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

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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

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
Introduction
  • Dumfries and Galloway Royal Infirmary serves a population of 150,000.
  • Remote and rural region covering 6,500 square km
introduction7
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
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
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
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
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
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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