The Adoption of e-learning

1. The Adoption of e-learning Where we came from … Where we are today … Where we are going … Jo Haag, RN, MSN Director, ECC Global Training American Heart Association

2. 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>

3. e-learning (NOT elearning) – Delivery of learning, training or education programs by electronic means. * Derek Stockley 2003 – E-learning applications and processses Web-based learning Computer-based learning Virtual classroom Digital collaboration

4. • Internet • Extranet/ intranet • Audio or video tape • Satellite TV • CD-ROM • Self-paced or Instructor-led CBT – IBT - WBT

5. Self-directed Learning Learning on your own By yourself

6. Blended Learning Mixing of different learning environments

7. Virtual Education Instruction in a learning environment where teacher and student are separated by time and/or space Teacher provides content through methods like internet, video conferencing, multimedia resources, course management applications

8. Where we came from … Pre 1979: “THE TRAINING DEPARTMENT” Training/teaching consisted of live sessions- the glaring light of the overhead projector the beep of the filmstrip/cassette tape combo 16mm movies the smell of colored poster board markers the 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

9. 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 clinical use 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

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

11. Who Uses E-Learning? Aviation Telecommunications Technology Retail Higher Education Banking/ financial services Healthcare • • • • • • • – Who ISN’T using E-learning??

12. Growth of eLearning • eLearning accounts for nearly one-third of learning content made available1― and is the second-most frequent method to deploy learning.2 Safety training ranks in the top three corporate uses for eLearning.3 The highest rate of growth is in the healthcare segment.4 By 2014, corporations will remain as the top buyer of self-paced eLearning products and services.4 1 American Society for Training and Development (ASTD), 2008 State of the Industry, November 2008 2Elearning: A Global Strategic Business Report, Global Industry Analysts, Inc.; July 2007 3ELearning ENews, Elliot Masie Learning Consortium Survey; September 2006 4Ambient Insight, The US Market for Self-paced eLearning Products and Services: 2009-2014 Forecast and Analysis, October 2009

13. Immersive Technologies • Drivers for growth – Improving development, declining price points – User expectations • Obstacles – Time-consuming creation and still costly for some – Intense hardware and software user requirements The Top Five Emerging Trends in Learning Technology; White Paper, SumTotal Systems, July 2008

14. Growth of BLS Online BLS-HCP Online Keys 160,000 138,652 133,167 140,000 120,000 91,790 100,000 76,504 80,000 60,000 29,915 40,000 20,000 - 2005 2006 2007 2008 2009

15. ECC’s eLearning Growth Heartcode ACLS & BLS Sept. ’06 – Dec. ‘08 BLS and ACLS - Cumulative

16. Why e-Learning in Healthcare Education and Workplace? In every stage , e-learning positively impacts education & workforce excellence. Excellence Excellence Returning Students Retention and Growth • Competency mastery and recognition • Coaching and mentoring • Creating a learning community E-learning is everywhere … Student/Employee Satisfaction • Flexible schedules for learning and practice • Access to training opportunities • Cycle time for retooling skills • Access to best practices information Recruitment • Attract students / Compete with other schools • New recruits lack certain skills • Speed to baseline competency • Orientation learning curve

17. For Healthcare, the top priorities for 2009 were related to training: 1. Clinical staff training 2. Improving program effectiveness 3. Integrating performance management / competency management initiatives

18. Patient Safety Drives Demand for Training Physicians, 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

19. JCAHO Competency Requirements Influence Training 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

20. Content 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

21. Rapid content development & distribution is on the rise Across industries, education managers report that 94% of their training programs are time critical. Create Publish Bersin & Associates, December, 2005 View

22. 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

23. E-learning is providing huge cost savings and other benefits

24. The bottom line … the cost savings & other benefits of e-learning implementation MedCentral 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%.

25. What contributes to savings?

26. Benefits other than monetary….

27. eLearning Benefits Convenient Take the instruction anywhere you have access to a computer and an Internet connection. Flexible Complete training as it fits your schedule, and proceed at your own pace. If you need to or want to, you can stop the instruction at any time. You can then resume it later, picking up right where you left off. Saves time and money There are no travel costs or travel time. Facility costs are lower because people can take the training at computers already installed in the workplace or, even better for some, at home. Consistent training The same content can be delivered to every learner, yet can be customized for specific needs. Easily updated Changes can be made to eLearning content when necessary. Maximizes instructor Makes the best use of instructor time and talent. Basic information can be delivered through eLearning modules. Then, instructors can focus talent and time on helping students acquire critical psychomotor skills.

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

29. Immersive Learning Compliance + Competence = Patient Safety Because good patient outcomes is about more than getting a course completion card…..

30. Learning Made Real - HeartCode • Patient Safety – IHI increased awareness (100k lives) now Protecting 5m Campaign, increased emphasis on patient safety Education - should be less about compliance and more about competencies and measurement, Measurable Outcomes –cognitive and psychomotor programs focus on giving tangible and measurable outcomes Compliance – is important to healthcare providers and institutions, but customers are asking for proof of competence, not just compliance with getting a card Skill Maintenance – all educators know that skill performance deteriorates over time E-learning allows professionals to regularly refresh skills and maintain competency, helping to ensure that they are ready when the real emergency arises • • • •

31. Flexibility & Efficiency • Anytime & Anywhere – both cognitive and practical skills allow for learning to take place anytime and any place Speed of Compliance –experienced providers can complete their learning in very rapid time, while those that need practice can, “Time is Money” finding the fastest way to achieve compliance with requirements is a high user priority Driving Costs Down – costs come in many forms (time, materials, people, etc.) E-learning provides educators a flexible solution to solve logistical and financial headaches Learning Pace – classes apply the same pace of learning to all learners, experienced or novice. E-learning allows learner to practice and learn at their own pace. • • •

32. • eSimulation in Healthcare – hospitals are focused on reduction of errors and improved patient outcomes and simulation is seen as the primary vehicle • • Moves beyond knowledge – to decision making Adaptive Learning – simulation naturally adapts to the experience of the learner. Focuses on the decision making skills, reinforce areas needing improvement • Edutainment – combines education with entertainment and gaming. This form of education enables them to be more engaged in the learning process.

33. What are barriers to implementation and acceptance?

34. WHERE ARE WE GOING … ? Podcasts Pod=iPod / cast=broadcast, aka webcasts, netcasts, learncasts Send 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

35. Blogs Web+log = Blog Website that contains chronological, dated entries about a given topic. Some blogs allow for comments and feedback. They often contain links to other sites Strengths: They can offer discussion forums, provide explanation, how to instructions. They can easily be updated and can therefore contain current information. Weakness: Blogs reflect the voice of the writer. Communities/ Facebook Educators are leading innovation Just In Time Training – there’s an App for that

36. Open Discussion Items … Q & 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?

37. • www.worldwidelearn.com • www.2elearnning.com • Jo.haag@heart.org