Adoption of e-learning
Nancy Hudecek RN, BSN, MS
Clinical Director, Quality Improvement and Patient Safety
Main Entry: learn Pronunciation: \lərn\
Function: verb Inflected Form(s): learned \lərnd, lərnt\ ; learn·ing
Etymology: Middle English lernen, from Old English leornian; akin to Old High German
lernēn to learn, Old English last footprint, Latin lira furrow, track
Date: before 12th century
transitive verb1 a (1): to gain knowledge or understanding of or skill in by study,
instruction, or experience <learn a trade> (2): memorize <learn the lines of a play>
b: to come to be able <learn to dance> c: to come to realize <learned that honesty
paid> 2 a nonstandard : teach b obsolete : to inform of something (3): to come to
know : hear <we just learned that he was ill>intransitive verb: to acquire knowledge
or skill or a behavioral tendency synonyms see discover
— learn·able \lər-nə-bəl\ adjective — learn·er noun
What is e-learning?
• Delivery of learning, training or education programs by electronic means.*
• Involves the use of a computer or electronic device (e.g.: mobile phone) in
some way to provide training, educational or learning material.
• May involve a greater variety of equipment than online training or
education, for as the name implies, "online" involves using the Internet or
an Intranet. CD-ROM and DVD materials may also be used.
• Blended learning is e-learning combined with other training methods.
* Derek Stockley 2003
Components of e-learning
e-learning is the use of Technology Curriculum
technology and services
to deliver a curricula and,
ultimately, to facilitate
History of the “Learning Profession”
WHERE WE CAME FROM ….
Pre 1979, everything was piled under one big
huge umbrella called
WHERE WE ARE TODAY …
Post 1979, a new concept was evolving called
• Section 508
• 21 CFR Part 11
Training Delivery Methods 2005-2008
Who Uses E-Learning?
In every stage, e-learning
positively impacts workforce
excellence. Retention and Growth
• Competency mastery and
• Coaching and mentoring
• Creating a learning community
• Flexible access to training
• Cycle time for retooling skills
• Access to best practices information
• New recruits lack certain skills
• Speed to baseline competency
• Orientation learning curve
e-Learning is a Excellence
tool used within
each point of the Metrics
powerfully Reporting and
organization. Training Types of Learning
Building Workforce Excellence
Healthcare Organization and Education Issues
Sa plo O
t is ye AH SHA
fac e JC O
Preparedness cycle time
ploy er HIPAA
Pr es ial
Online Continuing Education
• Equal or Higher Quality of Learning
• Time Savings of 40-60%
• 30% Increase in Learning Retention
Study Reported in Web-Based Training Cookbook (1997)
l al t s s
n i on os vi ng
r at lC Sa
Pe O T ot
Needham & Company, Inc.
Southern Hills Medical Center
With e-learning, reduced employee time to complete
annual regulatory training requirements.
As an example, HealthStream’s study showed that
Southern Hills nurses reduced training time on average
more than 2 hours. With 250 nurses, that represents 500
patient care hours.
- Excerpt from HealthStream study
Trends in e-learning
For Healthcare, the top priorities for 2009 are:
1. Clinical staff training
2. Improving program effectiveness
3. Integrating performance management / competency
Source: Bersin & Associates, 2008.
Training Supports Strategic Goals
Status of training in
hospitals is increasing—as In 2008, healthcare organizations spent an
workforce development is average of $549 per learner, down from
linked to improved patient $707 in 2007.
The average number of training staff per
Nursing Research, Jan-Feb thousand learners has also declined over
2008 the past year, from 7.3 staff members per
thousand learners to 4.7.
Online education program
examination skills better
than clinical training alone.
Journal of Hospital Medicine,
Training Spending Per Learner by Industry
Training Staff per 1,000 Learners by Industry
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
Future of the “Learning Profession”
WHERE ARE WE GOING … ?
Pod=iPod / cast=broadcast, aka webcasts, netcasts, learncasts
Send audio/visual content over the internet for portable playback on an iPod or a PC. It’s
known as a form of “Edutainment”
Strengths: replay anytime, anyplace, good quality imaging/sound
“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
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. They can offer discussion forums, provide explanation, how to instructions. They
can easily be updated and can therefore contain current information.
Across Industries, Building Competencies is Driving
Business Drivers for Executive Development
% of Companies Business Drivers
13% Compete in the Market
17% Increase Retention of Executives
21% Prepare for Retirements of Existing Executives
38% Improve Corporate Performance
39% Business Growth
44% Improve Creation and Execution of Business Strategies
59% Succession Planning (upward movement)
69% Build Competencies; Close Gaps (in existing roles)
(Bersin & Associates April 2008)
JCAHO Competency Requirements Influence
“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,
Content continues to improve
association content is
starting to go online.
Courseware is more
interactive & engaging.
Courseware is “chunked”
into just-in-time modules,
optimizing adult learning
New pedagogies enhance
Rapid content development & distribution is on the rise
report that 94% of
programs are time Create
Bersin & Associates,
Community of Educators Lead Innovation
Northeast Georgia Health System –
Leveraging competency program to bridge
research and learning
Greenville Health System – Simulation Center
Tenet Healthcare – MedSurg Program in
Per Employee Expenditures are Down
(1) Training expenditures per employee in healthcare
$690 (2008) $860 (2007) $400 (2006)
(2) Training investments per employee in healthcare
1.55% of payroll (healthcare) compared to 2.15% of payroll (across all
(3) Training hours per employee in healthcare
31.2 hours (healthcare) compared to 37.4 (average across industries)
(4) Cost per learning hour in healthcare
$1,387 (healthcare) compared to $1,660 (average across industries)
(5) Across all industries, online learning (vs. live) remains constant around 32%.
The percentage for healthcare is right at the industry average at
Open Discussion Items …
(in Beginning and Middle of Presentation)
What are you currently doing with e-Learning?
What new technology/courses/processes have you added in recent
What new “ways” have worked well/what has been most
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?