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Not just a holiday! Get your outpatient sleep study done in a local hotel. Phyllis Murphie, John Samuels, Jane Gysin, Stuart Little and Paul Rafferty Department of Respiratory Medicine, NHS Dumfries and Galloway, Dumfries, United Kingdom . . Introduction.

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Not just a holiday get your outpatient sleep study done in a local hotel l.jpg

Not just a holiday!Get your outpatient sleep study done in a local hotel

Phyllis Murphie, John Samuels, Jane Gysin, Stuart Little and Paul Rafferty

Department of Respiratory Medicine,

NHS Dumfries and Galloway,

Dumfries, United Kingdom.


Introduction l.jpg
Introduction

  • Dumfries and Galloway Royal Infirmary serves a population of 150,000.

  • Remote and rural region covering 6,500 square km


Introduction7 l.jpg
Introduction

  • 300 new referrals for assessment annually

  • > 50% of referrals already addressed as home sleep studies for those fit and able to travel

  • Distance to hospital major limiting factor in conducting home sleep studies

  • Many cancellations as result of demands for emergency care beds

  • Scottish government waiting targets difficult to achieve with current inpatient bed capacity

  • Innovative ways sought to increase number of out patient diagnostic studies to meet targets



Methodology l.jpg
Methodology

  • Screen all referrals to determine need for inpatient investigation

  • Inpatient studies only offered to those unsuitable for outpatient study

  • Those living distant from hospital and unable to travel offered prepaid hotel accommodation

  • Patient satisfaction questionnaire utilised to seek users views of service


Results l.jpg
Results

To date:

  • 20 patients have used hotel

    service

  • 19 studies have been technically

    satisfactory

  • Service users report a positive

    experience from undergoing the

    study in a hotel environment

  • Satisfactory service and preferable

    to inpatient investigation


User satisfaction survey l.jpg
User satisfaction survey

  • 30 service users asked to complete satisfaction survey regarding out patient sleep diagnostic service

  • 15 home studies conducted and all technically satisfactory

  • 15 hotel studies were conducted and all but one technically satisfactory

  • Users views to date positive and would prefer home / hotel sleep study to hospital stay


Cost implications of service delivery l.jpg
Cost implications of service delivery

  • To date in 2007 - 20 hotel sleep studies has cost our organisation approximately €1,600

  • The equivalent number of inpatient study costs amount to €9,000

  • This amounts to a saving of €7,400 in bed days

  • A hotel study costs approximately 20% of a hospital inpatient study


Conclusion l.jpg
Conclusion

Outpatient sleep studies performed in a local hotel:

  • Appear an acceptable approach for the remote and rural environment

  • Reducing impact on limited inpatient resources

  • Result in cost savings for health care providers


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