Why I Opened a Home Sleep Test-only Private Practice

Mar 12, 2020

Vikas Jain, MD, FAASM, finds that HST can lower barriers to entry not only for patients, but for sleep specialists as well.

Excerpt from Sleep Review published January 2020

“They were saying home sleep testing is really where the trend is going in sleep medicine,” says Jain, who is also an adjunct clinical assistant professor at Stanford University’s Sleep Medicine program. “Sleep medicine is moving more towards evaluating and managing our patients with technology such as home sleep testing and remote monitoring,” he says. A review that Jain coauthored, which is published in The Journal of the Oklahoma State Medical Association, concluded that it is reasonable to use portable sleep monitors for diagnosing patients with a high pretest probability of having obstructive sleep apnea (OSA), based on an Epworth Sleepiness Scale of ≥12.1

HSTs are adequate to diagnose the vast majority of the patients who come into his office, says Jain, who says he had no hesitation in setting up a HST-only sleep medicine practice. After mulling over the idea of opening his own private practice for several years, Jain finally took the plunge in October 2019. He opened his private practice in Dallas, Texas, and named it Dream Sleep Medicine. There, not only does Dream Sleep Medicine use HSTs exclusively, “we care for patients in the long run,” he says. By opting to only use HST, he can rent a smaller office space since he doesn’t have full sleep study equipment. Patients who come into his office, and others he cares for via telemedicine, receive a diagnosis faster than if they waited for a PSG, he says. “We often can see a patient, send them home with a device that same day, and then interpret the test and start treatment within a 72-hour timeframe,” he says.

For telemedicine patients, he often uses mail-order services, including CleveMed’s SleepView Direct, which allow tests to be delivered directly to patients. Jain uses CleveMed’s SleepView Direct most often for patients who live an hour or more away from the office. “We are able to care for our patients regardless of whether someone is coming in to see us face to face or lives several hours away and prefers to see us from their home,” he says…