2011 05 04 hpm tweetchat transcript

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  • 1. #hpmHealthcare Hashtag Twitter Transcript From: Wed May 04 18:00:00 PDT 2011 To: Wed May 04 19:00:00 PDT 2011 Customize transcript dates and layoutLearn more about #hpm at The Healthcare Hashtag ProjectMatthewsMichele Just settling down to get the #hpm tweetchat going! #hpm Wed May 4 18:00:17 PDT 2011renee_berry RT @ASCO: Go to #ASCOU to find an easy way to self-assess your knowledge of Palliative Care http://ow.ly/4LwAn #hpm Wed May 4 18:00:35 PDT 2011renee_berry RT @MatthewsMichele: So excited to be hosting the #hpm tweetchat tonight at 9 p.m. ET! Hope youll join me! Wed May 4 18:00:46 PDT 2011SheyontheBay @MatthewsMichele Im joining: CHPN in NY #hpm Wed May 4 18:01:43 PDT 2011CompAndChoices RT @matthewsmichele: So excited to be hosting the #hpm tweetchat tonight at 9 p.m. ET! Hope youll join me! Wed May 4 18:01:58 PDT 2011MatthewsMichele Hi everyone! Lets start introducing ourselves to get tonights tweetchat going...Ill start... #hpm Wed May 4 18:02:00 PDT 2011renee_berry RT @vlarendt: RT @kevinmd: The mission of the #hospice and #palliative care is to ease patient suffering http://goo.gl/fb/RcmiK #hpm Wed May 4 18:02:23 PDT 2011nursefriendly Hello Everyone, Andrew Lopez, Jersey RN #HPM Wed May 4 18:02:26 PDT 2011MatthewsMichele <-#socialmedia, #healthpolicy junkie, @klxmedia team member, @NHDD blog editor, proud #hospice, #hpm advocate & tonight’s moderator! #hpm Wed May 4 18:02:30 PDT 2011
  • 2. CompAndChoices <----Joining. From Oregon. :) #hpm Wed May 4 18:02:44 PDT 2011carlaaxt RT @vlarendt: RT @kevinmd: The mission of the #hospice and #palliative care is to ease patient suffering http://goo.gl/fb/RcmiK #hpm Wed May 4 18:03:17 PDT 2011MatthewsMichele Welcome @CompAndChoices @nursefriendly @sheyonthebay! Just giving the late comers another minute before we get started... #hpm Wed May 4 18:04:10 PDT 2011jen_c_taylor I vow not to lurk tonight! Jennifer, MSW #HPM Wed May 4 18:04:16 PDT 2011AliveHospice @PalliativeMed_j Thanks for the follow! #hpm #hospice #palliative Wed May 4 18:04:38 PDT 2011PracticalWisdom HI I"m Lisa who morphs the ho-hum into compelling. Speaker, Trainer, Presentation Designer, Rascal. Been looking forward to 2 night. #hpm Wed May 4 18:04:42 PDT 2011MatthewsMichele awesome! RT @jen_c_taylor: I vow not to lurk tonight! Jennifer, MSW #hpm Wed May 4 18:04:43 PDT 2011MatthewsMichele Pre-T1Diagnostic & Statistical Manual- Mental Disorders (DSM-5) getting lots of attn lately: http://bit.ly/j1tXMZ, http://bit.ly/l389lg #hpm Wed May 4 18:05:35 PDT 2011nursefriendly Hi Everyone, are we discussion hospice, in theory, or direct patient care? #HPM Wed May 4 18:05:47 PDT 2011stefilako Steph ER RN, just checking out your chat as Im putting kids down. #HPM Wed May 4 18:06:14 PDT 2011nursefriendly I frequently wonder if the next dose of Morphine Im giving may be the last. #HPM Wed May 4 18:06:23 PDT 2011MatthewsMichele Thats a little background on T1 for everyone joining...T1 coming up... #hpm Wed May 4 18:06:28 PDT 2011renee_berry --> Silicon Valley, CA girl, passionate about early #palliative care, work w/@KLXmedia tweeting from a sushi restaurant :) #hpm Wed May 4 18:06:38 PDT 2011MatthewsMichele Lets get started: T1: DSM-5 task force psychiatrists debate classifying grief as mental illness. Is this is appropriate? #hpm Wed May 4 18:06:56 PDT 2011
  • 3. PracticalWisdom Ill be tweeting with my Pals from #HPM. Special shout out to @RichmondDoc who has another great chat tonight. #hpm Wed May 4 18:07:09 PDT 2011renee_berry RT @MatthewsMichele: Pre-T1Diagnostic & Statistical Manual- Mental Disorders (DSM-5) getting lots of attn lately: http://bit.ly/j1tXMZ, http://bit.ly/l389lg #hpm Wed May 4 18:07:35 PDT 2011PracticalWisdom My Tweets are my own and also those of my Firm. Many folks might be tweeting only for themselves tonight. #hpm Wed May 4 18:08:13 PDT 2011nursefriendly T1 To classify it would justify the need to treat, or medicate it. #HPM Wed May 4 18:08:16 PDT 2011DrBeckerSchutte T1--I think that complicated grief symptoms may qualify as an adjustment disorder level diagnosis. #hpm Wed May 4 18:08:20 PDT 2011CompAndChoices Tweeing from a chair on my back deck, from sunny western Oregon. Gotta take the rays while I can get em#hpm Wed May 4 18:08:41 PDT 2011nursefriendly T1 Grief as well as Joy, are natural emotions we all experience as a matter of course. At what point does grief become pathological? #HPM Wed May 4 18:09:03 PDT 2011drbeckerschutte Hi all--Im a Kansas City, MO psychologist with a specialty in loss and transition, sub-specialty is coping with serious illness. #hpm Wed May 4 18:09:18 PDT 2011MatthewsMichele @drbeckerschutte can you name a few of the symptoms youre referring to? #hpm Wed May 4 18:09:33 PDT 2011renee_berry T1 awesome topic, though I have a question.. is what appropriate, the debate or the fact that grief is categorized as a mental disorder #hpm Wed May 4 18:09:35 PDT 2011Kaviraj2 RT @renee_berry: T1 awesome topic, though I have a question.. is what appropriate, the debate or the fact that grief is categorized as a mental disorder #hpm Wed May 4 18:10:03 PDT 2011MatthewsMichele @renee_berry the classification of grief as a mental disorder #hpm Wed May 4 18:10:26 PDT 2011DrBeckerSchutte @nursefriendly I think that when grief symptoms interfere with daily functioning for an extended period of time, they may be "severe" #hpm Wed May 4 18:10:32 PDT 2011renee_berry (great to see some new faces tonight!!!!!) and @Kaviraj2 are you joining us for the whole chat? great to see you too! #hpm
