#HPM Tweet Chat 2:9:11

#hpm - Healthcare Social Media Transcript
6/27/12 11:24 AM
#hpm transcript
Healthcare Social Media Transcript
From: To: Wed Feb 09 18:00:00 PST 2011 Wed Feb 09 19:15:00 PST 2011 change time period
New ! Explore analytics for this time period: #hpm analytics Explore the world of healthcare social media: Healthcare Conferences - Healthcare Tweet Chats - Disease Hashtags Learn more about #hpm at The Healthcare Hashtag Project
LifeHealthDiary
Gidday everyone, I'm good to be here. got a sneaking suspicion I am hosting @rebeccacaroe #hpm
Wed Feb 9 18:00:05 PST 2011
RossJeanette
Welcome to the Hospice and Palliative Medicine Tweetchat. I am your host Jeanette Ross Lets start with some introductions #hpm
Wed Feb 9 18:00:11 PST 2011
hollyby
I'll be tweeting for the next hour from the #hospice and #palliative medicine tweetchat. #hpm
Wed Feb 9 18:00:11 PST 2011
renee_berry
Hey Meredith! (working for me on tweetchat) glad you're here RT @MeredithGould Hmm...not seeing updates for #HPM on my Tweetdeck #hpm
Wed Feb 9 18:00:25 PST 2011
renee_berry
RT @hollyby Ill be tweeting for the next hour from the #hospice & #palliative medicine tweetchat #hpm
Wed Feb 9 18:00:39 PST 2011
LifeHealthDiary
@RossJeanette are you hosting? did I get my wires crossed AGAIN?? thought it was me. LOL #hpm
Wed Feb 9 18:00:57 PST 2011
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=02-09-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1
Page 1 of 28
6/27/12 11:24 AM
GailZahtz
I'll be tweeting for the next hour from #HPM health palliative medicine.
Wed Feb 9 18:01:01 PST 2011
MeredithGould
@renee_berry Going over to tweetchat now #HPM

Wed Feb 9 18:01:15 PST 2011
hollyby
Holly Yang, doc from @SanDiegoHospice, all tweets are my own. #hpm
Wed Feb 9 18:01:44 PST 2011
renee_berry
--> passionate about advance care planning, early #palliative care & access to #hospice work w/ @KLXmedia co-founded @hcsmSV Love--> #hpm
Wed Feb 9 18:01:46 PST 2011
RossJeanette
@LifeHealthDiary I thought it was supposed to be me #hpm

Wed Feb 9 18:02:18 PST 2011
LifeHealthDiary
@RossJeanette go for it! I'll check with Christian about another date. Will save up my questions #hpm
Wed Feb 9 18:03:04 PST 2011
KathyKastner
Here at #hpm lurking on hosp tweetchat abt EOL dec #tsh (will ask Q from #eldercarechat: how 'incompetent' determined.Aint' twitter grand!
Wed Feb 9 18:03:07 PST 2011
RossJeanette
wleomce @renee_berry @ meredithgould @hollyby @Lifehealthdiary! #hpm

Wed Feb 9 18:03:08 PST 2011
GailZahtz
Finally made a #HPM chat- with all the irony while I'm in the hospital right after a palliative consult
Wed Feb 9 18:03:40 PST 2011
hollyby
Too funny! I was worried it was me, but it is Jeanette. RT @RossJeanette: @LifeHealthDiary I thought it was supposed to be me #hpm
Wed Feb 9 18:03:47 PST 2011
RossJeanette
welcome @kathykastner #hpm

Wed Feb 9 18:03:51 PST 2011
KathyKastner
Oh Gail So sorry 2 hear @GailZahtz: Finally made a #HPM chat- with all the irony while I'm in the hospital right after a palliative consult
Wed Feb 9 18:04:17 PST 2011
GailZahtz
Hi. @RossJeanette I thought I knew everyone in #HPM and I appear not to know our moderator- nice to meet you.
Wed Feb 9 18:04:23 PST 2011
Page 2 of 28
6/27/12 11:24 AM
RossJeanette
I'm Jeanette Ross I'm HPM doctor in San Antonio TX, Associate HPM fellowship director @uthscsa passionate about teaching #hpm
Wed Feb 9 18:04:24 PST 2011
renee_berry
@LifeHealthDiary cool, thanks for being a good sport & being prepared, look forward to your night! .. @RossJeanette hi! thx for hosting #hpm
Wed Feb 9 18:04:29 PST 2011
GailZahtz
@KathyKastner Thanks Kathy. #HPM

Wed Feb 9 18:04:36 PST 2011
Tymeyer
Hey All! Ty Meyer, HPM doc in Victoria TX. Tweets for next hour will be about #Hospice and #Palliative Medicine #hpm
Wed Feb 9 18:05:08 PST 2011
KathyKastner
RT @ScarboroughHosp: Regardless of race, religion, lang when it comes 2 planning r geriatric future, we more alike than different.#hpm #tsh
Wed Feb 9 18:05:25 PST 2011
RossJeanette
hi at @gailzahtz .. yeah I lurk sometimes and not always can make it to HPM tweetchat #hpm
Wed Feb 9 18:05:27 PST 2011
RossJeanette
will start with T1 soon #hpm

Wed Feb 9 18:05:45 PST 2011
renee_berry
RT @KathyKastner: Oh Gail So sorry 2 hear @GailZahtz: Finally made a #HPM chat- with all the irony while I'm in the hospital right after a palliative consult
Wed Feb 9 18:05:48 PST 2011
MeredithGould
<--Meredith Gould, sociologist, keen on community building for patients, caregivers & providers, author, interest in heath & faith #hpm
Wed Feb 9 18:06:14 PST 2011
Tymeyer
hi @rossjeanette, hope to make it to one of the upcoming teaching days in San Antonio. Got dates from Mary #hpm
Wed Feb 9 18:06:35 PST 2011
MeredithGould
@GailZahtz Irony? Wow. Prayers coming your way for sure. #hpm
Wed Feb 9 18:06:43 PST 2011
GailZahtz
@RossJeanette It's good, I think sometimes I know everyone in the chat circles, so I'm glad to get a fresh perspective. What T1 for #HPM
Wed Feb 9 18:06:51 PST 2011
LifeHealthDiary
Hi I'm a healthcare app for sharing lifestyle/health data with drs, carers, family. Helpful for complex co-morbidities, in New Zealand #hpm
Page 3 of 28
6/27/12 11:24 AM
Wed Feb 9 18:07:08 PST 2011
GailZahtz
@MeredithGould Thank you Meredith, honestly. #HPM

Wed Feb 9 18:07:15 PST 2011
RossJeanette
welcome @tymeyer hope you can teach @uthscsa #hpm

Wed Feb 9 18:07:38 PST 2011
RossJeanette
T1 How do you deal with people who think that HPM is not a truly a specialty but just being a good doctor? #hpm
Wed Feb 9 18:07:49 PST 2011
dockj
Kevin, Family Medicine Educator lurking unless this phone app shapes up #hpm tweets are my own
Wed Feb 9 18:08:05 PST 2011
renee_berry
(what an awesome group tonight!!) have built up excitement for tonight from missing this chat the past two weeks! #hpm
Wed Feb 9 18:08:13 PST 2011
KathyKastner
#hpm T1 - you mean other docs or ppl?

