Veterans Integrated Service Network 19 Hub-and-Spoke Model for Asynchronous Automated Audiometry

Area of Science:

• Audiology
• Telehealth
• Veterans Health Administration

Background:

• The Veterans Health Administration (VHA) sought to improve audiologic service accessibility for Veterans.
• Pilot study initiated in fiscal year 2020 (FY20) to address access limitations.

Purpose of the Study:

• To evaluate automated audiometry combined with asynchronous telehealth for increased audiology access.
• To assess the feasibility of a hub-and-spoke model for remote hearing services.

Main Methods:

• A hub-and-spoke model was trialed, with patients and telepresenters at one location using automated testing equipment.
• Results were transmitted to patient records for audiologist review and diagnosis.
• Follow-up care was provided remotely via video or telephone.

Main Results:

• Despite procurement and supply chain challenges, 16 of 20 initial sites launched by FY24.
• The pilot demonstrated the viability of asynchronous automated audiometry.

Conclusions:

• Asynchronous automated audiometry was approved as an Enterprise-Wide Initiative within the VHA.
• 34 additional VHA sites received funding for expansion, with others initiating their own programs.