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#hpm transcript
Healthcare Social Media Transcript
From: To: Wed Nov 28 18:00:00 PST 2012 Wed Nov 28 19:15:00 PST 2012 change time period
Who were the influencers during this time period? #hpm analytics Connecting the dots in healthcare social media: Healthcare Conference - Tweet Chats - Healthcare Analytics
What is #hpm?
ctsinclair
Welcome everyone 8pm CT and that means it is time for hospice and palliative medicine tweetchat. Please introduce yourself... #hpm
Wed Nov 28 18:01:02 PST 2012
ctsinclair
Intro: Christian Sinclair, #hospice and palliative MD in Kansas City, relapsed twitter user, occasional blogger, and musicophile #hpm
Wed Nov 28 18:02:10 PST 2012
aliciabloom
aliciabloom
RT @ctsinclair: Hospice and Palliative medicineTweetchat getting started in a few minutes. Hope you can join us. #hpm
Wed Nov 28 18:03:22 PST 2012
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SheriEBG
RT @edubru: Palliative home care reduces hospital visits, deaths, admissions and ER visits http://t.co/8IUfTJP7 #hpm
Wed Nov 28 18:04:02 PST 2012
ctsinclair
A little quiet here after the Thanksgiving week off. Don't be scared about the tweet earlier about the chat being cancelled. #hpm
Wed Nov 28 18:04:16 PST 2012
ctsinclair
Like the Who's in Horton Hears a Who: We are here! we are here! we are here! #hpm
Wed Nov 28 18:05:00 PST 2012
ctsinclair
Tonight's theme will be cooperation and ways we can encourage collaboration. First topic in a minute or two. #hpm
Wed Nov 28 18:05:41 PST 2012
ctsinclair
Apologies if I crowd the tweet stream for next hour, will be focused on #hospice and palliative medicine topics. Join in or tune out. #hpm
Wed Nov 28 18:06:36 PST 2012
ctsinclair
Topic #1: Occasionally patients will transfer from one hospice to another. What responsibilities do competitors have to collaborate? #hpm
Wed Nov 28 18:07:50 PST 2012
ctsinclair
T1: Have been hearing more stories about patients being transferred with inadequate information (no med list, no med history) #hpm
Wed Nov 28 18:10:15 PST 2012
equijada
ctsinclair
T1: Would love to see #hospice orgs in a community come together to work towards a common standard for hospice2hospice handoffs #hpm
Wed Nov 28 18:10:50 PST 2012
equijada
t1: one of the initial questions I ask is "why the transfer" (p.s. thanks for the #hpm reminder, getting the kids to bed) #hpm
Wed Nov 28 18:11:54 PST 2012
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ctsinclair
T1: Does anyone know of hospice orgs in a community coming together to set any common standard? LaCrosse? #hpm
Wed Nov 28 18:11:56 PST 2012
ctsinclair
@equijada Have heard of situations where information about drug abuse and guns in the home were withheld from former hospice #hpm
Wed Nov 28 18:12:41 PST 2012
ctsinclair
@equijada Agree, key question, "Why the transfer?" An accepting hospice should want a chance to shine over other hospice service but.. #hpm
Wed Nov 28 18:13:40 PST 2012
ctsinclair
@equijada ...if transfer was really facilitated to get a 'problem' patient or family off one hospice to another, that seems deceptive #hpm
Wed Nov 28 18:14:45 PST 2012
ctsinclair
Clarify: use term 'problem' pt/family with understanding staff may be the one with the problem, not casting blame on pt/fam #hpm
Wed Nov 28 18:15:50 PST 2012
ctsinclair
I really hate hearing staff talk about a 'problem' patient or 'difficult' family, but I digress from the original topic. #hpm
Wed Nov 28 18:16:24 PST 2012
equijada
