#HPM - TweetChat - 2/20/13

#hpm - Healthcare Social Media Transcript
2/22/13 8:43 AM
#hpm transcript
Healthcare Social Media Transcript
From: To: Wed Feb 20 18:00:00 PST 2013 Wed Feb 20 19:15:00 PST 2013 change time period
Who were the influencers during this time period? #hpm analytics Connecting the dots in healthcare social media: Healthcare Conference - Tweet Chats - Healthcare Analytics What is #hpm?
ctsinclair
Top of the hour, the drinks are poured, the appetizers are warm, so come on in for #HPM tweetchat! #hpm
Wed Feb 20 18:00:39 PST 2013
sleepapneabook
RT @ctsinclair: Tweetchat for hospice and palliative medicine in just a few minutes at the top of the hour. Hope to see you soon... #hpm
Wed Feb 20 18:00:42 PST 2013
rhgerard
#Hospice of Michigan develops mobile app for end-of-life care #hpm http://t.co/E2rl7kxbJk
Wed Feb 20 18:01:07 PST 2013
ctsinclair
Feel free to mingle and introduce yourself to the group. New chatters are always welcome. Tweets are assumed to be your own. #hpm
Wed Feb 20 18:01:10 PST 2013
rfberry
Good evening #hpm

Wed Feb 20 18:01:25 PST 2013
ctsinclair
Heads up: lots of tweets from me for the next hour on #hospice and #palliative medicine topics. #hpm
Wed Feb 20 18:02:09 PST 2013
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=02-20-2013&thour=19&tmin=15&ssec=00&tsec=00&img=1
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ctsinclair
@rhgerard Hope you can join us for the tweetchat as well! #hpm
Wed Feb 20 18:02:24 PST 2013
KathyKastner
my tequila's ready RT @ctsinclair: Top of the hour, the drinks are poured, the appetizers are warm, so come on in for #HPM
Wed Feb 20 18:02:25 PST 2013
rfberry
RT @ctsinclair: Heads up: lots of tweets from me for the next hour on #hospice and #palliative medicine topics. #hpm
Wed Feb 20 18:02:40 PST 2013
morganbain
Greetings folks. Been awhile since I last joined. Hope everyone is good and planning on going to New Orleans soon. #hpm
Wed Feb 20 18:02:59 PST 2013
ctsinclair
Hey @rfberry and @kathykastner. Is that a reposado, anejo or blanco? #hpm

Wed Feb 20 18:03:11 PST 2013
aliciabloom
for the next hour, i'll be joining #hpm chat, which means a lot of #hospice & #palliative care related tweets from me.
Wed Feb 20 18:03:13 PST 2013
enBloomMedia
So much happening! RT @ctsinclair: Heads up: lots of tweets from me for the next hour on #hospice and #palliative medicine topics. #hpm #hpm
Wed Feb 20 18:03:22 PST 2013
KathyKastner
Impressive that you know! anejo 4 meRT @ctsinclair: Hey @rfberry and @kathykastner. Is that a reposado, anejo or blanco? #hpm
Wed Feb 20 18:03:44 PST 2013
KathyKastner
@aliciabloom Greetings! #hpm #hospice #palliative

Wed Feb 20 18:03:59 PST 2013
ctsinclair
So many topic ideas I have for tonight...not sure which ones to pick. #hpm
Wed Feb 20 18:04:14 PST 2013
Dr_Butin
Greetings. Lurking instead of contributing so I can finish charts to get home B4 the big storm #hpm
Wed Feb 20 18:04:35 PST 2013
philiplederer
Wed Feb 20 18:04:42 PST 2013
aliciabloom
hi @KathyKastner. great to see you, @enBloomMedia, & @morganbain! #hpm

Wed Feb 20 18:05:13 PST 2013
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ctsinclair
@KathyKastner Tequila is a really complex interesting drink. I think college has made many people think poorly of tequila. #hpm
Wed Feb 20 18:05:15 PST 2013
philiplederer
hello.. also am lurking #HPM

Wed Feb 20 18:05:28 PST 2013
aliciabloom
hey @ctsinclair & @rfberry! #hpm

Wed Feb 20 18:05:34 PST 2013
ctsinclair
@Dr_Butin Yes quite a big snow storm coming to KC. Be safe! #hpm
Wed Feb 20 18:05:34 PST 2013
rfberry
@morganbain I'm excited for NOLA! Great to see you! #hpm

Wed Feb 20 18:05:47 PST 2013
Dr_Butin
RT @rhgerard: Wife of cancer victim petitions Hallmark for #hospice cards - NY Daily News #hpm http://t.co/9jjSsXOAJp
Wed Feb 20 18:05:52 PST 2013
KathyKastner
@ctsinclair I'll drink to that (missed the bad college experience, making up for it now) #hpm
Wed Feb 20 18:05:54 PST 2013
ctsinclair
@morganbain Hey Morgan! Great to see you here! I just ran into someone who knows you a few weeks ago, but blanking on the name #hpm
Wed Feb 20 18:06:10 PST 2013
ctsinclair
@aliciabloom No basketball tonight? #hpm

Wed Feb 20 18:06:23 PST 2013
yzafar
Hi - new to #hmp chat. GI onc & health servcs researchr @DukeCancer @morganbain Nice to meet you on twitter. Should meet in person soon #hpm
Wed Feb 20 18:06:35 PST 2013
KathyKastner
Go @ReginaHolliday RT @rhgerard: Wife o cancer vctim petitions Hallmark 4 #hospice cards -NY Daily #hpm http://t.co/9jhttp://nydn.us/UJVOnw
Wed Feb 20 18:07:01 PST 2013
enBloomMedia
Hi Alisa back after a few weeks away happy to join tonight chat on changing culture towards #EOL and #hpm #hpm
Wed Feb 20 18:07:02 PST 2013
ctsinclair
Make sure to introduce yourself. We have a lot of new faces tonight. #hpm
Wed Feb 20 18:07:05 PST 2013
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aliciabloom
@ctsinclair tomorrow night for this week #hpm

Wed Feb 20 18:07:07 PST 2013
aliciabloom
@yzafar welcome! always great to have new voices join the conversation #hpm
Wed Feb 20 18:07:29 PST 2013
morganbain
@yzafar definitely! Getting used to all the newness at Duke. #hpm

