Voice Therapy Telepractice; Voice Care For The 21st Century “America’s high schools are obsolete […] designed 50 years ago to meet the needs of another age.” – Bill Gates, National Governors’ Conference, 2005. Obsolete and designed for another time—the same could be said for our existing health care system, treatment approaches, and service delivery models. The emergence of outcome-based ... Article
Article  |   November 01, 2013
Voice Therapy Telepractice; Voice Care For The 21st Century
Author Affiliations & Notes
  • Michael Towey
    Fellow: American Speech Language Hearing Association, Voice & Swallowing Center of Maine, Waldo County General Hospital, Belfast, ME
  • Disclosures: Financial. The Voice and Swallowing Center of Maine at Waldo County General Hospital is an accredited speech telepractice training program by the American Telemedicine Association and has a financial interest in providing telepractice training.
    Disclosures: Financial. The Voice and Swallowing Center of Maine at Waldo County General Hospital is an accredited speech telepractice training program by the American Telemedicine Association and has a financial interest in providing telepractice training.×
  • Non-Financial: Michael Towey is author of Speech Telepractice in Kumar S. Cohn E. Telerehabilitation. Springer (2012) and a Member of Executive Committee of American Telemedicine Association Special Interest Group (Telerehabilitation).
    Non-Financial: Michael Towey is author of Speech Telepractice in Kumar S. Cohn E. Telerehabilitation. Springer (2012) and a Member of Executive Committee of American Telemedicine Association Special Interest Group (Telerehabilitation).×
Article Information
Speech, Voice & Prosodic Disorders / Voice Disorders / Telepractice & Computer-Based Approaches / Speech, Voice & Prosody / Articles
Article   |   November 01, 2013
Voice Therapy Telepractice; Voice Care For The 21st Century
SIG 3 Perspectives on Voice and Voice Disorders, November 2013, Vol. 23, 74-81. doi:10.1044/vvd23.3.74
SIG 3 Perspectives on Voice and Voice Disorders, November 2013, Vol. 23, 74-81. doi:10.1044/vvd23.3.74

“America’s high schools are obsolete […] designed 50 years ago to meet the needs of another age.” – Bill Gates, National Governors’ Conference, 2005.

Obsolete and designed for another time—the same could be said for our existing health care system, treatment approaches, and service delivery models. The emergence of outcome-based payment by Accountable Care Organizations, severe restrictions in funding, and limited or absent insurance coverage for voice treatment are powerful drivers for more effective voice therapy treatment. Findings reported from the Voice and Swallowing Center of Maine support significant cost reductions to payers when telepractice is used in voice treatment (Towey, 2012a). This article describes three distinct applications of voice telepractice that expands conventional thinking about voice therapy and voice therapy telepractice. It is believed these presented cases are the first published examples that demonstrate the efficacy of voice telepractice to: (1) assess and fit a device for a laryngectomee; (2) complete virtual musculoskeletal assessment of a voice patient; and (3) provide virtual simultaneous co-treatment in voice therapy.

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