@ctsinclair agree. when I ask pts/families, it gives them a chance to voice displeasure...part of narrative, part of process. #hpm
Wed Nov 28 18:16:38 PST 2012
ctsinclair
ravipm2000
RT @ctsinclair: Like the Who's in Horton Hears a Who: We are here! we are here! we are here! #hpm
Wed Nov 28 18:17:55 PST 2012
ctsinclair
Topics like these seem like a good use of local hospice alliances, but few exist to my knowledge and the ones I know of are ineffective #hpm
Wed Nov 28 18:18:35 PST 2012
ctsinclair
@ravipm2000 Hey Ravi, thanks for the RT. join us if you have some time. #hpm
Wed Nov 28 18:18:56 PST 2012
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equijada
t1: off topic: a medical director of competing hospice refers a patient to us rather than his hospice. #hpm
Wed Nov 28 18:18:57 PST 2012
equijada
ctsinclair
@equijada That is not offtopic, I think that is a very interesting topic related to this. #hpm
Wed Nov 28 18:19:40 PST 2012
ctsinclair
Personally, I feel a hospice doctor should be willing to work with other hospices to a small degree. Assess quality, collaborate #hpm
Wed Nov 28 18:20:30 PST 2012
ravipm2000
ctsinclair
equijada
@ctsinclair on more than one occasion, I get referrals from competitors. Generally very complex situations. #hpm
Wed Nov 28 18:22:30 PST 2012
ctsinclair
@ravipm2000 Ain't the internet grand? [Said in my Bugs Bunny voice] #hpm
Wed Nov 28 18:22:31 PST 2012
ravipm2000
T1: I've found that competing hospices have been civil and put patients first in Wisconsin #hpm
Wed Nov 28 18:23:05 PST 2012
ravipm2000
ctsinclair
@equijada Do you have a community of hospice docs who know each other, work together on anything? #hpm
Wed Nov 28 18:23:14 PST 2012
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ctsinclair
RT @ravipm2000: T1: Ive found that competing hospices have been civil and put patients first in Wisconsin #hpm
Wed Nov 28 18:23:35 PST 2012
crgonzalez
Hi everyone. Sorry to join in so late, but this is a rare evening to be able to make it at all. #HPM
Wed Nov 28 18:24:16 PST 2012
ctsinclair
@ravipm2000 That is good to hear. I have a couple of sites I supervise in MKE and Racine. Will ask them what they think. #hpm
Wed Nov 28 18:24:43 PST 2012
ravipm2000
ctsinclair
ctsinclair
Topic 2: Again on the theme of cooperation, what are ways in which competing #hospice agencies might work together for community good #hpm
Wed Nov 28 18:25:51 PST 2012
crgonzalez
T2: Given how funding sources can be limited, by pooling and joining together, more services may be offered in a single county #HPM
Wed Nov 28 18:27:19 PST 2012
equijada
@ctsinclair In my area the competition is very high. I know most of the guys certified #hpm but there are many that are not. #hpm
Wed Nov 28 18:27:30 PST 2012
ravipm2000
T2: I think they can cooperate for the promotion/education of the concept of #hospice to the public. #hpm
Wed Nov 28 18:27:39 PST 2012
ctsinclair
T2: Inspired when I took a shuttle bus at the airport that served competing rental car agencies. Why couldn't hospice orgs do this? #hpm
Wed Nov 28 18:28:02 PST 2012
crgonzalez
RT @ravipm2000: T2: I think they can cooperate for the promotion/education of the concept of #hospice to the public. #HPM
Wed Nov 28 18:28:09 PST 2012
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ctsinclair
@crgonzalez Maybe even joint funding of a rare commodity like an art therapist or child/teen specialist? #hpm
Wed Nov 28 18:28:41 PST 2012
subatomicdoc
RT @crgonzalez: RT @ravipm2000: T2: I think they can cooperate for the promotion/education of the concept of #hospice to the public. #HPM
