The discussion focused on whether grief should be classified as a mental illness in the DSM-5. Some felt that categorizing grief medicalizes a normal human emotion, while others argued that a classification could help those with prolonged or debilitating grief access treatment and insurance coverage. There was debate around where to draw the line between normal and pathological grief, and whether complicated grief overlaps too much with existing diagnoses like depression.

1. #hpm
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MatthewsMichele Just settling down to get the #hpm tweetchat going! #hpm
Wed May 4 18:00:17 PDT 2011
renee_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 2011
renee_berry RT @MatthewsMichele: So excited to be hosting the #hpm tweetchat tonight at 9
p.m. ET! Hope you'll join me!
Wed May 4 18:00:46 PDT 2011
SheyontheBay @MatthewsMichele I'm joining: CHPN in NY #hpm
Wed May 4 18:01:43 PDT 2011
CompAndChoices RT @matthewsmichele: So excited to be hosting the #hpm tweetchat tonight at 9
p.m. ET! Hope you'll join me!
Wed May 4 18:01:58 PDT 2011
MatthewsMichele Hi everyone! Let's start introducing ourselves to get tonight's tweetchat going...I'll
start... #hpm
Wed May 4 18:02:00 PDT 2011
renee_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 2011
nursefriendly Hello Everyone, Andrew Lopez, Jersey RN #HPM
Wed May 4 18:02:26 PDT 2011
MatthewsMichele <-#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 2011
carlaaxt 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 2011
MatthewsMichele Welcome @CompAndChoices @nursefriendly @sheyonthebay! Just giving the late
comers another minute before we get started... #hpm
Wed May 4 18:04:10 PDT 2011
jen_c_taylor I vow not to lurk tonight! Jennifer, MSW #HPM
Wed May 4 18:04:16 PDT 2011
AliveHospice @PalliativeMed_j Thanks for the follow! #hpm #hospice #palliative
Wed May 4 18:04:38 PDT 2011
PracticalWisdom 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 2011
MatthewsMichele awesome! RT @jen_c_taylor: I vow not to lurk tonight! Jennifer, MSW #hpm
Wed May 4 18:04:43 PDT 2011
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 18:05:35 PDT 2011
nursefriendly Hi Everyone, are we discussion hospice, in theory, or direct patient care? #HPM
Wed May 4 18:05:47 PDT 2011
stefilako Steph ER RN, just checking out your chat as I'm putting kids down. #HPM
Wed May 4 18:06:14 PDT 2011
nursefriendly I frequently wonder if the next dose of Morphine I'm giving may be the last. #HPM
Wed May 4 18:06:23 PDT 2011
MatthewsMichele Thats a little background on T1 for everyone joining...T1 coming up... #hpm
Wed May 4 18:06:28 PDT 2011
renee_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 2011
MatthewsMichele Let's 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 I'll 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 2011
renee_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 2011
PracticalWisdom 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 2011
nursefriendly T1 To classify it would justify the need to treat, or medicate it. #HPM
Wed May 4 18:08:16 PDT 2011
DrBeckerSchutte T1--I think that complicated grief symptoms may qualify as an adjustment disorder
level diagnosis. #hpm
Wed May 4 18:08:20 PDT 2011
CompAndChoices 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 2011
nursefriendly 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 2011
drbeckerschutte Hi all--I'm 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 2011
MatthewsMichele @drbeckerschutte can you name a few of the symptoms you're referring to? #hpm
Wed May 4 18:09:33 PDT 2011
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 18:09:35 PDT 2011
Kaviraj2 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 2011
MatthewsMichele @renee_berry the classification of grief as a mental disorder #hpm
Wed May 4 18:10:26 PDT 2011
DrBeckerSchutte @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 2011
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

4. Wed May 4 18:10:36 PDT 2011
faisal_q OK weekly #hpm / #dsma / #FamMedChat all same Wednesday 9EST timeslot ~
Who here runs the #hashtag committee ? ;)
Wed May 4 18:10:45 PDT 2011
MatthewsMichele 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 2011
Kaviraj2 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 2011
drbeckerschutte @MatthewsMichele I'm thinking of folks who are experiencing difficulty going to
work, connecting with others, for extended periods #hpm
Wed May 4 18:11:20 PDT 2011
Kaviraj2 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 2011
MatthewsMichele 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 2011
Kaviraj2 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 2011
Kaviraj2 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 2011
DrBeckerSchutte @MatthewsMichele Challenging to define complicated grief in 140 characters!
