Agenda ⇽ Michigan Audiology Coalition 2023 Conference | Michigan Audiology Coalition on Glue Up

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Thursday, October 19, 2023 7:00^AM to 10:00^PM

7:00^AM - 8:15^AM

Registration and Continental Breakfast

Registration - Get nametag, familiarize yourself with app and location, networking

8:15^AM - 8:45^AM

Opening Session

Welcome from the Board and Updates from the Conference Co-Chairs

9:00^AM - 10:30^AM

Music and Hearing Aids
Erik Jorgensen

Hearing aids were designed for speech, and for good reason; for most listeners, speech is the most important acoustic signal in daily life. However, other types of signals, particularly music, can be important in a listener's life as well. Processing music in hearing aids presents some major challenges. In this talk, the acoustics of music and what makes it different than speech are discussed. Then, the key reasons why hearing aids do not often process music well are reviewed, drawing evidence from the relevant literature. Finally, practical tips for improving music listening with hearing aids are presented..

Instructional Level: Intermediate

Learner Outcomes:
Following this presentation, participants will be able to:
1. Describe the basics of musical acoustics and the challenges for hearing aid processing.
2. Describe common problems hearing aid users encounter while listening to music through hearing aids.
3. Describe practical tips to improve enjoyment of music while listening through hearing aids.

Erik Jorgensen
Assistant Professor at University of Wisconsin-Madison

QR code for CEUs.pdf

10:45^AM - 12:15^PM

The Business Case for Unbundling
Erica Person

The last 10 years is littered with examples of industries that have implemented unbundling models. The presentation is designed for the practitioner who is considering offering an unbundled model to their patients. We will cover common misconceptions about unbundling and why the data does not support it. We will take an in depth look at the financials and growth of Flex Audiology over the span of 5 years.

Instructional Level: Intermediate

Learner Outcomes:
Following this presentation, participants will be able to:
1. Understand the benefits of unbundling services in an audiology practice and why unbundling is gaining traction
2. List three common myths related to unbundling of services
3. Learn 3 key strategies for developing an unbundled model.

Erica Person
President of Flex Audiology, The Unbundled Audiologist

QR code for CEUs.pdf

12:15^PM - 1:45^PM

Lunch

1:45^PM - 3:15^PM

Managing Managed Care
Kim Cavitt

This course will provide tips on effective insurance verification, coding, billing, and claims management in an audiology practice, including Medicare, Michigan Medicaid, and state specific medical and coverage policies.

Instructional Level: Advanced

Learner Outcomes:
Following this presentation, participants will be able to:
1. Outline the procedures when the Medicare use of the AB modifier is appropriate.
2. Distinguish between health plans whose hearing aid benefits are typically processed through a third-party network.
3. List the requirements of common medical and coverage policies..

Kim Cavitt
President/Chief Solutionist at Audiology Resources, Inc.

QR code for CEUs.pdf

2023 MAC Managed Care_.pdf

2023 MAC Managed Care .pdf

3:15^PM - 4:30^PM

Poster Session
Jana Al Jurdi•Kacy Hooten•Gerilyn Jones•Lindsay Koberna•Julie Steele•Ryan Wehby

Poster sessions (CEUs are Not available). Posters will be on display all day in the Great Lakes Room. The authors will be available for questions & discussion from 3:15 to 4:30.

- In-lab and real-world perspectives on advancements in hearing aid technology. (Hooten & Wehby)

- Real-world Hearing Experience and Usability of a New Sound Processor: A Multi-national Survey (Steele)

- Impact of acute impairment on adaptive head movements individuals with single-sided hearing loss (Jones)

- Hearing Loss and Sickle Cell Disease in the Middle East: A Closer Look at Beta Thalassemia (Jurdi)

- Say What? No-Cost Hearing Aid Cleaning Clinics for the Community (Koberna)

Jana Al Jurdi
Audiology Doctoral Student at Central Michigan University
Kacy Hooten
Account Manager at Phonak
Gerilyn Jones
Research Audiologist/Postdoctoral Research Fellow at University of Michigan
Lindsay Koberna
Doctor of Audiology Student at Central Michigan University
Julie Steele
Advanced Bionics
Ryan Wehby
Account Manager at Phonak

