Patent Publication Number: US-2023132588-A1

Title: Adaptive integrated, and interactive education and communication system for people with hearing loss and hearing healthcare providers and related methods

Description:
CROSS-REFERENCE TO RELATED APPLICATIONS 
     This application is a continuation of U.S. patent application Ser. No. 17/503,510, filed Oct. 18, 2021, which is a continuation of U.S. patent application Ser. No. 16/625,196, filed Dec. 20, 2019, which is a U.S. national phase under § 371 of International Patent Application No. PCT/US2018/038820, filed Jun. 21, 2018, which claims the benefit of priority of U.S. Provisional Patent Application No. 62/640,152, filed Mar. 8, 2018, and U.S. Provisional Patent Application No. 62/522,920, filed Jun. 21, 2017, in the United States Patent and Trademark Office, the entire contents of all of which are incorporated herein by reference. 
    
    
     GOVERNMENT LICENSE RIGHTS 
     This invention was made with government support under small business innovation research (SBIR) grant R44 AG045947 awarded by the National institutes of Health. The government has certain rights in the invention. 
    
    
     TECHNICAL FIELD 
     The present disclosure relates to systems, devices, and methods for education and communication for people with hearing loss and, more particularly, to systems, devices, and methods for adaptive and interactive education of people with hearing loss and communication between these people and their hearing healthcare professionals. 
     BACKGROUND 
     Hearing loss is reported in 36 million Americans, including 30% of people age 65-74, and 47% of people age 75 or older; however, only 1 in 5 people who could benefit from a hearing aid actually uses one. Hearing loss, when left untreated in older adults, leads to an increased incidence of dementia, risk of falls, social isolation and depression, and reduced quality of life. Further, self-efficacy in hearing aid management is considered to be a major determinant of positive outcomes with older adults. There is a compelling need for innovative approaches designed for use by older adults—starting with patients newly fitted for hearing aids. The major causes of suboptimal hearing aid use include low patient satisfaction and inadequate patient education and follow-up during the fitting and trial period. Also, patients with low health literacy experience reduced recall of information, poor hearing aid use and maintenance, unrealistic expectations, and difficulties articulating their needs to audiologists. Limited mobility and transportation access further reduce older patients&#39; follow-up visits with their audiologists. A novel approach to hearing aid education and communication may better meet the needs of older adults with hearing loss and better connect them with their audiologists for aftercare. 
     Many older adults who are dealing with hearing loss are at a disadvantage because audiologists have limited available time to: (a) educate them about their hearing aids, (b) train them on critical communications strategies needed to supplement their hearing aids, and (c) provide hearing aid aftercare for their patients. Hearing aid aftercare includes answering patients&#39; questions about hearing aid use and maintenance and follow-on office visits to troubleshoot hearing aid problems and learn adaptive communications skills. Furthermore, many of such individuals either do not use computers or have low computer proficiency, and because they also have low health literacy they cannot benefit from many of the resources on conventional Internet websites. As a result of these conditions, more than 20% of people who purchase hearing aids get frustrated and return them while an equally high percentage simply leave them in a drawer, unused. Both of these outcomes result in older patients resigning themselves to a life with an unaided hearing deficit, which, according to the literature, often results in social isolation, depression and higher susceptibility to chronic illnesses such as diabetes and dementia. 
     Currently, traditional hearing aid instruction manuals are unsuitable for the majority of hearing aid users in terms of language level, jargon, and design. Educational DVDs, while offering good content, are neither individualized nor interactive, and have met with limited success as fewer than 30% of patients actually watch them. Also, limited Internet-based education is available. However, these websites do not link patients to their audiologists and most do not adequately address health literacy and other issues critical to older adult learning such as suitable fonts, colors and contrast. What is needed to keep a higher percentage of older adults successfully using their hearing aids, rather than returning them or placing them in a drawer, is a patient-centered and interactive system that links patients to their hearing care professionals (HCPs) and allows older adults to easily access and use the system on familiar technology in the convenience of their home. The standard home TV is such a familiar technology. It is also a valued medium because is large screen and better speakers facilitate the hearing aid education of the primary communication partners of the adult with hearing loss. In this novel and easy-to-use system, an integrated combination of personalized educational reinforcement, reminders, reports and alerts will improve patient-HCP communications and will facilitate more timely remedial hearing aid-related interventions. 
     SUMMARY 
     In accordance with aspects of the present disclosure, the present disclosure is directed to a method for providing hearing healthcare education and communication, the method comprising: providing, to the patient, a set of education goals related to the hearing aid; receiving, from the patient, input data defining a subset of the set of the education goals; storing the subset of the set of the education goals as personal goals of the patient; providing, to the patient, at least one educational and experiential module related to the personal goals; determining a hearing aid achievement of the patient, the hearing aid achievement corresponding to a use of the at least one educational and experiential module by the patient and a level of compliance with the personal goals by the patient; based on the hearing aid achievement, automatically providing at least one of a message or an alert to bring the patient into compliance with the personal goals; and providing a recommended adjustment to the hearing aid based on the hearing aid achievement. 
     In some aspects, the method further includes wherein the at least one educational and experiential module includes content review questions, and wherein the determining the hearing aid achievement of the patient includes: providing, to the patient, at least one content review question about content of the at least one educational and experiential module; receiving, from the patient, a patient response to the at least one content review question; comparing the patient response to a correct response; determining if the patient response is the correct response; determining a content review score based on a percentage of correct responses; and based on a result of the determining the content review score, determining whether to automatically send the at least one of the message to the patient and the alert to a hearing healthcare provider. 
     In some aspects, the method further includes wherein the determining the hearing aid achievement of the patient further includes: collecting patient viewing data related to the at least one educational and experiential module; comparing the patient viewing data to a corresponding threshold value; based on a result of the comparing, determining how the patient viewing data corresponds to the corresponding threshold value; and based on the result of the determining, determining whether to send the at least one of the message to the patient and the alert to a hearing healthcare provider. 
     In some aspects, the method further includes at least one of: providing one or more patient reports, wherein the one or more patient reports include a patient presentation of the patient viewing data and a content review score; and providing one or more provider reports, wherein the one or more provider reports include a provider presentation of the patient viewing data and the content review score. 
     In some aspects, the method further includes wherein the at least one educational and experiential module is an educational video, and wherein the patient viewing data includes a cumulative number of different videos viewed within a predetermined period of time. 
     In some aspects, the method further includes wherein the determining the hearing aid achievement of the patient further includes: providing, to the patient, a survey question about a hearing aid experience of the patient; and receiving, from the patient, a patient response to the survey question; comparing the patient response to a threshold value; determining how the patient response compares to the threshold value; and based on a result of the determining, determining whether to send the at least one of the message to the patient and the alert to a hearing healthcare provider. 
     In some aspects, the method further includes collecting system usage data of a hearing healthcare education and communication system, the system usage data measuring usage of the hearing healthcare education and communication system by the patient and usage of at least one specific feature of the hearing healthcare education and communication system; comparing the system usage data to a threshold value; determining how the system usage data compares to the threshold value; storing the system usage data and a result of the comparing; and based on the result of the determining, determining whether to send the at least one of the message to the patient and the alert to a hearing healthcare provider. 
     In some aspects, the method further includes at least one of: providing one or more patient reports, wherein the one or more patient reports include a patient presentation of the system usage data; and providing one or more provider reports, wherein the one or more provider reports include a provider presentation of the system usage data. 
     In some aspects, the method further includes wherein the system usage data includes at least one of: a number of times that features of the hearing healthcare education and communication system are accessed by the patient, a number of specific features of the hearing healthcare education and communication system that are used by the patient, and a number of specific features of the hearing healthcare education and communication system used by the patient within a predetermined period of time. 
     In some aspects, the method further includes wherein the at least one educational and experiential module includes troubleshooting information related to a hearing aid problem, and the method further includes: providing, to the patient, troubleshooting questions related to patient experiences using the hearing aid; receiving, from the patient, patient responses to the troubleshooting questions; providing troubleshooting advice based on the patient responses to the troubleshooting questions; and storing troubleshooting result data based on the patient responses to the troubleshooting questions and success of the patient in resolving the hearing aid problem. 
     In some aspects, the method further includes at least one of: providing one or more patient reports based on the troubleshooting result data, wherein the one or more patient reports include a presentation of the troubleshooting result data; and providing one or more provider reports based on the troubleshooting result data, wherein the one or more provider reports include a presentation of the troubleshooting result data. 
     In some aspects, the method further includes wherein the providing the one or more provider reports includes: providing the alert to a hearing healthcare provider to notify the hearing healthcare provider that the patient has one or more problems with the hearing aid. 
     In some aspects, the method further includes wherein the troubleshooting advice may include automatically presenting at least one education video to the patient. 
     In accordance with aspects of the present disclosure, the present disclosure is directed to a system for providing hearing healthcare education and communication, comprising: at least one storage device storing instructions; and at least one computer processor configured to execute the instructions and to cause the system to perform operations comprising: providing, to the patient, a set of education goals related to the hearing aid; receiving, from the patient, input data defining a subset of the set of the education goals as personal goals of the patient; storing, in the at least one storage device, the subset of the set of the education goals as the personal goals of the patient; providing, to the patient, at least one educational and experiential module related to the personal goals; determining a hearing aid achievement of the patient, the hearing aid achievement corresponding to a use of the at least one educational and experiential module by the patient and a level of compliance with the personal goals by the patient; based on the hearing aid achievement, automatically providing at least one of a message or an alert to bring the patient into compliance with the personal goals; and providing a recommended adjustment to the hearing aid based on the hearing aid achievement. 
     In some aspects, the system further includes wherein the at least one educational and experiential module includes content review questions, and wherein the determining the hearing aid achievement of the patient further includes: providing, to the patient, at least one content review question about content of the at least one educational and experiential module; receiving, from the patient, a patient response to the at least one content review question; comparing the patient response to a correct response; determining if the patient response is the correct response; determining a content review score based on a percentage of correct responses; and based on a result of the determining the content review score, determining whether to automatically send the at least one of the message to the patient and the alert to a hearing healthcare provider. 
     In some aspects, the system further includes wherein the determining the hearing aid achievement of the patient includes: collecting patient viewing data related to the at least one educational and experiential module; comparing the patient viewing data to a threshold value; based on a result of the comparing, determining how the patient viewing data corresponds to the threshold value; and based on the result of the determining, determining whether to automatically send the at least one of the message to the patient and the alert to a hearing healthcare provider. 
     In some aspects, the system further includes wherein the at least one computer processor is further configured to execute the instructions and to cause the system to perform operations comprising at least one of: providing one or more patient reports, wherein the one or more patient reports include a patient presentation of the patient viewing data and a content review score; and providing one or more provider reports, wherein the one or more provider reports include a provider presentation of the patient viewing data and the content review score. 
     In some aspects, the system further includes wherein the at least one educational and experiential module is an educational video, and wherein the patient viewing data includes a cumulative number of different videos viewed within a predetermined period of time. 
     In some aspects, the system further includes wherein the determining the hearing aid achievement of the patient further includes: providing, to the patient, a survey question about a hearing aid experience of the patient; and receiving, from the patient, a patient response to the survey question; comparing the patient response to a threshold value; determining how the patient response compares to the threshold value; and based on a result of the determining, determining whether to automatically send the at least one of the message to the patient and the alert to a hearing healthcare provider. 
     In some aspects, the system further includes wherein the at least one computer processor is further configured to execute the instructions and to cause the system to perform operations comprising: collecting system usage data of the system, the system usage data measuring usage of the system by the patient and usage of at least one specific feature of the system; comparing the system usage data to a threshold value; determining how the system usage data compares to the threshold value; storing the system usage data and a result of the comparing in the at least one storage device; and based on the result of the determining, determining whether to send the at least one of the message to the patient and the alert to a hearing healthcare provider. 
     In some aspects, the system further includes wherein the at least one computer processor is further configured to execute the instructions and to cause the system to perform operations comprising at least one of: providing one or more patient reports, wherein the one or more patient reports include a patient presentation of the system usage data; and providing one or more provider reports, wherein the one or more provider reports include a provider presentation of the system usage data. 
