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ASQ/ASA Fall Technical Conference October 18, 2002

ASQ/ASA Fall Technical Conference October 18, 2002. Ron King Corporate Statistician Patricia Bush Corporate Director of Outcomes Management. Pilot E Learning Seminar.

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ASQ/ASA Fall Technical Conference October 18, 2002

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  1. ASQ/ASA Fall Technical ConferenceOctober 18, 2002 Ron King Corporate Statistician Patricia Bush Corporate Director of Outcomes Management

  2. Pilot E Learning Seminar • Pilot Project to test and evaluate the feasibility of implementing web based learning system in an international system of hospitals

  3. E Learning Seminar ObjectivesParticipants Will Be Able To: • Understand the health care system challenges that can be resolved using E Learning • Outline functionality and limitations • Review a blood utilization case study that reflects the process and content of an E Learning statistical session • Discuss “lessons learned” and pitfalls to avoid when using E Learning

  4. SYSTEM CHALLENGES RESOLVED WITH THE USE OF E LEARNING

  5. SHC System Overview • SHC is the largest philanthropic organization in North America with no third party payments or government funding • Survival is based on realized gains from the SHC Endowment fund • “State of the Industry” health care is rendered free of charge to patients and their families

  6. SHC System Overview • 22 hospital system (40-80 beds): • 16 States (Honolulu) • 3 Countries (USA, Mexico, Canada) • Patients originate from the entire North American Continent so over 15 languages/dialects spoken by staff • 6 time zones • Mission is three pronged: Patient Care, Education/Teaching and Research

  7. SHC System Overview • Specialty Organization: • Burn Care (4) • Spinal Cord Injury (3) • Orthopaedic Surgery (19) • Organizational structure provides: • System Wide Outcomes Team • One Performance Improvement Director per Hospital to support statistical analysis and data management

  8. SHC System Challenges to Meetings • “It takes so long to get stuff done, so many people have input and I am emailed to death with changes…” • “Our conference calls are so hard to follow when everyone is talking at once…” • “Our system has 22 sites, we just can’t get all those people together at one time…”

  9. SHC System Challenges • “I don’t have time…” • “Travel costs are sky high, our budget is stretched to the max... conferences, training and education just have to go…”

  10. E LEARNING FUNCTIONALITY AND LIMITATIONS

  11. Logistical Issues Getting Started • Originally Planned for July 2002 • Protracted contract negotiations • Agreement made to use product in last week of August • Invitations to attend sent with little notice • Firewall issues • Last minute vendor change • Session Actually took place Friday, October 11th

  12. A Partner With Functionality • Cyber CE (Established in 2000): • Internet-based Training & Education Company • Based on successful Physicians Executive MBA Program at the University of Tennessee • Blended learning model that includes: • Self-paced content review • Testing & evaluations • Learner tracking and certification (as needed) • Live, interactive web conferencing across the world

  13. Functionality • CyberCE Learning Lab • Customized & secured educational web sites • Asynchronous, self-paced content delivery: • Word documents • PDFs • Narrated PowerPoint slides • Streaming video

  14. Functionality • CyberCE Online Conference Room • Live, interactive, synchronous sessions • Uses voice-over IP technology • Content sharing tools include: • PowerPoint slides • Chat box • Application sharing • Whiteboard • Web Safari • Surveys • Archiving recorded sessions for playback

  15. Technology Support • Staff services include: • Establishment of E Learning goals • Course development and deployment • Evaluation design and implementation • Student tracking and certification • Presenter training • “Help Desk” support

  16. Program Limitations • Presenter “observes the class” for activity, can’t see participants in person • Lag time between changes made to a shared document and/or pointer movement and visibility on participant screens • Powerpoint presentations/shared applications are not able to be used simultaneously • Presenters and Participants must have designated equipment and applications in advance of the program

  17. A CASE STUDY: E LEARNING STATISTICAL TRAINING SESSION Get Ready Get Set GO!

  18. Readiness Assessment • Perform a readiness assessment of your system that includes: • Learning culture assessment/computer literacy • Computer access and configurations (Sound Card, Windows 95+ and Internet Explorer+) • Availability of microphone head sets; computer with external speakers/microphone,laptop, etc. • Availability of the presenter to participate in a one hour training session • Technical support to download Java script and presentations (Java Applet with GIF files)

  19. Program Set Up • Collaborate with constituencies to identify learning needs/session date and time • Generate an invitation with: session purpose, time involved, equipment needed, participants, presenter, content, objectives/anticipated outcomes and instructions for download of Applet and files (done the day before the program) • Contact vendor to set up technical requirements, email access passwords

  20. Content Preparation • Develop power point slides and an agenda (if using one) for the presentation and submit to the vendor so the information can be “published” • Develop shared documents that will be used for the session and store them on the presenters desktop (Excel, Word, etc.)

  21. A CASE STUDY: E LEARNING STATISTICAL TRAINING SESSION Blood Utilization Control ChartSelection and Interpretation

  22. Agenda for Blood Utilization • How should you look at this data? • What Control Chart is appropriate for this data? • Why Use individual X Chart and mR Charts? • CT Ratio is a measurement • Each month consists of one CT ratio measurement

  23. Agenda for Blood Utilization • Building the Control Chart and mR Chart • Creating with Formulas in Excel • Creating using QI Macros • Interpreting the Control Chart • Data Meets Assumptions? • Control Chart Shifts and Trends • Points out of Control

  24. Agenda for Blood Utilization • When and How to Re-Calculate the Center Line and Limits • Change in Process Detected • Deleting Old Data • Excel Formula Built Graphs • QI Macros Graphs • Interactive Examples • Recalculation • Questions and Answers

  25. Program Evaluation 1) Were the functions required to prepare for the E-Learning program easy to complete? 2) Did it take you more than 1 hour to prepare/train for use of the system? 3) Did it cost more than $10.00 per participant to purchase the equipment necessary for the call? 4) Would you recommend this training methodology for statistical education?

  26. Program Evaluation 5) During the training session, were there any technical difficulties that negatively impacted the session? 6) Did you feel that during the session your ability to “interact” with the document sharing component of the software was effective and efficient? 7) When you “raised your hand” to speak, were you acknowledged in a timely manner?

  27. Program Evaluation 8) Did the “lag time” between the time you spoke and the response from the instructor cause the training to be less effective? 9) List at least two things that could be done to improve this training system 10) What functions of the system added and/or detracted from your ability to learn using E-Learning?

  28. PROGRAM EVALUATION

  29. PROGRAM EVALUATION • This was much easier than I anticipated • The ability to answer questions and get feedback was great • What a great way to have interactive training • Loved the “out of office” function and for clapping/smiling/raising my hand icons • Need another button so the participants can “ask the presenter” to modify pace • Loved the “chat box”

  30. LESSONS LEARNED • Instructor needs to invest time in getting comfortable with the program so that they can adjust for lag time • 5 minute introduction for participants to all buttons/icons with interactive practice is useful • Grouping participants by computer and content literacy would help keep the program moving at an appropriate pace

  31. LESSONS LEARNED • Test all connections 15 minutes prior to program start • Have a vendor facilitator present for the first session to help the Presenter moderate the activity of the group • Interaction takes time, add 5-7 minutes to each interactive agenda item

  32. LESSONS LEARNED • Unable to view powerpoint slides and work in a shared application at the same time - plan the presentation so that you can avoid multiple jumps between program applications. • Automate the program evaluation using either the voting system or survey system for immediate feedback • Avoid the tendency to go quickly in order to allow screens to update on attendee PCs

  33. Thank You! Ron King: rking@shrinenet.org Patricia Bush: pbush@shrinenet.org

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