#hpm
Wed May 4 18:12:08 PDT 2011
CompAndChoices GREAT question. RT @nursefriendly: At what point does grief become
pathological? #HPM
Wed May 4 18:12:08 PDT 2011
nursefriendly 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 2011
SheyontheBay 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 2011
MatthewsMichele 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 2011
PracticalWisdom 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 2011
DrBeckerSchutte @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 2011
CompAndChoices What I'm wondering is: why wouldn't "pathological" grief simply be classified as
"depression", rather than a different disorder? #hpm
Wed May 4 18:13:59 PDT 2011
MatthewsMichele Me too! RT @drbeckerschutte: So jealous of the sushi tweeting! #hpm
Wed May 4 18:14:03 PDT 2011
SheyontheBay T1 - or does it all come down to $$$$ - reimbursement for grief support to mitigate
becoming pathological? #hpm
Wed May 4 18:14:09 PDT 2011
drbeckerschutte Let me clarify that I don't think all grief qualifies for this--just grief that is prolonged
or incapacitating, which is subjective. #hpm
Wed May 4 18:14:27 PDT 2011
renee_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 2011
nursefriendly @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 2011
EldrcareConsult Helllloooo all! #hpm
Wed May 4 18:15:08 PDT 2011
DrBeckerSchutte @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 2011
MatthewsMichele Have to say-I feel like medicalizing grief totally negates raw human emotion and
response to loss and don't think its appropriate! #hpm
Wed May 4 18:15:38 PDT 2011
renee_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 2011
SheyontheBay @drbeckerschutte @SheyontheBay dont they already? Under ICD codes
depression/adjustment disorder? #hpm
Wed May 4 18:16:30 PDT 2011
PracticalWisdom 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 2011
nursefriendly I'm 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 2011
DrBeckerSchutte @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 2011
swan5675 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 2011
DrBeckerSchutte @nursefriendly True--I often use adjustment DO categories or depression
categories depending on presentation #hpm
Wed May 4 18:17:43 PDT 2011
PracticalWisdom 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 2011
renee_berry @MatthewsMichele I wouldn't call it inappropriate if it's helpful in finding ways to
help people (in a clinical back scenes way) #hpm
Wed May 4 18:17:50 PDT 2011
PracticalWisdom T1: Feel confident others will answer. #hpm
Wed May 4 18:18:11 PDT 2011
nursefriendly 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 2011
swan5675 T1 Ah, yes....some things must be done in the name of reimbursement #hpm
Wed May 4 18:18:22 PDT 2011
jen_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 2011
renee_berry T1 I think it's also really important to remember that grief is not exclusive to our
experience of death, it's 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 2011
EldrcareConsult Great idea @Practicalwisdom #hpm
Wed May 4 18:18:58 PDT 2011
PracticalWisdom 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 2011
nursefriendly RT @SheyontheBay: @drbeckerschutte @SheyontheBay dont they already? Under
ICD codes depression/adjustment disorder? #HPM
Wed May 4 18:19:22 PDT 2011
MatthewsMichele @drbeckerschutte @reneeberry @MatthewsMichele are you talking about grief or
depression? #hpm
Wed May 4 18:19:27 PDT 2011
renee_berry it's awesome :) RT @MatthewsMichele: Me too! RT @drbeckerschutte: So jealous
of the sushi tweeting! #hpm
Wed May 4 18:19:33 PDT 2011
CompAndChoices T1: I worry about stigmatizing grief--when it's already difficult enough at that stage.