     In some aspects, the system further includes wherein the system usage data includes at least one of: a number of times that features of the system are accessed by the patient, a number of specific features of the system that are used by the patient, and a number of specific features of the system used by the patient within a predetermined period of time. 
     In some aspects, the system further includes wherein the at least one educational and experiential module includes troubleshooting information related to a hearing aid problem, and the at least one computer processor is further configured to execute the instructions and to cause the system to perform operations comprising: providing, to the patient, troubleshooting questions related to patient experiences using the hearing aid; receiving, from the patient, patient responses to the troubleshooting questions; providing troubleshooting advice based on the patient responses to the troubleshooting questions; and storing, in the at least one storage device, troubleshooting result data based on the patient responses to the troubleshooting questions and a success of the patient in resolving the hearing aid problem. 
     In some aspects, the system further includes wherein the at least one computer processor is further configured to execute the instructions and to cause the system to perform operations comprising at least one of: providing one or more patient reports based on the troubleshooting result data, wherein the one or more patient reports include a presentation of the troubleshooting result data; and providing one or more provider reports based on the troubleshooting result data, wherein the one or more provider reports include a presentation of the troubleshooting result data. 
     In some aspects, the system further includes wherein the providing the one or more provider reports includes: providing the alert to a hearing healthcare provider to notify the hearing healthcare provider that the patient has one or more problems with the hearing aid. 
     In some aspects, the system further includes wherein the troubleshooting advice may include automatically presenting at least one education video to the patient. 
     In accordance with aspects of the present disclosure, the present disclosure is directed to a method for providing hearing healthcare education and communication, the method comprising: receiving, via a hearing healthcare provider computing device, initial patient data, the initial patient data including one or more values identifying an individual patient and a hearing aid used by the individual patient; receiving, via the hearing healthcare provider computing device, individualized healthcare rules from a hearing healthcare provider, each of the individualized healthcare rules being defined for the individual patient; providing, via a patient computing device, a request for input patient data related to the individual patient based on the individualized healthcare rules; transmitting the request for the input patient data to a display device for display; providing on the patient computing device a remote control interface that allows the individual patient to navigate the hearing healthcare education and communication system and respond to the request for the input patient data; receiving the input patient data in response to the request displayed on the display device by using the remote control interface on the patient computing device; storing the input patient data; for each of the individualized healthcare rules: comparing the input patient data to the corresponding individualized healthcare rule to determine a threshold comparison decision defined by the individualized healthcare rule; and based on the threshold comparison decision, automatically providing at least one of a message or an alert to bring the individual patient into compliance with the individualized healthcare rule, wherein the individualized healthcare rules include one or more of patient system usage rules, patient education rules, and patient hearing aid experience rules. 
     In some aspects, the method further includes wherein the comparing the input patient data to the individualized healthcare rule to determine the threshold comparison decision further includes: comparing the input patient data to a threshold value of the individualized healthcare rule to determine if the input patient data is equal to or greater than the threshold value; storing a result of the comparing as result data; and when the input patient data is not determined to be equal to or greater than the threshold value, transmitting the alert to the hearing healthcare provider computing device and the message to a hearing healthcare provider mobile device. 
     In some aspects, the method further includes wherein the comparing the input patient data to the individualized healthcare rule to determine the threshold comparison decision further includes: comparing the input patient data to a threshold value of the individualized healthcare rule to determine if the input patient data is equal to or greater than the threshold value; storing a result of the comparing as result data; and when the input patient data is determined to be equal to or greater than the threshold value, transmitting the alert to the hearing healthcare provider computing device and the message to a hearing healthcare provider mobile device. 
     In some aspects, the method further includes providing, to the patient computing device, an educational and experiential module based on the individualized healthcare rules received from the hearing healthcare provider; and displaying the educational and experiential module on the display device, wherein the educational and experiential module includes an educational video and the input patient data includes responses to questions about a content of the education video. 
     In some aspects, the method further includes providing, to the patient computing device, an educational and experiential module based on the individualized healthcare rules received from the hearing healthcare provider; and displaying the educational and experiential module on the display device, wherein the educational and experiential module includes a request for patient input regarding the hearing aid and the input patient data includes responses related to an amount of time the individual patient wears the hearing aid, a perceived comfort level of the individual patient while wearing the hearing aid, and a perceived sound quality level of the individual patient while wearing the hearing aid. 
     In some aspects, the method further includes wherein the input patient data includes responses related to at least one of a hearing aid wear time value reflecting an amount of time the individual patient wears the hearing aid, a hearing aid comfort value reflecting a perceived comfort level of the individual patient while wearing the hearing aid, and a sound quality value reflecting a perceived sound quality level of the individual patient while wearing the hearing aid, and wherein the individualized healthcare rules comprise threshold values related to the hearing aid, the threshold values including at least one of a hearing aid wear time threshold value, a hearing aid comfort threshold value, and a sound quality threshold value. 
     In some aspects, the method further includes wherein the comparing the input patient data to the individualized healthcare rules includes at least one of: comparing the hearing aid wear time value with the hearing aid wear time threshold value, comparing the hearing aid comfort value with the hearing aid comfort threshold value, and comparing the sound quality value with the sound quality threshold value. 
     In some aspects, the method further includes storing initial patient data in a database; storing the individualized healthcare rules in the database; and generating a correspondence between the initial patient data and the individualized healthcare rules. 
     In some aspects, the method further includes collecting system usage data of a hearing healthcare education and communication system, the system usage data measuring usage of the hearing healthcare education and communication system by the patient and usage of at least one specific feature of the hearing healthcare education and communication system; comparing the system usage data to a corresponding set of threshold values; determining how the system usage data compares to the corresponding set of threshold values; storing the system usage data and a result of the comparing; and based on the result of the determining, determining whether to send the at least one of the message to the patient and the alert to the hearing healthcare provider. 
     In some aspects, the method further includes at least one of: providing, via the patient computing device, one or more patient reports, wherein the one or more patient reports include a patient presentation of the system usage data; and providing, via the provider computing device, one or more provider reports, wherein the one or more provider reports include a provider presentation of the system usage data. 
     In some aspects, the method further includes wherein the system usage data includes at least one of: a number of times that features of the hearing healthcare education and communication system are accessed via the patient computing device, a number of specific features of the hearing healthcare education and communication system that are accessed via the patient computing device, and a number of specific features of the hearing healthcare education and communication system that are accessed via the patient computing device within a predetermined period of time. 
     In accordance with aspects of the present disclosure, the present disclosure is directed to a system for providing hearing healthcare education and communication, comprising: at least one storage device storing instructions; and at least one computer processor configured to execute the instructions and to cause the system to perform operations comprising: receiving, via a hearing healthcare provider computing device, initial patient data, the initial patient data including one or more values identifying an individual patient and a hearing aid used by the individual patient; receiving, via the hearing healthcare provider computing device, individualized healthcare rules from a hearing healthcare provider, each of the individualized healthcare rules being defined for the individual patient; providing, via a patient computing device, a request for input patient data related to the individual patient based on the individualized healthcare rules; transmitting the request for the input patient data to a display device for display; providing on the patient computing device a remote control interface that allows a patient to navigate system and respond to the request for the input patient data; receiving the input patient data in response to the request displayed on the display device by using the remote control interface; storing the input patient data in the at least one storage device; for each of the individualized healthcare rules: comparing the input patient data to the corresponding individualized healthcare rule to determine a threshold comparison decision defined by the individualized healthcare rule; and based on the threshold comparison decision, automatically providing at least one of a message or an alert to bring the individual patient into compliance with the individualized healthcare rule, wherein the individualized healthcare rules include one or more of patient system usage rules, patient education rules, and patient hearing aid experience rules. 
     In some aspects, the system further includes wherein the comparing the input patient data to the individualized healthcare rule to determine the threshold comparison decision further includes: comparing the input patient data to a threshold value of the individualized healthcare rule to determine if the input patient data is equal to or greater than the threshold value; storing a result of the comparing as result data in the at least one storage device; and when the input patient data is determined not to be equal to or greater than the threshold value, transmitting the alert to the hearing healthcare provider computing device and the message to a hearing healthcare provider mobile device. 
     In some aspects, the system further includes wherein the comparing the input patient data to the individualized healthcare rule to determine the threshold comparison decision further includes: comparing the input patient data to a threshold value of the individualized healthcare rule to determine if the input patient data is equal to or greater than the threshold value; storing a result of the comparing as result data in the at least one storage device; and when the input patient data is determined to be equal to or greater than the threshold value, transmitting the alert to the hearing healthcare provider computing device and the message to a hearing healthcare provider mobile device. 
     In some aspects, the system further includes wherein the at least one computer processor is further configured to execute the instructions and to cause the system to perform operations comprising: providing, to the patient computing device, an educational and experiential module based on the individualized healthcare rules received from the hearing healthcare provider; and displaying the educational and experiential module on the display device, wherein the educational and experiential module include an educational video and the input patient data includes responses to questions about a content of the education video. 
     In some aspects, the system further includes wherein the at least one computer processor is further configured to execute the instructions and to cause the system to perform operations comprising: providing, to the patient computing device, an educational and experiential module based on the individualized healthcare rules received from the hearing healthcare provider computing device; and displaying the educational and experiential module on the display device, wherein the educational and experiential module includes a request for patient input regarding the hearing aid and the input patient data includes responses related to an amount of time the individual patient wears the hearing aid, a perceived comfort level of the individual patient while wearing the hearing aid, and a perceived sound quality level of the individual patient while wearing the hearing aid. 
     In some aspects, the system further includes wherein the input patient data includes responses related to at least one of a hearing aid wear time value reflecting an amount of time the individual patient wears the hearing aid, a hearing aid comfort value reflecting a perceived comfort level of the individual patient while wearing the hearing aid, and a sound quality value reflecting a perceived sound quality level of the individual patient while wearing the hearing aid, and wherein the individualized healthcare rules comprise threshold values related to the hearing aid, the threshold values including at least one of a hearing aid wear time threshold value, a hearing aid comfort threshold value, and a sound quality threshold value. 
     In some aspects, the system further includes wherein the comparing the input patient data to the individualized healthcare rules includes at least one of: comparing the hearing aid wear time value with the hearing aid wear time threshold value, comparing the hearing aid comfort value with the hearing aid comfort threshold value, and comparing the sound quality value with the sound quality threshold value. 
     In some aspects, the system further includes wherein the at least one computer processor is further configured to execute the instructions and to cause the system to perform operations comprising: storing initial patient data in in the at least one storage device; storing the individualized healthcare rules in the at least one storage device; and generating a correspondence between the initial patient data and the individualized healthcare rules. 
     In some aspects, the system further includes wherein the at least one computer processor is further configured to execute the instructions and to cause the system to perform operations comprising: collecting system usage data of a hearing healthcare education and communication system, the system usage data measuring usage of the hearing healthcare education and communication system by the patient and usage of at least one specific feature of the hearing healthcare education and communication system; comparing the system usage data to a corresponding set of threshold values; determining how the system usage data compares to the corresponding set of threshold values; storing the system usage data and a result of the comparing in the at least one storage device; and based on the result of the determining, determining whether to send the at least one of the message to the patient and the alert to the hearing healthcare provider. 
     In some aspects, the system further includes wherein the at least one computer processor is further configured to execute the instructions and to cause the system to perform operations comprising at least one of: providing, via the patient computing device, one or more patient reports, wherein the one or more patient reports include a patient presentation of the system usage data; and providing, via the provider computing device, one or more provider reports, wherein the one or more provider reports include a provider presentation of the system usage data. 
     In some aspects, the system further includes wherein the system usage data includes at least one of: a number of times that features of the system are accessed via the patient computing device, a number of specific features of the system that are accessed via the patient computing device, and a number of specific features of the system that are accessed via the patient computing device within a predetermined period of time. 
     In some aspects, the system further includes a cloud communications platform configured to, upon a request from the hearing healthcare education and communication system, automatically send outgoing interactive phone messages and text messages to patients and hearing healthcare providers, for reminders and notifications, wherein the cloud communications platform is further configured to receive incoming phone messages and text messages from the patients and the hearing healthcare providers to initiate interactive survey questionnaires, and wherein responses from the patient and the hearing healthcare provider in response to the outgoing messages and the survey questionnaires are stored in the hearing healthcare education and communication system. 