Wed Feb 20 18:07:39 PST 2013
KathyKastner
ooops forgot intro: developed bestendings .com sparked by #hpm chat.s Doing TEDtalk , titled Exit Laughing
Wed Feb 20 18:07:57 PST 2013
ctsinclair
Into: hospice/palliative med doc, editor @pallimed, Natl Hospice Med Dir for Gentiva. Frequent Flyer #hpm
Wed Feb 20 18:07:59 PST 2013
kilani19
@ctsinclair hey! It's Marwa Kilani! Thx for the reminder tweet today! #hpm
Wed Feb 20 18:08:15 PST 2013
ctsinclair
@yzafar We could always use more research oriented voices #hpm

Wed Feb 20 18:08:19 PST 2013
morganbain
Morgan Bain- Palliative Care MD recently moved from Wake Forest University to Duke. Go Blue Devils? #hpm
Wed Feb 20 18:08:58 PST 2013
ctsinclair
@morganbain @yzafar Saw @jatulsky @ProfHolloway today. You may know them! #hpm
Wed Feb 20 18:09:01 PST 2013
rfberry
RT @ctsinclair: @yzafar We could always use more research oriented voices #hpm
Wed Feb 20 18:09:05 PST 2013
ctsinclair
@kilani19 No problem! #hpm

Wed Feb 20 18:09:14 PST 2013
ctsinclair
*Intro #hpm
Wed Feb 20 18:09:21 PST 2013
philiplederer
I'm an internist/public health M.D. working on HIV and TB, but I am also interested in #HPM and sustainability of the US health care system
Wed Feb 20 18:09:29 PST 2013
aliciabloom
<-- MSW, LSW practicing in #hospice & #palliative care. from Philadelphia by way of upstate NY #hpm
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Wed Feb 20 18:09:42 PST 2013
enBloomMedia
Goodchat 2/19 re: RT @rhgerard: Wife of cancer victim petitions Hallmark for #hospice cards - NY Daily News #hpm http://t.co/6wOlod7UiN #hpm
Wed Feb 20 18:09:45 PST 2013
ctsinclair
Getting ready for topic #1...a little politics and policy... #hpm
Wed Feb 20 18:09:53 PST 2013
kilani19
I'm from the valley in California doing palliative care in a Providence Hospital. #hpm
Wed Feb 20 18:09:53 PST 2013
aliciabloom
hey there @kilani19! #hpm

Wed Feb 20 18:10:29 PST 2013
yzafar
@rfberry @ctsinclair Thanks - glad to be here. #hpm

Wed Feb 20 18:10:36 PST 2013
kilani19
@aliciabloom hey!! #hpm

Wed Feb 20 18:10:56 PST 2013
rfberry
Renee Berry, interested in palliative care policy & advocacy, consultant @goBeMoRe, in Menlo Park, CA #hpm
Wed Feb 20 18:11:00 PST 2013
ctsinclair
Topic #1: As interested hospice advocates, do you know how sequestration will affect hospice orgs? Tell us what you know/think #hpm
Wed Feb 20 18:11:14 PST 2013
thinkalot
Great #hpm #aging whenUS? @mocost: Video: Pioneering dementia-friendly communities in the Belgian city of Bruges http://t.co/hdPO25mcTD
Wed Feb 20 18:11:28 PST 2013
ctsinclair
(Topic 1 - more official info to follow, dont just google it.) #hpm
Wed Feb 20 18:11:33 PST 2013
enBloomMedia
RT @ctsinclair: T1 As interested hospice advocates, do you know how sequestration will affect hospice orgs? Tell us what you know/think #hpm
Wed Feb 20 18:12:15 PST 2013
ctsinclair
Anyone have any ideas? This is important! #hpm

Wed Feb 20 18:13:26 PST 2013
MtnMD
RT .@ctsinclair: Topic #1: As interested hospice advocates, do u know how sequestration will affect hospice orgs? Tell us know/think #hpm
Wed Feb 20 18:14:10 PST 2013
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chrisolsondc
Chris Olson here - hello, everyone. Solutions Specialist with @nhpco_news. #hpm
Wed Feb 20 18:14:34 PST 2013
kilani19
@ctsinclair no idea... #hpm can u give us some leading info?

Wed Feb 20 18:14:37 PST 2013
ctsinclair
Not sure what sequestration is? It is the scary across the board budget cuts politicians are wringing hands over (while on vacation) #hpm
Wed Feb 20 18:14:46 PST 2013
morganbain
Sequester will freeze certain assets of the government so I assume it will affect Medicare in some way. Right? #hpm
Wed Feb 20 18:15:05 PST 2013
ctsinclair
Topic 1 - More information from NHPCO here: http://t.co/5RGOKkCDyG #hpm

Wed Feb 20 18:15:12 PST 2013
aliciabloom
T1- I know that major cuts are going to hit Medicare, and I can't help but wonder how that's going to impact the hospice benefit #hpm
Wed Feb 20 18:15:24 PST 2013
ctsinclair
T1: Sorry this question landed as a dud, but that means there is more to learn right? #hpm
Wed Feb 20 18:15:38 PST 2013
MtnMD
#hpm Defense and VA affected with ? 8% cuts. Heard spokesperson say ANY agency can tolerate 5% w/ adjustments.
Wed Feb 20 18:15:47 PST 2013
ctsinclair
t1: If the Congress does not pass a budget before March 1, then Medicare will get a 2% across the board cut, including #hospice #hpm
Wed Feb 20 18:16:12 PST 2013
kilani19
@ctsinclair oh yeah #hpm

Wed Feb 20 18:16:21 PST 2013
yzafar
@ctsinclair @morganbain @jatulsky @ProfHolloway Yes - talked to @jatulsky just yesterday! #hpm
Wed Feb 20 18:16:43 PST 2013
ctsinclair
I wanted to bring this topic up for a couple reasons. 1) I talked to a lot of hospice people in past week , who did not know about it #hpm
Wed Feb 20 18:16:55 PST 2013
ctsinclair
2) Also have seen a lot of hyperbole about what could go wrong if sequestration goes through. #hpm
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Wed Feb 20 18:17:24 PST 2013
kilani19
@ctsinclair the thing of it is that it will be across the board - all cut evenly or so they say... All to be affected. #hpm
Wed Feb 20 18:17:37 PST 2013
rfberry
Quick #hospice sequester video reference from @HospiceAction http://t.co/4uunwwUEvR #hpm