Wed Feb 9 18:08:35 PST 2011
renee_berry
great topic! RT @RossJeanette T1 How do you deal w/people who think that HPM is not a truly a specialty but just being a good doctor? #hpm
Wed Feb 9 18:08:37 PST 2011
GailZahtz
@RossJeanette T1- I'll take it further- how about all the physicians who think palliative docs aren't good doctors? #HPM
Wed Feb 9 18:08:46 PST 2011
DrSnit
The next hour I'll be in hospice and palliative medical chat #hpm - join me if you'd like!
Wed Feb 9 18:08:53 PST 2011
renee_berry
I was thinking the same thing.. RT @KathyKastner #hpm T1 - other docs or ppl? #hpm
Wed Feb 9 18:09:18 PST 2011
RossJeanette
welcome @ dockj and @drSnit #hpm

Wed Feb 9 18:09:33 PST 2011
KathyKastner
#hpm T1 I'm happy 2 say the GP/FP's from STFM highly respectful of pallmed #Mdchat
Wed Feb 9 18:09:50 PST 2011
LifeHealthDiary
RT @GailZahtz: @RossJeanette T1- Ill take it further- how about all the physicians who think palliative docs arent good doctors? #hpm
Page 4 of 28
6/27/12 11:24 AM
Wed Feb 9 18:10:17 PST 2011
GailZahtz
#HPM T1 Whether its the fear from articles like the Post (on narcotic drug RX) or the "psychiatric" issues of chronic pain patients...
Wed Feb 9 18:10:26 PST 2011
RossJeanette
T1 How do you deal with non HPM people who consider HPM not to be a true specialty but "just being a good doctor" #hpm
Wed Feb 9 18:10:49 PST 2011
quality1
Joining #hpm chat, likely just lurking and learning this time. Am a healthcare quality professional #hpm
Wed Feb 9 18:10:57 PST 2011
DrSnit
@RossJeanette :) Thanks - Hey cats! Looking good! #hpm

Wed Feb 9 18:11:09 PST 2011
fidouglas
Fi Douglas: Med student from UK currently doing health psychology research in NZ. Just lurking... #hpm
Wed Feb 9 18:11:27 PST 2011
LifeHealthDiary
@quality1 welcome #hpm

Wed Feb 9 18:11:27 PST 2011
renee_berry
T1 I try to keep cool :) & discuss that patients really benefit from palliative care specialists & keeping care central to the patient #hpm
Wed Feb 9 18:11:49 PST 2011
RossJeanette
@GailZahtz which post article? #hpm

Wed Feb 9 18:11:53 PST 2011
hollyby
T1: You need basic palliative medicine skill to be a good doctor in my opinion, but you need a specialist for the more difficult issues #hpm
Wed Feb 9 18:11:57 PST 2011
Tymeyer
A couple of wks ago,Dr Bruera made a pt about primary palliative care done by PCPs and difference b/w specialty level needs by HPM docs #hpm
Wed Feb 9 18:12:08 PST 2011
LifeHealthDiary
@fidouglas hi there, I'm also a pom in NZ - Dunedin. You? #hpm

Wed Feb 9 18:12:10 PST 2011
GailZahtz
#HPM T1 It seems a consensus that palliative care physicians who treat patients as they need to be treated with "bad drugs" are "bad doc"
Wed Feb 9 18:12:29 PST 2011
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6/27/12 11:24 AM
renee_berry
RT @hollyby: T1: You need basic palliative medicine skill to be a good doctor in my opinion, but you need a specialist for the more difficult issues #hpm
Wed Feb 9 18:12:48 PST 2011
Tymeyer
exactly RT @hollyby: need basic pall med skill to be a good doc in my opinion, but you need a specialist for the difficult issues #hpm
Wed Feb 9 18:12:56 PST 2011
KathyKastner
fwiw I needed to understand far ranging special-ness of #hpm to appreciate the dif #MDchat
Wed Feb 9 18:12:58 PST 2011
RossJeanette
RT @hollyby: T1: You need basic PM skill to be a good doctor .. but you need a specialist for the more difficult issues.. agree #hpm
Wed Feb 9 18:13:00 PST 2011
GailZahtz
@RossJeanette The Post ran an article slamming all docs who write more than 20 narcotic scripts a year (e.g. palliative care docs) #HPM
Wed Feb 9 18:13:04 PST 2011
LifeHealthDiary
RT @GailZahtz: #HPM T1 consensus -palliative care physicians who treat patients as they need to be treated with "bad drugs" ="bad doc" #hpm
Wed Feb 9 18:13:13 PST 2011
dockj
RT @hollyby: T1: You need basic palliative medicine skill to be a good doctor in my opinion, but you need a specialist for the more difficult issues #hpm
Wed Feb 9 18:13:25 PST 2011
KathyKastner
RT @RossJeanette: RT @hollyby: T1: You need basic PM skill to be a good doctor .. but you need a specialist for the more difficult issues.. agree #hpm
Wed Feb 9 18:13:34 PST 2011
fidouglas
@LifeHealthDiary Up in Auckland. :-) What field do you work in? #hpm

Wed Feb 9 18:13:51 PST 2011
colleen_young
Hi everyone at #hpm. Wish I could join you tonight with undivided attention. Multitasking.
Wed Feb 9 18:13:51 PST 2011
renee_berry
T1 I also ask if they (doctors) refer to oncologists for cancer patients (or use as an example to someone in the community) #hpm
Wed Feb 9 18:14:02 PST 2011
RossJeanette
@tymeyer can you expand on what DR Bruera said? #hpm

Wed Feb 9 18:14:23 PST 2011
Tymeyer
I think the bigger prob is other docs thinking "I do my own PC" but not really hving a clue #hpm
Wed Feb 9 18:14:25 PST 2011
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6/27/12 11:24 AM
GailZahtz
@LifeHealthDiary I heard it TODAY. A doic said he can not accept that a patient can't recover from "good drugs" like neurontin #HPM
Wed Feb 9 18:14:28 PST 2011
renee_berry
T1 Being a good doctor means referring to specialists that will best address patient needs #hpm
Wed Feb 9 18:14:43 PST 2011
renee_berry
yes RT @tymeyer I think the bigger prob is other docs thinking "I do my own PC" but not really hving a clue #hpm
Wed Feb 9 18:14:58 PST 2011
KathyKastner
Right on! RT @renee_berry: T1 Being a good doctor means referring to specialists that will best address patient needs #hpm
Wed Feb 9 18:15:05 PST 2011
MatthewsMichele
I agree...RT @renee_berry: T1 Being a good doctor means referring to specialists that will best address patient needs #hpm
Wed Feb 9 18:15:37 PST 2011
Tymeyer
T1: Bruera said that one way to promote PC is to educate PCPs on concepts that can b used in everyday work #hpm
Wed Feb 9 18:16:17 PST 2011
MarksPhone
Has there been any needs assessments done on patients & caregivers re: educational needs? #hpm
Wed Feb 9 18:16:19 PST 2011
Tymeyer
yes RT @renee_berry: T1 Being a good doctor means referring to specialists that will best address patient needs #hpm
Wed Feb 9 18:16:41 PST 2011
GailZahtz
@MarksPhone We have talked a lot about the need for more needs assessments and outcomes in hospice and palliative care #HPM
Wed Feb 9 18:16:59 PST 2011
RossJeanette
@GailZahtz @LifeHealthDiary can't believe MD gets so scrutinized just because of type of prescriptions.. and will get worse #hpm
Wed Feb 9 18:17:17 PST 2011
renee_berry
@MarksPhone yes I believe that is built in to quality measures within #hospice however, pre-hospice not sure, any MD's know? #hpm
Wed Feb 9 18:17:23 PST 2011
GailZahtz
T1 (related to Post article and topic) are "good" and "bad" doctors able to be determined by legislators and pill-counters? #HPM
Wed Feb 9 18:17:49 PST 2011
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6/27/12 11:24 AM
LifeHealthDiary
@fidouglas we are an online healthcare app for sharing medical and lifestyle data for complex co-morbidities and chronic conditions #hpm
Wed Feb 9 18:17:55 PST 2011
tymeyer
@RossJeanette @GailZahtz @LifeHealthDiary : Guess I'm on the radar #hpm

Wed Feb 9 18:18:32 PST 2011
LifeHealthDiary
RT @MarksPhone: Has there been any needs assessments done on patients & caregivers re: educational needs? #hpm
Wed Feb 9 18:18:41 PST 2011
GailZahtz
@LifeHealthDiary I didn't kknow you did complex co-morbidities also. #HPM I thought it was literally a EPR
Wed Feb 9 18:19:00 PST 2011
MarksPhone
@renee_berry I wonder if educational needs change as illness changes etc? #hpm