     In accordance with aspects of the present disclosure, the present disclosure is directed to a method for providing hearing healthcare education and communication, the method comprising: providing, to the patient computing device, a set of education goals related to a hearing aid; transmitting the set of education goals to a display device for display; providing, on the patient computing device, a remote control interface that allows the patient to navigate a hearing healthcare education and communication system and respond to requests from the hearing healthcare education and communication system; receiving from the patient computing device, input data defining a subset of the set of the education goals in response to the set of the education goals displayed on the display device by using the remote control interface; storing the subset of the set of the education goals as personal goals of the patient; providing, to the patient computing device, at least one educational and experiential module related to the personal goals; transmitting the at least one educational and experiential module to the display device for display; determining a hearing aid achievement of the patient, the hearing aid achievement corresponding to at least one of a use of the at least one educational and experiential module by the patient and a level of compliance with the personal goals by the patient; and based on the hearing aid achievement, automatically providing at least one of a message or an alert to bring the patient into compliance with the personal goals. 
     In some aspects, the method further includes wherein the at least one educational and experiential module includes content review questions, the method further including: providing, to the patient computing device, at least one content review question about content of the at least one educational and experiential module; transmitting the at least one content review question to the display device for display; receiving, from the patient computing device, a patient response to the at least one content review question displayed on the display device by using the remote control interface; comparing the patient response to a correct response; determining if the patient response is a correct response; determining a content review score based on a percentage of correct responses; and based on a result of the determining the content review score, determining whether to send the at least one of the message to the patient computing device and the alert to a hearing healthcare provider computing device. 
     In some aspects, the method further includes wherein the determining the hearing aid achievement of the patient includes: collecting patient viewing data related to the at least one educational and experiential module; comparing the patient viewing data to a threshold value; based on a result of the comparing, determining how the patient viewing data corresponds to the threshold value; based on the result of the determining; and based on a result of the comparing, determining whether to send the at least one of the message to the patient computing device and the alert to a hearing healthcare provider computing device. 
     In some aspects, the method further includes at least one of: providing one or more patient reports to the patient computing device, wherein the one or more patient reports include a patient presentation of the patient viewing data; and providing one or more provider reports to the hearing healthcare provider computing device, wherein the one or more provider reports include a provider presentation of the patient viewing data. 
     In some aspects, the method further includes wherein the at least one educational and experiential module is an educational video, and wherein the patient viewing data includes a cumulative number of different videos viewed on the display device within a predetermined period of time. 
     In some aspects, the method further includes wherein the determining the hearing aid achievement of the patient further includes: providing, to the patient computing device, a survey question about a hearing aid experience of the patient; transmitting the survey question to the display device for display; receiving, from the patient computing device, a survey response to the survey question displayed on the display device by using the remote control interface; comparing the survey response to a threshold value; determining how the survey response compares to the threshold value; and based on a result of the determining, determining whether to send the at least one of the message to the patient computing device and the alert to a hearing healthcare provider computing device. 
     In some aspects, the method further includes collecting system usage data of the system, the system usage data measuring usage of the system by the patient and usage of at least one specific feature of the system; comparing the system usage data to a threshold value; determining how the system usage data compares to the threshold value; storing the system usage data and a result of the comparing; and based on the result of the determining, determining whether to send the at least one of the message to the patient computing device and the alert to a hearing healthcare provider computing device. 
     In some aspects, the method further includes at least one of: providing one or more patient reports to the patient computing device, wherein the one or more patient reports include a patient presentation of the system usage data; and providing one or more provider reports to the hearing healthcare provider computing device, wherein the one or more provider reports include a provider presentation of the system usage data and a recommended adjustment to at least one of the hearing aid. 
     In some aspects, the method further includes wherein the system usage data includes at least one of: a number of times that features of the system are accessed via the patient computing device, a number of specific features of the system that are accessed via the patient computing device, and a number of specific features of the system accessed via the patient computing device within a predetermined period of time. 
     In some aspects, the method further includes wherein the at least one educational and experiential module includes troubleshooting information related to a hearing aid problem, the method further comprising: providing, to the patient computing device, troubleshooting questions related to patient experiences using the hearing aid; transmitting the troubleshooting questions to the display device for display; receiving, via the patient computing device, patient responses to the troubleshooting questions displayed on the display device by using the remote control interface; providing troubleshooting advice based on the patient responses to the troubleshooting questions; transmitting the troubleshooting advice to the display device for display; and storing troubleshooting result data based on the patient responses to the troubleshooting questions and success of the patient in resolving the hearing aid problem. 
     In some aspects, the method further includes at least one of: providing one or more patient reports to the patient computing device based on the troubleshooting result data, wherein the one or more patient reports include a presentation of the troubleshooting result data; and providing one or more provider reports to a hearing healthcare provider computing device based on the troubleshooting result data, wherein the one or more provider reports include a presentation of the troubleshooting result data. 
     In some aspects, the method further includes wherein the providing the one or more provider reports to the hearing healthcare provider includes: providing the alert to the hearing healthcare provider computing device to alert the hearing healthcare provider of the hearing aid problem experienced by the patient and that the patient has one or more problems with the hearing aid. 
     In some aspects, the method further includes receiving, via the patient computing device, data from a plurality of users; and separating the data received via the patient computing device according to each of the plurality of users. 
     In some aspects, the method further includes receiving, via the patient computing device, a request for a callback from a hearing healthcare provider; and transmitting information regarding the request for the callback to at least one of the hearing healthcare provider computing station and a hearing healthcare provider mobile device. 
     In some aspects, the method further includes wherein the determining the hearing aid achievement of the patient includes: providing, to the patient computing device, progress questions related to a progress of the patient towards achieving each of the personal goals; transmitting the progress questions to the display device for display; receiving, from the patient computing device, patient responses to the progress questions displayed on the display device by using the remote control interface; comparing the patient responses to the personal goals to determine how the patient response compares to the personal goals; and based on a result of the comparing, determining whether to send the at least one of the message to the patient computing device and the alert to a hearing healthcare provider computing device. 
     In accordance with aspects of the present disclosure, the present disclosure is directed to a system for providing hearing healthcare education and communication, comprising: at least one storage device storing instructions; a media streaming device wirelessly transmitting hearing healthcare education and communication system content from a patient computing device to a display device; and at least one computer processor configured to execute the instructions and to cause the system to perform operations comprising: providing, to the patient computing device, a set of education goals related to a hearing aid; transmitting the set of education goals to the display device for display; providing, on the patient computing device, a remote control interface that allows the patient to navigate the hearing healthcare education and communication system and respond to system requests; receiving from the patient computing device, input data defining a subset of the set of the education goals in response to the set of the education goals displayed on the display device by using the remote control interface on the patient computing device; storing, in the at least one storage device, the subset of the set of the education goals as personal goals of the patient; providing, to the patient computing device, at least one educational and experiential module related to the personal goals; transmitting the at least one educational and experiential module to the display device for display; determining a hearing aid achievement of the patient, the hearing aid achievement corresponding to at least one of a use of the at least one educational and experiential module by the patient and a level of compliance with the personal goals by the patient; and based on the hearing aid achievement, automatically providing at least one of a message or an alert to bring the patient into compliance with the personal goals. 
     In some aspects, the system further includes wherein the at least one educational and experiential module includes content review questions, and wherein the determining the hearing aid achievement of the patient further includes: providing, to the patient computing device, at least one content review question about content of the at least one educational and experiential module; transmitting the at least one content review question to the display device for display; receiving, from the patient computing device, a patient response to the at least one content review question displayed on the display device by using the remote control interface; comparing the patient response to a correct response; determining if the patient response is a correct response; determining a content review score based on a percentage of correct responses; and based on a result of the determining the content review score, determining whether to send the at least one of the message to the patient computing device and the alert to a hearing healthcare provider computing device. 
     In some aspects, the system further includes wherein the determining the hearing aid achievement of the patient includes: collecting patient viewing data related to the at least one educational and experiential module; comparing the patient viewing data to a threshold value; based on a result of the comparing, determining how the patient viewing data corresponds to the threshold value; based on the result of the determining; and based on a result of the comparing, determining whether to send the at least one of the message to the patient computing device and the alert to a hearing healthcare provider computing device. 
     In some aspects, the system further includes wherein the at least one computer processor is further configured to execute the instructions and to cause the system to perform operations comprising at least one of: providing one or more patient reports to the patient computing device, wherein the one or more patient reports include a patient presentation of the patient viewing data; and providing one or more provider reports to the hearing healthcare provider computing device, wherein the one or more provider reports include a provider presentation of the patient viewing data. 
     In some aspects, the system further includes wherein the at least one educational and experiential module is an educational video, and wherein the patient viewing data includes a cumulative number of different videos viewed on the display device within a predetermined period of time. 
     In some aspects, the system further includes wherein the determining the hearing aid achievement of the patient further includes: providing, to the patient computing device, a survey question about a hearing aid experience of the patient; transmitting the survey question to the display device for display; receiving, from the patient computing device, a survey response to the survey question displayed on the display device by using the remote control interface; comparing the survey response to a threshold value; determining how the survey response compares to the threshold value; and based on a result of the determining, determining whether to send the at least one of the message to the patient computing device and the alert to a hearing healthcare provider computing device. 
     In some aspects, the system further includes wherein the at least one computer processor is further configured to execute the instructions and to cause the system to perform operations comprising: collecting system usage data of the system, the system usage data measuring usage of the system by the patient and usage of at least one specific feature of the system; comparing the system usage data to a threshold value; determining how the system usage data compares to the threshold value; storing the system usage data and a result of the comparing in the at least one storage device; and based on the result of the determining, determining whether to send the at least one of the message to the patient computing device and the alert to a hearing healthcare provider computing device. 
     In some aspects, the system further includes wherein the at least one computer processor is further configured to execute the instructions and to cause the system to perform operations comprising at least one of: providing one or more patient reports to the patient computing device, wherein the one or more patient reports include a patient presentation of the system usage data; and providing one or more provider reports to the hearing healthcare provider computing device, wherein the one or more provider reports include a provider presentation of the system usage data and a recommended adjustment to at least one of the hearing aid. 
     In some aspects, the system further includes wherein the system usage data includes at least one of: a number of times that features of the system are accessed via the patient computing device, a number of specific features of the system that are accessed via the patient computing device, and a number of specific features of the system accessed via the patient computing device within a predetermined period of time. 
     In some aspects, the system further includes wherein the at least one educational and experiential module includes troubleshooting information related to a hearing aid problem, and the at least one computer processor is further configured to execute the instructions and to cause the system to perform operations comprising: providing, to the patient computing device, troubleshooting questions related to patient experiences using the hearing aid; transmitting the troubleshooting questions to the display device for display; receiving, via the patient computing device, patient responses to the troubleshooting questions displayed on the display device by using the remote control interface; providing troubleshooting advice based on the patient responses to the troubleshooting questions; transmitting the troubleshooting advice to the display device for display; and storing, in the at least one storage device, troubleshooting result data based on the patient responses to the troubleshooting questions and success of the patient in resolving the hearing aid problem. 
     In some aspects, the system further includes wherein the at least one computer processor is further configured to execute the instructions and to cause the system to perform operations comprising at least one of: providing one or more patient reports to the patient computing device based on the troubleshooting result data, wherein the one or more patient reports include a presentation of the troubleshooting result data; and providing one or more provider reports to a hearing healthcare provider computing device based on the troubleshooting result data, wherein the one or more provider reports include a presentation of the troubleshooting result data. 
     In some aspects, the system further includes wherein the providing the one or more provider reports to the hearing healthcare provider includes: providing the alert to the hearing healthcare provider computing device to alert the hearing healthcare provider of the hearing aid problem experienced by the patient and that the patient has one or more problems with the hearing aid. 
     In some aspects, the system further includes a cloud communications platform configured to, upon a request from the hearing healthcare education and communication system, automatically send outgoing interactive phone messages and text messages to patients and hearing healthcare providers, for reminders and notifications, wherein the cloud communications platform is further configured to receive incoming phone messages and text messages from the patients and the hearing healthcare providers to initiate interactive survey questionnaires, and wherein responses from the patient and the hearing healthcare provider in response to the outgoing messages and the survey questionnaires are stored in the hearing healthcare education and communication system. 
