Kathleen Sarmiento is an Associate Professor of Medicine, Director of the Sleep Program at the VA San Francisco Health Care System, VISN 21 Specialty Care Sleep Clinical Resource Hub Director, and National Lead for VHA TeleSleep. Her research focuses on improving access to sleep care for both rural and urban Veterans by leveraging telehealth and hub-spoke partnerships, and by de-implementing low-value visits. Her current grant will assess the value of home sleep apnea testing in a broad range of comorbidities and pre-test risk for OSA, as well as study the impact of an initial consultation before sleep testing on adherence to therapy, patient satisfaction, and patient outcomes. Through the national implementation of VA’s TeleSleep Program, a variety of synchronous and asynchronous modalities to improve access, quality, and timeliness of care are evaluated. Dr. Sarmiento is also engaged in clinical research evaluating web-based care for sleep apnea, hospital to home transitions and the benefit of non-invasive ventilation on morbidity and mortality in patients with chronic respiratory failure, and remote monitoring of patients with ALS using telehealth. She is an innovator and early adopter of technology, seeking to incorporate AI and machine learning into care delivery models to improve practice efficiency and patient outcomes.