New Study: Reducing the Risk of Pulmonary Complications Among Patients with Sleep Apnea Undergoing Surgery

In patients with sleep apnea, perioperative pulmonary complications after orthopaedic and general surgery are significantly more frequent vs matched samples without sleep apnea, according to new research.

Memtsoudis, MD, with the Weill Medical College of Cornell University, in New York, NY, and colleagues reported their findings in the January 2011 issue of Anesthesia & Analgesia.

The current study of data from the National Inpatient Sample database was designed to compare perioperative pulmonary outcomes in patients with sleep apnea vs matched control participants and included 3,441,262 general surgery entries and 2,610,441 orthopaedic surgery entries collected between 1998 and 2007. Sleep apnea was diagnosed at a frequency of 2.52% and 1.40% for the 2 surgery types, respectively.

Read Abstract: Perioperative Pulmonary Outcomes in Patients with Sleep Apnea After Noncardiac Surgery2011 Jan;112(1):113-21

Sleep Management Solutions Acquired by CareCentrix

Acquisition Expands Company’s Home Health Care Services to Include Management

HARTFORD, Conn., Jan. 11, 2011 – CareCentrix Inc announced today that it has acquired Sleep Management Solutions LLC (SMS), a company specializing in sleep benefits management.

With the acquisition of SMS, CareCentrix expands its services into the fast-growing area of sleep benefits management.   SMS provides health plans with a comprehensive program focused on improving patient outcomes and reducing the cost of sleep services.  The company provides Home Sleep Testing (HST) technology to qualifying patients who conduct their prescribed sleep diagnostic test in their homes, enabling a more natural for testing at less cost than a facility.  SMS also follows up with people who are approved for sleep therapy devices to ensure they are using the equipment properly and following their prescribed treatment.  HST adoption has increased significantly since the Centers for Medicaid and Medicare Services approved it for treatment in 2008.

“As awareness of sleep disorders has grown, employers and insurers have seen a 15 – 20 percent annual increase in the cost of diagnostic testing and medical equipment to treat these conditions. SMS’s home testing program has saved health plans approximately $.50 per member per month on their benefit spend.  Its integrated approach to sleep benefits management is directly in line with CareCentrix’s vision to bring innovative home-based services to health plans and their members that result in improved quality of care at a reduced overall cost,” said Eric Reimer, chief executive officer, CareCentrix.

“We are excited to join CareCentrix. Our companies share a common vision to bring high-quality services into the home setting where the individual is most comfortable and costs are lower,” said Tom Gaffney, chief operating officer of SMS, who has been appointed senior vice president of sleep management services at CareCentrix.  ”The combination of SMS’s end-to-end sleep management system with CareCentrix’s expertise in home benefits management and cost containment will bring additional savings and benefits to our existing and new customers.”

About CareCentrix

Founded in 1996, CareCentrix manages home nursing, infusion and medical equipment services for more than 20 million people across the country through a network of 5,000 credentialed home care providers. The company provides health care plans and providers with a one-stop solution that coordinates care for patients in the home including skilled nursing services, durable medical equipment and home infusion drug therapies. CareCentrix recently expanded its services with the development of a new program that will help payers and providers reduce the rising rate of hospital readmissions.  CareCentrix is headquartered in East Hartford, Connecticut, and has operations in Melville, New York; Phoenix, Arizona; Tampa, Florida;Albuquerque, New Mexico; and Overland Park, Kansas.  For more information about CareCentrix visit www.carecentrix.com.

About Sleep Management Solutions

Founded in 2006 Sleep Management Solutions, LLC is the first Sleep Benefits Management Company in the country developed to work with the payer community to effectively manage the growing costs associated with sleep services.  The company provides an end-to-end integrated approach to managing the sleep continuum with a keen focus on enhancing both clinical and financial quality for payer clients.  Sleep Management Solutions has offices operations in Suffield, Connecticut, Charleston, West Virginia, East Longmeadow, Massachusetts; and Greensboro, North Carolina.  For more information about Sleep Management Solutions visit www.sleepmanagementsolutions.com

SOURCE CareCentrix, Inc.

CHEST Journal Launches free iPhone/iPad App to view Journal

Unlike most apps released in scholarly publishing to date, this app handles all the content within the app (rather than referring users to the website for full text).

The CHEST Journal native /iPad app is feature rich:

  • Access the most recent issues, plus CHEST Papers in Press
  • Articles are optimized for the iOS, as well as available in PDF
  • Full-screen images, and figure/table only viewing options
  • Dynamic side navigation and internal hyperlinks allow users to jump within article sections, images, and references
  • Viewing history is tracked automatically, sorted by date viewed
  • E-mail article links to colleagues or self from any page
  • Mark and store favorite articles for later reference
  • Control article font size from any page

The app supports existing institutional and individual CHEST online subscriptions thru automatic or username and password entry. The ACCP has made full-text access on the CHEST app free for users of these devices during an extended trial period.

