new Encore site

hey check out the new site for Encore
encore.respironics.com/

Thanks, Guest.

Huh. I wonder .... is Respironics in the process of providing a NEW series of xPAPs? Notice where the data card is inserted in the image at http://encore.respironics.com/data.aspx

IF so I sure hope they are getting rid of that power brick, two cords instead of one AND a heck of a lot better designed integrated humidifier!!! (Ooops, don't forget the blue lights!).

Resmed has offered similar for some time now (I'd guess I read about it close to a year ago), theirs is called "ResTraxx".

Slinky gf, not sure which picture you are referring to but if it IS the bottom pic then that is what is know as the "M Series'.
The upper picture I think is prob available but is designed so that everyone but you (the patient) can have access to your data "Using a Wired Modem (with new web-based EncoreAnywhere)".

Once uploaded, patient compliance data can be viewed, assessed and monitored simultaneously by the entire care team at EncoreAnywhere.com.

Viewable by the entire EncoreAnywhere team?? So who here has a doc who just can't wait to see your data AND knows what it means? Guess that explains just why we haven't yet seen this compliance monitor.

Presumably it is compliance ONLY data at that. Enabling the docs to change your settings w/o ever having to speak to you and just shutting you out of 'your therapy' completely.

NOT a good idea Philips, NOT.

But there's also this link on that screen, too.

http://encoreviewer.respironics.com/

NOT a good idea Philips, NOT.

This "concept" (monitoring patient compliance) is not new........they had the "Sleep Link" module (modem connection) in previous generations of machines.

One question I had, after reading this next one......is.....would this violate "doctor and patient confidentiality" laws?

Once uploaded, patient compliance data can be viewed, assessed and monitored simultaneously by the entire care team at EncoreAnywhere.com.

Den

Yeah, Guest. I thought all the new theories in medical care involved the PATIENT as part of their medical "team". Not that there are that many "progressive" doctors out there. *sigh* And even many of the "progressive" doctors have their own limits on just how important the patient is on the "team". Ever have a doctor invite you to pull up a chair, sit down and relax as you go thru your medical chart at his office???? Yeah, sure, right, uh huh, like that is ever gonna happen! They don't even leave your medical chart accessible to your greedy little mitts. Its always in doctor's hands, nurse's hands or on the wall or door OUTSIDE the room they stash you in - w/the door closed.

guest wrote: ... So who here has a doc who just can't wait to see your data AND knows what it means? ...

Yer joking, right? They are ONLY interested in that first Statistics page IF THAT MUCH w/just a glance at the compliance rate (no skin off their nose if you aren't compliant, its the DME who has to worry about compliance for payment).

If you go here http://encoreanywhere.respironics.com/screenshots.aspx it looks like "they" could access the Detailed data (assuming that means AHI, Leaks, etc.) if they so choose (ha! snort, choke, giggle) and the patient's device is fully data capable if you enlarge the second from the bottom image.

I'm sure I remember Resmed' ResTraxx as providing all the data the patient's xPAP is capable of providing - but could be wrong. Like I say its been close to a year since I first found and went thru the ResTraxx ifno.

H*ll, Den, we all know that this patient privacy law is a joke and allows MORE people easier access to a patient's records than ever before!!! I some times think the only privacy access they were/are EVER concerned about is from the patient!!!!

Wulfman wrote:But there's also this link on that screen, too.
http://encoreviewer.respironics.com/

Is that Sarah Pailin (in the pic) looking over my data?

Wulfman wrote:One question I had, after reading this next one......is.....would this violate "doctor and patient confidentiality" laws?

Once uploaded, patient compliance data can be viewed, assessed and monitored simultaneously by the entire care team at EncoreAnywhere.com.

Den

I would have to assume it would require the patient to waive their HIPPA rights. Just another snag.

Slinky, you forgot not being able to set the lost time clock!! You know I hate to say it but if my "M" goes out or if I have to go to a Vista Computer I may have to buy a ResMed as bad as I dislike them for starting this MAP pricing war provided they don't cut off the software to us also. Thanks Respirionics (Phillips) you really know how to mess things up!

Oh, by the way Slinky, I have started not covering the Blue Lights and when I close my eyes they do go away and when I get up for my mid night potty break I can see to not step on the dogs who sleep next to my bed.

Jerry

But, but, Guest! The patient has ALREADY signed ROI permission when they signed for their sleep evaluation and titration and again when they got their equipment from the local DME supplier!! Does anyone ever READ and request a copy of what they sign? I delight in ALWAYS asking for a copy after I sign those ROIs. Surprising how many staff are surprised when you ask for a copy. Ever notice how much time they DON'T allow you for reading it before you sign? Or how surprised and/or flustered they get if you take the time to read it before signing? And, if you really wanna "gettem", ask a question about something in the release.

"Future treatment can be scheduled using reminders to alert your organization's staff when it is time to replace a mask, schedule a home visit or take whatever action you find most helpful. "

Looks to me like it has "enhanced" features to ensure a consistant
revenue stream to the docs, sleep ctns and DME.

Slinky wrote: IF so I sure hope they are getting rid of that power brick, two cords instead of one

....and not to start a whole big thing.....BUT, what is the fuss over this power setup.
It is certainly nothing new in electronics to have this kind of setup. I deal w/it everyday w/laptops.

.....is this one of those Chevy/Ford things......
where can I get a decal that has my Mseries pissing on your Resmed??

