LCD display on ResMed Air Sense 10 machine

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Uff Da
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LCD display on ResMed Air Sense 10 machine

Post by Uff Da » Sun May 27, 2018 9:52 am

The LCD display on my machine apparently shows events and hours of use for the current session. But as one scrolls down, what time frame do the AHI and some of the other later numbers refer to? The previous month? The last 30 days? Forever since the machine started recording? I couldn't find anything in the manual to tell me. They obviously can't be for the current session as one time I had events/hour of 5.5 and an AHI of something like 18.2.

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Pugsy
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Re: LCD display on ResMed Air Sense 10 machine

Post by Pugsy » Sun May 27, 2018 10:18 am

Page 18 of this manual
https://sleep.tnet.com/home/files/resme ... -guide.pdf
I think the default period is 1 month but I think you can change the period reporting parameters.
I have never bothered as I use SleepyHead and it can give me different reporting time periods and I don't have to change anything.

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Uff Da
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Re: LCD display on ResMed Air Sense 10 machine

Post by Uff Da » Sun May 27, 2018 10:44 am

Thanks, Pugsy. It makes more sense now. I think I'll leave things as they are like you did. In my case I want to make sure that changing the period would not also mess up the days used and days 4+ records, as they were obviously set by the supplier to correspond with compliance data. I want for sure to see how I'm doing on that because with all the troubles I'm having with it, it is really easy to shut the machine off so much that I might not make compliance.

I'll likely be using the Sleepyhead program myself after a bit. My partner says he's going to order a much larger SD card for himself soon, and he'll just give me his existing one.

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Pugsy
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Re: LCD display on ResMed Air Sense 10 machine

Post by Pugsy » Sun May 27, 2018 11:09 am

The supplier probably did nothing at all in terms of setup for the data being reported. They usually just leave those settings to factory defaults.
If you did change the reporting period that only pertains to what shows on the LCD screen sleep report. Not what gets reported via the cellular system to the supplier or doctor.
About the only thing the supplier might setup or change would be pressure and maybe EPR and mask and hose type.

Hours of use is hours of use no matter what reporting period shows up on the LCD screen display.

It's hours used and AHI within a 24 hour period that starts new at Noon each day. That won't change no matter what the sleep report shows as the time period being reported.

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Uff Da
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Re: LCD display on ResMed Air Sense 10 machine

Post by Uff Da » Sun May 27, 2018 11:48 am

Pugsy wrote:
Sun May 27, 2018 11:09 am
It's hours used and AHI within a 24 hour period that starts new at Noon each day. That won't change no matter what the sleep report shows as the time period being reported.
Correction on that one. My display changes hours used at 10 AM Pacific Time. I know because I've taken morning naps before 10 AM and after 10 AM, and it changes the date to which my time in applied for compliance purposes. Makes a difference if I'm concerned about meeting my compliance hours and I'm trying to add another half hour or so to the previous night's inadequate hours.

I have no idea if that is a manufacturer set, like time is based upon noon or some other set time at the location of the manufacturer. Or if that was something my provider set up.

Uff Da
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Re: LCD display on ResMed Air Sense 10 machine

Post by Uff Da » Sun May 27, 2018 11:54 am

Pugsy wrote:
Sun May 27, 2018 11:09 am
If you did change the reporting period that only pertains to what shows on the LCD screen sleep report. Not what gets reported via the cellular system to the supplier or doctor.
On this one, I want to make sure that I see the same thing that will be reported. That way I can easily keep tabs on whether I'm going to meet my compliance requirements or not. (One more night of 4 hours or more and I can breathe easy for the rest of this month, but I had several less than 4 hour nights early in the month, and I thought it could end up being a problem.)

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Pugsy
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Re: LCD display on ResMed Air Sense 10 machine

Post by Pugsy » Sun May 27, 2018 11:58 am

Reporting time is noon per the machine clock. Now anyone can change the clock so that noon per the machine clock isn't necessarily what the time really is and this is done often for reason like you said.
People that work the night shift might make a big change in the clock so that the sessions aren't broken up but the reporting period starting new session is noon per the machine clock.
Often night shift workers change it so the machine thinks it's noon when it is really midnight.

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Re: LCD display on ResMed Air Sense 10 machine

Post by Pugsy » Sun May 27, 2018 12:08 pm

The machine reports what it reports no matter what you set as the period parameters on the sleep report screen.

It's how many hours of use within a 24 hour period. It sends a "compliance" usage report because that's mainly all the DMEs/doctors care about.

It sends what we call summary detail and the summary detail simply doesn't change no matter what format we might view it on the machine LCD screen. Summary detail is generated by the machine and not by your choice of how you want things viewed on the screen.

