Digital Transformation at RCPI

Agenda

• Who and what we are

• The lies I told to get you here

• Digital Transformation @ RCPI : • Website / Portal / VLE / Integration / Computer Based Testing

What

• Training doctors to be world class specialists since 1654

• A 2 year old digital business

Our Vision

To lead excellence and quality in medical practice through world-class training, education and healthcare improvements in Ireland and internationally

Our Mission

• To train, educate and continuously develop doctors for current and future world health needs

• Displaying leadership on healthcare matters

• Developing clinical leaders

• Collaborating with other key organisations to drive healthcare improvements

• Introducing and maintaining standards and guidelines to support best medical practice

Our Key Policy Areas

We are committed to creating a healthier society.

As an independent organisation representing thousands of doctors, we are a united, powerful voice that can influence national health policies to ensure they are in the best interests of people’s health.

We currently have policy groups in five key areas:

• Alcohol

• Obesity

• Tobacco

• Fitness to Drive

• Sexual Health

Our Strategic Aims

Over the next five years, our activities and resources will be focused on delivering five strategic aims:

• Deliver world-class specialist training

• Enhance life-long learning and professional development

• Promote leadership in patient care

• Be a trusted, authoritative voice on public health policy

• Build our global presence

Tenets of Our Strategy

• Customer First

• Digital First

• Mobile First

‘Your customer has been forever altered by digital. As a consequence they want and expect everything faster, better and cheaper’

Accenture

Strategy forming

• Grounded in data and science

• Quantitative research: Surveys of all customer segments and stakeholders• Our systems are OK but we could be doing it much better

• Qualitative research: independent interviews with multiple individual members of those segments• Uncovered a need for social, communities of practice

• A need to focus on the customer experience

• We are time poor. Make it easier and faster.

• Msc: More quantitative showed huge demandStrategyData

Customer

Taxonomy

Research

Strategic Change Programme Governance –Functional view

Change Programme Director

System Integration

Change Programme Board

Independent QADirector

Communications & Stakeholders

PMO &

Business Change

Commercial Business Change Programme

Solutions Design Group(Design Authority)

Strategic Business Change

Core Business Change

(CEO, HoFs, 2 from Exec/Council, Chair CMC, Clinical leads x 2)

Eight essentials of programme success

Scope, objectives and solution

Stakeholders

Benefits and costs

Delivery: work and schedule

Team

Governance and issue/risk management

Change management

Suppliers

► Scope statement is clear, understood and managed through robust change control.

► Proposed solution is appropriate to meet objectives, which remain imperative.

► Stakeholders are known.

► Interests and influences are identified.

► There is a management plan supported by appropriate communications activities.

► Benefits are signed off by the Accountable Executive.

► Realisation is planned and there is a tracking process for both benefits and costs.

► Up-to-date integrated plan including activities at the appropriate level, allocated to individual resources

► Contingencies are planned separately to individual tasks so that progress is in line with the plan or there are activities to bring the programme back on track.

► Right capabilities to complete tasks.

► Understand what is expected of them.

► Have the support and resources they need to complete the work.

► Governance is fit for purpose.

► Issues and Risks are being identified and actively managed.

► There is a plan for embedding new ways of working into the business or for safely closing-down/migrating existing activities.

► Third party relationships are appropriately managed for mutual success.

Governance

• Could not have been done without…• Communication

• Highly engaged senior stakeholders

• Good People

• Good Technology

• Sponsorship, “Huge ambition” and drive

Quercus SIS

Strategy

DataHub: AWS Integration

Website

Mobile Enabled

New Branding

New Content

Simplified Navigation

Search

Open Source Platform

Simplified CMSOne Click Login

Data

Customer

Taxonomy

Research

The Physician Network

VLE

Digital Hub Portal Profile

Digital Service Access

Membership Status

Targeted Notifications

Enrolments

Personal Calendar

Communities/Social

Course Redesign

Translation of Courses

Mobile Enabled

Unique

Product Manager

Unprecedented Integration

Business Practice Change

Quercus

Digital Hub

Physician NetworkVLE

Product Manager

RCPI Store

Realtime Distribution

Membership StatusAWS

Highly Scalable Complete Control

Quercus Instance Management

Quota

Microsite Generation

Store Product Generation

Mapping

Computer Based Testing

Fully Computerised

First in Ireland

Increased Security

Confidence

Mobile Enabled

RCPI Store

Multiple Consumption Views

Multi Purchase

Streamlined Single Checkout

Immediate Product Access

Quality Product Pages

Combined Product Options

SearchQuota

Granular Target Pricing

Microsites

Mobile Enabled

Unprecedented Scalability Internationally

Q2 2014 State of Digital review commissioned

Q4 2014 Wide ranging Quantitive Research conducted with Trainees, Members, Fellows