Wed Feb 9 18:19:11 PST 2011
renee_berry
I think so, just don't know if all edu provided RT @MarksPhone: @renee_berry I wonder if educational needs change as illness changes? #hpm
Wed Feb 9 18:20:28 PST 2011
KathyKastner
4 sure..And as ill person changes..RT @MarksPhone: @renee_berry I wonder if educational needs change as illness changes ? #hpm
Wed Feb 9 18:20:31 PST 2011
GailZahtz
@Tymeyer @RossJeanette @LifeHealthDiary This is what's crazy- a handful of docs handle the majority of the most difficult cases #HPM
Wed Feb 9 18:20:35 PST 2011
colleen_young
Most definitely. RT @MarksPhone: @renee_berry I wonder if educational needs change as illness changes? #hpm
Wed Feb 9 18:20:52 PST 2011
revdoc
RT @renee_berry: yes RT @tymeyer I think the bigger prob is other docs thinking "I do my own PC" but not really hving a clue #hpm
Wed Feb 9 18:21:14 PST 2011
GailZahtz
@KathyKastner I heard this week that 1/2 of all healthcare costs are in the last year of life #HPM
Wed Feb 9 18:21:24 PST 2011
KathyKastner
RT @revdoc: RT @renee_berry: yes RT @tymeyer I think the bigger prob is other docs thinking "I do my own PC" but not really hving a clue #hpm
Wed Feb 9 18:21:25 PST 2011
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6/27/12 11:24 AM
KathyKastner
Yeah, I got that one too. RT @GailZahtz: @KathyKastner I heard this week that 1/2 of all healthcare costs are in the last year of life #HPM
Wed Feb 9 18:21:53 PST 2011
RossJeanette
will transition to T2 soon #hpm

Wed Feb 9 18:22:00 PST 2011
LifeHealthDiary
RT @GailZahtz: @LifeHealthDiary I heard it TODAY. A doic said he can not accept that a patient can't recover from "good drugs" like neurontin #HPM
Wed Feb 9 18:22:14 PST 2011
GailZahtz
@RossJeanette @LifeHealthDiary This is exactly the debate, Congress is now counting controlled prescription numbers for Medicare/aid #HPM
Wed Feb 9 18:22:34 PST 2011
renee_berry
@GailZahtz it's about 1/3 of medicare spending only 2% of which is hospice (even with growth) #hpm
Wed Feb 9 18:22:38 PST 2011
renee_berry
great RT @RossJeanette: will transition to T2 soon #hpm

Wed Feb 9 18:22:53 PST 2011
GailZahtz
Sorry all at #HPM my hands aren't working so well- just ask the doc who won't treat me ;)
Wed Feb 9 18:23:01 PST 2011
LifeHealthDiary
@fidouglas you're from Cambridge? I lived there till last year... rowing and working. Pembroke College Boat Club! #hpm
Wed Feb 9 18:23:24 PST 2011
GailZahtz
@renee_berry 1/3 of all medicare spending is end of life or is on narcotic pain medicine? #HPM
Wed Feb 9 18:23:37 PST 2011
RossJeanette
T2 How can HPM play a role in the outpatient setting? #hpm

Wed Feb 9 18:24:07 PST 2011
revdoc
@GailZahtz @RossJeanette @LifeHealthDiary And we HPM docs are just THRILLED beyond belief about RX quantity limits #hpm
Wed Feb 9 18:24:16 PST 2011
improvecme
Facebook was used by MECC and society to get MS patient's needs #hpm
Wed Feb 9 18:24:20 PST 2011
GailZahtz
@LifeHealthDiary @fidouglas Do y'all know @peds_id_doc ? He was in Cambridge for years #HPM
Wed Feb 9 18:24:38 PST 2011
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6/27/12 11:24 AM
revdoc
@revdoc @GailZahtz @RossJeanette @LifeHealthDiary total medical costs at EOL. not just RX #hpm
Wed Feb 9 18:25:03 PST 2011
LifeHealthDiary
@renee_berry @GailZahtz it's gonna grow with aging population #hpm

Wed Feb 9 18:25:11 PST 2011
renee_berry
@GailZahtz not on pain medication, much of it is complex interventions for people with serious illness in & out of hospitals & icu's #hpm
Wed Feb 9 18:25:14 PST 2011
GailZahtz
@revdoc @RossJeanette @LifeHealthDiary How can a legislator decide anything by counting RX numbers? #HPM
Wed Feb 9 18:25:29 PST 2011
KathyKastner
Ty 4 this topic: been wondering about pallmed if dying @at home RT @RossJeanette: T2 How can HPM play a role in outpatient setting? #hpm
Wed Feb 9 18:25:36 PST 2011
LifeHealthDiary
@improvecme was it successful using Facebook? #hpm

Wed Feb 9 18:25:38 PST 2011
hollyby
Huge spending during the last years of life does NOT mean it is actually spent providing end-of-life care. Important distinction. #hpm
Wed Feb 9 18:25:40 PST 2011
hollyby
RT @RossJeanette: T2 How can HPM play a role in the outpatient setting? #hpm
Wed Feb 9 18:25:58 PST 2011
renee_berry
RT @RossJeanette T2 How can HPM play a role in the outpatient setting? #hpm
Wed Feb 9 18:26:09 PST 2011
KathyKastner
RT @hollyby: Huge spending during the last years of life does NOT mean it is actually spent providing end-of-life care. Important distinction. #hpm
Wed Feb 9 18:26:09 PST 2011
LifeHealthDiary
@GailZahtz @LifeHealthDiary @fidouglas @peds_id_doc sadly not. I'm not a medical professional and he didn't treat me! #hpm
Wed Feb 9 18:26:13 PST 2011
GailZahtz
@renee_berry I think a great point to make in April is the 2% to hospice versus other alternatives. #HPM (Great pic BTW)
Wed Feb 9 18:26:19 PST 2011
renee_berry
RT @hollyby: Huge spending during the last years of life does NOT mean it is actually spent providing end-of-life care. Important distinction. #hpm
Page 10 of 28
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6/27/12 11:24 AM
Wed Feb 9 18:26:24 PST 2011
revdoc
@GailZahtz Thot is that it will limit abuse, diversion, and overdoses if only limited quantities can be RXd #hpm
Wed Feb 9 18:26:41 PST 2011
DrSnit
@hollyby Indeed -chronic illness in general takes up 75-80% of all healthcare monies. EOLC is separate and specific. #hpm
Wed Feb 9 18:27:05 PST 2011
GailZahtz
@LifeHealthDiary @fidouglas @peds_id_doc You can meet him here on twitter- he goes to #MDCHAT or #HCSM on Sundays #HPM
Wed Feb 9 18:27:12 PST 2011
tymeyer
T2: Clinics are an obvious way: just read art. in JPSM about NP based PC home visits that weren't financially feasible in the article #hpm
Wed Feb 9 18:27:21 PST 2011
renee_berry
@GailZahtz yes & for higher quality of care, @ home & focused around the patient & their goals of care #hpm
Wed Feb 9 18:27:29 PST 2011
GailZahtz
@revdoc Addicts are much better at obtaining drugs than honest patients! #HPM
Wed Feb 9 18:27:50 PST 2011
revdoc
RT @renee_berryHuge spending does NOT mean it is actually spent providing end-of-life care. AGREE-USUALLY HI TECH, LOW YIELD PROCED #hpm
Wed Feb 9 18:27:57 PST 2011
KathyKastner
Thnx 4 nb explainRT @DrSnit: @hollyby Indeed -chronic illness=takes up 75-80% of all healthcare monies. EOLC = separate and specific. #hpm
Wed Feb 9 18:28:00 PST 2011
KathyKastner
Thnx 4 nb explainRT @DrSnit: @hollyby Indeed -chronic illness=takes up 75-80% of all healthcare monies. EOLC = separate and specific. #hpm
Wed Feb 9 18:28:00 PST 2011
GailZahtz
@renee_berry I think you should add it into the campaign-video you're planning! #HPM
Wed Feb 9 18:28:19 PST 2011
KathyKastner
RT @GailZahtz: @revdoc Addicts are much better at obtaining drugs than honest patients! #HPM
Wed Feb 9 18:28:33 PST 2011
renee_berry
T2 Important to look at innovative programs providing outpatient #palliative care- it is what patients need - better continuum of care #hpm
Wed Feb 9 18:28:55 PST 2011
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6/27/12 11:24 AM
GailZahtz
@hollyby what are you including in chronic patient costs? Are you including like lost work time? #HPM
Wed Feb 9 18:29:03 PST 2011
revdoc
Accountable health care organizations may help control costs by having health systems assume some "risk" for costs/ use best practices #hpm
Wed Feb 9 18:29:15 PST 2011
chemosabe
T2 our pall care team have both opd and home visits, using MO's, NP and Clinical Nurses in conjunction w/ domiciliary services #hpm
Wed Feb 9 18:29:39 PST 2011
GailZahtz
@renee_berry T2 I wonder how more legislation is going to affect for the negative programs providing outpatient alternatives. #HPM
Wed Feb 9 18:29:53 PST 2011
Tymeyer
T2: I think there is a great need for more outpt HPM, always asked about in my community, but staffing is prob in area #hpm
Wed Feb 9 18:29:57 PST 2011
RossJeanette
@tymeyer: agree cost-effective to see outppc and @renee_berry get better continuum of care #hpm
Wed Feb 9 18:30:11 PST 2011
chemosabe
hi glen num - day onc - downunda btw #hpm

