#HPM - TweetChat - 3/27/13

#hpm - Healthcare Social Media Transcript
3/28/13 9:16 AM
#hpm transcript
Healthcare Social Media Transcript
From: To: Wed Mar 27 18:00:00 PDT 2013 Wed Mar 27 19:15:00 PDT 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?
rfberry
Welcome to the #hpm TweetChat! I'll be the host tonight, please take the next few minutes to introduce yourself & where you're from. #hpm
Wed Mar 27 18:00:10 PDT 2013
johnwhiteside55
9 pm hope all is well #Hpm

Wed Mar 27 18:00:20 PDT 2013
rfberry
RT @aliciabloom: it's about that time. . .#hpm tweetchat starting soon & a flurry of tweets coming from me about #hospice & #palliative medicine
Wed Mar 27 18:00:46 PDT 2013
johnwhiteside55
John Whiteside. Florida #Hpm

Wed Mar 27 18:00:51 PDT 2013
KnowYourWishes
Lauren Van Scoy. Philadelphia. Pulm/Crit Care MD and author/writer about EOL issues #hpm
Wed Mar 27 18:01:36 PDT 2013
WaywardChad
G'evening, all! Chad from Maryland....MSW and a grad student in #thanatology. Passionate about end-of-life care & conversations. #hpm
Wed Mar 27 18:01:47 PDT 2013
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=03-27-2013&thour=19&tmin=15&ssec=00&tsec=00&img=1
Page 1 of 25
3/28/13 9:16 AM
Kamiyamay
Hi, Camea Kirkpatrick, RN,BSN HPM Crisis nurse--Patient advocate and road warrior :-) #hpm
Wed Mar 27 18:02:22 PDT 2013
oliverdr
Debbie Parker Oliver, University of Missouri coming from Lexington KY tonight #hpm
Wed Mar 27 18:02:24 PDT 2013
rfberry
@johnwhiteside55 @aliciabloom @waywardchad @Knowyourwishes @kamiyamay @olivedr hello!! What a great group tonight! #hpm
Wed Mar 27 18:03:24 PDT 2013
BillPfohl
from Syracuse... (Home of the Orangemen)hello #hpm tweet chat peeps. #hpm
Wed Mar 27 18:03:50 PDT 2013
aliciabloom
MSW, LSW in Philadelphia practicing in #hpm, but wishing I was in LA right now to watch #LaSalleMBB in the Sweet Sixteen #basketballwife
Wed Mar 27 18:03:52 PDT 2013
ctsinclair
Intro: Christian Sinclair- hospice doc in KC (normally) but tonight tweeting from Chicago on the way to Massachusetts to see @suzanakm #hpm
Wed Mar 27 18:04:09 PDT 2013
rfberry
I'm Renee Berry in Menlo Park, CA. I work @goBeMoRe & am a early palliative care advocate. Looking forward to all of your thoughts! #hpm
Wed Mar 27 18:04:09 PDT 2013
GraniteDoc
Hi all, Meredith MacMartin, pall care MD at DHMC in NH #hpm

Wed Mar 27 18:04:34 PDT 2013
ctsinclair
@oliverdr hey Debbie. Wish we got more time to chat in NOLA #hpm
Wed Mar 27 18:04:42 PDT 2013
CKRN
Courtney Kasun, RN, MNSc, CHPN. Hospice access nurse and palliative care consultant in Grand Junction CO #hpm #Hpm
Wed Mar 27 18:04:50 PDT 2013
oliverdr
@ctsinclair indeed we need time to sit and chat-much to share! #hpm

