Have You Ever Tried Herding Cats?

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Have You Ever Tried Herding Cats?

• Debi Damas, RN
• Sr. Director Regulatory Compliance and Content
• Silverchair Learning Systems

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Little Known Tennessee Laws

• It is illegal to electrically charge a garbage
  can in Knoxville
• No person shall ride or herd any animals on any
  median strip separating traffic lanes on any city
  street in Knoxville
• No yelling, shouting, whistling or singing on
  public streets at any time that would disturb the
  peace but particularly between 11p and 7a in
  Brentwood

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Its MANDATORY!
How do I keep it from being
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I have many locations
How do I ensure consistency across multiple
sites?
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What, the rule changed again?!?
How do I keep our training current with ever
expanding guidelines?
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The Dreaded Training Binder
Record keeping is a challenge!
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• Have you ever audited a training binder or been
  asked to produce employee training records for a
  surveyor and found
• Information not posted to their sheets
• Employees that are no longer there
• Incorrect addition of number of hours taken
• What do you mean Sue Smith has not attended any
  training this year?
• Etc.

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Who is the lucky person responsible for your
training?
Is this their only responsibility?
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Internet Usage Statistics

• 77 of American Adults use the internet. 78 are
  men and 76 are women
• In 2010 76 of American adults use the internet
  regularly.
• 46 of those 65 years old use the internet
  regularly (up from 34 in 2007)
• Source Pew Internet American Life Project
  Tracking surveys (March 2000 December 2010).

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Who is going on-line?

• College degree programs/Advanced degrees
• Many sectors of industry (manufacturing, fast
  food, retail, energy, IT, etc..)
• CE for nurses, administrators, others
• Acute care
• Gaining momentum in Senior Care.
• May 2009 McKnights reported that approximately
  22 of CCRCs offer web-based education currently
  and is expected to soar to 69 over the next four
  years. 

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In recent experimental and quasi-experimental
studies contrasting blends of online and
face-to-face instruction with conventional
face-to-face classes, blended instruction has
been more effective, providing a rationale for
the effort required to design and implement
blended approaches. Even when used by itself,
online learning appears to offer a modest
advantage over conventional classroom
instruction.
The overall finding of the meta-analysis is that
classes with online learning (whether taught
completely online or blended) on average produce
stronger student learning outcomes than do
classes with solely face-to-face instruction.
Blends of online and face-to-face instruction,
on average, had stronger learning outcomes than
did face-to-face instruction alone.
Evaluation of Evidence-Based Practices in Online
Learning A Meta-Analysis and Review of Online
Learning Studies U.S. Department of Education
Office of Planning, Evaluation, and Policy
Development Policy and Program Studies Service
2009
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Todays Objectives

• Identify the business problems related to
  recruitment, retention, providing training and
  ensuring ongoing compliance
• Identify key steps involved in your current
  training process that could be more efficient by
  using on-line learning
• Identify the value of total education dollars
  spent today versus an on-line system

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How Do You Feel About Education?
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• Do you view staff education as just something
  that has to be done?
• Do you view the process as a burden
• Preparation
• Making packets
• Holding sessions
• Grading tests and keeping records (Whew!)

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• Tracking down people that didnt get there

- OR -
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Do you think that training will

• Help build a well trained staff that can
  consistently deliver high quality care.
• Improve the ability of your frontline staff to
  achieve your organization's vision and quality
  objectives.
• Be a core business process that will influence
  the success of your organization.
• Help in the recruitment and retention of staff.

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• It's true that we don't know what we've got until
  we lose it, but it's also true that we don't know
  what we've been missing until it arrives.

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• If you agree that staff education plays a key
  role in the success of your organization, then an
  on-line training and tracking system is something
  you should investigate as a way to achieve your
  business objectives.

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A Quick Look at Staffing and The Industry
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Today, theres more of everythingmore patients,
more complex medical conditions, more
regulations, and more paperwork. Perhaps the only
thing theres less of is resources.
Bruce Yarwood, President and CEO of the American
Healthcare Association
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Long-Term Care Workforce A Q
66 41
National turnover rates for CNAs and Staff RNs
respectively in 2007
41 52
Number of facilities reporting increase in
difficulty recruiting CNAs and RNs
4 Billion
Estimated annual cost to nursing facilities to
recruit and train staff
5,276
Estimated cost for each facility to recruit and
train one staff person
Information from Final Report of the National
Commission on Nursing Workforce for Long-Term
Care. April 2005.Information from AHCA
Nursing Home Staff Vacancies and Turnover in
Nursing Facilities 2007Vinfen Corporation The
Direct Care Workforce Crisis 2004
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Enter Technology
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Using an on-line LMS

• Web based organization
• Real time whole house/organization reporting in
  seconds
• Clean accurate real time reports for surveyors
  with no addition errors
• Track all learning events events
• Enables pro-activity in staff training

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Technology can

• help streamline your training process
• take the burden off of management staff for the
  repetitive basic training that can be done
  on-line.
• save you time and money
• be green friendly

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Added Bonus of Technology

• Life skill

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If you average 100 employees and had

• 1 inservice per month
• average 10 pages each 12,000 per year
• Printing of information or obtaining information
  to produce or update in-services
• 10 pages per inservice 120 pages
• Post tests
• 12/year x 100 EE) 1200 pages
• Monthly Staff Meetings
• average 3 pages 300
• Nurses that need CEs
• 20 nurses on staff - 30 CE book contains about
  280 pages  2800 pages per year

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The Grand Total

• 16,420
• pieces of paper annually just for mandatory
  training and orientation
• That is equal to 33 reams of paper and does not
  take into account any re-education that needs to
  be done due to survey, QA or other reasons or if
  you do more than 2 in-services per month.