  • 4. Wed May 4 18:10:36 PDT 2011faisal_q OK weekly #hpm / #dsma / #FamMedChat all same Wednesday 9EST timeslot ~ Who here runs the #hashtag committee ? ;) Wed May 4 18:10:45 PDT 2011MatthewsMichele RT @renee_berry: (great to see some new faces tonight!!!!!) and @Kaviraj2 are you joining us for the whole chat? great to see you too! #hpm Wed May 4 18:11:06 PDT 2011Kaviraj2 RT @MatthewsMichele: Pre-T1Diagnostic & Statistical Manual- Mental Disorders (DSM-5) getting lots of attn lately: http://bit.ly/j1tXMZ, http://bit.ly/l389lg #hpm Wed May 4 18:11:08 PDT 2011drbeckerschutte @MatthewsMichele Im thinking of folks who are experiencing difficulty going to work, connecting with others, for extended periods #hpm Wed May 4 18:11:20 PDT 2011Kaviraj2 RT @renee_berry: --> Silicon Valley, CA girl, passionate about early #palliative care, work w/@KLXmedia tweeting from a sushi restaurant :) #hpm Wed May 4 18:11:21 PDT 2011MatthewsMichele no clueRT @faisal_q: OK weekly #hpm / #dsma / #FamMedChat all same Wednesday 9EST timeslot ~ Who here runs the #hashtag committee ? ;) #hpm Wed May 4 18:11:25 PDT 2011Kaviraj2 RT @vlarendt: RT @kevinmd: The mission of the #hospice and #palliative care is to ease patient suffering http://goo.gl/fb/RcmiK #hpm Wed May 4 18:11:48 PDT 2011Kaviraj2 RT @ASCO: Go to #ASCOU to find an easy way to self-assess your knowledge of Palliative Care http://ow.ly/4LwAn #hpm Wed May 4 18:12:08 PDT 2011DrBeckerSchutte @MatthewsMichele Challenging to define complicated grief in 140 characters! #hpm Wed May 4 18:12:08 PDT 2011CompAndChoices GREAT question. RT @nursefriendly: At what point does grief become pathological? #HPM Wed May 4 18:12:08 PDT 2011nursefriendly Are you talking about a group of symptoms, or severity of a single? @drbeckershutte T1 Complicated Grief Symptoms. #HPM Wed May 4 18:12:32 PDT 2011SheyontheBay RT@nursefriendly:Grief like Joy, natural emotions we all experience as a matter of course.At what point does grief become pathological? #hpm Wed May 4 18:12:35 PDT 2011MatthewsMichele Any thoughts? RT @CompAndChoices: GREAT question. RT @nursefriendly: At what point does grief become pathological? #hpm Wed May 4 18:12:38 PDT 2011
  • 5. DrBeckerSchutte So jealous of the sushi tweeting! #hpm Wed May 4 18:12:57 PDT 2011PracticalWisdom T1: In the past worked in the Mental Health Field. just pulled one of my Fav books. Caring for the mind. Classic but not current 1995 #hpm Wed May 4 18:13:20 PDT 2011DrBeckerSchutte @nursefriendly I think that one sx can be severe enough to justify treatment, or a cluster of sx can be persistently difficult. #hpm Wed May 4 18:13:43 PDT 2011CompAndChoices What Im wondering is: why wouldnt "pathological" grief simply be classified as "depression", rather than a different disorder? #hpm Wed May 4 18:13:59 PDT 2011MatthewsMichele Me too! RT @drbeckerschutte: So jealous of the sushi tweeting! #hpm Wed May 4 18:14:03 PDT 2011SheyontheBay T1 - or does it all come down to $$$$ - reimbursement for grief support to mitigate becoming pathological? #hpm Wed May 4 18:14:09 PDT 2011drbeckerschutte Let me clarify that I dont think all grief qualifies for this--just grief that is prolonged or incapacitating, which is subjective. #hpm Wed May 4 18:14:27 PDT 2011renee_berry @MatthewsMichele @CompAndChoices @nursefriendly I used to train volunteers on this often because "prolonged depression" was always a Q #hpm Wed May 4 18:14:49 PDT 2011nursefriendly @drbeckerschutte How would grief differ from say "depression, anger" which are frequently cause by the same situations? Death, Loss etc #HPM Wed May 4 18:15:04 PDT 2011EldrcareConsult Helllloooo all! #hpm Wed May 4 18:15:08 PDT 2011DrBeckerSchutte @SheyontheBay I think that it could also be about making sure that folks with complicated grief have access to services. #hpm Wed May 4 18:15:13 PDT 2011MatthewsMichele Have to say-I feel like medicalizing grief totally negates raw human emotion and response to loss and dont think its appropriate! #hpm Wed May 4 18:15:38 PDT 2011renee_berry T1 What is prolonged depression in the context of grief? Does it feel prolonged to you? If yes, then it is, support will help. #hpm Wed May 4 18:15:40 PDT 2011
  • 6. MatthewsMichele Welcome @EldrcareConsult! #hpm Wed May 4 18:15:52 PDT 2011SheyontheBay @drbeckerschutte @SheyontheBay dont they already? Under ICD codes depression/adjustment disorder? #hpm Wed May 4 18:16:30 PDT 2011PracticalWisdom T1: Says symptoms lasting longer than 2 months after the loss of a loved one. Wish @MarkSmithMD @Miller7@DocForeman @susangiurleo Here #hpm Wed May 4 18:16:32 PDT 2011nursefriendly Im wondering why grief should be classified as a new "diagnosis" when it frequently overlaps with so many other established diagnoses. #HPM Wed May 4 18:16:38 PDT 2011DrBeckerSchutte @MatthewsMichele The issue that I struggle with is that folks who need insurance to access care/support--is that medicalizing grief? #hpm Wed May 4 18:17:16 PDT 2011swan5675 RT @nursefriendly: Im wondering why grief should be classified as a new "diagnosis" when it frequently overlaps with so many other #hpm Wed May 4 18:17:24 PDT 2011DrBeckerSchutte @nursefriendly True--I often use adjustment DO categories or depression categories depending on presentation #hpm Wed May 4 18:17:43 PDT 2011PracticalWisdom RT @nursefriendly:Im wondering ? grief should b classified new "diagnosis" when it frequently overlaps w/ so # other established diagn. #hpm Wed May 4 18:17:47 PDT 2011renee_berry @MatthewsMichele I wouldnt call it inappropriate if its helpful in finding ways to help people (in a clinical back scenes way) #hpm Wed May 4 18:17:50 PDT 2011PracticalWisdom T1: Feel confident others will answer. #hpm Wed May 4 18:18:11 PDT 2011nursefriendly Access can be provided without a new dx. RT @drbeckerschutte: @SheyontheBay I think that it could also . ,. . . access to services. #HPM Wed May 4 18:18:18 PDT 2011swan5675 T1 Ah, yes....some things must be done in the name of reimbursement #hpm Wed May 4 18:18:22 PDT 2011jen_c_taylor I wonder why the DSM-IV diagnosis of "adjustment disorder" was not sufficient for DSM-V researchers 4 those living w/ prolonged grief? #HPM Wed May 4 18:18:47 PDT 2011renee_berry T1 I think its also really important to remember that grief is not exclusive to our experience of death, its a part of all loss #hpm Wed May 4 18:18:47 PDT 2011