Q4 2014 In-depth Qualitative Research with representatives of Trainees, Members, Fellows

Q1 2015 Analytics and usage data analysis

Q1 2015 Digital review report published with initial strategy devised

Q2 2015 RCPI branding redeveloped

Q2 2015

Q1 2016Website, Digital Hub and RCPI Store launch

Website specification, wireframes , concepts and technical requirements developed

Q3 2015Website, RCPIStore and DataHub build starts VLE replacement starts

Q3 2016Moodle Migrationcomplete

Continual development and iterations of all platforms

VLE GoliveQ4 2015

Q2 2016

Communities of practice launched to trainees

VLE Evolution

• Moodle not leveraged to the extent it could have been

• Looked at where continuing professional development is going

• Opportunities lie in leveraging social – but moodle is poor at this

• The Physician Network• A Highly scalable VLE

• “Communities” of practice

• Mobile enabled

• Huge engagement opportunity for traineesand physicians globally

The Physician Network

VLE

Communities/Social

Course Redesign

Translation of Courses

Mobile Enabled

Unique

Ecommerce Evolution

• Unmet needs to sell product in a way products are sold online in 2016• Lacked many capabilities including decent search, mobile, basket

• Integrated tightly with the VLE• Market a product

• Sell it

• Give immediate access to it online

• Mobile Enabled: hospital firewalls and dated desktops no longer a major issue

RCPI Store

Multiple Consumption Views

Multi Purchase

Streamlined Single Checkout

Immediate Product Access

Engaging Product Pages

Combined Product Options

SearchQuota

Granular Target Pricing

Microsites

Mobile Enabled

DataHub: AWS IntegrationQuercus

Digital Hub

Physician NetworkVLE

Product Manager

RCPI Store

Realtime Distribution

Membership StatusAWS

Highly Scalable

A typical integration: Once and Once only data entry flow

Active Directory DependenciesIDP, Eduroam,

Office 365

Updated Bio Data

Photos Inc.

Updated Bio Data

Updated BIO Data

Digital HubLogged in Student

and Customer Portal

Updated Bio Data

Eportfolio

Updated Bio Data

RCPI StoreEcommerce

Engine

Data HubAmazon AWS

Integration Layer

Quercus SISUpdate

DemographicsEnd User or RCPI Staff Member

The Physician Network

VLE

Other Systems

Updated BIO Data

Not so typical: “Product Manager” creates required product records in multiple systems

QuercusSIS

The Physician NetworkVLE

Create ProductProduct Data Matched to Unique Identifier

stored in Quercus/Product BuilderPricing, Who See it, Who gets it

RCPI StoreEcommerce

Engine

Create Subscription RulesTCS iON Subscription Engine:Link to Course or Community

Product Builder+

DataHubCreate Product

Create Product:Course Instance

RCPI Store+

RCPI Website

Create MicrositeCompelling marketing page

based on templates

A purchase on our ecommerce engine

1. Purchase on the store results in immediate access to the product2. Datahub also processes multiple messages to inform our student information

system about the course enrolment, financial payments3. That allows us to continue to use Quercus as our system of record for student

information, course enrolments and financials against the student record4. It also allows us to reuse batch integration we already had with our financials

QuercusSIS

The Physician NetworkVLE

(TCS iON Learning Exchange)

Immediate Access to the productRCPI Store

Ecommerce Engine(TCS iON iHub)

