Final Health Learning Platform - Strategy Presentation (Summer 2012)

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Final Health Learning Platform - Strategy Presentation (Summer 2012)

  1. 1. Digital Learning Platform Strategy for Healthcare John C. HendersonBoston University George WynerInstitute for Global Work Abram Guerra Ajeet Gupta ©IGW August 2012, All Rights Reserved
  2. 2. Contents1.  Opportunity and Vision 4.  Technical Strategy Definition of Learning Objects Key Use Cases2.  Overview of Capabilities, Key Architectural Concerns Platforms and Stacks Data Model3.  Strategic Perspective for 5.  Outline of Proposal Health Learning Platform 6.  Draft Wireframes Summary of Strategic Design Health Learning Platform 7.  Bibliography Ecosystem ©IGW August 2012, All Rights Reserved
  3. 3. The Opportunity• Impact the ability and motivation of patients to effectively self-manage their healthcare –  Low self-management creates poorer health outcomes and higher costs to the healthcare system –  Accountable Care/Capitation model create incentive to invest in healthcare solutions that lead to more effective self-management by patients in the long term•  Vision: More engaging patient learning experiences will lead to more engaged patients ©IGW August 2012, All Rights Reserved
  4. 4. HOW: Learning Objects•  Digital Learning Objects are: –  Rich Media Experiences –  Purpose Built, Tied to Normative Standards –  Part of a Larger System/Platform • Metadata, Analytics and Partner Ecosystem • Combinatorial Innovation•  Vision: More engaging patient learning experiences will lead to more engaged patients ©IGW August 2012, All Rights Reserved
  5. 5. CapabilitiesCapability PlatformsCapability StacksLearning PlatformStrategy: Key Concepts ©IGW August 2012, All Rights Reserved
  6. 6. CapabilitiesA business capability:•  Links activities of the firm to customer/market value –  Value Driven –  Measurable –  Action oriented•  Is achieved by combining –  People –  Process –  Technology –  Governance (Organization) ©IGW August 2012, All Rights Reserved
  7. 7. Capability PlatformsA platform is a set of capabilities used bymultiple parties in a manner that:A.  Creates value through options that provide flexibility.B.  Creates valuable network effects by leveraging business partners.C.  Capture value through explicit architectural control points. ©IGW August 2012, All Rights Reserved
  8. 8. Capability Stacks Product InterfaceSocial Networks Market Service Interface Collaboration InterfaceWork Flow/App InterfaceData/Analytics Interface Infrastructure Value ©IGW August 2012, All Rights Reserved
  9. 9. Digital Health Learning PlatformStrategic Perspective ©IGW August 2012, All Rights Reserved
  10. 10. Summary: DLO Platform Strategy• Four layers, each defined by a dominant value proposition, unique capabilities, and a standard interface• Each layer represents a marketplace where products, services, and platforms compete• Each layer aligns with a different portion of the market served (i.e. the health sector)• Each layer will have dominant metrics that will define the success of the strategy ©IGW August 2012, All Rights Reserved
  11. 11. Digital Learning Healthcare Platform Market Digital Learning Provider DLO Object Services Intelligent Connectivity Products/ Access ServicesInfrastructure ©IGW August 2012, All Rights Reserved
  12. 12. Digital Learning Healthcare Platform Market Personalized Patient PDLO DLO Context Digital Learning Provider DLO Object Services Intelligent Connectivity Products/ Access ServicesInfrastructure ©IGW August 2012, All Rights Reserved
  13. 13. Digital Learning Healthcare Platform Market PDL Healthcare PDLE Experience Outcome Personalized Patient PDLO DLO Context Digital Learning Provider DLO Object Services Intelligent Connectivity Products/ Access ServicesInfrastructure ©IGW August 2012, All Rights Reserved