Poster_Michigan_Audiology_Coalition_MarvelQST_Steele.pdf

4:30^PM - 5:30^PM

KEYNOTE: Legislative Issues in Audiology
Chelsea Conrad•Bob DeVries

This session will provide information on effective advocacy for audiologists at the state level. Legislative Committee Member, Chelsea Conrad and MAC Lobbyist, Bob DeVries, will provide tips and suggestions on how to have a successful meeting with state legislators. Information on current legislative initiatives will be reviewed including establishment of audiologists as the recognized experts in hearing health care as well as efforts to increase attention and testing for Cytomegalovirus (CMV) in the state of Michigan. Attendees will also learn about opportunities to join in legislative efforts in their local communities.
Instructional Level: Beginner

Learner Outcomes:
Following this presentation, participants will be able to:
1. Develop an “elevator speech” to share issues with legislators
2. Describe at least one legislative initiative important to audiology practice in Michigan.
3. Understand how to contribute to legislative efforts in their local community.

Chelsea Conrad
Senior Staff Audiologist at Henry Ford Health
Bob DeVries
Lobbyist at Governmental Consultant Services, Inc.

QR code for CEUs.pdf

5:30^PM - 7:00^PM

Mingle with Exhibitors

7:00^PM - 10:00^PM

Give Back to MAC • ADDITIONAL TICKET REQUIRED

Join us for a night of fun and fundraising following the conference keynote speaker on Thursday evening at Beggar's Banquet in East Lansing. The event will include drinks, appetizers, music, exclusive silent auction items, a 50/50 raffle, and wine tasting with Wines for Humanity.

Proceeds of the event will go to fund lobbying costs and ensure continued legislative representation for the profession of audiology in the state of Michigan.

Friday, October 20, 2023 7:00^AM to 4:15^PM

7:00^AM - 8:30^AM

Registration and Continental Breakfast

8:45^AM - 9:45^AM

The Use of Machine Learning Techniques to Manage and Assess Dizzy Patients.
Devin McCaslin

Failures of care coordination and ineffective treatments waste more than $175 billion in the USA alone. One of the most challenging problems is matching the right clinician to the right patient at the right time. Dizziness and vertigo exemplify this problem. Symptoms may be caused by illnesses that cross multiple medical specialties, requiring evaluations by well-coordinated teams of experts to achieve the best clinical outcomes. This presentation provides an review of a large project to automate and optimize scheduling of multi-disciplinary consultations for patients with dizziness using machine learning techniques.

Instructional Level: Beginner

Learner Outcomes:
Following this presentation, participants will be able to:
1. Discuss how intelligent algorithms can be applied to the automated triage of dizzy patients.
2. Explain the process of how to train and validate a machine learning algorithm
3. Describe the effectiveness of a commercial algorithm on automated triage of dizzy patients.

Devin McCaslin
Ph.D./Director of Audiology at Michigan Medicine-University of Michigan

QR code for CEUs.pdf

10:00^AM - 11:00^AM

Inserting OTC's in your practice without Dispensing OTC's
Julie Duensing•Alexis Nadler

With OTC's prevalence, practice owners need to decide how they will fit these new offerings into their clinical setting. Establishing policies and procedures consistent with each practies approach is needed. This presentation will provide information on how two clinical practices are navigating OTCs.

Instructional Level: Beginner

Learner Outcomes:
Following this presentation, participants will be able to:
1. Discuss strategies for counseling patients on OTCs vs traditional hearing aids
2. Develop marketing stratgies related to OTC
3. Develop strategies to maintain a hearing aid practice without offering OTC

Julie Duensing
President at Dr. Kasewurm's Professional Hearing Services
Alexis Nadler
Clinical Audiologist/Owner at Hearing & Balance Center, Inc.

