AuDacity 2021 — Conference Agenda

AuDacity 2021 • Portland, Oregon • October 25-27

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ADA Members: $750.00 • Non-Members: $850.00

Monday, October 25, 2021

08:00 AM - 09:30 AM

Audiology Assistant
Part 1

Student Session
Part 1

Cerumen Management Course
Part 1

Rita Chaiken, Au.D., Jiovanne Hughart, Au.D.

 

09:40 AM - 11:10 AM

Audiology Assistant
Part 2

Student Session
Part 2

Cerumen Management Course
Part 2

Rita Chaiken, Au.D., Jiovanne Hughart, Au.D.

 

11:10 AM - 11:40 AM

Lunch

11:40 AM - 01:10 PM

Audiology Assistant
Part 3

Student Session
Part 3

Cerumen Management Course
Part 3

Rita Chaiken, Au.D., Jiovanne Hughart, Au.D.

 

01:20 PM - 02:50 PM

Audiology Assistant
Part 4

Audiology Assistant Course participants will join round table portion of "Are You 'Frozen' in Time" at 3:00 p.m.

Are you “Frozen” in Time?

Nancy Gilliom, Ph.D., Chandra Manning

This interactive seminar is for Audiology practices interested in exploring the benefits of an Audiology Assistant as well as for those interested in the structuring the role of their current Audiology Assistant to get maximum benefit. You will learn how to identify the need for an Audiology Assistant, how to hire or cultivate an Audiology Assistant from within your practice, and how to realize their value to you and your patients. Through audience participation and structured worksheets, you’ll be guided through a step-by-step, goal-oriented plan tailored to your practice needs. Throughout this seminar you will learn how to enhance the quality of patient care, manage your schedule to serve more people in your community, and significantly increase revenue.

Learning Objectives

  • How to determine the need for an Audiology Assistant in your practice.
  • How to cultivate an exceptional Audiology Assistant that fits your practice and patient’s needs.
  • What are at least four benefits to effectively adding an Audiology Assistant to your practice.

Cerumen Management Course
Part 4

Rita Chaiken, Au.D., Jiovanne Hughart, Au.D.

 

03:00 PM - 03:45 PM

Tricks and Tips for Claim Processing

Frozen in Time Part 2: AA Roundtable

Nancy Gilliom, Ph.D., Chandra Manning

Recruiting the Right Employee

The Keys to Successful Integration of Implantable Hearing Solutions in a Private Practice (Part 1)

Catherine Richardson, M.A.

Adding any new service to an audiologist's private practice offering requires extensive consideration of business growth and development requirements and opportunities while always focusing on obtaining the best possible patient outcomes. It is now well established that audiologists in a private practice setting can successfully integrate implantable hearing solutions, allowing providers to both keep existing and attract new patients, while developing partnerships in the medical community and tapping into an alternate revenue source for the practice. The purpose of this session is to review various considerations necessary to elevate this opportunity to the highest level for the practice owners and patients alike.

Learning Objectives

  • Identify the three main levers required for successful integration of cochlear implants in a private practice.
  • Describe considerations and options for revenue related to treating cochlear implant patients.
  • Discuss the necessary components of an efficient clinical protocol that maximizes patient outcomes.

03:50 PM - 04:25 PM

Cash Flow Management

KC Grzelka

There are certain aspects of private practice business ownership that may seem overwhelming or just too challenging to explore. From our experience working with many private practice hearing care clinics, cash flow management can be one of the more challenging topics for business owners and those interested in pursuing ownership. Even if you have some level of comfort with business finances, do you ever ask yourself any of the following questions? What information should I be watching in my finances? How do I read cash flow statements? Is there a better way that I could manage my cash flows? Join us as we delve into the topic of cash flow management to help you understand and improve your ability drive profit and business value.

Learning Objectives

  • Describe the importance of cash flow to a business.
  • Identify the key metrics within cash flow statements.
  • Analyze cash flow statements to identify opportunities within their business.

TikTok for Professionals

Crystal Bleu Dvorak, Au.D.

