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Digital Learning Platform
     Strategy for Healthcare


                                    John C. Henderson
Boston University
                                        George Wyner
Institute for Global Work               Abram Guerra
                                          Ajeet Gupta

                            ©IGW August 2012, All Rights Reserved
Contents
1.  Opportunity and Vision            4.  Technical Strategy
      Definition of Learning Objects         Key Use Cases

2.  Overview of Capabilities,               Key Architectural Concerns
    Platforms and Stacks                    Data Model

3.  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
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
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
Capabilities
Capability Platforms
Capability Stacks


Learning Platform
Strategy: Key Concepts

                       ©IGW August 2012, All Rights Reserved
Capabilities
A 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
Capability Platforms
A platform is a set of capabilities used by
multiple 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
Capability Stacks
                  Product

    Interface

Social Networks




                                                Market Service
    Interface

 Collaboration

    Interface

Work Flow/App

    Interface

Data/Analytics

    Interface

 Infrastructure   Value


                            ©IGW August 2012, All Rights Reserved
Digital Health Learning Platform


Strategic Perspective

                                   ©IGW August 2012, All Rights Reserved
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
Digital Learning                                     Healthcare
   Platform                                           Market




                   Digital Learning                      Provider
     DLO                Object                           Services


  Intelligent       Connectivity                        Products/
                      Access                             Services
Infrastructure


                                   ©IGW August 2012, All Rights Reserved
Digital Learning                                     Healthcare
   Platform                                           Market




                    Personalized                         Patient
     PDLO               DLO                              Context


                   Digital Learning                      Provider
     DLO                Object                           Services


  Intelligent       Connectivity                        Products/
                      Access                             Services
Infrastructure


                                   ©IGW August 2012, All Rights Reserved
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                             Services
Infrastructure


                                   ©IGW August 2012, All Rights Reserved
Digital Learning                                     Healthcare
 Capabilities
                      Platform                                           Market

                                           PDL                            Healthcare
                        PDLE            Experience                        Outcome


                                       Personalized                         Patient
                        PDLO               DLO                              Context


                                      Digital Learning                      Provider
                        DLO                Object                           Services


Real Time Access     Intelligent       Connectivity                        Products/
Across Platforms                         Access                             Services
                   Infrastructure


                                                      ©IGW August 2012, All Rights Reserved
Digital Learning                                     Healthcare
 Capabilities
                      Platform                                           Market

                                           PDL                            Healthcare
                        PDLE            Experience                        Outcome


                                       Personalized                         Patient
                        PDLO               DLO                              Context


Develop, Deliver                      Digital Learning                      Provider
Quality Content         DLO                Object                           Services


Real Time Access     Intelligent       Connectivity                        Products/
Across Platforms                         Access                             Services
                   Infrastructure


                                                      ©IGW August 2012, All Rights Reserved
Digital Learning                                     Healthcare
 Capabilities
                          Platform                                           Market

                                               PDL                            Healthcare
                            PDLE            Experience                        Outcome


Personalization,                           Personalized                         Patient
Digital Rights Mgmt.        PDLO               DLO                              Context


Develop, Deliver                          Digital Learning                      Provider
Quality Content             DLO                Object                           Services


Real Time Access         Intelligent       Connectivity                        Products/
Across Platforms                             Access                             Services
                       Infrastructure


                                                          ©IGW August 2012, All Rights Reserved
Digital Learning                                     Healthcare
 Capabilities
                          Platform                                           Market

Tracking of Engaged                            PDL                            Healthcare
Learning over Time          PDLE            Experience                        Outcome


Personalization,                           Personalized                         Patient
Digital Rights Mgmt.        PDLO               DLO                              Context


Develop, Deliver                          Digital Learning                      Provider
Quality Content             DLO                Object                           Services


Real Time Access         Intelligent       Connectivity                        Products/
Across Platforms                             Access                             Services
                       Infrastructure


                                                          ©IGW August 2012, All Rights Reserved
Key Strategic Concepts (Capabilities,
Platforms, and Stacks)
Digital Health Learning Platform Strategy


Discussion

                                ©IGW August 2012, All Rights Reserved
Digital Health Learning Platform


Technical Strategy

                                   ©IGW August 2012, All Rights Reserved
Technical Strategy: Key Use Cases


Prescribing a PDLO

                              ©IGW August 2012, All Rights Reserved
MD Diagnoses Patient
OPEN WIREFRAME"




