Nurse Practitioner-Led Obstructive Sleep Apnea Care

May 15, 2014

by Wright, Wendy L., MS, APRN, FNP, FAANP, Dupont, Becky, MA, Manter, Becky, MA, Aoun, Naim, M.D., Weimer, Sarah, BS, Tarler, Matthew, Ph.D., Kayyali, Hani, MS, MBA, as presented at the Retail Clinician Education Congress 2014

Sleep apnea affects more than 40 million people in the United States. Yet, more than 80% of the affected individuals are undiagnosed and untreated due to a number of factors including polysomnography cost, inconvenience of testing, and fear of being watched in the sleep lab 1,2 . As such, Home Sleep Testing (HST) may be a preferred diagnostic option, especially for Obstructive Sleep Apnea (OSA), which requires a minimal number of physiological parameters for diagnosis. HST can generate high quality recordings, is roughly one fourth the cost of a lab test and is done in the comfort of the patient’s home. HST can be initiated from settings other than a sleep lab including family practices; thus, offering more convenient options to the patient which may speed up the diagnostic and treatment process. In addition, the significant cost savings between in-lab and at-home testing, which is estimated at $750 per test, is quickly driving adoption of this new procedure by many healthcare providers and insurance carriers. Prior to this study, the success of HST in family practices has not been evaluated. The purpose of this research is to identify the feasibility of conducting HST by NP’s in a primary care setting…