  • 7. DrBeckerSchutte T1: Does making it a diagnostic category mean that people will feel more or less empowered to seek support? #hpm Wed May 4 18:18:51 PDT 2011EldrcareConsult Great idea @Practicalwisdom #hpm Wed May 4 18:18:58 PDT 2011PracticalWisdom T1: if an employee is diagnosed with Depression after death of a loved on wonder if this might impact career. Know Privacy but U know. #hpm Wed May 4 18:19:19 PDT 2011nursefriendly RT @SheyontheBay: @drbeckerschutte @SheyontheBay dont they already? Under ICD codes depression/adjustment disorder? #HPM Wed May 4 18:19:22 PDT 2011MatthewsMichele @drbeckerschutte @reneeberry @MatthewsMichele are you talking about grief or depression? #hpm Wed May 4 18:19:27 PDT 2011renee_berry its awesome :) RT @MatthewsMichele: Me too! RT @drbeckerschutte: So jealous of the sushi tweeting! #hpm Wed May 4 18:19:33 PDT 2011CompAndChoices T1: I worry about stigmatizing grief--when its already difficult enough at that stage. #hpm Wed May 4 18:19:36 PDT 2011DrBeckerSchutte Yes!!RT @renee_berry: T1 I think its...important to remember that grief is not exclusive to ... death, its a part of all loss #hpm Wed May 4 18:19:50 PDT 2011MatthewsMichele @drbeckerschutte I think it will make people feel jusged and less likely to seek support, which is why I say inappropriate. #hpm Wed May 4 18:20:07 PDT 2011renee_berry @PracticalWisdom it may impact their career even if its not diagnosed... & same applies to students & academic engagement #hpm Wed May 4 18:20:16 PDT 2011swan5675 @PracticalWisdom T1 Diagnosis is not supposed to affect career, but it does if anyone finds out. Easy to be labeled #hpm Wed May 4 18:20:26 PDT 2011MatthewsMichele my pt! !RT @renee_berry: T1 I think its...important to remember that grief is not exclusive to ... death, its a part of all loss #hpm Wed May 4 18:20:30 PDT 2011iCareAware RT @MatthewsMichele: <-#socialmedia, #healthpolicy junkie, @klxmedia team member, @NHDD blog editor, proud #hospice, #hpm advocate & ... Wed May 4 18:20:45 PDT 2011
  • 8. PracticalWisdom T1: Think this is just another impact of this new DSMV. @GregSmithMD had a great blog on this topic. #hpm Wed May 4 18:21:02 PDT 2011OncoPRN RT @compandchoices: GREAT question. RT @nursefriendly: At what point does grief become pathological? #HPM Wed May 4 18:21:02 PDT 2011CompAndChoices RT @swan5675: @PracticalWisdom T1 Diagnosis is not supposed to affect career, but it does if anyone finds out. Easy to be labeled #hpm Wed May 4 18:21:03 PDT 2011iCareAware RT @MatthewsMichele: Lets get started: T1: DSM-5 task force psychiatrists debate classifying grief as mental illness. Is this is appropriate? #hpm Wed May 4 18:21:13 PDT 2011DrBeckerSchutte @MatthewsMichele Fundamental struggle for me, since I work from a strengths perspective, to be in a system that req diagnosis codes #hpm Wed May 4 18:21:25 PDT 2011iCareAware RT @MatthewsMichele: no clueRT @faisal_q: OK weekly #hpm / #dsma / #FamMedChat all same Wednesday 9EST timeslot ~ Who here runs the #has ... Wed May 4 18:21:43 PDT 2011MatthewsMichele Final thoughts on T1? well be moving on in a minute or two. #hpm Wed May 4 18:21:49 PDT 2011nursefriendly I think it opens the door to new treatments and business for drug companies, excuses to prescribe for something "new" which is not. #HPM Wed May 4 18:21:53 PDT 2011renee_berry Ive almost always thought people should see a psychologist as a regular part of #healthcare, just like seeing any other doc #hpm Wed May 4 18:21:59 PDT 2011PracticalWisdom @swan5675: Human Resource Professionals must have two different locked files for personal records HIPPA so should not be a problem. #hpm Wed May 4 18:22:04 PDT 2011iCareAware RT @MatthewsMichele: Any thoughts? RT @CompAndChoices: GREAT question. RT @nursefriendly: At what point does grief become pathological? #hpm Wed May 4 18:22:09 PDT 2011jen_c_taylor Multi-faceted topic, but I like this quote from http://bit.ly/eGArhv "grief is the necessary price we pay for our capacity to love.” #HPM Wed May 4 18:22:14 PDT 2011DrBeckerSchutte @MatthewsMichele And why I love working with clients outside of insurance! #hpm Wed May 4 18:22:19 PDT 2011iCareAware RT @MatthewsMichele: Have to say-I feel like medicalizing grief totally negates raw human emotion and response to loss and dont think its appropriate! #hpm
  • 9. Wed May 4 18:22:21 PDT 2011renee_berry RT @OncoPRN: RT @compandchoices: GREAT question. RT @nursefriendly: At what point does grief become pathological? #HPM Wed May 4 18:22:28 PDT 2011drbeckerschutte @renee_berry Youre my new favorite person! Can I quote you on that? #hpm Wed May 4 18:22:36 PDT 2011tweet4awareness RT @CompAndChoices: RT @swan5675: @PracticalWisdom T1 Diagnosis is not supposed to affect career, but it does if anyone finds out. Easy to be labeled #hpm Wed May 4 18:22:41 PDT 2011nursefriendly Sorry, Id stick to the existing categories, rather than try to classify grief as pathological. #HPM Wed May 4 18:22:44 PDT 2011MatthewsMichele Ive almost always thought people should see a psychologist as a regular part of #healthcare like seeing any other doc via @renee_berry #hpm Wed May 4 18:22:47 PDT 2011swan5675 @PracticalWisdom It WAS a problem for me....long story #hpm Wed May 4 18:22:47 PDT 2011DrBeckerSchutte @jen_c_taylor Beautiful quote! #hpm Wed May 4 18:22:55 PDT 2011PracticalWisdom T1: If we + this addit. dx then every single person, because we will all experience a death will have a new or another dx. #hpm Wed May 4 18:23:22 PDT 2011renee_berry grief drove me into #entrepreneurship ... it has been crucial to my creative process #hpm Wed May 4 18:23:33 PDT 2011MatthewsMichele I attended HCI-DC last week and T2 stems from a quote from one of the panelists... #hpm Wed May 4 18:23:51 PDT 2011MatthewsMichele Pre-T2: ‘Difficulty in moving #HealthIT fwd is were always missing key component, ie regs., reimbursement-VC Sami Hamade, #HCIDC #hpm Wed May 4 18:24:01 PDT 2011PracticalWisdom T1: Does this not hurt the belief that grief is natural and experienced differently by all of us. #hpm Wed May 4 18:24:05 PDT 2011swan5675 RT @PracticalWisdom: T1: If we + this addit. dx then every single person, because we will all experience a death #hpm Wed May 4 18:24:06 PDT 2011