I don't know what insurance you are using but most insurance follow Medicare guidelines and with Medicare it's
70% of 30 consecutive nights with at least 4 hours of use.
So 21 out of 30 nights use the machine at least 4 hours. Much easier to meet than people realize.
The 4 hours doesn't have to be consecutive.....it's just 4 hours within that 24 hour reporting period.
It can be 4 different 1 hour segments added together and you get it made. It could be 8 segments of 30 minutes added together.

With Medicare once the 30 night compliance thing has been met (and they give you 3 months to get it done) then you don't have to worry about compliance anymore. It might be met starting night 1 and be done with by night 31...or it might take a bit longer but it's fairly easy to meet if someone is using the machine at all.

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Uff Da
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Re: LCD display on ResMed Air Sense 10 machine

Post by Uff Da » Sun May 27, 2018 12:33 pm

Pugsy wrote:
Sun May 27, 2018 11:58 am
Reporting time is noon per the machine clock. Now anyone can change the clock so that noon per the machine clock isn't necessarily what the time really is and this is done often for reason like you said.
Now that one has me totally confused. My machine was set up when I received it so that the used hours changed at 10 AM. Obviously, I thought that was the same way that my hours were being reported. Why would my supplier have changed the hours on my machine to something different than the way it is reported? Or different than the manufacturer had set it? It makes no sense.

On the Medicare rules, thanks for pointing that out. I'd completely misunderstood. I went back and read the rules and see that you are right. I had the impression that one had to meet the 4 hour 70% of the time rule each month to be covered that month, and since I had such a bad start, initially thought I might have difficulties with this even the first month.

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Pugsy
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Re: LCD display on ResMed Air Sense 10 machine

Post by Pugsy » Sun May 27, 2018 12:52 pm

Uff Da wrote:
Sun May 27, 2018 12:33 pm
Now that one has me totally confused. My machine was set up when I received it so that the used hours changed at 10 AM. Obviously, I thought that was the same way that my hours were being reported. Why would my supplier have changed the hours on my machine to something different than the way it is reported? Or different than the manufacturer had set it? It makes no sense.
The only way to change when the data starts a new session is by messing with the clock. It's easily done...you just make the clock be a little off what it really is.

Everything is based on the clock on the machine...that's where it all starts...the data that gets calculated and what gets sent to wherever.
There is no way to make a separate little program change in the software so that the machine clock says 12 noon but started a new reporting session at 10 AM.

I suspect the DME just changed the clock and it's no big deal and when you get SleepyHead up and running you will see that it says you turned the machine on and off 2 hours different than when you really did. Your times will be off because the clock is off but it hurts nothing and it does allow for better consolidation of the therapy sessions.

All ResMed machines have always had their line for starting a new reporting setting at Noon per the machine clock.
The clock can easily be adjusted though so that people can better consolidate the hours used and not have split reports looking weird.

The only way your supplier could possible have the cut off be at 10 AM your time is to have the machine clock not reflect your actual time. Not a big deal.
Go into your clinical setup menu and look at what the clock is set up as.

Now...one thing...if they are talking about when the machine does the over the air transmission of the data to them...whatever that summary data is...now that can be set to be done at 10 AM but it only sends the summary data and again the summary data is based off the machine's clock. Everything starts with the machine clock when it comes to reporting periods and noon per the clock is the cut off line.

So either your clock is going to be off or they were talking about the 10 AM transmission of data.

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Uff Da
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Re: LCD display on ResMed Air Sense 10 machine

Post by Uff Da » Sun May 27, 2018 1:03 pm

Okay, I'll just wait until I get set up with Sleepyhead and see how the times compare. That will probably be within a week or two. Sounds like it wouldn't make any difference if I change the clock so that things align. Suppose I could check with my supplier to see if there is any reason they actually need it to be set this way, but it sure would be nicer to have things where they align and make sense. There is enough to be confused about with all this as it is without any extra annoyances.

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Re: LCD display on ResMed Air Sense 10 machine

Post by Pugsy » Sun May 27, 2018 1:10 pm

The clock thing isn't that big of a deal. Like when Daylight savings time change happens I don't bother changing the clock on the machine. So my times are off an hour half the year. Hours slept is hours slept no matter what the starting time and ending time might be. Doesn't affect AHI one way or the other if the clock times match up or not.

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Re: LCD display on ResMed Air Sense 10 machine

Post by chunkyfrog » Sun May 27, 2018 1:12 pm

30days seems to be the default, as mine switches from 1 day to 30 days whenever it "calls home".

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Re: LCD display on ResMed Air Sense 10 machine

Post by ChicagoGranny » Sun May 27, 2018 1:15 pm

Uff Da wrote:
Sun May 27, 2018 1:03 pm
Suppose I could check with my supplier to see if there is any reason they actually need it to be set this way
You are overthinking this. Anyway, most supplier (DME) employees are pretty much brain-dead and don't give a hoot about you as long as you pay your bill.

If you "check with your supplier", they won't know what you are talking about and will mark "nuisance client" on your file.