Cochlear implants (CIs) are an effective intervention for individuals with severe-to-profound sensorineural hearing loss. Currently, no tuning procedure exists that can fully exploit the technology. We propose online unsupervised algorithms to learn features from the speech of a severely-to-profoundly hearing-impaired patient round-the-clock and compare the features to those learned from the normal hearing population using a set of neurophysiological metrics. Experimental results are presented. The information from comparison can be exploited to modify the signal processing in a patient’s CI to enhance his audibility of speech.