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Tennessee has 322 LTC Facilities

• 2,643,620 pieces of paper saved if only half of
  TN facilities went to an on-line system
• 5,287 reams of paper saved
• 26,435 lbs of paper that did not have to be moved
  around

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Technology will

• Create more time for education needs to be done
  face to face
• Allow more time to be spent on skills testing and
  following up on items learned.

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But my staff are afraid of computers
Myth Older workers are unwilling to try new
things. Reality Among workers aged 45 to 77, a
total of 88 percent said the opportunity to
learn something new would be essential to their
ideal job.
Myth Older workers are unwilling to learn new
technology. Reality A study by Louisiana State
University found that older workers in a state
agency were more willing than their younger
counterparts to learn new technology
Myth Training the mature worker does not pay
off. Reality Older workers actually stay on the
job longer after training than younger workers
2006 Wisdom at Work The Importance of the Older
and Experienced Nurse in the Workplace
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2010 State of the Industry Report

• Investment in learning has remained the same
  despite the workforce being smaller
• E-Learning is on a steady climb
• E-learning contributed to increase in re-use
  ratio between 2003 and 2008
• On-line learning represents more than ¾ of
  technology based learning available

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2010 State of the Industry Report

• Organizations sustained their investment in
  learning and development
• Learning and development expenditures are
  treated as key investments for organizations
  regardless of the economic climate.

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TRAINING COSTS

• DO YOU KNOW WHAT TRAINING REALLY COSTS YOU?

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We dont think about spending

• 3 economy 3 ring binder.........7.00

Ball point pen w/ non-slip grip..0.79
25 page training module..................0.22
500 sheets of inkjet paper...8.49
On-line training per employee per day.0.10
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The cost of training includes time spent

• Identifying training topics and securing
  materials/content to provide the training
• Scheduling training sessions
• Getting everyone there and scheduling make-up
  sessions
• Teaching the class

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The cost of training includes time spent

• Keeping records such as sign-in sheets,
  post-tests, and training records/reports
• Auditing to make sure no employee slipped through
  the cracks
• Orientation for new hires, and
• Doing the whole thing over again when turnover
  happens!

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How much does this really cost you?

• Consider your total cost in terms of
• Materials and supplies
• 100 Employees
• 75 turnover rate
• In-service once per month with post test
• Orientation once per month for 6 people
• Monthly Staff Meetings
• 2 sheets per EE/YR in the binder

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How much does this really cost you?

• Value of time to do all the activities on the
  previous slide
• Overtime costs for training evening, night, and
  weekend shifts
• Costs of training new hires due to turnover and
• The value of time spent on training that could
  have been invested in other activities (like
  growing your business).

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How eLearning can revolutionize your business and
excite your staff
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What are the key benefits?

• Consistency
• Effectiveness
• Saves time and money
• Easy to do
• Flexible for staff
• Ability to customize
• Manages compliance

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Other Benefits

• Learning occurs when a student is in the mood to
  learn
• Students are more motivated to learn on their own
  terms
• Efficient, productive, paperless office
• Staff can spend time on other projects
• Cost-effective

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You will no longer be a cat herder!
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When there are new regulations or they change,
you wont have to worry about updating training
materials
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Record keeping is automated no more binders!
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Most importantly, eLearning allows employees to
actually learn and apply the knowledge.

• Since we use Silverchair we should not get a
  deficiency for education again. Phil Elmore,
  President and CEO Christian Care Centers
• A noticeable improvement in staff response to
  questions by surveyors was noted within the first
  90 days. Kim Cook, AVP-Clinical Services for
  Christian Care Centers

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How does it all come together?

• Orientation courses can be designed to be taken
  on line
• Annual mandatories are taken on-line
• Post tests are taken on-line
• Courses are updated in the library
• Compliance Tracking is done on-line for in person
  and on-line activities
• Reports are viewed on line and can be copied and
  e-mailed

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So what does all this mean to me?

• Switching to online learning is easy
• Not capital intensive,
• Not time consuming,
• Not complex
• Significant time and cost savings vs.
  traditional training

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• If you can do something to empower your
  employees, thats going to positively impact how
  they view their job if you can make following
  the rules a positive thing, all the better.
• Denny Hartman, Director of Staff Development,
  Menno Haven

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What does it take to get started?

• Low financial investment
• Using Silverchair was a budget-neutral decision
  and a no-brainer,... Phil Elmore, President
  and CEO
• Christian Care Centers
• Pays for itself with savings from off shift
  employees taking courses during work time
• Web hosted no downloads or additional hardware
  needed

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So, in a nutshell

• Staff will learn more effectively and retain more
  of the training
• 75 less cost and management time (self-funding)
• Guarantee of consistent training corporate wide
• Better training compliance
• Improved employee morale and retention
• A positive ROI

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• QUESTIONS?

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• Debi Damas, RN
• Senior Director Regulatory Compliance and
  Content
• 434-220-8245
• ddamas_at_silverchairlearning.com