QR code for CEUs.pdf

11:00^AM - 12:30^PM

Membership Meeting and Lunch

12:30^PM - 2:00^PM

Top to OtoM: Comprehensive Ototoxicity Management for Known and Emerging Agents
Riley Debacker

This talk will briefly review the common causes of ototoxicity, factors that can modulate ototoxic risk, and highlight the audiologist’s important role in monitoring and advocating for these patients. In addition to well-documented ototoxic agents like chemotherapeutics and antibiotics, we will review emerging evidence around the ototoxic effects of other compounds like opioids and antiretrovirals. Given the broadening implications of use for these drugs as HIV prophylaxis and in treating COVID-19, it is important for audiologists to be aware of reported effects of these drugs on hearing and balance. This presentation will include a review of current clinical and translational literature with suggestions for identifying, monitoring, and referring at-risk patients. Participants will also review essential elements of ototoxic monitoring protocols, including highly sensitive screening tools to validate patient reported outcomes.

Instructional Level: Advanced

Learner Outcomes:
Following this presentation, participants will be able to:
1. Identify common ototoxic drug names and elements of a case history that would indicate likely use.
2. Describe current research findings of auditory and vestibular symptoms following ototoxic
3. Implement ototoxicity management practices for auditory surveillance of at-risk patients.

Riley Debacker
Research Investigator & Audiologist at National Center for Rehabilitative Auditory Research

QR code for CEUs.pdf

2:15^PM - 4:15^PM

Comprehensive Evaluation and Management of Vestibular Schwannoma
Crystal Pitts•Chris Welch

Experienced providers from Michigan Medicine will detail the patient journey from identification through intervention for vestibular schwannomas. This series will provide an overview of diagnostic auditory and vestibular evaluations relevant to vestibular schwannomas as well as medical and surgical management of these tumors from the perspective of a neurotologist.

Instructional Level: intermediate

Learner Outcomes:
Following this presentation, participants will be able to:
1. Describe at least two suspicious findings on an audiogram for retrocochlear pathology.
2. Identify at least one test finding that may lead to a poor prognosis for hearing preservation.
3. Describe the three primary treatment options for patients with vestibular schwannoma.

Crystal Pitts
Audiologist at Michigan Medicine
Chris Welch
Clinical Assistant Professor, University of Michigan

QR code for CEUs.pdf

Thursday, October 19, 2023 9:00^AM to 4:15^PM

9:00^AM - 10:30^AM

Understanding and Treating Tinnitus
Jinsheng Zhang

This presentation will focus on the etiologies of noise-induced tinnitus. The current models available to study tinnitus will be reviewed along with the benefits and limitations of each. Lastly, treatment strategies based upon current models for tinnitus studies will be shared.

Instructional Level: Intermediate

Learner Outcomes:
Following this presentation, participants will be able to:
1. Describe the mechanisms of tinnitus
2. Discuss common methodology used to study tinnitus
3. Explain strategies for treatment of tinnitus

Jinsheng Zhang
Professor and Chair, Wayne State University

QR code for CEUs.pdf

10:45^AM - 12:15^PM

Contemporary Approaches to Auditory Processing Disorder
Gail Whitelaw

This presentation will focus on current perspectives with auditory processing disorders in children and adults. Myths will be discussed and research perspectives that reflect current knowledge of the auditory system will be presented. Practical aspects of creating a program to assess children and adults with APD will be presented. Treatment and management approaches will be discussed. Case studies will be used to highlight clinical aspects of the presentation and address patient well-being and quality of life.

Instructional Level: Beginner

Learner Outcomes:
Following this presentation, participants will be able to:
1. Describe current aspects of hearing science that inform assessment of auditory processing disorder
2. Describe tools that can be incorporated into a CAPD test battery
3. Discuss treatment approaches for patients with CAPD

Gail Whitelaw
Clinical Professor and Audiologist at The Ohio State University

MAC contemporary APD 23.pptx

QR code for CEUs.pdf

1:45^PM - 3:15^PM

Creating an Inclusive and Accessible Audiology Practice
Stacey Lim

When working with d/Deaf and hard of hearing populations, it is important to build an inclusive practice that allows our patients to be supported. Biases related to hearing loss and deafness, however, can create barriers to effective care (Wilson & Atcherson, 2017). In this presentation, examples of these biases – both intentional and unintentional -- will be discussed. Proactive solutions for creating a more inclusive, accessible audiology practice will be discussed.

