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Case Study: Integrated Learning Management Service at Holy Cross Hospital Premium Content

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Sunday, March 20, 2005 - by Dudley Molina

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Learning technology convergence: For one healthcare institution, it's all about the SERVICE.

The quest for a practical balance between classroom-based training, Web-based training, synchronous Web conferences, and asynchronous self-study has never been more apparent, and is creating a need for the next generation of learning management technology to support this combined, blended learning approach. Specifically, this technology must include an integrated Web native e-learning authoring component and be delivered, on-demand, as an online service rather than a client-installed software solution. The combination of these two components, with the existing features of traditional learning management technology, creates an integrated learning management service and a new approach in developing, delivering, and managing enterprise-wide learning.

Currently, a new paradigm is emerging as the evolutionary successor to the LMS and LCMS, combining the best features of both while taking advantage of the 'software-as-a service' delivery model of the Application Service Provider (ASP). To be a true service however, the iLMS must be a native ASP, n-tier scalable, and not traditional software licenses hosted in a server farm. In this service engineered architecture, the iLMS combines the power of a database management system, the global reach of the Internet, and the ease of use of a Web browser to remove the technical, cost, and complexity-barriers that inhibit organizations from utilizing the Internet as a training vehicle.

Holy Cross Hospital and the Integrated Learning Management Service (iLMS)

For Holy Cross Hospital, a full-service, non-profit, Catholic hospital in Broward County Florida, a strategic blended learning training initiative proved to be just what the doctor ordered. But how to enable such a solution, without capital expenditure, on a limited budget, with no IT support, while simultaneously providing required training to all personnel, created an interesting challenge. Enter the integrated learning management service. Leveraging the on-demand capabilities of an iLMS in concert with its existing wireless computers-on-wheels (COWs), Holy Cross Hospital was able to immediately begin training more than 2,800 hospital employees across its 75 departments.

With the increasing adoption of e-learning, particularly for custom-developed compliance and sales support courses and assessments, organizations cannot afford to be hindered by content that will not launch or communicate with their LMS tracking and reporting functions. What makes the iLMS integrated is that it has e-learning authoring and learner record management built into it.

Mandated by the Joint Commissions on Accreditation of Healthcare Organizations, (JCHAO), Holy Cross Hospital had an immediate need for regulatory compliance training of all medical staff. Through the use of its iLMS, Holy Cross Hospital was able to manage all facets of both online and classroom-based instruction. They were quickly able to develop, distribute, and manage online courses without any support from their IT group.

As demonstrated by Holy Cross Hospital, an iLMS is designed to instantly launch e-learning courses and automatically record learner status for on-demand reporting from built-in report generators in order to track learner progress and ensure training has been completed. This is made possible by the underlying iLMS database that coordinates learning content development and delivery with learner record capture and reporting (all invisibly and seamlessly over the Web). In the case of Holy Cross, hospital educators designed their e-learning courses with patient safety training in mind, developing all online training modules in short fifteen minute segments to reduce the impact on staff time and to eliminate any disruption of patient care. For instance, if nurses have to leave the training for any reason, they can easily book mark their place and return at their convenience.

While some LCMS products offer integration of e-learning authoring and learner record management, they are limited to only e-learning applications. However, the iLMS provides organizations with the added ability to schedule and manage classroom-based instruction, off-line self-study content such as videotape-based training and such online synchronous training events as Web conferencing. The iLMS provides inherent accountability through learning paths that ensure each learner secures the training that is uniquely appropriate for them. The Holy Cross Hospital staff, for instance, was able to certify compliance at a course level while monitoring the progress of an individual learner, or groups of learners, through their planned curriculum, or learning path.

Service advantages

Because the iLMS is a service not a system, there is no software to install, maintain, or upgrade, and no servers to buy, operate, or support. In fact, no server-side information technology resources are required at all. "LMS Lowdown," a September 2004 article in Online Learning News and Reviews, suggested that the average cost and time associated with the implementation of a traditional LMS was US$500k and three years. The elimination of these significant costs combined with the on-demand use of the iLMS provides a real-time solution for enterprise management of all blended learning.

The online service aspect of the iLMS allowed Holy Cross Hospital to immediately deploy a blended learning solution hospital-wide, without any capital expense or IT resources. These two issues were very big obstacles in other solutions that the hospital investigated. In conjunction with their COWs, Holy Cross Hospital trained entire departments, such as the Operating Room Suite, Emergency Room, Critical Care, Labor & Delivery, and MedSurg on such compliance regulations as HIPAA. In addition, they developed and delivered enhanced professional training in the areas of Advanced Cardiac Life Support, CPR, Domestic Violence and Fetal Heart Monitoring.

The iLMS has eliminated the capital costs and corporate resources required in deploying learning management technology. This now enables mid-market companies to take advantage of all of the benefits noted above without the issues of purchasing, implementing, and maintaining a legacy LMS.

Productivity advantage

Ultimately, the most important advantage of an iLMS is the increase in productivity it provides to an organization's training operations. It is a competitive necessity for all organizations to continually improve their processes, and some of the biggest improvements have come through the application of modern information technology. For training organizations, that means improving the capture, organization, and transfer of knowledge followed by an assessment of the desired outcomes and documentation of the training process.

As an online service, the iLMS provides a collaborative development environment where trainers can take advantage of reusable learning objects that can be shared with other authors to reduce development time and ensure consistency among lessons. Once a course is published, information can then be queried and reports generated allowing trainers to measure the effectiveness of their training, which validates a real return on their investment. For Holy Cross, the ROI for leveraging an iLMS has been immediate and as a result. In 2005, 85 percent of the hospital's entire training will be deployed using its iLMS.

Thanks in part to the on-demand availability and the integrated e-learning authoring capabilities found within an iLMS, corporate trainers can subscribe to an online service that allows them to choreograph all of their learning resources, develop custom online courses/tests/surveys, and measure the effectiveness of knowledge transfer, without the need for any IT resources or capital expense.

Case Study: Integrated Learning Management Service at Holy Cross Hospital

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