Evolving the Management of Patient Care in the Home

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Darren Umbers (UK Sales Director, Philips Respironics) (pictured)
Darren will talk about both devices and support services Philips is offering in the UK for sleep apnoea patients. This will include CPAP devices to aid breathing and nebulizers able to report compliance. He will also talk about “back office” support for these devices. Darren will therefore pick up on the references that Steve will make to monitoring devices and treatment and cover patient support to some extent.

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Evolving the Management of Patient Care in the Home

  1. 1. Evolving the Management of Patient Care in the Home Darren Umbers, Regional Director UK and Ireland Home Healthcare Solutions 28th April 2010 “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
  2. 2. Content • Sleep, what is it? • Sleep Apnoea • Why we address the problem • Challenges • Innovative treatment support models • Questions • Conclusions and Questions “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
  3. 3. Three Pillars of Good Physical Health • Good Diet • Regular Exercise • Healthy Sleep “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
  4. 4. • Sleep Disorders are common in the general public and contribute to impairment of academic and occupational performance, increased risk of accidents, disturbances of mood and social interaction. • Sleep disorders may lead to or exacerbate medical and psychiatric conditions. • Sleep disorders are common • Sleep disorders are serious • Sleep disorders are treatable • Sleep disorders are under diagnosed “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  5. 5. Sleep Terminology Definition of OSA OSA (Obstructive Sleep Apnoea) occurs when the upper airway repeatedly collapses during sleep, causing cessation of breathing (apnoea) or inadequate breathing (hyperpnoea) and sleep fragmentation. “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  6. 6. Sleep Terminology Obstructive Sleep Apnea Normal Airway Obstructed Airway “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  7. 7. What is obstructive sleep apnoea? Thus obstructive sleep apnoea syndrome is:- Airway incompetence brought on by sleep Recurrent brief arousal from sleep to clear the airway Markedly fragmented sleep throughout the night Daytime consequences of sleep fragmentation, mainly excessive daytime sleepiness “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  8. 8. Overnight (8 hours) oxygen saturation levels (oximetry) in OSA: >400 dips/apnoeas in total Beginning of night 1st hr 2nd hr 3rd hr End of night 8th hr 60 minutes “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  9. 9. Symptoms Nocturnal Daytime Cyclical silence and loud snoring Excessive daytime sleepiness Choking Morning headaches Restless sleep Unrefreshing sleep Nocturia Memory impairment Sweating Increased risk of accidents Reduced libido Impaired cognitive function Associated hypertension Polycythaemia Heart failure “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  10. 10. Arterial blood pressure during OSA Recurrent dips with Rise with every obstructed breath every arousal “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  11. 11. Effects of OSA • Systemic hypertension • Cardiac Function • Ischaemic Heart Disease • Cardiac Arrhythmias • Cerebrovascular Disease • Pulmonary Hypertension • Psychological • Endocrine • Renal • Cognitive • Mortality “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  12. 12. Obesity Trends* Among U.S. Adults BRFSS, 1985 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) Behavioural Risk Factor Surveillance  No Data <10% 10%–14% System “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  13. 13. Obesity Trends* Among U.S. Adults BRFSS, 1986 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  14. 14. Obesity Trends* Among U.S. Adults BRFSS, 1987 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  15. 15. Obesity Trends* Among U.S. Adults BRFSS, 1988 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  16. 16. Obesity Trends* Among U.S. Adults BRFSS, 1989 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  17. 17. Obesity Trends* Among U.S. Adults BRFSS, 1990 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  18. 18. Obesity Trends* Among U.S. Adults BRFSS, 1991 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  19. 19. Obesity Trends* Among U.S. Adults BRFSS, 1992 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  20. 20. Obesity Trends* Among U.S. Adults BRFSS, 1993 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  21. 21. Obesity Trends* Among U.S. Adults BRFSS, 1994 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  22. 22. Obesity Trends* Among U.S. Adults BRFSS, 1995 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14 15%–19% “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  23. 23. Obesity Trends* Among U.S. Adults BRFSS, 1996 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  24. 