Telehealth and Cochlear Implantation
K. Todd Houston, PhD, CCC-‐SLP, LSLS Cert. AVT School of Speech-‐Language Pathology & Audiology
TelepracAce & eLearning Laboratory The University of Akron
CI 2013 American Cochlear Implant Alliance
Washington, DC October 26, 2013
Presenters & Panelists
• Gary Kahn, MD, M.Ed. The University of Colorado at Denver “Telemedicine in Otology and Cochlear Implantation”
• Michelle Hughes, PhD, CCC-A Boys Town National Research Hospital “Validation of Audiological Measures Via Telepractice for Cochlear Implants”
• Hannah Eskridge, MSP, CCC-SLP, LSLS Cert. AVT The University of North Carolina at Chapel Hill “Teleintervention: Praise & Pitfalls of Increased Access”
• Panelists Janet Brown, MA, CCC-SLP, Director, Health Care Services, American Speech-Language-Hearing Association John McClanahan, President, Reimbursement Advisors, Ltd.
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Terminology
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Telehealth Telemedicine Telepractice
mHealth TeleTherapy
TeleAudiology TeleSpeech eLearning
Defining Telepractice
• American Speech-Language-Hearing Association • The application of telecommunications technology at a
distance by linking a clinician to client or clinician to clinician for assessment, intervention, and/or consultation.
• Telepractice is an appropriate model of service delivery for the professions of Speech-Language Pathology & Audiology.
• The quality of services delivered via telepractice must be consistent with the quality of services delivered face-to-face.
History of Telehealth
• For centuries, a strong desire & need to communicate health information over great distances.
• 1800s – Samuel Morse, Civil War, Dr. Alexander Graham Bell
• Telephone, Photophone
• 1900s – Radio, Television, NASA, Dept. of Defense/Military, Internet
• 2000s – Widespread broadband Internet connections; software/Cloud solutions; mobile telecommunication through notebooks & tablet computers, & smartphones
History of Telehealth
Convergence of Technology & Health Care
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Technology: Smartphones,
Tablets, Notebooks
Broadband Internet
Lowering Costs: ACA, Market Pressures
Social Media/Networks: ConnecAons
Increased Demand for Telehealth Any Service,
Any Place, Any Time
Definitions
Telehealth / telepracAce /mHealth is not a service, but a delivery mechanism for a range of health care services. It is a tool to facilitate service delivery (diagnosis, treatment, intervenAon, therapy, or rehabilitaAon).
Healthcare Access of the future
According to the American Medical Association,
70% of doctors visits and 40% of ER visits
could be avoided through telemedicine.
Increasingly, early interventionists, speech-language pathologists, teachers of the
deaf, and audiologists are adopting models of telehealth &
telepractice to serve more children and adults with
cochlear implants.
Alex and Nancy
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Alex and Nancy
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The Question for the Day
• With the evolution and convergence of communication technology and health care, how will telehealth and mHealth applications impact the delivery of medical, speech-language, audiological and other services to children and adults with cochlear implants?
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