Published: December 10, 2015

AAO-HNS comments on PCAST hearing technologies report

Over the last several months, the AAO-HNS has been closely monitoring the efforts of the President’s Council of Advisors on Science and Technology (PCAST) and other entities, such as the Institute of Medicine (IOM), to study, and hopefully mitigate, some of the ongoing issues faced by the nation’s senior population in regard to the access and affordability of hearing aids and their applicable services.


Over the last several months, the AAO-HNS has been closely monitoring the efforts of the President’s Council of Advisors on Science and Technology (PCAST) and other entities, such as the Institute of Medicine (IOM), to study, and hopefully mitigate, some of the ongoing issues faced by the nation’s senior population in regard to the access and affordability of hearing aids and their applicable services.

Following the late October 2015 release of PCAST’s final report titled “Aging America & Hearing Loss: Imperative of Improved Hearing Technologies,” the AAO-HNS provided the council with formal comments regarding the recommendations put forth.

Overall, the AAO-HNS comment letter articulated support for the following concepts:

  • The availability of a “basic” and/or OTC hearing aid for patients/consumers categorized to benefit from non-surgical, air-conduction hearing aids intended to address bilateral, gradual onset, mild-to-moderate age-related hearing loss. In order to identify individuals who actually fall into this category, the AAO-HNS reiterated the importance of retaining requirements for a medical evaluation by a physician and an appropriate (high-quality and standardized) hearing test.
  • The withdrawal of draft FDA guidance and concurrent deregulation of PSAPs, thereby increasing the availability of basic or market-entry assistive hearing devices. Said devices should, however, include standardized information regarding the FDA “red flag” warnings associated with ear disease.
  • Portable hearing test/audiogram results for consumers/patients following the provision of a medical evaluation and standardized hearing test.

The PCAST report and the AAO-HNS’ subsequent support for many of the recommendations represent a positive shift from the status quo. As today’s technology evolves at an unbelievable pace, the AAO-HNS and its Members must continue to provide patients with the best pathway for safe, affordable, quality care. Positive patient advocacy includes reevaluating the role of technology and identifying common ground. It’s the right thing to do.

AAO-HNS Members are encouraged to review the Academy’s complete comments, which can be accessed online at www.entnet.org/advocacy/PCAST.


More from December 2015/ January 2016 - Vol. 34, No. 11

edelstein
BOG will ‘bring home the Academy’ to you
By David Edelstein, MD, BOG Chair Hockey fans know that each year the winners of the Stanley Cup get a chance to touch the Cup when the winning team gets to “Bring Home the Cup.” This is an exciting moment for local fans, and I remember being taken by my dad many years ago to see the Cup firsthand when the Bruins won it. Seeing the Cup makes the win tangible and the moment memorable. Just as the Bruins brought home the Stanley Cup to the Boston of my youth, the Academy’s Board of Governors (BOG) can help “bring home the Academy” to you. Some people have the mistaken idea that the Academy’s and Foundation’s only function is to run the Annual Meeting once a year. Although the recent meeting in Dallas was a success, it represents only a small part of what the AAO-HNS/F does for you every day. A lot goes on at the Academy during the year about which you need to be informed. Hence, one of the major goals of the BOG this year is to “bring home the Academy” by helping Academy Members and local BOG governors stay up to date on what the Academy is doing by providing handouts and slide shows on a quarterly basis highlighting topics of interest to local societies. The BOG serves an important role in ensuring that the day-to-day issues you face in your practice remain front and center on the Academy’s agenda. For example, this past year the BOG’s Legislative Affairs Committee collated reports on issues of local concern from 110 otolaryngologists in 42 states and organized 40 local In-district Grassroots Outreach (I-GO) meetings with federal lawmakers. Similarly, the Socioeconomic and Grassroots (SEGR) Committee heard presentations on socioeconomic issues affecting our specialty from all 10 regions of the country. Appropriately, part of SEGR stands for “grassroots” (GR), and the Committee will be conducting two polls for 2015-2016 regarding feedback on the Affordable Care Act (polling in December 2015) and ICD-10 (polling in March 2016). The BOG’s Rules and Regulations committee was recently renamed Governance and Society Engagement in keeping with its new mission to help energize local societies and build a framework to develop new state societies where none exist. Did you know that there are five states with no local societies? The newly named committee will help to build virtual societies with Internet-based platforms for these states so that otolaryngologists can talk about local problems, especially in those geographic areas where in-person meetings are not easily accomplished. Spring Leadership Meeting  The BOG also helps organize the Academy’s annual conference on leadership, scheduled for March 18-21, 2016, in Alexandria, VA. The AAO-HNS/F 2016 Leadership Forum & BOG Spring Meeting is open to any Academy Member, in addition to BOG governors and local society representatives. The conference program includes exciting luncheon speakers on such topics as where medicine is going, how to be a leader in medicine, and the current political environment on medical issues in Washington, DC. In addition, there will be many interesting panels on building leadership skills; on how to write a business plan; how to write a letter to insurance companies; RegentSM, the Academy’s new ENT clinical data registry; and how to set your career pathway. We hope that your local BOG governors help you to reconnect with the AAO-HNS and that the “bring home the Academy” project enables you to find ways in which the Academy can be useful to you every day. See you in March!