                             ©IGW August 2012, All Rights Reserved
Provider Prepares PDLO
OPEN WIREFRAME"




                            ©IGW August 2012, All Rights Reserved
Front Desk Receives Notification
OPEN WIREFRAME"




                           ©IGW August 2012, All Rights Reserved
Device Given to Patient
OPEN WIREFRAME"




                              ©IGW August 2012, All Rights Reserved
Technical Strategy: Key Use Cases


Engage with PDLO

                              ©IGW August 2012, All Rights Reserved
Patient Interacts with PDLO
OPEN WIREFRAME"




                            ©IGW August 2012, All Rights Reserved
Assessment and Feedback
OPEN WIREFRAME"




                          ©IGW August 2012, All Rights Reserved
Patient Returns Device
OPEN WIREFRAME"




                               ©IGW August 2012, All Rights Reserved
Follow-on Activities
OPEN WIREFRAME"




                                   ©IGW August 2012, All Rights Reserved
Patient Explores PDLOs at home
OPEN WIREFRAME"




                         ©IGW August 2012, All Rights Reserved
Interaction with PDLOs Generate Analytics




                            ©IGW August 2012, All Rights Reserved
Tracking of PDLE Produced by Analytics




                           ©IGW August 2012, All Rights Reserved
Technical Strategy


Key Architectural
Concerns
                     ©IGW August 2012, All Rights Reserved
Supporting                                Digital Learning           Healthcare
   Metadata Structure                              Platform                 Market

           Tracking, Integration                                               Healthcare
                                                     PDLE                      Outcome

                 Subjective Metadata                                             Patient
Paradata (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
Top Concern: Access & Security




Protection of Patient Data Required by Law

                             ©IGW August 2012, All Rights Reserved
Analytics and Tracking

             •  In-House
               (Reporting Tool)


             •  Licensed
               (Analytics Tool
                hosted locally)




                   ©IGW August 2012, All Rights Reserved
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
Metadata Standard Selections
  Metadata Category            Relevant Standard
Learning object metadata   LOM

Tracking metadata          Tin Can API (tincanapi.com)

Rating metadata            hReview (microformats.org)

Media metadata             Schema.org

Tag metadata               CommonTag, MUTO




                                        ©IGW August 2012, All Rights Reserved
Technical Strategy


Data Model

                     ©IGW August 2012, All Rights Reserved
HIPAA
COMPLIANT
DATA FLOWS




©IGW August 2012, All Rights Reserved
Objective Metadata
 (Modality, Creation, etc…)

                              ©IGW August 2012, All Rights Reserved
Subjective Metadata
(Reviews, Social Tags, etc…)

                               ©IGW August 2012, All Rights Reserved
Paradata (CAM),
Tracking & Analytics
                       ©IGW August 2012, All Rights Reserved
Personalization
(Match of DLO’s Contextual
Range and Patient’s Context)

                               ©IGW August 2012, All Rights Reserved
Integration
(Clinical data [e.g. EHRs],
  Sensors, Apps, etc...)

                              ©IGW August 2012, All Rights Reserved
©IGW August 2012, All Rights Reserved
Key Use Cases
Architectural Insights
Data Model


Discussion

                         ©IGW August 2012, All Rights Reserved
Digital Health Learning Platform


Proposal Discussion

                                   ©IGW August 2012, All Rights Reserved
Phase 1: Planning
1.  Three year project to develop and test
    (clinical trial) a patient learning platform
2.  Refine overview presentation based on
    feedback and present to key sponsors
3.  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
Phase 2: Develop Content, Prototype
1.  Work with partners to target content domain
    and identify proposed DLO’s and develop a
    plan for developing DLOs
2.  Refine and test key use cases with doctors
    and other stakeholders
3.  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
Phase 3: Develop and Deploy
1.  Develop a demonstration pilot
2.  Pre-test in clinical environment
3.  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
Supplemental: Wireframes


Provider Experience

                           ©IGW August 2012, All Rights Reserved
Login screen. This screen is common to all roles including: the patient, doctor, medical
assistant and medical biller.



                                                             ©IGW August 2012, All Rights Reserved
This screen lists all all available DLE templates. In each template there are embedded
DLOs.



                                                              ©IGW August 2012, All Rights Reserved
Physician selects DLE template for patient. Can customize the DLE before
prescribing it for patient as a PDLE.


