#HPM Transcript: Healthcare Social Media

#hpm - Healthcare Social Media Transcript
2/28/13 10:16 AM
#hpm transcript
Healthcare Social Media Transcript
From: To: Wed Feb 27 18:00:00 PST 2013 Wed Feb 27 19:15:00 PST 2013 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?
oliverdr
Greetings from warm Ruskin Florida- I escaped Mo snowstorm! #hpm

Wed Feb 27 18:00:10 PST 2013
aliciabloom
for the next hour, i'll be hosting #hpm chat, which means a flurry of tweets about #hospice & #palliative care.
Wed Feb 27 18:01:02 PST 2013
rfberry
nice! Good evening! RT @oliverdr: Greetings from warm Ruskin Florida- I escaped Mo snowstorm! #hpm
Wed Feb 27 18:01:12 PST 2013
ctsinclair
@oliverdr Yes you did. My kids had 4 days off from school in the last week. I'm going stir crazy. #hpm
Wed Feb 27 18:01:13 PST 2013
aliciabloom
it's 9pm on the east coast, which means it's time to get #hpm chat started! please introduce yourself. . .
Wed Feb 27 18:01:46 PST 2013
TexasKidDoc
@ctsinclair I miss snow #hpm

Wed Feb 27 18:01:56 PST 2013
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=02-27-2013&thour=19&tmin=15&ssec=00&tsec=00&img=1
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oliverdr
We heard it was coming and were planning on coming here anyway so got out of dodge on Sat! #hpm
Wed Feb 27 18:02:12 PST 2013
enBloomMedia
MT @rfberry: Looking forward 2 #hpm chat! All welcome 2 join discussion on hospice & palliative med http://t.co/oDnFhC3Lr7 at 6p PST #hpm
Wed Feb 27 18:02:25 PST 2013
rfberry
Renee Berry here in Menlo Park, CA. Work @goBeMoRe, passionate about palliative care, advance care planning & hospice volunteering #hpm
Wed Feb 27 18:02:52 PST 2013
aliciabloom
hey @ctsinclair, @rfberry, @oliverdr, @waywardchad & @enBloomMedia! we've got a great crowd forming here #hpm
Wed Feb 27 18:03:22 PST 2013
nursefriendly
Hello Everyone, Andrew Lopez, RN from #NewJersey :) #Nurse #Healthcare #Tweetchat #Enthusiast :) cc #addictionchat #hpm
Wed Feb 27 18:03:35 PST 2013
rfberry
@enBloomMedia great to see you Alisa, & Emily @Texaskidsdoc! #hpm

Wed Feb 27 18:03:35 PST 2013
WaywardChad
G'evening, all....I'm Chad, an MSW and a grad student in #thanatology from Maryland...passionate about end-of-life care & discussions. #hpm
Wed Feb 27 18:03:42 PST 2013
TurnerWest
#hpm Turner West, Director of Education and Community Programs with Hospice of the Bluegrass in Lexington, Ky #hpm
Wed Feb 27 18:04:20 PST 2013
rfberry
@_lizzy_, @rhgerard, @ChelseaHanson you joining us tonight? #hpm

Wed Feb 27 18:04:37 PST 2013
milhealth
Good evening! RT @oliverdr: Greetings from warm Ruskin Fla I escaped Mo snowstorm! #hpm (via @rfberry) where's Ruskin? (I'm in Miami:-)
Wed Feb 27 18:04:46 PST 2013
aliciabloom
yes, great to see you Emily @TexasKidDoc! welcome @TurnerWest! #hpm

Wed Feb 27 18:04:59 PST 2013
rfberry
Hi Turner! RT @TurnerWest Turner West, Director of Education and Community Programs with Hospice of the Bluegrass in Lexington, Ky #hpm
Wed Feb 27 18:05:24 PST 2013
oliverdr
South of Tampa #hpm

Wed Feb 27 18:05:42 PST 2013
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aliciabloom
MSW, LSW practicing in #hpm and glad to be your host tonight!

Wed Feb 27 18:05:44 PST 2013
ctsinclair
@TexasKidDoc The snow misses you. It said to me today: "Where is that @TexasKidDoc?" It confused me at the time, but now I understand. #hpm
Wed Feb 27 18:05:50 PST 2013
TexasKidDoc
Hi all, pediatric resident, going into neonatology, #pedpc enthusiast (Will hopefully do the fellowship after NICU) #hpm
Wed Feb 27 18:05:51 PST 2013
AfternoonNapper
@aliciabloom If I can stagger to my hotel room in time, I really want to chime in re: #hpm and #RareDiseaseDay.
Wed Feb 27 18:05:57 PST 2013
rfberry
@WaywardChad, @nursefriendly, @milhealth, great to see you tonight! #hpm

Wed Feb 27 18:05:58 PST 2013
ctsinclair
I would love if my Colorado friends @ckrn and @April 918 would join us tonight! #hpm
Wed Feb 27 18:06:47 PST 2013
TexasKidDoc
@ctsinclair the snow speaks in mysterious ways sometimes!! #hpm

Wed Feb 27 18:06:50 PST 2013
aliciabloom
it looks like we've got a great group gathered tonight, so let's get started! #hpm
Wed Feb 27 18:07:20 PST 2013
milhealth
@WaywardChad, @nursefriendly, great to see you tonight! (via @rfberry) likewise. I tweeted u an article link last week re #hpm :-)
Wed Feb 27 18:08:01 PST 2013
philiplederer
#hpm chat - join us tonight! Topics incl: #ChoosingWisely campaign from the @ABIMFoundation @ctsinclair
Wed Feb 27 18:08:22 PST 2013
enBloomMedia
Hello to all, Alisa here in DC #hpm

Wed Feb 27 18:08:41 PST 2013
rfberry
RT @philiplederer: #hpm chat - join us tonight! Topics incl: #ChoosingWisely campaign from the @ABIMFoundation @ctsinclair #hpm
Wed Feb 27 18:08:52 PST 2013
MsWZ
@rfberry: RT @philiplederer: #hpm chat - join us tonight! Topics incl: #ChoosingWisely campaign from the @ABIMFoundation @ctsinclair #hpm
Wed Feb 27 18:09:18 PST 2013
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milhealth
RT @rfberry: RT @philiplederer: #hpm chat - join us tonight! Topics incl: #ChoosingWisely campaign from the @ABIMFoundation @ctsinclair #hpm
Wed Feb 27 18:09:26 PST 2013
nursefriendly
@milhealth Hmm, I missed it, will have to look over my tweetstream :( #hpm
Wed Feb 27 18:09:35 PST 2013
aliciabloom
T1- Last week, professional organizations released lists of "Five Things Physicians and Patients Should Question for #ChoosingWisely #hpm
Wed Feb 27 18:09:44 PST 2013
doctatum
thawing out in MidMo, but warming up with #hpm tweetchat #hpm

Wed Feb 27 18:09:56 PST 2013
ctsinclair
@enBloomMedia I need to remember to connect with you the next time I am in DC/NOVA. On my plans a coupkle more times this year. #hpm
Wed Feb 27 18:10:23 PST 2013
aliciabloom
T1- the #ChoosingWisely Campaign is an initiative of the @ABIMFoundation http://t.co/mQ7i9fvgCM #hpm