Wed Feb 9 18:30:27 PST 2011
SheyontheBay
RT @renee_berry not on pain medication, much of it is complex interventions for people with serious illness in & out of hospitals icus #hpm
Wed Feb 9 18:30:31 PST 2011
renee_berry
in many areas RT @tymeyer T2 I think there is a great need for more outpt HPM, always asked about in my community, but staffing is prob #hpm
Wed Feb 9 18:30:37 PST 2011
GailZahtz
@Tymeyer There is a program out of DC dedicated just to keeping people home before hospice. #HPM
Wed Feb 9 18:30:38 PST 2011
hollyby
T2: Greater access to outpt palliative care will help keep people out of the hospital, and helps ease the transition home for those in #hpm
Wed Feb 9 18:30:55 PST 2011
KathyKastner
(shldn't this beno brainer?) RT @RossJeanette: @tymeyer: agree cost-effective 2 c outppc and @renee_berry get better continuum of care #hpm
Wed Feb 9 18:31:01 PST 2011
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6/27/12 11:24 AM
KathyKastner
RT @hollyby: T2: Greater access to outpt palliative care will help keep people out of the hospital, and helps ease the transition home for those in #hpm
Wed Feb 9 18:31:20 PST 2011
LifeHealthDiary
RT @chemosabe: T2 our pall care team have both opd and home visits, using MOs, NP and Clinical Nurses w/ domiciliary services #hpm
Wed Feb 9 18:31:26 PST 2011
SheyontheBay
Sorry to be late - hospice nurse, outreach, NY #hpm

Wed Feb 9 18:31:33 PST 2011
revdoc
We have a palliative home health care team staffed like our hospice program that serves "pre hospice" primarily #hpm
Wed Feb 9 18:31:40 PST 2011
drseisenberg
RT @hollyby: T2: Greater access to outpt palliative care will help keep people out of the hospital, and helps ease the transition home #hpm
Wed Feb 9 18:31:42 PST 2011
renee_berry
T2 if patients aren't ready to stop curative treatment, we should have a system that can provide specialized comfort where they are #hpm
Wed Feb 9 18:31:44 PST 2011
RossJeanette
@chemosabe how to recruit patient to outpt PC clinics? #hpm

Wed Feb 9 18:31:46 PST 2011
renee_berry
RT @hollyby: T2: Greater access to outpt palliative care will help keep people out of the hospital, and helps ease the transition home for those in #hpm
Wed Feb 9 18:31:59 PST 2011
tymeyer
@GailZahtz @Tymeyer I'd be interested to know more about that program #hpm
Wed Feb 9 18:32:13 PST 2011
GailZahtz
@LifeHealthDiary Someone asked me the other day about home nurses. One problem is they aren't nurses, they're aides, and care may vary. #HPM
Wed Feb 9 18:32:18 PST 2011
RossJeanette
welcome @sheyonthebay #hpm

Wed Feb 9 18:32:19 PST 2011
KathyKastner
IMHO first, hve 2 know gr8ness of pallmedRT @RossJeanette: @chemosabe how to recruit patient to outpt PC clinics? #hpm
Wed Feb 9 18:32:26 PST 2011
GailZahtz
@Tymeyer I'd be happy to get and share information with you! #HPM
Wed Feb 9 18:32:41 PST 2011
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6/27/12 11:24 AM
MatthewsMichele
Also interested in learning more...RT @tymeyer: @GailZahtz @Tymeyer Id be interested to know more about that program #hpm
Wed Feb 9 18:32:54 PST 2011
SheyontheBay
@RossJeanette @chemosabe problem with output PC is..... Reimbursement! #hpm

Wed Feb 9 18:32:58 PST 2011
chemosabe
@RossJeanette not recruited, referred, by ip physician or gp. maybe seen as ip consult prior dc then ongoing f/u #hpm
Wed Feb 9 18:33:05 PST 2011
Tymeyer
@GailZahtz @Tymeyer thx #hpm

Wed Feb 9 18:33:10 PST 2011
drseisenberg
It's up to the medical oncologist to talk openly and honestly about the benefits of palliative care at home #hpm
Wed Feb 9 18:33:15 PST 2011
hollyby
@GailZahtz Not sure if medical cost data includes lost work time, but that only makes it more expensive, esp if you include family too #hpm
Wed Feb 9 18:33:19 PST 2011
revdoc
RT @RossJeanette:how to recruit patient to outpt PC clinics? HOW TO LIMIT SO DON'T SEE ONLY CHRONIC PAIN PTS PAIN CLINICS DISCHARGE? #hpm
Wed Feb 9 18:33:30 PST 2011
renee_berry
...unfortunately! RT @SheyontheBay @RossJeanette @chemosabe problem with output PC is..... Reimbursement! #hpm
Wed Feb 9 18:33:33 PST 2011
RossJeanette
@GailZahtz @Tymeyer I want info on the clinic too #hpm

Wed Feb 9 18:33:40 PST 2011
renee_berry
RT RT @drseisenberg Its up to the medical oncologist to talk openly & honestly about the benefits of palliative care at home #hpm
Wed Feb 9 18:33:46 PST 2011
GailZahtz
@hollyby Especially if you have children! Chronic is very expensive. #HPM

Wed Feb 9 18:34:00 PST 2011
SheyontheBay
Metropolitan Jewish in NYC has grant-funded PC pilot program for output PC #hpm
Wed Feb 9 18:34:02 PST 2011
MatthewsMichele
Good point RT @drseisenberg: Its up to the medical oncologist to talk openly and honestly about the benefits of palliative care at home #hpm
Wed Feb 9 18:34:03 PST 2011
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renee_berry
@drseisenberg welcome! great to see you, I think it for sure helps when other specialists embrace open & honest communication w/pts #hpm
Wed Feb 9 18:34:32 PST 2011
chemosabe
@SheyontheBay not downunda, we have universal health care, is good, should stop your courts,and legislators from interfering #hpm
Wed Feb 9 18:34:41 PST 2011
RossJeanette
goodpoint @revdoc how to maximize adequate type of pt we can help and not get the ones who nobody wants to write their opioids #hpm
Wed Feb 9 18:34:52 PST 2011
drseisenberg
We should have outpatient "Quality of Life Clinics" that cancer patients are introduced to early on #hpm
Wed Feb 9 18:35:07 PST 2011
Tymeyer
T2: Our medonc/radonc docs are very interested in clinic. We are working for find site/staff (prob borrowed from hospice)/EMR etc #hpm
Wed Feb 9 18:35:25 PST 2011
renee_berry
get him on a board RT @drseisenberg We should have outpatient "Quality of Life Clinics" that cancer patients are introduced to early on #hpm
Wed Feb 9 18:35:35 PST 2011
GailZahtz
@RossJeanette @Tymeyer @MatthewsMichele I'll put out info when I have it together, but it won't be for another mo- busy but on my list #HPM
Wed Feb 9 18:35:35 PST 2011
MeredithGould
RT @drseisenberg: We should have outpatient "Quality of Life Clinics" that cancer patients are introduced to early on #hpm
Wed Feb 9 18:35:38 PST 2011
KathyKastner
Can't u make it happen;)RT @drseisenberg: We should have outpatient "Quality of Life Clinics" that ca ps are introduced to early on #hpm
Wed Feb 9 18:35:50 PST 2011
SheyontheBay
@chemosabe @SheyontheBay Lucky you! Downunda? It's all about who controls/gets the$$$$ up here. :( #hpm
Wed Feb 9 18:35:55 PST 2011
hvto
@drseisenberg We should have outpatient "Quality of Life Clinics" that cancer patients are introduced to early on #hpm Agree #hpm
Wed Feb 9 18:35:57 PST 2011
LifeHealthDiary
@chemosabe @SheyontheBay not only downunder also UK #nhs #hpm

