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TeleSleep Home Sleep Apnea Testing Program

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Utilization of home sleep apnea testing (HSAT) to diagnose sleep apnea is rapidly increasing to better meet demand for Veteran evaluation of suspected OSA (Obstructive Sleep Apnea). HSAT( Home Sleep Apnea Testing) is considered a best practice and is supported by the Office of Specialty Care Services, Telehealth Service, and Office of Veteran Access to Care. Home Sleep Apnea Testing is sharply increasing to meet Veteran demands. Implementation of a home sleep apnea testing program has become an intragal part of the Sleep Medicine Program Office as a way to address access issues. Implementation of a home sleep testing program bring many beneifts to sleep programs such as reduced costs over Community Care and Veteran travel. It also opens opportunities to partner with another VA through inter and intrafacility agreements for scoring and interpretation.

Origin:

April 2017, San Francisco VA Medical Center

Adoptions:

1 successful

Partners:

Office of Rural Health, Quality Enhancement Research Initiative

Tags:

COVID-19 Telehealth
Contact Team

Overview

Problem

Solution

Results

Diffusion tracker

Does not include Clinical Resource Hubs (CRH)

Statuses

CA: San Francisco VA Medical Center (San Francisco)

There are no in-progress adoptions for this innovation.

There are no unsuccessful adoptions for this innovation.

Implementation

Timeline

  • Month 1
    IT, ISO, BioMed Approvals
  • Month 1
    BioMed set up of a sleep testing server
  • Month 2-3
    Establish Sleep program inventory tracker
  • Month 2-4
    Clinic set up for home testing device issuance, as well as S&F data upload and interpretation
  • Month 2-6
    Training of sleep staff on workflow process
  • Month1, 3, and 6
    First patient matriculation with review of outcomes and identification of barriers and successes at 1, 3 and 6mo.

Departments

  • Biomed
  • Purchasing and supplies
  • Information technology
  • Information management

Risks and mitigations

Risk Mitigation
BioMed/IT approvals Meet early on with BioMed/IT prior to the procurement of devices to discuss the implementation needs and to obtain their approvals.
Proper Clinic Set-up Ensure correct stop codes are set-up and being used according to the facility workflow and that proper documentation will be performed.

Contact

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About

Origin story

Home sleep apnea testing has long-been used by sleep programs in VA. Efforts to increase adoption of HSAT began in 2014 and enjoyed widespread growth in adoption as VA's Sleep Medicine Community began to come together. In FY17 and FY18, the ORH TeleSleep program received $6m in funding from ORH to purchase and distribute sleep testing recorders to 54 VAMCs, ... Home sleep apnea testing has long-been used by sleep programs in VA. Efforts to increase adoption of HSAT began in 2014 and enjoyed widespread growth in adoption as VA's Sleep Medicine Community began to come together. In FY17 and FY18, the ORH TeleSleep program received $6m in funding from ORH to purchase and distribute sleep testing recorders to 54 VAMCs, further expanding access to diagnostic testing for Veterans with suspected sleep apnea.

Original team

Jill Reichert

TeleSleep Program Manager

Local Sleep Medicine employees/Equipment Vendors

Search tags

COVID-19 Telehealth