Upcoming Webinar

When to Prescribe Advanced PAP Therapies for Patients Struggling with CPAP

  • Date: Tuesday, May 29, 2018
  • Time: 12:15 PM Pacific Daylight Time
  • Duration: 1 hour, 30 minutes

When obstructive sleep apnea patients fail or can't adhere to the continuous form of positive airway pressure therapy (commonly known as CPAP), there are other options that clinicians should explore to get patients to adherence. In some cases, these other options include advanced positive airway pressure modes such as bilevel devices and adaptive servo-ventilation (ASV), which take into account such parameters as expiratory pressure intolerance. Learn what the literature says about these "rescue" devices as well as real-world approaches to switching patients to advanced therapies when indicated.

For more information and to register for the event, CLICK HERE


PAP NAP Resources

Cognitive-Behavioral Therapy Training to Implement the PAP-NAP (Online Training - CME/CSTE Offered)

Posted in PAP NAP Resources

Available 24/7

for Sleep Technologists/Technicians, Lab Managers, & Sleep Specialists

Through our innovative daytime procedure, the PAP-NAP, patients with insomnia, anxiety and other mental and physical factors can be motivated to become compliant PAP users. This 2 hour interactive lecture teaches you who the appropriate candidates are for the PAP-NAP and specific techniques to help your patients adapt to PAP therapy. These techniques can be used during this daytime procedure as well as during regular night time titrations. The program revolves around Dr. Krakow's discussion of the TFI System, which represents the thoughts, feelings, and images (TFI) that influence a patient's receptivity towards PAP therapy. Developing new skills based on motivational interviewing techniques, imagery applications, and sleep-related emotional processing will provide the tools to dramatically improve your engagement with reluctant or otherwise resistance sleep apnea patients.


This activity has been planned and implemented in accordance with the Essential Areas and polices of the New Mexico Medical Society (NMMS) through the joint sponsorship of HealthInsight New Mexico and Maimonides Sleep & Science, Ltd. The HealthInsight New Mexico is accredited by the NMMS to provide Continuing Medical Education for physicians.

The HealthInsight New Mexico designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


The Board of Registered Polysomnographic Technologists (BRPT) designates this educational activity for a maximum of 2.0 Continuing Sleep Technology Education credits. Individuals should claim only those credits that he/she actually earned in the educational activity.

Individuals with active BRPT credentials, or those who hold active specialty certificates awarded by the BPRT, will have their CSTE credits recorded directly into the BRPT recertification module. Individuals must accurately and legibly complete all required provider documents. The BRPT has up to 90 days after completion of a program to enter CSTE credits. If a program does not appear in the BRPT recertification module after 90 days, individuals will have to manually enter the information. Individuals are responsible for verifying the accuracy of recertification entries, and for maintaining certificates of completion.

PAP-NAP Reference Guide (Packet Download)

Posted in PAP NAP Resources


This 32 page guide provides detailed information about the daytime PAP therapy desensitization procedure we call the PAP-NAP. It includes:

  • PAP-NAP Procedure Flowchart
  • Patient Instructions Sheet
  • Mental Imagery Selective Survey
  • Nose-30
  • Pre-Sleep Interview
  • Mask Desensitization
  • Pressure Desensitization
  • PAP-NAP “Titration” Protocol
  • Post PAP-NAP Questionnaire
  • PAP-NAP Scoring
  • PAP-NAP Report Template
  • Sample Reports
  • PAP-NAP Billing

*The PAP NAP download includes 2 file types:

  1. An Adobe Acrobat file PDF version for clinical use
  2. A Microsoft Word file DOC version to modify and customize to your office