Although TikTok is largely populated by teens, health care professionals have been increasingly using social media to share information, debate policy and practice issues, promote healthy behaviors, and interact with patients.

Learning Objectives

  • Attendees will learn the basics about using TikTok and other social media as a professional to educate and entertain.
  • Attendees will learn of the dangers and pitfalls of using TikTok and other social media.
  • Attendees will learn ideas to help use TikTok and other social media as marketing and practice recognition.

Becoming the Employee of Choice

Ernest Paolini, B.A.

This session will guide attendees in finding the right job. We'll start with an in-depth discussion of the current employment landscape in hearing healthcare. Additionally, we will help attendees understand the importance of creating their own, unique brand and offer a detailed process on how to accomplish this. The process will include a "how-to" on projecting the traits and attributes employers covet throughout the hiring process. Finally, using deductive reasoning, we will demonstrate a methodology that attendees can use to figure out the environment and culture that represents their best fit.

Learning Objectives

  • Participant will learn about personal branding, its importance in the hiring process, and how create their own, unique brand.
  • Participant will be able to articulate and project the traits and attributes that employers seek in new employees.
  • Participant will be able to identify the ideal workplace environment and culture as it relates to their skills, career goals, and personality.

The Keys to Successful Integration of Implantable Hearing Solutions in a Private Practice (Part 2)

Catherine Richardson, M.A.

Adding any new service to an audiologist's private practice offering requires extensive consideration of business growth and development requirements and opportunities while always focusing on obtaining the best possible patient outcomes. It is now well established that audiologists in a private practice setting can successfully integrate implantable hearing solutions, allowing providers to both keep existing and attract new patients, while developing partnerships in the medical community and tapping into an alternate revenue source for the practice. The purpose of this session is to review various considerations necessary to elevate this opportunity to the highest level for the practice owners and patients alike.

Learning Objectives

  • Identify the three main levers required for successful integration of cochlear implants in a private practice.
  • Describe considerations and options for revenue related to treating cochlear implant patients.
  • Discuss the necessary components of an efficient clinical protocol that maximizes patient outcomes.

04:45 PM - 05:45 PM

Opening Featured Session

Kevin Franck, Ph.D., MBA

06:00 PM - 07:30 PM

Opening Event in Exhibit Hall

TUESDAY, OCTOBER 26, 2021

07:00 AM - 08:00 AM

Breakfast in the Exhibit Hall

08:00 AM - 08:30 AM

Welcome & President's Address

Victor Bray, Ph.D.

08:30 AM - 09:30 AM

Keynote Address

Claudia Gordon, Esq.

09:30 AM - 10:00 AM

Break in Exhibit Hall

10:00 AM - 11:30 AM

General Session 2

Archelle Georgiou, M.D., Erik Sorenson

11:30 AM - 12:45 PM

Lunch in Exhibit Hall

12:45 PM - 02:00 PM

Panel Session: Patient Access

02:00 PM - 02:30 PM

Break in Exhibit Hall

02:30 PM - 03:45 PM

General Session 3: Interprofessional Care of the Patient

03:45 PM - 04:00 PM

Break

04:00 PM - 05:30 PM

Panel Session: Cognition

05:30 PM - 07:00 PM

Final Reception in Exhibit Hall

WEDNESDAY, OCTOBER 27, 2021

07:00 AM - 08:30 AM

Business Plan Breakfast

08:45 AM - 10:15 AM

Differential Diagnosis for the Dispensing Doctor

Alexandra Tarvin, Au.D., Alicia D. D. Spoor, Au.D.

With disruptions to hearing aid dispensing, the need to integrate audiology into the medical model and provide more value with evidence-based care is critical. Audiology has a wide scope. While audiologists have vast expert knowledge, many dispensing audiologists focus on the ever-changing technology and business landscape and may feel disconnected from ongoing research limiting their ability to provide differential diagnosis. Many yearn to be more thorough, yet it is overwhelming. Tools, tricks, and tests exist allowing an audiologist to provide more holistic care to their patients without needing to specialize. This presentation will implore dispensing doctors to focus on additional tools and diagnostic procedures to not only evaluate the entire person, but to use best practices and determine differential diagnoses. Each specialty within audiology will be discussed and particular tools will be identified so the audiologist can implement the procedure immediately and monitor outcomes.

