An Evidence Based Delivery Model of Care for Newly Implanted Adult CI Recipients

Inclusion Criteria: * Patients who are receiving a Nucleus® CI512, CI522, or CI532 electrodes * 18 years and older * Postlingual onset of hearing loss (onset of hearing loss \>two years of age) * Individuals who qualify for cochlear implantation using the clinics current CI candidacy criteria * Individuals who have recently been implanted but not yet had their external device activated * Willingness to participate in a study and comply with all study requirements * Fluent in spoken English Exclusion Criteria: * Ossification or any other cochlear anomaly that might prevent insertion of less than 10 electrodes of the electrode array * Diagnosis of retro-cochlear pathology * Diagnosis of auditory neuropathy * Subject considering an acoustic component in the implanted ear * Unrealistic expectations on the part of the subject regarding the possible benefits, risks, and limitations that are inherent to the surgical procedure and use of the prosthetic device * Unwillingness or inability to comply with all investigational requirements * Severe-profound sensorineural hearing loss \>30 years * Previous cochlear implant in the contralateral ear. Additional cognitive, medical or social handicaps that would prevent completion of all study requirements as determined by the investigator