Wed Feb 20 18:18:23 PST 2013
kilani19
@ctsinclair I'm not surprised about cuts quite honestly. Tough times are coming ahead I presume. #cinchthebelt #hpm
Wed Feb 20 18:18:58 PST 2013
Emily_Nicholas8
RT @arifkamalmd: Do I, as an oncologist, lie to my patients about prognosis? Great thoughts from @peterubel http://t.co/wWGIo1dV #hpm # ...
Wed Feb 20 18:19:01 PST 2013
ctsinclair
T1 Hospice orgs would receive 2% less for all care going forward from March 1st. Tough to swallow 2% if your operating margin is thin #hpm
Wed Feb 20 18:19:03 PST 2013
kilani19
@rfberry @hospiceaction thank you for this reference! #hpm

Wed Feb 20 18:19:25 PST 2013
aliciabloom
T1- at the risk of being over political, there is a lot of hyperbole coming from one side of the aisle #hpm
Wed Feb 20 18:19:28 PST 2013
rfberry
T1 I think any cuts/potential cuts to hospice budgets are scary. #hpm

Wed Feb 20 18:19:29 PST 2013
equijada
T1: yikes #Hpm

Wed Feb 20 18:19:34 PST 2013
ctsinclair
And I also bring this topic up not to say if it is good or bad, but to make sure that we as #HPM advocates understand the impact #hpm
Wed Feb 20 18:19:59 PST 2013
aliciabloom
T1- 2% sounds small, but will have a really big impact #hpm
Wed Feb 20 18:20:16 PST 2013
rfberry
I hate thinking that #hospice execs need to plan a 2% budget decrease to be prepared for reality... but it is reality. #hpm
Wed Feb 20 18:20:20 PST 2013
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VNABWH
For a great discussion of #hospice follow #hpm hash tag on twitter going on now!
Wed Feb 20 18:20:50 PST 2013
ctsinclair
T1: Addressing debt issues is important for long term health, what is hard is uncertainty and how to operate if cuts may/may not come #hpm
Wed Feb 20 18:21:05 PST 2013
enBloomMedia
Could definitely decr access2care RT @ctsinclair: T1 Hospice orgs would receive 2% less for all care going forward from March 1st. #hpm
Wed Feb 20 18:21:06 PST 2013
ctsinclair
@rfberry I have heard a lot of hospice orgs have two budgets, one if sequestration goes through, one if it does not #hpm
Wed Feb 20 18:21:28 PST 2013
ctsinclair
@MtnMD Yes, other agencies may be getting hit much harder! #hpm
Wed Feb 20 18:21:54 PST 2013
aliciabloom
T1- 2% less $ could mean even more restrictive access for patients at EoL receiving more complex interventions #hpm
Wed Feb 20 18:22:20 PST 2013
ctsinclair
Getting ready to move to topic #2, finishing thoughts? #hpm

Wed Feb 20 18:22:31 PST 2013
kilani19
@ctsinclair it's hard budgeting towards the unknown - it's not like the give you any projections as to what's to come. #hpm
Wed Feb 20 18:22:36 PST 2013
rfberry
I have participated in legislative advocacy with @hospiceaction to help educate congress on the impact of cuts to hospice budgets. #hpm
Wed Feb 20 18:22:47 PST 2013
thinkalot
Yes,lets @rhgerard @Lizzyfit:You Only Die Once-Let's Talk About It. How to have "the conversation" http://t.co/1I3iXa4t2n #hpm
Wed Feb 20 18:22:54 PST 2013
rfberry
I highly recommend the experience w/ @hospiceaction - they've been instrumental in helping me understand hospice policy. #hpm
Wed Feb 20 18:23:43 PST 2013
enBloomMedia
@rfberry How responsive has Congress been? Do they get #hospice or #palliative care? #hpm
Wed Feb 20 18:24:02 PST 2013
philiplederer
what about more #hospice / #palliative care education for medical students, physicians during residency, etc? #HPM
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Wed Feb 20 18:24:08 PST 2013
equijada
T1: I never really understood across the board cut in any budget. Economically unsound. #Hpm
Wed Feb 20 18:24:16 PST 2013
KathyKastner
+100 RT @philiplederer: what about more #hospice / #palliative care education for medical students, physicians during residency, etc? #HPM
Wed Feb 20 18:24:35 PST 2013
ctsinclair
T2: Infographics: Hate em? Love em? How could they be utilized for #hpm advocacy and education? Example: http://t.co/VZXTnsKXsC #hpm
Wed Feb 20 18:24:42 PST 2013
rfberry
@enBloomMedia every meeting I've been in has been different. Found a great way to start the meetings is asking abt their experience w/ #hpm
Wed Feb 20 18:25:30 PST 2013
aliciabloom
T2- i'm a visual person, so i enjoy a good infographic! #hpm

Wed Feb 20 18:25:46 PST 2013
rfberry
RT @ctsinclair: T2: Infographics: Hate em? Love em? How could they be utilized for #hpm advocacy and education? Example: http://t.co/VZ ...
Wed Feb 20 18:25:55 PST 2013
kilani19
@ctsinclair usually too busy but have substantial information that could get across. #hpm
Wed Feb 20 18:25:56 PST 2013
ReginaHolliday
RT @KathyKastner: Go @ReginaHolliday RT @rhgerard: Wife o cancer vctim petitions Hallmark 4 #hospice cards -NY Daily #hpm http://t.co/9 ...
Wed Feb 20 18:25:58 PST 2013
ctsinclair
RT @enBloomMedia: @rfberry How responsive has Congress been? Do they get #hospice or #palliative care? "varies" #hpm
Wed Feb 20 18:26:05 PST 2013
ctsinclair
T2: I have been impressed lately with how much infographics are shared, but also sometimes how inaccurate they can be #hpm
Wed Feb 20 18:27:04 PST 2013
equijada
@ctsinclair love em if vetted by @edwardtufte #Hpm

