Thursday, 18 November 2010

eLearning 3: 5 Resources for effective online conferences

With the bans of travel and other cost reductions in place, eConferencing is on the up. Unfortunatley, this is iften paralled with a signficiant reduction in value for the participants. eConferencing is more than ticking the box that you've "run an event".

Let's look at what not to do in a video conference:



Other resources

Tuesday, 16 November 2010

eLearning 2: 5 Resources for learning about Teaching Online

Teaching online is quite a difference from teaching face-to-face. If done properly it can be an inspiring and motivating process for both teacher and learner. If not, it can be awful, especially for the learner. In my experience there is not much mediocrity - just brilliance or horror.

Try a book or two:

Check out a video or two:




Saturday, 13 November 2010

eLearning 1: 5 Resources for supporting online discussions

Creating and moderating an online discussion group requires more than sending out an email inviting people to join. In some cases it is not the cheap, quick fix you may be after. It's work. Treat it like a project - from strategy, planning, resource allocation through to evaluation.

Here are a few of my favourite resources on the topic:


  1. Designing and Managing online discussions from Oxford Brookes University (PDF paper, with references - my favourite)
  2. Teaching with online discussion forums - good introduction 
  3. Online discussions: Tips for Instructors from the Centre of Teaching Excellence at the University of Waterloo. Web page with bullet hints
  4. Using discussion boards to engage students 
  5. How to avoid problems with online discussions - student guide. Short web page with more links on it. USeful because it is from the student/user perspective

Thursday, 4 November 2010

Productivity 8: Where to find ideas for improving productivity in the NHS

This is the 8th in a series of Productivity notes by Sarah Fraser. So where do we find the "no-brainer" ideas for improving productivity in healthcare.

There is no need to start from scratch if you're looking to improve productivity in your organisation, team, ward or practice.  Many have gone before you and many have spent time writing up their experiences so you can learn from their efforts.

This is where I start looking:

  1. NHS Library (or any other academic library). DO some proper searches. I do feel that starting on productivity initiatives without doing a couple of hours research is shortsighted.  Google is not enough..
  2. NHS Institute for Innovation and Improvement; for NHS England there is a lot of information available.  Scotland and Wales I know have similar organisations who gather and share productivity and improvement information. The same is true for most countries which have a public sector health system
  3. The Institute for Healthcare Improvement has a great deal of case studies and resources freely available
If I find nothing in the above then I will find another topic to work on. There is so much to learn from what others are doing that can make the productivity process easier that it doesn't feel worth being the one person who decides to design a research project instead of getting on with the change process.

If you have any favourite place to look for productivity ideas then please add a comment to this post.


Tuesday, 2 November 2010

Productivity 7: How replicable is productivity?

This is the seventh in a series of productivity notes by Sarah Fraser.  If one organisation or region is classified as productive, can we make generalised statements that the rest of the organisation or nation can implement the same and be as productive?

A new report by York University is making big claims.

"The NHS could cut expenditure by £3.2billion without reducing the number of patients treated if all parts of the country were as productive as the South West, according to a report published today by the Centre for Health Economics at the University of York."

The report has many maybe's and possibly's as to whether the rest of the NHS could see the same cost savings if they performed like the South West Region.  I have no doubt the SW is producing excellent care. My concern is headlines like this paper produces sets unrealistic expectations on others. The delivery of healthcare is significantly contextual in its nature. Services all over the country reflect the complex make up of the areas they serve. The report summary on their website states:

"South West may also benefit from a more stable workforce, vacancy rates for non-medical staff being well below the national average. Lower productivity in the hospital and community sectors may be because more work is undertaken in primary care."

I believe this is enough uncertainty to warrant being very cautious about ratcheting up national numbers. Additionally, there is significant use of the "average" in this report. I am not convinced that averaging data and using the average as a measure is a good one for healthcare. As I pointed out in my earlier Productivity note, there is a big difference between accuracy and precision; basically, it is possible for there to be little variation across the regions (precision) but they are all delivering the wrong solution (accuracy).

Like all theories, this research is helpful to a degree (mostly in applying judgement) and like all theories, needs to be treated with a pinch of salt. If you are going to quote the headline £32billion on the stage then make sure you've read and understand the limitations of the report.

(To those who read the previous Productivity note about definitions - productivity is defined in this research report as output / input - how much output you get for the inputs...)


Monday, 1 November 2010

Productive 6: Are Patients Productive?

This is the sixth note in the the Productivity series by Sarah Fraser. You can find the earlier notes here.

Mark Russell commented on the first in this series and he got me thinking. Healthcare is different from being a consumer of say a car dealership. We know that. We can learn from techniques used in industry and we can apply them to our services to gain some benefits.  But I wonder whether we are too focused on programs such as Lean, or too focused on seeing the patient as someone with whom we need to engage?

The car dealership or company with be thinking about their customers constantly. It feels to me they spend time in empathy mode, figuring out how to make things easier for the customer. This ease translates into more sales (yes, I know I am reducing an entire academic discipline into two sentences.) They may even run focus groups.

When it comes to patients and productivity I am thinking the relationship is more than one of engagement. As a patient I am not seeking to be engaged with my local healthcare providers. I am expecting the provision to help me be a productive member of society. This means, for example, I don't' want to take an entire day off work so I can have an 8 minute blood test. Equally, I am prepared to to help the providers be productive by being an efficient and responsible patient - but I may need help to do so. If I have a chronic disease, then help me learn how best to manage it so everyone benefits from this productivity.

When the patient's interface with the provider is not productive for either party, then we have work to do.