  • 10. tweet4awareness RT @CompAndChoices: T1: I worry about stigmatizing grief--when its already difficult enough at that stage. #hpm Wed May 4 18:24:08 PDT 2011nursefriendly Too many people are on antidepressants and other drugs, for behavioral issues, which 20 years ago were considered normal on occasion #HPM Wed May 4 18:24:17 PDT 2011PracticalWisdom Very Nice RT @nursefriendly: Sorry, Id stick to the existing categories, rather than try to classify grief as pathological. #hpm Wed May 4 18:24:37 PDT 2011renee_berry @drbeckerschutte haha yes absolutely, I started saying it in 7th grade (pretty sure my mom thought I was crazy) haha :) #hpm Wed May 4 18:24:52 PDT 2011swan5675 RT @nursefriendly: Too many people are on antidepressants and other drugs, for behavioral issues, which were considered normal #hpm Wed May 4 18:25:00 PDT 2011jen_c_taylor Me too. RT @renee_berry: grief drove me into #entrepreneurship ... it has been crucial to my creative proces #HPM Wed May 4 18:25:25 PDT 2011OncoPRN RT @renee_berry: Ive almost always thought people should see a psychologist as a regular part of #healthcare... #hpm Wed May 4 18:25:35 PDT 2011PracticalWisdom @nursefriendly: Too complex for me to give black and white answer. In the past many people suffered and in fact died w/out some Meds #hpm Wed May 4 18:25:44 PDT 2011MatthewsMichele T2: If Hamade’s claim is true, what do you think is missing in #hpm that keeps #HealthIT in our specialty from moving fwd? #hpm Wed May 4 18:25:44 PDT 2011hollyby Holly Yang, MD from @SanDiegoHospice. My tweets for the next 30 min are for the #HPM tweetchat. All tweets are my own. Sorry Im late! #hpm Wed May 4 18:26:14 PDT 2011MatthewsMichele Clarify T2: Do you think we need more #HealthIT incentives in #hpm? regulations that support it? change in doc or pt tudes? #hpm Wed May 4 18:27:00 PDT 2011renee_berry @hollyby hey Holly, no prob, great to join whenever we can! #hpm Wed May 4 18:27:05 PDT 2011MatthewsMichele Glad you made it @hollyby! #hpm Wed May 4 18:27:21 PDT 2011PracticalWisdom RT @drbeckerschutte:@MatthewsMichele Fund struggle 4 me, since I work strengths perspective, 2 be in a system that req diagnosis codes #hpm Wed May 4 18:27:23 PDT 2011
  • 11. Wed May 4 18:27:23 PDT 2011renee_berry RT @MatthewsMichele: Clarify T2: Do you think we need more #HealthIT incentives in #hpm? regulations that support it? change in doc or p ... Wed May 4 18:27:28 PDT 2011aliciabloom sorry to be tardy to the party! #hpm Wed May 4 18:27:32 PDT 2011nursefriendly So if treated, youd have missed out. RT @renee_berry: grief drove me into #entrepreneurship ... it has been crucial to my creative #HPM Wed May 4 18:27:41 PDT 2011AureliaCotta @PracticalWisdom there is a very big difference in types of grief, the normal average kind is not included in the new diag. Cat #hpm Wed May 4 18:28:06 PDT 2011MatthewsMichele @aliciabloom No worries; welcome! :) #hpm Wed May 4 18:28:09 PDT 2011PracticalWisdom @hollyby @SanDiegoHospice: Holly would love if you could catch up to learn what you think re: Topic 1. @mattewsMichele is that o.k. #hpm Wed May 4 18:28:14 PDT 2011SheyontheBay @nursefriendly ;D #hpm Wed May 4 18:28:19 PDT 2011CompAndChoices @nursefriendly Love your comments on T1. Very insightful. #hpm Wed May 4 18:28:19 PDT 2011nursefriendly RT @PracticalWisdom: T1: Does this not hurt the belief that grief is natural and experienced differently by all of us. #HPM Wed May 4 18:28:19 PDT 2011renee_berry T2 I think its less of doc or pt attitudes & more of systems & administration not always seeing the immense opportunities w/ #HealthIT #hpm Wed May 4 18:28:20 PDT 2011swan5675 RT @nursefriendly: RT @PracticalWisdom: T1: Does this not hurt the belief that grief is natural #hpm Wed May 4 18:29:08 PDT 2011MatthewsMichele @renee_berry how do you think the govt agencies can play a role in improving that or do you think its institutional? #hpm Wed May 4 18:29:10 PDT 2011renee_berry RT @CompAndChoices: @nursefriendly Love your comments on T1. Very insightful. #hpm Wed May 4 18:29:25 PDT 2011
  • 12. MatthewsMichele RT @renee_berry: RT @CompAndChoices: @nursefriendly Love your comments on T1. Very insightful. #hpm Wed May 4 18:29:49 PDT 2011swan5675 RT @renee_berry: RT @CompAndChoices: @nursefriendly Love your comments on T1. Very insightful. #hpm Wed May 4 18:29:59 PDT 2011hollyby T2: Not sure that we are different from the rest of healthcare. Funding and proper programs that meet the needs of the practitioners #hpm Wed May 4 18:30:04 PDT 2011nursefriendly Lots of people dying from Black Box Label Adverse reactons too. RT @PracticalWisdom: @nursefriendly: Too complex for me to give black #HPM Wed May 4 18:30:41 PDT 2011PracticalWisdom @AureliaCotta:Thx I guess I now need to take a speed reading class. I like when we have about 24 hours to read articles before chats. #hpm Wed May 4 18:30:41 PDT 2011renee_berry @MatthewsMichele all of the above, @Todd_Park is making headway there with the open data movement & #opengov #hpm Wed May 4 18:30:45 PDT 2011MatthewsMichele T2 I tend to think that theres some reluctance across the board to do things differently than theyve been done in the past #hpm Wed May 4 18:30:58 PDT 2011PracticalWisdom I wondered too. RT @swan5675: RT @nursefriendly: RT @PracticalWisdom: T1: Does this not hurt the belief that grief is natural #hpm Wed May 4 18:31:12 PDT 2011renee_berry I think we need people like @arrington or @TechCrunch writers analyzing health systems, we would progress much faster #hpm Wed May 4 18:31:39 PDT 2011CompAndChoices @MatthewsMichele Could you please RT T2? Im lost. LOL #hpm Wed May 4 18:32:04 PDT 2011PracticalWisdom ME Too! Just thinking the same thing. RT @CompAndChoices: @MatthewsMichele Could you please RT T2? Im lost. LOL #hpm Wed May 4 18:32:33 PDT 2011EldrcareConsult Gosh I hate coming in during the middle of a chat #hpm Wed May 4 18:32:55 PDT 2011MatthewsMichele Pre-T2: ‘Difficulty in moving #HealthIT fwd is were always missing key component, ie regs., reimbursement-VC Sami Hamade, #HCIDC #hpm Wed May 4 18:32:59 PDT 2011renee_berry RT @MatthewsMichele: Pre-T2: ‘Difficulty in moving #HealthIT fwd is were always missing key component, ie regs., reimbursement-VC Sami Hamade, #HCIDC