24. Obesity Trends* Among U.S. Adults BRFSS, 1997 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  25. 25. Obesity Trends* Among U.S. Adults BRFSS, 1998 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  26. 26. Obesity Trends* Among U.S. Adults BRFSS, 1999 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  27. 27. Obesity Trends* Among U.S. Adults BRFSS, 2000 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  28. 28. Obesity Trends* Among U.S. Adults BRFSS, 2001 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25% “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  29. 29. Obesity Trends* Among U.S. Adults BRFSS, 2002 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25% “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Darren Umbers 28 April 2010 Cambridge Health Network Talk
  30. 30. Obesity* Trends Among U.S. Adults BRFSS, 2003 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25% “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
  31. 31. Obesity* Trends Among U.S. Adults BRFSS, 2004 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25% “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
  32. 32. The USA “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Darren Umbers 28 April 2010 Cambridge Health Network Talk
  33. 33. Key facts about obesity in England • The four most common problems linked to obesity: – Heart disease – Type 2 diabetes – High blood pressure – Osteoarthritis • 1 in 5 adults is obese • The number has trebled over the last 20 years • Nearly two thirds of men and over half of women are overweight or obese Tackling Obesity in England :REPORT BY THE COMPTROLLER AND AUDITOR GENERAL 2004 “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
  34. 34. OSA - Why should we be addressing the problem? • As society faces an obesity ‘epidemic’ with more and more of the population becoming obese, the link between OSA and obesity is also highlighted. • If current trends continue, at least half the population will be obese by 2032. In less than 15 years, 86 per cent of men will be overweight, and 70 per cent of women will reach the same level of obesity in 20 years time*. • About 1 in 25 men and 1 in 50 women are affected by OSA • 80% of OSA sufferers who should be receiving CPAP have either not been diagnosed or have not received treatment. * T. Marsh, Associate Director, National Heart Forum “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
  35. 35. Why should we be addressing the problem cont… • OSA is associated with an increased risk for: • Type II diabetes • High blood pressure • Heart disease and heart attack • Stroke • Fatigue-related motor vehicle and work accidents • Decreased quality of life • NICE Endorsed “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
  36. 36. OSA causes more accidents OSA patients have more accidents than non-OSA patients. HGV OSA drivers have twice as many accidents (Stoohs, 1994) 16%-20% of all RTA’s are sleepiness related (Horne, 1995) Twice as likely to have an accident and have more accidents than non-OSA patients (Barbe, 1998) 6 times more likely to have an accident (Masa,2000) “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
  37. 37. Principles of nCPAP • Continuous positive pressure • Nasal mask • Pneumatic splint • Prevents collapse of upper airway • Moderate - severe SAHS • NICE Endorsed “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  38. 38. Therapy Objectives • Abolish abnormalities • Restore normal sleep • Relief of nocturnal & daytime symptoms • Improve comfort • Optimal compliance “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  39. 39. Resource and service management • Staffing • CPAP Service Staffing per 1000 patients on nasal CPAP – Nurses / physiologists • CPAP induction • CPAP titration • CPAP Clinic review • CPAP problems / maintenance • Patient support / advice • 1.3 WTE – Secretarial • Phone calls • Clinic letters • Booking CPAP patients • 0.2 WTE “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  40. 40. Review • Compliance • Problems • Benefits • Changes • Equipment • Consumables • Internal / external “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  41. 41. Resource and service management – Technical support • Sleep studies • Ordering • Replacement parts • Replacement machines • Loan machines • 0.3 WTE – Medical engineering • New equipment evaluation • Electrical safety testing • Machine faults / repairs • 0.3 WTE “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  42. 42. Resource and service management • Finance – Pay costs – Non-pay • Overheads / rooms etc. • Equipment – Machine costs – Disposables (mask/tubing etc.) – Accessories (Humidification) “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  43. 43. Who provides the service? • Respiratory • Cardiology • ENT • Neurology • Anaesthetics • Psychiatry • NHS based mainly • Room for service innovation?? “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Sector, MMMM dd, yyyy, Reference