Wed Feb 9 18:35:58 PST 2011
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RossJeanette
@drseisenberg I like that thought "quality of life clinic" #hpm

Wed Feb 9 18:36:08 PST 2011
hollyby
One of the big challenges is also for the interdisciplinary team member costs. Docs and NPs can bill, but not as easy for others. #hpm
Wed Feb 9 18:36:11 PST 2011
revdoc
We are also trying having one of our HPM docs at a cancer clinic for PC consultation #hpm
Wed Feb 9 18:36:19 PST 2011
dockj
RT @drseisenberg: We should have outpatient "Quality of Life Clinics" that cancer patients are introduced to early on #hpm
Wed Feb 9 18:36:20 PST 2011
Tymeyer
@RossJeanette @revdoc one of the biggest obstacles/pitfalls not to fall into #hpm
Wed Feb 9 18:36:23 PST 2011
GailZahtz
@drseisenberg I know it's your specialty, but not just for cancer patients. Quality of Life is the big question-issue in #HPM and chronic
Wed Feb 9 18:36:36 PST 2011
chemosabe
@drseisenberg pall physician i used to work w/ used to say life is term illness, and advocate referral @ any life limiting illness dx #hpm
Wed Feb 9 18:36:47 PST 2011
LifeHealthDiary
@GailZahtz please share on our wiki http://hpmresources.pbworks.com #hpm

Wed Feb 9 18:36:53 PST 2011
drseisenberg
Make it a part of every day life; treatment, then meditation, pain control meeting at my QOL Clinic #hpm
Wed Feb 9 18:36:55 PST 2011
KathyKastner
RT @GailZahtz: @drseisenberg I know it's your specialty, but not just for cancer patients. Quality of Life is the big question-issue in #HPM and chronic
Wed Feb 9 18:37:00 PST 2011
chemosabe
@LifeHealthDiary absolutely and the liverpool pathway too boot. #hpm

Wed Feb 9 18:37:14 PST 2011
revdoc
@tymeyer @RossJeanette @revdoc Brings those with drug-seeking out of the woodwork #hpm
Wed Feb 9 18:37:18 PST 2011
renee_berry
RT @hollyby: One of the big challenges is also for the interdisciplinary team member costs. Docs and NPs can bill, but not as easy for others. #hpm
Wed Feb 9 18:37:31 PST 2011
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GailZahtz
@LifeHealthDiary I didn't know you had a wiki either! Did you guys just launch more? #HPM
Wed Feb 9 18:37:36 PST 2011
MarksPhone
@hvto It is sometimes hard to have a loved one move from hope to end of life issues #hpm
Wed Feb 9 18:38:01 PST 2011
RossJeanette
@hollyby: interdisciplinary team member costs.. yeah IDT is how we can make a difference. #hpm
Wed Feb 9 18:38:09 PST 2011
drseisenberg
Yes; QOL for all human beings with any chronic health challenge! #hpm
Wed Feb 9 18:38:11 PST 2011
equijada
@drseisenberg do you have one in your clinic? have you tried coordinating with @SanDiegoHospice ? #hpm
Wed Feb 9 18:38:15 PST 2011
GailZahtz
@LifeHealthDiary Is your wiki peer-reviewed any way? #HPM

Wed Feb 9 18:38:17 PST 2011
LifeHealthDiary
@chemosabe you approve? http://en.wikipedia.org/wiki/Liverpool_Care_Pathway_for_the_dying_patient #hpm

Wed Feb 9 18:38:18 PST 2011
SheyontheBay
@drseisenberg and what about the non-cancer diagnoses? ES cardiac a leading user of hospice services... #hpm
Wed Feb 9 18:38:21 PST 2011
renee_berry
@revdoc that's great, heard Kathleen Foley say that Cancer Centers shouldn't be #cancer center's without a #palliative care program #hpm
Wed Feb 9 18:38:41 PST 2011
chemosabe
@hollyby again a decent universal health care model will cover the entire team! #hpm
Wed Feb 9 18:38:53 PST 2011
MatthewsMichele
@drseisenberg like the idea; who refers ppl to these clinics? Don't t other docs have to refer them? Who persuades non-PM docs to refer #hpm
Wed Feb 9 18:38:56 PST 2011
GailZahtz
@equijada Hey! Were you lurking? #HPM

Wed Feb 9 18:38:58 PST 2011
LifeHealthDiary
@GailZahtz i'ts not my wiki it belongs to this group. a public resource, editable by all. Where we schedule hosting tweeetchats! #hpm
Wed Feb 9 18:39:15 PST 2011
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hollyby
Agreed RT @chemosabe: @hollyby again a decent universal health care model will cover the entire team! #hpm
Wed Feb 9 18:39:26 PST 2011
GailZahtz
@MatthewsMichele @drseisenberg Moreover who pays? #HPM

Wed Feb 9 18:39:31 PST 2011
equijada
@GailZahtz @equijada lurking, doing notes, eating, just finished #yoga #hpm
Wed Feb 9 18:39:35 PST 2011
chemosabe
@LifeHealthDiary it certainly can help generalists or non #hpm staff in caring for dying person #hpm
Wed Feb 9 18:39:40 PST 2011
revdoc
@MatthewsMichele @drseisenberg Prob with referral from MDs is that they are often late or not considered at all; may need direct advert #hpm
Wed Feb 9 18:40:07 PST 2011
GailZahtz
@equijada And using your free RX writer for scripts in the meantime? LOL #HPM
Wed Feb 9 18:40:17 PST 2011
SheyontheBay
AMEN!! RT @chemosabe: @hollyby again a decent universal health care model will cover the entire team! #hpm
Wed Feb 9 18:40:31 PST 2011
LifeHealthDiary
wiki contains record of all tweetchats, future schedles and resources page for EOL stuff. Please sign up all of you #hpm
Wed Feb 9 18:40:50 PST 2011
RossJeanette
RT @revdoc: @MatthewsMichele @drseisenberg Prob with referral from MDs is difficult as we discussed in T1 why refer if anyone can do PC #hpm
Wed Feb 9 18:41:07 PST 2011
renee_berry
@revdoc @MatthewsMichele @drseisenberg #Palliative care consults should be built into checklists for #quality measures #hpm
Wed Feb 9 18:41:13 PST 2011
GailZahtz
@LifeHealthDiary Do you mean the site for #HPM That @ctsinclair put together?
Wed Feb 9 18:41:16 PST 2011
drseisenberg
Anyone could potentially refer; collaboration between primary care and specialists is key #hpm
Wed Feb 9 18:41:29 PST 2011
GailZahtz
@renee_berry @revdoc @MatthewsMichele @drseisenberg Now quality there is money for. But quality of life? How can it be measured? #HPM
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Wed Feb 9 18:41:52 PST 2011
renee_berry
RT @drseisenberg Anyone could potentially refer; collaboration between primary care & specialists is key #hpm
Wed Feb 9 18:42:10 PST 2011
revdoc
I couldn't do brain surgery w/o board cert--why does everyone think they can do MY job? #hpm
Wed Feb 9 18:42:20 PST 2011
MatthewsMichele
My concern is that we on the hpm side realize that but do primary care physicians? And goes back to T1 too. #hpm
Wed Feb 9 18:42:57 PST 2011
SheyontheBay
again, i suggest mandatory CMEs in EOL RT @chemosabe it certainly can help generalists or non #hpm staff in caring for dying person #hpm
Wed Feb 9 18:43:05 PST 2011
GailZahtz
@revdoc Because, back to T1, they don't take your job seriously, and no one has the courage to do your job! #HPM
Wed Feb 9 18:43:06 PST 2011
drseisenberg
A QOL Clinic or "Club" could even be a safe haven for fun and relaxation; not threatening for referring docs... #hpm
Wed Feb 9 18:43:13 PST 2011
Tymeyer
i know my pet peeve too RT @revdoc: I couldnt do brain surgery w/o board cert--why does everyone think they can do MY job? #hpm
Wed Feb 9 18:43:14 PST 2011
renee_berry
yesRT @MatthewsMichele: My concern is that we on the hpm side realize that but do primary care physicians? & goes back to T1 too. #hpm
Wed Feb 9 18:43:46 PST 2011
SheyontheBay
RT @revdoc: I couldnt do brain surgery w/o board cert--why does everyone think they can do MY job? #hpm
Wed Feb 9 18:43:52 PST 2011
chemosabe
@revdoc great point, I have dealt with lots of chronic illness physicians, build bond that don't want to break. fear abandonment #hpm
Wed Feb 9 18:43:59 PST 2011
KathyKastner
Of peeves: #hpm writer tells of a surgeon who says when I retire gonna ba a writer. Writer replies when I retire, gonna b a surgeon. :)
Wed Feb 9 18:44:30 PST 2011
LifeHealthDiary
RT @chemosabe: @revdoc great point, I have dealt with chronic illness physicians, build
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bond that dont want to break. fear abandonment #hpm