Wed Mar 27 18:05:24 PDT 2013
Kamiyamay
@CKRN :-) #hpm

Wed Mar 27 18:05:33 PDT 2013
rfberry
Hi Meredith @GraniteDoc, Hey Courtney @CKRN & hello @ctsinclair!! How's it going Bill @BilPfohl?! #hpm
Wed Mar 27 18:05:48 PDT 2013
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3/28/13 9:16 AM
aliciabloom
excited to have @rfberry hosting tonight and glad to see some familiar & new faces! #hpm
Wed Mar 27 18:05:52 PDT 2013
rfberry
We'll get started with T1 in just a couple of minutes. (T1 Teaser http://t.co/ahacTQlKNt ) #hpm
Wed Mar 27 18:06:19 PDT 2013
Kamiyamay
RT @aliciabloom: excited to have @rfberry hosting tonight and glad to see some familiar & new faces! #hpm
Wed Mar 27 18:06:22 PDT 2013
KnowYourWishes
Hi to everyone! :) #hpm
Wed Mar 27 18:06:32 PDT 2013
ctsinclair
@GraniteDoc hey I'm headed into Manchester tonight! #hpm

Wed Mar 27 18:06:34 PDT 2013
rfberry
absolutely! RT @aliciabloom: excited to have @rfberry hosting tonight and glad to see some familiar & new faces! #hpm
Wed Mar 27 18:06:52 PDT 2013
johnwhiteside55
Thanks for hosting rfberry #Hpm

Wed Mar 27 18:07:00 PDT 2013
rfberry
are you in flight right now? RT @ctsinclair: @GraniteDoc hey Im headed into Manchester tonight! #hpm
Wed Mar 27 18:07:02 PDT 2013
BillPfohl
@rfberry Going well Renee! I wish that Spring would really kick in...tired of the cold. #hpm
Wed Mar 27 18:07:17 PDT 2013
ctsinclair
@rfberry @GraniteDoc nope. Just landed in Chicago midway. #hpm

Wed Mar 27 18:07:35 PDT 2013
rfberry
No prob! Great to have a Twitter newbie joining the chat!! RT @johnwhiteside55: Thanks for hosting rfberry #hpm
Wed Mar 27 18:07:52 PDT 2013
rfberry
T1 What are your thoughts about the latest @CDCgov report on where death occurs: hospital vs home? http://t.co/ahacTQlKNt #hpm
Wed Mar 27 18:08:25 PDT 2013
oliverdr
@ctsinclair you sure are on the road (or in the air) a lot! #hpm
Wed Mar 27 18:08:43 PDT 2013
Page 3 of 25
3/28/13 9:16 AM
WaywardChad
RT @rfberry: T1 What are your thoughts about the latest @CDCgov report on where death occurs: hospital vs home? http://t.co/UbA6WBJ8uc #hpm
Wed Mar 27 18:08:59 PDT 2013
aliciabloom
@rfberry link not working for me. . . #hpm

Wed Mar 27 18:09:12 PDT 2013
johnwhiteside55
Well since hospitals are making shorter stays. Makes sense #Hpm
Wed Mar 27 18:09:33 PDT 2013
Kamiyamay
@rfberry T1 - wondering if that was truly their wish. #hpm

Wed Mar 27 18:09:40 PDT 2013
KnowYourWishes
Not so sure this data is meaningful. Would be more interested to see patient/family satisfaction with place of death/way death went #hpm
Wed Mar 27 18:10:01 PDT 2013
rfberry
@aliciabloom, strange, does this work? http://t.co/ahacTQlKNt #hpm

Wed Mar 27 18:10:22 PDT 2013
HomeWithMission
Great article on #hospice RT @deathwdignity: RT @chadreilly: Give patients end-of-life options http://t.co/wWs5JQOTMc #hpm #palliativecare
Wed Mar 27 18:10:23 PDT 2013
oliverdr
wondered if home deaths included nursing home I could not tell #hpm
Wed Mar 27 18:10:36 PDT 2013
aliciabloom
@rfberry nope. maybe it's my browser. #hpm

