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
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 <learn a trade>
e-learning (NOT elearning)
– Delivery of learning, training or education programs by
electronic means.
* Derek Stockley 2003
– E-learning applications and processses
 Web-based learning
 Computer-based learning
 Virtual classroom
 Digital collaboration
•
•
•
•
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Internet
Extranet/ intranet
Audio or video tape
Satellite TV
CD-ROM
• Self-paced or Instructor-led
CBT – IBT - WBT
Self-directed Learning
Learning on your own
By yourself
Blended Learning
Mixing of different learning
environments
Virtual Education
Instruction in a learning environment
where teacher and student are
separated by time and/or space
Teacher provides content through
methods like internet, video
conferencing, multimedia
resources, course management
applications
Where we came from …
Pre 1979: “THE TRAINING DEPARTMENT”
Training/teaching consisted of live sessionsthe 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
Where we are today …
New needs, require new methods - a new concept was evolving:
“HUMAN RESOURCES”

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.

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
Where we are today …
e-Learning Ladder*
Who Uses E-Learning?
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•
•
•
•
•
•
Aviation
Telecommunications
Technology
Retail
Higher Education
Banking/ financial services
Healthcare
– Who ISN’T using E-learning??
Growth of eLearning
• eLearning accounts for nearly one-third of learning
content made available1 ― and is the second-most
frequent method to deploy learning.2
 Safety training ranks in the top three corporate
uses for eLearning.3
 The highest rate of growth is in the healthcare
segment.4
 By 2014, corporations will remain as the top buyer
of self-paced eLearning products and services.4
1 American
Society for Training and Development (ASTD), 2008 State of the Industry, November 2008
Elearning: A Global Strategic Business Report, Global Industry Analysts, Inc.; July 2007
3 ELearning ENews, Elliot Masie Learning Consortium Survey; September 2006
4 Ambient Insight, The US Market for Self-paced eLearning Products and Services: 2009-2014 Forecast and Analysis, October 2009
2
Immersive Technologies
• Drivers for growth
– Improving development,
declining price points
– User expectations
• Obstacles
– Time-consuming creation and still
costly for some
– Intense hardware and software user
requirements
The Top Five Emerging Trends in Learning Technology; White Paper, SumTotal Systems, July 2008
Growth of BLS Online
BLS-HCP Online Keys
160,000
140,000
133,167
138,652
2008
2009
120,000
91,790
100,000
76,504
80,000
60,000
40,000
29,915
20,000
-
2005
2006
2007
ECC’s eLearning Growth
Heartcode ACLS & BLS
Sept. ’06 – Dec. ‘08
BLS and ACLS - Cumulative
Why e-Learning in Healthcare
Education and Workplace?
Excellence
Excellence
In every stage
, e-learning positively impacts
Returning Students
education & workforce excellence. Retention and Growth
E-learning is everywhere …
• Competency mastery and
recognition
• Coaching and mentoring
• Creating a learning community
Student/Employee
Satisfaction
• Flexible schedules for learning and
practice
• Access to training opportunities
• Cycle time for retooling skills
• Access to best practices information
Recruitment
• Attract students / Compete with
other schools
• New recruits lack certain skills
• Speed to baseline competency
• Orientation learning curve
For Healthcare, the top priorities for 2009 were
related to training:
1.
2.
3.
Clinical staff training
Improving program effectiveness
Integrating performance management /
competency management initiatives
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
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
Content continues to improve
• Leading professional
association content is
starting to go online.
• Courseware is more
interactive & engaging.
• Courseware is
“chunked” into just-intime modules, optimizing
adult learning principles
• New pedagogies
enhance critical thinking
Rapid content development & distribution is on the rise
Across industries,
education managers
report that 94% of
their training
programs are time
critical.
Create
Publish
Bersin & Associates,
December, 2005
View
But…How do you know what to trust?
– Do we buy?
– Is it adaptable to our needs?
– Do we develop our own?
Time
 Resources
 Expertise

E-learning is providing huge cost
savings and other benefits
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 Children’s 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%.
What contributes to savings?
Benefits other than monetary….
eLearning Benefits
Convenient
Take the instruction anywhere you
have access to a computer and an Internet connection.
Flexible
Complete training as it fits your schedule, and
proceed at your own pace. If you need to or want to, you can stop
the instruction at any time. You can then resume it later, picking up
right where you left off.
Saves time
and money
There are no travel costs or travel time.
Facility costs are lower because people can take the training at
computers already installed in the workplace or, even better for some, at home.
Consistent
training
The same content can be delivered to every learner, yet can be customized
for specific needs.
Easily updated Changes can be made to eLearning content when necessary.
Maximizes
instructor
Makes the best use of instructor time and talent. Basic information can be
delivered through eLearning modules. Then, instructors can focus talent and
time on helping students acquire critical psychomotor skills.
Where we are today …
e-Learning Ladder*
Immersive Learning
Compliance + Competence = Patient Safety
Because good patient
outcomes is about more
than getting a course
completion card…..
Learning Made Real - HeartCode
•
Patient Safety – IHI increased awareness (100k lives) now Protecting
5m Campaign, increased emphasis on patient safety
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Education - should be less about compliance and more about
competencies and measurement,
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Measurable Outcomes –cognitive and psychomotor programs focus on
giving tangible and measurable outcomes
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Compliance – is important to healthcare providers and institutions, but
customers are asking for proof of competence, not just compliance with
getting a card
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Skill Maintenance – all educators know that skill performance
deteriorates over time E-learning allows professionals to regularly
refresh skills and maintain competency, helping to ensure that they are
ready when the real emergency arises
Flexibility & Efficiency
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Anytime & Anywhere – both cognitive and practical skills allow for
learning to take place anytime and any place
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Speed of Compliance –experienced providers can complete their learning
in very rapid time, while those that need practice can, “Time is Money”
finding the fastest way to achieve compliance with requirements is a high
user priority
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Driving Costs Down – costs come in many forms (time, materials,
•
Learning Pace – classes apply the same pace of learning to all
people, etc.) E-learning provides educators a flexible solution to
solve logistical and financial headaches
learners, experienced or novice. E-learning allows learner to
practice and learn at their own pace.
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eSimulation in Healthcare – hospitals are focused on reduction of errors and
improved patient outcomes and simulation is seen as the primary vehicle
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Moves beyond knowledge – to decision making
Adaptive Learning – simulation naturally adapts to the experience of the learner.
Focuses on the decision making skills, reinforce areas needing improvement
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Edutainment – combines education with entertainment and gaming. This form of
education enables them to be more engaged in the learning process.
What are barriers to implementation
and acceptance?
WHERE ARE WE GOING … ?

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. It’s known as a form of “Edutainment”
Strengths: replay anytime, anyplace, good quality imaging/sound
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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

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
Strengths: They can offer discussion forums, provide
explanation, how to instructions. They can easily be updated
and can therefore contain current information.
Weakness: Blogs reflect the voice of the writer.
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Communities/ Facebook
Educators are leading innovation
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Just In Time Training – there’s an App for that
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?
• www.worldwidelearn.com
• www.2elearnning.com
• Jo.haag@heart.org