1 Collaborative and Sharable Healthcare E-learning MedBiquitous Annual Conference Dr. David Twitchell 30 April 2009

2 VHA EES Goals Develop and conduct educational interventions that support VA and VHA strategic priorities and result in measurable learning and performance change. Provide a learning infrastructure that increases access to and timeliness of learning opportunities. Create partnerships to better develop, deliver, and use educational products and services.

3 Convergence Sharable Content Object Reference Model (SCORM) adoption (EDM-2005). Creation and Evolution of JEC and HEC—with the mandate to facilitate sharing  Share Existing Healthcare Training Content  Collaboratively Develop Shared Content Creating a Sharing Culture required Sharing Partners.  PMDB  Pharmacy Technician Training

4 Collaborators Air ForceArmy Navy Coast Guard Veterans Affairs Health & Human Services Others ?

5 Pilot Course: Sharable and Collaborative E-learning Suitable for generalized application Reusable content, across organizations and courses Sharable resource to show return on investment

6 The Next Pilot: Proving the Collaborative Model Prove flexibility and applicability of collaborative model Address extensive curriculums with size and complexity challenges Challenge organizational structures and processes Demonstrate collective value Unite government agencies

7 Pharmacy Technician Training Program Stakeholders Project Facts 90 hours WBT part of larger blended curricula to be conducted at METC, and VA and Government locations throughout the world Initial phase accomplished curriculum analysis, program design, and development of a prototype Currently designing and developing WBT and planning for program implementation and sustainment

8 Prioritization VERY IMPORTANTIMPORTANTNOT IMPORTANT Applicability in more than one Pharmacy Technician course Applicability between curriculum paths Lends itself to graphics and animation Content among agencies is similar Perishable or depreciable skills that may require a refresher Stable and durable Lends itself to high- level interactivity Sharable with other Government health training programs Lends itself to blended learning Contains learning objectives that are prerequisite to other courses Lends itself to practice and remediation Similar lesson structure within a course Could be used in other health training programs outside the Government Occurs early in program curriculum

9 Example Course: Therapeutics, Central Nervous System

10 Content Taxonomy

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12 Interface Sample

13 Interactivity, and Assessments Presentation,

14 Planning for the Future Monitoring program quality Managing curricula Updating content Managing records Lifecycle Management Program implementation Program management and sustainment

15 Standardization across the federal government A program that is truly the best, incorporates best practices from multiple organizations Efficient use of development resources, benefiting a larger audience Building blocks for other pharmacy or healthcare programs Model for programs with similar goals Proven success story Benefits

16 Interagency Collaboration Challenges Number of people involved Successes Creation and sustainment of collaborative team Project communications Unified program design Adaptive process High instructional standards

17 Current Sharing and Collaboration Efforts Continue development of sharable courses and content objects  Continue to push the capabilities Refine the collaborative model Tackle technical aspects related to sharing  Metadata, repositories, and registries Promote quality medical training based on solid instructional design Share best practices and lessons learned with training and medical communities

18 Development Architecture

19 Development Architecture

20 Questions and Comments For more information: Dr. David Twitchell

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