Wed Mar 27 18:11:04 PDT 2013
Kamiyamay
@KnowYourWishes Agree with that but also see family go against wishes...total satisfaction scores relevant. #hpm
Wed Mar 27 18:11:05 PDT 2013
KnowYourWishes
Some people do NOT want loved ones dying in home. But assuming that this data is congruent with wishes. #hpm
Wed Mar 27 18:11:09 PDT 2013
rfberry
@KnowYourWishes that's an interesting point. What makes you think it's not meaningful? #hpm
Wed Mar 27 18:11:23 PDT 2013
oliverdr
also wondered if those at home had services they needed ie hospice or if they were just sent home with nothing- skeptic in me #hpm
Wed Mar 27 18:11:28 PDT 2013
Page 4 of 25
3/28/13 9:16 AM
rfberry
@KnowYourWishes @Kamiyamay I totally agree that patient satisfaction data with this would increase the value & context. #hpm
Wed Mar 27 18:11:56 PDT 2013
KnowYourWishes
Had friend die on hospice: husband said "that belongs in the HOSPITAL". He was very traumatized by it, even though it was peaceful. #hpm
Wed Mar 27 18:11:59 PDT 2013
ChrisAug89
Hi Rene Joining in late frm Wmass.Pt CtredEducator&NephrologySW; Supporting Staff to Support Pts.LOTS EOLissue inDialysis.#hpm
Wed Mar 27 18:12:36 PDT 2013
KnowYourWishes
@rfberry Not meaningful without context of how death occurred...done badly at home is NOT better than done well at hospital. #hpm
Wed Mar 27 18:12:52 PDT 2013
Kamiyamay
@KnowYourWishes I see families honor patient wishes and take home. I tell them they are hidden hero's of America-honor & respect #hpm
Wed Mar 27 18:12:57 PDT 2013
johnwhiteside55
@KnowYourWishes agreed its def a hard exp for most family members #Hpm
Wed Mar 27 18:12:58 PDT 2013
aliciabloom
T1: concerning to see that 1/4 of hospital deaths occurred in people over 85 #hpm
Wed Mar 27 18:13:23 PDT 2013
rfberry
@oliverdr interesting. @AP reported @CDCgov officials said growing availability of hospice may be a factor for fewer hospital deaths. #hpm
Wed Mar 27 18:13:31 PDT 2013
KnowYourWishes
@Kamiyamay Agree- all about pt/family wishes and prefs #hpm

Wed Mar 27 18:13:50 PDT 2013
rfberry
@KnowYourWishes good point for sure. #hpm

Wed Mar 27 18:14:00 PDT 2013
Kamiyamay
@KnowYourWishes Home care must have careful guidance, good education and consistent care that builds trust! #hpm
Wed Mar 27 18:14:08 PDT 2013
BillPfohl
I wonder if there is an ethnic component? #hpm

Wed Mar 27 18:14:32 PDT 2013
rfberry
@ChrisAug89 great, thanks for joining in! We're discussing this @CDCgov report http://t.co/ahacTQlKNt for T1. #hpm
Wed Mar 27 18:14:37 PDT 2013
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3/28/13 9:16 AM
jfclearywisc
Jim Cleary @uwhealth #Palliative Care MD & Director PPSG (@Painpolicy) joining #hpm chat for the next 45 minutes.
Wed Mar 27 18:14:53 PDT 2013
aliciabloom
T1: in-hospital death often implies more complex (unnecessary, unhelpful) interventions at EoL, which is concerning #hpm
Wed Mar 27 18:14:56 PDT 2013
oliverdr
Increase in hospice would be good reason IF there was enough time for hospice- as we know too often LOS very short and pts dumped there #hpm
Wed Mar 27 18:15:07 PDT 2013
KnowYourWishes
Would be interesting to know if came from home or facility RT @aliciabloom: T1: 1/4 of hospital deaths occurred in people over 85 #hpm
Wed Mar 27 18:15:13 PDT 2013
KnowYourWishes
I bet there is! RT @BillPfohl: I wonder if there is an ethnic component? #hpm

Wed Mar 27 18:15:24 PDT 2013
Kamiyamay
@BillPfohl I believe there is...ethnicity and culture very important. #hpm

