HINTS Exam vs CIQOL

This app was developed to enhance the HINTS exam by using a smartphone to better facilitate effective exam implementation and improve posterior CVA detection for enhanced patient outcomes within primary care, urgent care, and emergency care settings. This application allows for a streamlined screening process, with most full exams being concluded within five minutes from the start, and subjectively, being able to replay the exam video at half-speed allowed for a much easier and more confident assessment of nystagmus direction, skew deviation, and head impulse test corrective saccade with correct training and understanding of the exam's application. The smartphone application starts by taking the user through several screening questions to help determine if the application is appropriate or if a stroke workup is highly indicated. Videos are recorded for review and can be slowed down for optimal evaluation.

The Cochlear Implant Quality of Life (CIQOL) Digital Platform is a revolutionary tool designed to improve the care and outcomes of cochlear implant (CI) users. This innovative platform consists of two main components: the CIQOL App for patients and the CIQOL Clinical Web Portal for healthcare professionals. Built on a foundation of comprehensive research and developed using a User-Centered Design approach, this platform empowers both patients and clinicians by offering a streamlined, efficient way to monitor CI-related outcomes. The CIQOL Digital Platform is the result of years of research focused on understanding and improving the cochlear implant experience. It provides patients with easy-to-complete assessments before and after surgery, while clinicians benefit from automated scoring, data comparisons, and interpretation that can help guide clinical care. Key Features: 1. Pre-Cochlear Implant Evaluation: Patients complete key components of the evaluation process before arriving at the clinic, saving time and enhancing the assessment process. These include: - Patient intake section, gathering demographics and hearing history. - CIQOL outcome expectations assessment with automated scoring, compared to data from over 700 experienced CI users. - Baseline pre-CI CIQOL-35 Profile assessment with automated scoring and comparison to normative CIQOL data. 2. Post-Cochlear Implant Monitoring: The platform enables ongoing, automated monitoring at 1, 3, 6, and 12-month intervals post-surgery. Patients complete the CIQOL-35 Profile at these intervals, and results are: - Automatically compared to baseline scores. - Analyzed to determine whether improvements exceed the minimal detectable change threshold. - Linked to speech recognition scores for a holistic view of patient progress. 3. Automated Scoring and Interpretation: The platform eliminates manual calculations by automatically generating scores for both pre- and post-implant assessments. Clinicians receive detailed insights, including comparisons to normative data and interpretation of patient progress over time. 4. User-Friendly Interface: Patients and clinicians access the platform through either a mobile app or web-based portal. The intuitive design allows patients to track their progress and engage in their care, while clinicians can view comprehensive reports that aid in decision-making. 5. Evidence-Based Design: The platform was created following extensive interviews with cochlear implant audiologists, speech-language pathologists, surgeons, and CI users. This ensures that the content and features meet the needs of both patients and clinicians while overcoming common barriers to implementation in real-world clinical settings. By using the CIQOL Digital Platform, clinicians can more effectively track patient progress and make data-driven decisions, while patients enjoy a more streamlined and personalized care experience. Whether pre- or post-implant, the CIQOL Digital Platform provides the tools needed to enhance the quality of life for cochlear implant users, ensuring optimal care at every step of the journey.