1. 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

2. 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 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.

3. 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

4. The Adoption of e-learning Where we are today … New needs, require new methods a new concept was evolving: HUMAN RESOURCES u 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. u 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

5. Where we are today … Where we are today … e-Learning Ladder*

6. Where we are today … Where we are today … Training Delivery Methods 2005-2008

7. Where we are today … Where we are today … Who Uses E-Learning?

8. At institutions of higher education: 3.5 million+ students are participating in on-line learning at institutions of higher education. [4] [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.More for-profitnon-profit Online education is rapidly increasing, and online doctoral programs have rapidly developed at leading research universities. [5].doctoral programs [5]

9. Where we are today … Trends in e-learning related to the Healthcare Industry

10. Growth of BLS Online

11. Heartcode ACLS & BLS Sept. 06 – Dec. 08 ECCs eLearning Growth

12. 1. Clinical staff training 2. Improving program effectiveness 3. Integrating performance management / competency management initiatives For Healthcare, the top priorities for 2009 were related to training:

13. Why e-Learning in Healthcare Education and Workplace? In every stage, e-learning positively impacts education & workforce excellence. E-learning is everywhere … Recruitment Attract students / Compete with other schools New recruits lack certain skills Speed to baseline competency Orientation learning curve Student/Employee Satisfaction Flexible schedules for learning and practice Access to training opportunities Cycle time for retooling skills Access to best practices information Returning Students Retention and Growth Competency mastery and recognition Coaching and mentoring Creating a learning community Excellence Excellence

14. 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

15. JCAHO Competency Requirements Influence Training Demand 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

16. Content continues to improve Leading professional association content is starting to go online. Courseware is more interactive & engaging. Courseware is chunked into just-in- time modules, optimizing adult learning principles New pedagogies enhance critical thinking

17. Rapid content development & distribution is on the rise Across industries, education managers report that 94% of their training programs are time critical. Bersin & Associates, December, 2005 Create Publish View

18. But…How do you know what to trust? –Do we buy? –Is it adaptable to our needs? –Do we develop our own? u Time u Resources u Expertise

19. e-learning is providing huge cost savings and other benefits

20. the cost savings 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 Childrens 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%.

21. What contributes to savings?

22. Benefits other than monetary….

23. WHERE ARE WE GOING … ? u 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. Its known as a form of Edutainment Strengths: replay anytime, anyplace, good quality imaging/sound u 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

24. u 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. u Communities Educators are leading innovation u Just In Time Training – theres an App for that

25. Where we are today … Where we are today … e-Learning Ladder*

26. What are barriers to implementation and acceptance? Implementation of AHA programs

27. 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?