     In some aspects, the system further includes wherein the at least one computer processor is further configured to execute the instructions and to cause the system to perform operations comprising: receiving, via the patient computing device, data from a plurality of users; and separating the data received via the patient computing device according to each of the plurality of users. 
     In some aspects, the system further includes wherein the at least one computer processor is further configured to execute the instructions and to cause the system to perform operations comprising: receiving, via the patient computing device, a request for a callback from a hearing healthcare provider; and transmitting information regarding the request for the callback to at least one of the hearing healthcare provider computing station and a hearing healthcare provider mobile device. 
     In some aspects, the system further includes wherein the determining the hearing aid achievement of the patient includes: providing, to the patient computing device, progress questions related to a progress of the patient towards achieving each of the personal goals; transmitting the progress questions to the display device for display; receiving, from the patient computing device, patient responses to the progress questions displayed on the display device by using the remote control interface; comparing the patient responses to the personal goals to determine how the patient response compares to the personal goals; and based on a result of the comparing, determining whether to send the at least one of the message to the patient computing device and the alert to a hearing healthcare provider computing device. 
    
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
         FIG.  1    is a diagram illustrating an exemplary hearing healthcare system for providing education, communication, and tracking of hearing healthcare, according to certain disclosed embodiments; 
         FIG.  2    is a block diagram of an example user device, consistent with certain disclosed embodiments; 
         FIG.  3    is an example welcome screen displayed on a display device of a hearing healthcare system, according to certain disclosed embodiments; 
         FIG.  4    is an example main menu screen displayed on a display device of a hearing healthcare system, according to certain disclosed embodiments; 
         FIG.  5    is an example Intelligent Remote screen, according to certain disclosed embodiments; 
         FIG.  6    is an example flowchart of a video review quiz process, according to certain disclosed embodiments; 
         FIG.  7    is a flowchart illustrating an example method for providing education, communication, and tracking of hearing healthcare, according to certain disclosed embodiments; and 
         FIG.  8    is a flowchart illustrating an example method for providing education, communication, and tracking of hearing healthcare, according to certain disclosed embodiments. 
     
    
    
     DETAILED DESCRIPTION 
     Disclosed embodiments comprise an integrated system called TELLYHEALTH™ that is a combination of a computer server that provides a website and data for the hearing care professional, a website for use by hearing care professionals, a patient&#39;s computing device, a telephone, a streaming device, a Wi-Fi system, and either a television (TV) set or a computer monitor with a connected speaker. TELLYHEALTH™ is a reference to the provision of personalized hearing healthcare education and aftercare to patients via their television (“Telly” in British parlance) as part of an integrated system. The TELLYHEALTH′ system (to be herein referred to as “the System”) is designed for ease of use and ease of viewing by older adults, as well as ease of viewing by groups of individuals. 
     A hearing care professional (HCP) uses a computing device to log in to a secure “HCP website” that is hosted by one or more servers which may be in the cloud. In some embodiments, the secure HCP website may be hosted by a hosting service, such as, for example Amazon Web Services. The hosted HCP website may be referred to herein in the singular although it may be embodied by several networked servers and/or other computing devices. The HCP website may be formed of one or more modules or “tools.” As is traditional in the field of the disclosed technology, features and embodiments are described, and illustrated in the drawings, in terms of functional blocks, units, tools, and/or modules. Those skilled in the art will appreciate that these blocks, units, tools, and/or modules are physically implemented by electronic (or optical) circuits such as logic circuits, discrete components, microprocessors, hard-wired circuits, memory elements, wiring connections, and the like, which may be formed using semiconductor-based fabrication techniques or other manufacturing technologies. In the case of the blocks, units, tools, and/or modules being implemented by microprocessors or similar, they may be programmed using software (e.g., microcode) to perform various functions discussed herein and may optionally be driven by firmware and/or software. Alternatively, each block, unit, tools, and/or module may be implemented by dedicated hardware, or as a combination of dedicated hardware to perform some functions and a processor (e.g., one or more programmed microprocessors and associated circuitry) to perform other functions. Also, each block, unit, tools, and/or module of the embodiments may be physically separated into two or more interacting and discrete blocks, units, tools, and/or modules without departing from the scope of the inventive concepts. Further, the blocks, units, tools, and/or modules of the embodiments may be physically combined into more complex blocks, units, tools, and/or modules without departing from the scope of the inventive concepts. 
     The HCP website is designed to enable an HCP to enroll patients in the System with personalized information about the patient and his/her hearing aid. The HCP website is also designed to: (a) track the enrolled patient&#39;s progress using their hearing aid and applying new communication skills, and (b) empower the HCP to provide efficient, effective, and timely patient “aftercare” with the assistance of data provided by the System. The HCP website accomplishes these goals by accessing databases related to: (a) the patient&#39;s hearing aid use and care, (b) System-provided hearing aid education, and (c) other aspects of System use relative to objectives established by the HCP. 
       FIG.  1    is a diagram illustrating an exemplary hearing healthcare system for providing education, communication, and tracking of hearing healthcare, according to certain disclosed embodiments. 
     As shown in  FIG.  1   , an exemplary hearing healthcare system  100  may include a plurality of user devices  110  (e.g., user device  110   a  and user device  110   b ), a display device  116 , at least one hearing healthcare provider (HCP) device  120 , and a hearing healthcare provision (HHP) server  130 . 
     User devices  110  may be any type of electronic computing device and/or component configured to execute one or more processes, many of which are known in the art. User devices  110  can include, by way of example and not limitation, clients, desktop computers, laptop computers, network computers, workstations, personal digital assistants (PDA), tablet computers and/or electronic readers (e.g., iPad, Kindle Fire, Playbook, Touchpad, etc.), telephony devices, smartphones, etc. In one example embodiment, one or more user devices  110  may be mobile computing devices. User devices  110  may be configured to transmit and/or receive information to and/or from other user devices  110 , HHP server  130 , and/or display device  116  directly and/or indirectly via any combination of wired and/or wireless communication systems, method, and devices, including, for example, network  190 . User devices  110  may receive input from, and provide output to, one or more of a patient, a caregiver for the patient, or a friend or family member of the patient. 
       FIG.  2    is a block diagram of an example user device  110 , consistent with certain embodiments. It should be readily apparent that the example user device  110  depicted in  FIG.  2    represents a generalized schematic illustration and that other components/devices can be added, removed, or modified. In one example embodiment, user device  110  can be configured to include address translation and full virtual-memory services. 
     As shown in  FIG.  2   , each user device  110  can include one or more of the following components: at least one central processing unit (CPU)  201  configured to execute computer program instructions to perform various processes and methods, random access memory (RAM)  202  and read only memory (ROM)  203  configured to access and store data and information and computer program instructions, I/O devices  204  configured to provide input and/or output to client computing device  110  (e.g., keyboard, mouse, display, speakers, printers, modems, network cards, etc.), and storage media  205  or other suitable type of memory (e.g., such as, for example, RAM, ROM, programmable read-only memory (PROM), erasable programmable read-only memory (EPROM), electrically erasable programmable read-only memory (EEPROM), magnetic disks, optical disks, floppy disks, hard disks, removable cartridges, flash drives, any type of tangible and non-transitory storage medium), where the files that comprise an operating system  210 , application programs  212  including, for example, web browser application, email application and/or other applications, and data files  214  are stored. 
     In addition, each user device  110  can include antennas  206 , network interfaces  207  that provide wireless and/or wire line digital and/or analog interface to one or more networks, such as network  150 , over one or more network connections (not shown), a power source  208  that provides an appropriate alternating current (AC) or direct current (DC) to power one or more components of user device  110 , and a bus  209  that allows communication among the various disclosed components of the user device  110  of  FIG.  2   . Each of these components is well-known in the art and will not be discussed further. 
     In one or more exemplary designs of user device  110  of  FIG.  2   , the functions described can be implemented in hardware, software, firmware, or any combination thereof. If implemented in software, the functions can be stored as one or more instructions or code on computer-readable medium, including the computer-readable medium described above (e.g., RAM  202 , ROM  203 , storage media  205 , etc.). The term “software” may refer to prescribed rules to operate a computing device. Examples of software may include: software; micro-code; code segments; instructions; applets; pre-compiled code; compiled code; interpreted code; computer programs; and programmed logic. 
     In some embodiments, application programs  212  can include an application programming interface (API), such as a casting API. The casting API may be a set of software instructions that cause the user device  110  to send data to a display device (e.g., display device  116  of  FIG.  1   ), causing the display device  116  to display Patient Display Portal Screens. Exemplary Patient Display Portal Screens are illustrated in  FIGS.  3  and  4   . 
     In addition, in some embodiments, application programs  212  of the user device  110  may include an intelligent remote application. Upon execution, the intelligent remote application may provide an Intelligent Remote. For example, the Intelligent Remote (see  FIG.  5   ) may be comprised of the user device  110  with a touchscreen configured to provide one or more “virtual buttons” or icons that are used to operate and navigate the screens of the HCP website of hearing healthcare system  100  and, in particular, the presently visible and active screen on the display device  116 . For example, the user may tap on one virtual button of the Intelligent Remote to perform an action such as entering a number or navigating to another screen. 
     Returning to  FIG.  1   , the hearing healthcare system  100  may include a display device  116 . The display device  116  may include a display screen used to provide visual output from a computer, cable box, video camera, VCR, or other video generating device. The display device  116  may be, for example, a digital or analog television, a digital or analog computer monitor, etc. In some embodiments, the display device  116  may include a streaming device to exchange information with user device  110  and/or HHP server  130 . For example, the display device  116  may include a GOOGLE™ CHROMECAST™ device and associated sender and receiver APIs that cause mobile media data to be displayed on the display device  116 . The sender and receiver APIs may include functions to interact with the sender (e.g., user device  110 , HHP server  130 ) or media content and to work with the receiver or the display device  116 . The sender API may include parameters for configuration, requests, and all that is related to media (volume, display, TV show). The receiver API may include parameters for cast receiver, media playback, and possible properties (connected, inactivity, standby). Available index of all classes and functions. In some embodiments, the user device  110  and display device  116  may communicate with one another using the CHROMECAST™ device. For example, the casting API of the user device  110  may cause the display device  116  to display media that is provided from the HHP server  130  via network  190  to the CHROMECAST™ device. 
     HCP device  120  may be any type of electronic device and/or component configured to execute one or more processes, many of which are known in the art. HCP device  120  can include, by way of example and not limitation, clients, desktop computers, laptop computers, network computers, workstations, personal digital assistants (PDA), tablet computers and/or electronic readers, telephony devices, smartphones, etc. HCP computing device  120  may be configured to transmit and/or receive information to and/or from other HCP computing devices  120 , HHP server  130 , and/or electronic health records system  180  directly and/or indirectly via any combination of wired and/or wireless communication systems, method, and devices, including, for example, network  190 . HCP devices  120  may receive input from, and provide output to, one or more of a hearing healthcare provider or other authorized personnel (e.g., third-party administrator, etc.). 
     HHP server  130  can be one or more physical computers, or computer systems, configured to run one or more services to support users of other computers on one or more networks and/or computer programs executing on physical computers, or computer systems, and configured to serve the requests of other programs that may be operating on one or more servers (not shown) or on other computing devices, such as user devices  110 , display device  116 , HCP device  120 , and/or electronic health record system  180 . HHP server  130  can include, by way of example and not limitation, communication servers, database servers, fax servers, file servers, mail servers, print servers, name servers, web servers, proxy servers, gaming servers, etc. In some aspects, HHP server  130  may be configured to transmit and/or receive information to and/or from user computing devices  110 , display device  116 , HCP device  120 , other servers (e.g., HHP server  130 , Internet Service Provider (ISP) servers (not shown), etc.), electronic health records system  180 , and/or databases directly and/or indirectly via any combination of wired and/or wireless communication systems, method, and/or devices, including, for example, network  190 . HHP server  130  may include one or more physical servers, or server systems, and/or one or more proxy servers, each configured to run one or more services to support other computers or computer systems, such as, for example, client computer systems (not shown). In certain embodiments, the same server devices may perform the roles of a physical HHP server  130  and/or a proxy HHP server  130 . 
