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Ontario association of sleep clinics |
professional sleep care · better health |
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Who we are:
Integrated Community Health Services Centres (ICHSCs) specializing in Sleep Diagnostic Services – Over 70 ICHSC Sleep Labs in Ontario – Over 30 Hospital Labs in Ontario What are sleep disorders?
– Increased Mortality Rates - Decreased Life Expectancy – Sleep apnea – Insomnia – Hypersomnia (excessive sleepiness) – Restless legs – Periodic leg movements – And Many more! Sleep and the Importance to Health Outcomes
– Diabetes, Hypertension, Heart failure, Stroke, Anxiety, Depression, PTSD – Growing evidence of impact of sleep disorders on Alzheimer's and Parkinson's disease – Increased illness intrusiveness, hospitalization, work related and road traffic accidents – Decreased productivity and quality of life |
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What is Sleep Medicine?
– Patient focused model on
– Diagnosing a patient’s sleep disorder issues.
– Consultation and Treatment Plan from a Sleep Medicine Physician.
– Sleep Studies
– Diagnostic (What is really happening during sleep the night?)
– Treatment (Is it effective? Is it worth it?)
– What kind of Disorder does a patient really have?
– Solve the right issue.
– Is the treatment working and delivering value to the patient and the taxpayer?
– Determine what is the right test for the right patient?
– Allocate the right resources and priority for the patient.
– Evidence based diagnosis and treatment for improved patient outcomes
Choosing the Right Study
– Level 1 Sleep Study
– Specific Sleep Study ordered by a Sleep Doc.
– Trained Sleep Technologist ensures data collection is accurate and conducted safely.
– 24 channel worth of readings we take over a 7-8 hours period.
– Typical Lab has a 3-6-9 configuration.
– >98% Data accuracy and completion rate.
– Level 2 Sleep Study
– Specific Sleep Study ordered by a Sleep Doc.
– Patient Self applies.
– 7-12 channels worth of readings
– <80% Data accuracy and completion rate.
– Level 3 Sleep Study
– 3 channels worth of information (Heart Rate, Oxygen, Nasal Airflow/ Pressure)
– <90% data accuracy and completion rate.
– Simple tool to rule out simple respiratory events (OSA).
Issues and
Opportunities
– Patient Care Focused Service
– New fellowship programs for specialists and for technologists.
– Current infrastructure provides best balance of care and outcomes.
– Focus on sleep reduces healthcare costs.
– Sleep Lab Operating Costs
– Funding for Sleep Studies have not kept up with inflation.
– Additional QA Costs absorbed and more to come from Accreditation Canada.
– Technology implementation
– Self-funded capital investment, greater than $1M per average lab.
– Match and keep up with CPSO Standards
– Value for Taxpayer Money
– Total cost of care strongly tied to ADP funding of CPAP.
– Current model best in class for value-based healthcare.
Contact us at
Kostas Tsambourlianos,
CEO of MedSleep Inc.
Dr. Sat Sharma, CEO of
Centre for Sleep and Chronobiology