What are we to do?

Topics related to in home sleep testing (portable monitoring)

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Postby #42dreamweaver » Fri May 17, 2013 12:40 pm

NY State just made the RPSGT a limited license........ we have to send in $600 for the initial licensure and $300 to renew every 3 years, and hope that work is available.
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Postby somnonaut » Fri May 17, 2013 11:31 pm

Please read the "authorization".
We included ANY AND ALL testing for sleep disorders, so...this includes ALL HST, which after Feb 3, 2014 (if there are 4 state sanctioned educational venues offering polysomnography training) all people handing out, educating, or instructing patients in HST use must be Authorized.

http://www.op.nysed.gov/prof/rt/part79-4.htm#polydef

"Only a person authorized under this Subpart shall participate in the practice of polysomnographic technology as an authorized polysomnographic technologist, and only a person authorized under this Subpart shall use the title "authorized polysomnographic technologist."
The term "practice of polysomnographic technology" shall mean the process of collecting, analyzing, scoring, monitoring and recording physiologic data during sleep and wakefulness to assist the supervising physician in the clinical assessment and diagnosis of sleep/wake disorders and other disorders, syndromes and dysfunctions that either are sleep related, manifest during sleep or disrupt normal sleep/wake cycles and activities. The practice of polysomnographic technology shall include the non-invasive monitoring, diagnostic testing, and initiation and delivery of treatments to determine therapeutic levels of inspiratory and expiratory pressures for individuals suffering from any sleep disorder, as listed in an authoritative classification of sleep disorders acceptable to the department, under the direction and supervision of a licensed physician who is available for consultation at all times during the provision of polysomnographic technology services in any setting. Such services shall not include the use of mechanical ventilators. Such services shall include, but shall not be limited to:

1. application of electrodes and apparatus necessary to monitor and evaluate sleep disturbances, including application of devices that allow a physician to diagnose and treat sleep disorders, which disorders shall include, but shall not be limited to, insomnia, sleep breathing disorders, movement disorders, disorders of excessive somnolence, and parasomnias, provided, however, that such services shall include the use of oral appliances, but shall not include the use of any artificial airway or the drawing of arterial blood gasses;

2. implementation of any type of physiologic non-invasive monitoring applicable to polysomnography, including monitoring the therapeutic and diagnostic use on non-ventilated patients of oxygen, continuous positive airway pressure (CPAP) and bi-level positive airway pressure;

3.implementation of cardiopulmonary resuscitation, maintenance of patient's airway (which does not include endotracheal intubation), and transcription and implementation of physician orders pertaining to the practice of polysomnographic technology;

4.implementation of non-invasive treatment changes and testing techniques, as described in paragraphs (1) and (2) of this subdivision, and as required for the application of polysomnographic protocols under the direction and supervision of a licensed physician; and

5.education of patients, family and the public concerning the procedures and treatments used during polysomnographic technology or concerning any equipment or procedure used for the treatment of any sleep disorder.
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Postby Jpeck » Sat Jun 01, 2013 7:40 am

You are kidding yourselves. They can get a single RPSGT to hand out tens of thousands of HST devices through the mail. Then when they came back they oversee an autoscoring program that finds an AHI of 70 for each patient and prints out a diagnosis of OSA.

It doesn't matter whether or not it's true. I figured you guys would know have realized that by now. Sleep Disorder Testing has been a formality for years for most doctors in this country. A very expensive formality and soon... a mild annoyance that can be bypassed.

The insurance companies are running this game and they don't enjoy paying for things that they no longer have to. Things like medicine.
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