Disaster Emergency Medical Personnel System DEMPS Program Virtual

Disaster Emergency Medical Personnel System (DEMPS) Program Virtual Learning Environment: A Demonstration through the ADDIE Model Dr. Bob Smith Program Manager for Education, Training, and Exercise Veterans Health Administration Office of Emergency Management Department of Veterans Affairs icfi. com | 1

Learning Objectives • Describe the instructional design process used to design the scenarios that were developed for the virtual learning environment. • Demonstrate the Asynchronous virtual environment. • Demonstrate the Federal Coordinating Center Synchronous virtual environment. • Demonstrate the Patient Care Provider Synchronous virtual environment. icfi. com | 2

Background 2009 - Feasibility Study Conducted 2010 - Vendor Days and Report 2011 - Analysis and Year 1 of Instructional Design 2012 - Year 2 of Instructional Design and Year 1 of Development 2013 - Year 3 of Instructional Design and Year 2 of Development 2014 - Year 4 of Instructional Design, Year 3 of Development, and Year 1 of Implementation icfi. com | 3

What took so long for Implementation ? From 2009 to 2012 the PM took a deliberate approach to identify the best gaming engine for the VLE. icfi. com | The instructional design just like the gaming engine: choice was deliberate. The development once started took one year to complete the basic world. A deliberate funding approach from FY to FY. 4

What did we design? 2011 2012 5 Scenarios 2013 4 Scenarios 2014 icfi. com | 1 Scenario 5 Scenarios 5

What did we develop? A Virtual Learning Environment using Unity 3 D Asynchronous: single person Synchronous: live avatar role playing based upon designed scenarios icfi. com | 6

Scenarios: Competency Based 1. 2. 3. 4. 5. 6. 7. 8. MD/DO/PA/NP RN Social Worker/Psychologist Chaplain Police Health System Leaders Pharmacists Emergency Management Specialist Others to be designed as the competency framework is available icfi. com | 7

Scenarios: Skill Level Based icfi. com | 8

Scenarios Scenario Title Professional Group Orientation All Catch me if you can Patient Care Providers (PCPs) Run, Don’t Walk PCPs From Disaster to Healthcare System Leaders Change is the only Constant Nursing Whose Job Is It Anyway? Federal Coordinating Center As the Shelter Turns Mental Health Practitioner He Needs Help Security icfi. com | 9

Scenarios (continued) Scenario Title Professional Group A Female Focus PCP, Nursing In the Eye of the Storm Nursing, Social Worker Managing Stuff, Staff, and Space: Influenza Can You Tackle the Shake? PCP, Nursing, Social Worker, Senior Leadership Area Emergency Manager (AEM) and Regional Emergency Manager (REM) FCC Help is again on the Way Managing Stuff, Staff, and Space: CBRNE PCP Master Injects icfi. com | Emergency Department (ED) staff, Incident Management Team (IMT), Decontamination (Decon) Team PCP 10

Continuing Medical Education (CME) • Each scenario will be accredited for CME 1. ACCME 2. ANCC 3. ASWB 4. APA 5. ACPE • Each accrediting body has different requirements icfi. com | 11

VA Talent Management System 1. Each scenario will be a TMS item #. 2. Each scenario will be launched from the TMS. 3. Each participant will complete a post-scenario survey based upon CME requirements. 4. Once survey is complete the TMS registers scenario completion. icfi. com | 12

Reusable Design Scenario Evaluation System Injects icfi. com | 13

Reuse Enables Tailoring As Scenario is Played (Dev) Reusability is a requirement Each element built once and used multiple times - icfi. com | VLE uses a content management system to store meta-tagged interactive elements based upon the individual scenario 14

Reuse Enables Efficiency (Business Case) The content management system stores meta-tagged interactive elements based upon the scenario Each element is built once and used multiple times Reusability is a requirement! icfi. com | 15

Who are we training? DEMPS volunteers • +8, 600 volunteers who are current VHA employees • Various occupations: physicians, security, nursing, social workers… • Drawn from throughout US, Puerto Rico, Guam, and Philippines icfi. com | 16

What does the VA Gain • Each time we travel for training, the cost estimate is $1750 per trainee. • Each time we travel for training, we lose 40 hours of Veterans care per trainee. • Each time an individual trains on the VLE we save $1750 in travel costs. • Each time an individual trains on the VLE we save 38 hours of care for Veterans. Each scenario requires 8 -12 participants icfi. com | 17

Asynchronous Demo icfi. com | 18

Storyboards and Scenario Guide Review icfi. com | 19

High Level View of the World icfi. com | 20

Break: 15 Minutes icfi. com | 21

Demonstration of the FCC Environment icfi. com | 22

Demonstration of the Scenario: “Catch Me if You Can” icfi. com | 23

Summary • The ADDIE process applies regardless of the media • Design takes time and drives the platform selection • VLE can be used to provide for exercise-like learning via role playing with crafted scenarios – Learning objectives – Assessment – Scaffolding to promote mastery icfi. com | 24

Questions icfi. com | 25