Hoag Sleep Health Program
Overview
Pickup Family Neurosciences Institute’s Sleep Health Program was
among the first centers in Orange County dedicated to studying and treating
patients with sleep disorders and has now been serving the community for
over the past 20 years.
The Judy & Richard Voltmer Sleep Center at Hoag Health Center Newport
Beach has expanded to meet the growing needs of sleep disorders patients
throughout the community with Hoag Sleep Center at Hoag Health Center
Irvine opening in April 2017. With four private bedrooms to conduct sleep
studies, each room is designed to feel like a high-quality hotel. The
latest diagnostic equipment from CareFusion meets and exceeds the American
Academy of Sleep Medicine guidelines. Sleep patterns can be evaluated
throughout the night or day at both sleep centers. Our physicians are
sleep medicine specialists that can diagnose and treat various sleep disorders
such as insomnia, narcolepsy, obstructive sleep apnea, periodic limb movement
disorder/Restless legs syndrome, and REM sleep behavior disorder. The
program also offers a highly effective outpatient behavioral treatment
course for insomnia.
Program achievements include accreditation from the American Academy of
Sleep Medicine.
Team
Hoag Sleep Health Program is led by our Program Director Jose Puangco,
M.D. (neurologist), and was joined by Ahmed El-Bershawi, M.D. (pulmonary
medicine), in 2017. The program has four additional board-certified sleep
physicians giving patients a choice in sleep specialists with varying
backgrounds, including critical care, pulmonary, and neurology specialists.
Our team of physicians is supported by highly skilled polysomnography
technologists.
Adult Sleep Studies
Hoag Sleep Health Program saw 3,110 new patients in consultation, which
was a 10% increase from the previous year, and 2,757 returning patients.
The clinics performed 730 diagnostic polysomnography studies (PSG), 314
split night PSG studies, 168 PSG studies with a full night dedicated PAP
titration (CPAP, BPAP, ASV), 4 PSG studies classified as other (including
Oral Appliance Therapy or Inspire Therapy titrations), 17 Multiple Sleep
Latency Tests (MSLT) and Maintenance Wakefulness Tests (MWT) and 994 home
sleep studies, which is a 20% increase from the previous year for all
types of sleep testing.
Adult Sleep Studies

Obstructive Sleep Apnea
According to the American Academy of Sleep Medicine, it is estimated that
nearly 30 million adults in the United States have obstructive sleep apnea,
which is a sleep-related breathing disorder characterized by repetitive
episodes of complete or partial upper airway obstruction occurring during
sleep. One treatment option for obstructive sleep apnea is continuous
positive airway pressure (CPAP) therapy, which uses mild levels of air
pressure, provided through a mask, to keep the throat open while you sleep.
Along with traditional methods of treating obstructive sleep apnea, the
program has adopted new treatment methods. For the treatment of Obstructive
Sleep Apnea, the sleep health program is working in collaboration with
local dentists to provide Oral Appliance Therapy. Additionally, Dr. Puangco
continues to be the only provider of the Inspire Medical Device in Orange
County, giving patients a surgical option for the treatment of Obstructive
Sleep Apnea.
Total Number of Patients Diagnosed with Obstructive Sleep Apnea
Inspire
Pickup Family Neurosciences Institute at Hoag is the first in Orange County
to offer a new, cutting-edge treatment option for obstructive sleep apnea
(OSA). The Inspire Upper Airway Stimulation therapy is the first implantable
device for treating OSA. This innovative therapy represents a significant
advance in sleep apnea treatment and is life-changing for some of our
patients who are unable to use CPAP. Hoag Sleep Health Program initiated
Inspire implantation with 4 patients treated in late 2018.
More than 18 million Americans have sleep apnea. Depending on the degree
of severity, OSA can be a potentially life-threatening condition. Research
shows that a person with poorly managed sleep apnea is at increased risk
for heart attack, stroke, weight gain, high blood pressure and heart failure.
Continuous Positive Airway Pressure (CPAP) therapy has been shown to be
an effective treatment for sleep apnea; however studies show that roughly
half of all patients that start CPAP eventually become non-compliant.
A recent study in the Journal of Clinical Sleep Medicine found that hospital
readmission rates, for all causes including cardiovascular and pulmonary,
in patients with OSA were more than double for those who did not adhere
to their CPAP therapy.
Leslie Rosini, MSN, RN
Jose Puangco, MD
Support & Education
As accredited centers through the American Academy of Sleep Medicine, Hoag
Sleep Health Program offers additional support to our patients. Hoag Sleep
Health Program offers patients 1:1 education with one of our experienced
technologists. These visits are offered to answer questions and assist
patients who do not necessarily require a physician visit. Our technologists
saw 889 patients last year to provide the following services: Mask fittings,
education, trouble shooting equipment issues, and education. This ensures
that our patients feel comfortable using their PAP equipment and remain
compliant in doing so.

Quality Assurance
The standards for accreditation by the American Academy of Sleep Medicine
mandate a rigorous scoring quality assurance program comparing the scoring
of registered polysomnographic technologists with a gold standard of board
certified sleep physicians with an inter-scorer reliability greater than 85%.

To learn more, visit the
Sleep Health Program section or call 949-764-8070.