Instructional Level: Beginner

Learner Outcomes:
Following this presentation, participants will be able to:
1. Explain the medical model and social model of disability
2. Discuss different biases related to deafness/hearing loss, and how they may create a barrier to hearing health care equity
3. Develop of solutions to proactively create a more inclusive, accessible audiology practice

Stacey Lim
Associate Professor of Audiology at Central Michigan University

QR code for CEUs.pdf

3:15^PM - 4:15^PM

When the VNG Isn't Enough: Advantages of a Comprehensive Vestibular Test Battery and Team Approach
Kathryn Makowiec•Kaylee Smith

Instructional level: Intermediate

Following this presentation, participants will be able to:
1. Identify key limitations of videonystagmography/electronystagmography in assessing the vestibular system
2. Recognize key symptomology which warrants referral to a comprehensive vestibular clinic
3. Appreciate the importance of a multidisciplinary approach in the assessment and treatment of vestibular patients

Kathryn Makowiec
Senior Staff Audiologist at Henry Ford Health
KS
Kaylee Smith

QR code for CEUs.pdf

Friday, October 20, 2023 8:45^AM to 4:15^PM

8:45^AM - 9:45^AM

Auditory Neuropathy Spectrum Disorder in 2023: Diagnostic and Management Tools for Your Audiology Toolbox
Caroline Arnedt

A diagnosis of auditory neuropathy spectrum disorder (ANSD) can be overwhelming and difficult to nail down. It often leaves parents, audiologists, speech pathologists and teachers guessing how best to help children with this type of hearing loss. ANSD is further complicated by the variability in both the auditory and speech/language abilities of these children and the lack of a “gold standard” treatment protocol. This presentation will highlight diagnostic tools vital for making an accurate ANSD diagnosis including a close analysis of auditory brainstem response (ABR) tracings of such patients. A review of the latest research will also be provided, laying the foundation for a detailed discussion of prevalence estimates, risk factors, diagnostic issues, and possible recovery. Case studies will be presented highlighting behavioral and diagnostic characteristics these patients might exhibit both before and after cochlear implantation, providing treatment options based on the individual. The presentation will also cover protocol issues faced by a multidisciplinary cochlear implant team and discuss opportunities to better partner with the child’s entire care team.

Instructional Level: Intermediate

Learner Outcomes:
Following this presentation, participants will be able to:
1. Attendees will be able to interpret research findings as they relate to the diagnosis and management auditory neuropathy spectrum disorder and gain a greater understanding of the physiological theory of the condition.
2. Attendees will be able to recognize the clinical manifestations of auditory neuropathy spectrum disorder and gain a greater understanding of the diagnostic and cochlear implant candidacy protocol issues related to this diagnosis.
3. Attendees will be able to identify possible treatment options for auditory neuropathy spectrum disorder.

Caroline Arnedt
Clinical Audiologist at Michigan Medicine

QR code for CEUs.pdf

10:00^AM - 11:00^AM

MDHHS’ Hearing Programs, the Continuum of Care, and the Gaps in Services: 1, 3, 6, Preschool, K, 2, 4
Jennifer Dakers•Michelle Garcia

The earlier infants are identified as deaf/hard of hearing and receive intervention, the more likely they will reach their full potential. In Michigan, most newborns receive a hearing screening before leaving the hospital. However, of the infants who do not pass their screening, almost half do not receive follow-up diagnostic testing. Many of these children will attend pre-school and receive mandated screenings at that time. This is especially important because the incidence of hearing loss doubles from infancy to when they reach school age. This session will review the Michigan testing guidelines and the gaps in services. It will equip you with knowledge of current screening practices and resources to support families and provide timely and appropriate health care referrals. Collaborative system-level support can improve outcomes for infants and children with hearing loss.

