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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! 17 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 21 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