Healthcare E Learning by xux84175

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


                                                     2
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

                                                 3
Collaborators


    Air Force             Army            Navy




 Veterans                        Health & Human
                                                  ?
                                                  Others
                Coast Guard
 Affairs                         Services



                                                           4
Pilot Course: Sharable and
Collaborative E-learning
                 Suitable for generalized
                 application
                 Reusable content, across
                 organizations and courses
                 Reusable content, across
                 organizations and courses
                 Sharable resource to show
                 return on investment



                                             5
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

                                            6
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

                                                                  7
Prioritization
    VERY IMPORTANT                IMPORTANT                  NOT
                                                          IMPORTANT
   • Applicability in more     • Sharable with other     • Could be used
     than one Pharmacy           Government health         in other health
     Technician course           training programs         training
   • Applicability between     • Lends itself to           programs
     curriculum paths            blended learning          outside the
   • Lends itself to           • Contains learning         Government
     graphics and animation      objectives that are     • Occurs early in
   • Content among               prerequisite to other     program
     agencies is similar         courses                   curriculum
   • Perishable or             • Lends itself to
     depreciable skills that     practice and
     may require a refresher     remediation
   • Stable and durable        • Similar lesson
   • Lends itself to high-       structure within a
     level interactivity         course




                                                                             8
Lesson Structure
Example Course: Therapeutics, Central Nervous System




                                                       9
Content Taxonomy
           Web-Based Course: Hierarchy and Structure Using Modular Construction
                                          Course Overview*                                  M

  Lesson              Lesson 1                  Lesson 2                 Lesson 3
 Overview

 Modules                                                                                                                 Module
                  M      M       M          M      M       M         M      M       M                               Module Overview* T
                                                                                                                        Topic 1
                                                                                                                        Topic 2




                                                                                                7 ± 2 Topics
                                                                                                per Module
                  M      M       M          M      M       M         M      M       M                                   Topic 3
                                                                                                                        Topic 4
                                                                                                                        Topic 5
                                                                                                                        Topic 6
                  M      M                                           M
                                                                                                                  Module Level Practice*
                                                                                                                                      T/M
                                                                                                                    Knowledge Check*
                Lesson Level Practice*    Lesson Level Practice*   Lesson Level Practice*                                             T/M
 Practice,
                                                                                                                    Module Summary*
Review and          Assessment+               Assessment+              Assessment+
                                                                                                                                      T/M
Assessment
 Modules          Lesson Summary*           Lesson Summary*          Lesson Summary*

                                                                                                               * Optional
                                          Course Practice*                                  M                  + An assessment must be
                                                                                                               used on at least one level
                                                                                                               of the hierarchy
                                          Course Summary*                                   M

                                         Course Assessment*                                 M




                                                                                                                                            10
Reusable Content Objects




                           11
Interface Sample




                   12
Instructional Strategies
               Presentation,




                 Interactivity,
                 and
                 Assessments
                                  13
Planning for the Future

 Program
 implementation
 Program
 management and    Lifecycle
                  Management
 sustainment




                               14
Benefits
  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

                                                        15
Interagency Collaboration
Challenges
   Number of people involved
Successes
   Creation and sustainment of collaborative team
   Project communications
   Unified program design
   Adaptive process
   High instructional standards


                                                    16
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
                                                     17
Development Architecture
                 Content Packaging and Posting


                                   CMT




  Un-packages                      CMT
                                                 Packaged
    Content
                                                  Content
  Repositories
                                                 Repository


                                   CMT




   Un-packages
     Content                       CMT
    Repository                                     LMS



                                                              18
  Development Architecture

   Content                                                          Learner                                       Packaged or
   Registries                                                                                                   Compiled Content
                                                                                           LMS

                    Shared             Re
                Content Registry            gi
                                                 st
                                                   er
                                                        in
 Unpackaged                                          g                                                              VA/DoD Shared
                                                       T
                                                   Ac agg
or Raw Content                                       qu ed
                                                  Co ir                                                            Content Repository
                                                                                     g
                                                    nt ing Co                     in
                                                      en      nt                st e n t    Content
                                                         t      en            Po ont       Repository
                                                                      t         C

                                    Acquiring Co                                                       ontent
                                                 n           tent                                  C
        Shared                                                                             Posting
        Content                    Archieving New or                                                                    Other Repositories
                                   Remodeled Content                          Developer
      Repositories




                                                                                                                                             19
Questions and Comments
      For more information:

         Dr. David Twitchell
            801-924-6836
       david.twitchell1@va.gov




                                 20
                     Unseen by Learners




           LMS
                  Content
                 Repository



                                      VA/DoD Shared
                                     Content Repository
           LMS
                  Content
                 Repository


                                             Other Repositories


                                          Packaged or Compiled
Learners   LMS    Content                       Content
                 Repository




                                                                  21
Learner   LMS                     Outside
                                 (shared)
           Content Repository   Repositories




                                               22
                            Content Registries                                     Developers



                                                 NIH Registry


                                                                  MedEdPortal
                                                                   Registry     Content Repository




 VA/DoD Shared
Content Repository


                                                   VA/DoD Shared
                                                                                Content Repository
                                                   Content Registry

      Other Repositories


Unpackaged or Raw Content
                                                                CDC Registry

                                                                                Content Repository



                                                                                                     23
                             3500
                             Items




                  Metadata
                                                        Content Registry




                   Apply
                                       Homeland
                                        Security




CMT (HS)
                                      Repository
                                                                                          6500
                                                          25,000 Items                    Items




                                                                                                     Metadata
                                                                                                      Apply
                             Search                                             VA




                                                                                                                CMT (VA)
                                          Registered
                                         [1500 Items]                        Repository
                             4200
                             Items

                  Metadata
                   Apply
                                        Navy                                Registered      Search
CMT (Navy)


                                      Repository                           [4000 Items]

                                                                                          8000
                                                                                          Items




                                                                                                     Metadata
                                                                                                      Apply
                             Search       Registered
                                                                               HHS




                                                                                                                CMT (HHS)
                                         [2000 Items]
                                                                             Repository
                             5500
                             Items
                  Metadata
                   Apply




                                       Air Force
CMT (Air Force)




                                      Repository                            Registered      Search
                                                                           [7000 Items]

                                                                                          12000
                                                                                          Items




                                                                                                     Metadata
                                                                                                      Apply
                             Search       Registered
                                         [1500 Items]                          Other




                                                                                                                CMT (Other)
                             4500                                            Repository
                             Items
                  Metadata
                   Apply




                                        Army
CMT (Army)




                                      Repository                            Registered
                                                                                            Search
                                                                           [6000 Items]



                             Search       Registered
                                         [3000 Items]




                                                                                                                              24
                  On-line input and
   Start                import
                                                  Rapid Visual
                    Visual Editor                   Review

  Content
organization
    and
preparation




                                                                  Revision
                                      Yes
                                                                  needed?
  Database     SCORM 2004
   or table    Export (SCO)
                                                                     No


                                                                  Generate
                                            Repository           Presentation
                                             Storage




                                                                                25

								
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