winmar Newsletter spring summer 2016 - Sleep Wellness Center...2016 issue of Sleep Review Magazine,...
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SLEEP WELLNESS CENTER WINMAR DIAGNOSTICS INC. Issue 1 Sleep Wellness Center Winmar Diagnostics Inc. Spring/Summer 2016 WHEN SLEEP BECOMES A TEAM SPORT IN THIS ISSUE As the ground thaws and the grass greens we are reminded how resilient we can be. We dust off those winter blahs and welcome spring with open arms. New experiences are the spark of life and we here at Sleep Wellness Center in Fargo and Grand Forks are excited about bringing you our new newsletter to brighten your day. We are here to assist you with your patient’s sleep related needs. The newsletter will be for providers and patients. We hope you find the following articles to be informative and helpful. Enjoy! Sleep becomes a team sport When people start to experience sleeping issues big or small we would like to help resolve those issues and move them forward to a better quality of life as fast as possible. If you can sleep, you can heal. The opposite also is true, if you cannot sleep, you cannot heal. If the latter is true for you or your patient, then a cycle of unpleasant experiences begins. This cycle of broken sleep begins to affect their marriages, jobs, friend and family interactions, as well as, their health. When we don’t feel good we do not perform to the best of our abilities or desires. So, the first step toward enjoying a good night’s sleep is getting properly diagnosed. At Sleep Wellness Center, all of our sleep specialists are registered or certified in sleep technologies. We offer a comfortable, home-like atmosphere where your patients can relax and trust that our sleep experts will help you find answers to your sleep issues and relief from whatever is preventing you from getting the restful sleep you need. We have been helping patients since 1994. Get started with a referral Insurance requires your patient to have a physician’s referral to receive sleep diagnostic care and equipment just like they would for any other type of testing. The majority of patients do not need to see a special sleep doctor; all they need to do is ask you, their primary care physician, to complete a referral form for them to see one of our sleep specialists. It will not require your patient to add another doctor to their healthcare team or initiate a string of additional appointments. We’ll simply complete the diagnosis process and coordinate a treatment plan with you, their primary care physician. Referral forms are available on our website: www.sleepwellnessnd.com and click on “Resources”. Provider interests Articles to help making referring sleep studies to Sleep Wellness Center in Fargo easier. Page 1-3 Patient interests Information that will help with compliance and ease-of- use for each patient that has had a sleep study and may use a PAP device to feel better after sleeping. Page 4-5 Welcoming Spring by Stephanie Privratsky Bushee
Transcript of winmar Newsletter spring summer 2016 - Sleep Wellness Center...2016 issue of Sleep Review Magazine,...
SLEEPWELLNESSCENTERWINMARDIAGNOSTICSINC. Issue1
Sleep Wellness Center Winmar Diagnostics Inc.
Spring/Summer 2016
WHENSLEEPBECOMESATEAMSPORT INTHISISSUE
Asthegroundthawsandthegrassgreensweareremindedhowresilientwecanbe.Wedustoffthosewinterblahsandwelcomespringwithopenarms.NewexperiencesarethesparkoflifeandwehereatSleepWellnessCenterinFargoandGrandForksareexcitedaboutbringingyouournewnewslettertobrightenyourday.Weareheretoassistyouwithyourpatient’ssleeprelatedneeds.Thenewsletterwillbeforprovidersandpatients.Wehopeyoufindthefollowingarticlestobeinformativeandhelpful.Enjoy!
Sleep becomes a team sport Whenpeoplestarttoexperiencesleepingissuesbigorsmallwewouldliketohelpresolvethoseissuesandmovethemforwardtoabetterqualityoflifeasfastaspossible.Ifyoucansleep,youcanheal.Theoppositealsoistrue,ifyoucannotsleep,youcannotheal.Ifthelatteristrueforyouoryourpatient,thenacycleofunpleasantexperiencesbegins.Thiscycleofbrokensleepbeginstoaffecttheirmarriages,jobs,friendandfamilyinteractions,aswellas,theirhealth.Whenwedon’tfeelgoodwedonotperformtothebestofourabilitiesordesires.So,thefirststeptowardenjoyingagoodnight’ssleepisgettingproperlydiagnosed.AtSleepWellnessCenter,allof
oursleepspecialistsareregisteredorcertifiedinsleeptechnologies.Weofferacomfortable,home-likeatmospherewhereyourpatientscanrelaxandtrustthatoursleepexpertswillhelpyoufindanswerstoyoursleepissuesandrelieffromwhateverispreventingyoufromgettingtherestfulsleepyouneed.Wehavebeenhelpingpatientssince1994.