#hpm
Wed May 4 18:19:36 PDT 2011
DrBeckerSchutte 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 2011
MatthewsMichele @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 2011
renee_berry @PracticalWisdom it may impact their career even if it's not diagnosed... & same
applies to students & academic engagement #hpm
Wed May 4 18:20:16 PDT 2011
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 18:20:26 PDT 2011
MatthewsMichele 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 2011
iCareAware 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 2011
OncoPRN RT @compandchoices: GREAT question. RT @nursefriendly: At what point does
grief become pathological? #HPM
Wed May 4 18:21:02 PDT 2011
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 18:21:03 PDT 2011
iCareAware RT @MatthewsMichele: Let's 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 2011
DrBeckerSchutte @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 2011
iCareAware 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 2011
MatthewsMichele Final thoughts on T1? we'll be moving on in a minute or two. #hpm
Wed May 4 18:21:49 PDT 2011
nursefriendly 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 2011
renee_berry I've 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 2011
PracticalWisdom @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 2011
iCareAware 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 2011
jen_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 2011
DrBeckerSchutte @MatthewsMichele And why I love working with clients outside of insurance! #hpm
Wed May 4 18:22:19 PDT 2011
iCareAware RT @MatthewsMichele: Have to say-I feel like medicalizing grief totally negates raw
human emotion and response to loss and don't think its appropriate! #hpm

9. Wed May 4 18:22:21 PDT 2011
renee_berry RT @OncoPRN: RT @compandchoices: GREAT question. RT @nursefriendly: At
what point does grief become pathological? #HPM
Wed May 4 18:22:28 PDT 2011
drbeckerschutte @renee_berry You're my new favorite person! Can I quote you on that? #hpm
Wed May 4 18:22:36 PDT 2011
tweet4awareness 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 2011
nursefriendly Sorry, I'd stick to the existing categories, rather than try to classify grief as
pathological. #HPM
Wed May 4 18:22:44 PDT 2011
MatthewsMichele 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 2011
swan5675 @PracticalWisdom It WAS a problem for me....long story #hpm
Wed May 4 18:22:47 PDT 2011
DrBeckerSchutte @jen_c_taylor Beautiful quote! #hpm
Wed May 4 18:22:55 PDT 2011
PracticalWisdom 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 2011
renee_berry grief drove me into #entrepreneurship ... it has been crucial to my creative process
#hpm
Wed May 4 18:23:33 PDT 2011
MatthewsMichele 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 2011
MatthewsMichele Pre-T2: ‘Difficulty in moving #HealthIT fwd is we're always missing key component,
ie regs., reimbursement'-VC Sami Hamade, #HCIDC #hpm
Wed May 4 18:24:01 PDT 2011
PracticalWisdom 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 2011
swan5675 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 it's already
difficult enough at that stage. #hpm
Wed May 4 18:24:08 PDT 2011
nursefriendly 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 2011
PracticalWisdom 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 2011
renee_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 2011
swan5675 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 2011
jen_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 2011
OncoPRN RT @renee_berry: I've almost always thought people should see a psychologist as
a regular part of #healthcare... #hpm
Wed May 4 18:25:35 PDT 2011
PracticalWisdom @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 2011
MatthewsMichele 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 2011
hollyby Holly Yang, MD from @SanDiegoHospice. My tweets for the next 30 min are for the
#HPM tweetchat. All tweets are my own. Sorry I'm late! #hpm
Wed May 4 18:26:14 PDT 2011
MatthewsMichele 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 2011
renee_berry @hollyby hey Holly, no prob, great to join whenever we can! #hpm
Wed May 4 18:27:05 PDT 2011
MatthewsMichele Glad you made it @hollyby! #hpm
Wed May 4 18:27:21 PDT 2011
PracticalWisdom 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 2011
renee_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 2011
aliciabloom sorry to be tardy to the party! #hpm
Wed May 4 18:27:32 PDT 2011
nursefriendly So if treated, you'd 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 2011
AureliaCotta @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 2011
MatthewsMichele @aliciabloom No worries; welcome! :) #hpm
Wed May 4 18:28:09 PDT 2011
PracticalWisdom @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 2011
SheyontheBay @nursefriendly ;D #hpm
Wed May 4 18:28:19 PDT 2011
CompAndChoices @nursefriendly Love your comments on T1. Very insightful. #hpm
Wed May 4 18:28:19 PDT 2011
nursefriendly 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 2011
renee_berry T2 I think it's 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 2011
swan5675 RT @nursefriendly: RT @PracticalWisdom: T1: Does this not hurt the belief that
