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1162 Financial Savings and Improved Outcomes from an Innovative, Integrated Sleep Apnea Management Program for a Safety Net Population: 5-Year Results

Sleep (New York, N.Y.), 2020-05, Vol.43 (Supplement_1), p.A444-A444 [Peer Reviewed Journal]

Sleep Research Society 2020. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please e-mail journals.permissions@oup.com. 2020 ;Sleep Research Society 2020. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please e-mail journals.permissions@oup.com. ;ISSN: 0161-8105 ;EISSN: 1550-9109 ;DOI: 10.1093/sleep/zsaa056.1156

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  • Title:
    1162 Financial Savings and Improved Outcomes from an Innovative, Integrated Sleep Apnea Management Program for a Safety Net Population: 5-Year Results
  • Author: Lim, M S
  • Subjects: Cost control ; Sleep apnea
  • Is Part Of: Sleep (New York, N.Y.), 2020-05, Vol.43 (Supplement_1), p.A444-A444
  • Description: Abstract Introduction Sleep disorders are extremely common in the general population and are associated with an increased risk for fatal accidents, heart disease, stroke, neurocognitive decline, and diabetes. Sleep problems disproportionately affect socioeconomically disadvantaged and under resourced communities. We present here a 5-year analysis of a private-public partnership between a private sleep medicine practice (Redwood Pulmonary Medical Associates, RPMA) and county medical system (the Health Plan of San Mateo) to provide a coordinated, value-based sleep apnea program to adult residents of San Mateo County, CA. Methods Referring providers send referrals to a single location (RPMA), and sleep consultations, testing, follow-up care, and CPAP management occur out of the same location by a dedicated staff. Limited channel cardiopulmonary (CP) sleep testing initiated in the office and completed at home was done for most patients. Patients with AHI>5 plus daytime sleepiness were offered nasal CPAP, unlimited mask fittings, and compliance checks. Results 2101 CP tests were successfully completed (93.5%). There were 49.6% females and 50.4% males, with an average age of 51.6 years. 31% had severe obstructive sleep apnea (OSA) and 59% were moderate or severe. 1471 (65%) of patients were given prescriptions for CPAP and 471 (32%) were still using CPAP at 5 years, 68.7% of whom were initiated within 3 years of the analysis. Of the patients returning satisfaction surveys, 97% would recommend the program to a relative or friend, and all respondents (99 to date) who were using CPAP felt it had benefitted their health overall. Comparing actual costs of the program to projected fee-for-service costs for the same services, the program saved the Health Plan of San Mateo $1,132,510, or 51.4%. Conclusion This program demonstrates the potential clinical and financial benefit of private-public partnerships in administering clinical programs to high risk populations, as private businesses can quickly adapt to new technologies, financial metrics, and standards of care. Support No outside financial support was provided
  • Publisher: US: Oxford University Press
  • Language: English
  • Identifier: ISSN: 0161-8105
    EISSN: 1550-9109
    DOI: 10.1093/sleep/zsaa056.1156
  • Source: ProQuest One Psychology
    AUTh Library subscriptions: ProQuest Central
    Alma/SFX Local Collection
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