Designing An OnLine Training System for MultiInstitutional Use

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Designing An OnLine Training System for MultiInstitutional Use

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Continuing Medical Education. Start with on-line calendar of CME lectures, grand rounds ... HIPAA (UC) more than 2,000 credits ... –

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Title: Designing An OnLine Training System for MultiInstitutional Use


1
Designing An On-Line Training System for
Multi-Institutional Use
  • Bill Gordon
  • Academic Information Technology Libraries
  • University of Cincinnati Medical Center
  • April 20, 2004

2
Thanks To
  • Integrated Advanced Information Management
    Systems (IAIMS) project of the National Library
    of Medicine
  • AAMC Group on Information Resources
  • Team Shib

3
Compliance Training
  • Funding agencies and federal regulations require
    researchers, health professionals, and others to
    undergo professional training
  • May be one-time or require annual renewal
  • Universities must provide training as
    appropriate, document compliance
  • Blood-Borne Pathogens, HIPAA, Radiation Safety,
    Animal Care, Human Subjects Research, and more

4
The eCourses Solution
  • Provide on-line training on demand
  • Track on-line classroom training
  • Alert people to current, unfulfilled training
    requirements
  • Set training requirements automatically, based on
    DB data
  • Start with BBP, add HIPAA. More to follow
    BioSafety, Lab Animal Medicine, . . .

5
Continuing Medical Education
  • Start with on-line calendar of CME lectures,
    grand rounds
  • Expand to allow on-line registration
  • Expand to add some on-Line CME credit
    opportunities, scored by hand

6
Current Results
  • More than 7,000 compliance courses taken, at UC,
    Health Alliance, and UC Physicians
  • More than 10,000 CME course registrations
  • AAMC Group on Information Resources pilot project
    demonstrated feasibility of providing web-based
    BBP training for other institutions
  • CME Last fall, more than 1,000 requests for
    on-line credit per month office staff ready to
    quit from overwork!

7
IAIMS
  • The IAIMS grant provided incentive to integrate,
    redesign our web apps to
  • Provide everyone with SSO from a home page to the
    apps they use
  • Slice and dice apps as needed to give people
    access to the functionality they need, without
    opening a full-scale app
  • Reduce development time

8
Architecture is Key (1)
  • Web apps based on integrated database
    architecture containing
  • Identity Management System (Person core)
  • Subschemas for application data
  • Media Repository
  • Extensible model
  • Application data linked to people via references
    to IdMS core

9
Integrated Database Model
10
Architecture is Key (2)
  • New architecture guidelines for web apps
  • Use common authentication routines implemented as
    web services
  • Separate authn, authz
  • Verify authn at page level, authz by functional
    unit
  • Use DB-driven catalog data when appropriate, to
    reduce coding
  • First examples On-line CME course, and
    BioSafety training courses
  • http//cme.uc.edu

11
CME ON-Line Training (1)
12
CME ON-Line Training (2)
13
CME ON-Line Training (3)
14
CME ON-Line Training (4)
15
CME ON-Line Training (5)
16
CME ON-Line Training (6)
17
CME ON-Line Training (7)
18
CME ON-Line Training (8)
19
CME ON-Line Training (9)
20
Next Steps Shibbolize . . .
  • Add Shib-based login alternative to authn routine
  • Create user record on initial Shib login (Name,
    PersistentId)
  • Use AAMC identifier to glue one persons logins
    from different sites

21
And Collect!
  • Provide users with transcripts for on-line CME
    courses taken collect fees from drug companies
  • Provide outside universities with transcripts of
    compliance training provided to their staffers
    collect fees from the universities
  • Use proceeds to fund further research

22
Acknowledgements
  • Bill Fant
  • Jack Kues
  • Ralph Brueggemann
  • Lou Ann Emerson
  • Gil Hageman
  • Dorothy Air
  • Judy Jarrell
  • John Littlefield
  • Aggie Manwell
  • Jerry York
  • Roger Guard
  • Stephen Marine
  • Leslie Schick
  • Josette Riep
  • Robert Kraft
  • Sandra Sanders
  • Bruce Merz
  • Delores Mincarelli
  • Li Huang
  • Madhavi Nallari
  • Savio Reddimasu
  • Richard Schauseil
  • Anshul Sharma
  • The UC Medical Center Colleges of Allied Health,
    Medicine, Nursing, and Pharmacy
  • AITL

23
Acknowledgements
  • Bill Fant
  • Jack Kues
  • Ralph Brueggemann
  • Lou Ann Emerson
  • Gil Hageman
  • Dorothy Air
  • Judy Jarrell
  • John Littlefield
  • Aggie Manwell
  • Jerry York
  • Roger Guard
  • Stephen Marine
  • Leslie Schick
  • Josette Riep
  • Robert Kraft
  • Sandra Sanders
  • Bruce Merz
  • Delores Mincarelli
  • Li Huang
  • Madhavi Nallari
  • Savio Reddimasu
  • Richard Schauseil
  • Anshul Sharma
  • The UC Medical Center Colleges of Allied Health,
    Medicine, Nursing, and Pharmacy
  • AITL

24
Goal Provide Training Outside UC
  • Agreements with outside institutions for UC to
    provide, track (BBP) training
  • Customize training by institution
  • Log on at home institution, link to appropriate
    training at UC wuithout additional login

25
Usability Issues
  • Single Sign-on
  • UC users must log in separately to eCourses,
    other UC Apps
  • External users must log in (again) at UC to use
    eCourses

26
Maintenance Issues
  • Maintain non-UC users in DB
  • Customize UC training modules for other
    institutions
  • When / how to link identities

27
Original Architecture
UC Login Faculty CV site checks group membership
UC Login or Self-Registration eCourses (both
inside, outside UC) checks institution role
UC Login or Self-Registration CME, other
external apps open to all
28
Architecture - Version 2
External Login
UC Login or Self-Registration (required for
eCourses)
eCourses checks institution role
Faculty CV site checks group membership
CME, other external apps open to all
29
Architecture - Version 3
UC Login / Self-Registration
Login at other institution
Middleware
Bi-modal WS validation
Shibboleth
Auto-reg
eCourses
Faculty CV site
External apps
30
Acknowledgements
  • Bill Fant
  • Jack Kues
  • Ralph Brueggemann
  • Lou Ann Emerson
  • Gil Hageman
  • Dorothy Air
  • Judy Jarrell
  • John Littlefield
  • Aggie Manwell
  • Jerry York
  • Roger Guard
  • Stephen Marine
  • Leslie Schick
  • Josette Riep
  • Robert Kraft
  • Sandra Sanders
  • Bruce Merz
  • Delores Mincarelli
  • Li Huang
  • Madhavi Nallari
  • Savio Reddimasu
  • Richard Schauseil
  • Anshul Sharma
  • The UC Medical Center Colleges of Allied Health,
    Medicine, Nursing, and Pharmacy
  • AITL

31
Classroom-based Training is
  • (a) expensive
  • (b) inconvenient for people who must fit courses
    into their busy schedules
  • (c) difficult to document compliance
  • (d) all of the above

32
Underlying Architecture
  • Integrated Database
  • Identity Management System
  • Subschemas for application data, e.g.
  • eCourses
  • IRB System (Human Subjects research)
  • Media Repository
  • Web based front ends for applications

33
Success (?)
  • BBP almost 4,000 on-line training courses taken
  • HIPAA (UC) more than 2,000 credits
  • HIPAA (affiliated institutions) more than
    31,000 on-line classroom credits
  • CME more than 1,000 requests for on-line credit
    per month
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