#HPM - Healthcare Social Media Transcript

12/11/12
#hpm Healthcare Social Media Transcript
#hpm transcript
Healthcare Social Media Transcript
From: To: Wed Dec 05 18:00:00 PST 2012 Wed Dec 05 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?
aliciabloom
let's get started with some introductions. . . #hpm

Wed Dec 5 18:00:21 PST 2012
aliciabloom
friends, please expect a flurry of #hospice & #palliative care tweets for the next hour, with some basketball thrown in #hpm #basketballwife
Wed Dec 5 18:01:25 PST 2012
nursefriendly
Wednesday #Healthcare #Tweetchats 9pm (ET) #DSMA #HPM #Addictionchat #premeded - #nurseup #nursefriendly
Wed Dec 5 18:01:59 PST 2012
jfclearywisc
Jim Cleary @uwhealth #palliative Care physician & Director, PPSG (@painpolicy) joining #hpm chat. http://t.co/a4cyN4mt
Wed Dec 5 18:02:12 PST 2012
hashtags.symplur.com/healthcarehashtagtranscript.php?hashtag=hpm&fdate=12052012&shour=18&smin=0&tdate=12052012&tho
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aliciabloom
@jfclearywisc great to have you! #hpm

Wed Dec 5 18:02:51 PST 2012
jfclearywisc
RT @ravipm2000: RT@bnwomeh: 100 Ways To Use Twitter In Education, By Degree Of Difficulty http://t.co/NiSVXsoE #hpm #hpmglobal #MedEd
Wed Dec 5 18:03:24 PST 2012
Kamiyamay
Reflecting on experiences from the year while listening to carol....advancing HPM...... #hpm
Wed Dec 5 18:05:00 PST 2012
nursefriendly
Hello Everyone, Andrew Lopez, RN from #NewJersey, #Nurse #Entrepreneur #Advocate #HPM #Addictionchat #nurseup
Wed Dec 5 18:05:44 PST 2012
nursefriendly
RT @aliciabloom: it's about that time. welcome all to #hpm tweetchat! i'll be hosting live from the historic Palestra where #LaSalleMBB is playing tonight.
Wed Dec 5 18:06:10 PST 2012
Kamiyamay
Merry Christmas!!! appears much going on! #hpm

Wed Dec 5 18:06:53 PST 2012
aliciabloom
any others out there in the twitterverse joining #hpm tweetchat tonight?
Wed Dec 5 18:07:34 PST 2012
Kamiyamay
Alicia this could be very intimate....I may use time to ask questions regarding hpm challenges ......will let you drive :-) #hpm
Wed Dec 5 18:09:47 PST 2012
aliciabloom
earlier tonight i shared the NHPCO report on Hospice Care in America, it features data from calendar year 2011. so, let's get started. .#hpm
Wed Dec 5 18:10:11 PST 2012
aliciabloom
T1- Please take some time review the NHPCO Facts & Figures: Hospice Care in America report, then share some initial thoughts/reactions #hpm
Wed Dec 5 18:10:24 PST 2012
hollyby
Attempting to #hpm tweet chat on my phone for the next hour.

Wed Dec 5 18:12:22 PST 2012
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nursefriendly
@aliciabloom T1 I honestly am disappointed that up to 85% of #hospice admissions die within two weeks. Waiting too long :( #hpm
Wed Dec 5 18:13:53 PST 2012
nursefriendly
@aliciabloom T1 it doesn't take two weeks to decide if someone is terminal and will not benefit from aggressive therapy. :( #hpm
Wed Dec 5 18:14:52 PST 2012
Kamiyamay
T1-was surprised approx 44 percent of all deaths under hospice....so many just hours! #hpm
Wed Dec 5 18:15:19 PST 2012
Kamiyamay
RT @nursefriendly: @aliciabloom T1 I honestly am disappointed that up to 85% of #hospice admits die within 2 weeks. Waiting too long :( #hpm
Wed Dec 5 18:15:59 PST 2012
aliciabloom
@Kamiyamay true. number is increasing, but length of stay is so short #hpm

Wed Dec 5 18:17:13 PST 2012
aliciabloom
any other initial reactions before we move on to T2? please share now. . . #hpm
Wed Dec 5 18:18:18 PST 2012
Kamiyamay
Last week was called to ICU two times to explain...makes it stressful on care team, families and leaves many without services they need #hpm
Wed Dec 5 18:19:05 PST 2012
Kamiyamay
We must work for earlier referral #hpm

