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PSAPs: Our Role in this Disruptive Environment - Clinical and Business Practice Issues

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1.  Research addressing hearing aid service delivery models clearly shows
  1. audiologists achieve better outcomes over other dispensing professionals because of their education
  2. application of services endorsed by evidence-based guidelines results in better outcomes and improved patient satisfaction
  3. PSAP and mail order hearing aid delivery systems incorporating Best Practice guidelines achieve equivalent outcomes to traditional hearing aid delivery systems
  4. regardless of the model, the lower the price, the higher the patient satisfaction
2.  Research comparing First Fit algorithms v. validated prescriptive targets has found:
  1. First fit algorithms align with validated prescriptive targets with less than 2 dB deviance across the frequency range
  2. First fit algorithms consistently provide adequate gain for soft level inputs as compared to an NAL fitting
  3. First fit algorithms deviate from fitting targets, with studies showing deviations of 10 dB or more
  4. Fittings set to First Fit algorithms provide higher patient satisfaction and lower return for credit rates than fittings fit to validated prescriptive targets
3.  According MarkeTrak VIII, the top ten mistakes dispensing professionals continue to make include:
  1. taking too much time measuring frequency specific LDL thresholds when averages will do
  2. over-reliance on probe microphone measures to verify fittings
  3. using the the older version of the NAL validated prescriptive formula when conducting probe microphone measures
  4. failing to objectively verify hearing aid fittings using probe-microphone measures
4.  Three features of a phone that individual users tend to care about:
  1. cord, feature, price
  2. color, size, weight
  3. weight, warranty, price
  4. packing material, instruction manual, color
5.  Validation of the hearing aid fitting may incorporate which of the following:
  1. COSI and/or APHAB
  2. fMRI scans
  3. coupler measurements to ensure ANSI specification adherence
  4. listening checks
6.  Audiologists' involvement with PSAPs will most likely include:
  1. the business decision not to offer PSAPs to patients
  2. protocols to assess PSAPs purchased elsewhere as a paid service to walk-in consumers
  3. offering PSAPs as an alternative option for those not ready for hearing aids
  4. all of the above
7.  One challenge for dispensing audiologists who decide to offer PSAPs options to patients involves:
  1. itemizing the necessary service warranties associated with this type of alternative technology
  2. implementing distinct adult fitting protocols appropriate to the corresponding technology
  3. carrying a large inventory of batteries
  4. obtaining patient information guides in multiple languages
8.  The most critical listening situations associated with hearing aid satisfaction identified by consumers in a MarkeTrak survey were:
  1. golf course, place of worship, and workplace
  2. large groups, concerts, and restaurants
  3. TV, outdoors, and place of worship
  4. telephone, one-on-one, and small groups
9.  In order to use a neckloop with a cell phone, consumers must have which feature in their hearing aid?
  1. noise program
  2. DAI
  3. frequency cancellation
  4. t-coil
10.  Regardless of whether or not a clinic will offer PSAPs, it is advisable for audiologists to:
  1. stay up-to-date on every PSAP made commercially available
  2. implement appropriate service options for consumers investing in PSAP technology
  3. eliminate all other alternative technologies to minimize consumer and patient confusion
  4. only offer one or two brands of hearing aids

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