The Ministry of Health (the Ministry) in cooperation with the Medical Services Commission’s Guidelines and Protocols Advisory Committee and the College of Physicians and Surgeons of British Columbia (the College) has finalized a provincial standard requisition form for Home Sleep Apnea Testing (HSAT).

The provincial standard requisition form, accessible here, is now required for all practitioner referrals to an accredited HSAT facility. The form is also available on the Pathways website (log in required). This is a key resource to support appropriate referrals and to enhance practitioner education in the field of diagnostic sleep medicine.

The provincial standard requisition form is a key element of the newly-established provincial accreditation standards for stand-alone HSAT facilities. Developed through the College’s Diagnostic Accreditation Program, HSAT facility accreditation standards provide a foundation for consistent and appropriate referrals and enhanced patient experiences with diagnostic sleep studies. Prior to the creation of accreditation standards, HSAT facilities operated without formally recognized clinical standards or governance oversight.

There are now more than 180 stand-alone HSAT facilities provincially that have achieved accreditation or are pending confirmation. When HSAT is the identified appropriate diagnostic test, practitioners are expected to refer only to an accredited facility. A list of accredited HSAT facilities is available on the College’s website.

With the provincial standard HSAT requisition form complete, focus will now shift to finalizing two associated referring practitioner guidelines: Obstructive Sleep Apnea: Assessment and Management in Adults and Sleep Disorders in Adults: Recognition and Referral.

The provincial standard HSAT requisition form and associated guidelines are outcomes of a detailed Ministry review of diagnostic sleep issues in British Columbia. More information on the Ministry’s review is accessible here.

Please direct any comments or questions concerning the new standardized requisition form for HSAT to the Guidelines and Protocols Advisory Committee at

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