Wed Feb 9 18:44:31 PST 2011
renee_berry
@drseisenberg the important aspect about what you're talking about is the language -->Key in building trust w/other specialists #hpm
Wed Feb 9 18:44:44 PST 2011
hollyby
@GailZahtz There are quality of life measurement tools that are used in research. If you search for them on PubMed you'll find articles #hpm
Wed Feb 9 18:44:51 PST 2011
GailZahtz
@KathyKastner LOL #HPM

Wed Feb 9 18:45:06 PST 2011
chemosabe
that should have read perception of abandonment by client. was running out of room #hpm
Wed Feb 9 18:45:25 PST 2011
RossJeanette
@KathyKastner funny LOL #hpm

Wed Feb 9 18:45:33 PST 2011
renee_berry
RT @drseisenberg: A QOL Clinic or "Club" could even be a safe haven for fun and relaxation; not threatening for referring docs... #hpm
Wed Feb 9 18:45:41 PST 2011
GailZahtz
@hollyby Thank you. I will look on PubMed for measurement on quality of life (or delegate it -grin-) #HPM
Wed Feb 9 18:45:46 PST 2011
SheyontheBay
RT@KathyKastner writer tells of a surgeon who says when I retire gonna ba a writer. Writer replies when I retire, gonna b a surgeon. :) #hpm
Wed Feb 9 18:46:13 PST 2011
RossJeanette
T3 back t last week What can we do next week to highlight #hpm with the @AAHPM and HPNA Assembly? #hpm
Wed Feb 9 18:46:18 PST 2011
GailZahtz
@RossJeanette T3 Isn't that sort of preaching to the choir? #HPM

Wed Feb 9 18:47:11 PST 2011
chemosabe
previous pall colleague used to talk about shared care, as way of early #hpm involvement and backing out of acute team at eol #hpm
Wed Feb 9 18:47:22 PST 2011
LifeHealthDiary
@rossjeanette any news about providing wifi in the venue? #hpm

Wed Feb 9 18:47:29 PST 2011
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DrSnit
@RossJeanette You cats are fab to the abbbulous! gotta date with my pops now. Have to skedattle early. x to the o #hpm
Wed Feb 9 18:47:32 PST 2011
revdoc
Yeah, AAHPM doesn't know what I do for a living? ;) #hpm

Wed Feb 9 18:47:50 PST 2011
Tymeyer
T3: Will be anxiously awaiting a barrage of tweets from Canada next week, no pressure for those of you going ;) #hpm
Wed Feb 9 18:47:52 PST 2011
RossJeanette
and for T3 per @ctsinclair there is going to be some sort of wifi access #hpm
Wed Feb 9 18:47:54 PST 2011
renee_berry
RT @RossJeanette T3 What can we do next week to highlight #hpm with the @AAHPM and HPNA Assembly? #hpm
Wed Feb 9 18:47:54 PST 2011
GailZahtz
RT @revdoc: Yeah, AAHPM doesn't know what I do for a living? ;) #hpm <-EXACTLY lolthey must be funded by Congress ;)
Wed Feb 9 18:48:23 PST 2011
LifeHealthDiary
I approached Hootsuite to see if they'd sponsor/support an hpm tweet-up tweetchat. Nada response #hpm
Wed Feb 9 18:48:24 PST 2011
hollyby
T3: I'll tweet my little heart out, as will others, I'm sure. :) Also there is a SoMe session there which is usually well attended #hpm
Wed Feb 9 18:48:28 PST 2011
subatomicdoc
RT @MeredithGould: RT @drseisenberg: We should have outpatient "Quality of Life Clinics" that cancer patients are introduced to early on #hpm
Wed Feb 9 18:48:37 PST 2011
revdoc
Don't forget to download all your handouts before you go #hpm

Wed Feb 9 18:48:44 PST 2011
LifeHealthDiary
@RossJeanette @ctsinclair hooray for you - RESULT. wifi provision. #hpm

Wed Feb 9 18:48:47 PST 2011
renee_berry
I usually ask for wi-fi access as an individual guest at hotels, has worked in the past plan to check in to it @AAHPM #hpm
Wed Feb 9 18:48:50 PST 2011
GailZahtz
@LifeHealthDiary Wait- do you want a tweet session or an in-person meeting? #HPM

Wed Feb 9 18:49:00 PST 2011
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LifeHealthDiary
@renee_berry @AAHPM they usually make you pay as individual guest. That's the issue for conference = costs #hpm
Wed Feb 9 18:49:25 PST 2011
renee_berry
wohoo that makes two of us, we'll have to find the outlets RT @hollyby T3: Ill tweet my little heart out, as will others, Im sure :) #hpm
Wed Feb 9 18:49:34 PST 2011
KathyKastner
@GailZahtz @RossJeanette #HPM @SheyontheBay TY 4 lol's and RT:)

Wed Feb 9 18:49:39 PST 2011
LifeHealthDiary
@GailZahtz there was a plan to join this chat during the conference I bellieve #hpm
Wed Feb 9 18:50:00 PST 2011
GailZahtz
@KathyKastner HUGS! #HPM

Wed Feb 9 18:50:06 PST 2011
RossJeanette
@tymeyer what kind of tweeting would be helpful for non-attendee? #hpm

Wed Feb 9 18:50:10 PST 2011
KathyKastner
Oh BOY! RT @LifeHealthDiary: @GailZahtz there was a plan to join this chat during the conference I bellieve #hpm
Wed Feb 9 18:50:40 PST 2011
renee_berry
really? I just pull them up on my comp RT @revdoc Dont forget to download all your handouts before you go #hpm
Wed Feb 9 18:50:45 PST 2011
LifeHealthDiary
@RossJeanette @tymeyer tweet about the sessions / learnings for non-attendees to learn from. #hpm
Wed Feb 9 18:50:52 PST 2011
renee_berry
I would like to know this too.. RT @RossJeanette: @tymeyer what kind of tweeting would be helpful for non-attendee? #hpm
Wed Feb 9 18:51:01 PST 2011
renee_berry
I would like to know this too.. RT @RossJeanette: @tymeyer what kind of tweeting would be helpful for non-attendee? #hpm
Wed Feb 9 18:51:01 PST 2011
GailZahtz
@LifeHealthDiary When is the conference? U can tweet using #HPM anytime, I'm sureverify with @renee_berry If you want a private chat...;)
Wed Feb 9 18:51:26 PST 2011
RossJeanette
@LifeHealthDiary @GailZahtz is tweetchat next week cool! #hpm