  14. 14. Digital Learning Healthcare Capabilities Platform Market PDL Healthcare PDLE Experience Outcome Personalized Patient PDLO DLO Context Digital Learning Provider DLO Object ServicesReal Time Access Intelligent Connectivity Products/Across Platforms Access Services Infrastructure ©IGW August 2012, All Rights Reserved
  15. 15. Digital Learning Healthcare Capabilities Platform Market PDL Healthcare PDLE Experience Outcome Personalized Patient PDLO DLO ContextDevelop, Deliver Digital Learning ProviderQuality Content DLO Object ServicesReal Time Access Intelligent Connectivity Products/Across Platforms Access Services Infrastructure ©IGW August 2012, All Rights Reserved
  16. 16. Digital Learning Healthcare Capabilities Platform Market PDL Healthcare PDLE Experience OutcomePersonalization, Personalized PatientDigital Rights Mgmt. PDLO DLO ContextDevelop, Deliver Digital Learning ProviderQuality Content DLO Object ServicesReal Time Access Intelligent Connectivity Products/Across Platforms Access Services Infrastructure ©IGW August 2012, All Rights Reserved
  17. 17. Digital Learning Healthcare Capabilities Platform MarketTracking of Engaged PDL HealthcareLearning over Time PDLE Experience OutcomePersonalization, Personalized PatientDigital Rights Mgmt. PDLO DLO ContextDevelop, Deliver Digital Learning ProviderQuality Content DLO Object ServicesReal Time Access Intelligent Connectivity Products/Across Platforms Access Services Infrastructure ©IGW August 2012, All Rights Reserved
  18. 18. Key Strategic Concepts (Capabilities,Platforms, and Stacks)Digital Health Learning Platform StrategyDiscussion ©IGW August 2012, All Rights Reserved
  19. 19. Digital Health Learning PlatformTechnical Strategy ©IGW August 2012, All Rights Reserved
  20. 20. Technical Strategy: Key Use CasesPrescribing a PDLO ©IGW August 2012, All Rights Reserved
  21. 21. MD Diagnoses PatientOPEN WIREFRAME" ©IGW August 2012, All Rights Reserved
  22. 22. Provider Prepares PDLOOPEN WIREFRAME" ©IGW August 2012, All Rights Reserved
  23. 23. Front Desk Receives NotificationOPEN WIREFRAME" ©IGW August 2012, All Rights Reserved
  24. 24. Device Given to PatientOPEN WIREFRAME" ©IGW August 2012, All Rights Reserved
  25. 25. Technical Strategy: Key Use CasesEngage with PDLO ©IGW August 2012, All Rights Reserved
  26. 26. Patient Interacts with PDLOOPEN WIREFRAME" ©IGW August 2012, All Rights Reserved
  27. 27. Assessment and FeedbackOPEN WIREFRAME" ©IGW August 2012, All Rights Reserved
  28. 28. Patient Returns DeviceOPEN WIREFRAME" ©IGW August 2012, All Rights Reserved
  29. 29. Follow-on ActivitiesOPEN WIREFRAME" ©IGW August 2012, All Rights Reserved
  30. 30. Patient Explores PDLOs at homeOPEN WIREFRAME" ©IGW August 2012, All Rights Reserved
  31. 31. Interaction with PDLOs Generate Analytics ©IGW August 2012, All Rights Reserved
  32. 32. Tracking of PDLE Produced by Analytics ©IGW August 2012, All Rights Reserved
  33. 33. Technical StrategyKey ArchitecturalConcerns ©IGW August 2012, All Rights Reserved
  34. 34. Supporting Digital Learning Healthcare Metadata Structure Platform Market Tracking, Integration Healthcare PDLE Outcome Subjective Metadata PatientParadata (CAM) (Reviews, Social Tags, etc…) PDLO Context Provider DLO Services Objective Metadata (Modality, Creation, etc…) Intelligent Product/ Service Infrastructure ©IGW August 2012, All Rights Reserved
  35. 35. Top Concern: Access & SecurityProtection of Patient Data Required by Law ©IGW August 2012, All Rights Reserved
  36. 36. Analytics and Tracking •  In-House (Reporting Tool) •  Licensed (Analytics Tool hosted locally) ©IGW August 2012, All Rights Reserved
