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CCSH CCSH Exam Blueprint

About the CCSH

Clinical Sleep Health Examination

Credential

CCSH Handbook An advanced credentialing examination for healthcare

providers who work directly with sleep medicine
New CCSH Candidates patients, families and practitioners to coordinate and
manage patient care, improve outcomes, educate
CCSH Re-Applying
Candidates
patients and the community, and advocate for the
importance of good sleep.
CCSH Eligibility

CCSH Exam Blueprint

CCSH Exam Blueprint E5ective 08/01/2019:

CCSH Exam Prep

The Certification in Clinical Sleep Health
Day Of The Exam examination consists of 100 multiple choice
items. Of these, 75 items count toward the
Pearson VUE Testing
Centers candidates’ scores and 25 are pretest items that
are not scored.
Case Studies

The Successful Candidate Will Have

Knowledge Of:
The Successful Candidate Will Have Knowledge Of:
:
 Sleep physiology,
respiratory/cardiac/neurophysiology, sleep disorders
and diagnostic criteria, sleep related comorbidities,
intervention/treatment/therapy modalities, clinical
guidelines, adherence techniques, testing options,
sleep and related test results, human growth and
development, cultural competency, behavioral health
models, health literacy, written care plans, learning
theories, outcomes data and measures, verbal and
written communication skills, medical terminology,
patient assessment techniques, chart review and
documentation, medications, over-the-counter
products and supplements, substance abuse, patient
confidentiality, ethics, emergency procedures, safety,
infection control, basic knowledge of computers, math
skills/calculations.

DOMAIN 1: Sleep Fundamentals (30%; 22

items)
TASK A: Describe normal sleep architecture and
factors contributing to variations in normal sleep (7-
9%; 5-7 items)
i. Quantity and quality
ii. Age (e.g., pediatric, geriatric, infant, adolescent,
adult)
iii. Gender
iv. Environment and culture

TASK B: Identify and recognize the pathophysiology,

epidemiology, and clinical presentation of abnormal
sleep (9-12%; 7-9 items)
i. Identify terminology currently used to classify
:
 common sleep disorders and symptoms
ii. Recognize the clinical presentation of sleep
disorders

Sleep disordered breathing

Insomnia
Circadian rhythm disorders
Other sleep disorders

iii. Describe the incidence and prevalence of sleep

disorders
iv. Differentiate between acute and chronic sleep
disturbances
v. Describe the short and long-term effects of sleep
disruption, deprivation, and restriction

TASK C: Correlate abnormal sleep symptoms with

underlying pathophysiology (9-12%; 7-9 items)
I. Cardiopulmonary disorders (e.g., COPD, CHF, A-
Fib)

II. Neurological and neuromuscular disorders

III. Metabolic disorders
IV. Mental health disorders (e.g., depression, anxiety,
substance abuse)
V. Chronic pain

VI. Other medical conditions

DOMAIN 2: Clinical Evaluation and

Management (45%; 35 items)
TASK A: Correlate and document sleep and medical
history (7-9%; 5-7 items)
:
 i. Assess the impact of sleep on quality of life
ii. Recognize health baseline and changes

Clinical presentation (e.g., body habitus,

alertness)
Vital signs (e.g., height, weight, neck
circumference, BMI)
Recent hospitalization, surgeries, or newly
diagnosed conditions

iii. Evaluate signs and symptoms of disease

progression, exacerbation, and improvement
iv. Document actions, observations, and orders
v. Evaluate the impact of medications (e.g.,
prescription, OTC, supplements)

TASK B: Identify co-morbid conditions and impact on

patient (9-12%; 7-9 items)
i. Recognize how sleep disorders affect comorbid
conditions
ii. Recognize how comorbid conditions affect sleep
iii. Recognize the impact of chronic conditions on
quality of life

TASK C: Utilize measurement tools and explain results

in collaboration with a provider (11-13%; 8-10 items)
i. Administer questionnaires (e.g., Epworth
Sleepiness Scale, Berlin Questionnaires, Stop
Bang, sleep diary, FOSQ); analyze and interpret
results
ii. Discuss testing indications and results

In-lab PSG, Split, Titrations

:
 HSAT
MSLT/MWT
Actigraphy
Other procedures (e.g., PAP Nap, Pulse
Oximetry)

TASK D: Evaluate treatment and/or therapy (15-17%;

11-13 items)
i. Monitor and evaluate adherence and efficacy
ii. Identify and remove/reduce barriers to success
iii. Evaluate and address side-effects
iv. Describe therapeutic options

Sleep disordered breathing therapies (e.g., PAP

and related devices, oral appliance therapy,
positional therapy, surgical options)
Cognitive behavioral therapy
Light therapy
Chronotherapy
Pharmacotherapy

v. Develop individualized patient care plans

Chronic disease model (e.g., morbid obesity,

metabolic syndrome)
Following clinical practice guidelines

DOMAIN 3: Communication and Education

(20%; 15 items)
TASK A: Provide education to patients, families, health
care professionals, and community (11-13%; 8-10
:
 items)
i. Encourage, respond to, and expand upon
questions
ii. Recognize and incorporate the importance of
diversity of the learner

Lifestyle
Environment
Cultural differences
Communication barriers (e.g., language,
disabilities)

iii. Evaluate readiness to learn at appropriate level for

age, development, and role
iv. Adapt interactions to learning styles
v. Assess health literacy level and educate
accordingly

TASK B: Encourage and promote patient self-

assessment and self-management (7-9%; 5-7 items)
i. Evaluate readiness to change behavior

ii. Provide tools to ensure patient success

iii. Encourage proper sleep hygiene

DOMAIN 4: Program Administration (5%; 3

items)
TASK A: Develop multidisciplinary approach (0-2%; 0-
2 items)
i. Develop and expand collaborative sleep programs

Inpatient/Peri-operative screening
:
 Occupational health/wellness

Outpatient (e.g., dental, cardiology, and primary

care)

Other (e.g., A.W.A.K.E., PAP clinics, group visits)

TASK B: Manage performance improvement and

quality (0-2%; 0-2 items)
i. Audit charts

ii. Track and report outcomes

iii. Implement process improvement

TASK C: Promote sleep and wellness as a public health

issue (0-2%; 0-2 items)
i. Raise awareness of the importance of healthy
sleep through community outreach
ii. Influence public policy

NEWS

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