Wed Dec 5 18:19:26 PST 2012
hollyby
T1: most things are holding steady it seems from 2010-2011, unless I missed something. #hpm
Wed Dec 5 18:19:26 PST 2012
aliciabloom
@hollyby: T1: most things are holding steady it seems from 2010-2011, unless I missed something. #hpm most are. . . will talk more in T2
Wed Dec 5 18:20:27 PST 2012
aliciabloom
@chadreilly @kamiyamay @nursefriendly we are getting there. great bridge to T2, which I'll send out now. . . #hpm
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Wed Dec 5 18:21:08 PST 2012
nursefriendly
#hpm Early Education RT @chadreilly: @Kamiyamay @aliciabloom in your opinion, what can be done for earlier admits? Consumer Ed?
Wed Dec 5 18:21:13 PST 2012
aliciabloom
T2- The number of patients served by hospice continues to grow each year, but median length of stay remains very short #hpm
Wed Dec 5 18:21:16 PST 2012
Kamiyamay
RT #hpm @chadreilly @Kamiyamay @nursefriendly @aliciabloom in your opinion, what can be done for earlier admits? Consumer Ed? #hpm
Wed Dec 5 18:21:51 PST 2012
aliciabloom
T2- 2011 data suggests utilization of hospice is increasing (which is good), however referrals continue occur so late. What can we do? #hpm
Wed Dec 5 18:22:01 PST 2012
nursefriendly
When a #terminal #diagnosis, or potentially terminal one is made, #hospice and #palliative need to be included in treatment options #hpm
Wed Dec 5 18:23:23 PST 2012
nursefriendly
RT @aliciabloom: T2- The number of patients served by hospice continues to grow each year, but median length of stay remains very short #hpm
Wed Dec 5 18:23:35 PST 2012
aliciabloom
T2- I believe direct consumer education is critical. We need to empower patients to ask the right questions and know their options #hpm
Wed Dec 5 18:23:37 PST 2012
Kamiyamay
T2 - Education needs to move out into the communities...hpm sponsored community ed.....perhaps needs to be taken up nationally #hpm
Wed Dec 5 18:24:01 PST 2012
arifkamalmd
NHPCO: 17% of patients in hospice eventually "graduate" - though prognosis or goals may change, palliative care needs don't #hpm
Wed Dec 5 18:24:13 PST 2012
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Kamiyamay
RT @aliciabloom: T2- Direct consumer education is critical. Need to empower patients to ask the right questions & know their options #hpm
Wed Dec 5 18:24:33 PST 2012
hollyby
Need better admission guidelines based on evidence. #hpm

Wed Dec 5 18:24:35 PST 2012
aliciabloom
RT @hollyby: Need better admission guidelines based on evidence. #hpm

Wed Dec 5 18:26:03 PST 2012
Kamiyamay
So many peeps I meet say...."I had no idea what all HPM did..can't believe we get all this!" #hpm
Wed Dec 5 18:26:04 PST 2012
hollyby
T2: Also could have, dare I say it... concurrent care model and scrap the 6 month prognosis -> extremely difficult to be accurate #hpm
Wed Dec 5 18:26:48 PST 2012
Kamiyamay
Even when families suffer loss and have good experience..discussing afterward is not something most do.....death taboo #hpm
Wed Dec 5 18:27:52 PST 2012
Kamiyamay
@hollyby Thank you!!! #hpm

Wed Dec 5 18:28:24 PST 2012
aliciabloom
@Kamiyamay great point. still hard to get people to acknowledge the inevitability of death #hpm
Wed Dec 5 18:29:43 PST 2012
Kamiyamay
@hollyby I can see where that comes from.....debility cases that last years... #hpm
Wed Dec 5 18:30:12 PST 2012
aliciabloom
@hollyby huge proponent of a concurrent care model! would definitely improve access & utilization #hpm
Wed Dec 5 18:30:35 PST 2012
Kamiyamay
RT @aliciabloom: @hollyby huge proponent of a concurrent care model! would definitely improve access & utilization #hpm
Wed Dec 5 18:31:12 PST 2012
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hollyby
Most non-cancer and many cancer diagnoses RT @Kamiyamay: @hollyby I can see where that comes from.....debility cases that last years... #hpm
Wed Dec 5 18:31:29 PST 2012
hollyby
Docs are more accurate about prognosis the closer to death the patient is... Part of the short length of stay issue. #hpm
Wed Dec 5 18:33:39 PST 2012
chadreilly
@aliciabloom I believe the same. So much incorrect info out in the public on hospice #hpm
Wed Dec 5 18:33:52 PST 2012
aliciabloom
T2- how can improve consumer/patient education? #hpm

