Download listeningdevices010913

Assistive Listening
Devices for D/deaf
and Hard of
Hearing Populations
January 9, 2013 3:00 PM to 4:00 PM
EST
"Try the Alternative...where the client AND employee matter."
Who is Speaking Today?
Valerie Stafford-Mallis, M.B.A.,
Business Development Manager
Alternative Communication
Services, LLC
CART provided compliments of
ACS
Today’s Program
 Remote Transcription and Interpreting
 Assistive Listening Devices
 Hearing Aid Technology Updates
 Implants & Bone Conduction Updates
 Trends in Affordable Hearing Healthcare
 Hearing Loss and Dementia
Q & A
Types of
Communication Impacts
Deaf
Hard of
Hearing
LateDeafened
Deaf-Blind
Levels of Hearing Loss
The Speech Banana
Remote
Voice-to-Text
Technology Options
 Laptop
 iPad/Tablet
 Smart phone
 Internet connection (Ethernet or Wi-Fi)
 Phone line (conference phone)
 Skype (VoIP)
What is CART?
CART (Communication Access Real-Time
Translation)
 Verbatim: capture 100% of
conversation
 Certification requires 96% minimum
accuracy rate
 ACS requires 98.5% minimum accuracy
rate
 At least 180 WPM – ACS requires 225
WPM
 Specially trained court reporter
 NCRA certifications: CCP, CRR, CBC
CART
And so I was thinking that's
a neat way to start things
out. You recognize, it's like,
I've done lots of fun things,
and I've had lots of fun
opportunities, but this
morning is the first day of
the rest of my life. And so I
look forward to sharing with
you a little bit this morning,
and I look forward
continuing to grow in this
industry. It's pretty exciting.
Pretty unique opportunity.
Name is Phil Hyssong. My
work within NCRA is certified
manager of reporting
TEXT INTERPRETING

I thought
thatthe
was
neat. I've
Click to edit
outline
done
lots of fun things, but
text format
this morning is the first day of

Second Outline Level
the rest of my life. My name
 Third Outline
is Phil Hyssong.
I am Level
a
certified manager
of
 Fourth Outline
reporting services.
Level I'm not a
steno writer. I think
Fifththe work
you do is a gift and
it's a fun
Outline
profession to beLevel
a part of.


Sixth
Outline
Level
Seventh
Outline
What is Text Interpreting?
C-Print or TypeWell
 Abbreviation software used to provide
real-time communication access
 Regular laptop - no special equipment
or keyboard
 Meaning-for-meaning
 Condenses the language into fewer
words
 Can be quicker and easier to read
than verbatim
 Training takes 1-3 months
 Transcriptionist can be on site or remote
What is Voice-Recognition
Software?
Dragon, Windows Speech Recognition,
CapTel, others
 Good for dictation, basic computer
commands, and editing
 Not as effective for facilitating effective
two-way communication with multiple
speakers
 Used in Captioned Telephony
 Some voices difficult to recognize
 Humans outperform software
 Remote over the internet significant lag
time
Captioned Telephony via
the Internet
Drag picture to placeholder or click icon to add
yeah and are you a swimmer ? Oh excellent because uh
um my my ex dermatologists won the mail message
every event every event world < masters > don't know if
you miss name was um gosh how have to I will have to I
am sorry I'll have to think about that it has been a while <
i will > he has got a different sort of name but he was a
he was an Olympic swimmer and he just could not wait
until he was 70 or 72 or whatever he had to be this guy
look he he was 70 or 72 and he looked like 50 at best so I
guess um 2 things that I like about this is subtle color
changes and it looks like some really strong color
changes but there's a lot of them that are subtle and it is
also um not just a few OK ? < the hue > of the tone in
other words like dark < but > medium kind of like that
thing < light > so it may it hmm ? Mm hmm and
Benefits of Using
Remote Voice-to-Text
 Real-Time Access to Text: 2-3 second delay.
 Roughly Edited Transcripts: Word document
sent within 24-48 hours.
 On Demand: Services can be scheduled in
30-minutes or less.
 Availability: Writers can be located
anywhere.
 Quality: Writer expertise can be matched to
subject matter.
Remote Sign Language
Interpreting
How VRI Works
Video Remote
Interpreting
Instructor with Lapel Microphone
ACS VRI Interpreter
Student Using VRI Services
Difference between VRI
and VRS
 VRS = Video Relay Service
 VRI = Video Remote Interpreting
 The Two Are Not the Same Thing!
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Technology
Requirements
 Computer for person needing
interpreting services
 Free download of Skype* software
www.skype.com*
 High-speed Internet connection with a reliable
upload/download speed of at least 512 kbps
and preferably 1Mbps each way (wired
connection preferred but wireless can work).
 Frame rate of 30 fps or better required with H.264
or H.323 compression
 Revolabs Xtag* wireless lapel or omnidirectional
microphone for speaker(s) audio capture
Benefits of Using VRI Video Remote Interpreting
 Shorter notices than on-site interpreting
 No two-hour minimums
 No portal to portal or travel charges
 Availability: Interpreters can be located
anywhere.
 Quality: Interpreter expertise can be
matched to subject matter.
 No on-site visitor security clearances
necessary
Assistive Listening Devices
 Source: Hearing Loss Association of America Assistive
Listening Device Brochure
 http://www.hearingloss.org/sites/default/files/docs/H
LAA_ALDS_Brochure.pdf
Common Assistive Listening
Devices
T-coils
FM Technology
InfraRed Systems
Looping
Technology
BlueTooth
Technology
Amplified
Telephones
Pocket Talkers
Amplified
headphones,
silhouettes,
neckloops
Microphones
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Common Assistive Listening
Devices

