Patient Acceptance Policy
Explicit acceptance criteria for defining the patient population evaluated at the sleep facility ensures all patient evaluations are within the scope of the professional expertise, technical competence, capability of the staff and appropriate for the facility.
Requirements for Both In-Center and HSAT
This policy should be comprehensive and describe:
- Types of patients accepted or Scope of Diagnostic Sleep Disorders.
- Accepted patients adhere to the current AASM clinical guidelines and practice parameters
- Age limitations.
- Explanation of how referrals are received.
- Information required from referring physician for those directly referred.
- Recommend including a statement if Direct Referrals are not accepted.
- The process of how patient information is reviewed and approved, to ensure the test is appropriate for the patient.
- Evidence based criteria that may exclude a patient. (e.g. infectious disease, etc.)
Requirements Specific for HSAT
The HSAT policy should clearly define:
- Only to be used for patients with high pre-test probability of OSA.
- Not appropriate for patients under the age of 18.
- Evidence based criteria for exclusion. This may include:
- Limited co-morbidities, such as: moderate to severe pulmonary disease, neuromuscular conditions, congestive heart failure. Other sleep disorders such as: central sleep apnea, periodic leg movement disorder (PLMD), circadian rhythm disorder (CRD), narcolepsy, parasomnias.
- HSAT should not be used for general screening