e-Simulation in Action St. Anthony’s Medical Center

e-Simulation in Action e-Simulation in Action St. Anthony’s Medical St. Anthony’s Medical

CenterCenter

Bonnie Stegman RN, MSNStaff Development Educator

St. Anthony’s Medical St. Anthony’s Medical CenterCenter

Who We Are

St. Anthony’s Medical St. Anthony’s Medical CenterCenter

33rdrd largest medical center in the St. largest medical center in the St. Louis areaLouis area

767 licensed beds767 licensed beds Over 4000 employeesOver 4000 employees Over 800 medical staffOver 800 medical staff Over 700,000 residents servedOver 700,000 residents served

ObjectivesObjectives Discuss the use of computer based Discuss the use of computer based

learning for ACLS & BLSlearning for ACLS & BLS Identify advantages and barriers for Identify advantages and barriers for

on-line education for healthcare staffon-line education for healthcare staff Evaluate learners’ response to on-line Evaluate learners’ response to on-line

method of educationmethod of education Future plans for expansion of on-line Future plans for expansion of on-line

programsprograms

Considerations for BLSConsiderations for BLS Large number of staff need BLS Large number of staff need BLS

trainingtraining Multiple 3 hour courses per month/12 Multiple 3 hour courses per month/12

months a yearmonths a year 2-3 BLS Instructors needed2-3 BLS Instructors needed Coverage for staff while in courseCoverage for staff while in course Just-in-time training for expiring cardsJust-in-time training for expiring cards

HeartCode BLSHeartCode BLS

Assigned through HealthStream LMSAssigned through HealthStream LMS Cognitive portion available 24 hoursCognitive portion available 24 hours Skills either per computer or live Skills either per computer or live

skills check in fifteen minute sessionsskills check in fifteen minute sessions

HeartCode BLSHeartCode BLS

Average time of completion Average time of completion Cognitive & skills 1-2 hours.Cognitive & skills 1-2 hours.

Automatic tracking and reporting Automatic tracking and reporting through full function LMS through full function LMS

Consistent presentation of Consistent presentation of educational contenteducational content

HeartCode BLSHeartCode BLS

SAMC ExperienceSAMC Experience Able to decrease Healthcare provider Able to decrease Healthcare provider

courses to one per month first six courses to one per month first six months of year after implementation months of year after implementation of HC BLSof HC BLS

Elimination of live courses January Elimination of live courses January 20102010

End user satisfaction with course End user satisfaction with course Manager satisfaction with courseManager satisfaction with course

ProcessProcess Register with Education staffRegister with Education staff HC BLS assigned to “My Learning” page HC BLS assigned to “My Learning” page

in LMSin LMS Part 1 cognitive portion can be Part 1 cognitive portion can be

completed at any computer work or completed at any computer work or homehome

Part 2 completed via live skills session Part 2 completed via live skills session in 15 minutes or in 15 minutes or

Via computer assisted manikin when Via computer assisted manikin when skills sessions not scheduledskills sessions not scheduled

Process continuedProcess continued

AHA BLS card given after completion AHA BLS card given after completion of skillsof skills

BLS completion immediately on BLS completion immediately on transcript in LMStranscript in LMS

BLS completion available to BLS completion available to managers via reports in LMSmanagers via reports in LMS

What our staff think ~What our staff think ~

84% feel the type of product was 84% feel the type of product was perfect/good matchperfect/good match

97% extremely satisfied/satisfied 97% extremely satisfied/satisfied with contentwith content

97% extremely satisfied/satisfied 97% extremely satisfied/satisfied with applicability to daily practice with applicability to daily practice and/or researchand/or research

What our staff think ~What our staff think ~ 97% extremely satisfied/satisfied with 97% extremely satisfied/satisfied with

contribution to professional educationcontribution to professional education 97% extremely satisfied/satisfied with 97% extremely satisfied/satisfied with

contribution to professional contribution to professional effectivenesseffectiveness

97% extremely satisfied/satisfied 97% extremely satisfied/satisfied learned what is was designed to teachlearned what is was designed to teach

What our staff think ~What our staff think ~

91% very appropriate/appropriate 91% very appropriate/appropriate with level of difficulty of program with level of difficulty of program contentcontent

90% very likely/likely to recommend 90% very likely/likely to recommend program to colleaguesprogram to colleagues

Sample size 213 from February – September 2009Sample size 213 from February – September 2009

