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Tele-Audiology Today: Research, Practical Demonstrations, and Fundamentals, presented in partnership with Salus University

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1.  Areas of research in tele-audiology services include:
  1. Pure tone audiometry, mobile hearing screening and cochlear implants.
  2. Central Auditory Processing testing
  3. Sedated Auditory Brainstem Response (SABR)
  4. Auditory Brainstem implant
2.  Application-based tele-audiology include:
  1. Vestibular/Balance therapy
  2. Otoacoustic emissions
  3. Tympanometry
  4. Acoustic Reflexes
3.  To increase access to hearing services, such as amplification, the following tele-audiology solutions are most helpful:
  1. Perform an in-person visit once a month.
  2. Deliver the hearing aid to the patient for the first fitting.
  3. Remote probe microphone measurements, Self-fitting hearing aids and Remote hearing aid programming and adjustments.
  4. Conduct the first follow-up appointment in person.
4.  An example of a telehealth consult in rural Alaska includes:
  1. Telephone call to audiology describing the eardrums
  2. Real ear measurements using remote desktop
  3. Community health aide sending digital otoscopy, tympanometry, audiometry, and vitals to audiologist for triage
  4. Email describing the patient’s issues
5.  In rural Alaska, the following have been initially diagnosed and managed via store-and-forward telehealth, except:
  1. Sudden hearing loss
  2. Benign positional paroxysmal vertigo
  3. Cholesteatoma
  4. Nasopharyngeal carcinoma (from presenting serous otitis)
6.  Lost to follow-up for newborn hearing screening for infants living in remote isolated Alaskan Communities was successfully reduced by:
  1. Using hybrid telehealth model with audiology VTC and store-and-forward otoscopy, tympanometry, and otoacoustic emissions for initial outpatient follow-up
  2. Flying an audiologist to the rural community to conduct outpatient newborn hearing screening
  3. Flying the patient to the regional clinic to conduct outpatient newborn hearing screening
  4. Shipping the newborn hearing screening equipment to the community clinic, train local provider to do testing, and report results to the state
7.  The use of store-and-forward telehealth with otoscopic images, tympanometry, and vitals for assessment and treatment of acute otitis media in rural Alaska, results in:
  1. Less prescriptions for antibiotics and better antibiotic stewardship
  2. Reduced wait time for access to specialty care (e.g. ENT)
  3. Increased accuracy and efficiency of surgical management for myringotomy and tympanostomy
  4. All of the above
8.  A key component in any telehealth service includes:
  1. Limited training for personnel
  2. Appropriate equipment, typically mobile or mHealth-based, that has a universal and user-friendly interface
  3. Starting with implementation
  4. Being able to visit with your patient weekly
9.  When considering incorporating telehealth models, one should first:
  1. Implement the solution
  2. Develop the model
  3. Train personnel
  4. Assess the clinical need
10.  Well-designed telehealth models can result in:
  1. Excellent continuity of care and connected care, accurate and timely diagnosis and management and reduced healthcare cost.
  2. An even further delay in reaching remote populations.
  3. Create a wedge between the patient and provider.
  4. Become inefficient and not worth the time.

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