Access to the product

Purchase on RCPI Store

Purchase of each product=

Enrollment to each coursePayment Transaction

Agresso Financials

Reuse Quercus to Agresso Financials Integration

DatahubReuse Quercus to Agresso

Financials Integration

Amazon AWS Integration Platform Cost

BenefitsMajor Improvements in customer experience• Mobility: Access anywhere helping time poor doctors• Integration has so much more potential

Service Scalability and Availability• AWS services virtually unlimited• Very low integration costs

Efficiency• Once and once only data entry• Single interface to create products reduces time to create

Time to Delivery• Decided September 2015• Live March 2016• Iterated continually to this day

Shibboleth IDP / Single Sign On

• Heanet secret sauce: Managed IDP service

• From “IDP login page” with page loads, wait time and clicks to “inline login”

• We want our systems to be able to detect IDP logged in state• Version 3.0 Shibboleth should resolve this

Computer Based TestingReducedTravel and Cost

Fully Computerised

First in Ireland

Increased Security

Confidence

Scalability

Computer Based Testing - Context

• MRCPI – A high value qualification, recognised and rewarded globally

• High Stakes exam

• You can sit them as part of our training programmes but some do not• E.g. Candidates in international centres

Computer Based Testing Reduced Travel and Cost

Fully Computerised

First in Ireland

Increased Security

Confidence

Unprecedented Scalability Internationally

Computer Based Testing & Examinations

• #Heanet2014 Nora Clarke - University of Agder, Norway• “Today`s assessment practices in higher education in Norway are a far cry

from the digital advancements that are being developed and embraced in other areas of society.”

• “The digital “natives” that attend higher education institutions in Norway today study and learn with their laptops/mobiles but when they turn up for their long awaited examination, they are, in their words, brought back to the stone age, and required to reproduce their knowledge with pen and paper.”

• “Academics eagerly wait for the students’ papers to arrive in snail mail and spend their time interpreting the illegible hand writing while administrators spend their days counting, copying, double-checking, packing, sending examination papers from student to examiner.”

Q2 2015 Decision to implement Computer Based Examinations for SBA based exams

Q2 2015 Plan and governance in place, Dry run with 100 staff in No. 6 Kildare St. as an exam centre

First Exam in 5 countries simultaneously

Q3 2016

Q1 2016

Q2 2017Written exams expected to move to CBT

Piloted written examinations

Q2 2015 Exam simulator online on the RCPI Website for exam candidates to try out

Computer Based Testing Reduced Travel and Cost

Fully Computerised

First in Ireland

Increased Security

Confidence

Unprecedented Scalability Internationally

BenefitsSecurity• End to End control and security of exams content• Question shuffling

Service Scalability and Availability• Computer Based Examinations “as a service”• Eliminated RCPI staff travel dependency• India, Oman, Saudi Arabia, Ireland, UAE, Malaysia• Established test centres throughout India

Efficiency• Reduced results delivery time• Replace scanning of mark sheets• Eliminated Paper Copying and transport• Candidate Confidence – reduces errors

Time to Delivery• Decided September 2015• Dry Run November 2015• First Exam under CBT January 2016, Many Since

Where have we gotten to?

• CBT as a Service

• 80% of MRCPI Written exams are SBA/CBT

• 75% of Faculty Exams are SBA/CBT

Challenges

• Establishing a large scale, wired (not wireless) CBT centre in Ireland• 240 candidates in a number of halls. Ireland’s largest CBT centre?

• Number 6 Kildare St. as an exam centre• Costs

• Opportunity costs

• Core internal systems and processes in need of overhaul due to lack of investment and attention over a number of years

• Initial security concerns

• Letting go of being present at every exam centre

Where we are going

• From mobile responsive to mobile app (hybrid)• Improve engagement in our social platform

• Notifications

• Rolling up information from different parts of the platform to one place

• More CBT

• Drive engagement in the VLE at every contact point• Staff

• Conferences

• Training Courses

Learnings

• How to collaborate, test and deliver in parallel in multi vendor, multi application web environments and work streams

• How to get acquire and implement the lowest cost, most scalable web services today

• Recurring learning: • How much that can be achieved with the right level of governance,

sponsorship and drive

Thanks for listening

• Whistlestop tour

• Feel free to talk to me after this

• Feel free to contact me after the conference: adrianrath@rcpi.ie

• Q&A?