A Proposed Framework for a HIT



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Norma Street MSN, BSN, RN Clinical Nurse Informaticist at Department of Clinical Research Informatics National Institutes of Health A Proposed Framework for a HIT Training Company Program LOGO

Phases of Training Program Framework 1. Needs Assessment 2. Instructional Goals and Objectives 3. Design 4. Implementation 2. Evaluation

Concepts How When Who What What Where Why

Needs Assessment Goals Objectives Activities Tasks Who Skills Organization s Goals and Objectives Jobs and Related tasks that need to be learned Individuals who are to be trained Competencies and skills that are needed to perform the job

Levels of Needs Assessment There are three levels of needs assessment: Organizational analysis Task analysis Individual analysis

Developing Goals and Objectives Goals and Objectives Be specific Be Practical Measurable Be Simple

Design Designing a Audience Setting Schedules Framework Resources Methodology Content Equipment Materials

Audience Considerations Four basic questions about the audience: Audience Who needs this training? Why do they need it? What do they already know? What do they need to know? When you initially define the training project, it is easy to assume that everyone already knows as much about the topic as you do. Information that seems new or difficult to you may seem very familiar and easy to someone else. Information that seems easy to you may be difficult for others. Therefore, it is critical to know your training audience s actual needs.

Settings Considerations Physical set-up Settings Good physical set up is pre requisite for effective and successful training program because it makes the first impression on participants. Classrooms should not be very small or big but as nearly square as possible. This will bring people together both physically and psychologically. Also, right amount of space should be allocated to every participant.

Human Resources Human resources Skills Energies Talents Abilities Knowledge Resources

Equipment and Materials Considerations for training include: Budget considerations Developing audio-visuals Graphics Manuals Monitors Computers Charts Binders Preparing any needed facilities Piloting course content to ensure it is understandable Equipment Materials

Content Structure Content Structure 1. Themes and Modules: Determine themes based on common competencies and then role specific competencies. Use bullets and headers to create a simple outline of the modules and the topics within. 2. Sequencing of Content: Determine the sequence of the modules It is important to consider the elements of the framework to ensure that the logistics and delivery options are considered so that the content can be molded to fit the framework. Content

Methodology Delivery Mode Face2Face Online instruction Workbooks Mixed Modes Methodology Delivery Style Interactive Group Work Lecture Demonstration Individual Work Instructional Style Self-paced Instructor Led

Schedules and Registration Schedules Registration Setting up schedules Facility Resources Date/Time Define and communicate the process that will be use for registration Online Phone line Other Registration Portals

Implementation Implementation phase requires continual adjusting, redesigning, and refining. The following factors that are to be kept in mind while implementing training program: The trainer Physical set-up Establishing rapport with participants There are various ways by which a trainer can establish good rapport with trainees by: Greeting participants simple way to ease those initial tense moments Encouraging informal conversation Remembering their first name Pairing up the learners and have them familiarized with one another Listening carefully to trainees comments and opinions Telling the learners by what name the trainer wants to be addressed Getting to class before the arrival of learners Starting the class promptly at the scheduled time Using familiar examples Varying his instructional techniques Using the alternate approach if one seems to bog down

Implementation Reviewing the agenda Kinds of training activities Schedule Setting group norms Housekeeping arrangements Flow of the program Handling problematic situations

Evaluation Determine whether the training objectives were met Determine participant reaction Determine how much participants learned Determine how well the participants will transfer the training back on the job Include the results of the training evaluation in the next cycle of training needs assessment.

Evaluation It is important to note that the training needs assessment training objectives design implementation and evaluation process is a continual process within organizations

Summary Proposing a framework for an HIT training program considerations must be given to: Phases associated with training program development The concepts that can be applied to each of the phases The importance of a performing a training needs assessment Developing realistic Goals and Objectives Design, Implementation and Evaluation

References and Contact Information References TBA Contact Information Norma Street MS, RN Clinical Nurse Informaticist DCRI-NIH, Bethesda, MD streetn@cc.nih.gov 301-402-7828