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NIDCD Working Group on Accessible and Affordable Hearing Health Care for Adults with Mild to Moderate Hearing Loss

August 25-27, 2009
Bethesda, Maryland

Agenda

Purpose: To develop a research agenda to increase the accessibility and affordability of hearing health care for adults with mild to moderate hearing loss, including accessible and low cost hearing aids. The research recommendations should be aimed at technologies or delivery strategies that are effective, accessible, and affordable to those who want and need them; take advantage of current and evolving technologies and health care delivery models; consider innovative and creative solutions with potential for implementation; and reflect current demographics and varying socioeconomic capacities of the U.S. population. The focus is not on research related to the development of increasingly sophisticated or technologically complex custom-fit hearing aids. Research should complement and supplement, not replace, current paradigms and services.

Tuesday, August 25, 2009

3:00 p.m. I. Welcome and Introductions
II. The Public Health Perspective
3:10 p.m. Why This Working Group; Purpose of the Workshop
Amy Donahue, Ph.D. (NIDCD/NIH)
  III. Changes in Healthcare and Healthcare Delivery (The Future Is Now)
3:30 p.m. Keynote: Affordable Health Reform for All Americans: Has the Time Come?
Judith Feder, Ph.D.
4:30 p.m. Break
4:45 p.m. Keynote: Convenient Care Clinics: Pros, Cons, and the Potential to Reach New Consumers Ateev Mehrotra, M.D., MPH
  IV. Hearing Loss, Hearing Aids, and Quality of Life (The Case and Need for Change)
5:45 p.m. Current state of Knowledge: Hearing Aid Adoption, Provision, and Outcomes
Robyn Cox, Ph.D.
6:30 p.m. Discussion - Working Group
6:45 p.m. Adjourn for the evening

Wednesday, August 26, 2009

  V. Accessible and Affordable Hearing Screening and Hearing Aids
8:00 a.m. The Hearing Healthcare Bottleneck: Sources and Solutions
Robert Margolis, Ph.D.
8:30 a.m. Telehealth: Lessons Learned and Learning, Including Considerations in Audiology Mark Krumm, Ph.D.
9:00 a.m. Current State of Knowledge and Knowledge Gaps: Rehabilitation and Aftercare Considerations
Larry Humes , Ph.D.
9:30 a.m. Break
9:45 a.m. U.S. Perspective: Current Hearing Aid and Hearing Aid Delivery Systems, Including Entry-Level Hearing Aids and Over-the-Counter Hearing Devices
David Preves, Ph.D.
10:15 a.m. Global Perspective: Accessible and Affordable Hearing Aids and Hearing Aid Delivery Systems Agnete Parving, M.D., DMSc
10:45 a.m. One Entrepreneur’s Experience and Perspective in Affordable Hearing Aids: Godisa and Beyond Howard Weinstein
11:15 a.m. Working Group Discussion
noon Lunch
12:45 p.m. New Models of Hearing Screening, Hearing Aid Fitting and Distribution
Adrian Davis, Ph.D.
1:30 p.m. Development of a Self Testing and Self Fitting Hearing Aid
Harvey Dillon, Ph.D.
2:15 p.m. Discussion/Break
3:00 p.m. Audiology Workforce Needs for New and Expanded Roles
Barry Freeman, Ph.D.
3:30 p.m. Medical Considerations
Bevan Yueh, M.D.
4:00 p.m. Regulatory Considerations
Eric Mann,M.D., Ph.D. Shu-Chen Peng, Ph.D., CCC-A
4:45 p.m. Discussion/Break
5:15 p.m. Working Group Discussion - Pressing issues, topics, barriers, opportunities not yet considered
6:00 p.m. Open discussion and planning for tomorrow
6:30 p.m. Adjourn for the evening

Thursday, August 27, 2009

  VI. Research Needs
8:00 a.m. Research Needs 1: New Approaches to Hearing Health Care: Identifying the Knowledge Gaps and Research Needs

Examples may include social barriers to hearing screening and adoption of hearing aid use; new ways to screen/assess hearing loss; development of accessible hearing screeners - technology and target population (“triage devices”); entry point(s) for hearing health care and referrals; new and evolving models to increase accessibility and affordability (Convenient Care Clinics, telemedicine, referral networks, self-testing and fitting).
10:00 a.m. Research Needs 2: Development and Provision of Quality Affordable Hearing Aids: Identifying the Knowledge Gaps and Research Needs

Examples may include development of an “Affordable Entry Level Hearing Aid”- characteristics, selection and fitting, and aftercare; developing protocol-based decision rules for hearing aid fitting; technology and strategies for self-fitting hearing aid; requisite disciplines and research teams and/or models of partnership for new device development research; components of consumer education; ensuring quality, including recordkeeping, safety, and continuity of care.
noon Wrap Up
Judy Dubno, Ph.D.
Lucille Beck, Ph.D.
12:30 p.m. Adjourn

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