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CPAP and BiPAP Therapies

What are CPAP and BiPAP?  CPAP (Continuous Positive Airway Pressure) and BiPAP (Bilevel Positive Airway Pressure) are treatments for sleep disordered breathing, such as obstructive sleep apnea, and other conditions, such as congestive heart failure and lung disorders. 


A CPAP/BiPAP machine is used when a patient sleeps.  CPAP/BiPAP machines have a small box connected to tubes through which air flows.  The tubes are connected to a mask worn on the face.  Straps around the mask fit it to the face over the nose and/or mouth.  The machine creates a flow of air pressure that is strong enough to keep the airway passages open when the patient  inhales.  The CPAP/BiPAP machine acts somewhat like an air compressor; the air pressure acts like an “air splint” to keep the airway open. 


Research has shown a connection between sleep disordered breathing and illnesses, such as hypertension, diabetes, cardiac disease, and stroke.  Doctors are now testing more patients for sleep disordered breathing, and because of this, there has been an increase in the diagnosis of sleep disordered breathing and in its treatment


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Baystate Home Infusion & Respiratory Services 

As a result of the increase in sleep disordered breathing treatment, BHI&RS increased staff to handle the CPAP/BiPAP therapy line exclusively.  Improvements include:

  • Exclusive intake team to expedite process from moment referral is received
  • Additional intake coordinator added to cover increased referrals and needed authorizations
  • Compliance RT position created to focus on patient needs for reaching full benefit of therapy and meeting insurance criteria
  • Documentation clerk exclusively handling product line insurance issues
  • Two treatment rooms created to allow office set ups and patient walk in business.
  • Protocol set in place for cleaning and packaging masks for future office trial to allow patients to find optimal interface
  • Newest technology purchased to allow staff and physicians to view patient usage nightly, as well as viewing mask leaks, break-through events, and other issues that can prevent optimal treatment for patients
  • Creation of MD correspondence form sent to physicians with patient set up information or continuing interactions to keep physicians abreast of patient status
  • Coordination with physician practice to present educational information to employment groups potentially affected by sleep disordered breathing issues.


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