Table 5.

Clinical terminology and data module

Objectives At the completion of this module, trainees should: 1. Obtain a basic understanding of clinical terminology 2. Demonstrate the ability to summarize potentially clinically relevant information from graphs and app data

Tasks − demonstrate effective knowledge of:		Skills	Relevance
Diagnoses	Depressive disorders Anxiety disorders	Understanding the foundational language of clinical practice, the mission of clinical work, and examples of treatment goals will aid a navigator in successfully carrying out their duties
Clinical “red flags”	Warning signs When to seek help	Because the digital navigator is not a clinical role, they should be prepared to seek clinical help when necessary
HIPAA compliance and confidentiality	Adhere to HIPAA regulations Understand and practice program-specific compliancy and confidentiality protocols	Since Digital Navigators will be working in clinical settings, understanding federal HIPPA regulations and the program's compliancy and confidentiality protocols will help to ensure patient protection at all levels
Data streams	Active data Passive data	The digital navigator will require a thorough understanding of the many types of data collected via apps and other technology so they are prepared to make recommendations based on treatment goals

Practice exercise A practice worksheet should be created based upon clinic needs that tests the trainees on the reviewed definitions. This worksheet can be formatted as the trainers see fit. Please see the online supplementary Appendix for an example.

Assessment Trainees will be assessed on “Clinical Data Interpretation and Safety” by evaluating 5 sets of app data presented in varying modalities. Trainees will be required both to summarize the relevance of the presented data as well as alert the clinician of possible warning signs. An example is provided below.

Rubric
assessment		solution	communication
The figure (above) displays an individual's anxiety and psychosis scores over time		Elevated levels of both anxiety and psychosis are apparent between January and February 2020.	Trainee is able to effectively describe relevant information from the graph to a clinician

Score metric	1	2	3
Assessment	Trainee was unable to determine the relevance of the graph	Trainee understands parts of the figure, but not all (i.e., understands that the graph shows anxiety/psychosis scores, but not over time; cannot discern if high or low scores are clinically relevant)	The trainee is able to understand the graph
Solution	Trainee was unable to discern information of potential clinical relevance from the graph	Trainee was able to discern some clinical relevance, but could not identify all aspects or incorrectly interpreted key points	Trainee was able to interpret all aspects of the graph that may provide clinical relevance
Communication	Trainee was unable to communicate the relevance of the graph in an understandable, appropriate manner	Trainee was able to communicate the relevance of the graph, but did so in a disrespectful manner	Trainee was able to demonstrate skills to the patient and/or clinician in a respectable manner