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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
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-learning
Where we came from …
Pre 1979: “THE TRAINING DEPARTMENT”
Training/teaching consisted of live sessions w/
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
The Adoption of e-learning
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
Where we are today …
e-Learning Ladder*
Where we are today …
Training Delivery Methods 2005-2008
Where we are today …
Who Uses E-Learning?
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 …
Trends in e-learning related
to the Healthcare Industry
Growth of BLS Online
BLS-HCP Online Keys
160,000
140,000
133,167
138,652
2008
2009
120,000
91,790
100,000
76,504
80,000
60,000
40,000
29,915
20,000
-
2005
2006
2007
ECC’s eLearning Growth
Heartcode ACLS & BLS
Sept. ’06 – Dec. ‘08
For Healthcare, the top priorities for 2009 were
related to training:
1.
2.
3.
Clinical staff training
Improving program effectiveness
Integrating performance management /
competency management initiatives
Why e-Learning in Healthcare
Education and Workplace?
Excellence
Excellence
In every stage
, e-learning positively impacts
Returning Students
education & workforce excellence. Retention and Growth
E-learning is everywhere …
• Competency mastery and
recognition
• Coaching and mentoring
• Creating a learning community
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
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
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
Content continues to improve
• Leading professional
association content is
starting to go online.
• Courseware is more
interactive & engaging.
• Courseware is
“chunked” into just-intime modules, optimizing
adult learning principles
• New pedagogies
enhance critical thinking
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
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
savings and
other benefits
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%.
What contributes to savings?
Benefits other than monetary….
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

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. 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 …
e-Learning Ladder*
• What are barriers to
implementation and acceptance?
• Implementation of AHA programs
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?