The training component of the CHR Program is to provide an environment that
will promote the individual CHR’s educational growth and proficiency in
providing health care, health promotion, and disease prevention services. In
the future the goal is to modify the CHR training curriculum to so that CHRs
will obtain licensure/certification. The requirements vary by community training
information is available at the IHS healthcare facilities.
The components of training are as follows:
Basic Training - To provide the nationally accredited health
training to all I H S-CHR funded employees after their completion of the probationary
period and designated prerequisites.
Each employee, occupying a position supported by IHS-CHR finds, is required
to successfully complete the CHR Basic Training Course within 1 year of employment.
Each CHR will be given the opportunity to take a challenge test in place
of the CHR Basic Training.
Specialty Training - To provide current information to
increase proficiency in health care, health promotion and disease prevention
services through special accredited courses.
Advanced Training - To provide academic and practical experience
that may lead toward an Associate 01 Arts degree, licensure and certification,
through colleges, universities and vocational technical schools.
“Refresher” CHR Course - The “refresher” CHR
Course is required to be taken by CHR’s between 36 and 48 months after
completing the p Basic CHR Training Course.
Director National IHS/CHR Program Office - To be responsible for the overall
management of the CHR Program, Office of Health Programs.
Area CHR Coordinators - Assess, update, and evaluate the training needs
of CHR’s in their respective areas and provide this information for use
in policy formulation. Implement policies and procedures pertaining to CHR training.
Ensure that each CHR receives and satisfactorily completes the 3-week Basic CHR
Training Course. Coordinate training and educational activities with other disciplines
associated with the Area CHR Program(s). Conduct and/or coordinate training for
Curriculum Review Committee - Utilize subject matter experts as required
for review and analysis of CHR curricula.
Contractors/Grantees - Ensure that CHR’s are provided training commensurate
with their duties under the awarded instrument.
The following CHR qualifications are guidelines headquarters strongly
advises tribal programs follow:
Fingerprints for a background check and to check any past criminal
history especially for applicants dealing with the children, elderly
A drug test prior to being hired as well as randomly scheduled
Physical ability to carry out needed tasks
Healthcare provider CPR certification
First aid training
Possession of a valid drivers license
and a minimum age of 18 years (Determined by Tribal Personnel
The tribe will also adhere to the Indian Preference Law. Please
note there may be additional requirements.
Training sessions are currently three weeks long, but may be adjusted
to a shorter period with distance learning technology and web based
Every CHR must attend and successfully complete the Basic Training
Course, prior to training the applicant must submit a record of healthcare
provider CPR certification, and first aid. The three-week course
is designed to provide the CHRs with the educational tools necessary
to competently accomplish their jobs. I H S still sponsors training
for tribes in the IHS system and those tribes who have opted for
Title I (AFA) shares. Compacted/Self Governance (Title III) tribes
may participate in I H S sponsored training programs such as Basic
and Refresher Training if: (1) class space is available, and (2)
they pay the costs of training.
CHRs whose tribes (Title I and III) leave funds with the IHS for
such purposes may apply for and attend Basic CHR course. Admission
is based on equitable treatment to all eligible tribes.
Because of the variety of health-related tasks a CHR does, it is
necessary that CHRs maintain a high level of proficiency and knowledge
on the health subjects that apply to their tribal needs and specific
CHRs need to know all they can about health problems that affect
their tribes. In some tribes, a CHR may be designated as a specialist,
there CHRs need additional knowledge and training. Whatever the tribal
needs and the educational background of the CHR, most CHRs will improve
as they attend health related conferences and workshops.