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#hpm Healthcare Social Media Transcript

#hpm transcript
Healthcare Social Media Transcript
From: To: Wed Sep 19 18:00:00 PDT 2012 Wed Sep 19 19:15:00 PDT 2012 change time period

New ! Explore analytics for this time period: #hpm analytics Explore the world of healthcare social media: Healthcare Conferences - Healthcare Analytics Learn more about #hpm at The Healthcare Hashtag Project

aliciabloom

good evening & welcome to this week's #hpm tweetchat! i'm happy to be hosting tonight. let's get started with some introductions. . .
Wed Sep 19 18:01:44 PDT 2012

BillPfohl

Hey @aliciabloom Bill from Hospice of CNY. Is this the last #HPM of the summer? #hpm
Wed Sep 19 18:03:13 PDT 2012

aliciabloom

hi @BillPfohl! i suppose it is the last of the summer. . . #hpm

Wed Sep 19 18:04:11 PDT 2012

WaywardChad

I'm Chad, a social worker and a grad student in #thanatology from Maryland; newcomer to the field of #hpm, but it feels like a good fit #hpm
Wed Sep 19 18:04:19 PDT 2012

rfberry

RT @aliciabloom: good evening & welcome to this week's #hpm tweetchat! i'm happy to be hosting tonight. let's get started with some ...
Wed Sep 19 18:04:25 PDT 2012

aliciabloom

welcome @WaywardChad! glad to see you're becoming a regular. #hpm

Wed Sep 19 18:05:01 PDT 2012

nursefriendly

RT @aliciabloom: good evening & welcome to this week's #hpm tweetchat! i'm happy to be hosting tonight. let's get started with some ...
Wed Sep 19 18:05:34 PDT 2012

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rfberry

Renee Berry @goBeMoRe, advocate for early palliative care, good evening #hpm
Wed Sep 19 18:05:51 PDT 2012

WaywardChad

Evening, Bill! Hope all's well in CNY....former Syracusian here! And thanks, @aliciabloom -- it's become a weekly part of my routine! #hpm
Wed Sep 19 18:06:07 PDT 2012

aliciabloom

hello @rfberry! good to see you again :) #hpm

Wed Sep 19 18:06:42 PDT 2012

aliciabloom

@WaywardChad @BillPfohl i'm an upstater, too...from Albany originally #hpm

Wed Sep 19 18:07:48 PDT 2012

BillPfohl

Welcome @WaywardChad! Albany @aliciabloom is eastern NY...Westchester is Upstate...LOL #hpm

Wed Sep 19 18:09:31 PDT 2012

aliciabloom

Former US Senator Bill Frist wrote How do you want to die? & this will serve as catalyst for our discussion. . . http://t.co/4bW1fomZ #hpm
Wed Sep 19 18:09:36 PDT 2012

nursefriendly

Wednesday 9/19/12 #Healthcare #Tweetchats (ET) 9p #mhealth #dsma #hpm #premeded #socialortho #socmedchap cc #nurseup
Wed Sep 19 18:11:33 PDT 2012

aliciabloom

T1: Do you agree with Dr. Frist that policymakers must "change course" in order to impact the way people receive care at EOL? How? #hpm
Wed Sep 19 18:13:19 PDT 2012

hollyby

Hello all! #HPM doc from @SanDiegoHospice. All tweets are my own. I'm on a video conference, so I'll be lurking on the chat. #hpm
Wed Sep 19 18:13:55 PDT 2012

aliciabloom

good to see you @hollyby! #hpm

Wed Sep 19 18:14:33 PDT 2012

WaywardChad

MT @aliciabloom T1: Do you agree with Dr. Frist that policymakers must "change course" to impact way people receive care at EOL? How? #hpm
Wed Sep 19 18:15:08 PDT 2012

rfberry

T1 That's a really great question @aliciabloom, it has my head spinning if policy makers changing course is the answer. #hpm
Wed Sep 19 18:15:21 PDT 2012

aliciabloom

@rfberry thought it was an interesting point & would be good for our group to discuss. lots of implications around policy for EOL care #hpm
Wed Sep 19 18:16:48 PDT 2012

WaywardChad

T1: That's definitely a head-scratcher. I think policymakers definitely need to be part of the discussion, but I'm not exactly sure how #hpm
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Wed Sep 19 18:17:19 PDT 2012

chrisolsondc

Hello to everyone on the #hpm chat. @rfberry - you still in Boston?