  • 13. #hpm Wed May 4 18:33:11 PDT 2011renee_berry RT @MatthewsMichele: Clarify T2: Do you think we need more #HealthIT incentives in #hpm? regulations that support it? change in doc or p ... Wed May 4 18:33:16 PDT 2011MatthewsMichele T2: If Hamade’s claim is true, what do you think is missing in #hpm community that keeps #HealthIT in our specialty from moving fwd? #hpm Wed May 4 18:33:18 PDT 2011PracticalWisdom I hope you will take this in the flavor I intend but I have not attended the same conferences so perhaps this might be some of the ???? #hpm Wed May 4 18:33:28 PDT 2011nursefriendly Blushing . . . . . thanks! #HPM Wed May 4 18:33:29 PDT 2011MatthewsMichele @nursefriendly no worries! #hpm Wed May 4 18:33:52 PDT 2011DrBeckerSchutte Re: Grief is natural. Yup! But complicated, extended grief may need support & treatment. Might be normalizing instead of stigmatizing #hpm Wed May 4 18:34:15 PDT 2011renee_berry T2 @CMSinnovates is opening doors for collaborating on #healthIT projects to improve systems & inspire innovation #opengov #hpm Wed May 4 18:34:40 PDT 2011aliciabloom not sure that its our speciality, but rather a global issue. streamlined #healthIT systems would enhance care across the continuum. #hpm Wed May 4 18:34:46 PDT 2011hollyby T2 (1/2): HPM is a big field with different needs: homecare, inpt. consults, outpt. care, inpt. units. Also with specific regs #hpm Wed May 4 18:34:51 PDT 2011MatthewsMichele RT @hollyby: T2: HPM is a big field with different needs: homecare, inpt. consults, outpt. care, inpt. units. Also with specific regs #hpm Wed May 4 18:35:25 PDT 2011DrSnit Sorry Im missing #hpm chat. Seriously shitty day today. Too many deaths- too much of my own stuff to talk theoretically about it. Miss you Wed May 4 18:35:35 PDT 2011DrBeckerSchutte So, would #healthIT include tablets for education in homecare, EMR, etc? #hpm Wed May 4 18:35:47 PDT 2011hollyby T2 (2/2): Definitely would need #HealthIT to take into account the "system" in total, as well as ease of use. Efficiency & flexibility #hpm Wed May 4 18:36:06 PDT 2011
  • 14. MatthewsMichele RT @aliciabloom: not sure its our speciality, but a global issue. streamlined #healthIT systems wld enhance care across continuum. #hpm Wed May 4 18:36:12 PDT 2011renee_berry @DrSnit we all have those days, thanks for saying hi #hpm Wed May 4 18:36:19 PDT 2011CompAndChoices T2: I wonder if political hogwash holds it back. The way $ is spent around EOL care is a political football. #hpm Wed May 4 18:36:20 PDT 2011renee_berry RT @hollyby: T2 (2/2): Definitely would need #HealthIT to take into account the "system" in total, as well as ease of use. Efficiency & flexibility #hpm Wed May 4 18:36:32 PDT 2011PracticalWisdom @DrSnit: Sorry xoxox you back. #hpm Wed May 4 18:36:35 PDT 2011nursefriendly Hmmmm . . .are we talking about hospice nurses with laptops at home, and computerized interfaces, or hospital computer systems or both? #HPM Wed May 4 18:36:40 PDT 2011EldrcareConsult @hollyby I think tablets would help a lot in all medical feilds / #hpm Wed May 4 18:36:44 PDT 2011hollyby @DrSnit Hugs from all of us. Miss you back. #hpm Wed May 4 18:36:45 PDT 2011renee_berry RT @CompAndChoices: T2: I wonder if political hogwash holds it back. The way $ is spent around EOL care is a political football. #hpm Wed May 4 18:36:51 PDT 2011DrBeckerSchutte So true. @CompAndChoices: I wonder if political hogwash holds it back. The way $ is spent around EOL care is a political football. #hpm Wed May 4 18:36:58 PDT 2011CompAndChoices @DrSnit Go put your feet up and have a spiked cup of tea. #hpm. Wed May 4 18:37:02 PDT 2011equijada Hi folks. t2 Health tech follows: - @rock_health @halletecco @azaaza Need to deregulate & innovate. Hope these companies make $$$ #hpm Wed May 4 18:37:05 PDT 2011jen_c_taylor #HealthIT in #HPM can and I think will innovate and advance from the patients grassroots efforts and demands. #HPM Wed May 4 18:37:08 PDT 2011nursefriendly The answer to computer integration, health information adoption, is to convince facility and insurance it will make/save money. #HPM Wed May 4 18:37:30 PDT 2011
  • 15. MatthewsMichele @drbeckerschutte yep and any other innovations that integrate new #tech and #healthcare #hpm Wed May 4 18:37:30 PDT 2011EldrcareConsult I use a tablet all the time in my GCM practice #hpm Wed May 4 18:37:54 PDT 2011PracticalWisdom RT @drbeckerschutte:Grief is natural. But complicated, extended grief may need support/DX. Might b normalizing instead of stigmatizing #hpm Wed May 4 18:38:05 PDT 2011EldrcareConsult As well as Skype to talk with cleints families #hpm Wed May 4 18:38:15 PDT 2011PracticalWisdom RT @EldrcareConsult: I use a tablet all the time in my GCM practice #hpm Wed May 4 18:38:24 PDT 2011DrBeckerSchutte @nursefriendly So sad that the answer is not to convince insurance/facility that it will lead to better care! Grr. #hpm Wed May 4 18:38:26 PDT 2011CompAndChoices @renee_berry Im old (and sometimes wise). LOL #hpm Wed May 4 18:38:32 PDT 2011EldrcareConsult @PracticalWisdom @drbeckerschutte Agreed! #hpm Wed May 4 18:38:33 PDT 2011nursefriendly Computerizing medication administration records, ensures that each aspirin is billed for at $3.00 per pop in an efficient manner. #HPM Wed May 4 18:38:35 PDT 2011hollyby Agree. Need the right software & interfacing tho. RT @EldrcareConsult: @hollyby I think tablets would help a lot in all medical fields/ #hpm Wed May 4 18:38:35 PDT 2011PracticalWisdom RT @nursefriendly: answer 2 computer integration, health info. adoption, is to convince facility/insurance it will make/save money. #hpm Wed May 4 18:38:54 PDT 2011aliciabloom more integrated #healthIT could improve patient safety #hpm Wed May 4 18:39:06 PDT 2011MatthewsMichele @EldrcareConsult Really abt talking to client families? Hows that played with pts and their families, other docs? #hpm Wed May 4 18:39:16 PDT 2011renee_berry Im a patient @paloaltomedical & am lucky because I can access my #EHR even recently they have an iphone app its amazing #hpm Wed May 4 18:39:29 PDT 2011