     HHP server  130  can include a set of client components  140 , such as a client interface  141  and a display interface  142 . The client interface  141  may include both software and hardware components to facilitate data communications between the HHP server  130  and the user device  110 . For example, training, education, or troubleshooting information may be transmitted from the HHP server  130  to the user device  110 , or data from the patient&#39;s hearing aid may be transferred to the HHP server  130  via the user device  110 . Data communications may include providing a HHP website the user device  110  and receiving input relate to the HHP website. 
     The display interface  142  may include both software and hardware components to facilitate data communications between the HHP server  130  and the display device  116 . For example, the HHP server  130  may transmit media data directly from the HHP server  130  to the display device  116 , and receive information about viewing of the media data from the display device  116 . In some embodiments, the display interface  142  may be configured to cause the HHP website to be displayed on the display device  116 . 
     HHP server  130  can further include a set of administration components  150 , such as a client website interface  151 , a database interface  152 , a content management tool  153 , a user management tool  154 , a reporting tool  155 , an alert tool  156 , and a messaging tool  157 . Client website interface  151  may include both software and hardware components to facilitate data communications between the client interface  141  and a database interface  152 . 
     The client website interface  151  may include both software and hardware components to facilitate data communications between the client interface  141  and the database interface  152 . For example, the client interface  141  may transmit data from the user device  110  to the database interface  152  for subsequent storage in one or more databases  170 , and may receive data stored in the one or more databases  170  via the database interface  152  for subsequent transmission to the user device  110 . Communication between the client interface  141  and the user device  110  may be facilitated by an HCP website. For example, information (e.g., patient input data) may be transmitted from the user device  110  to the HHP server  130  by inputting the data into structured fields of the HCP website, and data or other information (e.g., messages, instructions, reminders, videos, flowcharts, etc.) may be provided to the user by presenting the data or information on the HCP website. The HCP website may be displayed on display device  116 , and an Intelligent Remote may be used to navigate the HCP website, as discussed further herein. 
     The database interface  152  may include both software and hardware components to facilitate data communications between one or more of the client website interface  151 , the content management tool  153 , the user management tool  154 , the reporting tool  155 , the alert tool  156 , the messaging tool  157 , and databases  170 . 
     Each of the content management tool  153 , the user management tool  154 , the reporting tool  155 , the alert tool  156 , and the messaging tool  157  may be formed by a software application operating on HCP server  130 , another computing device external to the HCP server  130  accessible by the HCP server  130 , or other configurations described herein. These software applications may be stored separately from each other or may share resources. 
     The content management tool  153  may transmit data to and receive data from one or more databases  170  via the database interface  152 . For example, the content management tool  153  may receive input from one or more HCP devices  120 , and transmit the input to the database interface  152  for storage in the one or more databases  170 . In some embodiments, the content management tool  153  may be used by authorized personnel for adding, deleting, and editing training and education content of the hearing healthcare system  100  without requiring assistance from IT personnel—thus reducing the process response time and associated support costs for the hearing healthcare system  100 . Hearing healthcare system  100  content may include videos, text, and multimedia content that is used for patient education or training, evaluating patient knowledge on a topic, supplies and equipment available for sale to the patient, and other content that may support the patient with hearing aids and the patient&#39;s family, friends and caregivers. 
     The user management tool  154  may transmit data to and receive data from one or more databases  170  via the database interface  152 . For example, the user management tool  154  may receive input from one or more HCP devices  120 , and transmit the input to the database interface  152  for storage in the one or more databases  170 . In some embodiments, the user management tool  154  may be used by the HCP to enter the patient&#39;s data, including details of the patient&#39;s hearing aid, and to configure their assigned patients with access to the hearing healthcare system  100 . The user management tool  154  may also be used by the HCP to add and delete other users of the hearing healthcare system  100  and their offices and organizations and edit their enrollment information. The user management tool  154  may also be used to customize a patient portal for each patient based on entered parameters such as their hearing aid style and personalized alert thresholds. The user management tool  154  may also be used to download the data for a particular patient or group of patients or a particular HCP or group of HCPs. The user management tool  154  can also be used as a user support tool for individuals providing support for HCPs and patients. For example, a HCP may enroll a new patient in the hearing healthcare system  100  via the HCP device  120  using the user management tool  154  once the patient selects, but before they receive, their hearing aids. At this point in time, only a specified subset of the training and educational content of the hearing healthcare system  100  may be activated via the user management tool  154 . After the hearing aid fitting, the HCP may use the user management tool  154  to activate the remaining training and educational content. Such activation may include setting access controls to additional training and educational content and setting one or more thresholds related to education, training, tracking, and communication of the hearing healthcare patient. 
     The reporting tool  155  may transmit data to and receive data from one or more databases  170  via the database interface  152 . For example, the reporting tool  155  may receive input from one or more HCP devices  120 , and transmit the input to the database interface  152  for storage in the one or more databases  170 . In some embodiments, the reporting tool  155  may be used by the HCP to assemble, view and download reports about usage of the hearing healthcare system  100  among all their assigned patients, as a group, and for each individual patient. The reports provide clinically important information on the patient&#39;s hearing aid use and care experiences, thereby enabling the HCP to rapidly focus on the patient&#39;s needs and provide ongoing and active care of the patient. Reports may be aggregated by, for example: (a) all companies using the hearing healthcare system  100 , (b) all offices within an individual company using the hearing healthcare system  100 , (c) individual offices within a company using the hearing healthcare system  100 , and (d) all patients within an office using the hearing healthcare system  100 . One or more of the individual patient reports may also be posted on the Patient-TV Portal and accessed by that individual patient and by other authorized users. The reporting tool  155  may also be used by an authorized user to assemble, view and download reports about usage of the hearing healthcare system  100  among all HCP users, as a group, and for each individual HCP user. 
     Each of the alerting tool  156  and the messaging tool  157  may transmit data to and receive data from one or more databases  170  via the database interface  152 . For example, the alerting tool  156  and/or the messaging tool  157  may receive input from one or more HCP devices  120 , and transmit the input to the database interface  152  for storage in the one or more databases  170 . The alerting tool  156  may be used by the HCP to set customized alert thresholds for each patient, post patient alerts on the HCP website for transmission to the patient via the user device  110  and/or display device  116 . In addition, the alerting tool  156  may direct the messaging tool  157  to send electronic or voice messages to the HCP about a new alert or a new series of alerts. The alerts enable the HCP to easily track instances and trends of the patient&#39;s hearing aid and use experiences of the hearing healthcare system  100  by the patient or other user (e.g., patient caregiver, patient family member, patient friend, etc.). 
     For example, the alerting tool  156  can track and evaluate the patient&#39;s ability or inability to use their hearing aids successfully and automatically, based on data transferred wirelessly from the patient user device  110  or from their hearing aid to the HHP server  130 . In some embodiments, the patient&#39;s ability or inability to user a hearing aid successfully may be tracked and evaluated based on the patient&#39;s inputs to a Patient Daily Diary. Inputs to the Patient Daily Diary may be provided via the user device  110  and/or display device  116 . 
     As an example, the alerting tool  156  allows the HCP to select a threshold of the minimum number of hours of daily hearing aid use expected of the patient for a specific number of consecutive days. The alerting tool  156  then compares the patient&#39;s self-report data on their actual number of daily hours of hearing aid use over the consecutive day range to the threshold value. The patient&#39;s self-report data may be input by the user via the user device  110  and/or display device  116 , and then transmitted to the HHP server  130 . If the actual hours value is less than the threshold value over the specified range of days, the alerting tool  156  will trigger an alert that is stored in one or more databases  170  of the HHP server  130  and is also sent to the HCP as an electronic message via e-mail, texting, voice (e.g., phone message), or another suitable communication channel. The HCP then records contacts with the patient (e.g., office visit or phone call) that are intended to resolve the alert and then records the actual resolution of the alert (e.g., patient buys new hearing aid batteries, so they can resume using their hearing aids) on the HHP server  130 . In another example, an alert may be triggered by the hearing healthcare system  100  if the patient uses the hearing healthcare system  100  (e.g., Patient-TV Portal and/or inbound Messaging System, which are discussed further herein) less frequently than the threshold set by the HCP via the hearing healthcare system  100 . Patient use of the hearing healthcare system  100  is automatically tracked by the hearing healthcare system  100  each time the patient logs into the hearing healthcare system  100  and, for example, completes a task on the hearing healthcare system  100  by selecting at least one menu. Additionally, the alerting tool  156  may be used to monitor the pace of the patient completing tasks on the hearing healthcare system  100  as defined by the HCP with the individualized healthcare rules. If the patient is not keeping up with the requested task completion pace and/or schedule, the messaging tool  157  may send out a personalized message to such patient with instructions to help the patient get back on track or to bring the user into compliance with the individualized healthcare rules input by the HCP. 
     The messaging tool  157  may be directed by one or more other tools (e.g., the content management tool  153 , the user management tool  154 , the reporting tool  155 , the alert tool  156 ) to automatically send out targeted messages by e-mails, text messages (i.e., SMS), or interactive voice response (IVR) telephone call messages to the patient, the HCP, or another designated individual. These messages may be generated by a commercially available cloud-based server that is designed for interactive inbound and outbound communications with subscribed individuals such as HCPs, patients, and other individual who are enrolled in the hearing healthcare system  100  by the HCP or another authorized person. Outbound patient messages are scheduled by the HCP via the HCP device  120  in consultation with the patient. The scheduled outbound patient messages may be included in the individualized healthcare rules which are stored in databases  170 . 
     In one example embodiment, the messaging tool  157  may remind the patient to use the hearing healthcare system  100  when the patient&#39;s usage, as tracked by the hearing healthcare system  100  via the reporting database, does not meet the usage goals established by the patient in concert with the HCP and stored in the HHP server  130  via the HCP device  120 . The usage goals may include frequency of accessing the hearing healthcare system  100 , viewing certain videos within a prescribed time period, evaluating progress towards the patient&#39;s personal goals, or another measure that the HCP enters into the HCP website. Based on the patient&#39;s shortfalls in achieving the desired use of the hearing healthcare system  100 , the messaging tool  157  may provide outbound messages in the form of reminders that encourage the patient to derive more value from the hearing healthcare system  100 . As the patient gains experience with the hearing healthcare system  100  by, for example, navigating menus and entering data into the hearing healthcare system  100 , the nature of the outbound reminder messages may change. In some cases, based on these parameters, the patient will stop receiving outbound reminder messages. In other cases, the patient data will trigger new outbound reminder messages. 
     In another example embodiment, the messaging tool  157  may assist the patient in identifying specific subject areas that require reinforcement. The hearing healthcare system  100  may include algorithms for intelligently analyzing the patient&#39;s responses to video review questions and patient daily diary questions and use of the problem solver in order to provide targeted outbound messages that provide targeted education for the patient and reinforce new information presented to the patient (see  FIG.  6   ). 
     The messaging tool  157  may also include an inbound messaging feature where it is accessed by a patient who either calls in or “texts in” to the hearing healthcare system  100 . In one example embodiment, the patient may use this inbound capability of the messaging tool  157  to complete the patient daily diary questions by phone or text rather than by using the Patient-TV Portal. For example, a user (e.g., USER  3 ) may interact with the HHP server  130  via a telephony device and an IVR system  158 . The patient&#39;s daily diary responses through this means will be reported on the HCP website and Patient-TV Portal as if they were entered via the display  116  using the Intelligent Remote. In alternative embodiments, the patient may use the inbound messaging tool  157  to access other content of the hearing healthcare system  100 , to obtain hearing aid troubleshooting guidance, to respond to other questions of the hearing healthcare system  100 , or to leave a message for the HCP. 
     The messaging tool  157  may further send out an alert message to the HCP when the alerting tool  156  is activated. When the HCP receives such an alert message in the form of an e-mail, automated IVR phone call, or text message, the HCP may contact the patient or first review the details of the alert on the HCP website and then contact the patient. The HCP will then record on the HCP website when the HCP: (a) contacts the patient to discuss the issue that triggered the alert, and (b) resolves the alert in concert with the patient. The HCP also may enter clinical notes related to patients to the HHP server  130  via the HCP device  120  for storage in one or more databases  170 . 
