Audiology Assistants: Results of a Multicenter Survey

Karzon, Roanne K.; Hunter, Lisa L.; Steuerwald, Wendy

doi:10.3766/jaaa.17004

Cited by 2 publications

(3 citation statements)

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“…Improvements in efficiency of audiology clinics were demonstrated by Hamill and Andrews (2016 8 ), who found AAs deployed within the Veteran's Affairs system significantly increased patient capacity and decreased per patient cost by 60%. Despite potential benefits, Karzon et al (2018 16 ) reported audiologists have not embraced service-extenders out of concern for quality, loss of audiology positions, and patient confusion relative to audiologists' role. A review of extant literature suggests audiologists have been slow to change service delivery models to improve patient capacity and clinic efficiency (ASHA, 2012 15 ; Karzon et al, 2018 16 ; Hearing Health & Technology Matters [HHTM], 2018 17 ).…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…Despite potential benefits, Karzon et al (2018 16 ) reported audiologists have not embraced service-extenders out of concern for quality, loss of audiology positions, and patient confusion relative to audiologists' role. A review of extant literature suggests audiologists have been slow to change service delivery models to improve patient capacity and clinic efficiency (ASHA, 2012 15 ; Karzon et al, 2018 16 ; Hearing Health & Technology Matters [HHTM], 2018 17 ).…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…A review of extant literature suggests that audiologists have been slow to change service delivery models to improve patient capacity and clinic efficiency. [15][16][17] In fact, one study that evaluated the entrepreneurial mindset and innovation orientation of audiologists in private practice found the majority of audiologists were not inclined to be creative, take risks or identify new opportunities for growth in their business. 18 This aligns with research indicating RTC is a natural part of any change process.…”

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Change Resistance and Clinical Practice Strategies in Audiology

et al. 2022

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Background: Audiology is experiencing pressure from market forces that may change the profession’s nature. Research suggests understanding resistance to change and organizational culture may provide insights that facilitate change. Purpose: This study was designed to examine audiologists’ resistance to change, organizational culture, and clinical practices related to hearing aid pricing and audiology assistants. Research Design: This study utilized a cross-sectional, non-experimental, survey design. Study Sample: Participants were 205 US audiologists, representing diversity across experience, work setting, and location. Data Collection: The study-designed survey examined demographics and clinical practice strategies. Resistance to Change (RTC) scale examined disposition towards change. Organizational Culture Profile (OCP) examined organizational culture perspectives. Results: The majority (52%) of respondents use bundled pricing but 42% of these repondents anticipate transitioning to unbundling. Use of hybrid pricing is increasing. Service-extender personnel were reported by 41%; in addition, 32% who did not report audiology assistants were employed currently, anticipate they will in the future. Results indicated lower resistance to change and greater years of experience were associated with more positive perceptions about organizational culture. Pricing structure was related to experience. Conclusions: Trends indicate use of bundled pricing is decreasing, use of hybrid pricing is increasing, and employment of audiology assistants is increasing. Experienced audiologists are more likely to report unbundled and hybrid pricing compared with less experienced audiologists. Key Words: Audiologist, Resistance to Change, Organizational Culture Abbreviations: Audiology Assistant (AA), Hearing Instrument Specialist (HIS)

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Section: Accepted Manuscriptmentioning

confidence: 99%

Section: Accepted Manuscriptmentioning

confidence: 99%

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confidence: 99%

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Change Resistance and Clinical Practice Strategies in Audiology

et al. 2022

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Pediatric Audiology Productivity: Results From a Multicenter Survey

2019

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Purpose This report focuses on audiology productivity measures and targets, impacting variables, and implementation of productivity in pediatric settings and “life span facilities” with a significant population of pediatric patients. Research Design A questionnaire was sent to 116 facilities in geographically diverse locations. Results Of the 116 surveys sent, 25 surveys were returned (response rate of 21.5%) and 22 had sufficient data to be included for analyses. The majority of the sites measure productivity at the individual and/or department level. No predominant productivity measurement method was reported. Measurement methods included the following: appointment length ( n = 6), weighting Current Procedural Terminology codes ( n = 6), relative value units ( n = 5), a combination of methods ( n = 1), and other specific parameters ( n = 1). Thirteen sites measured productivity as a percentage of scheduled worked time with a target of 69% (ranged from 40% to 85%). Many variables thought to impact productivity were evaluated: age of the patient, scheduling, use of a 2nd tester, no-show rate, hearing aid status, components of auditory brainstem response evaluation, documentation time, and monaural or binaural services. Schedule review and adjustment, efficiency, and communication with staff were methods reported to increase productivity. Conclusion Most surveyed facilities measure productivity at the individual and/or department levels. However, there is no standard method. Current productivity measures include time-based measures based on appointment length, time-based measures assigned to Current Procedural Terminology codes, relative value units, combined approaches, and individual site developed programs. Many variables impact productivity measurements. Further study and discussion are needed to develop an optimal method for productivity measurement in audiology.

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Audiology Assistants: Results of a Multicenter Survey

Cited by 2 publications

References 17 publications

Change Resistance and Clinical Practice Strategies in Audiology

Change Resistance and Clinical Practice Strategies in Audiology

Pediatric Audiology Productivity: Results From a Multicenter Survey

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