“Where Do I Fit In” The Role of The Sleep Tech in The Future of Health Care
Conflict of Interest Disclosure
None
Objectives
Where are we now
Where could we go
Evolution or Revolution
Sleep is a Reality!
Sleep(Apnea)Medicine
HST/OCT
Pre-Authorization
In Lab PSG
CPAP
BiPAP
APAP
4/70/90 Day Rule
4% vs. 3%
Competitive Bidding
Stark Law
ASV
DME
With Arousals ?
Healthcare is evolving
Patient Protection and Affordable Care Act
aka… PPACA, ACA, Obamacare, or Public Law 111-148
One important area of focus –
Prevention and Wellness
An estimated 50-70 million US adults have sleep or wakefulness disorder1. Notably, snoring is a major indicator of obstructive sleep apnea.
Map of Sleep Insufficiency
Two Directions?
Expanded responsibility within Sleep Medicine
Bringing Sleep Medicine to Primary Care
Expanded Responsibility Within Sleep Medicine
Pre-testing Opportunities◦ Education/Awareness◦ Screening
Post-testing Opportunities◦ Helping with understanding the test results◦ Mask Fitting
Ongoing Opportunities◦ Follow-up◦ Support◦ Community Outreach/Education
Bringing Sleep Medicine to Primary Care
Within the Patient-Centered Medical Home◦ Sleep health education (Patient Resource)
◦ Screening
◦ Recommending to physician patient be referred
◦ Post test follow-up and Support
As a part of a Community Health Team◦ Public education
◦ Screening
◦ Follow-up and Support
Evolution or Revolution?
Credential!!!!
Crisis
= Danger + Opportunity
