@article{4ce3d00e6c44458380fa18862efac7a8,
title = "Executive Summary: Optimal NIV Medicare Access Promotion: A Technical Expert Panel Report From the American College of Chest Physicians, the American Association for Respiratory Care, the American Academy of Sleep Medicine, and the American Thoracic Society",
abstract = "The current national coverage determinations (NCDs) for noninvasive ventilation for patients with thoracic restrictive disorders, COPD, and hypoventilation syndromes were formulated in 1998. New original research, updated formal practice guidelines, and current consensus expert opinion have accrued that are in conflict with the existing NCDs. Some inconsistencies in the NCDs have been noted, and the diagnostic and therapeutic technology has also advanced in the last quarter century. Thus, these and related NCDs relevant to bilevel positive airway pressure for the treatment of OSA and central sleep apnea need to be updated to ensure the optimal health of patients with these disorders. To that end, the American College of Chest Physicians organized a multisociety (American Thoracic Society, American Academy of Sleep Medicine, and American Association for Respiratory Care) effort to engage experts in the field to: (1) identify current barriers to optimal care; (2) highlight compelling scientific evidence that would justify changes from current policies incorporating best evidence and practice; and (3) propose suggestions that would form the basis for a revised NCD in each of these 5 areas (thoracic restrictive disorders, COPD, hypoventilation syndromes, OSA, and central sleep apnea). The expert panel met during a 2-day virtual summit in October 2020 and subsequently crafted written documents designed to achieve provision of “the right device to the right patient at the right time.” These documents have been endorsed by the participating societies following peer review and publication in CHEST and will be used to inform efforts to revise the current NCDs.",
keywords = "Medicare, access, noninvasive, optimal, ventilation",
author = "{ONMAP Technical Expert Panel} and Gay, {Peter C.} and Owens, {Robert L.} and Wolfe, {Lisa F.} and Benditt, {Joshua O.} and Aboussouan, {Loutfi S.} and Coleman, {John M.} and Hess, {Dean R.} and Hill, {Nicholas S.} and Criner, {Gerard J.} and Branson, {Richard D.} and Celli, {Bartolome R.} and MacIntyre, {Neil R.} and Amen Sergew and Morgenthaler, {Timothy I.} and Atul Malhotra and Berry, {Richard B.} and Johnson, {Karin G.} and Raphaelson, {Marc I.} and Babak Mokhlesi and Won, {Christine H.} and Selim, {Bernardo J.} and Make, {Barry J.} and Sunwoo, {Bernie Y.} and Collop, {Nancy A.} and Patil, {Susheel P.} and Chediak, {Alejandro D.} and Olson, {Eric J.} and Vohra, {Kunwar Praveen}",
note = "Funding Information: Financial/nonfinancial disclosures: None declared. ∗ONMAP Technical Expert Panel members: Overall Chairs: Peter C. Gay, MD, FCCP, and Robert L. Owens, MD. Thoracic Restrictive Disorders: Chair/Co-Chair—Lisa F. Wolfe, MD, FCCP, and Joshua O. Benditt, MD, FCCP. Thoracic Restrictive Disorders Committee Members—Loutfi S. Aboussouan, MD, FCCP, John M. Coleman III, MD, and Dean R. Hess, PhD, RRT. COPD: Chair/Co-chair—Nicholas S. Hill, MD, FCCP, and Gerard J. Criner, MD, FCCP. COPD Committee Members—Richard D. Branson, MSc, RRT, Bartolome R. Celli, MD, FCCP, Neil R. MacIntyre, MD, FCCP, and Amen Sergew, MD. Central Sleep Apnea: Chair/Co-Chair—Timothy I. Morgenthaler, MD, and Atul Malhotra, MD, FCCP. Central Sleep Apnea Committee Members—Richard B. Berry, MD, Karin G. Johnson, MD, and Marc I. Raphaelson, MD. Hypoventilation: Chair/Co-chair—Babak Mokhlesi, MD, FCCP, and Christine H. Won, MD. Hypoventilation Committee Members—Bernardo J. Selim, MD, FCCP, Barry J. Make, MD, FCCP, and Bernie Y. Sunwoo, MBBS. OSA: Chair/Co-chair—Nancy A. Collop, MD, Master FCCP, and Susheel P. Patil, MD, PhD. OSA Committee Members—Alejandro D. Chediak, MD, FCCP, Eric J. Olson, MD, and Kunwar Praveen Vohra, MD, FCCP. Publisher Copyright: {\textcopyright} 2021 American College of Chest Physicians",
year = "2021",
month = nov,
doi = "10.1016/j.chest.2021.05.074",
language = "English (US)",
volume = "160",
pages = "1808--1821",
journal = "CHEST",
issn = "0012-3692",
publisher = "American College of Chest Physicians",
number = "5",
}