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Increasing Access to Cochlear Implants Through Successful Partnerships

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1.  What are the identified barriers to implantation? Hearing aid benefit is perceived as good enough Fear of surgery Unknown hearing performance outcomes All of the above

2.  Current FDA approved cochlear implant candidacy criteria include: Adults and children with excellent aided speech perception scores in each ear Adults with moderate to profound bilateral sensorineural hearing loss and limited benefit from hearing aids Only post-linguistically deafened children Adults who don’t like to wear hearing aids

3.  The top reasons audiologists do not recommend hearing implants include I don’t want to send my patients elsewhere for treatment My patients are generally satisfied with hearing aids Cochlear implants are still experimental All of the above

4.  The Clinical Care Model should: Reduce clinical burden Improve patient outcomes Promote economic viability All of the above

5.  Data suggest that x% of hearing loss patients in industry databases have severe to profound loss 10% - 12.3% 20.3% - 35.6% 6.7% - 13.5% 2.1% - 5.3%

6.  The typical patient flow for those seen by a private practice audiologist include all except the following: Send records to CI center audiologist for review Evaluate patient for candidacy and counsel as needed Refer patient to CPN surgeon for medical consultation Recipient returns to private practice audiologist after surgery for initial activation and follow up visits

7.  Benefits of a partnership for treating patients with implantable hearing solutions includes: Differentiate your practice from competitors Partner with community surgeons Retain existing patients and attract new patients All of the above

8.  Benefits of bimodal stimulation include: Bluetooth capabilities Better hearing performance in background noise Average ability to localize sound similar to that of people with normal hearing All of the above

9.  A cochlear implant evaluation should be considered for adults who: Understand less than or equal to 60% unaided word recognition score Have a 2-freq PTA greater than or equal to 30dB Understand less than or equal to 80% unaided word recognition score Have a 3-freq PTA greater than or equal to 45dB

10.  Evidence based guidance suggests that adult CI recipients should be seen how often in the first year after implantation? 5 times Every other month As often as they want Initial activation and then as needed