Learning Objectives

  • At the end of this presentation, attendees will be able to list three additional items that can be added to a Comprehensive Audiologic Evaluation to determine differential diagnoses.
  • At the end of this presentation, attendees will be able to identify follow-up diagnostic timeframes based on the differential diagnoses.
  • At the end of this presentation, attendees will be able to identify appropriate billing codes for each procedure.

Achieving Growth by Taking Massive ACTion

Amit Gosalia, Au.D., Natalie Phillips, Au.D.

Did the pandemic paralyze you or inspire you to move towards setting new goals and achieving them? After all…a goal without a plan is just a wish and even a hobby. Let’s examine how we, as forward-thinking Audiologists, can lead with a growth mindset over a fixed mindset. This presentation will introduce you to the process of appropriate goal-setting along with the strategy of taking ACTion to attain those goals.

Learning Objectives

  • Learner will be able to implement a process to set achievable goals.
  • You will be able to identify the difference between a fixed and growth mindset.
  • You will learn how to use a simple 3-step process to take action on reaching those goals.

Tinnitus Healing From Home: Measuring the Efficacy of an 8-Week Online Mindfulness Based Tinnitus Stress Reduction Course During the 2020 Covid Pandemic

Jennifer Gans, Psy.D.

Tinnitus is experienced by 50 million Americans and can be problematic or debilitating for many. Mindfulness Based Tinnitus Stress Reduction (MBTSR), has shown promise as an effective tool in managing tinnitus. A recent study assessed the effectiveness of an 8-week online MBTSR program during a pandemic using the Tinnitus Functional Index and Perceived Stress Scale. Statistically significant differences (i.e., self-reported improvement) were found between all of the measures and sub-measures between the pre, mid, and post time points. Results were maintained at 6 months follow-up. This seminar addresses the need to gain easy and inexpensive access to evidence-based effective tinnitus treatment from the privacy of one’s home as it greatly reduces the pressures on audiologists and existing health care systems which was found particularly helpful during the Covid-19 pandemic period.

Learning Objectives

  • Describe the use of mindfulness and MBTSR in management of tinnitus and sound sensitivity.
  • Participants will be able to discuss the benefits and effectiveness of MBTSR in an online format and the importance of "healing from home".
  • Participants will be able to identify those patients who could benefit from an online tinnitus treatment program.

Rural Healthcare Matters - Helping More, Doing it Right

Liz Rogers, Au.D.

There are a large and growing number of patients needing evidenced-based audiologic care in rural areas. According to the 2016 US Census, there were 46.2 million adults over the age of 65, with 10.6 million living in rural areas. Research indicates as many as half of adults over the age of 75 will experience a hearing loss, while vertigo and/or dizziness may affect 70% of adults aged 65 or older, creating a growing need for specialty healthcare services. These staggering numbers present vital opportunities for audiologists to improve hearing and balance quality of life in rural areas. During the presentation, personal experiences will be shared to show how private practice audiologists can thrive in rural environments by working in a very specific field or to their full scope of practice, including hiring medical (ENT) support personnel. By the end, attendees will be optimistic and passionate to open a practice, or second location in under-served areas around the United States.

Learning Objectives

  • After the presentation, attendees will be able to list the many personal and professional reasons why audiologists should make a service minded plan to practice in rural healthcare.
  • Attendees will be able to list research-based data on healthcare disparities in rural areas and learn how reputably sharing this educational information with patients and local healthcare professionals can improve health literacy and help reduce the negative impacts of health disparities.
  • Attendees will learn the different business models that can be successful in rural healthcare. Examples include hearing evaluations and hearing aids, balance, cochlear implants, Veteran’s evaluations and services, auditory processing evaluations, cochlear implants, and tinnitus evaluations.

10:15 AM - 10:30 AM

Break

10:30 AM - 12:00 PM

Documentation for Doctors: A Workshop on Documentation in an AuD Practice

Brian Urban, Au.D., Kim Cavitt, Au.D.