Get started with a referral Insurancerequiresyourpatienttohaveaphysician’sreferraltoreceivesleepdiagnosticcareandequipmentjustliketheywouldforanyothertypeoftesting.Themajorityofpatientsdonotneedtoseeaspecialsleepdoctor;alltheyneedtodoisaskyou,theirprimarycarephysician,tocompleteareferralformforthemtoseeoneofoursleepspecialists.Itwillnotrequireyourpatienttoaddanotherdoctortotheirhealthcareteamorinitiateastringofadditionalappointments.We’llsimplycompletethediagnosisprocessandcoordinateatreatmentplanwithyou,theirprimarycarephysician.Referralformsareavailableonourwebsite:www.sleepwellnessnd.comandclickon“Resources”.
Provider interests ArticlestohelpmakingreferringsleepstudiestoSleepWellnessCenterinFargoeasier.
Page1-3
Patient interests Informationthatwillhelpwithcomplianceandease-of-useforeachpatientthathashadasleepstudyandmayuseaPAPdevicetofeelbetteraftersleeping.
Page4-5
Welcoming Spring byStephaniePrivratskyBushee
SLEEPWELLNESSCENTERWINMARDIAGNOSTICSINC.|Issue1 2
All insurances accepted Weacceptallinsurances,includingMedicare,andwhenyourpatientisreferredtoSleepWellnessCenter,we’lldoalltheinsurancepaperworkforthem.
What happens at a sleep study Whenyourpatientarrivesfortheirsleepstudy,theirsleeptechnicianwillmeetthemandshowthemtotheirbedroom.They’llhavetimetochangeandgetreadyforbedastheynormallywould.Theremaybesomewaitingperiodswhilewepreparethemonitorsandsleepconditionsduringwhichthey’llbewelcometoreadorwatchTV.Wheneverythingisready,theirtechnicianwillattachmonitoringequipmentwhichwilltakeabout20minutes.Therewillthenbea10–15minutewaitingperiodinwhichweallowtheadhesivestodry.Thenit’slightsoutandthey’llbefreetosleep.
Whiletheyaresleeping,theirsleeptechnicianwillmonitortheirbrainwaves,bloodoxygenlevels,heartrate,andbreathing,aswellasmuscle,eye,andlegmovements.Ifenoughbreathingdisturbancesarerecorded,thesleepstudytechnicianwillawakenthemtotryusingcontinuouspositiveairwaypressure(CPAP)toseeifthisimprovestheirsleep.SomepatientsmaybeaskedtoreturnforasecondsleepstudytotrytheCPAPtherapy.
Thesleeptechnicianswillnotbeabletogivethemanyresultsthenightoftheirsleepstudy.Atthecompletionoftheirsleepstudy,ourteamofsleepexpertswilltaketimetoanalyzeallthedatacollectedfromthesleepstudymonitorsandprepareacomprehensivesummaryalongwiththerapyrecommendations,ifapplicable.Thisprocessmaytakeuptotwoweeks.
Acompletesleepstudyreportincludingrecommendationsforfollow-upcarewillbesenttoyou,yourpatient’sprimarycarephysician.IftheytriedtheCPAPtherapyduringtheirsleepstudy,therearetwooptionsforyourpreferences:1.WesetupyourpatientwithCPAPandtheyuseditfor1monthandthenyouscheduleavisitwiththemonhowitisgoingor2.Youmeetwiththepatientfirstanddiscussfindingsofthesleepstudybeforetheybegintherapy.Wewillcontactyourpatientoncewegetyourpreferenceandsetupanappointmenttogettheirequipment.
