interpreting within 10 seconds. You are not allowed to replay the simultaneous vignettes once you begin, you may not repeat or rewind.

49 Regional Variations During the exam development interpreters from various countries speaking the exam language were involved. Current raters also are representatives of various countries and regional variants/dialects of Arabic, Spanish, Mandarin. One of the tasks measured by the CHI exam is the interpreter s ability to understand various regional variations of the language as spoken by patients in real life.

50 How to Prepare Free Sample CHI Test

51 Sample CHI Exam

52 Sample CHI Exam

53 Sample CHI Exam

54 Logistics: At the CHI Exam Bring the CHI Notice to Schedule to the test center and a photo ID. Arrive early so you can park, etc. You are NOT allowed to take anything into the testing room (no phones, bags, paper, pens, etc.). You will be given paper and pencil for note taking. A proctor will be monitoring the exam. You will have about 30 minutes to read the instructions and take the Sample test. This time does not count towards the exam. The exam lasts 1 hour (60 minutes). Even if you don t finish after 1 hour, the exam will stop.

55 At the CHI Exam A timer on the screen will show you the exam s time. You may not skip or go back to an exam item. You must record an answer. If you experience any IT issues call the proctor s attention immediately. If you are in the middle of a simultaneous vignette, inform the proctor right after you finish recording.

56 After the CHI Exam The exam is scored by human raters. You will receive Your CHI Score Report within 4-6 weeks of end of the testing window. The Score Report is ed to you by McCann Associates and is available online for 2 weeks. CCHI also s you your official score. This you can see in your Profile at any time (under Communications tab).

57 How is the CHI exam scored? Human raters score the exam by applying the Behaviorally Anchored Rating Scale which was developed and validated by CCHI s Subject Matter Experts under the guidance of a nationally-recognized psychometrician. All raters have undergone extensive training and are monitored by a psychometrician to assure valid and reliable performance. All raters have had healthcare interpreting experience of over 5 years.

58 How is the CHI exam scored? Raters do not know candidate identities when scoring examinations. Each oral response is scored by two raters (potentially your exam may be scored by 14 raters). Total scores are weighted according to CCHI s Technical Report on the Development and Pilot Testing of the CCHI Examination (see page 12) and scaled to the distribution of 300 to 600 with the passing score set at 450.

59 What are raters looking for? Accuracy, i.e. preserving the meaning of the message and the register of the speaker No omissions or additions of meaning Knowledge of basic medical terminology Clean, educated grammar Clean, confident speech

60 Credential Maintenance CoreCHI and CHI credentials are valid for 4 years Maintenance Requirements 32 hours total Continuing Education = 16 hours (classroom or contact) in years 1 & 2, 16 hours in years 3 & 4 40 hours of work experience = 20 hours in years 1 & 2, 20 hours in years 3 & 4 Renewal fees: $150 at year 2 and $150 at year 4 (or $300 at year 4 for both periods)

61 CE Guidelines Accepted CE topics: Easiest way accredited training courses:

62

63 Accredited CE Programs

64

65 Interpreter Registry and Credential Verification

66 CCHI Interpreter Registry

67 National Interpreter Registry

68 Credential Verification

69 How can you support CCHI Certification? Encourage your colleagues to subscribe to CCHI Newsletter and like our Facebook page Share with CCHI contact info of decision-makers at your local hospital, agency Refer hospitals and language agencies to contact CCHI Tell us where we should be, who we should talk to

70 Like Us on Facebook!

71 Certification Commission for Healthcare Interpreters

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