Wed Feb 20 18:27:04 PST 2013
aliciabloom
T2- infographics can relay critical points in a more powerful & sometimes less threatening way-- could be very beneficial for #hpm
Wed Feb 20 18:27:13 PST 2013
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enBloomMedia
Me too but they R only as good as info depicting RT @aliciabloom: T2- im a visual person, so i enjoy a good infographic! #hpm
Wed Feb 20 18:27:17 PST 2013
rfberry
T2 Love info-graphics regardless of if they are in/out of style, they can provide context to data which is crucial in finding meaning. #hpm
Wed Feb 20 18:27:28 PST 2013
ctsinclair
T2a: Do you share infographics? Do you retain the info from them? or just say 'Hmmm..intersting..." #hpm
Wed Feb 20 18:27:40 PST 2013
ctsinclair
RT @equijada: @ctsinclair love em if vetted by @edwardtufte "Oh how right you are...will get to one of his lectures eventually!" #hpm
Wed Feb 20 18:28:06 PST 2013
aliciabloom
@enBloomMedia absolutely. accuracy is important. #hpm

Wed Feb 20 18:28:22 PST 2013
kimacquaviva
RT @AAHPM: AAHPM excited to release our Five Things list on Feb. 21stay tuned! #ChoosingWisely #hpm
Wed Feb 20 18:28:40 PST 2013
enBloomMedia
Yes, I've seen this & can be a problem RT @ctsinclair: T2: infographics...but also sometimes how inaccurate they can be #hpm
Wed Feb 20 18:28:57 PST 2013
ctsinclair
T2: I need to start collecting good infographics and collect good #HPM data and then start making some HPM infographics #SpareTime #hpm
Wed Feb 20 18:29:26 PST 2013
ctsinclair
T2: Do you trust infographics always, sometimes, depends? #hpm

Wed Feb 20 18:29:48 PST 2013
yzafar
@ctsinclair T2: Data visualization (step beyond infographics) is so important. Here's what I use: http://t.co/H8ix0DeMGP #hpm
Wed Feb 20 18:30:09 PST 2013
enBloomMedia
Like everything best to look at the source RT @ctsinclair: T2: Do you trust infographics always, sometimes, depends? #hpm
Wed Feb 20 18:30:51 PST 2013
rfberry
Awesome. RT @yzafar: @ctsinclair T2: Data visualization (step beyond infographics) is so important. I use: http://t.co/KD3ice7YIC #hpm
Wed Feb 20 18:31:07 PST 2013
ctsinclair
RT @yzafar: @ctsinclair T2: Data visualization (step beyond infographics) is so important.

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http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=02-20-2013&thour=19&tmin=15&ssec=00&tsec=00&img=1
2/22/13 8:43 AM
Heres what I use: http://t.co/U6MmFy2BOb #hpm

Wed Feb 20 18:31:18 PST 2013
aliciabloom
T2- the benefits (+ QoL/survival/symptom management) of #hospice and #palliative care would make an interesting infographic #hpm
Wed Feb 20 18:31:42 PST 2013
ctsinclair
@yzafar Oh!! Great I love new tools to explore. Anyone else have some good data viz or infogrpahics tools? #hpm
Wed Feb 20 18:31:44 PST 2013
rfberry
@ctsinclair that's actually something I've enjoyed @Pinterest for, making collections of infographics. #hpm
Wed Feb 20 18:31:49 PST 2013
ctsinclair
@yzafar I'm glad you are here tonight! #hpm

Wed Feb 20 18:31:54 PST 2013
ctsinclair
Would love to see @NHPCONews and @AAHPM take their data/info and come up with good graphics meant to be shared (Pinterest/FB, etc) #hpm
Wed Feb 20 18:32:53 PST 2013
ctsinclair
@rfberry Care to share you collection with us? #hpm

Wed Feb 20 18:33:05 PST 2013
jfclearywisc
Jim Cleary @uwhealth #palliative care joining #hpm chat for the next 30 minutes
Wed Feb 20 18:33:13 PST 2013
enBloomMedia
Love that! RT @aliciabloom: T2 benefits (+QoL/survival/symptom management) #hospice & #palliative care make an interesting infographic #hpm
Wed Feb 20 18:33:30 PST 2013
yzafar
@ctsinclair Glad to be here! Learned about this chat from great colleagues @DukeGHI: @arifkamalmd and @tomleblancMD #hpm
Wed Feb 20 18:33:31 PST 2013
ctsinclair
Moving fast tonight because I have too many topics I want to share...wrap up your infogrpahics thoughts #hpm
Wed Feb 20 18:33:42 PST 2013
rfberry
I like @mentionmap (it's not really for all data), but it is a form of visualization of relationships on Twitter. #hpm
Wed Feb 20 18:33:42 PST 2013
ctsinclair
@jfclearywisc Hey Jim. Long time no see! #hpm

Wed Feb 20 18:33:50 PST 2013
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ctsinclair
T3: A new set of #ChoosingWisely topics will be released tomorrow: http://t.co/8eQMwaoxoF .... #hpm
Wed Feb 20 18:34:39 PST 2013
kilani19
@ctsinclair I usually do and that's the problem - cant rely on making sure all the stats are accurate #hpm
Wed Feb 20 18:34:41 PST 2013
jfclearywisc
@ctsinclair In INida & Oman for the last two weeks with #hpmglobal work #hpm
Wed Feb 20 18:34:44 PST 2013
rfberry
So far they've been business/digital media focused http://t.co/e9dmLZ0D51 RT @ctsinclair @rfberry Care to share you collection with us? #hpm
Wed Feb 20 18:34:55 PST 2013
ctsinclair
T3 (cont): What can we do to help amplify this message of avoiding non-beneficial treatment? http://t.co/9Dii1GgqWX #hpm
Wed Feb 20 18:36:01 PST 2013
rfberry
RT @ctsinclair: T3: A new set of #ChoosingWisely topics will be released tomorrow: http://t.co/8eQMwaoxoF .... #hpm
Wed Feb 20 18:36:19 PST 2013
KathyKastner
RT @ctsinclair: T3: A new set of #ChoosingWisely topics will be released tomorrow: http://t.co/8eQMwaoxoF .... #hpm
Wed Feb 20 18:36:29 PST 2013
rfberry
RT @ctsinclair: T3 (cont): What can we do to help amplify this message of avoiding nonbeneficial treatment? http://t.co/9Dii1GgqWX #hpm
Wed Feb 20 18:36:33 PST 2013
rfberry
T3 Anything to help people really be informed about their medical decisions is a good thing. #hpm
Wed Feb 20 18:37:21 PST 2013
ctsinclair
T3: Key groups releasing tomorrow: @AAHPM @ASCO @amergeriatrics #hpm