Wed Mar 27 18:15:32 PDT 2013
UWGlobalHealth
RT @jfclearywisc: Jim Cleary @uwhealth #Palliative Care MD & Director PPSG (@Painpolicy) joining #hpm chat for the next 45 minutes.
Wed Mar 27 18:15:49 PDT 2013
rfberry
I haven't dug around the data enough to have found that yet. Good thought. RT @BillPfohl: I wonder if there is an ethnic component? #hpm
Wed Mar 27 18:16:25 PDT 2013
oliverdr
I think I recall recent study by Teno related to economic status related to place of deaththis report does not give that kind of data #hpm
Wed Mar 27 18:16:33 PDT 2013
rfberry
Hi Jim! RT @jfclearywisc: Jim Cleary @uwhealth #Palliative Care MD & Director PPSG (@Painpolicy) joining the chat for the next 45 min. #hpm
Wed Mar 27 18:17:09 PDT 2013
suzanakm
@ctsinclair giving Grand Rounds @umassmemorial @umassmed tomorrow - how about starting #hpmGR for all pearls from #hpm talks at our centers?
Wed Mar 27 18:17:13 PDT 2013
ctsinclair
RT @KnowYourWishes Some people do NOT want loved ones dying in home. But assuming that this data is congruent with wishes. #hpm
Wed Mar 27 18:17:23 PDT 2013
RT @oliverdr also wondered if those @ home had services they needed ie #hospice or if
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=03-27-2013&thour=19&tmin=15&ssec=00&tsec=00&img=1 Page 6 of 25
3/28/13 9:16 AM
ctsinclair
they were just sent home w/nothing- skeptic in me #hpm

Wed Mar 27 18:17:30 PDT 2013
ctsinclair
@oliverdr I like the skeptic in you! #hpm

Wed Mar 27 18:17:37 PDT 2013
GraniteDoc
T1 lots of interesting data-i'm looking at fig 3 with lower LOS, esp lower rates of long hosp ending in death. Hard to sort out why. #hpm
Wed Mar 27 18:17:38 PDT 2013
aliciabloom
@KnowYourWishes @BillPfohl there is a lot of literature out there about racial differences in EoL care & medical decision making #hpm
Wed Mar 27 18:17:39 PDT 2013
suzanakm
@rfberry @jfclearywisc @uwhealth @painpolicy Hi all... I guess I am here too, can join in tonight. #hpm
Wed Mar 27 18:17:49 PDT 2013
rfberry
@suzanakm sounds interesting! Though sometimes I worry about hashtag overload, may be good to keep it on this stream. Thoughts? #hpm
Wed Mar 27 18:18:22 PDT 2013
aliciabloom
T1: dying at home with a very short LOS on #hospice doesn't necessarily feel like a good outcome to me #hpm
Wed Mar 27 18:18:34 PDT 2013
BillPfohl
@jfclearywisc Hey Jim...I have been enjoying the #HBMGlodal posts! #hpm
Wed Mar 27 18:19:00 PDT 2013
rfberry
T1 Interesting: Female inpatient hospital deaths decreased in 2010. Male inpatient deaths did not change significantly during this time #hpm
Wed Mar 27 18:19:04 PDT 2013
Kamiyamay
@GraniteDoc multidisciplinary approach..many reasons probably #hpm

Wed Mar 27 18:19:06 PDT 2013
KnowYourWishes
Agree completely!RT @aliciabloom: T1: dying at home with a very short LOS on #hospice doesnt necessarily feel like a good outcome to me #hpm
Wed Mar 27 18:19:23 PDT 2013
suzanakm
@rfberry good idea. #hpm

Wed Mar 27 18:19:29 PDT 2013
jfclearywisc
@suzanakm @rfberry Hi Suzana rachel. Picking up the topics #hpm