You’ll appreciate our follow-up care OneofthekeyadvantagestochoosingSleepWellnessCenterisourfollow-upcare
program.WeprovideeachpatientwithaplanofcarethatstartswiththePAPtherapybeingsetup.We’llkeepintouchwithyourpatientstomakesuretheirpersonalsleeptherapycontinuestoworkforthem,andyou’llbehappytoknowtherearenochargesforfollow-upofficevisitsorequipmentchecksat SleepWellnessCenter.Wejustwanttomakesuretheyaredoingwell.
CPAP compliance program Forexample,atthetimeofsetupofthetherapydevice,thepatientisenrolledintheSleepWellnessCenter’shometherapyfollowupprogram.Informationprovidedupontheinitialsetupcanbeoverwhelming,whichiswhyclosefollowupissoimportant.StudiesindicatethatthefirstmonthoftherapyisacrucialpartoflongtermcompliancewithCPAPtherapy.Thepatientiscontacted72hoursaftertheinitialsetup.Ifallisgoingwell,wecontactthepatient30daysfromsetupandevery90daysthereafter.Ifthepatienthasanyconcernsafterthefirst72hours,wewillcontacthim/hereveryfewdaysuntiltheproblemorconcernhasbeenresolved.ForMedicarepatients,inadditiontothefollowupnotedabove,willbefollowedmonthlyforthefirst13monthsoftherapy.ThisadditionalfollowupisrequiredtomeetthestrictMedicareguidelines.Plus,weoffer24houroncallservicetomeettheneedsofanyafter-hoursconcerns.
Compliance and monitoring Monitoringefficacyandcomplianceareanimportantfacetofthefollowupprogram.Adatadownloadisperformedapproximately30daysaftereveryCPAP/BiPAPsetup.Areportisthensenttoyou,theprovider,informingyouoftheusageandsuccessoftheprescribedtherapyforyourpatient.YoumaybeaskedtosendfollowupnotestoSleepWellnessCenterfollowingyourvisitwiththepatient.ThisinformationisoftenrequiredbyMedicareorthehealthinsurancetoinsureproperpaymentofthedevice.Ourcurrentcompliancerateisconsistentlygreaterthan90%.
Home sleep studies (HST) Weworkdiligentlytokeepyourfacilityandprovidersuptodateonthelatestchangesintestingandreimbursementinourserviceareas.OverthepastfewmonthstherehavebeensomechangesnotedinOutofCenterTesting(Homesleepstudies,HST)thatmayaffectsomepatientsinourservicearea.
TheAmericanAcademyofSleepMedicine(AASM)hassetinplacetheguidelinesforHST.AsasleepcenterthatisaccreditedbytheAASMasanOutofCenterTestingfacilitywearerequiredtofollowthestandardsthathavebeensetinplacebytheAASM.TherearesomeinsurancecompaniesthatoverridetheAASMguidelines,andhaveestablishedtheirownguidelines.Thesevaryfromcompanytocompany.
TherearecurrentlyonlyafewinsurancecompaniesintheareathatarebeginningtorequireHSTasaninitialstudyfortheircustomers.TheneedfortheHSTismostoftendiscoveredduringtheinsuranceverificationprocessthatwecompleteforthepatient.IfitisdiscoveredthatapatientisrequiredtohaveanHSTwewillcontacttheprovider’sofficetoletthemknowofthischangeinlevelofservice.Thenthepatientwillbecontacted,byourcenter,toletthemknowandarrangementsaremadefortheHST.
WinmarcurrentlyhasthemostuptodateequipmentforperformingHST.Wemeetwiththepatientindividuallytoassureagoodunderstandingoftheuseoftheequipment.
Thereisan“oncall”numberforthepatienttocallincaseofquestionsorproblemsduringthenight.Uponcompletionofthetestingthepatientreturnstheequipmenttoawaitanalysisandinterpretation.
SLEEPWELLNESSCENTERWINMARDIAGNOSTICSINC.|Issue1 3
Home sleep studies conti: ThebillingfortheHSTiscurrentlyrequiredtobesubmittedthroughthesleeplab.IfthepatientrequiresPAPtherapy,someoftheinsurancesareallowingforanattendedorinlabstudyfortheCPAPtitration,othersrequirehometitrationwithauto-PAP.EitherwayacarefollowupprogramisrecommendedtoassurethatthepatientisabletobecomecompliantwithPAPtherapyinthehome.