Click to edit the outline
text format

Second Outline Level

Third Outline Level

Fourth Outline
Level



Fifth
Outline
Level
Sixth
Outline
Level
Seventh
Outline

Click to edit the outline
text format

Second Outline Level

Third Outline Level

Fourth Outline
Level

Fifth
Hearing Aid
Technology Updates
Hearing Aid Types
Drag picture to placeholder or click icon to add
BTE Behind-the-Ear
Mini Behind-the-Ear
RIC Receiver-inCanal
ITE In-the-Ear
Half-shell ITE
ITC In-the-Canal
CIC Completely-inthe-Canal
Source: Barbara Jenkins Au.D., BCABA Hearing Health
Foundation
www.hearinghealthmag.com Summer 2012
Pages 28-31
Implants and Bone
Conduction Updates
BAHA – Bone Anchored
Hearing Aid
source: http://products.cochlearamericas.com/baha
 BAHA bypasses outer and middle ear
 Sends sounds to inner ear via bone conduction
 Mixed hearing loss, conductive hearing loss,
single-sided sensori-neural deafness
 New Cochlear Americas design approved FDA
Nov 2012
 Simplified surgical procedure
 Minimizes need for soft-tissue removal
Cochlear Implants
 Miniaturization: All three getting smaller
 Moisture resistance: Cochlear Americas Nucleus
5 Sound Processor with rechargeable battery
 Waterproof: Advanced Bionics Neptune
 Alkaline and/or rechargeable battery options
 Improved hearing programming
 Cochlear Americas SmartSound
 Advanced Bionics ClearVoice
 Med-EL’s Fine Hearing
Middle Ear Implant Systems
 Med-El’s Vibrant Soundbridge FMT (Floating Mass
Transducer) electromagnetic system
manufactured by Med-EL uses an implanted
magnet and an external coil coupled to a
microphone to directly cause middle ear
structures to vibrate.
 http://www.vibrant-medel.com/
 Esteem Hearing System manufactured by Envoy
uses the eardrum itself as the microphone with a
sensor placed inside the ear on the stapes.
Battery life span is 4-5 years.
 http://www.envoymedical.com/
Trends in Hearing
Healthcare Delivery
November/December 2012 Issue pps. 7-8
Hearing Loss Magazine, published by
Hearing Loss Association of America
Communique from 3 major hearing health
organizations acknowledging marketplace
changes
 Veterans Affairs is piloting teleaudiology
 Hearing aid manufacturers developing remote
hearing aid assessment and programming
software available via internet connection
 Government research to improve affordability
(NIDCD) of hearing health care services
 Insurance companies are delivering hearing
health care.
Purchasing Hearing Aids
Through the Internet
 Usually limited to open-ear hearing aids or C-I-C
 Hearing losses up to moderately severe
 Consumer sends vendor audiogram and places
order
 Amount of service after the sale varies
 Reputable vs non-reputable:
 New devices directly from manufacturer vs
reconditioned models
 Full factory-supported warranties
 Full-understanding what is and is not included
Direct to Consumer Hearing
Tests
http://lloydhearingaid.com/shopping/audiogram_steps.
asp
United Health Group’s
hi HealthInnovations
https://www.hihealthinnovations.com/page/ourstory
Drag picture to placeholder or click icon to add
Hearing Loss and
Dementia
Hearing Loss Linked to
Dementia – Archives of
Neurology
 Researchers from Johns
February
Hopkins and
2012
National
Institute on Aging – led by Frank Lin, MD
 639 subjects aged 36 to 90 followed for nearly 20
years
 Tested every two years during that time
 Risk of dementia rises once hearing loss affects
ability to communicate.
 Even mild hearing loss doubled the risk of
dementia.
Questions?
Alternative Communication Services, LLC
Valerie Stafford-Mallis
Voice: 800-335-0911 x 706
Cell/Text: 941-201-7805
[email protected]
Website: www.acscaptions.com