Documentation can serve many roles in healthcare. One is a means of communicating and coordinating care plans across many healthcare providers. Another is providing information to a patient and their family on their condition and how to best treat or manage their chief complaints. Yet another outlines medical necessity and provides evidence for third-party coverage. Documentation can protect healthcare providers in the event of malpractice suits, licensure complaints or audit. And, finally, documentation and the resulting report can be a productive means of physician outreach and marketing. This workshop will focus on the keys to successful documentation in an audiology practice so we too can benefit from all of the opportunities documentation can afford.

Learning Objectives

  • Participants will be able to list the aspects of a review of systems.
  • Participants will be able to implement SOAP documentation in their practice.
  • Participants will be able to describe the key components of a comprehensive case history.

The Breaches are Coming What to Do Before and After a Breach

Josiah Dykstra, Ph.D.

A data breach and its consequences seem abstract and unlikely until it happens to you. Yet, most people have heard “it’s not if it will happen, but when” an incident will occur. How can audiologists prevent breaches and prepared to respond quickly and effectively to recover with minimal impact if an incident? Learn how to proactively minimize the chance of costly downtime before a breach with free and affordable steps you can implement now, including an incident response plan. Discover how cyber insurance can mitigate some data breach risks and costs. In case a breach occurs, be prepared with specific actions to take, especially the 3 essential things you must do first. It’s the “Stop, Drop, and Roll” of cyber fires!

Learning Objectives

  • Attendees will be able to describe the purpose and components of an incident response plan.
  • Attendees will be able to explain how cyber insurance can offset risks of a data breach.
  • Attendees will be able to list the first three things to do if a data breach occurs.

What Do I Do With My Tinnitus Patient?

John Coverstone, Au.D.

Tinnitus is an unavoidable condition in an audiology practice. While every audiologist does not need to be an expert in tinnitus care, every audiology practice can benefit from recognizing tinnitus presentation and making appropriate referrals to help adult and pediatric patients with tinnitus. This course will provide participants with the necessary concepts and tools to recognize tinnitus, uncover what the patient is experiencing and determine the appropriate referral to and outside provider. While this course will not teach participants to diagnose and care for patients with tinnitus, those wishing to engage in higher-level tinnitus care will find this course helpful in beginning to identify and triage various types of tinnitus.

Learning Objectives

  • Participants will be able to describe the cause and appropriate referral for various types of tinnitus.
  • Participants will be able to modify intake forms and processes to identify the presence of and appropriately determine the nature of a patient's tinnitus.
  • Patients will be able to describe the network of specialists necessary to appropriately refer patients with tinnitus and how to establish those relationships for referrals.

Evidence-Based Practice: Music Training for Better Hearing

Jill Davis, Au.D.

Dr. Davis has developed a music-based auditory training program to promote better hearing and cognitive health based on five key benefits:

  1. Promotion of neuroplasticity
  2. Improvement of cognitive abilities and speech processing in noise processing
  3. Potential promotion of healthy aging in brain
  4. Benefits for overall health
  5. Benefits of engaging in a rewarding activity

As the public has recognized the importance of cognitive health, brain training apps have become a big business. However, research has shown that users of these apps simply get better at the games in these apps; over time they show little if any real-world benefit. Dr. Davis’s program uses music as a form of training based on research that proves short-term music training creates life-long benefit. This presentation will summarize the neuromusical research and how it correlates with Audiology, including ways to implement music training with patients immediately.

Learning Objectives

  • To understand the history and outcomes of neuromusical research over the past few decades.
  • To understand the correlation between music training and Audiology.
  • Gather a step-by-step guide to implement music training with audiology patients.

12:00 PM - 01:30 PM

Lunch with Member Meeting

01:30 PM - 03:00 PM

Audiology Opportunities: A Workshop on Practicing to the Top of our License (Part 1)

Kim Cavitt, Au.D.

