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Adapting an On-Line Training System for Multi-Institutional Use

• Bill Gordon

• Academic Information Technology & Libraries

• University of Cincinnati Medical Center

• October 15, 2003

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Thanks To

• Integrated Advanced Information Management Systems (IAIMS) project of the National Library of Medicine for funding part of this work

• AAMC Group on Information Resources and the University of Texas Health Science Center at San Antonio

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Mandatory Compliance Training

• Universities must provide training as appropriate, document compliance

• Applies to health professionals, researchers, and others

• May be one-time or require annual renewal

• Blood-Borne Pathogens, HIPAA, Radiation Safety, Animal Care, Human Subjects Research, and more

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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

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The eCourses Solution

• Provide on-line training on demand

• Track on-line & classroom training

• Use almost any web-based course module

• Manage training requirements automatically via business rules referencing DB data

• Alert people to current, unfulfilled training requirements

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The eCourses Solution (2)

• BBP and HIPAA on-line compliance training

• CME courses – on-line registration for classes, grand rounds

• CME On-Line credit opportunities• - - - - - - - - - - - - - - - - - - - - - - - - - - - -• Access to materials can be controlled

by institutional affiliation, role, etc.

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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

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Integrated Database Model

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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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The Siren Song of Expansion

• Cooperate within UC Med Center on developing, providing HIPAA training

• Provide BBP training to other institutions, following the UTHSC-SA pilot project

• Develop business model, to support providing BBP training customized to meet other institutions’ requirements

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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

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Goal: Track CME Training

• Link all CME training for a particular person, independent of institutional origin

• Provide transcripts for CME

• Bypass need to self-register in UC database?

• Can we use AAMC identifier?

• Working on agreement with AAMC

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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

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Maintenance Issues

• Maintain non-UC users in DB

• Customize UC training modules for other institutions

• When / how to link “identities”

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Original Architecture

UC Login

Faculty CV site checks

group membership

UC Login orSelf-Registration

eCourses (both inside, outside UC)

checks institution & role

UC Login orSelf-

Registration

CME, other “external”

apps open to all

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Architecture - Version 2

eCourses checks

institution & role

Faculty CV site checks

group membership

CME, other external apps

open to all

UC Login or Self-Registration (required for eCourses)

External Login

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Middleware

Architecture - Version 3

eCoursesFaculty CV site

External apps

UC Login / Self-Registration

Bi-modal WS validation

Login at other institution

Shibboleth

Auto-reg

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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

• AIT&L