     The HHP server  130  may further include an IVR system  158  and a report importing tool  159 . In some embodiments, the IVR system  158  may initiate telephone call messages to the patient, the HCP, or another designated individual. For example, the IVR system  158  may transmit alert messages to the patient, the HCP, or another designated individual, in response to instructions from the messaging tool  157 . In other embodiments, the IVR system  158  may receive patient input (e.g., completing the patient daily diary questions by phone or text), and the IVR system  158  may transmit the received patient input to the databases  170  for storage. As illustrated in  FIG.  1   , the IVR system  158  may communicate with a user USER_3 via a telephony device (e.g., telephone, smart phone, etc.). 
     Report importing tool  159  may access the electronic health record system  180 , and download stored healthcare information related to one or more patients and/or upload healthcare information related to one or more patients for storage on the electronic health record system  180 . In some embodiments, for example, the record importing tool  159  may export patient healthcare data to the electronic health record system  180 , the healthcare data including identification of hearing aid(s) worn by the patient, individualized healthcare rules and corresponding threshold values for the patient, input data received by the HHP server  130  from the user device  110  (e.g., Daily Diary inputs, etc.), tracking data related to the patient, HHP server  130 , and the hearing healthcare system  100 . 
     Electronic health record system  180  may include one or more computing devices configured to store databases, e.g., organized collections of data and their data structures, and/or execute database management systems, e.g., computer programs configured to control the creation, maintenance, and use of the database. Electronic health record system  180  may store health records related to one or more patients. 
     In addition, the HHP server  130  may include one or more databases. Databases  170  can be one or more computing devices configured to store databases, e.g., organized collections of data and their data structures, and/or execute database management systems, e.g., computer programs configured to control the creation, maintenance, and use of the database. Collectively, databases and their database management systems can be referred to as database systems. As used herein, database  170  can refer to databases, database management systems, and/or database systems. In some aspects, database  170  can be configured to store databases, while database management systems are stored and executed on one or more other computing devices, such as HHP server  130 . In one implementation, databases  170  can include software database programs configured to store data associated with HHP servers  130  and their associated applications or processes, such as, for example, standard databases or relational databases. Databases  170  can include relationship database management systems (RDBMS) that may be configured to run as a server on HHP servers  130 . In some embodiments, databases  170  can be configured to transmit and/or receive information to and/or from user computing devices  110 , HCP computing devices  120 , HHP servers  130 , and/or other databases  170  directly and/or indirectly via any combination of wired and/or wireless communication systems, method, and/or devices, including, for example, network  190 . 
     Databases  170  may include, for example, a patient database, an HCP databases, a hearing aid, ancillary equipment, and supplies database, a system content database, a messaging database, an alerts database, a reports database, a troubleshooting database, an organizational database, an appointments database, etc. 
     The patient database may be comprised of data entered by the HCP about each patient enrolled in the hearing healthcare system  100 , including their name, contact information, associated HCP, and hearing aid information. The HCP database may be comprised of data about the HCPs enrolled in the hearing healthcare system  100 , including their name, contact information, work locations, and licensing or other authorizing information. The hearing aid, ancillary equipment and supplies database may be comprised of information about commercially-available hearing aid models (e.g., specification and other technical information) and related hearing aid products and supplies that may be used by patients or HPCs enrolled in the hearing healthcare system  100 . 
     The system content database may be comprised of hearing aid use and care content and communications education content in the form of text, videos, audio messages, still photographs, multimedia, and flow charts. Examples of hearing aid use and care content and communications education content stored in the system content database may include, for example: introduction to the system and system training; personal goal setting, which provides for selecting preferred goals and evaluating progress on each selected goal on the system; system-selected videos that are specific to the patient&#39;s hearing aid style for training on inserting and removing hearing aids; hearing aid maintenance tips based on the patient&#39;s hearing aid style; hearing aid use tips based on the patient&#39;s hearing aid style; medical issues related to hearing aid use (e.g., ear wax, tinnitus, etc.); advanced hearing aid use tips (e.g., home, landline phones, cells phones, theaters, restaurants, lecture halls, etc.), including selection of the hearing assistive technologies for different environments; communication strategies; identification/resolution of communication problems; etc. Details about the patient&#39;s access of, and feedback to, the various may also appear on the HCP&#39;s website and be accessible to the HCP. 
     The messaging database may be comprised of inbound and outbound messages that are transmitted between the HCP, patients, and the HHP server  130  on an ad hoc basis or on a schedule that is entered into the hearing healthcare system  100 . For example, inbound messages may be messages that are transmitted from a HCP, patient, or other person to the HHP server  130 , and outbound messages may be messages that are transmitted from the HHP server  130  to an HCP, patient, or other person. One or more messages may be triggered by data that has been entered into the hearing healthcare system  100  by the HCP or the patient or the message may be automatically generated. Examples of message types and triggers stored in the messaging database include: use/access of Daily Diary, triggered when patient has not evaluated his/her progress on his/her goals for a predetermined number of days; use/access of training materials, triggered when patient has not viewed training material provided by the hearing healthcare system  100  at a predefined pace (e.g., number of videos within or over predefined number of days, etc.); comprehension/understanding of training materials, triggered when patient responds incorrectly to maximum number of the video review questions on their first viewing of a video, and reinforcement/reviewing is recommended; etc. The messages may be personalized by inserting variables representing the predefined numbers of days, uses, engagements, into a personalized message by the hearing healthcare system  100  based on data stored therein or can be default values that can be changed by the HCP, the patient, etc. In some embodiments, the variables can be changed by the HCP as part of the individualized healthcare rules and corresponding threshold values. 
     The alerts database may be comprised of rules that trigger alerts and the actual alert messages that are sent to the HHP server  130  or to the HCP via an e-mail, text or telephone/voice message. In some embodiments, the alerts database may include alert messages that correspond to certain types of messages in the messaging database. For example, when a Type 6 message is triggered, an alert message may also be triggered to notify the HCP that the patient is struggling to comprehend the training material. Other alerts may be triggered, for example, when a patient requests a call back from the HCP (e.g., to answer questions); when a patient does not wearing their hearing aids for the defined minimum number of hours per day; when a patient is experiencing discomfort with their hearing aid; when the patient&#39;s experience of hearing aid sound quality in doors (e.g., rated on a 5-point Likert scale) does not meet the goal established by the HCP; when a patient is not accessing and/or using the hearing healthcare system  100  at the minimum frequency determined by the HCP through the individualized healthcare rules; etc. 
     The reports database may be comprised of compilations of data and graphical and tabular reports associated with each HCP and patient based on the HCP&#39;s and patient&#39;s use of the hearing healthcare system  100  and their data inputs or responses. For example, the reports database may store initial data about a patient as initial patient data (e.g., name, date of birth, height/weight, relevant health information, hearing aid(s) used by patient, etc.). In addition, the reports database may store individualized healthcare rules including individualized healthcare rule categories defining one or more patient instructions and goals specific to an individual patient and thresholds for each of the individualized healthcare rules. Examples of individualized healthcare rule categories and corresponding threshold values include (with modifiable variables represented by “&lt; &gt;”): video viewing, having a threshold defining a minimum &lt;number&gt; of videos within &lt;number&gt; of days; patient comprehension/understanding, having a threshold defining a minimum &lt;percentage&gt; of response questions answered correctly; patient comfort wearing the hearing aid, having a threshold defining a minimum &lt;rating&gt; for &lt;left/right&gt; hearing aid; quality of patient&#39;s experience when wearing the hearing aid, having a threshold defining a minimum &lt;rating&gt; for sound quality of the hearing aid; number of hours per day that a hearing aid is worn by the patient, having a threshold defining a minimum of &lt;number&gt; hours each day; etc. 
     The reports database may further store data user input data. The user input data may include, for example, personal goals, responses to personal goal assessment questions, tracking of user viewing of training or education videos, responses to questions following training or education videos, daily diary inputs, etc. The initial input data and the individualized healthcare rules may be input by the HCP via the HCP device  120 . The user input data may be input by a patient, patient family member or friend, or patient caregiver via the user device  110 . The reports may be provided to the HCP via the HCP device  120  and/or the user via the user device  110 . The hearing healthcare system  100  can be configured to send reports on the patient&#39;s goals and progress, as well as related alerts and analysis, to the HCP and caregivers, approved healthcare systems, family members, by e-mail, text messages, or automated voice (IVR) phone calls. 
     The troubleshooting database may be comprised of potential hearing aid problems and corresponding flow charts of possible solutions for each problem. The organizational database may be comprised of information on organizations (e.g., hospitals, healthcare chains, private practices, etc.) that use the hearing healthcare system  100  to assist their HCPs in providing hearing healthcare to patients. The appointments database is comprised of the HCP&#39;s schedule, openings for appointments, and appointments made by patients who use the hearing healthcare system  100 . 
     Referring to  FIG.  1   , network  190  may be any appropriate network or other communication link that allows communication between or among one or more computing systems and/or devices, such as, for example, user devices  110 , display device  116 , HCP devices  120 , HHP servers  130 , etc. Network  190  may be wired, wireless, or any combination thereof. Network  190  may include, for example, the Internet, a local area network, a wide area network, a WiFi network, a workstation peer-to-peer network, a direct link network, a Bluetooth connection, a bus, or any other suitable communication network or any combination thereof. 
     Although  FIG.  1    depicts HHP servers  130  as communicating with user devices  110  and HCP devices  120  using an indirect network connection, such as a connection through network  190 , those skilled in the art will appreciate that HHP servers  130  may also communicate with user devices  110  and HCP devices  120  using a direct communications link or a communications link separate from network  190 . In the embodiment of  FIG.  1   , user devices  110  and HCP devices  120  may communicate directly with HHP servers  130  via network  190  using standard Internet Protocols, such as HTTP, transmission control protocol (TCP), internet protocol (IP), etc. For example, HTTP requests from user devices  110  and HCP devices  120  may be encapsulated in TCP segments, IP datagrams, and Ethernet frames and transmitted to HHP servers  190 . In some embodiments, third parties may participate as intermediaries in the communication, such as, for example, Internet Service Providers (ISPs) or other entities that provide routers and link layer switches. Such third parties may not, however, analyze or review the contents of the Ethernet frames beyond the link layer and the network layer, but instead analyze only those parts of the packet necessary to route communications from user devices  110  and HCP devices  120  to HHP servers  120 . 
     Herein, for ease of discussion, the term “Patient-TV Portal” is used to refer to a combination comprised of (a) user device  110 , (b) display device  116 , (c) the streaming device (e.g., CHROMECAST™), and (d) network  190 . The Patient-TV Portal may be used by the patient to access all of the educational and aftercare features of the System and to enter important data into the System. The user may use the Patient-TV Portal to access all of the educational and aftercare features of the hearing healthcare system  100  and to enter data into the hearing healthcare system  100 . 
     In an example embodiment including a TV as the display device  116 , the patient sets up the Patient-TV Portal in the home as follows: The patient may connect the streaming device to a port, such as an HDMI port, on the TV or monitor and connects the streaming device to a power source. Then the patient may set up the Patient-TV Portal by configuring the streaming service on their patient computing device and configuring both the streaming device and the patient&#39;s computing device to use the same local Wi-Fi system. The patient may enter the internet address of the HHP server  130  provided by the HCP on the user device  110 , and create an HHP icon on a main screen of the user device  110 . Then the patient may tap on the HHP icon and enter the password assigned by the HCP (which can be changed by the patient later via the Patient-TV Portal). Then the patient may tap on one or more special buttons to log in to the Patient-TV Portal. At this point: (a) the Patient-TV portal is integrated with the HCP website and the HHP server  130  through the user device  110  and the associated HHP server  130  tools and databases described earlier, (b) the Welcome screen is streamed to the TV (see  FIG.  3   ), and (c) the Intelligent Remote buttons appear on the patient&#39;s user device  110  (see  FIG.  5   ). After the patient selects an option on the Welcome Screen using the Intelligent Remote, the Patient-TV Portal&#39;s Main Menu appears on the patient&#39;s TV (see  FIG.  4   ). 