Wed Feb 27 18:10:50 PST 2013
oliverdr
@doctatum greetings from Ruskin Fl- here for AGHE #hpm

Wed Feb 27 18:11:00 PST 2013
DianeEMeier
RT @geri_doc: All MDs need basic training in palliative care writes @AlexSmithMD @UCSF #hpm expert #geriatrics great essay http://t.co/E ...
Wed Feb 27 18:11:32 PST 2013
doctatum
RT @oliverdr: greetings from Ruskin Fl- here for AGHE-- you are missing about 2 feet of snow #hpm
Wed Feb 27 18:11:53 PST 2013
ctsinclair
RT @aliciabloom: T1- the #ChoosingWisely Campaign is an initiative of the @ABIMFoundation - http://t.co/hfdlfw6UUB #hpm
Wed Feb 27 18:11:58 PST 2013
enBloomMedia
@ctsinclair absolutely, I'd like that. #hpm

Wed Feb 27 18:12:00 PST 2013
philiplederer
RT @aliciabloom: T1- the #ChoosingWisely Campaign is an initiative of the @ABIMFoundation - http://t.co/mQ7i9fvgCM #hpm
Wed Feb 27 18:12:22 PST 2013
WaywardChad
MT @aliciabloom T1- Last week, professional orgs released lists of "5 Things Physicians &
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Patients Should Question for #ChoosingWisely #hpm

Wed Feb 27 18:12:31 PST 2013
WaywardChad
RT @aliciabloom: T1- the #ChoosingWisely Campaign is an initiative of the @ABIMFoundation - http://t.co/coyUvoh2CF #hpm
Wed Feb 27 18:12:39 PST 2013
rfberry
RT @aliciabloom: T1- the #ChoosingWisely Campaign is an initiative of the @ABIMFoundation - http://t.co/mQ7i9fvgCM #hpm
Wed Feb 27 18:12:40 PST 2013
oliverdr
@doctatum ESCAPED! on purpose! #hpm

Wed Feb 27 18:13:05 PST 2013
aliciabloom
T1- from your perspective (whether you're a clinician, patient, or advocate) how can the #ChoosingWisely Campaign impact patient care? #hpm
Wed Feb 27 18:13:10 PST 2013
TexasKidDoc
T1 - Love the pedi #choosingwisely campaign list! First I've seen of it! http://t.co/WzkAxcCBmn #hpm
Wed Feb 27 18:13:16 PST 2013
oliverdr
@aliciabloom T1 #ChoosingWisely gives permission to ask questions of providersimportant questions! #hpm

Wed Feb 27 18:14:36 PST 2013
WaywardChad
MT @aliciabloom: T1 from yr perspective (whether clinician, patient or advocate) how can #ChoosingWisely Campaign impact patient care? #hpm
Wed Feb 27 18:15:04 PST 2013
ctsinclair
T1: What amazes me abt #ChoosingWisely campaign is it gets docs to point out things they might commonly do, that should be questioned #hpm
Wed Feb 27 18:15:09 PST 2013
rfberry
T1 I feel like #ChoosingWisely empowers me w/concise edu materials to ask better questions at the bedside (as a pt & fam advocate) #hpm
Wed Feb 27 18:15:14 PST 2013
napernurse
RT @ShahinaLakhani: Is it Ethical To Refuse Care To a Hospice Patient http://t.co/4OJWQ2OXkP #eolchat #Rnchat #hpm #carechat #caregiving ...
Wed Feb 27 18:15:22 PST 2013
enBloomMedia
@aliciabloom T1: #choosingwisely seems to create an opportunity for healthy dialog #hpm
Wed Feb 27 18:15:35 PST 2013
TurnerWest
T1-Choosing Wisely helps reduce misallocation of healthcare resources and reduces potential harm to pt. from unnecessary procedures #hpm
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Wed Feb 27 18:15:36 PST 2013
philiplederer
T1- >$750 billion are spent each year on tests and treatments that needlessly inflate medical bills without helping patients get better #HPM
Wed Feb 27 18:15:42 PST 2013
TexasKidDoc
T1 Love how straight forward it... love idea of questioning the status quo, plus using evidenced based care #choosingwisely #hpm
Wed Feb 27 18:15:56 PST 2013
ctsinclair
T1: Imagine a #ChoosingWisely campaign from McDonalds about how to pick a healthy meal, or your car mechanic on what service not to get #hpm
Wed Feb 27 18:15:58 PST 2013
aliciabloom
T1- i appreciate that #ChoosingWisely is based on real clinical data & geared to empower patients #hpm
Wed Feb 27 18:16:09 PST 2013
oliverdr
T1 I had a student express frustration with radiation one-felt wording alienated oncologistsinteresting perspective #hpm
Wed Feb 27 18:16:35 PST 2013
rfberry
@ctsinclair I love that idea. I think it's a great way to explain this! #hpm
Wed Feb 27 18:16:55 PST 2013
ctsinclair
T1: IMHO Main impact abt #ChoosingWisely is docs feeling free to call each other on nonbest practices with org endorsement #hpm
Wed Feb 27 18:17:11 PST 2013
TurnerWest
#ChoosingWisely should also foster patient engagement which we all want to encourage #hpm
Wed Feb 27 18:17:13 PST 2013
WaywardChad
T1 - Sure seems like it would empower me to be a stronger advocate for client-centered care! #hpm
Wed Feb 27 18:17:29 PST 2013
rfberry
@oliverdr interesting. What type of language did they feel alienated oncologists? #hpm
Wed Feb 27 18:17:36 PST 2013
philiplederer
T1- $750 billion on unnecessary medical tests and treatments= enormous $$$.~ the same amount of money spent on the entire Iraq War #HPM
Wed Feb 27 18:17:39 PST 2013
WaywardChad
RT @TurnerWest: #ChoosingWisely should also foster patient engagement which we all want to encourage #hpm
Wed Feb 27 18:17:46 PST 2013
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rfberry
Wed Feb 27 18:17:48 PST 2013
aliciabloom
T1- we're all observing the same important keys: patient empowerment, encouraging dialogue, providing better care & reducing cost #hpm
Wed Feb 27 18:17:50 PST 2013
ctsinclair
@oliverdr That is interesting to look at potential cross specialty turf battles. #hpm
Wed Feb 27 18:17:51 PST 2013
oliverdr
T1 interesting these 5 were chosen could have been many others as well. Love 2 #hpm
Wed Feb 27 18:18:01 PST 2013
enBloomMedia
A gentle reminder? MT @ctsinclair: T1 #ChoosingWisely gets docs to point out things they might commonly do, that should be questioned #hpm
Wed Feb 27 18:18:13 PST 2013
TexasKidDoc
Disappointed (But not surprised by) the urology list. Nothing about questioning if PSA testing is right for you #hpm
Wed Feb 27 18:18:14 PST 2013
ctsinclair
@TurnerWest I agree that more patient engagement is key, but beyond small media bump, not sure patients will seek this info out #hpm
Wed Feb 27 18:18:20 PST 2013
doctatum
T1: #choosingwisely can change provider practice. Both @ags and @aahpm rec No TubeFeeding in adv dementia. Teach alternative HandFeed #hpm
Wed Feb 27 18:18:32 PST 2013
enBloomMedia
MT @aliciabloom: T1- the same important keys: patient empowerment, encouraging dialogue, providing better care & reducing cost #hpm
Wed Feb 27 18:18:44 PST 2013
nursefriendly
T1 I would question how much of that $750 billion would have been spent regardless on #DefensiveMedicine #doctors CYA #hpm
Wed Feb 27 18:18:47 PST 2013
WaywardChad
MT @ctsinclair: T1 IMHO Main impact w/ #ChoosingWisely: docs feeling free to call each other on non-best practices with org endorsement #hpm
Wed Feb 27 18:19:06 PST 2013
ctsinclair
T1: Would hope the #ChoosingWisely campaign and orgs look at content for re-purposing across platforms/media #hpm
Wed Feb 27 18:19:16 PST 2013
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philiplederer
RT @ctsinclair: T1: Would hope the #ChoosingWisely campaign and orgs look at content for re-purposing across platforms/media #hpm
Wed Feb 27 18:19:55 PST 2013
aliciabloom
T1- Consumer Reports is engaged in developing patient directed materials & messages, which should help propel the messages #hpm
Wed Feb 27 18:19:55 PST 2013
yzafar
As an Onc, I can guarantee that #1 on our #ChoosingWisely list will be ignored! #hpm
Wed Feb 27 18:20:02 PST 2013
ctsinclair
@doctatum I like that @AmerGeriatrics and @AAHPM agreed on the hand feeding over tube feeding in advanced dementia #hpm
Wed Feb 27 18:20:15 PST 2013
rfberry
@ctsinclair hopefully it empowers the communications teams at hospitals to have great digital content for patient engagement. #hpm
Wed Feb 27 18:20:16 PST 2013
rfberry
RT @WaywardChad: T1 - Sure seems like it would empower me to be a stronger advocate for client-centered care! #hpm
Wed Feb 27 18:20:21 PST 2013
enBloomMedia
@nursefriendly that the next step in health reform, right? tort reforms #hpm
Wed Feb 27 18:20:26 PST 2013
rfberry
Interesting!!! Why? RT @yzafar: As an Onc, I can guarantee that #1 on our #ChoosingWisely list will be ignored! #hpm
Wed Feb 27 18:20:37 PST 2013
jfclearywisc
Jim Cleary, @uwhealth palliative care MD, & Director PPSG (@painpolicy) joining #Hpm chat for next 40 minutes.
Wed Feb 27 18:20:37 PST 2013
nursefriendly
T1 When it comes to #hospitalizations, #Tests, #Diagnostics, much is ordered to mitigate #liability #malpractice exposure. #hpm
Wed Feb 27 18:20:41 PST 2013
philiplederer
T1 - agree- need to increase patient engagement #HPM

