The Business of Providing Care for Obstructive Sleep

ApneaSleep Treatment Specialists

Director: Bradley Eli, D.M.D.,M.S.

Respiratory Therapist: George Lannon, R.R.T., R.C.T.

Certified Health Coach: Robin Forbes, MA

Sleep and Wellness 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. Current Treatment options

• Treatment Specialty – Born of the rapid expansion of Treatment options

• Treatment Specialist = Post Doctoral Training in the field / Cross trained / Multidisciplinary program.

Sleep Treatment PartnersSleep Treatment Specialists

• Comprehensive Evaluation and Delivery of All Non-Surgical Treatment Options for OSA.

• CHAP Accreditation

• Only Provider and Organization within the Western US with Medicare / CHAP / True Multidisciplinary Plan of Treatment and Disease Management

Continuity of Treatment• 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 Can Treat Your Patients Who 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

Thank You – American Sleep and Breathing Academy

Bradley Eli, DMD, MSSpecialist, Treatment of Sleep Disordered Breathing

Board Certified, ASBA, Dental Division

http://www.sleeptreatmentspecialists.com