Delivering new models of care through large-scale digital solutions Day One, Pop-up University 7, 15.00

1. Can NHS improve a model
of care and reduce costs
at the same time?

2. 2
What will be improved:
• Patient experience
• Eliminate waiting time
• Outcome of underlying diseases
• Long-term cost reduction

3. 3
We get all that and also
Save immediately
Over 50%
On diagnostic costs

4. 4
What am I talking about?
Normal Breathing
Airway is open, Air flows freely to lungs
Obstructive Sleep Apnoea (OSA)

5. 5
Obstructive Sleep Apnoea (OSA)
Airway collapses, Blocked air flow to lungs

6. 6
Prevalence
•~25% of adult population*
•~1.5 million in the UK**
•~1.2 million undiagnosed**
*American Academy of Sleep Medicine
** British Lung Foundation

7. 7
OSA diagnosis – Current model of care
Sleep study:
• Polysomnography
• Home sleep test
Patient complains:
• Snoring
• Fatigue
Visits the GP
• Referred to a
sleep centre.

8. 8
Current model of care weaknesses
1. Limited – Only sleep related symptoms
2. Comorbidity – completely ignored
3. Waiting time - around 10 weeks
4. Expensive - £130- £220 per test

9. 9
Significant Comorbidity
• Source: Seet & Chung, Anestsiology Clin 2010
83%
76%
72%
63%
59%
58%
57%
49%
45%
Drug resistant hypertension
Congestive heart failure
Diabetes typ 2
Stroke
Pacemakers
Arrhythmias
Coronary heart disease
Atrial fibrillation
Depression
Obstructive Sleep Apnea comorbidity
e

10. 10
Atrial Fibrillation & OSA
Treating OSA & AF patients with CPAP:
• Reduce risk of AF reoccurrence by 42%**
• Over 40% chance of preventing the need for ablation**
*Source: Seet & Chung, Anestsiology Clin 2010
**Chinitz et al. JACC: Clinical Electropisiology, 2015 Vol.1 No1-2
*** Fein, Anter, Josephson et al. JACC, July 2013

11. 11
A Better Way to Diagnose Sleep Apnea
Requires background in sleep
Standard home sleep study
Limited output
No background in sleep
WatchPAT™
Comprehensive output

12. 12
Normal Blood
Flow
PAT Signal
The physiology concept (1)

13. 13
Constricted
Artery
The physiology concept(2)
PAT Signal

14. 14
As accurate as PSG
Apnea Hypopnea Index correlation - 88.9% *
“this technology represent a viable alternative to PSG for confirmation of
clinically suspected sleep apnea”
* Yalamanchali et al, JAMA Otolaryngol Head Neck Surg
doi:10.1001/jamaoto.2013.5338

15. 15
Power to the GP
Screening
questionnaire
Only £60 per test!

16. 16
Automatic report

17. 17
Deploying WatchPAT in GP clinics:
Long term saving – Comorbidities
Eliminate waiting time
Improve patient experience

18. 18
And…
saving
Over 50%
www.itamar-medical.com