Tipping Point Solutions - U.S. Army Concussion Suite

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Company: Tipping Point Solutions, Centennial, CO
Company Description: Tipping Point Solutions is an award-winning multimedia eLearning company, specializing in designing and developing engaging interactive training solutions. Our training products are designed to support multiple modes of delivery, including seasoned instructors in the classroom, novice facilitators who desire to educate his/her workforce, and individual self paced instruction.
Nomination Category: New Product & Service Categories - Education
Nomination Sub Category: New Product or Service of the Year - Education - Virtual Learning Solution

Nomination Title: U.S. ARMY CONCUSSION SUITE

Tell the story about this nominated product or service (up to 650 words). Describe its function, features, benefits, and performance to date:

Tipping Point Solutions (TPS) is an eLearning company that specializes in the customized design, production and delivery of highly-interactive training products. Designed around proven educational methodologies, our innovative learning solutions offer a unique blend of instructional design, training technology development, and film production, resulting in the delivery of cinematic, scenario-based training, in-product facilitators, and interactive practical exercises. Our film media, when coupled with TPS’s instructional design capabilities, enables our products to be informative, engaging, and highly effective.

Addressing challenges ranging from performance gaps and outdated content to the need for an organizational-wide cultural shift, TPS produced an interactive, film-based training suite that revolutionized the way the U.S. Army trains it forces on the topic of concussion.

Soldiers and Leaders across the Army now benefit from “behavioral change”-driven modules that engage learners with high-quality television-style characters and realistic injury events. Tension between policy and time and personnel limitations, often present on the job, are dealt with through the presentation of authentic, emotionally-engaging characters struggling with the same pressures as the target audience. Storylines don’t stop at modeling right behaviors, but provide best practices for making these behaviors work in the presence of real life challenges.

Healthcare Providers are now able to benefit from realistic, scenario-based practice opportunities, using the Military’s Acute Concussion Evaluation (MACE) and Army concussion algorithms in an online, self-paced delivery environment. Branching, film-based interactions allow personnel to learn from both correct and incorrect applications of these tools at each step in the evaluation process. Rather than using simple, isolated multiple choice knowledge checks, this training follows patient storylines through the entire evaluation and treatment cycle, encouraging emotional engagement and a perceived stake on the part of the learner in the health outcomes of characters.

Instead of compartmentalizing the design of each of the concussion products supporting numerous training audiences, TPS led a group of instructional designers, scriptwriters, and subject matter experts to maximize the reusability of film content in a manner best supporting each audience. Blast footage and patient storylines written to address attitude and behavioral change objectives of the Soldier/Leader audience were well-informed by the evaluation performance-based objectives of the Medic and Healthcare Provider audiences so film footage could be shot once and then re-cut to form the basis of scenario-based interactions in the Medic and Provider courses.

Challenges that served as the impetus of this initiative were:

•Over the last five years, the U.S. Army has diagnosed over 75,000 instances of mild traumatic brain injury.
•Current organizational culture resulted in an under-reporting of concussion, and existing training for the soldier/leader audience lacked the ability to affect critical attitude and behavior changes.
•More than 90% of deploying medics and providers were selecting a training path that lacked practice and feedback for critical skills.
•Concussion reporting is plagued by errors and inconsistent application of codes, resulting in inaccurate statistics and risk of negative health outcomes for soldiers.

The final piece of the training was completed in April 2016 with the addition of medical coding for concussion. This enhancement addressed the DoD’s shift to ICD-10 coding manual and addressed the complex nature of properly coding concussion related encounters. This new module ensures accuracy of coding, resulting in fewer coding errors and greater continuity of care across the military health system.

The Medic and Healthcare Provider courseware enabled participation in a concussion training solution that incorporates critical skills training, practice, and feedback is no longer dependent upon funding availability and time to attend facilitated courses, increasing the number of completions of practice-based courses from less than 10% to nearly 100%. This extensive impact on the number of medical personnel receiving training incorporating opportunities for performance improvement has greatly increased the accuracy of concussion diagnosis and resulted in improver health outcomes for thousands of concussed Soldiers every year.

In bullet-list form, briefly summarize up to ten (10) of the chief features and benefits of the nominated product or service:

U.S. Army Concussion Suite - Courseware Features:

•Eight, interactive courses supporting learning objectives in both deployed and non-deployed settings.
•Addressed behavioral changes required to improve concussion reporting and treatment.
•Under-scored importance of initial 24-hour rest period allowing the Army to dispel myths around what activities are acceptable during this period.
•Created buddy-support framework for concussion reporting, encouraging Soldier support for getting checked out when behavioral red flags are present.
•Delivered within 50-minute training window available for Soldiers/Leaders and within appropriate windows for medical community training.
•Enabled every member of medical community, responsible for identifying and diagnosing concussion, to receive skills-based practice and feedback on evaluation and counseling tasks required.
•Addressed nuances inherent in diagnosis allowing participants to learn how treating evaluation differently affects health outcomes.
•Detailed coding practice exercises incorporated to standardize and improve coding practices for concussion.
•Training made available as separate, stand-alone modules enabling refresher and skills-improvement training.