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Collaborative and Sharable Healthcare E-learning

MedBiquitous Annual ConferenceDr. David Twitchell

30 April 2009

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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.

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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

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Collaborators

Air Force Army Navy

Coast GuardVeterans Affairs

Health & Human Services

Others

?

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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

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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

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Pharmacy Technician Training Program Stakeholders

Project Facts90 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

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PrioritizationVERY IMPORTANT IMPORTANT NOT

IMPORTANT• Applicability in more than

one Pharmacy Technician course

• Applicability between curriculum paths

• Lends itself to graphics and animation

• Content among agencies is similar

• Perishable or depreciable skills that may require a refresher

• Stable and durable• Lends itself to high-level

interactivity

• Sharable with other Government health training programs

• Lends itself to blended learning

• Contains learning objectives that are prerequisite to other courses

• Lends itself to practice and remediation

• Similar lesson structure within a course

• Could be used in other health training programs outside the Government

• Occurs early in program curriculum

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Example Course: Therapeutics, Central Nervous System

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Content Taxonomy

Course Practice*

Course Summary*

Course Assessment*

Lesson 3

M M M

M M M

M

Lesson Level Practice*

Assessment+

Lesson Summary*

Lesson 2

M M M

M M M

Lesson Level Practice*

Assessment+

Lesson Summary*

Lesson 1

M M M

M M M

M M

Lesson Level Practice*

Assessment+

Lesson Summary*

Course Overview*

Web-Based Course: Hierarchy and Structure Using Modular Construction

Lesson Overview

Modules

Practice, Review and Assessment

Modules

Module Level Practice*

Knowledge Check*

Module Summary*

Topic 1Topic 2Topic 3Topic 4Topic 5Topic 6

Module Overview*

Module

7 ±

2 T

opic

s pe

r M

odul

e

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

M

M

M

M

T

T/M

T/M

T/M

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Interface Sample

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Interactivity, and Assessments

Presentation,

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Planning for the Future

Lifecycle Management

Program implementation

Program management and sustainment

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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

Benefits

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Interagency Collaboration

ChallengesNumber of people involved

SuccessesCreation and sustainment of collaborative team

Project communications

Unified program design

Adaptive process

High instructional standards

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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

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Development Architecture

LMS

PackagedContent

Repository

Content Packaging and Posting

CMT

CMT

CMT

CMT

Un-packagesContent

Repository

Un-packagesContent

Repositories

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Development Architecture

Packaged or Compiled Content

Content Registries

Other Repositories

VA/DoD Shared Content Repository

Developer

LMS

Acquiring Content

Registering Tagged ContentPos

ting

Conten

t

Archieving New or Remodeled Content

Posting ContentAcquiring Content

Unpackaged or Raw Content

Learner

SharedContent Registry

ContentRepository

Shared Content

Repositories

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Questions and Comments

For more information:

Dr. David Twitchell801-924-6836

david.twitchell1@va.gov

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LMS

LMS

LMS

VA/DoD Shared Content Repository

Other Repositories

Packaged or Compiled ContentLearners

Unseen by Learners

ContentRepository

ContentRepository

ContentRepository

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Content Repository

LMS Outside(shared)

Repositories

Learner

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Content Repository

Content Repository

Content Repository

VA/DoD Shared Content Repository

Other Repositories

Unpackaged or Raw Content

NIH Registry

CDC Registry

MedEdPortalRegistry

VA/DoD Shared Content Registry

DevelopersContent Registries

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Content Registry

Registered [4000 Items]

Registered [7000 Items]

6500 Items

Registered [6000 Items]

8000 Items

Registered [1500 Items]

12000 Items

Registered [2000 Items]

4200 Items

Registered [1500 Items]

5500 Items

Registered [3000 Items]

4500 Items

VA Repository

Ap

ply M

etadata

HHS Repository

Ap

ply M

etadata

Other Repository

Ap

ply M

etadata

Homeland Security

Repository

Ap

ply

Met

ada

taNavy

Repository

Ap

ply

Met

ada

ta

Air Force Repository

Ap

ply

Met

ada

ta

Army Repository

Ap

ply

Met

ada

ta

3500 Items

25,000 Items

Search

Search

Search

Search

Search

Search

Search

CM

T (

HS

)

CM

T (V

A)

CM

T (

Nav

y)C

MT

(A

ir F

orce

)C

MT

(A

rmy)

CM

T (H

HS

)C

MT

(Other)

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Database or table

Content organization

and preparation

Start

Generate PresentationRepository

Storage

Revision needed?

SCORM 2004 Export (SCO)

No

Yes

On-line input and import

Visual EditorRapid Visual

Review