grief is natural #hpm
Wed May 4 18:29:08 PDT 2011
MatthewsMichele @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 2011
renee_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 2011
swan5675 RT @renee_berry: RT @CompAndChoices: @nursefriendly Love your comments
on T1. Very insightful. #hpm
Wed May 4 18:29:59 PDT 2011
hollyby 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 2011
nursefriendly 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 2011
PracticalWisdom @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 2011
renee_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 2011
MatthewsMichele T2 I tend to think that there's some reluctance across the board to do things
differently than they've been done in the past #hpm
Wed May 4 18:30:58 PDT 2011
PracticalWisdom 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 2011
renee_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 2011
CompAndChoices @MatthewsMichele Could you please RT T2? I'm lost. LOL #hpm
Wed May 4 18:32:04 PDT 2011
PracticalWisdom 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 2011
EldrcareConsult Gosh I hate coming in during the middle of a chat #hpm
Wed May 4 18:32:55 PDT 2011
MatthewsMichele Pre-T2: ‘Difficulty in moving #HealthIT fwd is we're always missing key component,
ie regs., reimbursement'-VC Sami Hamade, #HCIDC #hpm
Wed May 4 18:32:59 PDT 2011
renee_berry RT @MatthewsMichele: Pre-T2: ‘Difficulty in moving #HealthIT fwd is we're always
missing key component, ie regs., reimbursement'-VC Sami Hamade, #HCIDC

13. #hpm
Wed May 4 18:33:11 PDT 2011
renee_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 2011
MatthewsMichele 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 2011
PracticalWisdom 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 2011
nursefriendly Blushing . . . . . thanks! #HPM
Wed May 4 18:33:29 PDT 2011
MatthewsMichele @nursefriendly no worries! #hpm
Wed May 4 18:33:52 PDT 2011
DrBeckerSchutte 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 2011
renee_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 2011
aliciabloom not sure that it's our speciality, but rather a global issue. streamlined #healthIT
systems would enhance care across the continuum. #hpm
Wed May 4 18:34:46 PDT 2011
hollyby 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 2011
MatthewsMichele 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 2011
DrSnit Sorry I'm 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 2011
DrBeckerSchutte So, would #healthIT include tablets for education in homecare, EMR, etc? #hpm
Wed May 4 18:35:47 PDT 2011
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 18:36:06 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 2011
renee_berry @DrSnit we all have those days, thanks for saying hi #hpm
Wed May 4 18:36:19 PDT 2011
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 18:36:20 PDT 2011
renee_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 2011
PracticalWisdom @DrSnit: Sorry xoxox you back. #hpm
Wed May 4 18:36:35 PDT 2011
nursefriendly 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 2011
EldrcareConsult @hollyby I think tablets would help a lot in all medical feilds / #hpm
Wed May 4 18:36:44 PDT 2011
hollyby @DrSnit Hugs from all of us. Miss you back. #hpm
Wed May 4 18:36:45 PDT 2011
renee_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 2011
DrBeckerSchutte 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 2011
CompAndChoices @DrSnit Go put your feet up and have a spiked cup of tea. #hpm.
Wed May 4 18:37:02 PDT 2011
equijada 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 2011
jen_c_taylor #HealthIT in #HPM can and I think will innovate and advance from the patient's
grassroots efforts and demands. #HPM
Wed May 4 18:37:08 PDT 2011
nursefriendly 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 2011
EldrcareConsult I use a tablet all the time in my GCM practice #hpm
Wed May 4 18:37:54 PDT 2011
PracticalWisdom 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 2011
EldrcareConsult As well as Skype to talk with cleints families #hpm
Wed May 4 18:38:15 PDT 2011
PracticalWisdom RT @EldrcareConsult: I use a tablet all the time in my GCM practice #hpm
Wed May 4 18:38:24 PDT 2011
DrBeckerSchutte @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 2011
CompAndChoices @renee_berry I'm old (and sometimes wise). LOL #hpm
Wed May 4 18:38:32 PDT 2011
EldrcareConsult @PracticalWisdom @drbeckerschutte Agreed! #hpm
Wed May 4 18:38:33 PDT 2011
nursefriendly 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 2011
hollyby 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 2011
PracticalWisdom 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 2011
aliciabloom more integrated #healthIT could improve patient safety #hpm
Wed May 4 18:39:06 PDT 2011
MatthewsMichele @EldrcareConsult Really abt talking to client families? How's that played with pts
and their families, other docs? #hpm
Wed May 4 18:39:16 PDT 2011
renee_berry I'm a patient @paloaltomedical & am lucky because I can access my #EHR even
recently they have an iphone app it's amazing #hpm
Wed May 4 18:39:29 PDT 2011

16. Wed May 4 18:39:29 PDT 2011
PracticalWisdom Which topic. RT @EldrcareConsult: @PracticalWisdom @drbeckerschutte Agreed!