                                                                                            Back
                                                           ©IGW August 2012, All Rights Reserved
When PDLE is ready for use, the Physician enters patient name. System will make the
PDLE available to Medical Assistant to provide to patient.

                                                                                            Back
                                                           ©IGW August 2012, All Rights Reserved
Physician can search for DLOs using various filtering criteria.




                                                                  ©IGW August 2012, All Rights Reserved
Physician has the option to add tags and comments to DLOs.




                                                             ©IGW August 2012, All Rights Reserved
Physician can change individual DLOs in the PDLE.




                                                    ©IGW August 2012, All Rights Reserved
Supplemental: Wireframes


Patient Experience

                           ©IGW August 2012, All Rights Reserved
Patient sees a list of all PDLEs prescribed by the doctor.




                                                             ©IGW August 2012, All Rights Reserved
Patient experiences the DLOs by clicking on the tiles on the left-hand side
navigation.


                                                                                               Back
                                                              ©IGW August 2012, All Rights Reserved
Patient receives feedback on completing the PDLE. A record of this engagement is
recorded for billing and patient is sent an email with a link for revisiting the learning
experience at home.
                                                                                                  Back
                                                                 ©IGW August 2012, All Rights Reserved
Patient has the option to view additional DLOs using various search criteria.



                                                                                               Back
                                                              ©IGW August 2012, All Rights Reserved
Supplemental: Wireframes


Other

                           ©IGW August 2012, All Rights Reserved
Medical biller can submit records of patient PDLE engagement for billing.




                                                            ©IGW August 2012, All Rights Reserved
Librarian can view list of new DLOs in need of validation.




                                                             ©IGW August 2012, All Rights Reserved
Librarian can view DLO, update metadata, and validate the DLO or notify author of
issues to be addressed.



                                                           ©IGW August 2012, All Rights Reserved
Supplemental


Bibliography

               ©IGW August 2012, All Rights Reserved
Bibliography
Al-Khalifa, H., & Davis, H. (2007). FAsTA: A Folksonomy-Based Automatic Metadata Generator. Creating New Learning
Experiences 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 Resource
Sharing & Management in an Open Source Infrastructure for Lifelong Competence Development. Advanced Learning
Technologies, 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 considerations
regarding 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 Learning
Technologies, 1(4), 229-234.

Ochoa, X., & Duval, E. (2009). Quantitative Analysis of Learning Object Repositories. IEEE Transactions on Learning
Technologies, 2(3), 226-238.

Romero, C., Ventura, S., Delgado, J., & Bra, P. D. (2007). Personalized Links Recommendation Based on Data Mining in
Adaptive 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 Digital
Libraries, 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
Bibliography
Gagne, 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 of
rich 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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Final Health Learning Platform - Strategy Presentation (Summer 2012)