Wed Feb 20 18:37:34 PST 2013
ctsinclair
I believe the news conference is tomorrow AM at am CT using hashtag #choosingwisely #hpm

Wed Feb 20 18:38:04 PST 2013
philiplederer
RT @ctsinclair: T3 (cont): What can we do to help amplify this message of avoiding nonbeneficial treatment? http://t.co/9Dii1GgqWX #hpm
Wed Feb 20 18:38:07 PST 2013
enBloomMedia
@ctsinclair Show the interrelationship; maintaining access2care with hospice, change

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culture=impact on system as whole #hpm

Wed Feb 20 18:38:07 PST 2013
jfclearywisc
@ctsinclair Will #aahpm topics be non beneficial things #palliative care docs do or non beneficial at #EOL #hpm
Wed Feb 20 18:38:15 PST 2013
rfberry
T3 Hopefully #ChoosingWisely will help people get treatments they actually want & will benefit from. #hpm
Wed Feb 20 18:38:29 PST 2013
enBloomMedia
RT @rfberry: T3 Anything to help people really be informed about their medical decisions is a good thing. #hpm
Wed Feb 20 18:38:34 PST 2013
ctsinclair
I find it very interesting that they were able to get med societies to point the finger at themselves on over-treatment #hpm
Wed Feb 20 18:38:43 PST 2013
ctsinclair
@jfclearywisc Good question. They are embargoed, so I don't know. #hpm

Wed Feb 20 18:39:02 PST 2013
philiplederer
@ctsinclair you need to teach the importance of #palliative care and #hospice to medical students.. the earlier the better #meded #HPM
Wed Feb 20 18:39:18 PST 2013
yzafar
@ctsinclair T3 - Wow...writing an opinion piece on this right now. My research interests are in cost of care #hpm
Wed Feb 20 18:39:20 PST 2013
aliciabloom
T3- excited about #ChoosingWisley-- hope it will empower patients & clinicians to be more engaged in dialogue about treatment decisions #hpm
Wed Feb 20 18:39:29 PST 2013
ctsinclair
@yzafar You'll have plenty more to write about tomorrow morning! #hpm
Wed Feb 20 18:40:00 PST 2013
philiplederer
medical students are largely going into procedural-based subspecialties, high salariesneed to reverse this #hpm #meded
Wed Feb 20 18:40:18 PST 2013
jfclearywisc
Agree RT @ctsinclair: I find it v interesting that they were able 2 get med societies 2 point finger at themselves on over-treatment #hpm
Wed Feb 20 18:40:31 PST 2013
yzafar
@rfberry T3: exactly. There's good data to show that patient activation (ie, involvment in care) can reduce costs. Will find the link #hpm
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Wed Feb 20 18:40:34 PST 2013
enBloomMedia
RT @aliciabloom: T3- excited about #ChoosingWisley-empower patients & clinicians 2 b more engaged in dialogue about treatment decisions #hpm
Wed Feb 20 18:40:44 PST 2013
ctsinclair
Like that it empowers both doctors and patients. I think some doctors do non-beneficial treatment, b/c 'other docs do it' #JustSayNo #hpm
Wed Feb 20 18:40:58 PST 2013
kilani19
@philiplederer medical society needs to find value in the work we do #hpm

Wed Feb 20 18:41:16 PST 2013
philiplederer
RT @kilani19: @philiplederer medical society needs to find value in the work we do #hpm
Wed Feb 20 18:41:33 PST 2013
ctsinclair
@philiplederer A lot of the initial #choosingwisely recs were focused on limiting nonbeneficial procedures. #hpm
Wed Feb 20 18:41:36 PST 2013
zacksholem
Some. Self selection bias MT @ctsinclair they were able to get med societies to point the finger at themselves on over-treatment #hpm
Wed Feb 20 18:41:50 PST 2013
ctsinclair
@jfclearywisc That to me is the biggest miracle! #hpm

Wed Feb 20 18:41:52 PST 2013
enBloomMedia
Maybe change perspective RT @philiplederer: med students R going into proceduralbased subspecialties...need 2 reverse this #hpm #meded #hpm
Wed Feb 20 18:42:43 PST 2013
aliciabloom
T3- #ChoosingWisley is about reminding us all that just because we can, doesn't mean we should #hpm
Wed Feb 20 18:42:43 PST 2013
philiplederer
RT @ctsinclair: @philiplederer A lot of the initial #choosingwisely recs were focused on limiting non-beneficial procedures. #hpm
Wed Feb 20 18:42:44 PST 2013
ctsinclair
@zacksholem True, but it can help set a norm, like single fraction radiation therapy for bone mets. #hpm
Wed Feb 20 18:42:45 PST 2013
jfclearywisc
@ctsinclair I thought the @ASCO #choosingwisely statements were particularly powerful. e.g No chemo if poor performance status. #hpm
Wed Feb 20 18:42:58 PST 2013
Page 14 of 22
2/22/13 8:43 AM
KathyKastner
MT @ctsinclair: Like that it empowers both md+ pts. think some doctors do non-beneficial treatment, b/c 'other docs do it' #JustSayNo #hpm
Wed Feb 20 18:43:04 PST 2013
best_endings
MT @ctsinclair: Like that it empowers both md+ pts. think some doctors do non-beneficial treatment, b/c 'other docs do it' #JustSayNo #hpm
Wed Feb 20 18:43:05 PST 2013
ctsinclair
OK like I said fast night, moving onto Topic 4! #hpm