     As discussed above, the user may utilize the Intelligent Remote to interact with the data or other media displayed on the display device  110 . For example, the user may tap on one virtual button of the Intelligent Remote to perform an action such as entering a number or navigating to another screen. The Patient-TV Portal then performs the desired action. When the HHP server  130  streams a different screen to the TV, the Intelligent Remote will retain the same user interface or automatically adopt one of several different user interfaces, depending on which interface is required to operate that visible streamed screen on the display device  116 . In each case, the Intelligent Remote may display the minimum number of buttons required to operate the active screen on the display device  116  or to navigate to a new screen available from the HHP server  130 . This feature simplifies the processes of both learning how to use and operate the Patient-TV Portal. For example, many screens will only require three buttons to navigate a screen (left arrow, right arrow and enter) while other screens will require a numeric keypad (to respond to a question with a number) and still other screens will require video controls (such as pause, forward and reverse). The additional ease of use provided by the Intelligent Remote by displaying only the required buttons may be especially valuable for the older adult patient, who may have impaired eyesight and/or limited manual dexterity, and who often is confused by conventional remotes that have a large number of small buttons. 
     The login process described above is handled via a secure form which returns a token. The token is securely stored in a local storage (e.g., RAM  202 , ROM  203 , storage media  205 , etc. of  FIG.  2   ) of the user device  110 . All subsequent requests to the System server are tagged with this token. When casting mode is active, the Intelligent Remote is displayed as a layer on top of the browser app of the user device  110 . The browser of the user device  110  may still runs “below” the remote, out of site of the user, but the casting API is aware it is operating in casting mode and sends data to the display device  116 , instructing the display device  116  to display the required Patient-TV Portal screens on the display device  116 . 
     The Intelligent Remote may be the user&#39;s means for navigating the hearing healthcare system  100  screens on the Patient-TV Portal. For example, the patient may use the Intelligent Remote to view an educational video, answer a question about a video, select and rate one&#39;s progress on a personal hearing aid and communication goal, interact with the hearing aid troubleshooting guide of the hearing healthcare system  100 , view reports on the patient&#39;s use of and inputs into the hearing healthcare system  100 , set up and view appointments with the HCP, order hearing aid related supplies and equipment, and view patient reminders. Each time the patient taps on a button on a screen of the Intelligent Remote to select a Main Menu category viewed on the Patient-TV Portal screen (e.g., videos) or to select a submenu item viewed on the Patient-TV Portal screen (e.g., selecting a specific video such as a video on “Hearing Aid Maintenance”), the corresponding actions are activated wirelessly by signals from the Intelligent Remote to the HHP server  130 . For example, the tapped action may be recorded in the reporting database, the next Patient-TV Portal screen is retrieved from the server and displayed on the TV screen, and the next Intelligent Remote screen layout is retrieved from the HHP server  130  and displayed on a screen of the user device  110 . 
     When the patient uses the Intelligent Remote to select a video title on the Patient-TV Portal, the video content may be streamed, for example, using the HTML5 player in a browser of the HCP website and via the casting API&#39;s streaming player in casting mode. When the patient views a video on the Patient-TV Portal, the Intelligent Remote buttons may allow the patient to, for example, play, pause, rewind, and forward a video and control the presence of closed captions. The Intelligent Remote may be notified by the HHP server  130  when the video playback has been completed. At that point, the Intelligent Remote may instruct the video review quiz process (see example quiz process of  FIG.  6   ) to begin and the Patient-TV Portal displays the first video review question. Some of the videos will have different versions for different hearing aid models or technologies. These videos will be coded to match up with the codes included in the initial input data supplied by the HCP via the HCP device  120 . Also, some videos will have pause points so one or more questions or text instructions can be displayed for the patient in between video segments. If questions are provided, the Intelligent remote screen will switch from the video control buttons to the standard remote with options such as navigation arrows, an enter button and a numeric keypad that will be used to answer the questions. Once the questions are answered, the video will resume and the video controls will return to the Intelligent Remote screen. 
     The Intelligent Remote may be the patient&#39;s means for entering data into the hearing healthcare system  100 . For example, the patient may use the Intelligent Remote to answer video review questions, answer patient daily diary questions, evaluate the patient&#39;s progress on his or her hearing aid and communication goals, make and confirm appointments with the HCP, operate the troubleshooting guide and place orders for healthcare related supplies and equipment. As the patient uses the Intelligent Remote to answer questions, the hearing healthcare system  100  collects the associated data, stores the data in the reporting database, displays the data in reports on the HCP website and the Patient-TV Portal, and downloads the data to an external database when requested to do so by the HCP. 
     When the patient uses the Intelligent Remote to answer a video review question on the Patient-TV Portal, the hearing healthcare system  100  retrieves the correct response from the system content database and compares it to the patient&#39;s response. The Patient-TV Portal screen, powered by the HHP server  130 , either informs the patient that their response was correct or displays the correct answer for educational purposes. The patient&#39;s correct and incorrect answers to questions are sent to the reporting database where they are stored and the patient&#39;s score on each video review quiz is calculated. Such scores are posted on the HCP website and the Patient-TV portal screen. 
     Likewise, the Intelligent Remote may be used to control and provide inputs to the patient&#39;s Daily Diary display on the display device  116 , captures the patient&#39;s responses to the patient Daily Diary questions, and sends the responses to the appropriate database in the HHP server  130 . When the Intelligent Remote is notified that the final patient question of the Daily Diary has been answered, it instructs another message, such as a “tip of the day”, to be retrieved from the system content database and displayed on the display device  116 . After the patient reviews the additional message, the next tap of a button on the Intelligent Remote may return the patient to the Main Menu (see  FIG.  4   ). 
     The patient&#39;s Daily Diary may be an interface by which a patient performs self-evaluation and tracking of their progress toward achieving one or more individualized goals. The goals tracked through the Daily Diary may include, for example, goals and related threshold values defined by the HCP and input and stored in the HHP server  130  via the HCP device  120 , and user-defined goals and related thresholds defined by the patient and input and stored in the HHP server  130  via the user device  110 . In some embodiments, the individualized healthcare rules may include one or more goals tracked through the patient&#39;s Daily Diary. For example, the HCP and patient may define a goal as wearing the patient wearing their hearing aid with a threshold value being a minimum number of hours a day that the patient wears their hearing aid. On a regular basis (e.g., daily), the patient may input to the Daily Diary the number of hours the hearing aid is actually worn by the patient. The HHP server  130  may store the input patient data in the databases  170  and compare the input patient data with the threshold value for the given rule. In this example, the threshold value may be a minimum of six hours per day. When the patient input indicates that the patient does not wear the hearing aid at least six hours per day, the HHP server  130  may initiate an alert with the alerting tool  156 , and the alerting tool  156  may send an alert to the HCP via the HCP device  120 . In some embodiments, when the patient input indicates that the patient wears the hearing aid at least six hours per day, the HHP server  130  may initiate a message with the messaging tool  157 , and the messaging tool  157  may send the message to the patient via the user device  120 . The message may further be displayed on the display device  116 . 
     In addition, the patient may use the Intelligent Remote to select a set of personal hearing aid and communication goals from a list provided on the display device  116 . In some embodiments, the list of personal hearing aid and communication goals may be incorporated into an educational video on selecting goals. When the video pauses, the patient may be allowed to make preliminary selections of desired goals using the Intelligent Remote. From this shorter list of goals, the patient is then asked by the hearing healthcare system  100  to select a smaller number of goals (e.g., three) as the patient&#39;s initial personal goals. Then the patient may return to the Patient-TV Portal periodically to evaluate their progress on the achievement of each goal. When each goal is achieved (e.g., a patient rating of 10 on a 10-point Likert scale), the screen on the Patient-TV Portal may automatically propose that the achieved goal be replaced by a new goal from the patient&#39;s previous “short list”. The selected goals and the patient&#39;s progress evaluations are reported on the HCP website and the Patient-TV portal. Alternatively, the HCP can accommodate the patient&#39;s request to change one or more personal goals by adding and/or deleting the patient&#39;s goals on the HCP website. 
     The patient may use the Intelligent Remote to resolve one or more hearing aid problems. For example, the patient will navigate to the Troubleshooting menu from the Main Menu, select a problem from the list, and then interactively read instructions on the Patient-TV Portal, try out the recommended solutions, and then report the results to the HHP server  130 . When the patient resolves the problem, the HHP server  130  may provide a congratulations message the patient. When the patient cannot resolve the problem, the HHP server  130  may advise the patient to contact their HCP. In both cases, the HHP server  130  will record the results in the reporting database and report the results on the HCP website. 
     The patient may use the Intelligent Remote to interact with the HCP in various ways. For example, from the Main Menu, the patient can select the “Contact” option and the HHP server  130  will automatically notify the HCP about the desired patient contact. In some embodiments, the HHP server  130  may post an alert on the HCP website. The result of this action may be a phone call from the HCP to the patient. Additional interactions may include the ability of the patient to order hearing aid supplies and related equipment, such as, for example, cleaning tools or batteries. The patient may use the Intelligent Remote to select and purchase a desired product, and the order will be stored in the one or more databases  170 . In some embodiments, the order will appear on the HCP website. When the purchased product is shipped to the patient, a shipment notice will be provided to the user via the Patient-TV Portal. Payment can be arranged electronically using a service like PayPal or with the patient authorizing charges to his/her credit card on file at the HCP&#39;s office. 
       FIGS.  7  and  8    are flowcharts illustrating exemplary embodiments, according to certain embodiments. In  FIGS.  7  and  8   , a commercially-available streaming device (e.g., CHROMECAST™) may be attached to display device  116  (e.g., a television) and synchronized with a network  190  (e.g., a secure local WiFi network). The user device  110  may be synchronized with the streaming device so that the user device  110  can be used to “cast” to the display device  116 . A hearing healthcare patient may use the user device  110  to access the TELLYHEALTH™ software operating on the HHP server  130  via the network  190 . The user device  110  may mirror the TELLYHEALTH™ software to the display device  116 , which is on the user device  110  but not displayed on a display of the user device  110 , by streaming. In addition, virtual remote control buttons may be displayed on the display of the user device  110 , with the virtual remote control buttons being synchronized with the content displayed on the display device  116 . The patient may use the virtual remote control buttons to navigate through the content (videos, questions, etc.) displayed on the display device  116 . The patient may also use the virtual remote control buttons to respond to prompts and/or answer questions displayed on the display device  116 . Data input by the patient using the virtual remote control buttons may be transmitted from the user device  110  to the HHP server  130 . In some embodiments, at least a portion of the data input by the patient may be displayed on the display screen  116 . 
       FIG.  7    is a flowchart illustrating an example method for providing education, communication, and tracking of hearing healthcare, according to certain disclosed embodiments. 
     At block  705 , the HHP server  130  may receive initial patient data. The initial patient data may be input by an HCP via the HCP device  120 . The HHP server  130  may store the input patient data in database  170  using the content management tool  153  and/or the user management tool  154 . The initial patient data may include one or more value identifying an individual patient and a hearing aid used by the individual patient. For example, the initial patient data may include a patient&#39;s name, address, date of birth, hearing measures, hearing aid style and/or model information, and other information that enables the HCP to provide ongoing healthcare to a patient. 
     At block  710 , the HHP server  130  may receive individualized healthcare rules. The individualized healthcare rules may be input by the HCP via the HCP device  120 . The HHP server  130  may store the individualized healthcare rules in database  170  using the content management tool  153  and/or the user management tool  154 . The HHP server  130  may generate a correspondence between the initial patient data and the individualized healthcare rules. In some embodiments, the individualized healthcare rules may be determined by the HCP, whereas in other embodiments, the individualized healthcare rules may be determined by the HCP and the patient. Each of the individualized healthcare rules may be defined specifically for the individual patient. Individualized healthcare rules may be related to one or more of hearing aid usage, hearing aid comfort, and hearing quality, and may include one or more of patient system usage rules, patient education rules, and patient experience rules. Individualized healthcare rules may include one or more threshold values, such as, for example, a hearing aid usage threshold value, a hearing aid comfort threshold value, and a hearing quality threshold value. Example individualized healthcare rules and thresholds are provided in Table 2 above. 
     At block  715 , the HHP server  130  may provide a request for input patient data related to the individual patient based on the individualized healthcare rules. The request may be transmitted to the patient via the user device  110 . At block  720 , the request for input patient data may be displayed on the display device  116  for viewing by the patient and/or friends, family, or caregivers. At block  725 , in response to the request, HHP server  130  may receive the input patient data from the patient, and the HHP server  130  may store the received input patient data in databases  170 . The input patient data may be input by the patient to the user device  110 , and transmitted to the HHP server  130  via network  190 . 
