Regional e-learning request form

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Midland Region Online Course Development Request

Filling out this form

A. You see a need for a course

Who needs to be involved:

Subject matter expert (SME)

DHB e-learning lead (Learning and development or similar person)

 Sponsor – a level 3 executive (GMHR, COO, DAH, CMA, DOMN, CFO, CIO, GMM, Clinical Network

Chair)

1) SME completes the checklist to quantify the need for this course

2) SME discusses the intention with sponsor and e-learning lead

3) SME completes Section One with support from e-learning lead

4) Sponsor completes Section Two and sends to their regional counterparts (see example)

5) E-learning contact collates the responses into a single document and sends to the nominated HSL representative.

EXAMPLE

To: Equivalent execs (x4)

CC: E-learning lead, subject matter expert

Dear Xyz

We are planning to develop an e-learning course on ABC and would like your support to make this course a collaborative effort for regional benefit. We have completed the first sections of the regional request form and ask that you complete the last section on regional collaboration. Please return it to JKL, e-learning lead, before 123 (two weeks from now).

B. You have been asked by a regional colleague to collaborate on a course and have been sent this form to complete Section three

Who needs to be involved:

Subject matter expert (SME)

DHB e-learning lead (Learning and development or similar person)

Sponsor – a level 3 executive (GMHR, COO, DAH, CMA, DOMN, CFO, CIO, GMM)

1) Sponsor reviews the sections completed by the originating DHB, in particular the business results and job impact

2) Nominate a suitable subject matter expert to be involved from your DHB

3) Complete Section three, Regional collaboration and return to the e-learning lead listed, copying your local e-learning lead within two weeks.

EXAMPLE

To: Sender, e-learning lead listed in email

CC: Local e-learning contact

Dear Xyz

We support your initiative for an e-learning course on ABC and have completed the regional collaboration section as requested.

1

Checklist

Use this Quick Checklist to identify the weighting of your on-line development request.

Rationale Score

1. Will this course contribute to compliance with national standard / legislation?

e.g. The Health and Disability Services (Safety) Act 2001 requires Designated Audit Agencies to audit healthcare facilities in order to measure compliance against NZS 8142:2000 Infection Control

2. Will this course contribute to achievement of a national health target?

Shorter stays in ED, Improved access to elective surgery, shorter stays for cancer treatment, increased immunisation, better help for smokers to quit, more heart and diabetes checks. http://www.health.govt.nz/newzealand-health-system/health-targets

3. Will this course contribute to the achievement of a core output identified in the current Midland DHB’s Regional Service Plan (RSP)?

http://www.waikatodhb.govt.nz/page/pageid/2145849563/Midland_DHBs/HealthShare.html

4. Is this course a Regulatory Authority requirement? E.g. Nursing Council of New Zealand requirement for Professional Development on Nursing Code of Conduct by 2015 for all registered Nurses and enrolled Nurses.

5. Staff required to complete this course:

All Staff = 5

Clinical staff in more than one professional area = 3

Clinical staff in only one professional area = 2

Non-clinical staff = 2

6. Localisation:

Course content will be the identical for all Midland DHBs = 5

Course content will have a common core with some localisation for each DHB = 3

Course content will have a common core with major localisation for each DHB = 0

7. Course development:

Course can be developed by requestor = 5

Course can be partly developed by requestor = 3

Course needs to be fully developed by HSL = 0

Select

Select

Select

Select

Select

Select

Select

TOTAL /35

Range for total :

0-10: Not a priority 11-25: Good 26-35: Excellent

2

Section one: Course details (Subject matter expert to complete)

Subject Matter expert

Your name:

Your email:

DHB Lead Name

Other SMEs or facilitators

Target Audience

Delivery

Course Type*

Your position:

Your phone:

DHB Lead email

Course Detail

All Staff

Occupational group (specify)

Fully on-line

Blended Learning

(classroom & e-learning)

Select the course type

Workshop prerequisite

Other (specify)

Education level* Select the appropriate level

Planned release date?

Course Learning

Objectives

Key knowledge to be developed by;

Key skill to be developed by;

Application of key skills by;

Learning outcomes

Exam pass rate, skill performance, progress alog specified learning path.

Learner satisfaction

Satisfaction scores, completion rate comments.

State how you will know the learners have learned e.g. 100% pass mark in course with 2 / 3 attempts

State the level of satisfaction you require e.g. 80% of staff in the course felt the course was worthwhile

Promotion strategy

Flyers posted on ward notice boards for 2 months. Intranet headline run three times.

Inservice sessions

Describe how you will promote this course to your staff

3

Section two: Business alignment and impact (Sponsor* to complete)

Sponsor

Your name: Your position:

Your email:

Commitment

What financial and or human resources will you commit to:

Your phone: a) course development b) ongoing delivery and maintenance?

Strategic Alignment

Describe:

Legislative requirement

Midland Regional Service Plan

DHB Organisational Goal

(State relevance to regional / DHBs organisational goals/strategic priorities )

Yes No

If yes, Specify act

A professional requirement for an occupational group

Yes No

If yes, Specify how

Evaluation Level Measures

Business results

Business performance indicators, quality improvement.

Job impact (learning transfer)

Sponsor’s signature

State what you expect to see e.g. Reduced sentinel events by x %

Expected $ cost savings

State what changed behaviours you expect to see.

Method

Demonstrate how this information will be gathered.

Who, what and when

Demonstrate how this information will be gathered.

Who, what and when

4

Section three: Collaboration (Other DHBs to complete)

DHB

Sponsor’s name:*

Subject Matter Expert(s):

DHB Lead Name

Acceptance of proposal

Please indicate whether you support the application as it stands or with modification

as proposed

Sponsor’s position:

Email

DHB Lead email

with changes

If with changes, please describe

Do not support

Commitment

What financial and or human resources will you commit to: a) course development b) ongoing delivery and maintenance?

Business results

Business performance indicators, quality improvement.

Demonstrate how this information will be gathered at your DHB. Who, what and when.

Job impact (learning transfer)

Demonstrate how this information will be gathered at your DHB. Who, what and when.

Promotion strategy

Flyers posted on ward notice boards for 2 months. Intranet headline run three times. Inservice sessions

Describe how you will promote this course to your staff

Sponsor’s signature

5

Additional notes

Course types

1) Informational / Instructional: Self paced learning of up to 30 minutes. Staff member reads or watches presentation of information followed by formative assessment.

2) Compliance / Competence: Self paced learning of up to 90 minutes. Staff member reads or watches presentation of information followed by summative assessment to demonstrate understanding.

3) Short course Educational: Self paced learning of up to 120 minutes. Staff member reads or watches presentation of information, may participate in collaborative learning activities followed by summative assessment to demonstrate understanding and application.

4) Course / Educational: Semi-directed / facilitated learning - may be blended (e.g. part online, part workshop).

Staff member builds knowledge and understanding through a range of methods including participation in collaborative learning activities followed by summative assessment to demonstrate understanding and application.

5) Regulated Programme: Made up of multiple sessions spread over an extended period of time. Staff member builds knowledge and understanding through a range of methods including participation in collaborative learning activities followed by summative assessment to demonstrate understanding and application.

Education levels

1.

Basic life skills (not used by Midland MVLE)

2.

Basic subject knowledge, skills and application

3.

Operational subject knowledge, skills and application

4.

Broad theoretical and technical subject knowledge, skills and application

5.

Specific theoretical and technical subject knowledge, skills and application

6.

Specialised subject knowledge, skills and application

7.

Professional subject knowledge, skills and application

8.

Distinguished in profession

6

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