Home sleep testing guidelines TheAmericanAcademyofSleepMedicine(AASM)haspublishedsuggestedguidelinesfortheuseofhomesleepstudiesinthediagnosisofobstructivesleepapnea(OSA):
Ü Patientswithahighpre-testprobabilityofmoderatetosevereOSA.
Ü Patientswithnosignificantco-morbidmedicalcondition.Examplesofco-morbidconditionsincludemoderate-severepulmonarydisease(cysticfibrosis,pulmonaryfibrosis,activeasthma,COPD),congestiveheartfailureandneuromusculardiseases(ALS,multiplesclerosis,Parkinson’sdisease).
Ü Patientssuspectedofhavingnoco-morbidsleepdisorderotherthanOSA.
Ü Patientsunabletobestudiedinasleeplaboratory.
Ü Tomonitorresponsetonon-PAPtreatmentsafterthediagnosishasalreadybeenmade.
Ü TheAASMrecommendedthatHSTisnotappropriateforgeneralscreeningofasymptomaticpatients.
CPAPCOMPLIANCERATE90%
OurcurrentCPAPcompliancerateisconsistentlygreaterthan90%.ThisisduetotheknowledgeableclinicianandsupportstaffhereatSleepWellnessCenter.
ObstructiveSleepApnea(OSA)isahottopicofdiscussioninandaroundtheDepartmentofTransportation(DOT),FederalMotorCarrierSafetyAdministration(FMCSA),andFederalRailroadAdministration(FRA)agencies.IntheMarch2016issueofSleepReviewMagazine,article”AASMUrgesFederalAgenciestoDevelopSleepApneaPoliciesforCommercialMotorVehicleDrivers,TrainEngineers,”theAmericanAcademyofSleepMedicine(AASM)urgestheseagenciestocomeupwithpoliciesregardingsleepapnea.TheDOT,FMCSA,andFRAareaskingforpublicinputduringthenext90daysregardingtheimpactsoftreating,evaluating,andscreeningpersonsforOSAwhomworkfortherailroadorarecommercialmotorvehicledrivers.TheAASMcommendsthiseffort.FMCSA,andFRAwillmeetinWashington,D.C.,andLosAngeles,andwillbehostingthreepubliclisteningsessions.TheFMCSAandFRAareconsideringwhethertopurpose
specificrequirements.TodothisajointAdvanceNoticeofProposedRulemaking(ANPRM)hasbeeninitiated.AnANPRMisadocumentthatanagencymaychoosetoissuebeforeitisreadytoissueaNoticeofProposedRulemaking(NPRM).Itmayalsobecalleda"noticeofintent"orsimplya"requestforcomments."TheANPRMisusedbyanagencyasavehicleforobtainingpublicparticipationintheformulationofaregulatorychangebeforetheagencyhasdonesignificantresearchorinvestigationonitsown.TheAASMpresidentNathanielWatson,MD,MScsays“Thecomprehensivedevelopmentandswiftimplementationofevidence-basedsleepapneapoliciesisnecessarytoprotectthewell-beingoftransportationoperatorsandmaximizepublicsafety.”PeoplewithOSAstruggletobreathe,whichresultsinsnoring,canoccurseveralhundredtimeseachnightwhichexplainswhytheirbodyisexhausted,nightafternightevenafter8to10hoursofsleep.
Leftuntreated,sleepapneahasbeenlinkedtoheartproblems,highbloodpressure,diabetes,weightgain,depression,impotence,andevensuddendeathwhilesleeping.Itisestimatedthat25millionadultshaveOSAand20%+arecommercialtruckdrivers.Daytimesleepinesscancausedrowsydrivingwhichiswhytheseagenciesaremovingaheadwiththefirststepsofchange.“Healthysleepandoptimalalertnessareessentialfortransportationsafety,”saysWatson.“AcrosstheUS,thousandsofboard-certifiedsleepmedicinephysiciansareavailabletoprovidehighquality,patient-centeredforpeoplewhohavesleepapnea,whichhelpstokeepourroadsandrailwayssafe.”
