Table 1 Example of the 4-column template populated with updates, ratings, and comments

Telehealth nurse shadowed a sleep physician

Successful experience for nurses, who observed while sleep doc set up a new patient with PAP^a in Sleep Clinic

Reported that small events like this help people start to think about the notion of “Telesleep”

Telesleep recruitment continues to be “slow”

In wave 1, there were no “warm-hand offs” from Respiratory to Telehealth services following the protocol.

The participant suggested that inertia was at play here, and that PAP technicians are somewhat resistant. All patients had to be called by Telehealth nurses

New PAP therapist is hired

The new PAP therapist is currently working in sleep medicine and is being trained on the ResMed PAP machines.

This participant anticipates that having a new therapist will boost enrollment in the pilot.

New note template in electronic health record system was confusing

Telehealth nurses found the wording on the note to be confusing as did the sleep service and claimed this affected implementation.

Although the note was initially confusing, it was revised with input until all users were satisfied. Future updates may be more positive.