  • 16. Wed May 4 18:39:29 PDT 2011PracticalWisdom Which topic. RT @EldrcareConsult: @PracticalWisdom @drbeckerschutte Agreed! #hpm Wed May 4 18:39:35 PDT 2011nursefriendly When a doctor prescribes a medication and writes a progress note at a terminal, as soon as they hit "send" billing process is started. #HPM Wed May 4 18:39:35 PDT 2011MatthewsMichele Agree! RT @aliciabloom: more integrated #healthIT could improve patient safety #hpm Wed May 4 18:39:39 PDT 2011renee_berry yes RT @aliciabloom: more integrated #healthIT could improve patient safety #hpm Wed May 4 18:39:43 PDT 2011aliciabloom #healthIT is sort of the like the POLST form. unless its integrated, recognized, & utilized by all...its not that effective. #hpm Wed May 4 18:39:53 PDT 2011EldrcareConsult @aliciabloom agreed.....but having the right interface is the problem. dealing with that with my care manager software #hpm Wed May 4 18:39:58 PDT 2011MatthewsMichele RT @renee_berry: Im a patient @paloaltomedical & am lucky because I can access my #EHR recently they have an iphone app its amazing #hpm Wed May 4 18:40:02 PDT 2011PracticalWisdom RT @drbeckerschutte: @nursefriendly So sad the answer is no 2 convince insurance/facility that it will lead to better care! Grr. #hpm Wed May 4 18:40:11 PDT 2011renee_berry @aliciabloom um, what a great way to think about it... YES! #hpm Wed May 4 18:40:38 PDT 2011renee_berry RT @aliciabloom: #healthIT is sort of the like the POLST form. unless its integrated, recognized, & utilized by all...its not that effective. #hpm Wed May 4 18:40:49 PDT 2011PracticalWisdom RT @nursefriendly: When MD prescribes a med & writes a progress note terminal, as soon as they hit "send" billing process is started. #hpm Wed May 4 18:40:52 PDT 2011MatthewsMichele @renee_berry @paloaltomedical Jealous! My #healthcare providers are just not there yet! #hpm Wed May 4 18:41:04 PDT 2011nursefriendly When computerized charting was introduced, they told us it was to eliminate illegible entries, think it was really for billing purposes #HPM Wed May 4 18:41:13 PDT 2011
  • 17. RT @aliciabloom: #healthIT is sort of the like the POLST form. unless itsMatthewsMichele integrated, recognized, & utilized by all...its not that effective. #hpm Wed May 4 18:41:35 PDT 2011aliciabloom @renee_berry & imagine how awesome the POLST form could be with solid #healthIT, #EMR. no way for pt wishes to get lost in translation! #hpm Wed May 4 18:41:55 PDT 2011MatthewsMichele closing thoughts on T2, folks? Two minutes to T3 #hpm Wed May 4 18:42:33 PDT 2011renee_berry @aliciabloom @renee_berry oh man, that seems so simple & sensible... & yet seems so far off to achieve #wishful #hpm Wed May 4 18:42:55 PDT 2011PracticalWisdom Mayb both? RT @nursefriendly: When comp. charting intro, told us it was 2 eliminate illeg entries, think was really 4 billing purposes #hpm Wed May 4 18:42:55 PDT 2011aliciabloom @nursefriendly yes, and also for patient safety. less errors when its more legible. #hpm Wed May 4 18:42:56 PDT 2011EldrcareConsult @PracticalWisdom Hey Lisa, need you to call me tomorrow #hpm Wed May 4 18:43:03 PDT 2011renee_berry RT @aliciabloom: @renee_berry & imagine how awesome the POLST form could be with solid #healthIT, #EMR. no way for pt wishes to get lost in translation! #hpm Wed May 4 18:43:04 PDT 2011PracticalWisdom LIft off too! RT @MatthewsMichele: closing thoughts on T2, folks? Two minutes to T3 #hpm Wed May 4 18:43:07 PDT 2011nursefriendly The right interface will always be an issue due to Proprietary Software vendors and computer systems that will not "talk" to each other #HPM Wed May 4 18:43:18 PDT 2011CompAndChoices T2: Are there any real privacy concerns around streamlining health IT? #hpm Wed May 4 18:43:21 PDT 2011hollyby @nursefriendly I think it helps both. As a doc, it often slows me down. #hpm Wed May 4 18:43:29 PDT 2011PracticalWisdom @nursefriendly Im not even a Doc and I have crappy handwritting=dysgraphia. Thats what I call it. #hpm Wed May 4 18:43:54 PDT 2011nursefriendly Would be awesome if the labs computer talked to radiology, talked to doctors office computer. Integration would be miraculous. #HPM Wed May 4 18:44:08 PDT 2011
  • 18. PracticalWisdom Think it will change as you get used to it?RT @hollyby: @nursefriendly I think it helps both. As a doc, it often slows me down. #hpm Wed May 4 18:44:22 PDT 2011MatthewsMichele Govt agencies establishing regs to address RT @CompAndChoices: T2: Are there any real privacy concerns around streamlining health IT? #hpm Wed May 4 18:44:39 PDT 2011BrianCollinson Pretty much impossible! @DrBeckerSchutte: #hpm @MatthewsMichele Challenging to define complicated grief in 140 characters! #hpm Wed May 4 18:44:42 PDT 2011drbeckerschutte @nursefriendly Our childrens hospital has some of that & it is amazing. #hpm Wed May 4 18:44:47 PDT 2011PracticalWisdom It will RT @nursefriendly: be awesome if labs comp. talked 2 radiology, talked 2 MD office computer. Integration would be miraculous. #hpm Wed May 4 18:45:14 PDT 2011renee_berry RT @CompAndChoices: T2: Are there any real privacy concerns around streamlining health IT? #hpm Wed May 4 18:45:24 PDT 2011renee_berry @CompAndChoices I think maybe from health executive perspectives, but I think its not a well educated fear at this point #hpm Wed May 4 18:45:27 PDT 2011AureliaCotta @PracticalWisdom well I only knew about it because my bereavement group talks a lot about it. Unexpected deaths are worst. #hpm Wed May 4 18:45:34 PDT 2011PracticalWisdom RT @BrianCollinson: Pretty impossible! @DrBeckerSchutte: #hpm @MatthewsMichele Challenging 2define complicated grief in 140 characters! #hpm Wed May 4 18:45:40 PDT 2011CompAndChoices @MatthewsMichele Ahhh....thanks! :) #hpm Wed May 4 18:45:52 PDT 2011renee_berry @BrianCollinson haha yes, but its about the conversation right? join our #hpm chat any time! Wed May 4 18:46:06 PDT 2011nursefriendly Think of how many drug errors could be eliminated with computerized order entry? how many times a day do we need to clarify drug order #HPM Wed May 4 18:46:16 PDT 2011PracticalWisdom Suicide 2RT @AureliaCotta: @PracticalWisdomonly knew about it because my bereavement group talks about it. Unexpected deaths are worst. #hpm Wed May 4 18:46:26 PDT 2011hollyby @PracticalWisdom Some, but 10 clicks to order labs and attach it to billing takes
