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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.
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