Download from iTunes here: http://bit.ly/HWChest

The Zeo Personal Sleep Coach – Raises $12.3 mm financing

Zeo  a consumer device that enables people to track their sleep phases and calculate a daily sleep quality score called their ZQ. Zeo also offers highly personalized sleep coaching online and allows users to determine how their behaviors affect both the quantity and quality oftheir sleep. It is composed of a lightweight wireless headband, a bedside display, a set of analytical online tools, and an email-based personalized coaching program.

The company announced it has received $12.3 million in its third venture financing.

The mission of Zeo, Inc. is to help people discover new, scientifically-based ways to improve the quality of their lives through the power of sleep. Zeo will accomplish this by combining breakthrough personal sleep tracking technology, web-based tools and mobile applications with proven sleep coaching methods from both sleep and behavioral science. In 2010, Zeo won the Triple Tree Award for Best Consumer Experience in , as well as the prestigious Thomas Edison Award for Best New Product Innovation, presented by Discovery Channel. The Zeo Personal Sleep Coach is currently sold in the U.S. and the U.K.

For more information, visit www.myZeo.com.

Benchmarking Improves the Sleep Business

Sweeping reimbursement cuts and a depressed economy have created a perfect storm where payors are now applying more rigorous requirements and heightened scrutiny to billing claims, and referral sources are more discriminating than ever. Fortunately, benchmarking can identify emerging trends in the industry while helping you gain an advantage.

There are many organizations dedicated to providing information and resources to businesses. Many business associations provide market research, industry benchmarks and statistics, as well as training and educational resources. Do an internet search for business associations in your region, or consult your local Chamber of Commerce or phone book.

Have a frank conversation with your competition about what changes they have seen. There is no need for either party to divulge business secrets, and a general dialogue can benefit both of you, as well as your customers. You might even find ways to partner together to address customers’ unmet needs.

Reach out to businesses in your area that have been successful and arrange to tour and meet with their management to see how they’ve solved business challenges. Many organizational difficulties transcend industries, and you may learn valuable lessons in unexpected places.

Whether your business has well-established benchmarking practices or you’re just beginning to gather data, ResMed’s Sleep Market Panel is a valuable, low-maintenance data source. The Sleep Market Panel was designed to provide you with objective industry data in a simple report.

To join the Sleep Market Panel, email sleepmarketpanel@resmed.com, visit www.resmed.com/smp or call our Sleep Market Panel team at (800) 424-0737, ext. 306101. There are no fees associated with membership.

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Benchmarking Improves the Sleep Business

Sweeping reimbursement cuts and a depressed economy have created a perfect storm where payors are now applying more rigorous requirements and heightened scrutiny to billing claims, and referral sources are more discriminating than ever. Fortunately, benchmarking can identify emerging trends in the industry while helping you gain an advantage.

There are many organizations dedicated to providing information and resources to businesses. Many business associations provide market research, industry benchmarks and statistics, as well as training and educational resources. Do an internet search for business associations in your region, or consult your local Chamber of Commerce or phone book.

Have a frank conversation with your competition about what changes they have seen. There is no need for either party to divulge business secrets, and a general dialogue can benefit both of you, as well as your customers. You might even find ways to partner together to address customers’ unmet needs.

Reach out to businesses in your area that have been successful and arrange to tour and meet with their management to see how they’ve solved business challenges. Many organizational difficulties transcend industries, and you may learn valuable lessons in unexpected places.

Whether your business has well-established benchmarking practices or you’re just beginning to gather data, ResMed’s Sleep Market Panel is a valuable, low-maintenance data source. The Sleep Market Panel was designed to provide you with objective industry data in a simple report.

To join the Sleep Market Panel, email sleepmarketpanel@resmed.com, visit www.resmed.com/smp or call our Sleep Market Panel team at (800) 424-0737, ext. 306101. There are no fees associated with membership.

Somté Features Holter-Type Sleep System

When engineers from Australia-based Compumedics developed the Somté, they knew cardiology was likely to play a growing role within sleep medicine. With this in mind, they developed a Holter-type sleep system that earned a 2006 Frost & Sullivan award for Technology Leadership.

Combining home sleep diagnostics with the optional capability for Holter ECG monitoring and pulse transit time results, is one reason the down-under designers earned the award. Most other home sleep testing (HST) units do not have the option, because they don’t record electrocardiography (ECG) signals.

Jeff Kuznia, vice president of North American Sales and Marketing for Compumedics, says the unit’s ability to record reliable data means that the equipment fits well into the Type 3 recorder market. Holter ECG monitoring exists as a stand-alone product, but the software development required to combine it with sleep makes it difficult for other companies to make a similar device.

Compumedics’ involvement in the Sleep-Heart Health Study sparked the original Holter idea, and there are no regrets—but still some work to do. “ Most cardiologists are aware of the connection between sleep disordered breathing and cardiovascular disease. However I do not believe that many have firsthand experience with managing sleep disorders, and may not appreciate the impact that sleep disorders have on cardiovascular disease, but also the effect of treating Sleep Disordered Breathing ‘SDB’ when it comes to managing many patients who suffer from complex hypertension or cardiac arrhythmias.”