Wed Feb 20 18:43:11 PST 2013
yzafar
@rfberry T3: Here's data from @Health_Affairs showing how pt activation/involvement in care can reduce costs http://t.co/o0AvgoSPYO #hpm
Wed Feb 20 18:43:16 PST 2013
jfclearywisc
RT @aliciabloom: T3- #ChoosingWisley is about reminding us all that just because we can, doesn't mean we should #hpm
Wed Feb 20 18:43:28 PST 2013
aliciabloom
RT @ctsinclair: True, but it can help set a norm, like single fraction radiation therapy for bone mets. #hpm
Wed Feb 20 18:43:29 PST 2013
rfberry
@yzafar it's great data, I think language is really important, especially in public discussion because it can be easily confusing. #hpm
Wed Feb 20 18:44:21 PST 2013
enBloomMedia
@ctsinclair a drawback to dealing with over-treatment may come from the disparities that remain in the system since it builds distrust #hpm
Wed Feb 20 18:44:22 PST 2013
doctoredgarcop
RT @philiplederer: medical students are largely going into procedural-based subspecialties, high salariesneed to reverse this #hpm #meded
Wed Feb 20 18:44:25 PST 2013
ctsinclair
T4: @HospiceofMI released a #Hospice app for caregivers: http://t.co/Jhc1JhxeZ5 So far it is one of the best I have seen. #hpm
Wed Feb 20 18:45:16 PST 2013
ctsinclair
T4: It tells caregivers who came to see their loved one, with a picture and what discipline they are. #hpm
Wed Feb 20 18:45:45 PST 2013
aliciabloom
T3- it's important to maintain the message that #ChoosingWisley is about giving the right care, not about withholding it #hpm
Wed Feb 20 18:46:08 PST 2013
Page 15 of 22
2/22/13 8:43 AM
ctsinclair
T4: What else would you like to see in a hospice mobile app? #hpm
Wed Feb 20 18:46:09 PST 2013
ctsinclair
(I know this was a topic in the past few months, but seeing this one got me real excited again about Hospice apps!) #hpm
Wed Feb 20 18:46:41 PST 2013
equijada
@ctsinclair I agree. Looking forward to watching roll out. #Hpm

Wed Feb 20 18:46:57 PST 2013
kilani19
@ctsinclair what each of the medications are, function, side effect, pill picture etc #hpm
Wed Feb 20 18:47:10 PST 2013
jillshroyer
Wed Feb 20 18:47:20 PST 2013
kilani19
@ctsinclair what to expect from the eol process - breathing, pain, swelling, appetite, etc #hpm
Wed Feb 20 18:47:51 PST 2013
ctsinclair
And what is impressive is that the app cost $50k and was funded by a grant from @Verizon and @Compuware KUDOS! #hpm
Wed Feb 20 18:47:58 PST 2013
ctsinclair
@kilani19 Would love that clinical function, even if read only. #hpm
Wed Feb 20 18:48:15 PST 2013
KathyKastner
RT @kilani19: @ctsinclair what to expect from the eol process - breathing, pain, swelling, appetite, etc #hpm
Wed Feb 20 18:48:15 PST 2013
best_endings
Wed Feb 20 18:48:16 PST 2013
rfberry
Heard recent comment from MD who loved @VitasHospice's app RT @ctsinclair T4: What else would you like to see in a hospice mobile app? #hpm
Wed Feb 20 18:48:30 PST 2013
ctsinclair
@kilani19 Links to YT videos maybe for the educational info, or written possibly. #hpm
Wed Feb 20 18:48:40 PST 2013
ctsinclair
Wed Feb 20 18:48:45 PST 2013
Page 16 of 22
2/22/13 8:43 AM
ctsinclair
RT @aliciabloom: T3: Important to maintain the message that #ChoosingWisley is about giving the right care, not about withholding it #hpm
Wed Feb 20 18:49:06 PST 2013
aliciabloom
T4- great to see they're continuing to develop the app to allow for two way communication. #hpm
Wed Feb 20 18:49:14 PST 2013
kilani19
@ctsinclair I also would like to see in an app an education regarding the disease that pt has (pt info page like a jama or uptodate) #hpm
Wed Feb 20 18:49:20 PST 2013
ctsinclair
@rfberry Looked at it a while back and wasn't all that impressed. Most hospice apps so far have not been caregiver oriented #hpm
Wed Feb 20 18:49:36 PST 2013
kilani19
@ctsinclair nice! #hpm

Wed Feb 20 18:49:46 PST 2013
equijada
@ctsinclair @uber for hospice #Hpm

Wed Feb 20 18:50:03 PST 2013
aliciabloom
@rfberry the @VITASHospice app is geared toward pre-admission: clinical guidelines for hospice eligibility & ability to make a referral #hpm
Wed Feb 20 18:50:17 PST 2013
ctsinclair
@kilani19 Maybe even customize it. Like a sport app that lets you select 'your team' to get news updates #hpm
Wed Feb 20 18:50:17 PST 2013
kilani19
@ctsinclair @rfberry yes vitas one is geared toward the provider #hpm
Wed Feb 20 18:50:29 PST 2013
jfclearywisc
@ctsinclair @aliciabloom Dr Cassel seemed to stress this on the live stream video of IOM today #endoflife #Hpm
Wed Feb 20 18:50:31 PST 2013
aliciabloom
T4- it's exciting to see a caregiver directed app to enhance patient care & communication #hpm
Wed Feb 20 18:51:07 PST 2013
ctsinclair
@aliciabloom @rfberry I think pre-referral apps are not necessarily the way to go for true innovation. #hpm
Wed Feb 20 18:51:11 PST 2013
kilani19
@ctsinclair yes! I like that! So if dementia - what to expect... Or copd... Disease specific
Page 17 of 22
2/22/13 8:43 AM
info #hpm
Wed Feb 20 18:51:29 PST 2013
AlfianMursalim
Today project #ciputraworld #hpm http://t.co/tvkaFdJeZm

