The Adoption of e-learningThe Adoption of e-learning

Where we came from …Where we came from …

Where we are today …Where we are today …

Where we are going …Where we are going …

Jo Haag, RN, MSNDirector, ECC Global Training American Heart Association

Basic Definitions …

learn – Main Entry: learn Pronunciation: \lərn\ – Function: verb Inflected Form(s): learned \lərnd, lərnt\ ; learn·ing – transitive verb1 a (1): to gain knowledge or understanding of or skill in by

study, instruction, or experience <learn a trade>

e-learning (NOT elearning)– Delivery of learning, training or education programs by electronic means.

* Derek Stockley 2003– Involves the use of a computer or electronic device or equipment (e.g.:

mobile phone, CD, DVD) in some way to provide training, educational or learning material.

The Adoption of e-learningThe Adoption of e-learningWhere we came from …Where we came from …

Pre 1979: “THE TRAINING DEPARTMENT”

Training/teaching consisted of live sessions w/the glaring light of the overhead projectorthe beep of the filmstrip/cassette tape combo 16mm moviesthe smell of colored poster board markersthe purple mimeographed handouts the 5 inch thick - 20 lb binders of information … that

could wipe out an entire old growth forest in a single meeting

The Adoption of e-learningThe Adoption of e-learningWhere we are today …Where we are today …

New needs, require new methods a new concept was evolving: “HUMAN RESOURCES” This concept brought with it more specialized trainers, specific areas of HR

that address training needs based on department needs, professional needs, even individual needs.

Today when we talk training in the medical world, we talk about things like:defined goals measured outcomes – educational and clinicaluse of competency models preceptors with strategically outlined training plans fully implemented training scenarios using simulation

algorithms with high fidelity computer based manikins annual continuing education targeted remediation programs

Where we are today …Where we are today …e-Learning Ladder*

Where we are today …Where we are today …Training Delivery Methods 2005-2008

Where we are today …Where we are today …Who Uses E-Learning?

Where we are today …Where we are today …Who Uses E-Learning?

At institutions of higher education:

• 3.5 million+ students are participating in on-line learning at institutions of higher education.[4]

• Students generally appear to be at least as satisfied with their on-line classes as they are with traditional ones (The Sloan report, based on a poll of academic leaders).

• More for-profit institutions offer on-line classes than non-profit schools offer them.

• Online education is rapidly increasing, and online doctoral programs have rapidly developed at leading research universities.[5].

Where we are today …Where we are today …

Trends in e-learning related Trends in e-learning related to the Healthcare Industryto the Healthcare Industry

Growth of BLS OnlineGrowth of BLS Online

BLS-HCP Online Keys

76,504

138,652133,167

91,790

29,915

-

20,000

40,000

60,000

80,000

100,000

120,000

140,000

160,000

2005 2006 2007 2008 2009

Heartcode ACLS & BLSSept. ’06 – Dec. ‘08

ECC’s eLearning GrowthECC’s eLearning Growth

1.1. Clinical staff trainingClinical staff training2.2. Improving program effectivenessImproving program effectiveness3.3. Integrating performance management / Integrating performance management /

competency management initiatives competency management initiatives

For Healthcare, the top priorities for 2009 For Healthcare, the top priorities for 2009 were related to training:were related to training:

Why e-Learning in Healthcare Why e-Learning in Healthcare EducationEducation and and WorkplaceWorkplace??

In every stage, e-learning positively impacts

education & workforce excellence.

E-learning is everywhere …

Recruitment• Attract students / Compete with other schools• New recruits lack certain skills • Speed to baseline competency• Orientation learning curve

Student/Employee Satisfaction • Flexible schedules for learning and practice • Access to training opportunities • Cycle time for retooling skills• Access to best practices information

Returning Students Retention and Growth• Competency mastery and recognition• Coaching and mentoring• Creating a learning community

ExcellenceExcellenceExcellence

Patient Safety Drives Demand for TrainingPatient Safety Drives Demand for TrainingPhysicians, pharmacists, and nurses rate education as the #1 factor for having an impact on patient safety in hospitals.

American Journal of Infection Control, Feb. 2006

Infections decreased from 7.8 to 2.3 per 1,000 patients following nurse education program in pediatric cardiac ICU.

Pediatrics, May 2008

JCAHO Competency Requirements Influence JCAHO Competency Requirements Influence Training DemandTraining Demand “Competence to perform

job responsibilities is assessed, demonstrated, and maintained.”

JCAHO Standard HR.3.10

Learning outcomes are increasingly tracked & related to core skill competencies.

Orthopedic Nursing, May/June, 2006

Content continues to improveContent continues to improve

• Leading professional association content is starting to go online.

• Courseware is more interactive & engaging.

• Courseware is “chunked” into just-in-time modules, optimizing adult learning principles

• New pedagogies enhance critical thinking

Rapid content development & distribution is on the riseRapid content development & distribution is on the rise

Across industries, education managers report that 94% of their training programs are time critical.

Bersin & Associates, December, 2005

Create

Publish

View

But…How do you know what to trust?– Do we buy?– Is it adaptable to our needs?– Do we develop our own?

Time Resources Expertise

e-learning is providing huge cost e-learning is providing huge cost savings and savings and

other benefitsother benefits

The bottom line … the cost savingsthe cost savings & other benefits of e-learning implementationMedCentral Health System – Mansfield, Ohio

– Reported annual savings of $10,000 in paper and development costs alone

Greenville Hospital System – – Reduced their number of regulatory training hours by over 70% in one year– Compliance rates jumped from 88% to 98%.– Cost savings improved 71% in the first year

The Children’s Medical Center – Dayton, Ohio– Achieved an internal record of 97% completion rate for mandatory education – Average time taken to finish a course decreased from 1.5 – 2 hours to 50

minutes; a time savings of over 44%

Williamson Medical Center – Franklin, Tennessee  – Met 100% of their Joint Commission training requirements– Reduces their training costs by approximately 60%.

What contributes to savings?

Benefits other than monetary….

WHERE ARE WE GOING … ?WHERE ARE WE GOING … ?

Podcasts Pod=iPod / cast=broadcast, aka webcasts, netcasts, learncastsSend audio/visual content over the internet for portable playback on an

iPod or a PC. It’s known as a form of “Edutainment”Strengths: replay anytime, anyplace, good quality imaging/sound

Wiki“Wiki wiki” means __________????A web page that can be viewed and modified by anybody who is provided access. Provide asynchronous communication and collaboration.Strengths: allows for collaboration, simplicity Weaknesses: Control of Content

BlogsWeb+log = BlogWebsite that contains chronological, dated entries about a given topic. Some blogs allow for comments and feedback. They often contain links to other sites. Blogs reflect the voice of the writer. Strengths: They can offer discussion forums, provide explanation, how to instructions. They can easily be updated and can therefore contain current information.

Communities Educators are leading innovation

Just In Time Training – there’s an App for that

Where we are today …Where we are today …e-Learning Ladder*

• What are barriers to implementation and acceptance?

• Implementation of AHA programs

Open Discussion Items …Open Discussion Items …Q & AQ & A

– What are you currently doing with e-Learning?

– What new technology/courses/processes have you added in recent

months/years?

– What new “ways” have worked well/what has been most

challenging?

– Are you using webinars, blogs, wikis?

– How do you share information among your peers at your facility,

regionally, across the country, worldwide?

– What is on the horizon for you in terms of new types of training?