  • 19. hollyby @PracticalWisdom Some, but 10 clicks to order labs and attach it to billing takes longer than writing "CBC" & signing my name. #hpm Wed May 4 18:46:51 PDT 2011drbeckerschutte Okay all--I have to head out! Hopefully Ill catch some more #hpm chat next week. #hpm Wed May 4 18:46:53 PDT 2011MatthewsMichele T4: Orgs like @HospiceAction promote online #hpm advocacy. How can #hpm better use it to #educate #healthpolicy leaders abt our issues? #hpm Wed May 4 18:46:55 PDT 2011PracticalWisdom RT @nursefriendly: Think how # drug errors could be eliminated w/ comp. order entry? ? # times a day do we need 2 clarify drug order #hpm Wed May 4 18:47:27 PDT 2011renee_berry thanks for joining!!! RT @drbeckerschutte: Okay all--I have to head out! Hopefully Ill catch some more chat next week #hpm Wed May 4 18:47:51 PDT 2011DrBeckerSchutte YES!RT Suicide @AureliaCotta @PracticalWisdom Only knew about it because my bereavement group talks about it. Unexpected deaths..worst. #hpm Wed May 4 18:47:53 PDT 2011TWHealthxWealth RT @nursefriendly: Think of how many drug errors could be eliminated with computerized order entry? how many times a day do we need to clarify drug order #HPM Wed May 4 18:47:54 PDT 2011MatthewsMichele T4<-Sorry guys wouldnt be me if I didnt throw a #healthpolicy question into the mix...its so important to furthering access to #hpm! #hpm Wed May 4 18:48:06 PDT 2011DrBeckerSchutte Thanks for the thinking points! #hpm Wed May 4 18:48:10 PDT 2011CompAndChoices @MatthewsMichele T4 (T3?) Follow policymakers on Twitter & #FB, directly engage. #hpm Wed May 4 18:48:14 PDT 2011nursefriendly Privacy concerns will always be there. Whether you are looking into a chart, or pulling up records in a computer, temptation is there. #HPM Wed May 4 18:48:16 PDT 2011renee_berry @MatthewsMichele did I miss T3? :) #hpm Wed May 4 18:48:17 PDT 2011renee_berry RT @MatthewsMichele: T4: Orgs like @HospiceAction promote online #hpm advocacy. How can #hpm better use it to #educate #healthpolicy lea ... Wed May 4 18:48:30 PDT 2011PracticalWisdom Got YaRT @hollyby: @PracticalWisdom Some, 10 clicks 2 order labs & attach it 2
  • 20. PracticalWisdom Got YaRT @hollyby: @PracticalWisdom Some, 10 clicks 2 order labs & attach it 2 billing takes longer than writing "CBC" & signing name. #hpm Wed May 4 18:48:30 PDT 2011CompAndChoices See ya! @DrBeckerSchutte #hpm Wed May 4 18:48:31 PDT 2011renee_berry RT @MatthewsMichele: T4<-Sorry guys wouldnt be me if I didnt throw a #healthpolicy question into the mix...its so important to furthering access to #hpm! #hpm Wed May 4 18:48:44 PDT 2011MatthewsMichele oops! Def meant T3, guys! #hpm Wed May 4 18:49:03 PDT 2011renee_berry @MatthewsMichele no apologies needed for being you, great topic #hpm Wed May 4 18:49:20 PDT 2011PracticalWisdom RT @nursefriendly: Priv.concerns always b there. Whether U R looking in2 chart/ pulling up records in a computer, temptation is there. #hpm Wed May 4 18:49:21 PDT 2011renee_berry RT @MatthewsMichele: T4: Orgs like @HospiceAction promote online #hpm advocacy. How can #hpm better use it to #educate #healthpolicy lea ... Wed May 4 18:49:43 PDT 2011PracticalWisdom Friendly reminder: Lots of good comments but if they are 2 long they are hard to RT! #hpm Wed May 4 18:50:02 PDT 2011DNRstories I missed most of #hpm, but am checking it out now... Wed May 4 18:50:05 PDT 2011aliciabloom we need to tell our stories, because the work that we do with patients & families is compelling. #hpm Wed May 4 18:50:24 PDT 2011PracticalWisdom Great Idea. RT @CompAndChoices: @MatthewsMichele T4 (T3?) Follow policymakers on Twitter & #FB, directly engage. #hpm Wed May 4 18:50:26 PDT 2011renee_berry T3 @HospiceAction could start by participating in a tweetchat some time, I got started in #hospice advocacy w/hill day a few yrs ago #hpm Wed May 4 18:50:37 PDT 2011CompAndChoices @MatthewsMichele Youre doing awesome. Hosting can be daunting. #hpm Wed May 4 18:50:39 PDT 2011MatthewsMichele T3 (formerly known as T4): Orgs like @HospiceAction promote online #hpm advocacy... #hpm Wed May 4 18:50:47 PDT 2011
  • 21. Wed May 4 18:50:47 PDT 2011renee_berry RT @PracticalWisdom: Great Idea. RT @CompAndChoices: @MatthewsMichele T4 (T3?) Follow policymakers on Twitter & #FB, directly engage. #hpm Wed May 4 18:50:53 PDT 2011PracticalWisdom T4: Dont think ready for publication but there are some great ideas/buddies/etc coming along. Very excited. #hpm Wed May 4 18:50:58 PDT 2011MatthewsMichele T3(formerly known as T4 contd): How can #hpm better use it to #educate #healthpolicy leaders abt our issues? #hpm Wed May 4 18:51:08 PDT 2011CompAndChoices @aliciabloom Tell the stories and then publish them widely. #hpm Wed May 4 18:51:17 PDT 2011PracticalWisdom & Important. RT @aliciabloom: we need to tell our stories, because the work that we do with patients & families is compelling. #hpm Wed May 4 18:51:31 PDT 2011PracticalWisdom Story Corps must have some. RT @CompAndChoices: @aliciabloom Tell the stories and then publish them widely. #hpm Wed May 4 18:51:47 PDT 2011renee_berry I think I say this 100x/day RT RT RT RT @CompAndChoices: @aliciabloom Tell the stories and then publish them widely. #hpm Wed May 4 18:52:05 PDT 2011SheyontheBay RT: Great Idea. RT @CompAndChoices: @MatthewsMichele T4 (T3?) Follow policymakers on Twitter & #FB, directly engage. #hpm Wed May 4 18:52:08 PDT 2011MatthewsMichele it=online advocacy! I know I leverage my twitter and Facebook to raise awareness abt upcoming #hpm legislation #hpm Wed May 4 18:52:08 PDT 2011hollyby T4: Online advocacy is important to build a voice, but it needs big numbers to get noticed. Need to build # s & couple w/ IRL contact #hpm Wed May 4 18:52:27 PDT 2011SheyontheBay RT @CompAndChoices: @aliciabloom Tell the stories and then publish them widely. #hpm Wed May 4 18:52:43 PDT 2011nursefriendly From Senator Gifford, to your neighbor in for a knee replacement, human nature will always prevail despite HIPAA Laws #HPM Wed May 4 18:52:43 PDT 2011DNRstories RT @aliciabloom: we need to tell our stories, because the work that we do with patients & families is compelling. #hpm Wed May 4 18:52:46 PDT 2011
