1. The Emerging Role of the
Clinical Sleep Educator
BRPT SYMPOSIUM
RENO, NV
SEPTEMBER 21, 2012
EDWARD GRANDI, EXECUTIVE DIRECTOR
AMERICAN SLEEP APNEA ASSOCIATION

2. Agenda
 Context
 Impending Reality
 1
 2
 3?
 Diagnosis and Treatment of OSA
 Two Directions

3. Conflict of Interest Disclosure
 None

4. Context
ACCP meeting in Washington March 7, 2008

5. The Impending Reality I
Quotation of the Day: "We have a shortage of
every kind of doctor, except for plastic
surgeons and dermatologists. We’ll have a
5,000-physician shortage in 10 years, no
matter what anybody does." - Dr. G. Richard
Olds, the dean of a new medical school at the
University of California, Riverside.
http://www.nytimes.com/2012/07/29/health/policy/too-few-doctors-in-
many-us-communities.html

6. The Impending Reality II

7. Impending Reality III ?
Patient Protection and Affordable Care Act
aka… PPACA, ACA, Obamacare, or Public Law 111-148
One important area of focus –
Prevention and Wellness

8. Diagnosis and Treatment of OSA
When written in Chinese the word crisis is
composed of two characters.
One represents danger, and the other
represents opportunity

9. Two Directions
 Expanded responsibility within Sleep Medicine
 Bringing Sleep Medicine to Primary Care

10. 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

11. 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

12. Evolution or Revolution?

13. Crisis = Danger + Opportunity