Archive for the ‘e-learning’ Category

October 4th, 2011 By Ezra Wolfe No Comments »

What Is Your Medical Association’s CME Technology Strategy?

If you don’t have one, don’t panic.  You are not alone. Read on to find out how a strategic CME technology plan can help address current “pain points” and prevent future problems.

Are you part of a medical association using technology to deliver continuing medical education (CME) activities? If so, we would like to share some of the common pitfalls and problematic scenarios we encounter when we begin our client partnerships.

Associations offering continuing medication education use a varied set of technology tools to manage their CME enterprise. Often each one of these tools were developed to address a specific activity’s requirements.

However, while these technologies may initially be successful, the growth of the CME program and ongoing changes in regulatory requirements typically outpace the capacity and functionality of these applications resulting in a number of challenges.

What is the Challenge?

Most medical associations have an association management system (AMS) or customer relationship management (CRM) often based upon proprietary technologies.  Rarely are these systems developed in-house or “homegrown.”

Unlike other association departments, the CME department is often left to rely on technologies that are: homegrown, proprietary with expensive licensing, or cobbled together from a set of non-CME specific applications.  Each creates a subset of smaller challenges.

Homegrown Applications

  • Sophisticated homegrown CME applications requires an association’s software development and IT department to be able to handle the duties of a mature software development shop: systems analysis, budget planning, documentation, development, quality assurance, application management, scalability and sustainability. Addressing these needs requires a lot of resources. And, unfortunately when IT resources are distributed, the Office of CME is often the last on the list of priorities.

Proprietary or Custom Built Software

  • Per-user license fees can take a toll on budgets and the budgeting process.
  • Vendors may be unwilling or unable to integrate tools with an AMS and other critical applications.
  • The user experience may suffer as interface styles sometimes clash or may not be able to offer a “seamless” experience.
  • Features added by one vendor cannot be shared with other vendors so they may have to be built twice.
  • User data may be stored in different formats and may be incomplete or duplicated across systems.
  • “One-off” custom-built applications do not benefit from regularly released new features.

The “Do-It-Yourself” CME Program

  • The most common scenario, the DIY CME Program is put together by resourceful education staff on a mission to solve a problem. It is not uncommon for some associations, even very large organizations with mature processes, to use tools such as Survey Monkey, Excel and email to collect evaluations and issue credit and certificates.
  • CME activities cobbled together from such a set of tools can make the user experience difficult, if not impossible, to do well.
  • Data updates to the AMS have to be done manually.
  • Outcomes reporting for accreditation has to be done manually.
  • And within a large or very active CME organization, the amount of work needed to manage programs like this can soon become overwhelming and expensive.

Often, by the time we get called in to consult on these operations, all three CME technology scenarios are in use and have lead to the common pain points, such as:

  1. Enterprise-wide reporting is usually impossible.
  2. Labor and licensing costs are higher than they should be.
  3. Re-certification is a nightmare.
  4. Education and IT staff are frustrated.
  5. Members are complaining.

Why is Your CME Technology Strategy Such a Mess?

There is a hole in the marketplace. No off-the-shelf solution exists to integrate AMS/CRM systems with CME needs. The market is too small. There is no SAP, Oracle or PeopleSoft for CME. No single software application exists that will solve all of CME enterprise’s technology challenges.

We don’t offer one either. EthosCE is an enterrprise-level open source learning management system for CME  It is not a membership management tool or a meeting management system.  It is, however, designed to integrate and leverage these existing systems within your organization.

EthosCE can play a key role in reducing the number of moving parts in the CME enterprise for associations. Regardless of whether it is our product, or another one, here are the things to keep in mind when deciding to move from a tactical CME technology approach to a true strategic plan:

  1. Identify a single master database for all your user data and your users’ CME data. This will typically be your AMS system. Do not allow data to be stored anywhere if it is not also put in your master database.
  2. Insist that your IT department or AMS vendor builds or provides web services that allow CME applications to read, insert and update user records.
  3. Insist that all your CME applications and vendors use a web service to read, insert and update user records. If it can’t share the data it collects, find another solution.
  4. Buy or build a CME-centric learning management system that follows the 3 rules above. Look for a system that is open, modular and allows for modules to be added as needed. Use the LMS as a master catalog and entry point for your programs.

Please Note: We do not necessarily recommend limiting technology to a single platform. Rather, we focus on data exchanges and modular tools that can leverage the “best in class” features across different applications.

Once you’ve created the plan, share it with your staff and vendors. Include plans for CME data storage and transmission, user experience and reporting. You will need to consult with IT, marketing and education departments and other stakeholders.

An Learning Management System Can Help

We don’t believe an off-the-shelf learning management system (LMS) can solve all of an organization’s CME technology challenges. Some applications may still require external systems to be built, purchased or licensed. However, having an LMS such as EthosCE will enable you to meet the following goals:

  • Deliver a unified, seamless user experience for registration, single-sign-on, search, e-commerce, enrollment and reporting.
  • Allow users to view, search and print credits in a single place.
  • Reduce manual labor costs around pulling data and meeting reporting compliance requirements.
  • Reduce the overall number of different CME technology applications that must be maintained or licensed.
  • Allow for predictable budgets not based on license fees.
  • Remove vendor “lock-in” and allow for internal IT staff to build modular CME applications as plug-ins.

