1. HEAR for Kids Lylis Olsen, MS, MPH Audiologist

2. HEAR for Kids Permanent Hearing Aids Permanent Hearing Aids Low income Low income Not Medicaid or SCHIP eligible Not Medicaid or SCHIP eligible Audiologists choose the best aid at the best price to meet the childs needs Audiologists choose the best aid at the best price to meet the childs needs Vouchers for evaluation Vouchers for evaluation One time evaluation including ABR or behavioral One time evaluation including ABR or behavioral For those kids who are stuck For those kids who are stuck One time medical for hearing aid clearance One time medical for hearing aid clearance Loaner hearing aids Loaner hearing aids

3. Loaner Hearing Aids NO financial or legal residency restrictions NO financial or legal residency restrictions Children stay with their community pediatric audiologist Children stay with their community pediatric audiologist The audiologist and the family make the decisions The audiologist and the family make the decisions The pediatric audiologists determine policy and maintain the program The pediatric audiologists determine policy and maintain the program The program managers job is to say yes as often as possible The program managers job is to say yes as often as possible

4. Filling Gaps in EHDI Hearing aid fitting starts with diagnosing audiologist Hearing aid fitting starts with diagnosing audiologist No waiting on: No waiting on: pre-authorizations, pre-authorizations, qualifying, qualifying, deductibles or deductibles or appealing insurance decisions. appealing insurance decisions. Allows for: Allows for: trying more than one aid trying more than one aid refining fit as loss is better defined refining fit as loss is better defined progressive losses, progressive losses, changing technology and changing technology and waiting on cochlear implants waiting on cochlear implants

5. Who Uses Bank? Pediatric audiologists Pediatric audiologists 49 are registered to use online request 49 are registered to use online request 25 use infrequently (1-2 times per year) 25 use infrequently (1-2 times per year) 3 facilities (7 audiologists) most frequent 3 facilities (7 audiologists) most frequent Families Families First hearing aids after ID First hearing aids after ID No financial restrictions No financial restrictions No legal residency restrictions No legal residency restrictions Cochlear Implant Trial Cochlear Implant Trial Try new/different technology Try new/different technology

6. Loaner Aids 20 to 50 available at any one time 20 to 50 available at any one time >20 requests each month >20 requests each month Approximately 200 in the bank Approximately 200 in the bank Purchase 30 or more new aids each year Purchase 30 or more new aids each year New technology New technology Purchased as requested Purchased as requested More if money is available More if money is available ~20 lost each year ~20 lost each year Self insured Self insured No penalty to families or audiologist No penalty to families or audiologist Many show up somewhere else in the system Many show up somewhere else in the system 10 or more retired each year to adult program 10 or more retired each year to adult program

7. Aids Available Widex Widex Senso P38 Senso P38 Senso C-18, 8, 9, 19 Senso C-18, 8, 9, 19 Diva Diva Vita Vita Bravo Bravo Unitron Unitron Unison Unison Oticon Oticon Sumo Gaia Tego Atlas Phonak Phonak Maxx Valeo Aero Claro Extra

8. Special Aids FM system FM system Portable soundfield Portable soundfield BAHA BAHA Bone conduction aids Bone conduction aids Frequency compression aids AVR/Sonovation Frequency compression aids AVR/Sonovation CROS CROS

12. Online reserve Auto generates email to PM Stored in database Field for comments/requests Earmold Clip

14. Purchasing Earmolds Earmolds At the discretion of the audiologist At the discretion of the audiologist As often as needed As often as needed Accounts Accounts All American All American Emtech Emtech Microsonic Microsonic Pacific Coast Pacific Coast Westone Westone Hearing Aids Hearing Aids Ordered as requested Accounts AVR-Sonovation Oticon Phonak Starkey Siemens Unitron Widex Others as needed EAR Foundation account numbers Assigned purchase order number Order placed by audiologist and shipped to audiologist PO within 48 hours - HA shipped in one week

15. Fitting Form for high use clinics also in a fill-in form to keep in childs record allows aids to move quickly from one child to another Advance PO#s for earmolds High use clinics Saves time for manager and audiologist

17. Sorted by Audiologist Facilitates nagging Could be used to extend loan period

18. Costs Hearing Aids 3020,000 Earmolds1503,000 Med Clearance/Fitting 306,000 Shipping & PO Box $4.05 each 500 Administration12,000 Repairs/Supplies3,000 Total estimated cost per year $44,500

19. Event raises $20,000 per year Event raises $20,000 per year Part of renewable grant from St. Lukes Health Initiatives (private Arizona foundation) Part of renewable grant from St. Lukes Health Initiatives (private Arizona foundation) Donated hearing aids Donated hearing aids Private cash donations Private cash donations Funding

20. Thank you Your organization made it possible for my son to get a temporary hearing aid and what a difference it has made! In 2 weeks he will have his permanent one and now I have no hesitations regarding him wearing one. Thank you for being there.