专业实践Accreditation

A Specialty Practice is a non-sleep medical practice (e.g., cardiology practice) that screens patients for sleep apnea, performs HSAT and facilitates treatment and management of sleep apnea to an AASM-accredited sleep facility.

目前，与AASM认可的睡眠设施合作，筛查患者的睡眠呼吸暂停，进行HSAT并促进睡眠呼吸暂停治疗和管理的心脏病学实践有资格获得专业实践认证。仅测试患者的睡眠实践和IDTFS/实体不符合资格。

专业实践认证对于新申请或重新证明并具有活跃设施会员资格的实体为4500美元。非会员的重新拨款费为7200美元。专业实践认证费仅限于单个练习/诊所地点。可以添加相同专业实践的其他诊所位置，每人额外的$ 500。

The standards require a singleMedical Directorwho is a designated physician licensed in the state where the Specialty Practice is located.

Medical staff members可能包括医生，有执照的心理学家，APRN和医师助理，这些助理在该州对患者进行评估，诊断或治疗的州持有有效的，不受限制的州许可证。所有利用HSAT的医务人员都必须在阻塞性睡眠呼吸暂停（OSA）和HSAT的指示中进行适当的培训。

Technical staff membersmust maintain appropriately trained, supervised, and, where required by law, licensed personnel. Technical staff must be trained on the proper use of HSAT devices including device operations, application of sensors, use, maintenance, warnings and safety; instruction of patients in the use of HSAT devices; troubleshooting of HSAT problems; and Infection control.

Scoring personnel必须是以下一项：RST，RPSGT，CPSGT，具有睡眠障碍专家认证（CRT-SDS或RRT-SDS）的呼吸治疗师或在睡眠医学中认证的医务人员/PHD董事会。

所有利用HSAT的医务人员（例如，筛选OSA，订购HSAT）必须在阻塞性睡眠呼吸暂停（OSA）和HSAT的指示中进行适当的培训。

所有医务人员都要求向所有医务人员提供认证信，以便他们接受了阻塞性睡眠呼吸暂停（OSA）和HSAT的迹象。

评分人员必须在草原每个参与t 30 credits (averaged 10 credits per year over the past 36 months) ofAMA PRA Category 1 Creditor CEC sleep-related educational activities. This must be documented for each scoring personnel member.

Technical staff is any staff member who provides training on proper use of HSAT devices and performs the following duties:

• Device operations, application of sensors, use, maintenance, warnings and safety;
• Instruction of patients in the use of HSAT devices;
• Troubleshooting of HSAT problems; and
• 感染控制。

An attestation letter is requested for all technical staff members indicating they have been trained on the aforementioned duties.

只有专业实践或雇用的所有者的许可医师才能根据患者的整体评估订购HSAT。在订购HSAT之前，必须根据标准C-2患者接受中确定的患者接受政策的标准符合条件。

Patients of the Specialty Practice can only be tested. Patients directly referred to the Specialty Practice from another entity cannot be tested.

Per Standard G-2 Sleep Facility Relationship, the Specialty Practice must demonstrate, in writing, an existing relationship with an accessible AASM-accredited sleep facility that will provide full diagnostic sleep testing in a laboratory to Specialty Practice patients when needed and that will provide treatment and follow-up for all Specialty Practice patients who require treatment and/or management for sleep disorders. All treatment and management of identified sleep disorders must be referred to the associated sleep facility.

The Specialty Practice must be able to provide documentation that the patients referred to the AASM-accredited sleep facility are receiving treatment and follow up (i.e., when treatment was initiated, treatment compliance, and ongoing treatment assessments/outcomes).

In-center polysomnography at an AASM-accredited sleep facility must be recommended in cases where adequately performed HSAT does not establish the diagnosis of OSA in patients with a high pre-test probability.

Examples for efficiently gathering data between the Specialty Practice and the AASM-accredited Sleep Facility include utilizing a data collection form at follow-up visits to be a part of the medical record and provided to the Sleep Practice monthly/quarterly. Alternatively, developing a means to access the Accredited Sleep Facility’s EMR to pull data.

All Specialty Practices must maintain appropriate medical records for every sleep patient evaluated and/or tested by the program. Medical records of patients seen by medical staff members must document all interactions with the patient, referring provider or provider’s representative, and insurance company. Medical records must include the referral letter/prescription for HSAT testing, with or without consultation by medical staff members of the Specialty Practice. Prior to testing, all patient medical records must include patient questionnaires or other screening assessment, history and physical, as well as medications record. The record must be reviewed and approved for study by an appropriately licensed medical staff member.

专业实践必须将HSAT的原始数据存储至少五年，或者按照法律要求使用。

The data can be retrieved from the AASM-accredited sleep facility or the Specialty Practice. The AASM-accredited lab may use a data collection form at the follow-up visit and include this information as part of the medical record and provide it to the Specialty Practice on a monthly /quarterly basis.