Comments from staffComments from staff

PositivePositive Allows easy completion Allows easy completion

with time restrictionswith time restrictions Able to complete at your Able to complete at your

convenienceconvenience Like working at own paceLike working at own pace Don’t have to go to classDon’t have to go to class Usually don’t have 3 Usually don’t have 3

hours to be away from hours to be away from my jobmy job

NegativeNegative Not enough Not enough

explanation on how to explanation on how to move through move through scenariosscenarios

I am not computer I am not computer savvysavvy

I’d rather have hands-I’d rather have hands-on and a real person on and a real person explaining this stuffexplaining this stuff

Considerations for ACLSConsiderations for ACLS

Specific critical care units need for Specific critical care units need for ACLS trainingACLS training

Classroom course 8 hoursClassroom course 8 hours Multiple Instructors needed for Multiple Instructors needed for

course (1 per 6 students (1 to 3 for course (1 per 6 students (1 to 3 for BLS station)BLS station)

Considerations for ACLSConsiderations for ACLS

Classes offered twice a month most Classes offered twice a month most months of the yearmonths of the year

Not enough spaces for everyone Not enough spaces for everyone Coverage for staff while in courseCoverage for staff while in course Just-in-time training for expiring Just-in-time training for expiring

cardscards

HeartCode ACLSHeartCode ACLS

Assigned through HealthStream LMSAssigned through HealthStream LMS Cognitive portion available 24 hoursCognitive portion available 24 hours Skills on computer assisted manikinSkills on computer assisted manikin Average cognitive completion time 4 Average cognitive completion time 4

hourshours 5 AHA Textbooks included 5 AHA Textbooks included ACLS lessonsACLS lessons

HeartCode ACLSHeartCode ACLS

ECG rhythms for review and testingECG rhythms for review and testing 10 patient cases10 patient cases Detailed debriefingDetailed debriefing Multiple choice examMultiple choice exam

SAMC ExperienceSAMC Experience

HC ACLS allows for just-in-time HC ACLS allows for just-in-time educationeducation

Staff satisfaction with courseStaff satisfaction with course Manager satisfactionManager satisfaction

ProcessProcess Register with Education staffRegister with Education staff HC ACLS assigned to “My Learning” HC ACLS assigned to “My Learning”

page in LMSpage in LMS Part 1 cognitive portion can be Part 1 cognitive portion can be

completed at any computer work or completed at any computer work or homehome

Part 2 completed via computer Part 2 completed via computer assisted manikinassisted manikin

Process continuedProcess continued

AHA ACLS card given after AHA ACLS card given after completion of skillscompletion of skills

ACLS completion immediately on ACLS completion immediately on transcript in LMStranscript in LMS

ACLS completion available to ACLS completion available to managers via reports in LMSmanagers via reports in LMS

Evaluation resultsEvaluation results

70% extremely satisfied/satisfied 70% extremely satisfied/satisfied with overall contentwith overall content

79% extremely satisfied/satisfied 79% extremely satisfied/satisfied with applicability to daily practice with applicability to daily practice and/or researchand/or research

75% extremely satisfied/satisfied 75% extremely satisfied/satisfied with contribution to professional with contribution to professional educationeducation

Evaluation resultsEvaluation results 83% extremely satisfied/satisfied with 83% extremely satisfied/satisfied with

contribution to professional contribution to professional effectivenesseffectiveness

71% very likely/somewhat likely to 71% very likely/somewhat likely to recommend program to your colleaguesrecommend program to your colleagues

Sample size 27 from February – September 2009Sample size 27 from February – September 2009

CommentsComments

PositivePositive This was awesome! I This was awesome! I

will definitely continue will definitely continue to renew on-line!!!to renew on-line!!!

This program helped This program helped me learn the me learn the algorithms better than algorithms better than classroom coursesclassroom courses

Enjoyed this course Enjoyed this course settingsetting

NegativeNegative Program too longProgram too long Frustrating when the Frustrating when the

computer mouse is computer mouse is too sensitivetoo sensitive

Program was Program was unrealistic. As a unrealistic. As a member of a team you member of a team you depend on each other.depend on each other.

Future plansFuture plans Expand on-line offerings of both ACLS Expand on-line offerings of both ACLS

& BLS & BLS Promote HC ACLS internallyPromote HC ACLS internally Develop tip sheet for users of programDevelop tip sheet for users of program Market to outside groupsMarket to outside groups Consider ACLS scenarios with SimManConsider ACLS scenarios with SimMan

Discussion & Questions?Discussion & Questions?