  37. 37. Options for Metadata Standards SCORM Sharable Content Object IMS Global IMS Global Learning Consortium Reference Model Dublin Core LOM IEEE/LTSC Learning Object Dublin Core Metadata Initiative Metadata Standards LRMI Learning Resource Rich Snippets Microformats, Microdata, RDFa Metadata Initiative ©IGW August 2012, All Rights Reserved
  38. 38. Metadata Standard Selections Metadata Category Relevant StandardLearning object metadata LOMTracking metadata Tin Can API (tincanapi.com)Rating metadata hReview (microformats.org)Media metadata Schema.orgTag metadata CommonTag, MUTO ©IGW August 2012, All Rights Reserved
  39. 39. Technical StrategyData Model ©IGW August 2012, All Rights Reserved
  40. 40. HIPAACOMPLIANTDATA FLOWS©IGW August 2012, All Rights Reserved
  41. 41. Objective Metadata (Modality, Creation, etc…) ©IGW August 2012, All Rights Reserved
  42. 42. Subjective Metadata(Reviews, Social Tags, etc…) ©IGW August 2012, All Rights Reserved
  43. 43. Paradata (CAM),Tracking & Analytics ©IGW August 2012, All Rights Reserved
  44. 44. Personalization(Match of DLO’s ContextualRange and Patient’s Context) ©IGW August 2012, All Rights Reserved
  45. 45. Integration(Clinical data [e.g. EHRs], Sensors, Apps, etc...) ©IGW August 2012, All Rights Reserved
  46. 46. ©IGW August 2012, All Rights Reserved
  47. 47. Key Use CasesArchitectural InsightsData ModelDiscussion ©IGW August 2012, All Rights Reserved
  48. 48. Digital Health Learning PlatformProposal Discussion ©IGW August 2012, All Rights Reserved
  49. 49. Phase 1: Planning1.  Three year project to develop and test (clinical trial) a patient learning platform2.  Refine overview presentation based on feedback and present to key sponsors3.  Gain commitment and working agreement among partners (BU, WGBH/PBS, BU Medical School) Request for Planning Grant (Exp. October 2012) ©IGW August 2012, All Rights Reserved
  50. 50. Phase 2: Develop Content, Prototype1.  Work with partners to target content domain and identify proposed DLO’s and develop a plan for developing DLOs2.  Refine and test key use cases with doctors and other stakeholders3.  Develop and refine a technical requirements document for a demonstration pilot Grant to develop and test demonstration pilot (Exp. June 2013) ©IGW August 2012, All Rights Reserved
  51. 51. Phase 3: Develop and Deploy1.  Develop a demonstration pilot2.  Pre-test in clinical environment3.  Design and recruit for clinical trial Grant to conduct clinical Trial (Exp. April 2014)4.  Execute clinical trial (through 2014) ©IGW August 2012, All Rights Reserved
  52. 52. Supplemental: WireframesProvider Experience ©IGW August 2012, All Rights Reserved
  53. 53. Login screen. This screen is common to all roles including: the patient, doctor, medicalassistant and medical biller. ©IGW August 2012, All Rights Reserved
  54. 54. This screen lists all all available DLE templates. In each template there are embeddedDLOs. ©IGW August 2012, All Rights Reserved
  55. 55. Physician selects DLE template for patient. Can customize the DLE beforeprescribing it for patient as a PDLE. Back ©IGW August 2012, All Rights Reserved
  56. 56. When PDLE is ready for use, the Physician enters patient name. System will make thePDLE available to Medical Assistant to provide to patient. Back ©IGW August 2012, All Rights Reserved
  57. 57. Physician can search for DLOs using various filtering criteria. ©IGW August 2012, All Rights Reserved
  58. 58. Physician has the option to add tags and comments to DLOs. ©IGW August 2012, All Rights Reserved
  59. 59. Physician can change individual DLOs in the PDLE. ©IGW August 2012, All Rights Reserved
  60. 60. Supplemental: WireframesPatient Experience ©IGW August 2012, All Rights Reserved
  61. 61. Patient sees a list of all PDLEs prescribed by the doctor. ©IGW August 2012, All Rights Reserved