  44. 44. Conclusions • Treatment of OSA is cheap, and produces large increases in quality of life for the rest of the patient’s normal life span • Large predicted savings in other health costs, and accident costs. • Patients need to remain on treatment to derive such benefits • There is a large unmet need to treat these individuals with OSA • Treatment of OSA represents much better value for money than many interventions currently funded “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
  45. 45. The Bottleneck • Hospitals and Private Practices establish Sleep Laboratories in order to treat patients. • Government introduces NICE Guidelines in order to provide treatment recommendations. • UK NHS Sleep Services limited Capacity • Awareness rising • Estimated 1 Million untreated patients “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
  46. 46. Quote From NHS Sleep Forum: ‘We are a long way short of meeting what will probably be an increase in demand. Even if the demand is static, we are actually not doing very well at the moment.’ “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Darren Umbers 28 April 2010 Cambridge Health Network Talk
  47. 47. Forum Conclusions • Funding of services is an issue • Difficulty meeting increasing demand • Non-Clinical administration increasing • Compliance rarely being monitored “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Darren Umbers 28 April 2010 Cambridge Health Network Talk
  48. 48. What is MOST? Patient Support and Management of Sleep Therapy “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
  49. 49. Protocols: • Defined service protocols • Comprehensive patient follow up • Robust troubleshooting guides • Compliance upload and interpretation • Full audit trail and patient recording “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Darren Umbers 28 April 2010 Cambridge Health Network Talk
  50. 50. MOST • MOST was designed to work hand in hand with hospitals, PCT’s and Private Practice establishments in order to effectively manage patients in the following areas: • Diagnosis • Treatment • Follow up • MOST works closely with clinicians, nurses, technicians and other members of staff to ensure patients receive the best possible therapy. “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
  51. 51. MOST Objectives • Achieve adherence to and compliance with therapy • Supporting patient and partner to achieve best outcomes • Pro-active management and timely troubleshooting avoids failures • Ensuring the earliest resolution of symptoms (DVLA, return to work, quality of life) * • Robust data collection, validation and reporting • Acknowledging and respecting the need of the INDIVIDUAL • Service integrity - Clinician confidence “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
  52. 52. Clinician Information • MOST Net. • Window on the patient for Clinicians • Patient data can be accessed via a secure internet site. • Clinicians provided with user name and password. • Patient notes reveal: • a comprehensive trail of interactions • Compliance data and reports for review • Notes, comments and troubleshooting advice “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
  53. 53. MOST Net “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
  54. 54. Patient Pathway MOST provides customer with patient information form . Patient and clinician fill out prescription form along with confidentiality agreement Form sent to Philips Respironics Philips Respironics contacts patient Therapy commences The real work begins! “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
  55. 55. Respironics UK Resources • Dedicated experienced Sleep Support Team providing support, help and advice • Five RPSGT Qualified team members available to help • Onsite training by qualified clinical trainers for staff and patient groups “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
  56. 56. In Summary • Manage patients needs • Check and monitor compliance • Fixed costs with no capital outlay • Allow more time for clinics “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Darren Umbers 28 April 2010 Cambridge Health Network Talk
  57. 57. Who we currently work with…. • Private Practices. • Companies e.g.. haulage firms. • Self referred patients. • Some of the biggest NHS Trusts in the UK. “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
  58. 58. Continued Innovation • New Sleep platform with embedded TC65i Cinterion Wireless Module •Allows wireless, 2 way communication between CPAP to care provider •Wireless LAN or Mobile phone network comms •Live real time data allow therapy adjustment •Greater standard of care •Reduced hospitalisation •Won “Best embedded end to end service award” at GSMA Embedded Mobile Competition 2010 (Communications sector award) “This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.” Confidential Darren Umbers 28 April 2010 Cambridge Health Network Talk
  59. 59. Your Questions.......

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