Dr Ian GrahamMBBS; M. Health Planning; FRACMA

HeLMS - Development and Implementation of a Health e-Learning Management System

Framework for the Clinical Workplace

Roles and Disclosure

• Medical Practitioner - Specialist in Medical Management (FRACMA)

• Consultant in Medical Workforce Management & Health Informatics

- Peninsula Health, Melbourne Health, RACS, RACP

• Internal Auditor (healthcare) with Ernst & Young (Australia)

• Medical Director - West Wimmera Health Service

• Consultant in Workforce Development & Innovation, Postgraduate Medical Council of Victoria

Advised Allocate (London) on the implementation of medical rostering systems and Cal2Cal (Australia) on the development of mobile clinical

and health education applications (honorary)

No other affiliation (financial or otherwise) with any pharmaceutical, medical device or communications organisation

Challenges and Opportunities

• Developing, expanding and ensuring the sustainability of the Australian health workforce (Health Workforce Australia and Australian Health Practitioners’ Regulation Authority)

• 20 medical schools (including new rural schools), 7 state and territory prevocational organisations, 16 medical colleges

• Integrating workforce planning, policy and reform with the necessary and complementary reforms to education and training

• Four main areas of activity at Health Workforce Australia: - workforce planning, policy and research; - clinical education; - innovation and reform of the health workforce; and - the recruitment and retention of international health professionals

• Taking advantage of the latest clinical and educational technologies

Learning in the clinical workplace

Health e-Learning Management System

Implementation of a standards-based, virtual learning environment, education administration and performance management system for medical

practitioners, nurses and allied health professionals throughout Australia through the specification, acquisition, adaptation and development of a digital media repository and best of breed clinical education technology

• Reflective practice• Deliberate practice• Apprenticeship & role modeling• Didactic teaching• Self-directed learning• Simulated practice• Interdisciplinary learning

Clinical Learning Objects

'Containers', structured in a meaningful way, tied to educational objectives and

characterised by being stand-alone, reusable, interactive, aggregative,

interoperable & accessible

• DEEWR - Australian Flexible Learning Framework

• ANSI / European Union - MedBiquitous SCORM for Healthcare

• AMC compliance

• AHPRA compliance

• NEHTA compliance

• XML and Web service standards

'Sushi Train' analogy - similar containers with varying content

HeLMS Framework

e-Deploymente-Learning

Curriculum Mapping

Learning Resources

Authoring tools

e-Portal

e-Performance

SupervisionAppraisal & Feedback

Metrics & KPIs

e-Portfolio

On-line Assessment

Credentialling

Reflection & Planning

e-Practice

Allocation

Macro (term) roster

Micro (shift) roster

Log-book & QualitySimulation & Rehearsal

Scope of Practice

Access & SecurityNetworking & Collaboration

Bulletins & Alerts

Standards-based

Interoperability

Digital Media Repository

HeLMS e-Portal

e-Deployment

e-Performancee-Portfolio

e-Practice

e-Learning

e-Portal

e-Portal• Access &

security

• Networking & collaboration

• Bulletins and alerts

ORGANISATION CHART

Professional Profile

HeLMS e-Learning

e-Deployment

e-Performancee-Portfolio

e-Portal

e-Practice

e-Learning

CURRICULUM INVENTORY

e-Learning• Curriculum

mapping

• Learning resources

• Authoring tools

Learning Object

HeLMS e-Portfolio

e-Deployment

e-Performance

e-Portal

e-Practice

e-Learning

e-Portfolio

COMPETENCY FRAMEWORK

e-Portfolio• On-line

Assessment

• Credentialling

• Reflection & Planning

Learning Trajectory

HeLMS e-Practice

e-Deployment

e-Performancee-Portfolio

e-Portal

e-Learning

e-Practice

e-Practice• Log-book &

quality

• Simulation & rehearsal

• Scope of practice

PATIENT (VP) MASTER INDEX

Activity Log

HeLMS e-Performance

e-Deployment

e-Portfolio

e-Portal

e-Practice

e-Learning

e-Performance

e-Performance• Supervision

• Appraisal & feedback

• Metrics & KPIs

Appraisal & Metrics

PERFORMANCE FRAMEWORK

HeLMS e-Deployment

e-Performancee-Portfolio

e-Portal

e-Practice

e-Learning e-Deployment

e-Deployment• Allocation

• Macro (term) roster

• Micro (location & shift) roster

HOSPITAL ALLOCATION

Shift Object

HeLMS Framework

e-Deploymente-Learning

Curriculum Mapping

Learning Resources

Authoring tools

e-Portal

e-Performance

SupervisionAppraisal & Feedback

Metrics & KPIs

e-Portfolio

On-line Assessment

Credentialling

Reflection & Planning

e-Practice

Allocation

Macro (term) roster

Micro (shift) roster

Log-book & QualitySimulation & Rehearsal

Scope of Practice

Access & SecurityNetworking & Collaboration

Bulletins & Alerts

Standards-based

Interoperability

Digital Media Repository

Conclusion

• A framework to specify a virtual learning environment for health professional training in the Australian clinical workplace

• Utilising Clinical Learning Objects to achieve standards-based interoperability but ensuring that it is meaningful and understandable

• A modular approach supporting the acquisition, adaptation and development of best of breed education technology

• Six interrelated domains:

- e-Portal (Organisation Chart / Professional Profile)- e-Learning (Curriculum Inventory / Learning Event Object)- e-Portfolio (Competency Framework / Learning Trajectory)

- e-Practice (Patient / VP Master Index / Activity Log)- e-Performance (Performance Framework / Appraisal Object)

- e-Deployment (Hospital Allocation / Shift Object)