Transcript
Can NHS improve a model of care and reduce costs at the same time?Yes it c
an!
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What will be improved:
• Patient experience
• Eliminate waiting time
• Outcome of underlying diseases
• Long-term cost reduction
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We get all that and also
Save immediately
Over 50%On diagnostic costs
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What am I talking about?
Normal BreathingAirway is open, Air flows freely to lungs
Obstructive Sleep Apnoea (OSA)
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Obstructive Sleep Apnoea (OSA)
Airway collapses, Blocked air flow to lungs
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Prevalence
•~25% of adult population*
•~1.5 million in the UK**
•~1.2 million undiagnosed**
*American Academy of Sleep Medicine** British Lung Foundation
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OSA diagnosis – Current model of care
Sleep study:• Polysomnography• Home sleep test
Patient complains:• Snoring• Fatigue
Visits the GP• Referred to a
sleep centre.
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Current model of care weaknesses
1. Limited – Only sleep related symptoms
2. Comorbidity – completely ignored
3. Waiting time - around 10 weeks
4. Expensive - £130- £220 per test
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Significant Comorbidity
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• Source: Seet & Chung, Anestsiology Clin 2010
Drug resistant hypertension
Congestive heart failure
Diabetes typ 2
Stroke
Pacemakers
Arrhythmias
Coronary heart disease
Atrial fibrillation
Depression
83%
76%
72%
63%
59%
58%
57%
49%
45%
Obstructive Sleep Apnea comorbidity
e
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Atrial Fibrillation & OSA
Treating OSA & AF patients with CPAP:
• Reduce risk of AF reoccurrence by 42%**
• Over 40% chance of preventing the need for ablation**
*Source: Seet & Chung, Anestsiology Clin 2010**Chinitz et al. JACC: Clinical Electropisiology, 2015 Vol.1 No1-2*** Fein, Anter, Josephson et al. JACC, July 2013
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A Better Way to Diagnose Sleep Apnea
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Requires background in sleep
Standard home sleep study
Limited output
No background in sleep
WatchPAT™
Comprehensive output
12Normal Blood
Flow PAT Signal
The physiology concept (1)
13Constricted
Artery
The physiology concept(2)
PAT Signal
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As accurate as PSG
Apnea Hypopnea Index correlation - 88.9% *
“this technology represent a viable alternative to PSG for confirmation of
clinically suspected sleep apnea”
* Yalamanchali et al, JAMA Otolaryngol Head Neck Surg doi:10.1001/jamaoto.2013.5338
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Power to the GP
Screening questionnaire
Only £60 per test!
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Automatic report
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Deploying WatchPAT in GP clinics:
Long term saving – Comorbidities
Eliminate waiting time
Improve patient experience
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And…
saving
Over 50%www.itamar-medical.com
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