Wed Dec 5 18:34:14 PST 2012
Kamiyamay
My biggest frustration lately is burnt out nursing staff, or brand new staff......need to also be proponent for educated providers. #hpm
Wed Dec 5 18:34:15 PST 2012
aliciabloom
RT @hollyby: Docs are more accurate about prognosis the closer to death the patient is... Part of the short length of stay issue. #hpm
Wed Dec 5 18:34:56 PST 2012
Kamiyamay
@chadreilly Recently a friend paramedic told me he researched and thought we were for death assist. He searched Dr. Google, yikes! #hpm
Wed Dec 5 18:35:12 PST 2012
hollyby
Satisfied patients and families sharing their stories RT @aliciabloom: T2- how can improve consumer/patient education? #hpm
Wed Dec 5 18:35:48 PST 2012
nursefriendly
Introduce the concept early, same with #livingwills #advancedirectives RT @aliciabloom: T2- how can improve consumer/patient education? #hpm
Wed Dec 5 18:36:34 PST 2012
Kamiyamay
@hollyby Agree but after exhaustion of the last month and loss it is hard to get many to engage...I think SoMe could be an amazing tool #hpm
Wed Dec 5 18:37:16 PST 2012
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nursefriendly
T2 The first time a #patient learns about #hospice should be long before, they are at deaths door. #hpm
Wed Dec 5 18:37:26 PST 2012
aliciabloom
@hollyby: Satisfied patients and families sharing their stories" <-- testimonials can make a major impact as people can relate #hpm
Wed Dec 5 18:37:51 PST 2012
nursefriendly
T2 It plays to the issue that #hospice is not recognized by most as a "treatment option." #hpm
Wed Dec 5 18:38:38 PST 2012
AmyGetter
RT @nursefriendly: T2 The first time a #patient learns about #hospice should be long before, they are at deaths door. #hpm
Wed Dec 5 18:38:40 PST 2012
Kamiyamay
Here is a wild idea: we educate about death/alcohol in high school......how about advance dir during health class..So many kids losing #hpm
Wed Dec 5 18:38:59 PST 2012
aliciabloom
T2- I think #hospice providers should get in senior centers, churches and community organizations to provide education #hpm
Wed Dec 5 18:39:12 PST 2012
chadreilly
@Kamiyamay I have a per. exp. with a home health nurse tell a family member hospice will only gives pain meds to kill the patient yikes #hpm
Wed Dec 5 18:39:30 PST 2012
Kamiyamay
RT @aliciabloom: T2- I think #hospice providers should get in senior centers, churches and community organizations to provide education #hpm
Wed Dec 5 18:39:39 PST 2012
nursefriendly
T2 Many #doctors #nurses #patients that I speak to refer to #hospice #palliative care as a "Last Resort" :( #hpm #eolchat
Wed Dec 5 18:39:53 PST 2012
aliciabloom
any final thoughts on T2 before we move on. . . #hpm