This interactive workshop will focus on illustrating the opportunities that exist, beyond hearing aids, for the profession of audiology. While many of these skills were taught in AuD programs, many audiologists have not integrated these services into their practices. Many of these services require little to no additional equipment, have a significant private pay component, can improve physician referrals and most importantly, influence patient outcomes, performance, satisfaction and perceptions of a practice.

Learning Objectives

  • Participants will be able to describe how to operationalize new services into their practice.
  • Participants will be able to describe how to monetize new services into their practice.
  • Participants will be able to describe how to market new services into their practice and who to market these services to in order to increase referrals.

The Management and Resolution of Ethics Issues

Michael Page, Au.D.

Many hours are spent studying the various aspects of ethical principles and practices, understand codes, guidelines, and related regulations. Rarely, however are professionals apprised of the processes of resolving unethical behavior or mitigating ethics issues. What process model is recommended when a professional observes a fellow clinician engaging in unethical behavior? How should one respond should they themselves be accused of unethical practice? What processes do regulatory agencies and codes of ethics provide for professionals? This presentation will explore and outline the process of ethics resolution in cases where ethics codes may have been breached. This model will review and discuss resolutions at the lowest and most effective levels, while addressing the most egregious violations and the resolution interventions necessary for more serious concerns. Ultimately, the discussion will center around how resolutions can protect patients, clinicians, as well as the profession

Learning Objectives

  • Following this course, the attendee will describe the impact of ethics violations upon patients, clinicians, and the profession.
  • Following this course, the attendee will Identify why ethics code violations require intervention and resolution, and delineate process options for resolution at the local versus organizational/regulatory levels.
  • Following this course, the attendee will describe how resolution improves professional reputations, protects patients, and secures professional organizations.

Understanding and Using Vestibular Evoked Myogenic Potentials (VEMP) in Audiology Practice

Richard Gans, Ph.D., Joseph Sakumura, Au.D.

Three (3) new CPT codes and reimbursement rates were established in 2021 for Cervical and Ocular VEMP. VEMP testing is not new and is a well-established, highly coveted diagnostic protocol, although it has not been widely used in the USA due to the absence of reimbursement. It is among the most sensitive, easy, and non-invasive protocols which can be performed on neonates to adults. The VEMP, although a myogenic potential, may be performed in less that 5 minutes using readily available Evoked Potential (EP) instrumentation. The presentation will highlight the anatomical and physiological pathways for Cervical and Ocular VEMP and the recording techniques for myogenic potentials. A comprehensive overview of the diagnostic applications for both Otologic and Neurologic disorders will be discussed including; Migraine, Meniere's, Brainstem Stroke, Multiple Sclerosis, and Vestibular Neuritis. The AIB has utilized VEMP testing since 2003 and will present representative case studies.

Learning Objectives

  • Attendees will be able to name the anatomical genesis of the Cervical and Ocular VEMP.
  • Attendees will be able to list 3 abnormalities found in Otologic and Neurologic conditions.
  • Attendees will be able to describe the appropriate billing protocols and use of new CPT codes.

How Hearing Aids Enhance Human Performance: The Health-related Outcomes Associated with Early Interventions of Hybrid Devices

Brian Taylor, Au.D.

Recently, traditional hearing aids have converged with consumer audio devices to create a new category of products, called hybrid devices. These devices offer persons with hearing difficulties the opportunity to improve communication and health-related quality of life. To fully realize the benefits of hybrid devices, however, it is essential for audiologists to understand the link between self-reported hearing difficulties and their impact on health-related quality of life outcomes. This course will review the relationship between self-reported hearing difficulties, contrast it with objective hearing loss of adult onset, and discuss its consequences on health-related quality of life outcomes. Several factors related to quality of life, including social, functional, physical and emotional aspects will be covered. Additionally, the course will review how quality of life factors can be assessed in the clinic and applied to the goal setting, treatment planning & intervention process.

Learning Objectives

  • Describe the term health-related quality of life outcomes.
  • Identify key factors associated with health-related outcomes and the use of hybrid amplification devices.
  • Review literature linking hearing aid use in middle aged adults with mild and moderate hearing loss and it's effect on health-related outcomes.

