Adoption of e-Adoption of e-learninglearning

Nancy Hudecek RN, BSN, MSClinical Director, Quality Improvement and Patient

Safety

2

Learn

Main Entry: learn Pronunciation: \lərn\ Function: verb Inflected Form(s): learned \lərnd, lərnt\ ; learn·ing Etymology: Middle English lernen, from Old English leornian; akin to Old

High German lernēn to learn, Old English last footprint, Latin lira furrow, track

Date: before 12th century transitive verb1 a (1): to gain knowledge or understanding of or skill in

by study, instruction, or experience <learn a trade> (2): memorize <learn the lines of a play> b: to come to be able <learn to dance> c: to come to realize <learned that honesty paid> 2 a nonstandard : teach b obsolete : to inform of something (3): to come to know : hear <we just learned that he was ill>intransitive verb: to acquire knowledge or skill or a behavioral tendency synonyms see discover

— learn·able \lər-nə-bəl\ adjective — learn·er noun

3

What is e-learning?

• Delivery of learning, training or education programs by electronic means.*

• Involves the use of a computer or electronic device (e.g.: mobile phone) in some way to provide training, educational or learning material.

• May involve a greater variety of equipment than online training or education, for as the name implies, "online" involves using the Internet or an Intranet. CD-ROM and DVD materials may also be used.

• Blended learning is e-learning combined with other training methods.* Derek Stockley 2003

4

Components of e-learning

e-learning is the use of technology and services to deliver a curricula and, ultimately, to facilitate learning.

Services

Technology Curriculum

5

History of the “Learning Profession”

WHERE WE CAME FROM ….

Pre 1979, everything was piled under one big huge umbrella called

“TRAINING”

WHERE WE ARE TODAY …

Post 1979, a new concept was evolving called

“HUMAN RESOURCES”

6

e-Learning Ladder

7

E-Learning Standards

• AICC• SCORM• Synchronous/Asynchronous• Section 508• 21 CFR Part 11

8

Training Delivery Methods 2005-2008

9

Who Uses E-Learning?

10

Why e-Learning?Why e-Learning?Excellenc

eIn every stage, e-learning positively impacts workforce excellence.

Recruitment• New recruits lack certain skills • Speed to baseline competency• Orientation learning curve

Employee Satisfaction • Flexible access to training opportunities • Cycle time for retooling skills• Access to best practices information

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

Excellence

11

e-Learning is a tool used within each point of the

education process and

powerfully coordinates the

organization.

Planning

Assignment

Delivery

Training Evaluation

Types of Learning Technologies

Reporting and Feedback

ImplementationPerformance

Metrics

Workforce

Excellence

e-learning

Delivering EducationDelivering Education

12

New-hire cycle time

Emergency Preparedness

New-hire cycle time

Emergency Preparedness

Building Workforce ExcellenceBuilding Workforce ExcellenceHealthcare Organization and Education IssuesHealthcare Organization and Education Issues

13

• Equal or Higher Quality of LearningEqual or Higher Quality of Learning

• Time Savings of 40-60%Time Savings of 40-60%

• 30% Increase in Learning Retention30% Increase in Learning Retention

Brandon Hall, Study Reported in Web-Based Training Cookbook (1997)

EffectivenessEffectivenessOnline Continuing EducationOnline Continuing Education

14

Cost EfficienciesCost Efficiencies(in thousands)(in thousands)

$0

$500

$1,000

$1,500

$2,000

$2,500

$3,000

$3,500

$4,000

Live Training

OnlineTraining0

Needham & Company, Inc.September, 2000

15

Southern Hills Medical CenterSouthern Hills Medical Center

With e-learning, reduced employee time to complete annual regulatory training requirements.

As an example, HealthStream’s study showed that Southern Hills nurses reduced training time on average more than 2 hours. With 250 nurses, that represents 500 patient care hours.

- Excerpt from HealthStream study

e-Learning Outcomese-Learning Outcomes

Trends in e-learning

17

1.Clinical staff training2. Improving program effectiveness3. Integrating performance management /

competency management initiatives

Trend #1:Trend #1:For Healthcare, the top priorities for 2009 For Healthcare, the top priorities for 2009

are:are:

Source: Bersin & Associates, 2008.

18

Trend #2:Trend #2: Training Supports Strategic GoalsTraining Supports Strategic Goals

Status of training in hospitals is increasing—as workforce development is linked to improved patient care.

Nursing Research, Jan-Feb 2008

Online education program improved cardiac examination skills better than clinical training alone.

Journal of Hospital Medicine, April 2008

In 2008, healthcare organizations spent an average of $549 per learner, down from $707 in 2007.

The average number of training staff per thousand learners has also declined over the past year, from 7.3 staff members per thousand learners to 4.7.

19

Training Spending Per Learner by Industry

20

Training Staff per 1,000 Learners by Industry

21

Trend #3:Trend #3: Patient Safety Drives Demand for TrainingPatient 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

22

Trend #4Trend #4Future of the “Learning Profession”Future of the “Learning Profession”

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. They can offer discussion forums, provide explanation, how to instructions. They can easily be updated and can therefore contain current information.

Communities

23

Trend #5:Trend #5: Across Industries, Building Competencies is Across Industries, Building Competencies is

Driving Executive DevelopmentDriving Executive Development

Business Drivers for Executive Development

% of Companies Business Drivers

13% Compete in the Market17% Increase Retention of Executives21% Prepare for Retirements of Existing Executives38% Improve Corporate Performance39% Business Growth44% Improve Creation and Execution of Business Strategies59% Succession Planning (upward movement)69% Build Competencies; Close Gaps (in existing roles)

(Bersin & Associates April 2008)

24

Trend #6:Trend #6: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

25

Trend #7:Trend #7: 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

26

Trend #8:Trend #8: Rapid content development & distribution is on the Rapid content development & distribution is on the

riserise

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

Bersin & Associates, December, 2005

Create

Publish

View

27

Trend #9: Trend #9: Community of Educators Lead InnovationCommunity of Educators Lead Innovation

Northeast Georgia Health System – Leveraging competency program to bridge research and learning

Greenville Health System – Simulation Center

Tenet Healthcare – MedSurg Program in development

28

Trend #10: Trend #10: Per Employee Expenditures are DownPer Employee Expenditures are Down

(1) Training expenditures per employee in healthcare $690 (2008)    $860 (2007)    $400 (2006)

(2) Training investments per employee in healthcare 1.55% of payroll (healthcare) compared to 2.15% of payroll (across all

industries)(3) Training hours per employee in healthcare

31.2 hours (healthcare) compared to 37.4 (average across industries)(4) Cost per learning hour in healthcare

$1,387 (healthcare) compared to $1,660 (average across industries)(5) Across all industries, online learning (vs. live) remains constant

around 32%. The percentage for healthcare is right at the industry average at approximately 32%.  

29

Open Discussion Items …(in Beginning and Middle of Presentation)

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?

30

Questions ?