Department of Transportation, Federal Motor Carrier Safety Administration, and Federal Railroad Administration byStephaniePrivratskyBushee
SLEEPWELLNESSCENTERWINMARDIAGNOSTICSINC.|Issue1 4
PatientInterestsCPAP supplies
ThesleepprofessionalsatSleepWellnessCenterthankyouforyourcontinuedbusiness.Properlymaintainingyourdeviceandkeepingyourequipmentuptodateisthebestwaytoensurethatyourtherapyremainscomfortableandeffective.Awornmask,looseheadgearoracloggedairfiltercanreducethecomfortandeffectivenessofyourtherapy.
Belowisa“guide”tohelpyoudecideifnewsuppliesareinorder.Youcanorderbyeithercallingourofficeat(701)235-7424or(800)962-8145orbysendingtheorderinbymail.Ifyouarenotsurewhenyoulastreplacedyourequipmentorifyouareeligibleforreplacementsupplies,pleasefeelfreetocallandwewouldbehappytohelpyou.
Ifyouwouldlikeustohelpyoudetermineifyouareeligibleforreplacementsuppliespleasecallorstopintotheoffice.Fillouttheformandmailin,orcallanytimetosetupaone-on-oneappointment!
NAME:______________________________________
EMAILADDRESS:______________________________________
ADDRESS:______________________________________
______________________________________
CurrentInsurance:______________________________________
PolicyNumber:______________________________________
CurrentProvider/Physician:______________________________________
Suppliesneeded:
______Mask______Tubing______Cushions/Pillows*______Size______WaterChamber______Filters
*IfMedicareisyourprimaryinsurance,theyrequirethatwespeaktoyoupriortosuppliesbeingsentoutinthemail.
Sleep Wellness Center Winmar Diagnostics, Inc.
270012thAve.S.SuiteB|Fargo,ND58103|701-235-7424TollFree800-962-8145Fax701-239-4792
1191S.ColumbiaRoad|GrandForks,ND58201|701-746-7378TollFree800-962-8145Fax701-746-7388(Inside:HeartInstituteofNorthDakota)
ThankyouforchoosingSleepWellnessCenterandwelookforwardtohelpingyoucontinuetoenjoythepeaceful,revitalizingsleepyoudeserve.
Order Schedule Mostinsurancecompaniesallowforreplacementpartsonaregularbasis.RefertothisreplacementschedulereferenceguidetohelpyourememberwhentoorderyourCPAPsupplies.Youarealsowelcome,atyourownexpense,toorderextrasuppliesfortravelortokeepatvacationhomes.
Product ReplacementSchedule
Mask(includesseal) 1per3months
Full-facesealreplacement
1permonth
Nasalsealornasalpillowreplacement
2permonth
Chinstrap 1per6months
CPAP/BIPAPtubing 1per3months
CPAP/BIPAPfilter(disposable)
2permonth
CPAP/BIPAPfilter(non-disposable)
1per6months
CPAP/BIPAPhumidifierwaterchamber
1per6months
ReplacementCPAP/BIPAPunit
Consultyourprovider
Sleep Disorders ObstructiveSleepApnea(OSA),alsoknownassleepapnea,isasleepdisorderconditionwherethepersonmomentarilystopsbreathingwhileasleepbecausethemusclesthatcontrolyourupperairwayrelaxtoomuch,narrowingorevencompletelyblockingyourairway.Thestruggletobreathe,whichresultsinsnoring,canoccurseveralhundredtimeseachnightwhichexplainswhyyourbodyisexhausted,nightafternightevenafter8to10hoursofsleep.Leftuntreated,sleepapneahasbeenlinkedtoheartproblems,highbloodpressure,diabetes,weightgain,depression,impotence,andevensuddendeathwhilesleeping.Peopleofallagescandevelopsleepapnea,andmostdon’trealizetheyhaveitunlessafamilymembergetsirritatedbydisruptivesnoringoranursenoticesasleepdisruptionduringahospitalstay.Itismostcommonforpeoplewhoareoverweightorhavealargeneckwhichconstrictstheupperairway. Asleepstudywilldetermineifyouhavesleepapnea,whichisatreatableissue.