Wed Nov 28 18:28:43 PST 2012
equijada
ctsinclair
@ravipm2000 Education seems like a natural one for sure. Joint sponsorship of an education series. You teach one, I teach one. #hpm
Wed Nov 28 18:29:13 PST 2012
equijada
ravipm2000
MT @ctsinclair: T2:Inspired when I took a shuttle bus @ d airport that served competing rental agencies.Y couldnt hospice orgs do this? #hpm
Wed Nov 28 18:29:29 PST 2012
ctsinclair
T2: Also inspired of cooperation when thinking about how our gvmt needs compromise and collaboration to move forward. #hpm
Wed Nov 28 18:29:59 PST 2012
crgonzalez
@ctsinclair Yep. It is these sorts of services that are hard to come by, but more easily accomplish for common good thru joint funding #HPM
Wed Nov 28 18:30:06 PST 2012
jfclearywisc
jim Cleary @uwhealth Palliative care and PPSG (@painpolicy) joining #hpm chat (late) for the next 30 minutes
Wed Nov 28 18:30:23 PST 2012
ctsinclair
@equijada I would love to know more about what worked and didnt about any collaborations. #hpm
Wed Nov 28 18:30:36 PST 2012
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ravipm2000
T2: Sharing and presenting research from their respective facilities so all can learn. #hpm
Wed Nov 28 18:30:39 PST 2012
ravipm2000
ctsinclair
I could clearly imagine a Metrowide hospice/palliative care collaborative/co-op where you have art therapists/music therapists, etc #hpm
Wed Nov 28 18:31:23 PST 2012
ctsinclair
equijada
@ctsinclair WORKED: many hospices wanted to be involved in the spirit of non-competition #hpm
Wed Nov 28 18:31:53 PST 2012
crgonzalez
Have there been examples of Kickstarter projects where expanded hospice education efforts have been funded by the public? #HPM
Wed Nov 28 18:32:29 PST 2012
ctsinclair
...and each could be shared out to hospices and hospitals via a common fund. Start with grants, then fund from local biz, donations? #hpm
Wed Nov 28 18:32:41 PST 2012
ravipm2000
MT @ctsinclair: I could clearly imagine a Metrowide hospice/pall care collaborative/co-op where u have art/music therapists, etc #hpm
Wed Nov 28 18:33:04 PST 2012
ctsinclair
@equijada Do you have a name for this coalition? Were you involved? #hpm
Wed Nov 28 18:33:05 PST 2012
ctsinclair
@crgonzalez Well @_lizzy_ did the Death Cafe in Columbus, OH. That was successfully funded via KickStarter #hpm
Wed Nov 28 18:33:34 PST 2012
jfclearywisc
@equijada T1 WHy not take the competitiveness out of all health care. One system working for the bettter good #hpm
Wed Nov 28 18:33:37 PST 2012
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equijada
@ctsinclair DIDN'T WORK: the individuals that attended meetings were mostly non-clinicians but sales rep/community educator #hpm
Wed Nov 28 18:33:50 PST 2012
ctsinclair
@crgonzalez Maybe use @indiegogo as a platform to fund a small non-profit group? #hpm
Wed Nov 28 18:34:26 PST 2012
ravipm2000
@jfclearywisc BTW, Prof Librach told me you spoke with him #hpm
Wed Nov 28 18:34:32 PST 2012
ravipm2000
RT @jfclearywisc: @equijada T1 WHy not take the competitiveness out of all health care. One system working for the bettter good #hpm
Wed Nov 28 18:34:44 PST 2012
subatomicdoc
@crgonzalez One consideration for nonprofit organizations is to consider using @Crowdtilt for social funding http://t.co/2Tss8FXb #hpm
Wed Nov 28 18:34:49 PST 2012
crgonzalez
@ctsinclair Thanks for this example. I think lots of orgs think they are lonely islands, but there's a healthy appetite for this #HPM
Wed Nov 28 18:34:59 PST 2012