#hpm
Wed May 4 18:39:35 PDT 2011
nursefriendly 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 2011
MatthewsMichele Agree! RT @aliciabloom: more integrated #healthIT could improve patient safety
#hpm
Wed May 4 18:39:39 PDT 2011
renee_berry yes RT @aliciabloom: more integrated #healthIT could improve patient safety #hpm
Wed May 4 18:39:43 PDT 2011
aliciabloom #healthIT is sort of the like the POLST form. unless it's integrated, recognized, &
utilized by all...it's not that effective. #hpm
Wed May 4 18:39:53 PDT 2011
EldrcareConsult @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 2011
MatthewsMichele 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 2011
PracticalWisdom 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 2011
renee_berry @aliciabloom um, what a great way to think about it... YES! #hpm
Wed May 4 18:40:38 PDT 2011
renee_berry RT @aliciabloom: #healthIT is sort of the like the POLST form. unless it's
integrated, recognized, & utilized by all...it's not that effective. #hpm
Wed May 4 18:40:49 PDT 2011
PracticalWisdom 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 2011
MatthewsMichele @renee_berry @paloaltomedical Jealous! My #healthcare providers are just not
there yet! #hpm
Wed May 4 18:41:04 PDT 2011
nursefriendly 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 it's
MatthewsMichele integrated, recognized, & utilized by all...it's not that effective. #hpm
Wed May 4 18:41:35 PDT 2011
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 18:41:55 PDT 2011
MatthewsMichele closing thoughts on T2, folks? Two minutes to T3 #hpm
Wed May 4 18:42:33 PDT 2011
renee_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 2011
PracticalWisdom 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 2011
aliciabloom @nursefriendly yes, and also for patient safety. less errors when it's more legible.
#hpm
Wed May 4 18:42:56 PDT 2011
EldrcareConsult @PracticalWisdom Hey Lisa, need you to call me tomorrow #hpm
Wed May 4 18:43:03 PDT 2011
renee_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 2011
PracticalWisdom LIft off too! RT @MatthewsMichele: closing thoughts on T2, folks? Two minutes to
T3 #hpm
Wed May 4 18:43:07 PDT 2011
nursefriendly 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 2011
CompAndChoices T2: Are there any real privacy concerns around streamlining health IT? #hpm
Wed May 4 18:43:21 PDT 2011
hollyby @nursefriendly I think it helps both. As a doc, it often slows me down. #hpm
Wed May 4 18:43:29 PDT 2011
PracticalWisdom @nursefriendly I'm not even a Doc and I have crappy handwritting=dysgraphia.
That's what I call it. #hpm
Wed May 4 18:43:54 PDT 2011
nursefriendly 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 2011
MatthewsMichele Gov't 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 2011
BrianCollinson Pretty much impossible! @DrBeckerSchutte: #hpm @MatthewsMichele
Challenging to define complicated grief in 140 characters! #hpm
Wed May 4 18:44:42 PDT 2011
drbeckerschutte @nursefriendly Our children's hospital has some of that & it is amazing. #hpm
Wed May 4 18:44:47 PDT 2011
PracticalWisdom 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 2011
renee_berry RT @CompAndChoices: T2: Are there any real privacy concerns around
streamlining health IT? #hpm
Wed May 4 18:45:24 PDT 2011
renee_berry @CompAndChoices I think maybe from health executive perspectives, but I think
it's not a well educated fear at this point #hpm
Wed May 4 18:45:27 PDT 2011
AureliaCotta @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 2011
PracticalWisdom RT @BrianCollinson: Pretty impossible! @DrBeckerSchutte: #hpm
@MatthewsMichele Challenging 2define complicated grief in 140 characters! #hpm
Wed May 4 18:45:40 PDT 2011
CompAndChoices @MatthewsMichele Ahhh....thanks! :) #hpm
Wed May 4 18:45:52 PDT 2011
renee_berry @BrianCollinson haha yes, but it's about the conversation right? join our #hpm chat
any time!
Wed May 4 18:46:06 PDT 2011
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 18:46:16 PDT 2011
PracticalWisdom 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 2011
hollyby @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 2011
drbeckerschutte Okay all--I have to head out! Hopefully I'll catch some more #hpm chat next week.
#hpm
Wed May 4 18:46:53 PDT 2011
MatthewsMichele 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 2011
PracticalWisdom 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 2011
renee_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 2011
DrBeckerSchutte 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 2011
TWHealthxWealth 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 2011
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 18:48:06 PDT 2011
DrBeckerSchutte Thanks for the thinking points! #hpm
Wed May 4 18:48:10 PDT 2011
CompAndChoices @MatthewsMichele T4 (T3?) Follow policymakers on Twitter & #FB, directly engage.