The problems that exist in an enterprise-level CME association often result from a rapidly changing regulatory environment, a growing need for different types of education, and a lack of resources and time to implement a technology strategy for CME.

Given that, we understand why CME enterprises do not have a technology strategy, however, there is no reason for not starting one now. Get started started or give us a call if you need help.

January 5th, 2011 By Jeremy Lundberg Comments Off

What are meaningful metrics of success for e-learning?

Yes, in 2011, I still hear of people and organizations qualifying the success of their e-learning initiatives by citing the number of  “hits” a course receives.   Hits is a complete garbage metric as it only reflects the number of server calls required to load a Web page or course elements within a learner’s Web browser.  For example, if you have 50 elements on page (e.g., images, multimedia, HTML), you will generate 50 hits.  It does not equate to 50 people. Better to use unique visitors or, preferably, registered users to accurately gauge initial reach.

To determine true reach, you need to take into account the # of learners who complete your requirements of your CME workflow (For example: Registration, pre-test, course review, post-test, evaluation, post post-evaluation).  If you get 1000 people to register, but only 30% complete the review of the activity, you may want to look at issues in the quality of the content, instructional design, or the functionality of your learning technology.  The primary reasons that learners drop out of online activities are: poor instructional design technology, unintuitive navigation, or cumbersome registration processes.  If you are going to require registration prior to viewing the course, we suggest that you create a preview of the course (e.g., using YouTube, ScreenFlow) so learners can see the value of completing the registration process to access the complete course.

It is important to recognize that reach does not equate to educational impact, which can only be determined through the design and implementation of valid outcome measurement tools.  At a minimum, we recommend that you leverage either in-house or 3rd party expertise to assist in the development of such measures that correspond to your learning objectives and have defined endpoints.  These measures should then be implemented within your learning management system assessment and reporting modules.  Please note: Technology should not limit or dictate your ability to conduct outcomes measurement…it should advance it. If your learning management system cannot accommodate your outcomes measurement requirements, see if the software can be modified.  If it cannot, find a different LMS provider.  As with our EthosCE LMS, look for an LMS that supports SCORM 1.2, ACCME and other relevant standards to automate and streamline your ability to share outcomes data with accrediting bodies and education partners.

Using unique visitors/registered users as a metric can tell you a lot your instructional design approach and technology.  However, in the absence of demonstrating any measureable change in behavior, competency, or other metrics, does the level of reach really matter?

November 23rd, 2009 By Jeremy Lundberg Comments Off

Whitehouse.gov uses Drupal CMS; MedBiq Virtual Patient Released; and Social Media and Client Touchpoints

October 21st, 2009 By Jeremy Lundberg Comments Off

Education Network to Advance Cancer Clinical Trials (ENACCT)

ENACCT

As the technology partner to the Education Network to Advance Cancer Clinical Trials (ENACCT),  we are pleased to announce the launch of the re-designed Website, ENACCT.org.  ENACCT is a leading not-for-profit organization dedicated to improving access to cancer clinical trials through education and collaboration with communities, health care providers, and researchers.  (more…)

May 19th, 2009 By Jeremy Lundberg Comments Off

Webcast: Open Source Web Technologies in Continuing Medical Education

Open source Web technologies present exciting and innovative opportunities for the continuing medical education community to deliver high-quality content that engages learners in unique ways, streamlines educational outcomes measurement, and reduces administrative costs.

I recently had the pleasure of co-presenting with Logan Thomison of OptumHealth Education, a subsidiary of United Healthcare, on our experience of integrating two popular open source applications (i.e., Drupal content management system, Moodle learning management system) to create a full-featured, Web 2.0 platform: EthosCE.  DLC Solutions provided all of the techical expertise for the project including: stategic planning, graphic design, software engineering, and project management.  The presentation was given at Johns Hopkins University Medical Center’s Annual MedBiquitous Conference held on April 30th in Baltimore, Maryland.

DLC Solutions is also proud to have sponsored the conference and provided our PresentME Webcasting Services. Please click on the below image to view the presentation.  The accepted abstract is also included below.

Click on image to launch presentation

Click on image to launch presentation

Abstract: The Role of Open Source Web Technologies in Continuing Medical Education: A case study

The rapid emergence and evolution of open-source Web technologies are transforming the delivery and measurement of continuing medical education (CME). Today, healthcare organizations are able to leverage, customize, and integrate free, open source software applications to create innovative, collaborative learning environments that facilitate communication, collaboration, and the transfer of knowledge among healthcare professionals.

DLC Solutions and OptumHealth Education partnered together to create a full-featured Web platform for CME. The platform was designed to: 1) facilitate learning through access to learner-driven communication tools, SCORM-compliant courseware, and live activities; 2) streamline and reduce costs associated with CME program administration and data collection; and 3) conduct education outcomes studies by combining data from multiple public and proprietary sources. The Web platform was developed by integrating two industry-leading open source applications: Drupal and Moodle. Drupal is a comprehensive content management system with rich Web 2.0 features. Moodle is a SCORM-compliant, collaborative learning management system widely used by universities and associations.

This presentation will discuss the authors’ experience in the planning, development, and implementation of this open-source CME platform. Special attention will be given to describing the feature set, the benefits and limitations of the platform, and the integration of multiple data sources for outcomes analysis.