     The request for input patient data may include one or more questions for the patient and the input patient data may include answers to the questions. In certain embodiments, the patient may be provided with an educational and experiential module (e.g., video, text, or other media) based on the individualized healthcare rules, and the request for input patient data may include requests for responses related to the content of the education video. For example, the responses may reflect a level of comprehension and understanding of the content of the educational and experiential module by the patient. In other embodiments, the request for patient input may be related to the hearing aid, and the input patient data includes responses related to one or more of hearing aid usage value reflecting an amount of time the individual patient wears the hearing aid, a hearing aid comfort threshold value reflecting a perceived comfort level of the individual patient while wearing the hearing aid, and a hearing aid quality threshold value reflecting a perceived quality level of the individual patient&#39;s hearing while wearing the hearing aid. 
     At block  730 , for each of the individualized healthcare rules, the HHP server  130  may compare the input patient data with the individualized healthcare rule to make a threshold comparison decision. In some embodiments, comparing the input patient data with the individualized healthcare rule may include at least one of comparing the hearing aid usage value with the hearing aid usage threshold value, comparing the hearing aid comfort value with the hearing aid comfort threshold value, and comparing the hearing quality value with the hearing quality threshold value. For example, comparing the input patient data with the individualized healthcare rule may include comparing the input patient data to a threshold value of the individualized healthcare rule to determine whether the input patient data is equal to or greater than the threshold value or less than the threshold value. Then, based on the individualized healthcare rule and the corresponding threshold value, the HHP server  130  may store completion data reflecting that the patient has met or exceeded the requirements of the individualized healthcare rule, as expressed by the threshold value, or may send an alert to the HCP via the HCP device  120 , indicating that the patient has not met the requirements of the individualized healthcare rule, as expressed by the threshold value. 
     As an example, the HHP server  130  may compare the self-reported number of hours that a patient wears their hearing aid with the minimum number of hours defined in the individualized healthcare rules. If the self-reported number of hours is equal to or greater than the minimum number of hours, the HHP server  130  may store completion data indicating that the patient has completed this requirement. In some embodiments, the HHP server  130  may also send a message to the patient, offering congratulations and encouragement to the patient on their success. The HHP server  130  may initiate the message with the messaging tool  157 , and the messaging tool  157  may send a message to the patient via the user device  120 . The message may further be displayed on the display device  116 . If, however, the self-reported number of hours is not equal to or greater than the minimum number of hours, the HHP server  130  may the store completion data indicating that the patient has not completed this requirement, and may send an alert to the HCP, indicating that the patient has not met the requirements of the individualized healthcare rule, as expressed by the threshold value. The HHP server  130  may initiate the alert with the alerting tool  156 , and the alerting tool  156  may send a message to the HCP via the HCP device  120 . 
     At block  735 , the HHP server  130  may automatically provide at least one of a message to the patient or an alert to the HCP based on the threshold comparison decision. In some embodiments, the message and/or alert may be provided to bring the individual patient into compliance with the individualized healthcare rule. 
     As another example, when the input patient data includes responses to a training or educational video, the HHP server  130  may evaluate the responses to determine a number of incorrect answers. If the number of incorrect answer is less than a maximum number of allowable incorrect answers, the HHP server  130  may store completion data indicating that the patient has completed this requirement. In some embodiments, the HHP server  130  may also send a message to the patient, offering congratulations and encouragement to the patient on their success. If, however, the number of incorrect answer is equal to or greater than a maximum number of allowable incorrect answers, the HHP server  130  may the store completion data indicating that the patient has not completed this requirement, and may send an alert to the HCP via the HCP device  120 , indicating that the patient has not met the requirements of the individualized healthcare rule, as expressed by the threshold value. 
       FIG.  8    is a flowchart  800  illustrating an example method for providing education, communication, and tracking of hearing healthcare, according to certain disclosed embodiments. In particular,  FIG.  8    may reflect operations occurring after the patient or other authorized user has set up their account with the HHP server  130 , as discussed above. 
     At block  805 , the HHP server  130  may provide to a user a set of education goals related to a hearing aid. The set of education goals may be provided to the user via the user device  110  and display device  116 . The education goals may include patient system usage goals, patient education goals, and patient experience goals. In some embodiments, the education goals may include one or more of the individualized health care rules. 
     At block  810 , the HHP server  130  may receive input data defining a subset of the set of the education goals. The input data may be input by the user using the user device  110 , and transmitted to the HHP server  130  via network  190 . For example, the user may want to improve their experience using the hearing aid, and may select specific experience goals (e.g., improved ability to hear in public places and on the telephone, etc.). At block  815 , the HHP server  130  may store the selected subset of the education goals as one or more user-defined education goals. The one or more user-defined education goals may be stored in databases  170 . 
     At block  820 , the HHP server  130  may provide, to the user, at least one educational and experiential module (e.g., video, text, or other media) related to the one or more user-defined education goals. For example, if the user-defined education goals include improved ability to hear in public, the HHP server  130  may queue up an educational video that provides training and suggestions on the topic of how to hear better in a restaurant, theater, or other public location. In some embodiments, the educational and experiential module may include content review questions to evaluate the user&#39;s comprehension and understanding of the content of the educational and experiential module. 
     In certain embodiments, the at least one educational and experiential module includes troubleshooting information related to the hearing aid. For example, the HHP server  130  may provide, to the user, troubleshooting questions related to experiential qualities of the hearing aid, and may receive from the user, responses to the troubleshooting questions. Based on the responses to the troubleshooting questions, the HHP server  130  may determine to provide troubleshooting advice as the at least one educational and experiential module based on the responses to the troubleshooting questions. In addition, the HHP server  130  may store troubleshooting success data of the user in databases  170 . The troubleshooting success data may be based on the responses to the troubleshooting questions, reflecting the user&#39;s success (or lack thereof) in troubleshooting. 
     At block  825 , the HHP server  130  may determine educational achievement of the user. The educational achievement may correspond to the at least one educational and experiential module and may be based on the one or more user-defined education goals. In some embodiments, the HHP server  130  may determine the educational achievement of the user by providing, to the user via the user device  110 , one or more review questions about the content of the at least one educational and experiential module, and receiving, from the user via the user device  110 , a user response to the review question. After receiving the user response, the HHP server  130  may determine if the user response is a correct response or not, and notify the user about a result of the determining. 
     In certain embodiments, the HHP server  130  may determine the educational achievement of the user based on system usage data. For example, the HHP server  130  may collect user viewing data related to the at least one educational and experiential module, and compare the user viewing data to a corresponding pre-determined threshold value. Based on a comparison result, the HHP server  130  may determine whether to send the at least one of the message to the user and the alert to a hearing healthcare provider. As an example, the user viewing data may include the data of Table 1 above (e.g., cumulative number of videos viewed within a predetermined period of time, patient use/engagement with the system over time, etc.). 
     In other embodiments, the HHP server  130  may determine the educational achievement of the user based on user feedback about a hearing aid experience. For example, the HHP server  130  may provide, to the user via the user device  110 , one or more survey questions about a hearing aid experience of the user, and may receive from the user, responses to the survey questions. The HHP server  130  may compare the survey response to corresponding pre-determined threshold values; and based on the comparison result, the HHP server  130  may determine whether to send the at least one of the message to the user and the alert to a hearing healthcare provider. 
     At block  830 , the HHP server  130  may provide a message and/or an alert based on the educational achievement. For example, the HHP server  130  may compare the user responses to correct responses, and based on a result of the comparing, determine whether to send the at least one of the message to the user and the alert to a hearing healthcare provider. As discussed above, for example, the HHP server  130  may initiate the message with the messaging tool  157 , and the messaging tool  157  may send a message to the patient via the user device  120 . Additionally or alternatively, the HHP server  130  may initiate the alert with the alerting tool  156 , and the alerting tool  156  may send a message to the HCP via the HCP device  120 . 
     In some embodiments, the HHP server  130  may provide a recommended adjustment to the hearing healthcare system  100  based on the educational achievement. Recommended adjustments may include, for example, increasing a number of visits with the HCP, changing frequency or volume settings on the hearing aid, receiving redundant education via another medium (e.g., hands-on demonstrations, etc.), etc. 
     Additionally, the HHP server  130  may collect system usage data, which include measurements of the usage of the hearing aid system by the user and usage of at least one specific feature of the hearing aid system related to the at least one educational and experiential module. The HHP server  130  may compare the collected system usage data to a corresponding set of threshold values, and based on the comparison result, the HHP server  130  may determine whether to send the at least one of the message to the user and the alert to a hearing healthcare provider. The system usage data includes at least one of a number of times the hearing aid system is accessed by the user, a number of specific features of the hearing aid system are used by the user, and a number of specific features of the hearing aid system used within a predetermined period of time. 
     Further, the HHP server  130  may provide one or more reports to the user and/or the HCP. The reports may be transmitted from the HHP server  130  to the user device  110  and/or from the HHP server  130  to the HCP device  120 . The one or more reports may include a summary or presentation of the user system usage data, system viewing data, etc. Based on the information included in the one or more reports, the HHP server  130  may determine a recommended adjustment to the hearing healthcare system, and may provide the recommended adjustment to HCP via an alert. 
     In addition, the HHP server  130  may include a cloud communications platform configured to, upon a request from the hearing healthcare education and communication system, automatically send interactive phone messages and text messages to patients and hearing healthcare providers, and receive interactive phone messages and text messages from patients and hearing healthcare providers via the hearing healthcare education and communication system to initiate survey questionnaires. 
     The patient may also use the Intelligent Remote to change their System password. For example, when the patient navigates to the Change Password screen from the Main Menu, the Intelligent Remote will display a QWERTY keyboard and numeric keypad that allows the patient to enter their choice of a new password. The patient can also use the Intelligent Remote to activate a video conferencing service like FaceTime via the Patient-TV Portal and communicate face-to-face with the HCP. The hearing healthcare system  100  may activate this feature using the camera built into the user device  110 . This feature may be used, for example, to help resolve hearing aid problems that were not resolved by the using the Troubleshooting Guide. 
     When the patient has completed a session on the hearing healthcare system  100 , the patient can exit the hearing healthcare system  100 . For example, the user may tap the Exit button on the Intelligent Remote, or navigate to the Exit button on the Main Menu and tapping Enter. 
     In some embodiments, the hearing healthcare system  100  can award points for using each of its features (such as viewing an educational video or answer a patient daily diary question) and can post the point totals on the Patient-TV Portal and HCP website. These point totals may provide patients with an additional incentive to use the hearing healthcare system  100  and also enable HCPs to establish competitions among patients for motivational purposes. 
     In certain embodiments, the patient may give permission to a family member, friend, acquaintance, or caregiver to use the hearing healthcare system  100  to become educated on hearing aid use and care and to view patient reports on the patient TV portal. In such an embodiment, the data collected by the hearing healthcare system  100  related to hearing healthcare system  100  usage and user data entries are collected in a separate database from the patient database. In another alternative embodiment, the patient portal may be accessed by the patient on a website on a standard Internet-connected computing device. 
     In another embodiment, the patient can operate the hearing healthcare system  100  with a voice-activated Intelligent Remote. For example, this may be accomplished integrating an Amazon Fire Stick streaming device in conjunction with the Amazon Echo device and the Alexa voice-activated technology with the System app. In another embodiment, the patient can use a speech-to-text feature accessible by the Intelligent Remote to provide as alternative user interface for the navigation and operation of all features of the hearing healthcare system  100 . In another alternative embodiment, the patient can access selected social media sites to communicate with other people with hearing loss who are using hearing aids. These communications may be achieved by presenting a QWERTY keyboard on the Intelligent Remote or using the speech-to-text interface on the Intelligent Remote that is mentioned above. In some embodiments, the Patient-TV Portal may be comprised of a standard computer, laptop, tablet or other stationary or mobile computer-based device as a website a similar user interface as shown on the Patient-TV portal that is streamed to the display device  116 . 
     While example embodiments of the inventive concepts have been particularly shown and described, it will be understood by one of ordinary skill in the art that variations in form and detail may be made therein without departing from the spirit and scope of the invention.