1. "LMS and eLearning Assessments for Healthcare Compliance” Anna E. Story, RN, MS, MSN Certified Online Instructional Designer LMS Administrator, UNC Health Care astory@unch.unc.edu Timothy Boyd, MSIE ISD System Analyst, Database Administrator UNC Health Care teboyd@unch.unc.edu

2. University of North Carolina Health Care Located in Chapel Hill, North Carolina Research Triangle Park area supporting high tech business North Carolina’s Public Academic health center Linked with UNC and the prestigious Schools of Medicine, Nursing and Allied Health One of the top 50 hospitals: US News and World Reports Distinguished in research, innovation, growth and quality http://www.unchealthcare.org

3. Compliance in Health Care Federal, state and external regulatory agencies impose many regulations on the healthcare industry »JCAHO »CLIA »OSHA »HIPPA Internally driven initiatives demanding quality and competency validation Healthcare integration with physician practices, schools, clinics and hospitals

4. Cost in Providing Compliance Training at UNCH Every employee must complete a minimum of 4 hours of compliance training per year. Clinical employees complete > 30 hours per year Most employees complete > 8 hours per year Conservative calculated student burden of cost per hour of training = $30.00 based upon average annual salary and fringe only The minimum training cost for the institution’s employees is over $1 Million But…the reality is at least 4 times that!!!

5. E-Learning Benefits Reducing time spent on training Reducing instructor costs Reducing space/facility costs Providing 24/7 access Reducing travel costs Reducing lost opportunity costs Consistency in message

6. Compliance Management Fines for non-compliance Record keeping is essential LMS reduces cost »Centralizing tracking »Automating assignments and notifications »Eliminating paper »Maintaining certifications »Providing consistency LMS mitigates risks »Tracking exceptions in reports »Reporting on completion and compliance

7. UNCH LMS Using Pathlore ® since 2005 AICC & SCORM compliant Permits e-learning course import and management Houses a database of >4500 e-learning courses »Homegrown - 7 Annual Hospital Required courses Clinical and specific application training courses »Purchased - Human Resources, Business, IT, Finance, Certification, Leadership, and Career Development courses

8. UNCH LMS Tracks registration and completion statuses of online and instructor-led courses Easy to create reports for gap analysis Permits assignment based upon criteria Dedicated LMS Content Administrator and Application/Database Administrator 60 department-specific trainers with LMS Registration/Course Creation rights Initial license cost $200,000 for 10,000 users Annual maintenance of $45,000 per year for 12,000 users

9. Enter… the Laboratory Compliance Problem 3,500 Nurses required to take annual competency assessment in Laboratory Point of Care (POC) testing…CLIA (lab regulatory agency) mandate »Glucometer- blood sugar »Urine Analyzer »Urine Pregnancy Analyzer 2009 will be every 6 month competency testing by CLIA POC compliance requires demonstration of procedure

10. Traditional POC Assessment Procedure Schedule 130 total sessions per year Nurse leaves patient care area to be tested Total time for testing per nurse including travel to site is >30 minutes Supplies for testing include solution, analyzer and test strips POC Lab Coordinator »Schedules »Tests »Manually enters completion and compliance Total current cost = $250,000 per year for these three compliance requirements for 3500 nurses

11. However…. CLIA is, next year, going to require compliance every 6 months So… if we were to continue with this method of assessment we would be costing the institution a minimum of: $250,000 X 2 = $500,000! per year This is in addition to all the other required unit specific nursing courses and Annual Nursing Competency courses i.e., ACLS, PALS, Skin Care, EKG etc…….

12. Enter Interactive E-Learning with LMS ToolBook – e-learning software to create interactive e-learning assessments from Pathlore ™ Completion for compliance done in 5 minutes on the nursing station at any computer for POC testing: »Glucometer »Urine Analyzer »Urine Pregnancy Analyzer Reduces cost Improves compliance LMS Tracks completion gap analysis reporting

13. How did we do it? POC compliance requires demonstration Interactive e-learning assessment permits required demonstration of : »Proper procedure »Appropriate problem solving »Correct analysis

14. Demonstration Urine Pregnancy Urine Dip Analysis Glucometer Links are only live for the presentation as they reside on our password protected LMS. Please contact us for sample or demo.

15. Value Improved compliance and quality »Ease of completion »Ease in reporting gap analysis for compliance »Lab POC Coordinator more efficient and better use of time for Lab QA Reduced cost »5 minutes instead of 30 and no other costs once created. »Estimated savings $500,000 per year for all 3 courses

16. Reducing current 4-hour annual compliance training to 1 ½ hours with interactive e-learning- NOT Static PowerPoints® or Video’s Use Camtasia ® and Captivate®- SCORM compliant Improving retention with interactivity and 100% pass requirement with feedback »Infection Control for Health Care – 15 minutes »Fire Safety- 15 minutes »Emergency Preparedness- 15 minutes »Hazardous Communication and Safety- 15 minutes »Confidentiality, Privacy and Information Security- 15 minutes »Compliance and Code of Conduct – 15 minutes Additional Hospital Initiatives for 2009

17. Infection Control Infection Control for Health Care Workers »customized »SME created PowerPoint »Instructional Designer created in Captivate® But wait there is more….. Initiative to improve customer service with Scripting… use e-learning and assign to all employees via LMS Universal Scripts Universal Scripts for All Employees »Customized »Video demos captured »Instructional Designer created in Camtasia® Additional PROJECTED ANNUAL SAVINGS $75.00 education hours x 8100 employees = $608,000 Links to the courses will be live during the presentation only due to passworded access to LMS.

18. Thank you Contact: »Anna Story, RN, MS,MSN astory@unch.unc.eduastory@unch.unc.edu »Tim Boyd, MSIE teboyd@unch.unc.eduteboyd@unch.unc.edu We can provide you more information regarding LMS and interactive compliance training as well as an actual sample course we have created. Camtasia ® from www.techsmith.comwww.techsmith.com Captivate ® from www.adobe.comwww.adobe.com ToolBook ® from www.sumtotalsystems.comwww.sumtotalsystems.com