Wed Feb 9 18:51:32 PST 2011
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drseisenberg
T3: Leave them moved, touched and inspired; they'll have no choice but to join the conversation! #hpm
Wed Feb 9 18:51:47 PST 2011
GailZahtz
RT @KathyKastner: Oh BOY! RT @LifeHealthDiary: @GailZahtz there was a plan to join this chat during the conference I bellieve #hpm <-ON IT!!
Wed Feb 9 18:51:49 PST 2011
Tymeyer
1) key points from talks 2)pearls, pearls, pearls 3)topics that generated good discussions 4)attendance at @pallimed / @geripal party #hpm
Wed Feb 9 18:52:20 PST 2011
LifeHealthDiary
@GailZahtz sure tweet hpm any time. But @ctsinclair plan was to recruit more people to this by showing them how live during conference #hpm
Wed Feb 9 18:52:27 PST 2011
renee_berry
There will be a specific hashtag for the event, but I usually put #hpm on my favs through the day @GailZahtz @LifeHealthDiary #hpm
Wed Feb 9 18:52:30 PST 2011
hollyby
@GailZahtz the @AAHPM conference is next week in Vancouver. #hpm is the hashtag people will be using for the conference too #hpm
Wed Feb 9 18:52:57 PST 2011
LifeHealthDiary
RT @tymeyer: 1) key points from talks 2)pearls, pearls 3)topics =generated good discussions 4)attendance at party #hpm
Wed Feb 9 18:53:03 PST 2011
renee_berry
RT @tymeyer: 1) key points from talks 2)pearls, pearls, pearls 3)topics that generated good discussions 4)attendance at @pallimed / @geripal party #hpm
Wed Feb 9 18:53:11 PST 2011
LifeHealthDiary
@renee_berry event hashtag is apparently #hpm. Woot! #hpm

Wed Feb 9 18:53:20 PST 2011
GailZahtz
@renee_berry @LifeHealthDiary When is conference and where? @RossJeanette #HPM

Wed Feb 9 18:53:24 PST 2011
Tymeyer
@renee_berry I thought #HPM was the hash for conf as well #hpm
Wed Feb 9 18:53:29 PST 2011
RossJeanette
@hollyby are we supposed to use @aahpm and #hpm? #hpm

Wed Feb 9 18:54:05 PST 2011
GailZahtz
@LifeHealthDiary Are you now with @KLX_Media ? #HPM

Wed Feb 9 18:54:11 PST 2011
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drseisenberg
T3: Leave 'em moved, touched and inspired; no choice but to join the fun! #hpm
Wed Feb 9 18:54:17 PST 2011
LifeHealthDiary
@GailZahtz Vancouver, Feb 16-19 #hpm

Wed Feb 9 18:54:22 PST 2011
renee_berry
my bad, guess I didn't hear that one RT @LifeHealthDiary: @renee_berry event hashtag is apparently #hpm. Woot! #hpm
Wed Feb 9 18:54:37 PST 2011
LifeHealthDiary
@GailZahtz no I don't know KLX who are they? #hpm

Wed Feb 9 18:54:52 PST 2011
GailZahtz
@hollyby Ah, Can't get to Vancouver next week. So I will check out tweeting! Are you going to stream? @LifeHealthDiary #HPM
Wed Feb 9 18:54:58 PST 2011
RossJeanette
RT @drseisenberg: T3: Leave em moved, touched and inspired; no choice but to join the fun! #hpm
Wed Feb 9 18:54:59 PST 2011
KathyKastner
It's PST there. Wld #hpm be local time Feb 16 ya think?RT @LifeHealthDiary: @GailZahtz Vancouver, Feb 16-19
Wed Feb 9 18:55:16 PST 2011
tymeyer
@renee_berry don't worry think @ctsinclair announced last wk #hpm

Wed Feb 9 18:55:21 PST 2011
sophiasgarden
Great idea! RT @drseisenberg: We should have outpatient "Quality of Life Clinics" that cancer patients are introduced to early on #hpm
Wed Feb 9 18:55:26 PST 2011
renee_berry
KLX is me Christian & Michele :) @LifeHealthDiary @GailZahtz #hpm

Wed Feb 9 18:55:37 PST 2011
GailZahtz
@comalliwrites GAWD I wish. I got a tongue talking by 2 physicians who didn't know what they were talking about! #HPM
Wed Feb 9 18:55:51 PST 2011
LifeHealthDiary
@GailZahtz sadly I won't be there myself (based in New Zealand)! sigh. #hpm
Wed Feb 9 18:56:07 PST 2011
RossJeanette
ok all fell free to keep chatting I got to put kids to bed good night #hpm
Wed Feb 9 18:56:41 PST 2011
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GailZahtz
@LifeHealthDiary Lots of people in NZ in HCSM! Should open offices there! #HPM

Wed Feb 9 18:56:45 PST 2011
hollyby
@RossJeanette #hpm is the hashtag for the meeting. @AAHPM is if you want to mention the Academy in your tweet or tweet to them #hpm
Wed Feb 9 18:57:03 PST 2011
LifeHealthDiary
oops just realised KLX is @ctsinclair in business mode. Doh! #hpm

Wed Feb 9 18:57:16 PST 2011
hollyby
Thanks for moderating @RossJeanette !!! #hpm

Wed Feb 9 18:57:23 PST 2011
KathyKastner
Tnx 4 ab fab moderating momRT @RossJeanette: ok all fee lfree to keep chatting I got to put kids to bed good night #hpm
Wed Feb 9 18:57:26 PST 2011
LifeHealthDiary
@GailZahtz thanks good suggestion #hpm

Wed Feb 9 18:57:40 PST 2011
GailZahtz
@fidouglas @LifeHealthDiary @peds_id_doc Considering my life is full of people from this medium that I've never met! #HPM
Wed Feb 9 18:57:40 PST 2011
Tymeyer
@RossJeanette Thx for excellent hosting tonight! Have fun next wk to all going to @AAPHM assembly #hpm
Wed Feb 9 18:57:47 PST 2011
LifeHealthDiary
@GailZahtz @fidouglas @LifeHealthDiary @peds_id_doc welcome to the new normal! #hpm

Wed Feb 9 18:58:08 PST 2011
GailZahtz
@Tymeyer Remind me and I'll get you stuff specifically. #HPM

Wed Feb 9 18:58:16 PST 2011
LifeHealthDiary
RT @hollyby: Thanks for moderating @RossJeanette !!! #hpm

Wed Feb 9 18:58:23 PST 2011
KathyKastner
Jealous. RT @Tymeyer: @RossJeanette Thx for excellent hosting tonight! Have fun next wk to all going to @AAPHM assembly #hpm
Wed Feb 9 18:58:24 PST 2011
drseisenberg
T3: Laughter is the best medicine for hashtag syndrome. Keep it light, fun and useful. #hpm
Wed Feb 9 18:58:27 PST 2011
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MatthewsMichele
@RossJeanette Great first chat for me! Thanks for doing a great job hosting! :) #hpm
Wed Feb 9 18:58:37 PST 2011
renee_berry
@LifeHealthDiary haha yes, @ctsinclair is a multifaceted guy #hpm

