Reality is that all of a Blended eLearning solution is really a big workflow. Workflow tools are designed to allow you to specify and then execute workflows.

Examples:

Action Item Follow-up Workflow

At end of the learning the user will have created a list of action items with associated dates

Reminders to that person and their manager about getting these done

Compliance Reminders

There are a set of rules about what must be completed when

Users who do not meet the requirements are reminded

Their managers get reminders as does compliance officers