Rocky Mountain Cochlear Implant Center

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					                                             Rocky Mountain
                                          Cochlear Implant Center
 Published by the CNI Center for Hearing & Rocky Mountain Ear Center, PC - Englewood, CO - September, 2007

       2007 Outcomes Report                                         Center’s Experience
As the largest, most comprehensive cochlear                   The team at RMCIC has 17 years of
implant program in the region, Rocky                          experience with cochlear implants.
Mountain Cochlear Implant Center’s
(RMCIC) goal is to improve sound detection                 Cochlear implant surgeries since 2002:
and communication abilities for both children
                                                                  Adult…..……….……..107
and adults who suffer from severe to profound
hearing loss. Current indications for cochlear                    Pediatric……….……….91
implants include patients with some residual
hearing as well as those with profound loss.                      Total……….………….198
The Center offers cutting-edge technology and
is a major research facility. In addition, the                      Patient Satisfaction
Center serves as a training facility for
physicians from North, South and Central                Patients are asked to complete a satisfaction
America who are learning cochlear implant               survey using a 5-1 scale with 5 representing
surgical techniques. RMCIC is located on the            “completely satisfied.” The survey includes
Swedish Medical Center campus.                          the following statements:
                                                        • The outcome of care
 Bilateral Cochlear Implant Patients                    • The overall care versus patient
Rocky Mountain Cochlear Implant Center has                 expectations
performed 52 bilateral procedures resulting in          • The availability of team members for
benefits which include better hearing in noise,            appointments or to answer questions
localization, and music appreciation.                   • The level of care and support, as
                                                           compared to other centers
                                                        • The willingness to return to this center or
                                                           to recommend the center to family/friends

                             35%                          5

                                   Adults (n = 18)        4

                                                          3                                        Score
     65%                           Pediatric (n = 34)
                                                          2

                                                          1
                                                                 2004       2005       2006
            Age Distribution                             Geographic Distribution
The age range for cochlear implant patients      Rocky Mountain Cochlear Implant Center
is 9 months to 90+ years. The following          sees patients from the entire Rocky
shows the age distribution for the past three    Mountain region:
years:

                                   Adult                                                  Metro-Denver
                                                               15%
                                   Pediatric                                              Colorado

     39%                                                                                  Out-of-State


                                                                             51%

                            61%                          34%




                            PEDIATRIC OUTCOMES

         Two different test parameters are used to assess pediatric patient progress
                         following the cochlear implant procedure:

                     PTA                                               SAT

Pure Tone Average is the average                 Speech Awareness Threshold is the level
threshold of hearing for the 3 critical          of sound at which the patient is able to
speech frequencies of 500, 1000, and             detect spoken words. The scale is from 0
2000Hz. The scale is from 0 (perfect             (perfect hearing) to 120 (profound hearing
hearing) to 120 (profound hearing loss); a       loss); a lower value indicates an
lower value indicates an improvement in          improvement in hearing.
hearing.

   120                                             120

   100                                             100

    80                                              80
                                        PrePp                                                        PrePp
    60                                              60
                                        PostOp                                                       PostOp
    40                                              40
    20                                              20
    0                                               0
           2004     2005    2006                               2004   2005         2006
                                   ADULT OUTCOMES

         Four different test parameters are used to assess adult patient progress
                       following the cochlear implant procedure:

                   PTA                                             SAT

Pure Tone Average is the average threshold     Speech Awareness Threshold is the level of
of hearing for the 3 critical speech           sound at which the patient is able to detect
frequencies of 500, 1000, and 2000Hz. The      spoken words. The scale is from 0 (perfect
scale is from 0 (perfect hearing) to 120       hearing) to 120 (profound hearing loss); a
(profound hearing loss); a lower value         lower value indicates an improvement in
indicates an improvement in hearing.           hearing.

   120                                            120

   100                                            100

    80                                             80
                                     PrePp                                           PrePp
    60                                             60
                                     PostOp                                          PostOp
    40                                             40
    20                                             20
     0                                              0
         2004     2005      2006                         2004     2005      2006



                   HINT                                         DISCRIM

                                               Discrimination is the ability to understand
Hearing In Noise Test results are a
                                               spoken words presented to the patient at a
percentage of correct responses; a higher
                                               level above their threshold of hearing or at
score indicates better hearing.
                                               the limits of the test equipment. Results are
                                               a percentage of correct responses; a higher
                                               score indicates better hearing.

   100                                            100

   80                                              80

   60                                PrePp         60                                PrePp

   40                                PostOp        40                                PostOp

   20                                              20

    0                                              0
         2004     2005     2006                          2004     2005     2006
                                            Our Team
David C. Kelsall, MD - Otologist/Neurotologist
A 3rd generation Colorado native, Dr. Kelsall graduated with honors from Stanford University
and received his medical training from the University of Colorado. He is a board-certified and
fellowship-trained Neurotologist and, in addition to serving as an investigator in numerous
research studies and authoring numerous scientific articles, is a frequent instructor for
physicians learning cochlear implant surgery. Dr. Kelsall also donates his time and skills
through charitable programs which “help end the silence” on local, national and global levels.
  Medical Director: CNI’s Center for Hearing & World Hearing Network
  Board Member: Colorado Neurological Institute & CNI’s Medical Advisory Board
                   Cochlear Americas’ Medical Advisory & Medical Reimbursement Boards
  National Presentations - 2006: Bilateral Implants, Residual Hearing, Revision Surgery
  Seminars - 2006: Assistive Listening Devices & Baha Systems
Allison Biever, Au.D. - Cochlear Implant and Dispensing Audiologist
Educated in Canada and in Colorado, Allison is fellowship-trained as a cochlear implant
audiologist. She focuses primarily on children and adults with cochlear implants, and has
presented research studies at numerous international cochlear implant conferences.
  Board Member: Audiology Advisory Board & Implant Candidacy Task Force
  National Presentations - 2006: Bilateral Implants, Residual Hearing, Revision Surgery
  Seminars - 2006: Assistive Listening Devices & Baha Systems
Katie Breithart, Au.D. - Cochlear Implant and Dispensing Audiologist
Educated in Colorado, Katie is involved in various aspects of the cochlear implant program,
including working with children and adults, and provides cochlear implant testing in the
operating room during surgeries. She lives in Littleton with her family.
  Seminars - 2006: Assistive Listening Devices & Baha Systems
Johnnie Herman - Patient Care Coordinator
With more than 20 years of administrative experience in the medical profession, Johnnie is the
friendly and efficient voice patients hear when they call in to schedule an appointment, order
supplies or troubleshoot equipment. She also assists with matters related to insurance
inquiries, payments and referrals.

601 East Hampden Avenue                                                 303-783-9220 voice
Suite 530                                                               303-806-6293 voice
Englewood, CO 80113                                                     303-806-6292 fax
On the Swedish Medical Center campus
 near Broadway and Hampden Avenue                                     www.RockyMountainEarCenter.com


                         Rocky Mountain Cochlear Implant Center is grateful
                        for the support of Colorado Neurological Institute and
                                       Swedish Medical Center.