  • 1. Digital Learning Platform Strategy for Healthcare John C. Henderson Boston University George Wyner Institute for Global Work Abram Guerra Ajeet Gupta ©IGW August 2012, All Rights Reserved
  • 2. Contents 1.  Opportunity and Vision 4.  Technical Strategy Definition of Learning Objects Key Use Cases 2.  Overview of Capabilities, Key Architectural Concerns Platforms and Stacks Data Model 3.  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. 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. 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. Capabilities Capability Platforms Capability Stacks Learning Platform Strategy: Key Concepts ©IGW August 2012, All Rights Reserved
  • 6. Capabilities A 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. Capability Platforms A platform is a set of capabilities used by multiple 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. Capability Stacks Product Interface Social Networks Market Service Interface Collaboration Interface Work Flow/App Interface Data/Analytics Interface Infrastructure Value ©IGW August 2012, All Rights Reserved
  • 9. Digital Health Learning Platform Strategic Perspective ©IGW August 2012, All Rights Reserved
  • 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. Digital Learning Healthcare Platform Market Digital Learning Provider DLO Object Services Intelligent Connectivity Products/ Access Services Infrastructure ©IGW August 2012, All Rights Reserved
  • 12. Digital Learning Healthcare Platform Market Personalized Patient PDLO DLO Context Digital Learning Provider DLO Object Services Intelligent Connectivity Products/ Access Services Infrastructure ©IGW August 2012, All Rights Reserved
  • 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 Services Infrastructure ©IGW August 2012, All Rights Reserved
  • 14. Digital Learning Healthcare Capabilities Platform Market PDL Healthcare PDLE Experience Outcome Personalized Patient PDLO DLO Context Digital Learning Provider DLO Object Services Real Time Access Intelligent Connectivity Products/ Across Platforms Access Services Infrastructure ©IGW August 2012, All Rights Reserved
  • 15. Digital Learning Healthcare Capabilities Platform Market PDL Healthcare PDLE Experience Outcome Personalized Patient PDLO DLO Context Develop, Deliver Digital Learning Provider Quality Content DLO Object Services Real Time Access Intelligent Connectivity Products/ Across Platforms Access Services Infrastructure ©IGW August 2012, All Rights Reserved
  • 16. Digital Learning Healthcare Capabilities Platform Market PDL Healthcare PDLE Experience Outcome Personalization, Personalized Patient Digital Rights Mgmt. PDLO DLO Context Develop, Deliver Digital Learning Provider Quality Content DLO Object Services Real Time Access Intelligent Connectivity Products/ Across Platforms Access Services Infrastructure ©IGW August 2012, All Rights Reserved
  • 17. Digital Learning Healthcare Capabilities Platform Market Tracking of Engaged PDL Healthcare Learning over Time PDLE Experience Outcome Personalization, Personalized Patient Digital Rights Mgmt. PDLO DLO Context Develop, Deliver Digital Learning Provider Quality Content DLO Object Services Real Time Access Intelligent Connectivity Products/ Across Platforms Access Services Infrastructure ©IGW August 2012, All Rights Reserved
  • 18. Key Strategic Concepts (Capabilities, Platforms, and Stacks) Digital Health Learning Platform Strategy Discussion ©IGW August 2012, All Rights Reserved
  • 19. Digital Health Learning Platform Technical Strategy ©IGW August 2012, All Rights Reserved
  • 20. Technical Strategy: Key Use Cases Prescribing a PDLO ©IGW August 2012, All Rights Reserved
  • 21. MD Diagnoses Patient OPEN WIREFRAME" ©IGW August 2012, All Rights Reserved
  • 22. Provider Prepares PDLO OPEN WIREFRAME" ©IGW August 2012, All Rights Reserved
  • 23. Front Desk Receives Notification OPEN WIREFRAME" ©IGW August 2012, All Rights Reserved
  • 24. Device Given to Patient OPEN WIREFRAME" ©IGW August 2012, All Rights Reserved
  • 25. Technical Strategy: Key Use Cases Engage with PDLO ©IGW August 2012, All Rights Reserved
  • 26. Patient Interacts with PDLO OPEN WIREFRAME" ©IGW August 2012, All Rights Reserved
  • 27. Assessment and Feedback OPEN WIREFRAME" ©IGW August 2012, All Rights Reserved
  • 28. Patient Returns Device OPEN WIREFRAME" ©IGW August 2012, All Rights Reserved
  • 29. Follow-on Activities OPEN WIREFRAME" ©IGW August 2012, All Rights Reserved
  • 30. Patient Explores PDLOs at home OPEN WIREFRAME" ©IGW August 2012, All Rights Reserved
  • 31. Interaction with PDLOs Generate Analytics ©IGW August 2012, All Rights Reserved
  • 32. Tracking of PDLE Produced by Analytics ©IGW August 2012, All Rights Reserved
  • 33. Technical Strategy Key Architectural Concerns ©IGW August 2012, All Rights Reserved
  • 34. Supporting Digital Learning Healthcare Metadata Structure Platform Market Tracking, Integration Healthcare PDLE Outcome Subjective Metadata Patient Paradata (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. Top Concern: Access & Security Protection of Patient Data Required by Law ©IGW August 2012, All Rights Reserved
  • 36. Analytics and Tracking •  In-House (Reporting Tool) •  Licensed (Analytics Tool hosted locally) ©IGW August 2012, All Rights Reserved
