1080 The Collaborative Care Visit Model: A New Way to Provide Ongoing Care Targeted to Long-Term Stable Positive Airway Pressure Users

Abstract Introduction Follow-up care of obstructive sleep apnea and positive airway pressure (PAP) therapy has become increasingly complicated due to regulatory requirements and the paucity of primary providers who are capable of managing long-term PAP therapy. We present a multidisciplinary approach to chronic care for stable PAP users. Methods We utilized the Plan-Do-Study-Act (PDSA) process to develop a multidisciplinary follow-up clinic to meet regulatory requirements and quality measures for the care of long term stable PAP users. A validated screening process identified eligible patients to be scheduled in the clinic. Up to 5 patients were scheduled for each 15 minute block, with a maximum of 20 patients scheduled for the 90 minute clinic. The clinic was staffed by a physician or NP/PA who conducted face-to-face visits when required, and provided supervision for the 3 registered nurses who assessed PAP patients, renewed prescriptions, and adjusted PAP therapy via established protocols. The nurse visit assessed PAP downloads, weight, blood pressure, Epworth, Promis10, and offered weight management counseling, if indicated. A sleep technologist provided interface optimization when needed. Patients completed satisfaction surveys after the visit. Results Surveys were distributed to 130 consecutive patients seen in our Collaborative Care Clinic. Of the 68 (52%) respondents, 57 (84%) rated satisfaction at 9 or 10, with 10 being extremely satisfied, and 58 (85%) indicated they would prefer this visit type in the future. Clinical encounter time for follow-up of stable PAP patients was reduced 66%. Qualitative survey results reflected themes of satisfaction with short wait times, ability to obtain an expeditious appointment, appreciation of the team approach, and educational reinforcement. Conclusion The collaborative care visit model has customized our ongoing care options to better meet the needs of established PAP therapy users while maximizing time efficiency and patient satisfaction. Support (If Any):