“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

QUESTIONS?

THANK YOU

egrandi@sleepapnea.org