Respiratory pressure therapy system

Apparatus and methods provide compliance management tools such as for respiratory pressure therapy. In some versions, a respiratory pressure therapy system may include one or more processors, such as of a data server, configured to communicate with a computing device and/or a respiratory pressure therapy device. The respiratory pressure therapy device may be configured to deliver respiratory pressure therapy to a patient for a session. The computing device may be associated with the patient. The processor(s) may be further configured to compute a therapy quality indicator of the session from usage data. The therapy quality indicator may be a number derived from a sum of a plurality of contributions, each of which corresponds to a different usage variable for the session in the usage data, wherein the usage variables comprise two or more of a group consisting of: usage time of the session, apnea-hypopnea index for the session, average leak flow rate for the session, and average mask pressure for the session, and wherein at least one of the plurality of contributions is proportional to a difference between the corresponding usage variable and a threshold for the that usage variable. The processor(s) may be further configured to based on the therapy quality indicator, (a) alter a setting of the respiratory pressure therapy device, (b) change a therapy mode of the respiratory pressure therapy device, or (c) send a message to the computing device, wherein the message prompts the patient to adjust fitting of a patient interface through which the respiratory pressure therapy is being delivered.