Wed Feb 27 18:20:47 PST 2013
rfberry
RT @aliciabloom: T1- i appreciate that #ChoosingWisely is based on real clinical data & geared to empower patients #hpm
Wed Feb 27 18:20:48 PST 2013
_lizzy_
KY House approves changes to prescription drug law http://t.co/SwEvx7zWGQ #hpm

Wed Feb 27 18:20:57 PST 2013
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aliciabloom
please share any final thoughts on T1. . .T2, also related to #ChoosingWisely, coming in a moment. . . #hpm
Wed Feb 27 18:21:19 PST 2013
oliverdr
@ctsinclair agreed collaboration geri and pall terrific #hpm

Wed Feb 27 18:21:22 PST 2013
doctatum
RT @ctsinclair: thanks! forgot ags twittername. oops #hpm

Wed Feb 27 18:21:27 PST 2013
ctsinclair
@yzafar What is #1 on the @ASCO #CHoosingWisely list? #hpm

Wed Feb 27 18:21:33 PST 2013
jfclearywisc
RT @_lizzy_: KY House approves changes to prescription drug law http://t.co/SwEvx7zWGQ #hpm

Wed Feb 27 18:21:44 PST 2013
WaywardChad
Also have to say that as chronic sufferer of #sinusitis, I'm thankful for THAT #ChoosingWisely page! :) #hpm
Wed Feb 27 18:21:44 PST 2013
ctsinclair
@jfclearywisc @_lizzy_ Hey Jim and Lizzy! #hpm

Wed Feb 27 18:21:56 PST 2013
nursefriendly
T1 The key to minimizing excessive #healthcare expenses, is to have #patients #families aware when to question #doctors #hpm
Wed Feb 27 18:21:57 PST 2013
ctsinclair
@doctatum No problem, just looked it up last week, otherwise I would have forgotten as well. #hpm
Wed Feb 27 18:22:16 PST 2013
_lizzy_
Cal State San Marcos launches new palliative care course for chaplains http://t.co/LgVWRdrbbT #hpm
Wed Feb 27 18:22:25 PST 2013
rfberry
I think #ChoosingWisely is a great example of collaboration & has potential to empower great patient engagement. Needs amplification. #hpm
Wed Feb 27 18:22:25 PST 2013
yzafar
@rfberry #1 is don't give unnecessary anticancer tx to those unlikely to benefit. But... When you go to Midas, you get a muffler #hpm
Wed Feb 27 18:22:48 PST 2013
ctsinclair
@nursefriendly Some of the imaging recommendations would surely cut down on
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unecessary costs due to defensive medicine #hpm

Wed Feb 27 18:23:05 PST 2013
TexasKidDoc
Thanks for brining #choosingwisely to my attention! #hpm

Wed Feb 27 18:23:25 PST 2013
enBloomMedia
@nursefriendly Valid point, though difficult to achieve given current health literacy #hpm
Wed Feb 27 18:23:44 PST 2013
rfberry
@yzafar very well summarized in 140, I'm impressed! #hpm

Wed Feb 27 18:23:53 PST 2013
WaywardChad
MT @rfberry: #ChoosingWisely a great example of collaboration & has potential to empower great patient engagement. Needs amplification. #hpm
Wed Feb 27 18:24:05 PST 2013
TexasKidDoc
some of these are such pet peeves. love evidenced based medicine and making it commonplace to discuss #hpm
Wed Feb 27 18:24:07 PST 2013
ctsinclair
@yzafar Oh yeah, I remember that one. But now some oncologists or other specialists can ask why they are doing that if not reccomended #hpm
Wed Feb 27 18:24:14 PST 2013
philiplederer
T1 #ChoosingWisely conversations between physicians and patients -> care that is supported by evidence, not duplicative, free from harm #HPM
Wed Feb 27 18:24:14 PST 2013
doctatum
RT @oliverdr: @ctsinclair agreed collaboration geri and pall terrific-- Strong work from @ewidera and @dianeemeier I suspect #hpm
Wed Feb 27 18:24:15 PST 2013
_lizzy_
Hi all! Oops i forgot it was Wednesday. i am here now #Hpm

Wed Feb 27 18:25:03 PST 2013
philiplederer
T1- are medical schools / residency programs getting on board with teaching students/residents about #choosingwisely #HPM #meded
Wed Feb 27 18:25:20 PST 2013
jfclearywisc
@yzafar #1 on the ASCO list or the @AAPHM list? #hpm

