HeLMS - Development and Implementation of a Health e-Learning Management System Framework for the Clinical Workplace

1. HeLMS - Development and Implementation of a Health e-Learning Management System Framework for the Clinical Workplace Dr Ian Graham MBBS; M. Health Planning; FRACMA

2. 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

3. 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

4. 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

5. Clinical Learning Objects 'Containers', structured in a meaningful way, tied to educational objectives and characterised by being stand-alone, reusable, interactive, aggregative, interoperable & accessible 'Sushi Train' analogy - similar containers with varying content • DEEWR - Australian Flexible Learning Framework • ANSI / European Union - MedBiquitousSCORM for Healthcare • AMC compliance • AHPRA compliance • NEHTA compliance • XML and Web service standards

6. HeLMS Framework e-Portal Access & Security Networking & Collaboration Bulletins & Alerts e-Deployment e-Learning Curriculum Mapping Learning Resources Authoring tools Allocation Macro (term) roster Micro (shift) roster Standards-based Interoperability Digital Media Repository On-line Assessment Credentialling Reflection & Planning Supervision Appraisal & Feedback Metrics & KPIs e-Portfolio e-Performance Log-book & Quality Simulation & Rehearsal Scope of Practice e-Practice

7. HeLMS e-Portal e-Portal • e-Portal • Access & security • Networking & collaboration • Bulletins and alerts e-Learning e-Deployment e-Portfolio e-Performance e-Practice ORGANISATION CHART Professional Profile

8. HeLMS e-Learning e-Portal • e-Learning • Curriculum mapping • Learning resources • Authoring tools e-Learning e-Deployment e-Portfolio e-Performance e-Practice CURRICULUM INVENTORY Learning Object

9. HeLMS e-Portfolio e-Portal • e-Portfolio • On-line Assessment • Credentialling • Reflection & Planning e-Learning e-Deployment e-Portfolio e-Performance e-Practice COMPETENCY FRAMEWORK Learning Trajectory

10. HeLMS e-Practice e-Portal • e-Practice • Log-book & quality • Simulation & rehearsal • Scope of practice e-Learning e-Deployment e-Portfolio e-Performance e-Practice PATIENT (VP) MASTER INDEX Activity Log

11. HeLMS e-Performance e-Portal • e-Performance • Supervision • Appraisal & feedback • Metrics & KPIs e-Learning e-Deployment e-Portfolio e-Performance e-Practice PERFORMANCE FRAMEWORK Appraisal & Metrics

12. HeLMS e-Deployment e-Portal • e-Deployment • Allocation • Macro (term) roster • Micro (location & shift) roster e-Learning e-Deployment e-Portfolio e-Performance e-Practice HOSPITAL ALLOCATION Shift Object

13. HeLMS Framework e-Portal Access & Security Networking & Collaboration Bulletins & Alerts e-Deployment e-Learning Curriculum Mapping Learning Resources Authoring tools Allocation Macro (term) roster Micro (shift) roster Standards-based Interoperability Digital Media Repository On-line Assessment Credentialling Reflection & Planning Supervision Appraisal & Feedback Metrics & KPIs e-Portfolio e-Performance Log-book & Quality Simulation & Rehearsal Scope of Practice e-Practice

14. 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)