Instructional Level: Beginner

Learner Outcomes:
Following this presentation, participants will be able to:
1. Discuss the challenges with families receiving timely and appropriate follow up testing.
2. Educate professionals on the appropriate testing for newborn hearing screening and diagnostic evaluations.
3. Describe the protocols for preschool and school age hearing screening

Jennifer Dakers
Hearing Program Consultant at MDHHS
Michelle Garcia
Follow-Up Consultant at MDHHS EHDI

QR code for CEUs.pdf

MAC EHDI and School Hearing Final.pdf

11:00^AM - 12:30^PM

Lunch

12:30^PM - 2:00^PM

Ethics in Audiology Clinical Supervision: Navigating Power Dynamics, Cultural Competence, and Generational Differences
Nicole Ferguson

This presentation delves into the critical aspects of ethics in audiology clinical supervision, centering on the interplay of power dynamics, cultural competence, and generational differences. Anchored in evidence-based approaches, the session aims to empower clinical supervisors with essential knowledge and practical strategies.

Participants will be introduced to foundational ethical principles and decision-making models specific to audiology supervision. The exploration of power dynamics reveals their profound influence on supervisee development and decision-making, paving the way for strategies to mitigate the inherent imbalances.

Cultural competence takes center stage, addressing the importance of fostering an inclusive and culturally responsive supervisory environment. Participants will confront unconscious biases, embrace diversity, and explore effective communication strategies across cultures.

Generational differences come to the fore, illuminating challenges and opportunities in the supervisory relationship between "less-experienced" students and "more-experienced" supervisors. Strategies to promote effective collaboration and mutual understanding between generations will be discussed.

Throughout the presentation, interactive case discussions and polling activities will engage participants, enriching the learning experience with real-life scenarios and peer insights. Participants will leave with an enriched understanding of ethics in audiology clinical supervision and the tools to cultivate an ethical, culturally competent, and harmonious supervisory approach, fostering the growth and success of future audiologists.

Instructional Level: Intermediate

Learner Outcomes:
Following this presentation, participants will be able to:
1. Identify the power dynamics inherent in the supervisory relationship in audiology, distinguishing how the power differential can influence supervisee development and decision-making, and apply evidence-based strategies to mitigate the impact of power imbalances in clinical supervision.
2. Develop strategies to foster culturally responsive supervision, promote inclusivity, and mitigate unconscious biases. Participants will gain insights into the significance of cultural competence and bias in audiology clinical supervision, recognizing the impact of cultural considerations on communication, ethical decision-making, and the overall supervisory process.
3. Implement effective communication and collaboration strategies across generations, fostering a supportive and harmonious supervisory environment through exploration of generational differences between "less-experienced" students and "more-experienced" supervisors, analyzing the challenges and opportunities that arise in the supervisory relationship.

Nicole Ferguson
Director of Clinical Services & Instruction, Audiology at Central Michigan University

QR code for CEUs.pdf

2:15^PM - 4:15^PM

Collaboration: Managing Audiologists and Educational Audiologists Working Together
Nancy Gallihugh•Danielle Wentworth•Kate Woodburne

Collaboration between managing and educational audiologists is critical in order to provide comprehensive and effective audiological services for children both at home and at school. By understanding each other's unique roles and responsibilities, participants gain insight into the potential benefits of collaborative efforts in improving audiological care for students who are Deaf or Hard of Hearing.

Instructional Level: Intermediate

Learner Outcomes:
Following this presentation, participants will be able to:
1. Describe the roles and responsibilities of managing audiologists and educational audiologists as part of a pediatric audiology team.
2. Explain the key provisions of the Individuals with Disabilities Education Act (IDEA) as they pertain to students who are Deaf or Hard of Hearing
3. Discuss the importance of a coordinated approach to address the audiological needs of students in both clinical and educational contexts.

Nancy Gallihugh
Audiologist at Kalamazoo Regional Education Service Agency
Danielle Wentworth
Educational Audiologist at Van Buren ISD, Lawrence, Michigan
Kate Woodburne
Audiologist at Kent Intermediate School District

QR code for CEUs.pdf