Wed Sep 19 18:17:20 PDT 2012

rfberry

T1 I'm not sure if policy makers need to change course as much as they need to make informed decisions for our future in #hpm
Wed Sep 19 18:17:54 PDT 2012

Ddlstahl

RT @ctsinclair: "hope does not lie in a way out, but a way through" - Robert Frost quoted by Rabow. #hpm #SojournsAwards
Wed Sep 19 18:18:03 PDT 2012

aliciabloom

welcome @chrisolsondc! #hpm

Wed Sep 19 18:18:08 PDT 2012

rfberry

Hey Chris, good to see you! Just got back to CA last night. RT @chrisolsondc Hello everyone. @rfberry - you still in Boston? #hpm
Wed Sep 19 18:18:24 PDT 2012

WaywardChad

MT @rfberry: T1 Not sure if policy makers need to change course as much as they need to make informed decisions for our future in #hpm
Wed Sep 19 18:19:11 PDT 2012

aliciabloom

would like to see policy makers positively impact reimbursement-- allow clinicians to have the important conversations with patients #hpm
Wed Sep 19 18:19:46 PDT 2012

rfberry

I'm interested in other people's thoughts on T1, if I was asked this question in January of 2011 I would have said yes change course! #hpm
Wed Sep 19 18:20:12 PDT 2012

BillPfohl

I like the idea of a national discussion & forum. I think this policy has to come from us as a nation. Who r the policymakers? #hpm
Wed Sep 19 18:21:55 PDT 2012

doctatum

RT @doctatum T1- from Salt lake on phone. Trying to keep up. Great topic!! #hpm
Wed Sep 19 18:22:53 PDT 2012

WaywardChad

MT @BillPfohl: Like the idea of a national discussion & forum. Think this policy has to come from us as a nation. Who r policymakers? #hpm
Wed Sep 19 18:22:54 PDT 2012

aliciabloom

i think we're all policymakers, in that we elect the individuals who create the policies and have an opportunity to advocate #hpm
Wed Sep 19 18:23:11 PDT 2012

chrisolsondc

@rfberry Cool! Hope you're having a good night. #hpm

Wed Sep 19 18:23:23 PDT 2012

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WaywardChad

I think maybe they need to change course in the sense that it needs to stop being about partisanship and soundbites, as Dr. Frist says. #hpm
Wed Sep 19 18:23:51 PDT 2012

aliciabloom

as we get ready to move on to T2, please share any final thoughts on T1. . . #hpm
Wed Sep 19 18:23:59 PDT 2012

rfberry

@aliciabloom I was in the midst of trying to say something similar, but you got it out faster & with more clarity than me! #hpm
Wed Sep 19 18:24:12 PDT 2012

WaywardChad

MT @aliciabloom: Think we're all policymakers; we elect the individuals who create the policies and have an opportunity to advocate #hpm
Wed Sep 19 18:24:25 PDT 2012

aliciabloom

@rfberry :) #hpm
Wed Sep 19 18:24:42 PDT 2012

rfberry

T1 Crucially important for policy makers & the public to understand the ramifications of keeping the status quo for EOL as it is now. #hpm
Wed Sep 19 18:25:21 PDT 2012

aliciabloom

hopefully T2 won't leave our heads spinning too much :) #hpm

Wed Sep 19 18:25:37 PDT 2012

WaywardChad

MT @rfberry: T1 Crucial for policy makers & the public to understand the ramifications of keeping the status quo for EOL as it is now. #hpm
Wed Sep 19 18:26:26 PDT 2012

aliciabloom

T2: Dr. Frist suggests medical education must be reformed. What would you recommend to enhance the training of MDs/DOs, RNs & MSWs? #hpm
Wed Sep 19 18:26:26 PDT 2012