Wed Feb 27 18:25:21 PST 2013
rfberry
ha! Well you remembered now, great to see you! RT @_lizzy_: Hi all! Oops i forgot it was Wednesday. i am here now #hpm
Wed Feb 27 18:25:38 PST 2013
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=02-27-2013&thour=19&tmin=15&ssec=00&tsec=00&img=1
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ctsinclair
@TexasKidDoc Yes, I think every Peds office, ER and urgent care should have #ChoosingWisely one sheets in the waiting room. #hpm
Wed Feb 27 18:25:38 PST 2013
WaywardChad
RT @TexasKidDoc: some of these are such pet peeves. love evidenced based medicine and making it commonplace to discuss #hpm
Wed Feb 27 18:25:40 PST 2013
yzafar
@ctsinclair I hope so, but it is so ingrained in our Borg-like culture. Resistance is futile. #hpm
Wed Feb 27 18:25:44 PST 2013
oliverdr
T1 important to make sure public gets ahold of these! #hpm

Wed Feb 27 18:25:44 PST 2013
TurnerWest
@ctsinclair @yzafar it's discouraging that some practitioners are quick to dismiss these recommendations #hpm
Wed Feb 27 18:25:48 PST 2013
enBloomMedia
T1: how much do practice guidelines assist clinicians in adhereing to #ChoosingWisely #1? #hpm
Wed Feb 27 18:26:12 PST 2013
ctsinclair
RT @philiplederer: T1 #ChoosingWisely convos btw physicians/patients -> care supported by evidence, not duplicative, free from harm #hpm
Wed Feb 27 18:26:21 PST 2013
yzafar
@jfclearywisc sorry, to be clear, ASCO list #hpm

Wed Feb 27 18:26:25 PST 2013
aliciabloom
T2- from your perspective as an #hpm clinician or advocate, please share your thoughts on the @AAHPM's #ChoosingWisely list. . .
Wed Feb 27 18:26:39 PST 2013
TexasKidDoc
@philiplederer Doubt they are explicitly teaching but if they are teaching EBM they are likely hitting on many of these topics #hpm
Wed Feb 27 18:26:43 PST 2013
ctsinclair
RT @yzafar: I hope so, but it is so ingrained in our Borg-like culture. Resistance is futile. "Be the change you want to see" #hpm
Wed Feb 27 18:26:48 PST 2013
nursefriendly
#tortreforms historically don't help much :( RT @enBloomMedia: @nursefriendly that the next step in health reform, right? tort reforms #hpm
Wed Feb 27 18:26:55 PST 2013
rfberry
are they already? RT @TurnerWest: @ctsinclair @yzafar discouraging that some
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practitioners are quick to dismiss these recommendations #hpm

Wed Feb 27 18:26:59 PST 2013
nursefriendly
@ctsinclair Yes, if they are observed. All it takes is one concern over liability and it will be ordered regardless of cost. #hpm
Wed Feb 27 18:27:55 PST 2013
enBloomMedia
RT @philiplederer: T1 #ChoosingWisely convos btw physicians/patients -> care supported by evidence, not duplicative, free from harm #hpm
Wed Feb 27 18:27:56 PST 2013
jfclearywisc
@yzafar But #ASCO #1 is more than that. DOn't give chemo to those w poor Perform statue. No Benefit! Evidence based #hpm A lot will ignore!
Wed Feb 27 18:28:00 PST 2013
doctatum
I like @aahpm #choosingwisely rec's but wondered if there would be much pushback from folk on #5, no topical abh gels. I agree! #hpm
Wed Feb 27 18:28:17 PST 2013
TexasKidDoc
many of these recommendations are pretty well known, nice to see all in 1 place and organized this way but think many will be dismissed #hpm
Wed Feb 27 18:28:24 PST 2013
yzafar
@rfberry @turnerwest @ctsinclair Not so much dismiss, rather not put care into a broader context. #hpm
Wed Feb 27 18:28:50 PST 2013
rfberry
+ Dont delay palliative care for a pt w/serious illness &physical, social, spiritual distress bc they're pursuing disease-directed tx. #hpm
Wed Feb 27 18:29:08 PST 2013
enBloomMedia
@nursefriendly That's a bummer : ( #hpm

Wed Feb 27 18:29:14 PST 2013
TurnerWest
@yzafar yes, that's a better way of phrasing it #hpm

Wed Feb 27 18:29:32 PST 2013
aliciabloom
T2- given the aging of the population & increasing numbers of those living with dementia, i was glad to see the tube feed issue as #1 #hpm
Wed Feb 27 18:29:46 PST 2013
nursefriendly
@enBloomMedia We need to address the #healthliteracy issue regardless, teach #patients #families what questions to ask #hpm
Wed Feb 27 18:29:52 PST 2013
TexasKidDoc
Amazing % about the lack of benefit of screening, yet we live in pro-screening medical culture & Amer. Cancer Soci. can't give it up #hpm
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Wed Feb 27 18:29:56 PST 2013
yzafar
@jfclearywisc I agree! But we still do it. It will take a sea change. But as @ctsinclair said, be the change... #hpm
Wed Feb 27 18:30:28 PST 2013
philiplederer
@TexasKidDoc I think focusing on medical schools / residency programs is critically important - the next generation of MD's #meded #HPM
Wed Feb 27 18:30:30 PST 2013
oliverdr
@rfberry My only issue with the pall care guideline is why does someone have to be in distress for referral-should be automatic for all #hpm
Wed Feb 27 18:30:55 PST 2013
WaywardChad
MT @aliciabloom: T2- from your perspective as #hpm clinician or advocate, share your thoughts on the @AAHPMs #ChoosingWisely list. #hpm
Wed Feb 27 18:31:18 PST 2013
aliciabloom
T2- i also love that both AAHPM & AGS present a consistent message about feeding tubes for those with dementia #hpm
Wed Feb 27 18:31:23 PST 2013
jfclearywisc
@rfberry But if hospice is a major provider of palliative care and given some restrictions there, how can we not delay referral? #hpm
Wed Feb 27 18:31:26 PST 2013
enBloomMedia
I Agree, learning curve steep MT @nursefriendly: @enBloomMedia address #healthliteracy issue, teach #patients #families questions 2 ask #hpm
Wed Feb 27 18:31:43 PST 2013
TexasKidDoc
@aliciabloom Agree re:tube feeding! Wish we had more discussions about this in peds, almost a given that it will be done #pedpc #hpm
Wed Feb 27 18:31:57 PST 2013
jfclearywisc
@TexasKidDoc @OtisBrawley of @AmericanCancer is being very open & honest about the value of Screening. V Rational discussions #hpm
Wed Feb 27 18:32:37 PST 2013
doctatum
@aahpm = 1Feed by hand not by tube 2Get #palliative care early 3TurnOff Defibrillators at end, 4Radiate Limbs 1x, 5No gels for Nausea #hpm
Wed Feb 27 18:32:48 PST 2013
aliciabloom
@TurnerWest @doctatum lots of #hospice RNs still using ABHR gel. i think it's in the #hospice comfort kit. #hpm
Wed Feb 27 18:32:58 PST 2013
nursefriendly
@enBloomMedia Given the high costs of #malpractice #insurance, it is a concern that is going to trump #costsavings for a long time. #hpm
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Wed Feb 27 18:33:14 PST 2013
equijada
T2 liked AAHPM CW list but hoping it would be more self-reflective (except #5) #Hpm
Wed Feb 27 18:33:15 PST 2013
philiplederer
how long will it take the #choosingwisely to get on USMLE, internal medicine board exams, etc. people study for these tests! #HPM #meded
Wed Feb 27 18:33:43 PST 2013
doctatum
RT @aliciabloom: @TurnerWest @doctatum lots of #hospice RNs still using ABHR gel. i think its in the #hospice comfort kit. --TIME TO GO #hpm
Wed Feb 27 18:33:45 PST 2013
doctatum
RT @equijada: T2 liked AAHPM CW list but hoping it would be more self-reflective (except #5)- SAY MORE? #hpm
Wed Feb 27 18:34:04 PST 2013
jfclearywisc
@nursefriendly @enBloomMedia WIll #choosingwisely be a useable in legal defense? #Hpm

