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The Business of Providing
Care for Obstructive Sleep
Apnea
SleepTreatment Specialists
Director: Bradley Eli, D.M.D.,M.S.
RespiratoryTherapist:George Lannon, R.R.T., R.C.T.
Certified Health Coach: Robin Forbes, MA
Sleep andWellness Conference 2015
Field of Sleep Disorders
•Sleep Disordered Breathing – New Field with typical
growing pains
•Diagnosis – Current pathway and rapid changes
•Treatment – Historic Pathway vs. CurrentTreatment
options
•Treatment Specialty – Born of the rapid expansion
ofTreatment options
•Treatment Specialist = Post DoctoralTraining in the
field / Cross trained / Multidisciplinary program.
SleepTreatment Partners
SleepTreatment Specialists
• Comprehensive Evaluation and Delivery of All Non-SurgicalTreatment
Options forOSA.
• CHAP Accreditation
• Only Provider and Organization within the Western US with Medicare /
CHAP /True Multidisciplinary Plan ofTreatment and Disease Management
Continuity ofTreatment
• We evaluate patient for success and are agnostic to care
• Other options can be identified
• Modification of care occurs in real time
• Patients are monitored in person for compliance
• Orders for DME contract providers are provided in a timely and direct form
• We work in harmony with equipment providers
• Associated disease states are identified
• Multiple plans of care are provided and coordinated
• Constant communication with all providers is made
• Compliance with care is confirmed
• Effectiveness of care is confirmed
• Patients are followed in a disease management model of care
We CanTreatYour PatientsWho Fail
• Suggested steps / Discussion
• Working with Hospital, Physician and Respiratory to ID patients upon intake
• Treatment consult would be completed
• Maintain monthly tracking of patients ID, treatment recommendations, care
acceptance
• Impact on quality of hospitalization, speed of recovery, re-admittance,
complications
• Improve information on disease and importance of treatment in overall health
• All patients are previously diagnosed in our care model
Our Experience
• Patients who are given a choice will comply with that choice at a much
higher rate.
• Patient CARE is the point not which type of CARE it is
• PAP non-compliance is often a function choice
Getting Started
• Find and complete good education programs
• Most current programs are taught by individuals in the field less than 5 yrs.
• Education of Staff and others on what is available
• Most programs fail as the doctor fails to engage the staff in how the process works
• Being clear as to what dentistry offers the field and what it DOES NOT
• Oral device use is NOT appropriate for all sleep disorders, “hating PAP” is not indication
• Creating teams both internally and externally
• Referral networks, Managed care programs, Medicare and other insurers
• Providing a service
• Dentistry provides a service unlike medicine. Wellness vs. Illness model of care
Closing
• Questions
• Forms and information gathering
• Examination and documentation
• Delivery of service
• Billing
• Following
ThankYou – American Sleep and BreathingAcademy
Bradley Eli, DMD, MS
Specialist,Treatment of Sleep Disordered Breathing
Board Certified, ASBA, Dental Division
http://www.sleeptreatmentspecialists.com

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The business of providing treatment for obstructive sleep apnea

  • 1. The Business of Providing Care for Obstructive Sleep Apnea SleepTreatment Specialists Director: Bradley Eli, D.M.D.,M.S. RespiratoryTherapist:George Lannon, R.R.T., R.C.T. Certified Health Coach: Robin Forbes, MA Sleep andWellness Conference 2015
  • 2. Field of Sleep Disorders •Sleep Disordered Breathing – New Field with typical growing pains •Diagnosis – Current pathway and rapid changes •Treatment – Historic Pathway vs. CurrentTreatment options •Treatment Specialty – Born of the rapid expansion ofTreatment options •Treatment Specialist = Post DoctoralTraining in the field / Cross trained / Multidisciplinary program.
  • 3. SleepTreatment Partners SleepTreatment Specialists • Comprehensive Evaluation and Delivery of All Non-SurgicalTreatment Options forOSA. • CHAP Accreditation • Only Provider and Organization within the Western US with Medicare / CHAP /True Multidisciplinary Plan ofTreatment and Disease Management
  • 4. Continuity ofTreatment • We evaluate patient for success and are agnostic to care • Other options can be identified • Modification of care occurs in real time • Patients are monitored in person for compliance • Orders for DME contract providers are provided in a timely and direct form • We work in harmony with equipment providers • Associated disease states are identified • Multiple plans of care are provided and coordinated • Constant communication with all providers is made • Compliance with care is confirmed • Effectiveness of care is confirmed • Patients are followed in a disease management model of care
  • 5. We CanTreatYour PatientsWho Fail • Suggested steps / Discussion • Working with Hospital, Physician and Respiratory to ID patients upon intake • Treatment consult would be completed • Maintain monthly tracking of patients ID, treatment recommendations, care acceptance • Impact on quality of hospitalization, speed of recovery, re-admittance, complications • Improve information on disease and importance of treatment in overall health • All patients are previously diagnosed in our care model
  • 6. Our Experience • Patients who are given a choice will comply with that choice at a much higher rate. • Patient CARE is the point not which type of CARE it is • PAP non-compliance is often a function choice
  • 7. Getting Started • Find and complete good education programs • Most current programs are taught by individuals in the field less than 5 yrs. • Education of Staff and others on what is available • Most programs fail as the doctor fails to engage the staff in how the process works • Being clear as to what dentistry offers the field and what it DOES NOT • Oral device use is NOT appropriate for all sleep disorders, “hating PAP” is not indication • Creating teams both internally and externally • Referral networks, Managed care programs, Medicare and other insurers • Providing a service • Dentistry provides a service unlike medicine. Wellness vs. Illness model of care
  • 8. Closing • Questions • Forms and information gathering • Examination and documentation • Delivery of service • Billing • Following
  • 9. ThankYou – American Sleep and BreathingAcademy Bradley Eli, DMD, MS Specialist,Treatment of Sleep Disordered Breathing Board Certified, ASBA, Dental Division http://www.sleeptreatmentspecialists.com