jfclearywisc
@ctsinclair Because you have made the decision on a rental company B4 u get ot ariport. Not so with hospice as you get sick #hpm
Wed Nov 28 18:35:05 PST 2012
ctsinclair
@equijada Clinicians need to be the core of those involved...sales is fine to get you in the door, but service is where it counts #hpm
Wed Nov 28 18:35:07 PST 2012
ctsinclair
crgonzalez
Like that idea RT @ctsinclair Maybe use @indiegogo as a platform to fund a small non-profit group? #HPM
Wed Nov 28 18:35:43 PST 2012
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ctsinclair
@jfclearywisc Yes, but what about the shared utilization of unique professionals like music tx, art tx, researchers? #hpm
Wed Nov 28 18:36:04 PST 2012
jfclearywisc
@ravipm2000 Yes we need to follow up w @painpolicy & Toronto activities for Opioid availability in Trinidad! #hpm
Wed Nov 28 18:36:15 PST 2012
crgonzalez
Thanks Matt! MT @subatomicdoc One idea for nonprofit orgs is to consider using @Crowdtilt for social funding http://t.co/2j9JQZBh #HPM
Wed Nov 28 18:36:23 PST 2012
ctsinclair
@subatomicdoc Had not heard of @crowdtilt, thanks for the connection! #hpm
Wed Nov 28 18:36:31 PST 2012
ctsinclair
RT @jfclearywisc: T1 Why not take the competitiveness out of all health care. One system working for the bettter good #hpm
Wed Nov 28 18:36:54 PST 2012
ravipm2000
@jfclearywisc I think a large proportion of the US is allergic to socialized medicine. #justsaying #imjustaforiegner #hpm
Wed Nov 28 18:37:02 PST 2012
jfclearywisc
@ctsinclair So why do you choose the car rental company you do. More perks. Better services or the cheapest deal? #hpm
Wed Nov 28 18:37:09 PST 2012
equijada
@jfclearywisc I think there is something "good" about competition -> it moves things forward (of course, lots bad too) #hpm
Wed Nov 28 18:37:12 PST 2012
ctsinclair
@ravipm2000 I think more of it is intimidation about how you get there, not necessarily the destination. #hpm
Wed Nov 28 18:37:42 PST 2012
ravipm2000
crgonzalez
ctsinclair
@jfclearywisc choose a car rental company for service (get me in/out fast), online management, price #hpm
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12/11/12
Wed Nov 28 18:38:22 PST 2012
jfclearywisc
@ravipm2000 Madison WI is a little strange. UNtil 2 yrs ago only 1 hospice (NfP) now 4 w addition of 3 FPs. Very competitive. #hpm
Wed Nov 28 18:38:30 PST 2012
ctsinclair
@equijada There is good about competition, but much of the competing qualities are obscured in health care #NotAFairFight #hpm
Wed Nov 28 18:38:55 PST 2012
equijada
@ctsinclair I was regularly involved x 2y & spoke for them. I faded out... maybe I'll have to check it out again http://t.co/GfCJ2shR #hpm
Wed Nov 28 18:39:00 PST 2012
jfclearywisc
@ctsinclair So it has nothing to do with the shared shuttle bus! YOu want the hospice w the services. Better baths, massage, music! #hpm
Wed Nov 28 18:39:17 PST 2012
ravipm2000
MT @jfclearywisc:Madison WI is a little strange. Until 2 yrs ago only 1 hospice (NfP) now 4 w addition of 3 FPs. Very competitive. #hpm
Wed Nov 28 18:39:41 PST 2012
ctsinclair
@equijada Thanks for the link - I was thinking about one for the KC Metro area, will have to review lessons learned #hpm
Wed Nov 28 18:40:00 PST 2012
subatomicdoc
@crgonzalez @ctsinclair No problem! I'm probably going to use @Crowdtilt for a friend's fundraise for glioblastoma. #hpm
Wed Nov 28 18:40:00 PST 2012
ctsinclair
@jfclearywisc Yes but I was intrigued that the two competitors DID share a common resource (to reduce costs of course) #hpm
