Healthcare Professional: Patient Referral Request for HME Awareness Program

The Atos Medical Heat and Moisture Exchanger (HME) Awareness Program is designed to help patients establish and maintain a day/night routine using HMEs, in adherence with their provider prescription, which optimizes clinical outcomes.

See below for the HME Awareness Program basics, use the MORE INFORMATION button below for a detailed description or click REFER A PATIENT to begin filling out the referral form.

Patient Benefits to Enrolling the HME Awareness Program:

• Education on the impact of 2 HMEs per day on clinical outcomes ex: coughing, sleeping, etc
• Personalized Support to establish and /or maintain a new routine of using two HMEs per day
• Development of Personal Goals
• Assistance with Symptom Tracking so they can see changes from their baseline
• Regular Contact with a Clinical Navigator to discuss challenges they may be experiencing
• Potential for Improved Pulmonary Health after consistent use of 2 HMEs/day

Program details:

• Components: Initial and Wrap-up Questionnaires, Weekly Contact with a Clinical Navigator, Tracking Target Measures for 4-6 weeks
• Communication Methods: Phone, email, and/or US mail
• HME Awareness Program can be modified to meet individual needs

Eligibility:

• Prescription form must include a minimum quantity of 60 Provox Life HMEs/month
• NOTE: If your patient does not meet eligibility, but remains interested, please complete the form below so we may explore personalized options with them.

Next steps:

If you think this is right for your patient, please use this button below to fill out the referral form. Once you have submitted the request, we will review it and reach out to your patient within five business days.

Still have questions?

For more information send an email to clinicalnavigator-casemanagement@atosmedical.com or call 800.217.0025 and ask to speak to a Clinical Navigator.