WaywardChad

RT @aliciabloom: T2: Frist suggests med educ must be reformed. What would you recommend to enhance the training of MDs/DOs, RNs & MSWs? #hpm
Wed Sep 19 18:27:23 PDT 2012

WaywardChad

T2: Introduce a course in death & dying as early in the curriculum as possible...and make it part of CME or CE as well. #hpm
Wed Sep 19 18:28:08 PDT 2012

doctatum

@aliciabloom t2 interprof training to work in teams. Important for all healthcare sectors to deal with complex older sicker patients. #hpm
Wed Sep 19 18:28:51 PDT 2012

rfberry

T2 We need to study the effectiveness of different types of clinical training in #hpm

Wed Sep 19 18:29:29 PDT 2012

WaywardChad

T2: For me, my "aha" moment about death & dying came during a death & dying course in my social work program...it really opened my eyes #hpm
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Wed Sep 19 18:29:36 PDT 2012

rfberry

T2 Introduce skill sets around facilitating goals of care conversations earlier into curriculum. Measure & Test these skill sets too. #hpm
Wed Sep 19 18:30:30 PDT 2012

aliciabloom

would like to see all physicians do rotations with hospice &/or palliative care teams to gain practical skills that can impact practice #hpm
Wed Sep 19 18:30:32 PDT 2012

aliciabloom

this is a great point --> RT @rfberry: T2 We need to study the effectiveness of different types of clinical training in #hpm
Wed Sep 19 18:30:48 PDT 2012

BillPfohl

Education concerning EOL are important. But think about this:Let the patient be the consumer, they should demand info about EOL options #hpm
Wed Sep 19 18:31:18 PDT 2012

aliciabloom

@WaywardChad anything in particular about the death & dying course that impacted you? #hpm
Wed Sep 19 18:31:44 PDT 2012

rfberry

I think pre-req for med school should be completing 6 months of #hospice patientcare volunteering. Learn presence at the bedside. #hpm
Wed Sep 19 18:31:55 PDT 2012

aliciabloom

@BillPfohl important for patients to be consumers, however don't always know what to ask & clinicians need to be prepared to respond #hpm
Wed Sep 19 18:32:36 PDT 2012

doctatum

@aliciabloom t2 train all docs sw pt rns in high quality skilled nursing facilities and long term care #hpm
Wed Sep 19 18:32:42 PDT 2012

rfberry

@BillPfohl I agree that people should advocate to understand all their options, I think sometimes it's hard to know what to ask though. #hpm
Wed Sep 19 18:32:53 PDT 2012

WaywardChad

@aliciabloom From the beginning, we undertook assignments that really got us confronting our fear: writing my own obit? Wow. #hpm
Wed Sep 19 18:32:58 PDT 2012

hollyby

T2: We need to include basic symptom management based on pharmacologic principles into all physician, nursing, & pharmacy training. #hpm
Wed Sep 19 18:33:00 PDT 2012

aliciabloom

@rfberry presence at the bedside is critically important. need to revisit it during their residency, so they can apply the skills #hpm
Wed Sep 19 18:33:34 PDT 2012

T1 What is a common misconception that policy makers have about palliative

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chrisolsondc

care? #hpm
Wed Sep 19 18:33:58 PDT 2012

BillPfohl

Education is part of the answer. We (HPM) must make patients aware of their options. #hpm
Wed Sep 19 18:34:07 PDT 2012

aliciabloom

@hollyby yes, yes, yes! 2mg of IV dilaudid is not the same as 2mg of IV morphine. . . #hpm
Wed Sep 19 18:34:13 PDT 2012

aliciabloom

@chrisolsondc i think most policy makers (and people in general) are still learning what palliative care really means. #hpm
Wed Sep 19 18:34:41 PDT 2012