  • 22. PracticalWisdom I think #HPM has made a signification contribution. Hey were can we vote @mattewsMichele for those in this field who have made a diff. #hpm Wed May 4 18:52:51 PDT 2011ctsinclair RT @renee_berry: I think I say this 100x/day RT RT RT RT @CompAndChoices: @aliciabloom Tell the stories and then publish them widely. #hpm Wed May 4 18:52:52 PDT 2011CompAndChoices @PracticalWisdom We collect & publish stories, too. And share with policymakers. #hpm Wed May 4 18:53:02 PDT 2011renee_berry @hollyby absolutely, authentic voice is crucial ... & we dont need to wait for traditional publishing to have a voice anymore #hpm Wed May 4 18:53:31 PDT 2011PracticalWisdom @nursefriendly: Im actually surprised there are not more HIPAA violations. #hpm Wed May 4 18:53:36 PDT 2011renee_berry RT @hollyby: T4: Online advocacy is important to build a voice, but it needs big numbers to get noticed. Need to build # s & couple w/ IRL contact #hpm Wed May 4 18:53:41 PDT 2011MatthewsMichele YES! RT@hollyby: Online advocacy is key to build voice, but need big numbers to get noticed. Need to build # s & couple w/ IRL contact #hpm Wed May 4 18:53:49 PDT 2011PracticalWisdom Thanks learned something new! RT @CompAndChoices: @PracticalWisdom We collect & publish stories, too. And share with policymakers. #hpm Wed May 4 18:54:01 PDT 2011aliciabloom #hospice is care with value --> reduces costs and delivers high quality of care. need to show #healthpolicy makers any way we can. #hpm Wed May 4 18:54:23 PDT 2011hollyby RT @PracticalWisdom: @StoryCorps must have some. RT @CompAndChoices: @aliciabloom They do! #Legacy Initiative http://bit.ly/lBlzKd #hpm Wed May 4 18:54:41 PDT 2011PracticalWisdom T4: I like to add #HPM to #HCSM and other related tweetchats when they have common threads. #hpm Wed May 4 18:54:52 PDT 2011renee_berry thats why youre leaders RT @CompAndChoices we collect & publish stories, too. And share with policymakers #hpm Wed May 4 18:55:18 PDT 2011MatthewsMichele #hospice=care w/ value reduces costs & delivers high quality of care. need to show #healthpolicy makers any way we can via @aliciabloom #hpm Wed May 4 18:55:41 PDT 2011nursefriendly Do you wait for patients and family members to "google" you, or do you contact
  • 23. nursefriendly Do you wait for patients and family members to "google" you, or do you contact Alzheimers, Oncology and other support groups? #hpm Wed May 4 18:56:00 PDT 2011CompAndChoices @renee_berry [blush] thank you! #hpm Wed May 4 18:56:00 PDT 2011PracticalWisdom T4: Could you guys help me and perhaps others remember where to vote for our fav. group this could help us all. @ctsinclair can U help? #hpm Wed May 4 18:56:13 PDT 2011renee_berry RT @MatthewsMichele: #hospice=care w/ value reduces costs & delivers high quality of care. need to show #healthpolicy makers any way we can via @aliciabloom #hpm Wed May 4 18:56:22 PDT 2011PracticalWisdom RT @renee_berry: thats why youre leaders RT @CompAndChoices we collect & publish stories, too. And share with policymakers #hpm Wed May 4 18:56:23 PDT 2011MatthewsMichele Its also so important to couple online advocacy w/ good ole fashioned face time w/ #healthpolicy leaders #hpm Wed May 4 18:56:42 PDT 2011PracticalWisdom RT @nursefriendly: Do U wait 4 patients/family members 2 "google" you, or do you contact Alzheimers, Oncology and other support groups? #hpm Wed May 4 18:57:00 PDT 2011hollyby RT @MatthewsMichele: Its also so important to couple online advocacy w/ good ole fashioned face time w/ #healthpolicy leaders #hpm Wed May 4 18:57:13 PDT 2011renee_berry @MatthewsMichele @aliciabloom that is true, (but I) feel a stronger need to advocate for EARLY #palliative care & advance care planning #hpm Wed May 4 18:57:25 PDT 2011SheyontheBay RT @MatthewsMichele: Its also so important to couple online advocacy w/ good ole fashioned face time w/ #healthpolicy leaders #hpm Wed May 4 18:57:44 PDT 2011CompAndChoices Using video, blogs and soc media to share stories makes it more interesting & compelling. #hpm Wed May 4 18:57:44 PDT 2011PracticalWisdom T4: During United Way campaigns Hospice Always gets lots of attention. Wish we could add Palliative Care education during this time. #hpm Wed May 4 18:57:51 PDT 2011FamMedChat Thanks for the conversation and the ideas, everyone. Look for the next chat next week...maybe Thursday to avoid #HPM conflict? #fammedchat Wed May 4 18:58:00 PDT 2011PracticalWisdom Facebook RT @CompAndChoices: Using video, blogs and soc media to share
  • 24. PracticalWisdom stories makes it more interesting & compelling. #hpm Wed May 4 18:58:18 PDT 2011renee_berry helps them understand RT @CompAndChoices: Using video, blogs and soc media to share stories makes it more interesting & compelling #hpm Wed May 4 18:58:25 PDT 2011nursefriendly Im missing the connection here where we bring the option of hospice and palliative care to the people who need it most. #hpm Wed May 4 18:58:44 PDT 2011aliciabloom @renee_berry completely agree! better advance care planning + early #palliative will enhance care & ensure #hospice at the right time. #hpm Wed May 4 18:58:51 PDT 2011renee_berry @FamMedChat Id love to join that chat! So yes, Thursdays would be awesome, thought I could always try doing two at once :) #hpm Wed May 4 18:59:05 PDT 2011CompAndChoices A quick plug: if youre looking to see what compelling storytelling looks like. Highly recommend "How To Die In Oregon" on HBO. May 26. #hpm Wed May 4 18:59:05 PDT 2011PracticalWisdom @FamMedChat: Thank you for your thoughtful consideration. Collaboration keeps growing and helping. #hpm Wed May 4 18:59:27 PDT 2011