#hpm
Wed May 4 18:48:14 PDT 2011
nursefriendly 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 2011
renee_berry @MatthewsMichele did I miss T3? :) #hpm
Wed May 4 18:48:17 PDT 2011
renee_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 2011
PracticalWisdom 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 2011
CompAndChoices See ya! @DrBeckerSchutte #hpm
Wed May 4 18:48:31 PDT 2011
renee_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 2011
MatthewsMichele oops! Def meant T3, guys! #hpm
Wed May 4 18:49:03 PDT 2011
renee_berry @MatthewsMichele no apologies needed for being you, great topic #hpm
Wed May 4 18:49:20 PDT 2011
PracticalWisdom 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 2011
renee_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 2011
PracticalWisdom 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 2011
DNRstories I missed most of #hpm, but am checking it out now...
Wed May 4 18:50:05 PDT 2011
aliciabloom 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 2011
PracticalWisdom Great Idea. RT @CompAndChoices: @MatthewsMichele T4 (T3?) Follow
policymakers on Twitter & #FB, directly engage. #hpm
Wed May 4 18:50:26 PDT 2011
renee_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 2011
CompAndChoices @MatthewsMichele You're doing awesome. Hosting can be daunting. #hpm
Wed May 4 18:50:39 PDT 2011
MatthewsMichele 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 2011
renee_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 2011
PracticalWisdom T4: Don't think ready for publication but there are some great ideas/buddies/etc
coming along. Very excited. #hpm
Wed May 4 18:50:58 PDT 2011
MatthewsMichele 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 2011
CompAndChoices @aliciabloom Tell the stories and then publish them widely. #hpm
Wed May 4 18:51:17 PDT 2011
PracticalWisdom & 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 2011
PracticalWisdom Story Corps must have some. RT @CompAndChoices: @aliciabloom Tell the
stories and then publish them widely. #hpm
Wed May 4 18:51:47 PDT 2011
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 18:52:05 PDT 2011
SheyontheBay RT: Great Idea. RT @CompAndChoices: @MatthewsMichele T4 (T3?) Follow
policymakers on Twitter & #FB, directly engage. #hpm
Wed May 4 18:52:08 PDT 2011
MatthewsMichele '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 2011
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 18:52:27 PDT 2011
SheyontheBay RT @CompAndChoices: @aliciabloom Tell the stories and then publish them
widely. #hpm
Wed May 4 18:52:43 PDT 2011
nursefriendly 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 2011
DNRstories 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 2011
ctsinclair 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 2011
CompAndChoices @PracticalWisdom We collect & publish stories, too. And share with policymakers.
#hpm
Wed May 4 18:53:02 PDT 2011
renee_berry @hollyby absolutely, authentic voice is crucial ... & we don't need to wait for
traditional publishing to have a voice anymore #hpm
Wed May 4 18:53:31 PDT 2011
PracticalWisdom @nursefriendly: I'm actually surprised there are not more HIPAA violations. #hpm
Wed May 4 18:53:36 PDT 2011
renee_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 2011
MatthewsMichele 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 2011
PracticalWisdom Thanks learned something new! RT @CompAndChoices: @PracticalWisdom We
collect & publish stories, too. And share with policymakers. #hpm
Wed May 4 18:54:01 PDT 2011
aliciabloom #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 2011
hollyby 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 2011
PracticalWisdom 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 2011
renee_berry that's why you're leaders RT @CompAndChoices we collect & publish stories, too.
And share with policymakers #hpm
Wed May 4 18:55:18 PDT 2011
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 18:55:41 PDT 2011
nursefriendly 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 2011
CompAndChoices @renee_berry [blush] thank you! #hpm
Wed May 4 18:56:00 PDT 2011
PracticalWisdom 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 2011
renee_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 2011
PracticalWisdom 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 2011
MatthewsMichele It's also so important to couple online advocacy w/ good ole fashioned face time w/
#healthpolicy leaders #hpm
Wed May 4 18:56:42 PDT 2011
PracticalWisdom 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 2011
hollyby 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 2011
renee_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 2011
SheyontheBay 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 2011
CompAndChoices Using video, blogs and soc media to share stories makes it more interesting &
compelling. #hpm
Wed May 4 18:57:44 PDT 2011
PracticalWisdom 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 2011
FamMedChat 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 2011
PracticalWisdom 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 2011
renee_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 2011
nursefriendly I'm 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 2011
aliciabloom @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 2011
renee_berry @FamMedChat I'd 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 2011
CompAndChoices A quick plug: if you're 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 2011
PracticalWisdom @FamMedChat: Thank you for your thoughtful consideration. Collaboration keeps
growing and helping. #hpm
Wed May 4 18:59:27 PDT 2011