03:00 PM - 03:10 PM

Break

03:10 PM - 04:40 PM

Audiology Opportunities: A Workshop on Practicing to the Top of Our License (Part 2)

Kim Cavitt, Au.D.

This interactive workshop will focus on illustrating the opportunities that exist, beyond hearing aids, for the profession of audiology. While many of these skills were taught in AuD programs, many audiologists have not integrated these services into their practices. Many of these services require little to no additional equipment, have a significant private pay component, can improve physician referrals and most importantly, influence patient outcomes, performance, satisfaction and perceptions of a practice.

Learning Objectives

  • Participants will be able to describe how to operationalize new services into their practice.
  • Participants will be able to describe how to monetize new services into their practice.
  • Participants will be able to describe how to market new services into their practice and who to market these services to in order to increase referrals.

3rd Party Programs: When to Join Them and When to Beat Them!

Dan Quall, M.A.

Hearing aids purchased with private funds, directly from medical professionals, is the fastest shrinking distribution channel in the hearing aid industry. Across the nation, participation in 3rd party plans for hearing aids under Medicare Advantage plans is rising, and reimbursement rates are flatlining or declining. In the face of these trends, clinics can feel stuck reacting to their 3rd party insurance partners. The goal of this session is to look at proactive approaches your clinic can take to manage 3rd party contracts and optimize your margin per clinical hour.

Learning Objectives

  • Which 3rd party contracts, if any, should our practice accept? You will be able to answer this question for your practice. Is your practice maximizing your existing insurance contracts? You will learn how to maximize your existing insurance contracts and put forth a clear strategy.
  • Are there other treatment solutions we can offer 3rd party patients? You will understand how to capitalize on what you can offer your 3rd party patients, allowing you to grow your ROI.
  • Course attendees will identify business metrics to determine whether to “opt in” or “opt out” of hearing aid insurance contracts. This course will review the clinical tactics and protocols to help practice managers adapt their business structure to compete with these marketplace changes.

Audiology and Autism: Providing Sensory Support

Vanessa Rentschler, Au.D.

Disabling auditory features are inherent in autism. Evidence from audiology, neuroscience, and neuro-developmental research all highlight the differences in how autistic brains filter and interpret sensory input. It is no surprise that listening difficulties and sound sensitivities are among the most commonly experienced. Complex, interdependent processing of the dynamic qualities of running speech can be particularly problematic, and presumably contribute to the large prevalence of speech and language delay in autism (being among the first noticeable signs). Screening and early intervention is pivotal in identifying and supporting children with any communicative disability. Audiologists are conspicuously absent from the team of go-to experts, however. How might we (individually or collectively) change the perception of audiologists as sensory end-organ diagnosticians into longer-term therapeutic care providers? Perplexing, considering the promising evidence base unique to our field.

Learning Objectives

  • Basic understanding of Disability-Rights advocacy and the neurodiversity movement of acceptance and support (versus ableist doom and gloom rhetoric).
  • Familiarization with the sensory differences in autism and how that may manifest as "problematic behaviors." (hint: trauma-informed care).
  • Overview of the valid objective and behavioral audiologic tests that we can use to guide (and deliver) appropriate remediation, to support speech and language skills, educational/vocational access, social-emotional growth and overall mental health for autistic individuals, children and adults alike.

Audibility is Important, but More is Needed

Ron Leavitt, Au.D., Carol Flexer, Ph.D., Colette Welch, Au.D., Nikki Clark

The importance of speech audibility is well recognized in the literature for persons with hearing loss. What is less known, are the physiological changes occurring in in the upper auditory pathways associated with poor speech audibility in this population. This presentation will provide a step-by-step procedure for achieving and maintaining appropriate speech audibility and will describe further actions necessary to increase the likelihood of favorable cognitive, vocational and academic outcomes in both adults and children.

Learning Objectives

  • Participants will be able to explain the importance of amplified audibility for both children and adults.
  • Participants will be able to describe physiological changes in the upper auditory pathways resulting from poor audibility of speech.
  • Participants will be able to describe steps that are essential to successful habilitation/rehabilitation beyond provision of appropriate amplified speech.