Wed Dec 5 18:40:20 PST 2012
hollyby
@Kamiyamay True. Still, many patients & families ask how they can say thank you. Sometimes helps restore some meaning/purpose. #hpm
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Wed Dec 5 18:40:55 PST 2012
Kamiyamay
Alicia...very right....we each need to start with those around us...our neighbors, our friends, our church, our community, town paper. #hpm
Wed Dec 5 18:41:10 PST 2012
Kamiyamay
RT @hollyby: @Kamiyamay True. many patients & families ask how they can say thank you. Sometimes helps restore some meaning/purpose. #hpm
Wed Dec 5 18:41:40 PST 2012
nursefriendly
@Kamiyamay Don't expect the issue of #nursing #burnout to resolve anytime soon. Symptom of the #healthcare system we work in :( #hpm
Wed Dec 5 18:41:46 PST 2012
hollyby
Wed Dec 5 18:41:55 PST 2012
nursefriendly
RT @hollyby: Satisfied patients and families sharing their stories RT @aliciabloom: T2- how can improve consumer/patient education? #hpm
Wed Dec 5 18:42:05 PST 2012
aliciabloom
@hollyby @kamiyamay that's so true Holly. sharing stories can help the grieving process #hpm
Wed Dec 5 18:42:09 PST 2012
aliciabloom
T3- Patients of minority race accounted for < 20% of hospice recipients in 2011. Are there specific barriers we can address & how? #hpm
Wed Dec 5 18:42:26 PST 2012
fischmd
Putting Twitter to use among oncologists (via @ASCO blog, preaching here to the choir) http://t.co/N0tHUlj1 #meded #hcsm #hpm #bcsm
Wed Dec 5 18:42:48 PST 2012
Kamiyamay
@nursefriendly True...Last shift I was in a facility and a nurse crumbled to floor in tears...so much pressure #hpm
Wed Dec 5 18:43:14 PST 2012
Kamiyamay
RT @aliciabloom: T3- Minorities < 20% of hospice recipients in 2011. Are there specific barriers we can address & how? #hpm
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Wed Dec 5 18:43:50 PST 2012
hollyby
T3: Need to engage these communities specifically and gain understanding of what they want/need. #hpm
Wed Dec 5 18:44:51 PST 2012
nursefriendly
Wed Dec 5 18:45:03 PST 2012
Kamiyamay
Alicia...in Tx we need more spanish speaking caregivers....there are many other cultures that hesitate to lower walls and engage #hpm
Wed Dec 5 18:45:22 PST 2012
aliciabloom
RT @hollyby: T3: Need to engage these communities specifically and gain understanding of what they want/need. #hpm
Wed Dec 5 18:45:29 PST 2012
nursefriendly
@chadreilly Lotsa #misconceptions & #myths surrounding #hospice. Many people misunderstand it. #hpm
Wed Dec 5 18:46:12 PST 2012
aliciabloom
T3- i believe targeted outreach to churches & cultural centers is a way to gain greater understanding & build educational partnerships #hpm
Wed Dec 5 18:46:49 PST 2012
Kamiyamay
@aliciabloom Near my community there are large numbers of Marshallese...they refuse hospice every time #hpm
Wed Dec 5 18:46:55 PST 2012
Kamiyamay
RT @aliciabloom: T3- targeted outreach 2 churches & cultural centers to gain greater understanding & build educational partnerships #hpm
Wed Dec 5 18:47:58 PST 2012
aliciabloom
T3- important to understand historical context-- mistrust of the health care system is deeply rooted. this impacts EoL decisions #hpm
Wed Dec 5 18:49:19 PST 2012
Kamiyamay
Embracing through good neighborship....first a friend... Education on cultural awareness needs to be ongoing for caregivers..... #hpm
Wed Dec 5 18:49:36 PST 2012
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Kamiyamay
RT @aliciabloom: T3- historical context-- mistrust of the health care system is deeply rooted. this impacts EoL decisions #hpm
Wed Dec 5 18:50:11 PST 2012
hollyby
T3: No one wants their loved ones to suffer. It's an issue of gaining understanding of cultural context & being patient centered. #hpm
Wed Dec 5 18:52:27 PST 2012
Kamiyamay
Thinking measures to smooth process and develop better systems with encourage trust. Quality, promotion, acceptance, embrace #hpm
Wed Dec 5 18:53:36 PST 2012
aliciabloom
in the last few minutes, please share any final thoughts on any of our topics #hpm
Wed Dec 5 18:53:36 PST 2012
Kamiyamay
Lth: wish all could catch the dream....truly believe what HPM does for families is priceless....we must get corps,fam's, neighbors in #hpm
Wed Dec 5 18:55:56 PST 2012
hollyby
New topic: Alicia rocks! Thx 4 hosting! RT @aliciabloom: in the last few minutes, please share any final thoughts on any of our topics #hpm
Wed Dec 5 18:57:05 PST 2012
aliciabloom
thank you all for joining #hpm tweetchat tonight! it was a small group, but a very solid discussion.
Wed Dec 5 18:58:40 PST 2012
Kamiyamay
Alicia---thank you so much!!!!! And @hollyby @chadreilly @nursefriendly Listing some of best things of year..Peeps that really care #hpm
Wed Dec 5 19:00:11 PST 2012
hollyby
@Kamiyamay :) #hpm
Wed Dec 5 19:03:16 PST 2012
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12/11/12

#hpm Healthcare Social Media Transcript

let's get started with some introductions. . . #hpm

#hpm Healthcare Social Media Transcript

@jfclearywisc great to have you! #hpm

Merry Christmas!!! appears much going on! #hpm

Attempting to #hpm tweet chat on my phone for the next hour.

#hpm Healthcare Social Media Transcript

@Kamiyamay true. number is increasing, but length of stay is so short #hpm

We must work for earlier referral #hpm

#hpm Healthcare Social Media Transcript

#hpm Healthcare Social Media Transcript

Need better admission guidelines based on evidence. #hpm

RT @hollyby: Need better admission guidelines based on evidence. #hpm

@hollyby Thank you!!! #hpm

#hpm Healthcare Social Media Transcript

T2- how can improve consumer/patient education? #hpm

#hpm Healthcare Social Media Transcript

any final thoughts on T2 before we move on. . . #hpm

#hpm Healthcare Social Media Transcript

#hpm Healthcare Social Media Transcript

#hpm Healthcare Social Media Transcript

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