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Darren Umbers (UK Sales Director, Philips Respironics) (pictured)Darren will talk about both devices and support services Philips is offering in the UK for sleep apnoea patients. This will include CPAP devices to aid breathing and nebulizers able to report compliance. He will also talk about “back office” support for these devices. Darren will therefore pick up on the references that Steve will make to monitoring devices and treatment and cover patient support to some extent.
Citation preview
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Darren Umbers, Regional Director UK and IrelandHome Healthcare Solutions28th April 2010
Evolving the Management of Patient Care in the Home
Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Content
• Sleep, what is it?• Sleep Apnoea• Why we address the problem• Challenges• Innovative treatment support models• Questions• Conclusions and Questions
Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Three Pillars of Good Physical Health
• Good Diet• Regular Exercise• Healthy Sleep
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
• Sleep Disorders are common in the general public and contribute to impairment of academic and occupational performance, increased risk of accidents, disturbances of mood and social interaction.
• Sleep disorders may lead to or exacerbate medical and psychiatric conditions.
• Sleep disorders are common
• Sleep disorders are serious
• Sleep disorders are treatable
• Sleep disorders are under diagnosed
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Sleep TerminologyDefinition of OSA
OSA (Obstructive Sleep Apnoea) occurs when the upper airway repeatedly collapses during sleep, causing cessation of breathing (apnoea) or inadequate breathing (hyperpnoea) and sleep fragmentation.
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Sleep TerminologyObstructive Sleep Apnea
Normal Airway Obstructed Airway
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
What is obstructive sleep apnoea?Thus obstructive sleep apnoea syndrome is:-
Airway incompetence brought on by sleep
Recurrent brief arousal from sleep to clear the airway
Markedly fragmented sleep throughout the night
Daytime consequences of sleep fragmentation, mainly excessive daytime sleepiness
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Overnight (8 hours) oxygen saturation levels (oximetry) in OSA: >400 dips/apnoeas in total
Beginning of night
1st hr
2nd
hr
8th hr
End of night
60 minutes
3rd hr
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
SymptomsNocturnal Daytime
Cyclical silence and loud snoring Excessive daytime sleepiness
Choking Morning headaches
Restless sleep Unrefreshing sleep
Nocturia Memory impairment
Sweating Increased risk of accidents
Reduced libido Impaired cognitive function
Associated hypertension
Polycythaemia
Heart failure
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Arterial blood pressure during OSA
Rise with every arousal
Recurrent dips with every obstructed breath
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Effects of OSA
• Systemic hypertension• Cardiac Function• Ischaemic Heart Disease• Cardiac Arrhythmias• Cerebrovascular Disease• Pulmonary Hypertension• Psychological• Endocrine• Renal• Cognitive• Mortality
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Obesity Trends* Among U.S. AdultsBRFSS, 1985
No Data <10% 10%–14%
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
Behavioural Risk Factor Surveillance System
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Obesity Trends* Among U.S. AdultsBRFSS, 1986
No Data <10% 10%–14%
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Obesity Trends* Among U.S. AdultsBRFSS, 1987
No Data <10% 10%–14%
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Obesity Trends* Among U.S. AdultsBRFSS, 1988
No Data <10% 10%–14%
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Obesity Trends* Among U.S. AdultsBRFSS, 1989
No Data <10% 10%–14%
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Obesity Trends* Among U.S. AdultsBRFSS, 1990
No Data <10% 10%–14%
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Obesity Trends* Among U.S. AdultsBRFSS, 1991
No Data <10% 10%–14% 15%–19%
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Obesity Trends* Among U.S. AdultsBRFSS, 1992
No Data <10% 10%–14% 15%–19%
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Obesity Trends* Among U.S. AdultsBRFSS, 1993
No Data <10% 10%–14% 15%–19%
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Obesity Trends* Among U.S. AdultsBRFSS, 1994
No Data <10% 10%–14% 15%–19%
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Obesity Trends* Among U.S. AdultsBRFSS, 1995
No Data <10% 10%–14 15%–19%
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Obesity Trends* Among U.S. AdultsBRFSS, 1996
