1. Jill Bernaciak
Learning Consultant
March 21, 2013
Book Club Discussion

2. Today’s Agenda
• 12:00 - 12:20 Background 12:20 – 12:30
• Book Topic Discussion I
• Gamification Principles
• 12:30 – 12:45 Book Topic Discussion II
• Examples in a Healthcare Setting – Appropriateness for VHA
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3. Gamification
• The use of game-based mechanics, aesthetics, and
game thinking to engage people, motivate action,
promote learning and solve problems
• With positive outcomes and behavior changes
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4. Gamification
• For physical and mental skill development
• Surgeon hand-eye coordination
• Stroke rehabilitation example
http://www.youtube.com/watch?v=JQNiTAmIbbE
• For instruction and to elicit outcomes such as
problem-solving (e.g., leadership development)
• Firefighter training example
• To influence people to exhibit pro-social behavior
• Civility and Respect in the Workplace
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5. Clarifications
• Gamification is not for every type of training.
• “Is not about creating challenges - because we are numbed to the
challenges we currently have!”
• A sole designer can add:
• Scenarios or case studies with interactive - role-playing and
different levels.
• Course enhancement - continuous feedback or different entry
points into the instruction.
Source: http://cammybean.kineo.com/2012/05/karl-kapp-book-tour-gamification-of.html
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6. Simple Game Genres
• Declarative Knowledge and Labeling Games
• Matching, labeling, Q&A, drag & drop – to learn names, jargon,
facts, acronyms
• Concepts Games
• Classify, race, state rule/examples - to learn and apply concepts
and rules
• Board/Trivia Games (Jeopardy, Wheel of Fortune)
• Answer questions; make progress – to learn rules
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7. Simple Game Genres
• Role Plays
• Simulations/software – for learning procedures and principles
• Environment/Simulation (Social Simulators)
• Interact with environment as it changes – for learning problem-
solving and principles
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8. Simple Game Genres
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Source: Gagne’s Intellectual Skills

9. Five Engaging Elements
• Start with a challenge
• Include a story narrative – learning context
• Provide incentives for good work
• Include the element of chance – motivating
• Effective design of the technical user interface
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10. Know Your Players’ Social Style
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Source: Bartles Player Social Styles

11. Design for Sustained Engagement
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12. Use Progress Mechanics & Intrinsic Rewards
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Tasks perceived
as simple or
low-value
Long-term
engagement;
to exceed
one’s own
performance

13. Other Success Factors
• Targeted content and well-defined objectives
• Debriefing and feedback
• Increase motivation and close the loop between the experience
and objectives
• Unlimited access and technical support
• Do not need to include entertainment
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14. Gamification in Healthcare Settings
• Can be appropriate as providers work to improve
quality while containing costs
• Enhances motivation
• Drive down errors to save lives or improve outcomes.
• Makes discrete, repetitive tasks that must be completed in an
orderly and timely fashion more fun and rewarding.
• Can increase the level of transparency about everyone’s
productivity
• Mitigates performance fatigue from maintaining and striving
to improve quality/safety measures over long periods of time.
Source: http://blogs.perficient.com/healthcare/blog/2012/04/23/business-gamification-in-healthcare-
what-are-3-practical-uses/
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15. Case 1: Gamification in Healthcare
• “Cybersecure: Your Medical Practice”
• Developed by HHS Office 0 National Coordinator for Health Information
Technology
• “The Sims” style role play – with HIPAA privacy and security rules.
Source: http://www.gamification.co/2012/11/12/keeping-medical-data-secure-with-games-in-health/
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Rewards - exam rooms, medical
equipment, and points.
Glossary, tips, feedback
Scores determine competency
and identify knowledge gaps.

16. Case 2: Gamification in Healthcare
• Patient-side: Prevention
• Health Month
• Patient sets rules for own health behavior
• Earns badges given when goals met
• Nike+
• Tracks progress with each step and calories
• Sets a goal, provides rewards, allows you to share achievement
on social media
• Allows competition on NikeFuel Missions Leader Board
Source: http://blogs.perficient.com/healthcare/blog/2012/04/23/business-gamification-in-healthcare-
what-are-3-practical-uses/
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17. Case 3: Gamification in Healthcare
• Agile project management for implementing EMRs
• Red Critter Tracker uses gaming elements: badges, rewards,
leaderboards and real-time Twitter feeds
• A “what’s next” methodology.
• Badges can be unlocked by meeting project goals and
deadlines.
Source: http://blogs.perficient.com/healthcare/blog/2012/04/23/business-gamification-in-healthcare-
what-are-3-practical-uses/
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18. Case 4: Gamification in Healthcare
• Training staff on new documentation requirements
for ICD-10 billing codes
• Forbes recently named Badgeville “America’s Most Promising
Company.”
• http://badgeville.com/demo
• Uses levels, missions, and tracks
to meet/exceed required
performance metrics
• Social gaming analytics correct
behavior, gives feedback
• “Behavior Platform” drives standards.
Source: http://blogs.perficient.com/healthcare/blog/
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19. To Learn More
• Karl Kapp’s blog
• Download Articles and Worksheet from www.pfeiffer.com/go/Kapp
• Password: Professional
• 300 ready-to-use training games and activities from Thiagi.com
• YouTube - Smart Gamification: Seven Core Concepts for
Creating Compelling Experiences | Amy Jo Kim
• Pinterest has printable board game and dice templates, editable
spinners, and ideas for playing pieces.
• http://www.nasaga.org/
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