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The audiologist will perform the diagnostic evaluation by taking control of the computer and ABR software at the spoke site via a desktop sharing software. ABR – A properly trained spoke site technician will prepare the patient and family by completing otoscopy and placing electrodes.A video conferencing software will also be used so that the audiologist may communicate with the patient, family, and technician throughout the evaluation. Audiologic data will be stored in the computer at the spoke site while reports/tracings can be printed at the hub site, if desired.
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With this software the audiologist will connect to the computer at the spoke site, access the software for each test/procedure as needed, and personally perform the evaluation in real time. At the hub site there is a second personal computer with desktop sharing software. This equipment is likely no different than that which would be found during a traditional face to face evaluation and the evaluation protocol is also no different than that of a face-to-face visit. The audiology equipment is placed at the spoke site with a personal computer that contains the software necessary for the various tests/procedures such as ABR, OAE, immittance and video otoscopy.
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Any audiology equipment that is PC based can be utilized. The use of standard equipment for diagnostic assessment is recommended to support ease of training and familiar operations at both the hub site and the spoke site. This article, Remote Connectivity Technology: Privacy Considerations for eAudiology Applications, from Canadian Audiologist describes pertinent information regarding tele-audiology such as privacy, privacy legislation, technology, telemedicine platforms, and ethics. Those interested in implementing tele-audiology are strongly encouraged to review this chapter. An overview of HIPAA requirements that pertain to telehealth is provided in the Tele-intervention Resource Guide, also on the NCHAM website. One constant in the ever-changing arena of technology is the need to adhere to privacy and security requirements under the Health Insurance Portability and Accountability Act (HIPAA). HIPAA-Compliant Strategies for Tele-Audiology This section provides information about telehealth equipment and technologies, as well as general considerations. Today, the Internet is more accessible than ever before and Internet service providers (ISPs) continue to develop faster and more reliable services at lower costs as time goes by. Tele-Audiology Equipment, Technology, and Privacy Tele-audiology > Equipment, Technology, and Privacy