Wed Mar 27 18:19:31 PDT 2013
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3/28/13 9:16 AM
oliverdr
No info on outcomes is a huge problem with this data! more unknown here than known #hpm
Wed Mar 27 18:19:50 PDT 2013
Kamiyamay
@aliciabloom It is hard to take the journey when it is so short...crash course! #hpm

Wed Mar 27 18:19:51 PDT 2013
GraniteDoc
@aliciabloom I agree, but here in-hospital death can be due to lack of options for discharge, very little access to inpt hospice here #hpm
Wed Mar 27 18:19:57 PDT 2013
jfclearywisc
@BillPfohl Thanks Bill. Join us for #hpmglobal at 8 am EDT every Monday morning #hpm
Wed Mar 27 18:20:15 PDT 2013
rfberry
Important to remember. RT @KnowYourWishes: Some people do NOT want loved ones dying in home. #hpm
Wed Mar 27 18:20:30 PDT 2013
GraniteDoc
@Kamiyamay Certainly, many reasons inc more availability of PC, more efficient hospitalists, etc. #hpm
Wed Mar 27 18:20:55 PDT 2013
aliciabloom
@GraniteDoc that's difficult. many patients need a higher level of hospice care than can be provided at home or in nursing home. #hpm
Wed Mar 27 18:20:55 PDT 2013
rfberry
Renee here, though I am a gleek as well :) RT @jfclearywisc: @suzanakm @rfberry Hi Suzana rachel. Picking up the topics #hpm
Wed Mar 27 18:21:06 PDT 2013
suzanakm
This is a great excuse to procrastinate reading my finance text book tonight. #hpm
Wed Mar 27 18:21:11 PDT 2013
Kamiyamay
MT @GraniteDoc: @aliciabloom I agree,here in-hospital death can B due 2 lack options discharge, very little access inpt hospice here #hpm
Wed Mar 27 18:21:12 PDT 2013
jfclearywisc
@aliciabloom T1. But while we "force" people to make hospice based palliative care an either or decision there will be short LOS. #Hpm
Wed Mar 27 18:21:28 PDT 2013
johnwhiteside55
What is the general feelings of ptns? Home or hospital? #Hpm

Wed Mar 27 18:21:49 PDT 2013
Kamiyamay
@jfclearywisc Very intuitive! #hpm

Wed Mar 27 18:22:24 PDT 2013
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3/28/13 9:16 AM
GraniteDoc
@aliciabloom Very difficult, we have 3 inpt hospice in NH, closest to us is 1 hr away. Only 1 in VT, 1hr+ away. #hpm
Wed Mar 27 18:22:43 PDT 2013
BillPfohl
RT @KnowYourWishes: Some people do NOT want loved ones dying in home. Ques: Is that older or younger ppl? #hpm
Wed Mar 27 18:22:49 PDT 2013
aliciabloom
@jfclearywisc I would agree that is part of the problem, but not all of it. Probably true mostly for Oncology patients #hpm
Wed Mar 27 18:22:58 PDT 2013
oliverdr
one can only dream that pts and families are able to make an informed choice and that there is a PLAN to make that happen #hpm
Wed Mar 27 18:23:06 PDT 2013
jfclearywisc
@rfberry @suzanakm I think that during the day, #Hpm is often quiet enough for people to follow during a GR without interference
Wed Mar 27 18:23:06 PDT 2013
ctsinclair
T1 would be good to compare this data with the recent JAMA article by teno. Mobile now so I don't have the link #Hpm
Wed Mar 27 18:23:15 PDT 2013
jfclearywisc
@ctsinclair On your way to Boston I hear #hpm

