• Susan S Jacobs.
• Division of Pulmonary and Critical Care Medicine, Stanford University, Stanford, CA. Electronic address: ssjpulm@stanford.edu.
• Chest. 2019 Sep 1; 156 (3): 619-628.

AbstractThis article reviews four key clinician strategies to improve the care of adult patients receiving supplemental oxygen in the outpatient setting in the United States. The current barriers to adequate oxygen services are substantial and complex and include decreased reimbursement to durable medical equipment (DME) companies; a substantially lower number of available DME suppliers; difficult communication with DME suppliers; rigid patient testing, prescription, and documentation requirements; and unclear patient benefit and adherence. Recent data documenting frequent and varied problems reflect the significant impact of supplemental oxygen therapy on patients and caregivers. Areas where clinicians can improve patient oxygen experiences are highlighted in this review and include understanding Centers for Medicare and Medicaid Services oxygen prescription requirements, matching oxygen equipment to patient needs, providing essential patient education, and understanding mechanisms for patients and clinicians to report unresolved oxygen problems.Copyright © 2019 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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