Don’t Neglect Snoring During CPAP Titration – SnoreTac Snore Sensing Adapter

The Salter Labs BiNAPS and other select pressure transducers are utilized during sleep disorder studies to simultaneously measure respiratory airflow and snore pressure signals via a sleep diagnostic cannula. When titration to CPAP is initiated it previously required switching to a snore microphone/sensor. Now with the Salter Labs® SnoreTac™ Snore Sensing Adapter, all that is required is for a to utilize the SnoreTac™ Adapter with the existing sleep diagnostic cannula and place it securely on the patient’s neck.

The BiNAPS will provide a clean snore signal with less signal artifact than traditional sensors. This eliminates the need for a snore microphone/sensor. This technology is disposable for single patient use. It saves time and money, while eliminating the cleaning, damage and replacement issues associated with alternative snore sensors.

The Salter Labs SnoreTac™ was developed by engineers in the Salter Labs R&D department in response to requests from sleep labs for a way to improve snore signals and utilize their existing BiNAPS devices during CPAP titration to monitor snoring. The result is a small, lightweight disposable adapter that attaches to the Salter Labs® sleep cannula and utilizes existing piezo sensor technology in the BiNAPS® to deliver a clean, accurate signal to the PSG equipment or other data acquisition system.

Company officials believe the SnoreTac™ will benefit all sleep labs using Salter Labs® BiNAPS® and other combination airflow pressure/snore devices, as well as labs who are dissatisfied with their current snore microphone/sensors. Ultimately, the SnoreTac™ allows for improved detection of snore events with less  artifact, while providing a low cost disposable adapter that can be disposed of after each use.

1-800-SLEEPLAB Ramping Up

A renewed commitment to a nationwide phone reference (1-800-SLEEPLAB) is just one of many projects on the Sleep Group Solutions (SGS) docket. Rani Ben-David, president of SGS, North Miami Beach, Fla, has an ambitious goal in the form of 1-800-SLEEPLAB, a work in progress that seeks to be the largest directory in the ever-growing sleep world that includes neurology, cardiology, ENTs, dentists, and sleep physicians.

With lessons learned from 1-800-SNORING, a pilot project dedicated solely to the dental end, Ben-David hopes to be a first-call for consumers who need help. Depending on the zip code from where the call originates, inquiries would go straight to participating sleep professionals.

Sleep physicians who use SGS sleep interpretation and scoring services will also automatically be a part of the 1-800 directory. “Right now there is no one directory for everybody,” says Ben-David. “This one reference is designed to be the heart for everyone.” While the listing is for FREE the sleep labs and Physicians have the option to lease the 1-800 Sleep Lab number for the ZIP code they practice at for a very low fee.

Plans for 2010/2011 are simple: keep it going, spread the news, and take on even more projects. One such project is a partnership with Newport Beach, Calif-based Glidewell Dental Lab, which offers SGS an opportunity to double its number of educational seminars to about 80 per year.

Glidewell provides a lot of in the vast metropolis of Southern California and throughout the world. “It’s a huge partnership because they do more than 3,000 sleep appliances per month,” enthuses Ben-David. “Those Doctors need the education, and it’s a perfect opportunity for two companies with integrity to come together for mutual benefit. Glidewell is one of the most reputable dental labs in the world.”

Source: 1-800-SLEEPLAB

Don’t Overlook Tubes – Hybernite Rainout Control System

 

The Hybernite® Rainout Control (ROC) System

Flashy CPAP units and masks dominate the sleep technology landscape, but the right tubes can mean the difference between compliance and failure. Plastiflex engineers and market experts examined the sleep technology market and determined that their expertise in industrial tubing systems could bolster the all-too-common weaknesses found in CPAP systems

After an exhaustive fact-finding period, designers narrowed down CPAP tubing complaints to condensation and comfort. According to Rik Langerock, marketing manager for Plastiflex Healthcare, condensation in the breathing circuits was a persistent problem, and a key area where his Belgium-based company could make a difference.

“We spoke to many different people in the supply and value chain and it was condensation in the respiratory tubes that we found to be significant,” says Langerock. “A second related need was about bringing more comfortable air to the patient.”

Comfort usually means warmer and/or more humid air, and this is where Plastiflex is able to use its considerable expertise. Other factors such as mask materials and proper fit play a role, but Langerock and his team were determined to only tackle what they knew best. “You must understand what matches with your core competency as a company,” says Langerock. “Our core competence is in the design and manufacturing of hose systems solutions.”

Plastiflex engineers ultimately came up with the Hybernite® Rainout Control (ROC) System, which includes the proprietary Hybernite® Heated Breathing Tube (HBT) and Hybernite® Power Supply Unit (PSU). The HBT connects to the PSU via a plug and-play connector, with copper wires embedded in the tubing wall. These wires generate heat that maintains air temperature inside the tube, ultimately warding off problematic condensation. The wires are positioned for uniform heating along the tube’s entire length, a system that avoids water droplets on the wall of the tube and the resulting accumulation of moisture.

Read full article: Tubes the Unsung Heroes

 

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