Wed Feb 20 18:51:40 PST 2013
rfberry
Why? RT @ctsinclair @aliciabloom @rfberry I think pre-referral apps are not necessarily the way to go for true innovation. #hpm
Wed Feb 20 18:51:49 PST 2013
milhealth
RT @aliciabloom: T2- infographics can relay critical... #hpm /are gr8t for ppl w/lower #healthlit skills, spkrs-other langs, visual learners
Wed Feb 20 18:51:59 PST 2013
jfclearywisc
@ctsinclair #ehospice is a very good global hospice news app @ehospicenews #Hpm #hpmglobal
Wed Feb 20 18:52:07 PST 2013
philiplederer
interesting... I hope the #HPM community can connect with the medical education advocates #meded
Wed Feb 20 18:52:15 PST 2013
ctsinclair
@rfberry @aliciabloom From what I have seen they do not really help with referral process. I may be wrong, but a phone call seems easy #hpm
Wed Feb 20 18:52:40 PST 2013
aliciabloom
@ctsinclair it's definitely not changing the face of direct patient care, but certainly could help improve patient access #hpm
Wed Feb 20 18:52:41 PST 2013
ctsinclair
@philiplederer Yes there needs to be (and there is ) plenty of cross-pollination between #meded and #hpm
Wed Feb 20 18:53:05 PST 2013
kilani19
@ctsinclair @aliciabloom @rfberry may not be the best for maintaining the pts on service and giving the family a resource #hpm
Wed Feb 20 18:53:11 PST 2013
aliciabloom
T4- disease specific information within the app would be helpful for patients & caregivers #hpm
Wed Feb 20 18:53:11 PST 2013
ctsinclair
@kilani19 exactly! #hpm

Wed Feb 20 18:53:29 PST 2013
rfberry
RT @aliciabloom: T4- disease specific information within the app would be helpful for patients & caregivers #hpm
Page 18 of 22
2/22/13 8:43 AM
Wed Feb 20 18:53:40 PST 2013
ctsinclair
@aliciabloom It is a start, so I can't fault the attempts. Just looking for better utilization our of an app for patient/family #hpm
Wed Feb 20 18:54:45 PST 2013
Amer_Acad_Peds
RT @philiplederer: interesting... I hope the #HPM community can connect with the medical education advocates #meded
Wed Feb 20 18:54:51 PST 2013
kilani19
@ctsinclair you should work on one! #hpm

Wed Feb 20 18:54:56 PST 2013
rfberry
@kilani19 potentially, though if it decreases clinical confusion & then patients get access to care earlier (indirect resource to pts) #hpm
Wed Feb 20 18:54:59 PST 2013
ctsinclair
Coming to the top of the hour, we covered a lot of different short topics today, please leave us with something inspiring! #hpm
Wed Feb 20 18:55:35 PST 2013
ctsinclair
@kilani19 I've submitted my ideas to the IT department! #hpm

Wed Feb 20 18:55:56 PST 2013
kilani19
@rfberry true true. #hpm I just think that those who do most of the referrals usually know the criteria fairly well.
Wed Feb 20 18:56:13 PST 2013
philiplederer
@ArtKellermannMD @EmoryUniversity 1) efficient/accountable providers 2) empower consumers 3) population health 4) high value innovation #HPM
Wed Feb 20 18:56:16 PST 2013
aliciabloom
@ctsinclair absolutely. it's definitely not impacting direct patient care day to day. #hpm
Wed Feb 20 18:56:19 PST 2013
rfberry
awesome! RT @ctsinclair: @kilani19 Ive submitted my ideas to the IT department! #hpm

Wed Feb 20 18:56:24 PST 2013
philiplederer
RT @ctsinclair: @philiplederer Yes there needs to be (and there is ) plenty of crosspollination between #meded and #hpm
Wed Feb 20 18:56:31 PST 2013
ctsinclair
RT @kilani19: @rfberry true true. I just think that those who do most of the referrals usually know the criteria fairly well. "Agree" #hpm
Wed Feb 20 18:56:59 PST 2013
Page 19 of 22
2/22/13 8:43 AM
enBloomMedia
Mking accuracy essential RT @aliciabloom: T2infographics relay critical #hpm/R gr8 4 ppl w/lwr #healthlit spkrs-other lang vis learners #hpm
Wed Feb 20 18:57:02 PST 2013
aliciabloom
@kilani19 @rfberry unfortunately, i don't think they do. if they did, we wouldn't have a median LOS on hospice of <21 days. #hpm
Wed Feb 20 18:57:08 PST 2013
kilani19
@ctsinclair good job buddy! #hpm

Wed Feb 20 18:57:15 PST 2013
rfberry
Collaboration is key to innovation. ;) #hpm

Wed Feb 20 18:57:24 PST 2013
aliciabloom
RT @rfberry: Collaboration is key to innovation. ;) #hpm

Wed Feb 20 18:57:52 PST 2013
kilani19
@aliciabloom @rfberry touch! #hpm

Wed Feb 20 18:58:18 PST 2013
HParaMeninas
Boa noite proces!! #HPM http://t.co/nM0px98Nx0

Wed Feb 20 18:58:20 PST 2013
ctsinclair
RT @rfberry: Collaboration is key to innovation. ;) #hpm

Wed Feb 20 18:59:00 PST 2013
aliciabloom
@kilani19 @rfberry :) #hpm

Wed Feb 20 18:59:01 PST 2013
equijada
@uber for house calls. Totally lateral. #Hpm

Wed Feb 20 18:59:05 PST 2013
yzafar
@ctsinclair Something that inspired me. Couple days ago, a pt told me he was ready for hospice b/c hospice was there to help him live #hpm
Wed Feb 20 18:59:16 PST 2013
kilani19
#hpm I had a great chat w you all thank you for this time together!
Wed Feb 20 18:59:23 PST 2013
ctsinclair
@aliciabloom @rfberry @kilani19 Short Median LOS is a much more complicated issue than an app can handle! #hpm
Wed Feb 20 18:59:31 PST 2013
SusannaEsposit1
Page 20 of 22
2/22/13 8:43 AM
Wed Feb 20 18:59:48 PST 2013
equijada
@yzafar wonderful! #Hpm

Wed Feb 20 19:00:00 PST 2013
HarborHospiceMI
RT @ssmithaahpm: Hallmark and 'End of Life' Cards http://t.co/1Oxsx7QV #hpm