WaywardChad

Was lucky in that I got to work in interdisciplinary teams during my internships...so many don't get that chance. Think it's vital in #hpm
Wed Sep 19 18:34:42 PDT 2012

hollyby

T2: Include communication skills training and interprofessional work into all disciplines as well. #hpm
Wed Sep 19 18:34:53 PDT 2012

rfberry

@chrisolsondc ha! That's a good question, though I'd think you'd be one of the best here to answer that as someone in DC. #hpm
Wed Sep 19 18:35:23 PDT 2012

rfberry

Yes! RT @hollyby T2 Include communication skills training and interprofessional work into all disciplines as well. #hpm
Wed Sep 19 18:35:46 PDT 2012

aliciabloom

@WaywardChad that's great. by confronting our own feelings about death & dying, we can immediately become more effective clinicians. #hpm
Wed Sep 19 18:35:58 PDT 2012

rfberry

@hollyby how much of (or which key) palliative care skill sets do you think should be taught to general practitioners in the future? #hpm
Wed Sep 19 18:36:36 PDT 2012

doctatum

t2. Respect and valuing of primary care in early health care important to improve #hpm issues in #meded
Wed Sep 19 18:36:39 PDT 2012

aliciabloom

@hollyby communication skills training is so essential. the language we use impacts the decisions patients/families make about care #hpm
Wed Sep 19 18:36:39 PDT 2012

hollyby

RT @doctatum: t2. Respect and valuing of primary care in early health care important to improve #hpm issues in #meded #hpm
Wed Sep 19 18:37:32 PDT 2012

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jodyms

RT @ctsinclair: "hope does not lie in a way out, but a way through" - Robert Frost quoted by Rabow. #hpm #SojournsAwards
Wed Sep 19 18:37:39 PDT 2012

doctatum

And doing it as team together RT@hollyby Include communication skills training and interprofessional work into all disciplines as well. #hpm
Wed Sep 19 18:37:44 PDT 2012

aliciabloom

please share any final thoughts on T2 before we move on to T3 #hpm

Wed Sep 19 18:39:20 PDT 2012

chrisolsondc

@rfberry Thx, but I feel like I have much to learn when it comes to #hpm policy. Would like to learn more about influencing policy makers.
Wed Sep 19 18:40:35 PDT 2012

rfberry

T2 Training on establishing & revisiting goals of care discussions should be part of all clinical education. #hpm
Wed Sep 19 18:41:35 PDT 2012

aliciabloom

yes yes yes! RT @rfberry: T2 Training on establishing & revisiting goals of care discussions should be part of all clinical education. #hpm
Wed Sep 19 18:42:06 PDT 2012

aliciabloom

because the way we deliver information & the language we use impacts the way people make decisions, communication training is essential #hpm
Wed Sep 19 18:42:47 PDT 2012

WaywardChad

RT @rfberry: T2 Training on establishing & revisiting goals of care discussions should be part of all clinical education. #hpm
Wed Sep 19 18:42:48 PDT 2012

doctatum

Inspired by chat?@aahpm website has great resources about policy issues. See pcheta info and how to get involved sections. #hpm
Wed Sep 19 18:43:18 PDT 2012

aliciabloom

T3: Frist asks, "How should caregivers be compensated for providing more appropriate care but not more procedures & more technology?" #hpm
Wed Sep 19 18:43:27 PDT 2012

hollyby

@rfberry I think the 3 key issues of basic symptom control, communication, and working as a part of a team is what I would hope for. #hpm
Wed Sep 19 18:44:10 PDT 2012

aliciabloom

RT @doctatum: Inspired by chat? @aahpm website has great resources about policy issues. See pcheta info & how to get involved sections. #hpm
Wed Sep 19 18:44:18 PDT 2012

chrisolsondc

Re: T2 Clinicians should look into attending the @NHPCO_news Clincial Team Conference in Orlando, FL to learn more about #hpm.
Wed Sep 19 18:45:25 PDT 2012