Wed Feb 27 18:34:05 PST 2013
ctsinclair
RT @equijada: T2 liked AAHPM CW list but hoping it would be more self-reflective (except #5) #hpm
Wed Feb 27 18:34:05 PST 2013
aliciabloom
@jfclearywisc @rfberry i think AAHPM is trying to encourage earlier utilization of palliative care consult services #hpm
Wed Feb 27 18:34:15 PST 2013
rfberry
@jfclearywisc many cases of delayed referrals to hospital based palliative care programs(bc of confusion w/hospice restrictions) right? #hpm
Wed Feb 27 18:34:20 PST 2013
TexasKidDoc
@equijada Like that point, the best of these lists are the ones that tackle consistent common problems within the field #hpm
Wed Feb 27 18:34:20 PST 2013
oliverdr
@jfclearywisc hospice can not be major provider of pall care if we move upstream must be outpt pall care programs! #hpm
Wed Feb 27 18:34:20 PST 2013
ctsinclair
@equijada we don't do everything perfectly? #hpm

Wed Feb 27 18:34:24 PST 2013
rfberry
RT @aliciabloom: @jfclearywisc @rfberry i think AAHPM is trying to encourage earlier utilization of palliative care consult services #hpm
Wed Feb 27 18:34:28 PST 2013
Page 14 of 24
2/28/13 10:16 AM
nursefriendly
@enBloomMedia Too many #patients are dying from #healthcareharm, for #consumers to ignore their #healthliteracy anymore. #hpm
Wed Feb 27 18:34:45 PST 2013
equijada
@philiplederer agree. Line up incentives = change. #Hpm

Wed Feb 27 18:35:07 PST 2013
ctsinclair
RT @jfclearywisc: WIll #choosingwisely be a useable in legal defense? "Establishes one standard of care, but there could be many SOC" #hpm
Wed Feb 27 18:35:12 PST 2013
enBloomMedia
Sad but true MT @nursefriendly: high costs of #malpractice #insurance, it's going to trump #costsavings for a long time. #hpm
Wed Feb 27 18:35:28 PST 2013
nursefriendly
@enBloomMedia It is our responsibility as #doctors #nurses #pharmacists #HCPs to curate, direct them to trusted resources. #cphc #hpm
Wed Feb 27 18:35:36 PST 2013
equijada
@ctsinclair haha. The beauty of successful collaborations is the aligning of imperfections. #Hpm
Wed Feb 27 18:36:13 PST 2013
TexasKidDoc
@philiplederer not sure if that will help, lots of "right answer on test" but "we don't do it that way" in medicine #hpm
Wed Feb 27 18:36:13 PST 2013
jfclearywisc
@ctsinclair Is it a standard of care supported by ABIM and professional society of peers e.g. @AAHPM. Pretty powerful defense #hpm
Wed Feb 27 18:36:16 PST 2013
nursefriendly
@enBloomMedia They are going to the #internet to research #healthcare regardless, we can point them in the right direction. #hpm
Wed Feb 27 18:36:18 PST 2013
WaywardChad
MT @aliciabloom: i think AAHPM is trying to encourage earlier utilization of palliative care consult services #hpm
Wed Feb 27 18:36:23 PST 2013
aliciabloom
T2- i was glad to see @AAHPM included ICDs on the #ChoosingWisely list #hpm
Wed Feb 27 18:36:28 PST 2013
philiplederer
RT @equijada: @philiplederer agree. Line up incentives = change. #Hpm

Wed Feb 27 18:36:40 PST 2013
enBloomMedia
@nursefriendly Moving to an all hands on deck stage every meeting i attend all
Page 15 of 24
2/28/13 10:16 AM
stakeholders now talking about #patientengagement #hpm

Wed Feb 27 18:37:08 PST 2013
nursefriendly
@enBloomMedia When #families #patients start asking right questions, tests, treatments will be questioned, by them. Change will happen. #hpm
Wed Feb 27 18:37:11 PST 2013
aliciabloom
@nursefriendly @enBloomMedia this is exactly why we're talking about the #ChoosingWisely Campaign & why it was created #hpm
Wed Feb 27 18:37:19 PST 2013
jfclearywisc
@oliverdr My point exactly. If we want to seen more integration, do we need to see major changes to #Hospice #Medicare #benefit? #hpm
Wed Feb 27 18:37:40 PST 2013
TurnerWest
@nursefriendly Bingo. Well said #hpm

Wed Feb 27 18:37:59 PST 2013
oliverdr
perhaps best way to disseminate is through attorneys :) who would use as legal defense #hpm
Wed Feb 27 18:38:15 PST 2013
philiplederer
@equijada exactly. medical school curriculum -> USMLE -> residency curriculum -> boards -> physician behavior change -> $ saved #meded #HPM
Wed Feb 27 18:38:28 PST 2013
TurnerWest
@jfclearywisc I feel like the Hospice Medicare benefit can't change fast enough. Providers in a very difficult predicament. #hpm
Wed Feb 27 18:39:01 PST 2013
aliciabloom
@nursefriendly yes, which is exactly what #ChoosingWisely is about-- empowering patients with clear information to ask questions. #hpm
Wed Feb 27 18:39:09 PST 2013
ctsinclair
RT @equijada: @ctsinclair haha. The beauty of successful collaborations is the aligning of imperfections. #hpm
Wed Feb 27 18:39:25 PST 2013
oliverdr
@jfclearywisc and those changes need to include more PC providers- if the #ChoosingWisely were embraced providers would be overwhelmed #hpm
Wed Feb 27 18:39:40 PST 2013
_lizzy_
T2 Wish post hospital rehab was on list. Too many go to rehab instead of hospice and then hospice LOS too short #Hpm
Wed Feb 27 18:39:42 PST 2013
ctsinclair
@aliciabloom I'm glad ICD's were on there too, but aimed more at other specialties not ours. #hpm
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2/28/13 10:16 AM
Wed Feb 27 18:40:16 PST 2013
RossJeanette
T2 @aahpm #ChoosingWisely campaign gives some talking points in member section http://t.co/2dcyro5T79 useful as a consultant #hpm
Wed Feb 27 18:40:24 PST 2013
ctsinclair
RT @_lizzy_: T2 Wish post hospital rehab was on list. Too many go to rehab instead of hospice and then hospice LOS too short #hpm
Wed Feb 27 18:40:27 PST 2013
philiplederer
@TexasKidDoc not sure how to put it into practice but if you don't teach students/ residents #HPM they aren't going to learn it on their own
Wed Feb 27 18:40:36 PST 2013
rfberry
RT @_lizzy_: T2 Wish post hospital rehab was on list. Too many go to rehab instead of hospice and then hospice LOS too short #Hpm
Wed Feb 27 18:40:42 PST 2013
oliverdr
#ChoosingWisely may mean pts more informed than providers #hpm

