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.
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