  62. 62. Patient experiences the DLOs by clicking on the tiles on the left-hand sidenavigation. Back ©IGW August 2012, All Rights Reserved
  63. 63. Patient receives feedback on completing the PDLE. A record of this engagement isrecorded for billing and patient is sent an email with a link for revisiting the learningexperience at home. Back ©IGW August 2012, All Rights Reserved
  64. 64. Patient has the option to view additional DLOs using various search criteria. Back ©IGW August 2012, All Rights Reserved
  65. 65. Supplemental: WireframesOther ©IGW August 2012, All Rights Reserved
  66. 66. Medical biller can submit records of patient PDLE engagement for billing. ©IGW August 2012, All Rights Reserved
  67. 67. Librarian can view list of new DLOs in need of validation. ©IGW August 2012, All Rights Reserved
  68. 68. Librarian can view DLO, update metadata, and validate the DLO or notify author ofissues to be addressed. ©IGW August 2012, All Rights Reserved
  69. 69. SupplementalBibliography ©IGW August 2012, All Rights Reserved
  70. 70. BibliographyAl-Khalifa, H., & Davis, H. (2007). FAsTA: A Folksonomy-Based Automatic Metadata Generator. Creating New LearningExperiences on a Global Scale, 4753, 414-419. Demidova, E., Karger, P., Olmedilla, D., Ternier, S., Duval, E., Dicerto, M., et al. (2007). Services for Knowledge ResourceSharing & Management in an Open Source Infrastructure for Lifelong Competence Development. Advanced LearningTechnologies, 2007. ICALT 2007. Seventh IEEE International Conference on, 1, 691-693.Drachsler, H., Stern, H., Lindstaedt, S., Beham, G., Manouselis, N., Duval, E., et al. (2010). Issues and considerationsregarding sharable data sets for recommender systems in technology enhanced learning. Procedia Computer Science, 1(2),2849-2858.Duval, E., Warkentyne, K., Haenni, F., Macowicz, M., Ebel, N., Forte, M., et al. (2001). The Ariadne knowledge pool system.Commun. ACM, 44(5), 72-78.Duval, E., & Verbert, K. (2008). On the Role of Technical Standards for Learning Technologies. IEEE Transactions on LearningTechnologies, 1(4), 229-234.Ochoa, X., & Duval, E. (2009). Quantitative Analysis of Learning Object Repositories. IEEE Transactions on LearningTechnologies, 2(3), 226-238.Romero, C., Ventura, S., Delgado, J., & Bra, P. D. (2007). Personalized Links Recommendation Based on Data Mining inAdaptive Educational Hypermedia Systems. Creating New Learning Experiences on a Global Scale, 4753, 292-306.Verbert, K., & Duval, E. (2008). ALOCOM: a generic content model for learning objects. International Journal on DigitalLibraries, 9(1), 41-63.Duval, E., Hodgins, W., Sutton, S., & Weibel, S. (2002, April). Metadata principles and practicalities. D-Lib Magazine, 8, 4. ©IGW August 2012, All Rights Reserved
  71. 71. BibliographyGagne, R., Briggs, L. & Wager, W. (1992). Principles of instructional design (4th Ed.). Fort Worth, TX: HBJ College.Wiley, David A. ""Connecting learning objects to instructional design theory: A definition, a metaphor, and a taxonomy .""Learning Technology 2830.435 (2000): 1-35. Print. Wolpers, Martin, Jehad Najjar, Katrien Verbert, and Erik Duval. "Tracking actual usage: the attention metadata approach."Journal of Educational Technology and Society 10.3 (2007): 106. Print.Ochoa, Xavier, and Erik Duval. "Use of contextualized attention metadata for ranking and recommending learning objects."Proceedings of the 1st international workshop on Contextualized attention metadata: collecting, managing and exploiting ofrich usage information. New York: ACM, 2006. 9-16. Print.Harden, R.M.. "Learning outcomes and instructional objectives: is there a difference?." Medical Teacher 24.2 (2002): 151-155.Print. ©IGW August 2012, All Rights Reserved

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