Wed Feb 27 18:40:49 PST 2013
aliciabloom
@_lizzy_ definitely need to address that, but it's complicated from an insurance coverage/patient cost stand-point. #hpm
Wed Feb 27 18:40:59 PST 2013
jfclearywisc
@_lizzy_ Agree that post hospital rehab overused. #ChoosingWisely meant 2 B reflective of #Hpm practice not #EOLC practices in general
Wed Feb 27 18:41:28 PST 2013
TexasKidDoc
@philiplederer Agreed, I was talking about the lists as a whole, not the #palliative section specifically and how to teach it #hpm
Wed Feb 27 18:41:34 PST 2013
aliciabloom
@ctsinclair i'm always amazed at how many patients/families don't understand need to consider deactivation at EoL #hpm
Wed Feb 27 18:41:47 PST 2013
nursefriendly
I have doubts :( A judge/jury could rule either way RT @jfclearywisc @enBloomMedia WIll #choosingwisely be a useable in legal defense? #Hpm
Wed Feb 27 18:42:20 PST 2013
milhealth
@_lizzy_ @rfberry I can't understand why more ppl don't choose #hospice, in my personal exp. much better choice by far #hpm
Wed Feb 27 18:42:23 PST 2013
philiplederer
RT @ctsinclair: RT @equijada: @ctsinclair haha. The beauty of successful collaborations is the aligning of imperfections. #hpm
Wed Feb 27 18:42:25 PST 2013
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2/28/13 10:16 AM
ctsinclair
@aliciabloom Have seen it as less of an issue in past few years. #hpm

Wed Feb 27 18:42:35 PST 2013
TexasKidDoc
MT @aliciabloom: im always amazed at how many patients/families don't understand need to consider deactivation ICD at #EoL #hpm
Wed Feb 27 18:42:39 PST 2013
doctatum
RT @_lizzy_: T2 Wish post hospital rehab on list. rehab instead of hospice=short hospice LOS: wish could do both at once? #hpm
Wed Feb 27 18:43:04 PST 2013
equijada
@_lizzy_ agree the the incentive is to send to rehab. #Hpm

Wed Feb 27 18:43:06 PST 2013
jfclearywisc
@aliciabloom We had very knowledge "palliative care focused" onc fellow surprised by Deactivation. "never thought of it!" #hpm
Wed Feb 27 18:43:11 PST 2013
nursefriendly
@enBloomMedia We need all involved parties, especially #families #caregivers #patients to be in on #DecisionMaking #patientengagement #hpm
Wed Feb 27 18:43:28 PST 2013
doctatum
local standard wins:(A judge could rule either way RT @jfclearywisc @enBloomMedia WIll #choosingwisely be a useable in legal defense? #hpm
Wed Feb 27 18:43:52 PST 2013
jfclearywisc
@milhealth A better choice if we are accepting of your own death and agree not to try life prolonging treatments. #Hpm
Wed Feb 27 18:44:24 PST 2013
aliciabloom
issue with post-hospital rehab is Medicare pays room/board during skilled care. for hospice, room/board in SNF not covered. #hpm
Wed Feb 27 18:44:35 PST 2013
nursefriendly
When the request comes from a #patient #family member, #doctor is covered. Advised Tx & was declined by #patient #family #hpm
Wed Feb 27 18:44:40 PST 2013
aliciabloom
@jfclearywisc exactly! some clinicians just don't really think of it. #hpm
Wed Feb 27 18:45:15 PST 2013
nursefriendly
@jfclearywisc When the #decisions on #treatment are #guided by #patient #family wishes, #liability to #doctor is minimized. #hpm
Wed Feb 27 18:45:31 PST 2013
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2/28/13 10:16 AM
_lizzy_
@jfclearywisc Ahhh yes... But aren't we (#hpm) perfect already? ;) #Hpm

Wed Feb 27 18:45:31 PST 2013
equijada
How long does it take to deactivate defibrillator from decision to deactivation. In my experience 1-3 hr. slow or fast? #Hpm
Wed Feb 27 18:46:40 PST 2013
_lizzy_
@aliciabloom Totally get why family wants that, but why isn't this being fixed by Medicare? #Hpm
Wed Feb 27 18:46:40 PST 2013
nursefriendly
@milhealth It is a matter of #education #stigma #informed #patient choices. Few learn of #hospice till late in the game. #hpm
Wed Feb 27 18:46:45 PST 2013
aliciabloom
@nursefriendly @jfclearywisc also, when physicians communicate & document clearly about medical appropriateness, it also protects them #hpm
Wed Feb 27 18:47:33 PST 2013
oliverdr
Sad that #decisions on #treatment have to be initiated by people in distress-seems like good medicine should initiate! #hpm
Wed Feb 27 18:47:36 PST 2013
enBloomMedia
Big difference MT @aliciabloom: post-hospital rehab =Medicare pays room/board dur skilled care 4 hospice room/board in SNF not covered #hpm
Wed Feb 27 18:47:48 PST 2013
jfclearywisc
@equijada Biggest delay in Deactivating defibrillator. Getting the technician. Then instantaneous. Have been told to lose my magnets! #hpm
Wed Feb 27 18:48:08 PST 2013
nursefriendly
@aliciabloom Yes, when a #doctor recommends, and #family #declines, it is documented and #liability issue is put to rest. #hpm
Wed Feb 27 18:48:31 PST 2013
TurnerWest
@oliverdr You're right about that. #hpm

Wed Feb 27 18:48:53 PST 2013
aliciabloom
ah, the million dollar ?! RT @_lizzy_: @aliciabloom Totally get why family wants that, but why isnt this being fixed by Medicare? #hpm
Wed Feb 27 18:48:54 PST 2013
aliciabloom
@equijada i have seen the ICD deactivators come very quickly, but sometimes take hours to arrive. luck of the draw sometimes. #hpm
Wed Feb 27 18:49:30 PST 2013
@oliverdr It is sad that it needs to be addressed during a #crisis, at the worst possible time.
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=02-27-2013&thour=19&tmin=15&ssec=00&tsec=00&img=1 Page 19 of 24
2/28/13 10:16 AM
nursefriendly
Needs to be brought up much earlier. #hpm

Wed Feb 27 18:49:30 PST 2013
_lizzy_
t2 The only number on this list that I've really seen come up as discussion is #1... and rare to see implemented #Hpm
Wed Feb 27 18:49:31 PST 2013
equijada
@jfclearywisc agree #Hpm