Wed Nov 28 18:40:31 PST 2012
crgonzalez
@jfclearywisc If there's insurance coverage for these services, shouldn't insurers be recommending hospice orgs? #HPM
Wed Nov 28 18:40:35 PST 2012
ctsinclair
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jfclearywisc
@ctsinclair I'm being a scrooge. In ideal world we would not need competing hospices. KC would have unifed healthcare, w optimal care #hpm
Wed Nov 28 18:40:52 PST 2012
ctsinclair
@crgonzalez Insurance companies and hospitals often may have preferred providers (hospice orgs) but not always based on quality #hpm
Wed Nov 28 18:41:37 PST 2012
ctsinclair
@crgonzalez And the issue of patient choice/informed decision gets tricky and does not always work in the patients favor #hpm
Wed Nov 28 18:42:08 PST 2012
crgonzalez
@subatomicdoc Keep me posted so I can lend support. Your example might make for a good story to share on http://t.co/NBYJh3I0 @miller7 #HPM
Wed Nov 28 18:42:28 PST 2012
ctsinclair
@jfclearywisc We need some tough talk. Keeps everyone on their toes. #hpm
Wed Nov 28 18:42:43 PST 2012
jfclearywisc
@medpac I like thise analogies for #hpm. Post service is going broke. No Sat deliveries soon. We use email, Fed ex, USPS.
Wed Nov 28 18:42:50 PST 2012
ctsinclair
Whenever I look at the rest of the business world (especially service biz) I try and learn what hospice/health care could adopt #hpm
Wed Nov 28 18:43:40 PST 2012
ctsinclair
equijada
equijada
@ctsinclair Heard talk fr C Callahan, Indiana geriatrican abt models for dementia care. Made reference to Commonwealth
hashtags.symplur.com/healthcarehashtagtranscript.php?hashtag=hpm&fdate=11282012&shour=18&smin=0&tdate=11282012&tho 11/16
12/11/12
jfclearywisc
crgonzalez
@ctsinclair There's no impartial umpire offering referral recs. The legal system has a model for attorney referral done by Law Asso. #HPM
Wed Nov 28 18:44:40 PST 2012
ctsinclair
Topic #3: It is almost the end of National Hospice and Palliative Care month. Do monthly focus events like this even matter? #hpm
Wed Nov 28 18:44:44 PST 2012
ctsinclair
@crgonzalez Some hospitals just give a list of hospices and phone numbers and say 'pick one.' #NotIdeal #hpm
Wed Nov 28 18:45:55 PST 2012
jfclearywisc
@ctsinclair T#3 Impacts me for days/months outside of my own world. The women in red was pretty good for Heart disease in women! #hpm
Wed Nov 28 18:46:15 PST 2012
crgonzalez
T3: Until the boomer generation has a deep appreciation for hospice services and demands national standards, yes awareness is needed #HPM
Wed Nov 28 18:46:59 PST 2012
ravipm2000
crgonzalez
jfclearywisc
@ctsinclair #3 I have to remember 2 B an advocate for #hpm that month, but as I am doing it most of the time, makes little difference to me
Wed Nov 28 18:47:31 PST 2012
ctsinclair
T3: If you couldn't tell from my tone of the question, I have become kind of jaded by the proliferation of months... #hpm
Wed Nov 28 18:47:53 PST 2012
ctsinclair
But I am growing a mustache for #Movember, so I got that going for me which is nice. #hpm
Wed Nov 28 18:48:10 PST 2012
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jfclearywisc
@ravipm2000 But good story telling all yr round because of #palliative care of excellence is the best promotion! #hpm
Wed Nov 28 18:48:24 PST 2012
ctsinclair
RT @jfclearywisc: I have to remember 2 B an advocate for #hpm that month, but as I advocate always, makes little difference to me #hpm
Wed Nov 28 18:48:39 PST 2012
equijada
ravipm2000