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Obesity Trends* Among U.S. AdultsBRFSS, 1997
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24%
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Obesity Trends* Among U.S. AdultsBRFSS, 1998
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24%
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Obesity Trends* Among U.S. AdultsBRFSS, 1999
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24%
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Obesity Trends* Among U.S. AdultsBRFSS, 2000
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24%
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Obesity Trends* Among U.S. AdultsBRFSS, 2001
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
Confidential Darren Umbers 28 April 2010 Cambridge Health Network Talk
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
Obesity Trends* Among U.S. AdultsBRFSS, 2002
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Obesity* Trends Among U.S. AdultsBRFSS, 2003
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Obesity* Trends Among U.S. AdultsBRFSS, 2004
No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)
Confidential Darren Umbers 28 April 2010 Cambridge Health Network Talk
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
The USA
Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Tackling Obesity in England :REPORT BY THE COMPTROLLER AND AUDITOR GENERAL 2004
Key facts about obesity in England
• The four most common problems linked to obesity:– Heart disease– Type 2 diabetes– High blood pressure– Osteoarthritis
• 1 in 5 adults is obese• The number has trebled over the last 20 years• Nearly two thirds of men and over half of women are
overweight or obese
Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
OSA - Why should we be addressing the problem?• As society faces an obesity ‘epidemic’ with more and more of the
population becoming obese, the link between OSA and obesity is also highlighted.
• If current trends continue, at least half the population will be obese by 2032. In less than 15 years, 86 per cent of men will be overweight, and 70 per cent of women will reach the same level of obesity in 20 years time*.
• About 1 in 25 men and 1 in 50 women are affected by OSA • 80% of OSA sufferers who should be receiving CPAP have either not
been diagnosed or have not received treatment.* T. Marsh, Associate Director, National Heart Forum
Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Why should we be addressing the problem cont…• OSA is associated with an increased risk for:• Type II diabetes• High blood pressure• Heart disease and heart attack• Stroke• Fatigue-related motor vehicle and work accidents• Decreased quality of life• NICE Endorsed
Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
OSA causes more accidents
OSA patients have more accidents than non-OSA patients.
HGV OSA drivers have twice as many accidents (Stoohs, 1994)
16%-20% of all RTA’s are sleepiness related (Horne, 1995)
Twice as likely to have an accident and have more accidents than non-OSA patients (Barbe, 1998)
6 times more likely to have an accident (Masa,2000)
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Principles of nCPAP
• Continuous positive pressure
• Nasal mask
• Pneumatic splint
• Prevents collapse of upper airway
• Moderate - severe SAHS
• NICE Endorsed
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Therapy Objectives
• Abolish abnormalities
• Restore normal sleep
• Relief of nocturnal & daytime
symptoms
• Improve comfort
• Optimal compliance
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Resource and service management• Staffing
• CPAP Service Staffing per 1000 patients on nasal CPAP
– Nurses / physiologists• CPAP induction • CPAP titration• CPAP Clinic review• CPAP problems / maintenance• Patient support / advice• 1.3 WTE
– Secretarial • Phone calls • Clinic letters• Booking CPAP patients• 0.2 WTE
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Review
• Compliance
• Problems
• Benefits
• Changes
• Equipment
• Consumables
• Internal / external
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Resource and service management
– Technical support• Sleep studies• Ordering• Replacement parts• Replacement machines • Loan machines• 0.3 WTE
– Medical engineering• New equipment evaluation• Electrical safety testing• Machine faults / repairs• 0.3 WTE
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Resource and service management• Finance
– Pay costs– Non-pay
• Overheads / rooms etc.
• Equipment– Machine costs – Disposables (mask/tubing
etc.)– Accessories
(Humidification)
Confidential Sector, MMMM dd, yyyy, Reference
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Who provides the service?
• Respiratory
• Cardiology
• ENT
• Neurology
• Anaesthetics
• Psychiatry
• NHS based mainly
• Room for service innovation??
Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Conclusions
• Treatment of OSA is cheap, and produces large increases in quality of life for the rest of the patient’s normal life span
• Large predicted savings in other health costs, and accident costs.
• Patients need to remain on treatment to derive such benefits
• There is a large unmet need to treat these individuals with OSA
• Treatment of OSA represents much better value for money than many interventions currently funded
Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
The Bottleneck
• Hospitals and Private Practices establish Sleep Laboratories in order to treat patients.
• Government introduces NICE Guidelines in order to provide treatment recommendations.
• UK NHS Sleep Services limited Capacity• Awareness rising• Estimated 1 Million untreated patients
Confidential Darren Umbers 28 April 2010 Cambridge Health Network Talk
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
‘We are a long way short of meeting what will probably be an increase in demand. Even if the demand is static, we are actually not doing very well at the moment.’
Quote From NHS Sleep Forum:
Confidential Darren Umbers 28 April 2010 Cambridge Health Network Talk
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Forum Conclusions
• Funding of services is an issue• Difficulty meeting increasing demand• Non-Clinical administration increasing• Compliance rarely being monitored
Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
What is MOST?
Patient Support and Management of Sleep Therapy
Confidential Darren Umbers 28 April 2010 Cambridge Health Network Talk
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
• Defined service protocols• Comprehensive patient follow up• Robust troubleshooting guides• Compliance upload and interpretation• Full audit trail and patient recording
Protocols:
Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
MOST
• MOST was designed to work hand in hand with hospitals, PCT’s and Private Practice establishments in order to effectively manage patients in the following areas:
• Diagnosis • Treatment • Follow up
• MOST works closely with clinicians, nurses, technicians and other members of staff to ensure patients receive the best possible therapy.
Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
MOST Objectives
• Achieve adherence to and compliance with therapy• Supporting patient and partner to achieve best outcomes• Pro-active management and timely troubleshooting avoids
failures• Ensuring the earliest resolution of symptoms (DVLA, return
to work, quality of life) *• Robust data collection, validation and reporting• Acknowledging and respecting the need of the INDIVIDUAL• Service integrity - Clinician confidence
Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Clinician Information
• MOST Net.• Window on the patient for Clinicians• Patient data can be accessed via a secure internet site.• Clinicians provided with user name and password.• Patient notes reveal:
• a comprehensive trail of interactions• Compliance data and reports for review• Notes, comments and troubleshooting advice
Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
MOST Net
Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Patient Pathway
.
MOST provides customer with patient information form
Patient and clinician fill out prescription form along with
confidentiality agreement
Form sent to Philips Respironics
Philips Respironics contacts patient
Therapy commences
The real work begins!
Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Respironics UK Resources
• Dedicated experienced Sleep Support Team providing support, help and advice
• Five RPSGT Qualified team members available to help• Onsite training by qualified clinical trainers for staff and
patient groups
Confidential Darren Umbers 28 April 2010 Cambridge Health Network Talk
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
• Manage patients needs• Check and monitor compliance• Fixed costs with no capital outlay• Allow more time for clinics
In Summary
Confidential Darren Umbers, 28/4/10 Cambridge Network Healthcare Special Interest Group Talk
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
Who we currently work with….
• Private Practices.• Companies e.g.. haulage firms.• Self referred patients.• Some of the biggest NHS Trusts in the UK.
Confidential Darren Umbers 28 April 2010 Cambridge Health Network Talk
“This document is the confidential and proprietary information of Philips Respironics and may not be reproduced, disclosed or distributed to any other person or entity without prior permission from Philips Respironics. Philips Respironics makes no warranty of any kind with regard to this material and it is subject to change without prior notice. Any medical information is provided as a general information service only and is not intended as a substitute for advice from a registered physician or other health care professional.”
• New Sleep platform with embedded TC65i Cinterion Wireless Module•Allows wireless, 2 way communication between CPAP to care provider•Wireless LAN or Mobile phone network comms•Live real time data allow therapy adjustment•Greater standard of care•Reduced hospitalisation•Won “Best embedded end to end service award” at GSMA Embedded Mobile Competition 2010 (Communications sector award)
Continued Innovation
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