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