Wed Feb 20 19:00:06 PST 2013
ctsinclair
@philiplederer Way to get a RT from American Academy of Pediatrics! #hpm

Wed Feb 20 19:00:07 PST 2013
ctsinclair
RT @yzafar: Something that inspired me. Couple days ago, a pt told me he was ready for hospice b/c hospice was there to help him live #hpm
Wed Feb 20 19:00:20 PST 2013
kilani19
@yzafar @ctsinclair YES! Get busy living while on hospice! #hpm

Wed Feb 20 19:00:28 PST 2013
enBloomMedia
RT @yzafar: @ctsinclair ...Inspired me. Couple days ago, a pt told me he was ready for hospice b/c hospice was there to help him live #hpm
Wed Feb 20 19:00:43 PST 2013
ctsinclair
@yzafar Amazing shift in context. #hpm

Wed Feb 20 19:00:46 PST 2013
ctsinclair
Goodnight all! #hpm

Wed Feb 20 19:01:28 PST 2013
aliciabloom
@ctsinclair @rfberry @kilani19 yes, although some of LOS issues = clinicians not understanding when someone is clinically appropriate #hpm
Wed Feb 20 19:01:34 PST 2013
aliciabloom
RT @yzafar: Something that inspired me. Couple days ago, a pt told me he was ready for hospice b/c hospice was there to help him live #hpm
Wed Feb 20 19:01:52 PST 2013
aliciabloom
many thanks to @ctsinclair for hosting-- lots of interesting topics tonight! hope everyone will join us again next week! #hpm
Wed Feb 20 19:02:51 PST 2013
enBloomMedia
@ctsinclair Thanks 4 bring gr8 topics @aliciabloom where can i get a transcript from tonights chat? #hpm
Wed Feb 20 19:04:24 PST 2013
philiplederer
RT @ctsinclair: @philiplederer Way to get a RT from American Academy of Pediatrics! #hpm

Page 21 of 22
2/22/13 8:43 AM
Wed Feb 20 19:05:53 PST 2013
aliciabloom
@rfberry --> RT @enBloomMedia: @ctsinclair Thanks 4 bring gr8 topics @aliciabloom where can i get a transcript from tonights chat? #hpm
Wed Feb 20 19:06:24 PST 2013
Coola419
Wed Feb 20 19:07:30 PST 2013
phbehnken
Wed Feb 20 19:08:13 PST 2013
EMIMDoc
Wed Feb 20 19:08:24 PST 2013
Page 22 of 22

#HPM - TweetChat - 2/20/13

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#HPM - TweetChat - 2/20/13

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#hpm - Healthcare Social Media Transcript

Good evening #hpm

#hpm - Healthcare Social Media Transcript

Hey @rfberry and @kathykastner. Is that a reposado, anejo or blanco? #hpm

@aliciabloom Greetings! #hpm #hospice #palliative

hi @KathyKastner. great to see you, @enBloomMedia, & @morganbain! #hpm

#hpm - Healthcare Social Media Transcript

hello.. also am lurking #HPM

hey @ctsinclair & @rfberry! #hpm

@morganbain I'm excited for NOLA! Great to see you! #hpm

@aliciabloom No basketball tonight? #hpm

#hpm - Healthcare Social Media Transcript

@ctsinclair tomorrow night for this week #hpm

@yzafar definitely! Getting used to all the newness at Duke. #hpm

@yzafar We could always use more research oriented voices #hpm

@kilani19 No problem! #hpm

#hpm - Healthcare Social Media Transcript

Wed Feb 20 18:09:42 PST 2013

hey there @kilani19! #hpm

@rfberry @ctsinclair Thanks - glad to be here. #hpm

@aliciabloom hey!! #hpm

Anyone have any ideas? This is important! #hpm

#hpm - Healthcare Social Media Transcript

@ctsinclair no idea... #hpm can u give us some leading info?

Topic 1 - More information from NHPCO here: http://t.co/5RGOKkCDyG #hpm

@ctsinclair oh yeah #hpm

#hpm - Healthcare Social Media Transcript

Wed Feb 20 18:17:24 PST 2013

Quick #hospice sequester video reference from @HospiceAction http://t.co/4uunwwUEvR #hpm

@rfberry @hospiceaction thank you for this reference! #hpm

T1 I think any cuts/potential cuts to hospice budgets are scary. #hpm

T1: yikes #Hpm

#hpm - Healthcare Social Media Transcript

Getting ready to move to topic #2, finishing thoughts? #hpm

#hpm - Healthcare Social Media Transcript

Wed Feb 20 18:24:08 PST 2013

T2- i'm a visual person, so i enjoy a good infographic! #hpm

@ctsinclair love em if vetted by @edwardtufte #Hpm

#hpm - Healthcare Social Media Transcript

@enBloomMedia absolutely. accuracy is important. #hpm

T2: Do you trust infographics always, sometimes, depends? #hpm

RT @yzafar: @ctsinclair T2: Data visualization (step beyond infographics) is so important.

#hpm - Healthcare Social Media Transcript

Heres what I use: http://t.co/U6MmFy2BOb #hpm

@yzafar I'm glad you are here tonight! #hpm

@rfberry Care to share you collection with us? #hpm

@jfclearywisc Hey Jim. Long time no see! #hpm

#hpm - Healthcare Social Media Transcript

T3: Key groups releasing tomorrow: @AAHPM @ASCO @amergeriatrics #hpm

I believe the news conference is tomorrow AM at am CT using hashtag #choosingwisely #hpm

@ctsinclair Show the interrelationship; maintaining access2care with hospice, change

#hpm - Healthcare Social Media Transcript

culture=impact on system as whole #hpm

@jfclearywisc Good question. They are embargoed, so I don't know. #hpm

#hpm - Healthcare Social Media Transcript

Wed Feb 20 18:40:34 PST 2013

@philiplederer medical society needs to find value in the work we do #hpm

@jfclearywisc That to me is the biggest miracle! #hpm

#hpm - Healthcare Social Media Transcript

OK like I said fast night, moving onto Topic 4! #hpm

#hpm - Healthcare Social Media Transcript

@ctsinclair I agree. Looking forward to watching roll out. #Hpm

#hpm - Healthcare Social Media Transcript