Wed Feb 27 18:49:41 PST 2013
oliverdr
When knee replace- referral auto to rehab why is CA diagnosis any diff to auto refer to PCmakes me very angry to make pts initiative #hpm
Wed Feb 27 18:49:43 PST 2013
jfclearywisc
We discussed @AAHPM ChoosingWisely list on #hpmglobal chat, Monday. V little resonated with low & middle income countries. OZ liked it! #hpm
Wed Feb 27 18:50:16 PST 2013
equijada
@aliciabloom I think I'm lucky that techs can get to the home pretty fast. Tech always wants a nurse there before he/she deactivates. #Hpm
Wed Feb 27 18:50:53 PST 2013
TurnerWest
@oliverdr Yep, important for docs and others to be trained and comfortable with having difficult conversations. #hpm
Wed Feb 27 18:51:09 PST 2013
rfberry
@jfclearywisc interesting, is that because many of the guidelines reflect standards in American medical culture? #hpm
Wed Feb 27 18:51:24 PST 2013
milhealth
It's matter of #education #stigma #informed #patient choices. Few learn of #hospice till late #hpm (via @nursefriendly) it makes HUGE diff!
Wed Feb 27 18:51:32 PST 2013
jfclearywisc
@oliverdr We have started auto-referral to #palliative care on our inpatient Onc Unit. Also stating in Onc clinic. Studying impact #hpm
Wed Feb 27 18:51:48 PST 2013
philiplederer
@ShabbirHossain we need to get more physicians on twitter- get engaged with these issues #HPM #meded #choosingwisely
Wed Feb 27 18:51:52 PST 2013
aliciabloom
@equijada that's good. we try to keep donut magnets on hand. . . just in case. #hpm
Wed Feb 27 18:52:07 PST 2013
RT @philiplederer: @ShabbirHossain we need to get more physicians on twitter- get

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=02-27-2013&thour=19&tmin=15&ssec=00&tsec=00&img=1 Page 20 of 24
2/28/13 10:16 AM
ShabbirHossain
engaged with these issues #HPM #meded #choosingwisely

Wed Feb 27 18:52:16 PST 2013
doctatum
RT @jfclearywisc: What is V and OZ???? V little resonated with low & middle income countries. OZ liked it! #hpm
Wed Feb 27 18:52:27 PST 2013
oliverdr
@jfclearywisc GOOD NEWS cant wait to see those results #hpm

Wed Feb 27 18:52:41 PST 2013
jfclearywisc
@rfberry example "Dementia often perceived as witchcraft in African villages" Patients hidden. Tube feeding not even part of equation #hpm
Wed Feb 27 18:52:50 PST 2013
rfberry
RT @philiplederer: @ShabbirHossain we need to get more physicians on twitter- get engaged with these issues #meded #choosingwisely #hpm
Wed Feb 27 18:53:21 PST 2013
_lizzy_
@oliverdr is it because some doctors are softies and don't have the heart to bring up tough conversations? #Hpm
Wed Feb 27 18:53:41 PST 2013
jfclearywisc
@doctatum v is very. Oz is a land with muchkins and yellow brick roads. Also a reference to Australia (by Australians) ;-) #hpm
Wed Feb 27 18:53:56 PST 2013
ctsinclair
RT @equijada: I think Im lucky that techs can get to the home pretty fast. Tech always wants a nurse there before he/she deactivates. #hpm
Wed Feb 27 18:54:00 PST 2013
rfberry
@jfclearywisc it's so interesting how different the challenges can be in different cultures and environments. #hpm
Wed Feb 27 18:54:01 PST 2013
aliciabloom
approaching 10pm EST. want to share another link to #ChoosingWisely Campaign that has some great videos. . http://t.co/OdIjWMHNBe #hpm
Wed Feb 27 18:54:32 PST 2013
doctatum
RT @jfclearywisc: @doctatum Oz is a land with muchkins and yellow brick roads. Also a reference to Australia (by Australians) ;-) ha! #hpm
Wed Feb 27 18:54:51 PST 2013
oliverdr
$1000000question RT @_lizzy_: @oliverdr is it because some doctors are softies and dont have the heart to bring up tough conversations? #hpm
Wed Feb 27 18:54:53 PST 2013
Page 21 of 24
2/28/13 10:16 AM
ctsinclair
RT @philiplederer: @ShabbirHossain we need to get more physicians on twitter- get engaged with these issues #HPM #meded #choosingwisely
Wed Feb 27 18:55:07 PST 2013
rfberry
@aliciabloom great resource! #hpm

Wed Feb 27 18:55:40 PST 2013
_lizzy_
@oliverdr btw i really admire your work with teleheath and caregivers and SO excited about first Missouri Death Cafe!! #Hpm
Wed Feb 27 18:56:01 PST 2013
oliverdr
AwesomeRT @aliciabloom: want to share another link to #ChoosingWisely Campaign that has some great videos. . http://t.co/ekVSYvRYVJ #hpm
Wed Feb 27 18:56:27 PST 2013
equijada
@doctatum 1. Correct gi 2. Correct pcp 3. Correct cards? 4. Correct rad onc 5. Correct self. #hpm
Wed Feb 27 18:56:37 PST 2013
oliverdr
@_lizzy_ thanks! #hpm

Wed Feb 27 18:56:44 PST 2013
ctsinclair
RT @aliciabloom: want to share another link to #ChoosingWisely Campaign that has some great videos. http://t.co/FE0tQRexr6 #hpm
Wed Feb 27 18:56:50 PST 2013
WaywardChad
MT @aliciabloom: another link to #ChoosingWisely Campaign that has some great videos. . http://t.co/IWdUo4nJM1 #hpm
Wed Feb 27 18:57:08 PST 2013
ctsinclair
RT @equijada: @doctatum 1. Correct gi 2. Correct pcp 3. Correct cards? 4. Correct rad onc 5. Correct self. #hpm
Wed Feb 27 18:57:08 PST 2013
rfberry
Thanks for hosting tonight @aliciabloom! It was great to hear everyone's perspective on the details of some #ChoosingWisely resources. #hpm
Wed Feb 27 18:57:09 PST 2013
_lizzy_
RT @aliciabloom: want to share another link to #ChoosingWisely Campaign that has some great videos. . http://t.co/DMOXPnKKyk #Hpm
Wed Feb 27 18:57:17 PST 2013
doctatum
: @oliverdr first Missouri Death Cafe!!-- trying hard to avoid lamberts throwed rolls jokes #hpm
Wed Feb 27 18:57:37 PST 2013
jfclearywisc
RT @ehospicenews: Africa: Hospice Ethiopia awarded CDC public grant.

Page 22 of 24
2/28/13 10:16 AM
http://t.co/S0xleQft5L #ehospice #hpm #hpmglobal

Wed Feb 27 18:57:51 PST 2013
doctatum
RT @ctsinclair: RT @equijada: @doctatum 1. Correct gi 2. Correct pcp 3. Correct cards? 4. Correct rad onc 5. Correct self.--brilliant #hpm
Wed Feb 27 18:58:12 PST 2013
aliciabloom
the #hpm hour is coming to a close. it's been a lively discussion tonight! please share any final thoughts & join us again next week!
Wed Feb 27 18:58:17 PST 2013
enBloomMedia
MT @aliciabloom: want to share another link to #ChoosingWisely Campaign that has some great videos. . http://t.co/ZfjcffQiqH #hpm
Wed Feb 27 18:58:36 PST 2013
oliverdr
In St Joe-Heartland RT @doctatum: : @oliverdr first Missouri Death Cafe!!-- trying hard to avoid lamberts throwed rolls jokes #hpm
Wed Feb 27 18:58:42 PST 2013
aliciabloom
@rfberry thanks, Renee! i agree, this is such a relevant topic for the #hospice & #palliative community #hpm
Wed Feb 27 18:59:05 PST 2013
enBloomMedia
@aliciabloom Thanks for moderating. Great chat. #hpm

