Duke Health Technology Solutions e-learning Service: Centralized Support for De- Centralized Delivery

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1 Duke Health Technology Solutions e-learning Service: Centralized Support for De- Centralized Delivery Terry A. Seelinger, MHA E-Learning Manager DHTS

2 Objectives Understand the advantages and disadvantages of centralized and de-centralized e-learning management Learn how to better define the challenges, identify options, discuss issues with management and collaborate with IT Understand how local "owners" of learning and content can manage their learners and the learning process with central enterprise-wide support

3 Duke University Health System (DUHS) Complete Continuum of Services Three Hospitals Related Services Clinic network 22,000+ employees Widely dispersed - ideal for online training, but still need variety of methods

4 Duke Health Technology Solutions (DHTS) Central Support Organization for IT Applications Network Servers Web Services Content Management e-learning

5 Why e-learning? Aligns business objectives with immediate and ongoing training needs Leverages the Duke University Health System s investment in technology Contributes a significant component to the online community at Duke Provides a vehicle to personalize training to best meet the needs of individual learners Offers a cost effective, efficient way to train staff, regardless of location and time of day Contributes to a comprehensive, blended approach to learning for adult workers

6 DHTS e-learning Service Hybrid of centralized IT support with decentralized content development and delivery Includes client training on the functions of LMS and authoring tool the fundamentals of instructional design the development of training content Maintenance of the dedicated e-learning servers, databases and other IT infrastructure Oversight of security and licensing

7 Benefits of Centralized Learning

8 Benefits of Centralized Learning Reduction of # of systems and infrastructure Completion and certificate date in one place Standardization of course and content Cost savings, e.g., license fees Simplified reporting Accuracy in reporting

9 Benefits of Decentralized Learning

10 Benefits of Decentralized Learning Increased control at local level Local training groups understand specific needs of their areas, see efficiencies in creating their own course and content and manage their own costs. Local reports easier to create Control over local resources Ability to manage more content, localize course and learning events and add spot training as needed.

11 Growth Strategy Started with a small group of users Built on success of small projects (system- or application-specific training modules) Used delivery of Health System-wide training initiative for the Health Information Portability and Accountability Act (HIPAA) (>15,000 trainees in 6 months) to gain broad visibility Spread the word constantly in meetings and via presentations and individual recruitment efforts

12 Planning Stage Work with clients to: Assess their training needs Determine the method that best fits If an e-learning solution is indicated, examine which components of a blended solution would work best

13 Implementation Stage 4 Parts Web-Based Training Process Learning Management System Administration Communications Strategy Evaluation Plan

14 Web-Based Training Process Work with clients in the fundamentals of instructional design and the creation of training content. ADDIE method provides the framework for this process

15 Web-Based Training Process Work with clients in the fundamentals of instructional design and the creation of training content. ADDIE method provides the framework for this process: Analysis Design Development Implementation Evaluation

16 Learning management system Presents a user-friendly interface Integrates with authoring tool Clients can build a blended approach for their learning Contains the necessary background functions to track users progress and provides a method to assure that training has been completed

17 Learning management system administration Train clients in all administrative functions: Manage users and enrollment Create, modify and manage catalog, courses and resources Run Reports to pull data and track progress Deliver a course - Self-paced, asynchronous, synchronous Develop and deliver a live session Create and manage an online discussion

18 Authoring Tool Create: Course content Questions and assessments Build sequencing Add objectives Package content Publish to LMS

19 Communications Strategy Plan for marketing training efforts Present within a framework of overall strategy for organizational change Checklist of options for use in planning

20 Evaluation Plan Assesses the effectiveness of training at different stages of the process to: Prove the training s worth to stakeholders Improve their content and delivery Plan for redeployment to future users.

21 Business Scenario Duke Hospital Pharmacy Department needed the ability to easily educate physicians on the use of certain medications before the physician prescribes that medication to the patient. They established the following requirements: Available 24x7 Capability for authors to easily create and manage content Ability to update content as more information became available Tool to create and administer an assessment test Ability to track who has been certified Ability for a pharmacist to easily access who has been certified on a particular medication

22 Possible Solutions Classroom learning sessions One-on-one learning sessions Build a custom web based e-learning tool Purchase an e-learning tool Use an enterprise e-learning tool Advantages / Disadvantages?

23 Solution Use the enterprise e-learning tool and participate in the e-learning Service. This gives greater flexibility to the pharmacy department to use technology to promote patient care, research, and education.

24 What did client do? Created content with presentation software Created assessment questions Created a course and assessment in LMS Set Options (i.e.. Require test) Advertise Performed by pharmacists in collaboration with local IT staff

25 Advantages Budget and resource needs met Available 24/7 Easy authoring tool Courses tracked Content authors empowered

26 Client Groups and Applications Duke Health Technology Solutions e-learning Service v HIPAA compliance training v Clinical Inbox - online documentation system v ebrowser web-based access to Clinical Data Repository vpacs Web web-based access to images and studies vcomputerized Physician Order Entry major patient safety initiative Information Security Office v Duke Health Enterprise Information Security Roles and Procedures System Implementation and Customer Support Services vcarevue vob TraceVue v Emergency Dept. Info. System

27 Client Groups and Applications Duke University Hospital Education Services vpediatric Color-Coding vnurse training & clinical applications Pharmacy vjcaho and other regulatory compliance vdept of Pharmacy Policies & Procedures vrestricted/level II/III Medication Certifications vduke Formulary or new FDA Approvals Affiliates Office vhipaa for affiliated hospitals vcontinuing Medical Education future

28 Client Groups and Applications Durham Regional Hospital Education Services vhipaa v Groupwise voffice productivity applications Duke School of Nursing Learning Technology v Supplement to courses v Live Virtual Classroom Watts School of Nursing Web Development vsupplement to courses

29 Client Groups and Applications Duke School of Medicine Office of Curriculum vsystems & PDA training v Curriculum management under negotiation Center for Clinical Health Policy Research vpolicies & Procedures v Research Protocols Medical Center Engineering & Operations v Policies & Procedures v Certification, e.g. Handling Gasses

30 Client Groups and Applications Duke Clinical Research Institute vpolicies & Procedures vresearch-related content Financial Services (University) vprincipal Investigator Orientation (for federal grant management) vresearch Costing Compliance for faculty Learning & Organization Development vcourse scheduling and management

31 Thank You! Terry A. Seelinger Duke Health Technology Solutions Duke University Health System 3100 Tower Blvd, Suite 207 Durham NC

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