RT @jfclearywisc:T3 I have 2 remember 2 B an advocate 4 that month, but as I am doing it most of d time, makes little difference 2 me #hpm
Wed Nov 28 18:48:54 PST 2012
jfclearywisc
ctsinclair
@jfclearywisc Yeah, maybe that is why it didnt seem like much of an impact for me. I got to get myself psyched up for it next year. #hpm
Wed Nov 28 18:49:15 PST 2012
crgonzalez
@ctsinclair Your avatar has not yet sported the 'stashe! #HPM
Wed Nov 28 18:49:28 PST 2012
crgonzalez
@equijada I find the more I am comfortable in talking about it, the more my family thinks it is something they ought to think about #HPM
Wed Nov 28 18:50:14 PST 2012
ctsinclair
ctsinclair
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ctsinclair
Just wondering if people start to get 'alarm fatigue' from all the National Months for health care issues. #hpm
Wed Nov 28 18:52:24 PST 2012
hollyby
crgonzalez
ctsinclair
Back in 2009 I collected all the other months that share November with #hpm http://t.co/A2tjzgs7 on @Pallimed
Wed Nov 28 18:53:19 PST 2012
jfclearywisc
@ctsinclair http://t.co/dqP9NeNZ #hpm That is a dedicated #Movember I did it two yrs ago but went to Jamaica & was asked to shave!
Wed Nov 28 18:53:45 PST 2012
crgonzalez
@ctsinclair My sense is that people gravitate to those causes that speak to them personally. #HPM
Wed Nov 28 18:53:49 PST 2012
ctsinclair
RT @crgonzalez: @ctsinclair Thats barbershop quartet-quality man hair! "That is the nicest thing ANYONE has said about my 'stache." #hpm
Wed Nov 28 18:54:15 PST 2012
ctsinclair
RT @crgonzalez: My sense is people gravitate to those causes that speak to them personally. "May bring new people into the movemnt" #hpm
Wed Nov 28 18:55:02 PST 2012
JRHochanadel
MT @ctsinclair: could clearly imagine a Metrowide hospice/palliative care collaborative/co-op with art therapists/music therapists, etc #hpm
Wed Nov 28 18:55:09 PST 2012
ctsinclair
Thanks everyone for a great chat on a initially quiet night. Closing thoughts? #hpm
Wed Nov 28 18:56:34 PST 2012
hollyby
T3: I think people get tired of all the months, bracelets, ribbons... The challenge is remembering the cause rather than the marketing. #hpm
Wed Nov 28 18:56:41 PST 2012
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hollyby
Sorry to come in late, just got back from dinner. Glad to see you all! Will try to make it earlier next time! #hpm
Wed Nov 28 18:57:28 PST 2012
crgonzalez
Last thought: Champion hospice awareness in daily life as opportunities arise (help a hospice org with funding ideas, enlighten family) #HPM
Wed Nov 28 18:58:13 PST 2012
jfclearywisc
RT @WiStateJournal: Madison couple, 86 and 85, die within hours of each other after traffic incident http://t.co/9Vy3kFEQ Sad #hpm story!
Wed Nov 28 18:58:42 PST 2012
crgonzalez
@hollyby There's probably a tattoo month, but at some point you run out of skin to commemorate the next observance! #HPM
Wed Nov 28 18:59:03 PST 2012
gmasandi1
@ctsinclair Every month should be Hospice month as it isn't out there enough. Off topic: I like your board game collection. #hpm
Wed Nov 28 18:59:37 PST 2012
hollyby
jfclearywisc
@hollyby At the last NCi conference on communication we got badge hangers w every ribon on it!!! Very cool. #hpm
Wed Nov 28 19:00:07 PST 2012
ctsinclair
hollyby
hollyby
crgonzalez
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ravipm2000
jfclearywisc
subatomicdoc
@ctsinclair @crgonzalez @miller7 Thanks so much - it's Shark Weekend, here's the story: http://t.co/2REHdOOW #hpm
Wed Nov 28 19:09:41 PST 2012
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