Wed Feb 27 18:59:34 PST 2013
oliverdr
Im partial to videos :) #hpm

Wed Feb 27 18:59:36 PST 2013
jfclearywisc
@aliciabloom Thx Alicia! #hpm

Wed Feb 27 18:59:36 PST 2013
ctsinclair
Thanks @aliciabloom for a great job hosting and to all for good ideas re: #ChoosingWisely #hpm
Wed Feb 27 18:59:38 PST 2013
TurnerWest
@aliciabloom @rfberry @ctsinclair @oliverdr the #hpm chat was pretty cool. Thank you all for coordinating and facilitating. Hope to do again
Wed Feb 27 19:00:25 PST 2013
oliverdr
Agree super jobRT @ctsinclair: Thanks @aliciabloom for a great job hosting and to all for good ideas re: #ChoosingWisely #hpm
Wed Feb 27 19:00:29 PST 2013
aliciabloom
@enBloomMedia thank you! glad you could participate! #hpm

Wed Feb 27 19:00:31 PST 2013
Page 23 of 24
2/28/13 10:16 AM
ctsinclair
Like The Templar Knight in Indiana Jones and the Last Crusade said: "You chose wisely.: #hpm
Wed Feb 27 19:00:36 PST 2013
aliciabloom
@jfclearywisc thanks, jim! glad you could join us for discussion. #hpm
Wed Feb 27 19:00:46 PST 2013
TexasKidDoc
@aliciabloom thanks for a great moderation and a great topic! #hpm

Wed Feb 27 19:00:51 PST 2013
ctsinclair
RT @oliverdr: Im partial to videos :) "Yes!" #hpm

Wed Feb 27 19:00:52 PST 2013
aliciabloom
@ctsinclair thank you. everyone had great contributions tonight. #hpm

Wed Feb 27 19:01:21 PST 2013
aliciabloom
@TurnerWest thanks, Turner! hope you'll join us again. #hpm

Wed Feb 27 19:01:36 PST 2013
aliciabloom
@oliverdr thank you! great to have you joining us. enjoy the FL sun. #hpm
Wed Feb 27 19:01:53 PST 2013
aliciabloom
@TexasKidDoc thanks, Emily! glad you could join us this week. #hpm
Wed Feb 27 19:02:22 PST 2013
TexasKidDoc
Hey #hpm & #pedpc peeps: any thoughts on hospice refusing pts on home milrinone drips due to cost in age of concurrent care in peds-allowed?
Wed Feb 27 19:02:29 PST 2013
nurse2103
Wed Feb 27 19:06:16 PST 2013
jfclearywisc
@yzafar @oliverdr We have had discussions re adapting the Duke model. Many entrenched issues to address #Hpm
Wed Feb 27 19:09:02 PST 2013
AnitaMedia
RT @nursefriendly: Wednesday #Healthcare #Tweetchats (All ET) 8p #IVchat 9p #premeded #hpm #dsma #addictionchat #DPTStudent - #nurseup # ...
Wed Feb 27 19:09:19 PST 2013
Page 24 of 24

#HPM Transcript: Healthcare Social Media

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#hpm - Healthcare Social Media Transcript

Greetings from warm Ruskin Florida- I escaped Mo snowstorm! #hpm

@ctsinclair I miss snow #hpm

#hpm - Healthcare Social Media Transcript

@enBloomMedia great to see you Alisa, & Emily @Texaskidsdoc! #hpm

@_lizzy_, @rhgerard, @ChelseaHanson you joining us tonight? #hpm

yes, great to see you Emily @TexasKidDoc! welcome @TurnerWest! #hpm

South of Tampa #hpm

#hpm - Healthcare Social Media Transcript

MSW, LSW practicing in #hpm and glad to be your host tonight!

@WaywardChad, @nursefriendly, @milhealth, great to see you tonight! #hpm

@ctsinclair the snow speaks in mysterious ways sometimes!! #hpm

Hello to all, Alisa here in DC #hpm

#hpm - Healthcare Social Media Transcript

thawing out in MidMo, but warming up with #hpm tweetchat #hpm

T1- the #ChoosingWisely Campaign is an initiative of the @ABIMFoundation http://t.co/mQ7i9fvgCM #hpm

@doctatum greetings from Ruskin Fl- here for AGHE #hpm

@ctsinclair absolutely, I'd like that. #hpm

#hpm - Healthcare Social Media Transcript

Patients Should Question for #ChoosingWisely #hpm

@doctatum ESCAPED! on purpose! #hpm

@aliciabloom T1 #ChoosingWisely gives permission to ask questions of providersimportant questions! #hpm

#hpm - Healthcare Social Media Transcript

Wed Feb 27 18:15:36 PST 2013

#hpm - Healthcare Social Media Transcript

#hpm - Healthcare Social Media Transcript

T1 - agree- need to increase patient engagement #HPM

KY House approves changes to prescription drug law http://t.co/SwEvx7zWGQ #hpm

#hpm - Healthcare Social Media Transcript

@ctsinclair agreed collaboration geri and pall terrific #hpm

RT @ctsinclair: thanks! forgot ags twittername. oops #hpm

@yzafar What is #1 on the @ASCO #CHoosingWisely list? #hpm

RT @_lizzy_: KY House approves changes to prescription drug law http://t.co/SwEvx7zWGQ #hpm

@jfclearywisc @_lizzy_ Hey Jim and Lizzy! #hpm

@nursefriendly Some of the imaging recommendations would surely cut down on

#hpm - Healthcare Social Media Transcript

unecessary costs due to defensive medicine #hpm

Thanks for brining #choosingwisely to my attention! #hpm

@yzafar very well summarized in 140, I'm impressed! #hpm

Hi all! Oops i forgot it was Wednesday. i am here now #Hpm

@yzafar #1 on the ASCO list or the @AAPHM list? #hpm

#hpm - Healthcare Social Media Transcript

T1 important to make sure public gets ahold of these! #hpm

@jfclearywisc sorry, to be clear, ASCO list #hpm

are they already? RT @TurnerWest: @ctsinclair @yzafar discouraging that some

#hpm - Healthcare Social Media Transcript

practitioners are quick to dismiss these recommendations #hpm

@nursefriendly That's a bummer : ( #hpm

@yzafar yes, that's a better way of phrasing it #hpm

#hpm - Healthcare Social Media Transcript

Wed Feb 27 18:29:56 PST 2013

#hpm - Healthcare Social Media Transcript

Wed Feb 27 18:33:14 PST 2013

@nursefriendly @enBloomMedia WIll #choosingwisely be a useable in legal defense? #Hpm

@equijada we don't do everything perfectly? #hpm

#hpm - Healthcare Social Media Transcript

@philiplederer agree. Line up incentives = change. #Hpm

RT @equijada: @philiplederer agree. Line up incentives = change. #Hpm

#hpm - Healthcare Social Media Transcript

stakeholders now talking about #patientengagement #hpm

@nursefriendly Bingo. Well said #hpm

#hpm - Healthcare Social Media Transcript

Wed Feb 27 18:40:16 PST 2013