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hollyby

T3: Start with compensating goals of care and advance directive discussions so we actually know what the patient and family want. #hpm
Wed Sep 19 18:46:18 PDT 2012

aliciabloom

@hollyby @rfberry i like those 3 key issues for clinical education of all health care providers. #hpm
Wed Sep 19 18:46:26 PDT 2012

rfberry

@aliciabloom it sounds a bit like he's calling healthcare providers 'caregivers,' what do you think? #hpm
Wed Sep 19 18:46:39 PDT 2012

aliciabloom

@rfberry yes, i think he is referring to physicians & other clinicians as caregivers. #hpm
Wed Sep 19 18:47:45 PDT 2012

BillPfohl

@hollyby Interesting. Are you saying no compensation until patient goals and objectives are met? #hpm
Wed Sep 19 18:48:20 PDT 2012

hollyby

@BillPfohl No, that would be really hard to measure and they change constantly. #hpm
Wed Sep 19 18:49:25 PDT 2012

aliciabloom

@hollyby i couldn't agree more. we need to reimburse clinicians to support them having the important (time consuming) conversations. #hpm
Wed Sep 19 18:49:25 PDT 2012

aliciabloom

T3: i would like to see masters-prepared, licensed social workers be able to bill for advance care planning counseling & goals of care #hpm
Wed Sep 19 18:50:05 PDT 2012

WaywardChad

RT @hollyby: T3: Start w/ compensating goals of care & advance directive discussions so we actually know what the patient & family want #hpm
Wed Sep 19 18:50:53 PDT 2012

hollyby

@BillPfohl Right now, a patient has to come in for something other than discussing their wishes for their doc to be compensated. #hpm
Wed Sep 19 18:51:10 PDT 2012

WaywardChad

Yes! RT @aliciabloom: T3: Like to see masters-prepared, LSWs able to bill for advance care planning counseling & goals of care #hpm
Wed Sep 19 18:54:06 PDT 2012

aliciabloom

T3: would like to see more concurrent care provided at end of life. improving hospice access would improve quality & reduce costs. #hpm
Wed Sep 19 18:54:12 PDT 2012

DOG_CHIEFLOVER

RT @ctsinclair: "hope does not lie in a way out, but a way through" - Robert Frost quoted by Rabow. #hpm #SojournsAwards
Wed Sep 19 18:54:39 PDT 2012

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Wed Sep 19 18:54:39 PDT 2012

aliciabloom

@WaywardChad i thought you might agree with me on that one. #hpm

Wed Sep 19 18:54:45 PDT 2012

aliciabloom

the #hpm hour is coming to a close this week. please share any final thoughts & be sure to join us next week. . .same time, same place.
Wed Sep 19 18:57:18 PDT 2012

hollyby

@aliciabloom Totally agree w/ concurrent care. Would need to find a way to fund outpatient work done by MSW, nurses, & spiritual care. #hpm
Wed Sep 19 18:58:00 PDT 2012

hollyby

@aliciabloom Thanks so much for hosting!!! #hpm

Wed Sep 19 18:58:47 PDT 2012

hollyby

Good night all! Great to chat with you! I love this group! #hpm
Wed Sep 19 18:59:04 PDT 2012

aliciabloom

@hollyby thanks so much for joining us!! #hpm

Wed Sep 19 18:59:17 PDT 2012

hollyby

Closing thought that I saw on a sign in a cupcake shop... "Whatever you are, be a good one." #hpm
Wed Sep 19 18:59:58 PDT 2012

aliciabloom

closing thought: treat yourself to a pumpkin spice latte this week. #hpm
Wed Sep 19 19:01:05 PDT 2012

WaywardChad

Well, if you're going to twist my arm... ;-) RT @aliciabloom: closing thought: treat yourself to a pumpkin spice latte this week. #hpm
Wed Sep 19 19:03:06 PDT 2012

WaywardChad

Final thought: If we can continue to have these discussions, then there's true hope for the national dialogue that Dr. Frist urges. #hpm
Wed Sep 19 19:03:50 PDT 2012

meganranney

@rfberry Agree, good to have a "baseline" of pt expernce (what non-docs expect, find shocking, etc), before getting jaded in training. #hpm
Wed Sep 19 19:08:36 PDT 2012

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