This thread may as well have been written in Chinese. I'm still pretty new at this. I don't know what compliance is all about and after looking at the web site, I still don't understand. Who are the "entire care team"? I always thought that was members of my local church. (the woman in the picture looks a lot like my pastor's wife)

When I got my old machine about 4 years ago, the guy came out and told me how to turn it on. That's all. All it had was how many hours of use I logged up. I thought someone would come in and chide me if I didn't use it enough. Then when on one showed up, I thought maybe there was a "sleep gnome" who roamed around the neighborhood and would sneak into my bedroom and check, then report to my insurance.

Doctors are too busy to be bothered with how I am doing, and I know my local provider doesn't care. I had to figure out how to use the machine by using this forum. They never told me anything about insurance or if I'd be renting or buying. I asked for extra filters, and they said they didn't have any. I just washed mine out and reused them. I still don't know. It's my opinion that I (as in me, myself) am the only "care team" that I'm going to get.
Jay

carbonman wrote:"....and not to start a whole big thing.....BUT, what is the fuss over this power setup.
It is certainly nothing new in electronics to have this kind of setup. I deal w/it everyday w/laptops."

C-man the laptops have ONLY one connection. Respironics screwed up when they made it so you could NOT unplug the wire from the humidifier making it awkward and cumbersome to do anything with the HH. Hope that clears it up.

carbonman wrote:......where can I get a decal that has my Mseries pissing on your Resmed??

Slinky already has one on her 'classic', but she wouldn't recognize an M series if she saw a picture of one. Hey YOU could make money selling those bad boys.

Just be careful w/that M Series wetting on the Resmed, CarbonMan. Resmed's power connector would probably blow your M Series' mind!!!

Jerry! FINALLY you've found a good use for those blue lights. Way to go, guy!!! Hey, if I can break down and buy a Respironics (pre-M Series, mind you!) no reason why you can't get a good Resmed. Heck, I'll even share my ResScan 3.4 or 3.5 w/you!!!!

PackItIn, compliance = how many nights and how many hours per night you are using your xPAP. Insurance don't wanna pay for an xPAP setting in the closet gathering dust so the local DME suppliers REALLY want proof you are using your xPAP so they can get paid. Just a signed form letter from you stating you are using it will no longer be enough for Medicare or insurances.

The "entire care team" would involve your sleep lab, sleep doctor, local DME supplier .... presumably anyone w/access to EncoreAnywhere that you've signed an ROI involving them.

But, you are right, you were dumped on the street and left to your own devices - as are WAY TOO MANY new xPAPpers. Look, the manufacturers are TRYING to get and keep the sleep professionals INVOLVED in CARING for the patient. Its the freaking insurances, doctors and local DME suppliers that NEED the education and the professionalism that are falling down on the job and flat on their faces. I applaud the manufacturers AND the good RPSGTs (the bad ones seem to be in the vast MINORITY) but the rest of the sleep profession??? Thumbs down w/FEW exceptions!

Slinky wrote:Just be careful w/that M Series wetting on the Resmed, CarbonMan. Resmed's power connector would probably blow your M Series' mind!!!!

Slinky wrote:Just be careful w/that M Series wetting on the Resmed, CarbonMan. Resmed's power connector would probably blow your M Series' mind!!!

Jerry! FINALLY you've found a good use for those blue lights. Way to go, guy!!! Hey, if I can break down and buy a Respironics (pre-M Series, mind you!) no reason why you can't get a good Resmed. Heck, I'll even share my ResScan 3.4 or 3.5 w/you!!!!

PackItIn, compliance = how many nights and how many hours per night you are using your xPAP. Insurance don't wanna pay for an xPAP setting in the closet gathering dust so the local DME suppliers REALLY want proof you are using your xPAP so they can get paid. Just a signed form letter from you stating you are using it will no longer be enough for Medicare or insurances.

The "entire care team" would involve your sleep lab, sleep doctor, local DME supplier .... presumably anyone w/access to EncoreAnywhere that you've signed an ROI involving them.

But, you are right, you were dumped on the street and left to your own devices - as are WAY TOO MANY new xPAPpers. Look, the manufacturers are TRYING to get and keep the sleep professionals INVOLVED in CARING for the patient. Its the freaking insurances, doctors and local DME suppliers that NEED the education and the professionalism that are falling down on the job and flat on their faces. I applaud the manufacturers AND the good RPSGTs (the bad ones seem to be in the vast MINORITY) but the rest of the sleep profession??? Thumbs down w/FEW exceptions!

I think, in reality, the most "successful" patients are the ones who are involved and knowledgeable about their own therapy. The rest of those you mentioned are the ones that are making money off of the system (YOU and ME) and, like livestock going into the slaughter house, they make more money by running more through the loading chutes. If some fall through the cracks, there are more to take their places.
Another analogy that just came to my mind would be a movie theater. People pay to get in and then sit in the dark.
Depending on what the "feature attraction" is, will depend on whether you got your money's worth. In some of the "theaters", the projectors are broken and "no show". (but they kept your money anyway.....no refund)

Den

Do I really have the only doctor that seems to care about me and my therapy?????? She called immediately (within an half hour) when I left a message about the first DME setting my machine up incorrectly (in split night mode for first two hours). At my appointments, she is very interested in my data and helping me understand what it means. She is supportive of me taking control of my therapy and adjusting settings. The nurse-practitioner in her office is also very good.

I can understand that there are a bunch of rotten apples out there, but I can't believe she's the only good one! Anyone else satisfied with their doc? (No, Babs, you don't get to chime in cause she's your sleep doc, too!!!!! )