Wed Feb 9 18:58:41 PST 2011
ctsinclair
RT @hollyby: @GailZahtz the @AAHPM conference is next week in Vancouver. #hpm is the hashtag people will be using for the conference to ...
Wed Feb 9 18:58:46 PST 2011
renee_berry
RT @drseisenberg: T3: Laughter is the best medicine for hashtag syndrome. Keep it light, fun and useful. #hpm
Wed Feb 9 18:58:49 PST 2011
GailZahtz
@LifeHealthDiary Uh. Oh. I've been accused of many things. I don't think I've ever been accused of being normal :)) #HPM
Wed Feb 9 18:58:53 PST 2011
renee_berry
agree!! Thanks so much! RT @MatthewsMichele @RossJeanette Great first chat for me! Thanks for doing a great job hosting! :) #hpm
Wed Feb 9 18:59:03 PST 2011
chemosabe
@LifeHealthDiary I assumed u were in UK y didn't u mention NZ's universal hc. should join #hcsmanz too #hpm
Wed Feb 9 18:59:03 PST 2011
Tymeyer
@GailZahtz will do...Good luck with your docs. Set them straight if you have to. #hpm
Wed Feb 9 18:59:39 PST 2011
revdoc
Night, all! See many of you in Vancouver! #hpm

Wed Feb 9 18:59:45 PST 2011
hollyby
@MatthewsMichele Glad you could join us! #hpm

Wed Feb 9 18:59:51 PST 2011
GailZahtz
@Tymeyer eh, don't you know- patients lie...that's what someone told me- they asked my hubs about my meds because he's a MD. Yuch. #HPM
Wed Feb 9 19:00:51 PST 2011
renee_berry
Stats; http://wthashtag.com/Hpm Great to chat with everyone tonight!! Thanks for coming (excited to meet many of you IRL next week!) #hpm
Wed Feb 9 19:01:12 PST 2011
chemosabe
and just like that it is over huh? good night northern hemisphere folk #hpm
Wed Feb 9 19:01:19 PST 2011
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6/27/12 11:24 AM
GailZahtz
@Tymeyer Okay, sorry, over the bitter pill. I shall be back to being pithy and cute :))) #HPM
Wed Feb 9 19:01:25 PST 2011
sophiasgarden
RT @drseisenberg A QOL Clinic or "Club" could even be a safe haven for fun and relaxation; not threatening for referring docs... #hpm
Wed Feb 9 19:01:33 PST 2011
ctsinclair
The #hpm Daily is out! http://bit.ly/gJpc2i Top stories today via @primarycarecpd @redefinehospice @dspacl @elderpages @zarakramer
Wed Feb 9 19:01:36 PST 2011
MatthewsMichele
@hollyby Thanks...great convo! #hpm

Wed Feb 9 19:01:41 PST 2011
hollyby
If you are in Vancouver, join us at the Social Media Forum at @AAHPM Assembly Feb. 17th 1:30-2:30 #hpm
Wed Feb 9 19:01:54 PST 2011
Tymeyer
@rossjeanette Send my regards to the San Antonio crew. Hope to see you all soon. #hpm
Wed Feb 9 19:02:00 PST 2011
KathyKastner
Jealous RT @renee_berry: Stats; http://wthashtag.com/Hpm Great 2 chat w everyone tonight!! (excited to meet many of you IRL next week!) #hpm
Wed Feb 9 19:02:05 PST 2011
renee_berry
yep :) night everyone! RT @chemosabe and just like that it is over huh? good night northern hemisphere folk #hpm
Wed Feb 9 19:02:21 PST 2011
Tymeyer
@GailZahtz No problem! #hpm

Wed Feb 9 19:02:24 PST 2011
sophiasgarden
RT @SheyontheBay: again, i suggest mandatory CMEs in EOL RT @chemosabe it certainly can help generalists or non #hpm staff in caring for ...
Wed Feb 9 19:02:24 PST 2011
GailZahtz
@Tymeyer Thanks! :)))) #HPM

Wed Feb 9 19:02:48 PST 2011
LifeHealthDiary
@chemosabe thanks for recommendations.... #hpm

Wed Feb 9 19:03:34 PST 2011
sophiasgarden
RT @GailZahtz: @drseisenberg I know it's your specialty, but not just for cancer patients. Quality of Life is the big question-issue in #HPM and chronic
Page 27 of 28
6/27/12 11:24 AM
Wed Feb 9 19:03:44 PST 2011
chemosabe
@LifeHealthDiary sometimes it's ok to watch out for a kiwi! #hpm

Wed Feb 9 19:04:29 PST 2011
SheyontheBay
@tymeyer4)attendance at @pallimed / @geripal party....nobody can party like those who look at death every day! ;D #hpm
Wed Feb 9 19:07:14 PST 2011
SheyontheBay
Thanks in advance to conference tweeters (or is it "twits"?) #hpm

Wed Feb 9 19:08:29 PST 2011
Page 28 of 28

#HPM Tweet Chat 2:9:11

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#hpm - Healthcare Social Media Transcript

#hpm - Healthcare Social Media Transcript

@renee_berry Going over to tweetchat now #HPM

@LifeHealthDiary I thought it was supposed to be me #hpm

wleomce @renee_berry @ meredithgould @hollyby @Lifehealthdiary! #hpm

welcome @kathykastner #hpm

#hpm - Healthcare Social Media Transcript

@KathyKastner Thanks Kathy. #HPM

will start with T1 soon #hpm

#hpm - Healthcare Social Media Transcript

Wed Feb 9 18:07:08 PST 2011

@MeredithGould Thank you Meredith, honestly. #HPM

welcome @tymeyer hope you can teach @uthscsa #hpm

#hpm T1 - you mean other docs or ppl?

welcome @ dockj and @drSnit #hpm

#hpm - Healthcare Social Media Transcript

Wed Feb 9 18:10:17 PST 2011

@RossJeanette :) Thanks - Hey cats! Looking good! #hpm

@quality1 welcome #hpm

@GailZahtz which post article? #hpm

@fidouglas hi there, I'm also a pom in NZ - Dunedin. You? #hpm

#hpm - Healthcare Social Media Transcript

@LifeHealthDiary Up in Auckland. :-) What field do you work in? #hpm

@tymeyer can you expand on what DR Bruera said? #hpm

#hpm - Healthcare Social Media Transcript

#hpm - Healthcare Social Media Transcript

@RossJeanette @GailZahtz @LifeHealthDiary : Guess I'm on the radar #hpm

@renee_berry I wonder if educational needs change as illness changes etc? #hpm

#hpm - Healthcare Social Media Transcript

will transition to T2 soon #hpm

great RT @RossJeanette: will transition to T2 soon #hpm

T2 How can HPM play a role in the outpatient setting? #hpm

#hpm - Healthcare Social Media Transcript

@renee_berry @GailZahtz it's gonna grow with aging population #hpm

@improvecme was it successful using Facebook? #hpm

#hpm - Healthcare Social Media Transcript

Wed Feb 9 18:26:24 PST 2011

#hpm - Healthcare Social Media Transcript

hi glen num - day onc - downunda btw #hpm

#hpm - Healthcare Social Media Transcript

Sorry to be late - hospice nurse, outreach, NY #hpm

@chemosabe how to recruit patient to outpt PC clinics? #hpm

welcome @sheyonthebay #hpm

#hpm - Healthcare Social Media Transcript

@RossJeanette @chemosabe problem with output PC is..... Reimbursement! #hpm

@GailZahtz @Tymeyer thx #hpm

@GailZahtz @Tymeyer I want info on the clinic too #hpm

@hollyby Especially if you have children! Chronic is very expensive. #HPM

#hpm - Healthcare Social Media Transcript

@chemosabe @SheyontheBay not only downunder also UK #nhs #hpm

#hpm - Healthcare Social Media Transcript

@drseisenberg I like that thought "quality of life clinic" #hpm

@GailZahtz please share on our wiki http://hpmresources.pbworks.com #hpm

@LifeHealthDiary absolutely and the liverpool pathway too boot. #hpm

#hpm - Healthcare Social Media Transcript

@LifeHealthDiary Is your wiki peer-reviewed any way? #HPM

@chemosabe you approve? http://en.wikipedia.org/wiki/Liverpool_Care_Pathway_for_the_dying_patient #hpm

@equijada Hey! Were you lurking? #HPM

#hpm - Healthcare Social Media Transcript

@MatthewsMichele @drseisenberg Moreover who pays? #HPM

#hpm - Healthcare Social Media Transcript

Wed Feb 9 18:41:52 PST 2011