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The Future of Clinical Care (Part 1): An Evidence Based Approach

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1.  An example of evidence-based practice is:
  1. Using speech perception test outcomes to decide if re-MAPping is required.
  2. Adopting new candidacy criteria based on clinical trial data and FDA approval.
  3. Following infection control guidelines such as washing hands or wearing gloves.
  4. d.Developing your own clinical protocol based on your gut instinct.
2.  Which of the following is true?
  1. It takes most people more than 5 years for MAPs to stabilize
  2. According to research, MAP and CNC performance stabilizes around 3-6 months after activation
  3. Spending a lot of time remeasuring psychophysics at every appointment is more informative than speech perception measures
  4. Data shows that only 20% of cochlear implant patients perform as expected
3.  Data shows that recipients do not comply with all follow-up appointments in the first two years of activation. Reasons for this may include:
  1. Distance to the clinic is prohibitive.
  2. Recipient feels he/she is performing well and does not need the appointment.
  3. Other health concerns have become a higher priority.
  4. All of the above
4.  Improving clinic efficiency by incorporating evidence-based practices may lead to the following outcomes:
  1. Clinician can spend more time with recipients that have more complex needs.
  2. Consistent outcomes for recipients.
  3. Access to cochlear implant technology can increase.
  4. All of the above
5.  A complete speech perception test battery may not always be performed; the test most often administered is:
  1. AZBIO
  2. CNC
  3. HINT in noise
  4. LNT
6.  Patient-centered care includes:
  1. Using subjective questionnaires such as the COSI.
  2. Considering the whole person in treatment plans.
  3. Empowering recipients to manage hearing treatment needs as appropriate.
  4. All of the above
7.  For the majority of recipients, MAP stabilization occurs:
  1. 2 years post-activation
  2. Approximately 3 months post-activation
  3. Within one week
  4. Approximately 12 months post-activation
8.  Outcomes measures may not be performed as consistently as preferred due to:
  1. Clinicians not knowing how to perform these measures
  2. Outcomes measures are not an important part of clinical care.
  3. Clinician performs psychophysical measures instead.
  4. This is not a billable procedure.
9.  Incorporating patient goals, such as the COSI, may result in the following outcomes:
  1. The candidate and the clinician are both very clear about expectations for realistic outcomes in ways that are important to each individual.
  2. Time is spent supporting the recipient by documenting progress in areas that are important to that individual or providing suggestions for continued improvement (such as using accessories or contacting Recipient Solutions Managers for example).
  3. When goals are achieved, new goals can be established.
  4. All of the above
10.  Which of the following statements is true:
  1. Everyone who could benefit from a cochlear implant is getting one
  2. Clinicians have plenty of time to spend on every patient
  3. Cochlear has over 450,000 implanted patients globally
  4. Very little has changed in cochlear implant care since FDA approval

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