Insomniaistheinabilitytosleeporhabitualsleeplessness.Itcanbebroughtonbyphysical,environmental,orpsychologicalcausessuchasbreathingdisorders,noise,chronicdepression,orstress.Anothercommoncauseofinsomniaistheoveruseofsleepingpills.SleepWellnessCentercanworkwithyoutodeterminethecauseofyourinsomniathroughsleepdiaries,sleephygienehabits,and/orasleepstudy.We’llalsohelpyouovercomeyourinsomniawithbehavioralchangesandmedication,ifnecessary.
ShiftWorkDisorderiswhentheregularwakingandsleepingpatternisdisrupted,somepeoplefinditdifficulttoresumeasleep–wakeschedulethatfitstheirneeds.Thisiscommonamongshiftworkersandpeoplewhoexperienceachangeintheirschedule.Itcanleadtoinsomniaanddaytimesleepinesswhenitinterfereswiththewakerhythm.We’llworkwithyoutohelp“reset”yourbody’ssleepclocksoyoucanstillmaintainahealthylifestylewhiledoingshiftworkandschedulechanges.
Youcanfindoutaboutmoredisordersonourwebsite:www.sleepwellnessnd.com/sleep-disorders
SLEEPWELLNESSCENTERWINMARDIAGNOSTICSINC.|Issue1 5
Nowthatyouhavehadyoursleepstudyyoumayhavetochangethewayyouaresleepingduetotheresults.Youarenotalone.PeoplewhoarediagnosedwithsomeformofsleepdisorderbreathingmayhavetowearaPositiveAirwayPressure(PAP)device.ThetypeyouwereprescribedmaybeaCPAP,BiPAP,orother,dependingontheresultsofyoursleepstudy.Youmaybethinking“Whyisthishappeningtome?”or“WhydoIhavetowearthismask?”Itishardatfirsttoacceptthistypeofchange.Dependingonhowyouhandleanychangewilldeterminehowfastyouadapttothisnewchangeinyoursleepingroutine.Restassuredwewillhelpyoumakeittotheotherside,whichisfeelingbetterwhenyouwakebecauseyouwereabletowearyourCPAPallnightlong.
DesensitizingisawayyougetusedtousingyourCPAP,sothatitbecomessecondnaturetoyou.Everytimeyousleepyouuseyourprescribedequipmentconsistently.Thiswillgiveyouthebestresults,quicker.How,youmayask,canwegetthisdoneforyou?Thinkofitthisway,ifyouregularlywearawatchonyourleftarmandthenallofasuddenstartedwearingityourrightarm,itwouldfeelweird,right?Thisishowyourmaskandequipmentfeel,initially.Helpingyouacclimatetoyournewequipmentiswhatwedoforyou,ourpatients.Thefirsttwoweeksarethemostimportant.SetpersonalgoalsfortheamountoftimeyouhopetowearyourCPAP,takeabreakifneeded.Themostimportantruleistoputonyourequipmenteverynight.IfyoupickandchoosethenightsyouuseyourCPAPyouwillneverreachdesensitization.Ifyouarestrugglingwithyourpressure,mask,orhumidificationwehavecliniciansonstaffhereatSleepWellnessCenterwhoknowtheinsandoutsofyourequipmentandwhocantroubleshootwithyouinpersonoroverthephone.Wewillcontinuetofollowupwithyoutoensurethedesensitizinghasworkedwellforyou.Wewillhaveyoufeelingbrighteyedandbushytailedinnotime.
Getting Used to Your New Way of Sleeping - Desensitizing byStephaniePrivratskyBushee
Word Search - Sleep
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APNEA
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DESENSITIZATION DOCTOR
DREAMING DROWSY FARGO HOSE
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MASK NASAL
OBSTRUCTIVE OXIMETRY
PERFORMANCE REFERRAL RESOLVED SCREENING
SLEEP TEAM
TESTING TRAINING TREATMENT
