Nassiri AM, Saoji AA, DeJong MD, Tombers NM, Driscoll CLW, Neff BA, Haynes DS, Carlson ML. Implementation Strategy for Highly-Coordinated Cochlear Implant Care With Remote Programming: The Complete Cochlear Implant Care Model.
Otol Neurotol 2022;
43:e916-e923. [PMID:
35970171 PMCID:
PMC9394487 DOI:
10.1097/mao.0000000000003644]
[Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE
To introduce and discuss implementation strategy for the Complete Cochlear Implant Care (CCIC) model, a highly-coordinated cochlear implant (CI) care delivery model requiring a single on-site visit for preoperative workup, surgery, and postoperative programming.
STUDY DESIGN
Prospective, nonrandomized, two-arm clinical trial.
SETTING
Tertiary referral CI center.
PATIENTS
Adults who meet audiologic criteria for cochlear implantation.
INTERVENTIONS
Cochlear implantation, coordinated care delivery, including remote programming.
MAIN OUTCOME MEASURES
Care delivery model feasibility and process implementation.
RESULTS
Patients determined to be likely CI candidates based on routine audiometry are eligible for enrollment. The CCIC model uses telemedicine and electronic educational materials to prepare patients for same-day on-site consultation with CI surgery, same or next-day activation, and postoperative remote programming for 12 months. Implementation challenges include overcoming inertia related to the implementation of a new clinical workflow, whereas scalability of the CCIC model is limited by current hardware requirements for remote programming technology. A dedicated CCIC process coordinator is critical for overcoming obstacles in implementation and process improvement through feedback and iterative changes. Team and patient-facing materials are included and should be tailored to fit each unique CI program looking to implement CCIC.
CONCLUSION
The CCIC model has the potential to dramatically streamline hearing healthcare delivery. Implementation requires an adaptive approach, as obstacles may vary according to institutional infrastructure and policies.
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