  • 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. Metadata Standard Selections Metadata Category Relevant Standard Learning object metadata LOM Tracking metadata Tin Can API (tincanapi.com) Rating metadata hReview (microformats.org) Media metadata Schema.org Tag metadata CommonTag, MUTO ©IGW August 2012, All Rights Reserved
  • 39. Technical Strategy Data Model ©IGW August 2012, All Rights Reserved
  • 40. HIPAA COMPLIANT DATA FLOWS ©IGW August 2012, All Rights Reserved
  • 41. Objective Metadata (Modality, Creation, etc…) ©IGW August 2012, All Rights Reserved
  • 42. Subjective Metadata (Reviews, Social Tags, etc…) ©IGW August 2012, All Rights Reserved
  • 43. Paradata (CAM), Tracking & Analytics ©IGW August 2012, All Rights Reserved
  • 44. Personalization (Match of DLO’s Contextual Range and Patient’s Context) ©IGW August 2012, All Rights Reserved
  • 45. Integration (Clinical data [e.g. EHRs], Sensors, Apps, etc...) ©IGW August 2012, All Rights Reserved
  • 46. ©IGW August 2012, All Rights Reserved
  • 47. Key Use Cases Architectural Insights Data Model Discussion ©IGW August 2012, All Rights Reserved
  • 48. Digital Health Learning Platform Proposal Discussion ©IGW August 2012, All Rights Reserved
  • 49. Phase 1: Planning 1.  Three year project to develop and test (clinical trial) a patient learning platform 2.  Refine overview presentation based on feedback and present to key sponsors 3.  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. Phase 2: Develop Content, Prototype 1.  Work with partners to target content domain and identify proposed DLO’s and develop a plan for developing DLOs 2.  Refine and test key use cases with doctors and other stakeholders 3.  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. Phase 3: Develop and Deploy 1.  Develop a demonstration pilot 2.  Pre-test in clinical environment 3.  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. Supplemental: Wireframes Provider Experience ©IGW August 2012, All Rights Reserved
  • 53. Login screen. This screen is common to all roles including: the patient, doctor, medical assistant and medical biller. ©IGW August 2012, All Rights Reserved
  • 54. This screen lists all all available DLE templates. In each template there are embedded DLOs. ©IGW August 2012, All Rights Reserved
  • 55. Physician selects DLE template for patient. Can customize the DLE before prescribing it for patient as a PDLE. Back ©IGW August 2012, All Rights Reserved
  • 56. When PDLE is ready for use, the Physician enters patient name. System will make the PDLE available to Medical Assistant to provide to patient. Back ©IGW August 2012, All Rights Reserved
  • 57. Physician can search for DLOs using various filtering criteria. ©IGW August 2012, All Rights Reserved
  • 58. Physician has the option to add tags and comments to DLOs. ©IGW August 2012, All Rights Reserved
  • 59. Physician can change individual DLOs in the PDLE. ©IGW August 2012, All Rights Reserved
  • 60. Supplemental: Wireframes Patient Experience ©IGW August 2012, All Rights Reserved
  • 61. Patient sees a list of all PDLEs prescribed by the doctor. ©IGW August 2012, All Rights Reserved
  • 62. Patient experiences the DLOs by clicking on the tiles on the left-hand side navigation. Back ©IGW August 2012, All Rights Reserved
  • 63. Patient receives feedback on completing the PDLE. A record of this engagement is recorded for billing and patient is sent an email with a link for revisiting the learning experience at home. Back ©IGW August 2012, All Rights Reserved
  • 64. Patient has the option to view additional DLOs using various search criteria. Back ©IGW August 2012, All Rights Reserved
  • 65. Supplemental: Wireframes Other ©IGW August 2012, All Rights Reserved
  • 66. Medical biller can submit records of patient PDLE engagement for billing. ©IGW August 2012, All Rights Reserved
  • 67. Librarian can view list of new DLOs in need of validation. ©IGW August 2012, All Rights Reserved
  • 68. Librarian can view DLO, update metadata, and validate the DLO or notify author of issues to be addressed. ©IGW August 2012, All Rights Reserved
  • 69. Supplemental Bibliography ©IGW August 2012, All Rights Reserved
  • 70. Bibliography Al-Khalifa, H., & Davis, H. (2007). FAsTA: A Folksonomy-Based Automatic Metadata Generator. Creating New Learning Experiences 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 Resource Sharing & Management in an Open Source Infrastructure for Lifelong Competence Development. Advanced Learning Technologies, 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 considerations regarding 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 Learning Technologies, 1(4), 229-234. Ochoa, X., & Duval, E. (2009). Quantitative Analysis of Learning Object Repositories. IEEE Transactions on Learning Technologies, 2(3), 226-238. Romero, C., Ventura, S., Delgado, J., & Bra, P. D. (2007). Personalized Links Recommendation Based on Data Mining in Adaptive 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 Digital Libraries, 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. Bibliography Gagne, 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 of rich 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