Wed Mar 27 18:23:51 PDT 2013
aliciabloom
@jfclearywisc for those w/ advanced chronic illness (CHF, COPD) seems like less of an issue. need better advance care planning convos #hpm
Wed Mar 27 18:23:55 PDT 2013
Kamiyamay
@BillPfohl Some of both..had an amazing weekend...many peeps at home...good experiences! Family happy, pt wishes! #hpm
Wed Mar 27 18:23:58 PDT 2013
rfberry
We're going to move to T2 soon, please share any other thoughts on T1 about @CDCgov's report on place of death http://t.co/ahacTQlKNt #hpm
Wed Mar 27 18:24:10 PDT 2013
ctsinclair
RT @oliverdr: one can only dream that pts and families are able to make an informed choice and that there is a PLAN to make that happen #Hpm
Wed Mar 27 18:24:19 PDT 2013
ctsinclair
@oliverdr but aren't we working to make it a reality? #Hpm

Wed Mar 27 18:24:33 PDT 2013
RT @jfclearywisc: @rfberry during the day, #Hpm is often quiet enough for people to
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=03-27-2013&thour=19&tmin=15&ssec=00&tsec=00&img=1 Page 9 of 25
3/28/13 9:16 AM
suzanakm
follow during a GR without interference -good point #hpm

Wed Mar 27 18:24:43 PDT 2013
rfberry
Large majority when asked prefer home. RT @johnwhiteside55: What is the general feelings of ptns? Home or hospital? #hpm
Wed Mar 27 18:24:54 PDT 2013
oliverdr
A critical role for PC if we can get people access-proactive planning for desired place of death-only with a plan can it happen #hpm
Wed Mar 27 18:25:11 PDT 2013
Kamiyamay
MT @ctsinclair: RT @oliverdr: one can dream pts and families able to make informed choice and that there is a PLAN to make that happen #hpm
Wed Mar 27 18:25:21 PDT 2013
jfclearywisc
@aliciabloom "The conversation" is equally impt for cancer patients. Often get sold the farm with little benefit from exp therapies #hpm
Wed Mar 27 18:25:29 PDT 2013
oliverdr
@ctsinclair sure hope we are making progress on this! #hpm

Wed Mar 27 18:25:50 PDT 2013
Kamiyamay
@rfberry Without a doubt home, but for some this is not realistic or safe #hpm
Wed Mar 27 18:25:57 PDT 2013
BillPfohl
@ctsinclair This might be the link http://t.co/JLTZMCrURF #hpm

Wed Mar 27 18:26:01 PDT 2013
ctsinclair
T1 Would be great to work with this data and repurpose it for many different media types. Is CDC on Pinterest? ;) #Hpm
Wed Mar 27 18:26:11 PDT 2013
rfberry
Pre-T2: Have you read about PCHETA - Palliative Care & Hospice Education and Training Act? http://t.co/q3bhVyqBfa #hpm
Wed Mar 27 18:26:19 PDT 2013
aliciabloom
@johnwhiteside55 majority of patients say they prefer to die at home, but sometimes it's too challenging #hpm
Wed Mar 27 18:26:20 PDT 2013
ctsinclair
What this chat needs is a few people from the graphic design community to do some pro bono work on advocacy! #Hpm
Wed Mar 27 18:26:51 PDT 2013
aliciabloom
@jfclearywisc yes, but the Medicare hospice benefit doesn't adequately allow for concurrent care of costly palliative treatments #hpm
Wed Mar 27 18:26:51 PDT 2013
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=03-27-2013&thour=19&tmin=15&ssec=00&tsec=00&img=1
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3/28/13 9:16 AM
GraniteDoc
@ctsinclair Yes, so many interesting data points here, thinking of how to translate for other providers and public #hpm
Wed Mar 27 18:27:14 PDT 2013
rfberry
Congrats @nhpco_news on the fresh website! RT @BillPfohl: @ctsinclair This might be the link http://t.co/qsvBiw9R05 #hpm
Wed Mar 27 18:27:19 PDT 2013
KnowYourWishes
Here here! RT @ctsinclair: What this chat needs is a few people from the graphic design community to do some pro bono work on advocacy! #hpm
Wed Mar 27 18:27:24 PDT 2013
johnwhiteside55
Home seems best but would imagine neg associations for family members #Hpm
Wed Mar 27 18:27:38 PDT 2013
Kamiyamay
@ctsinclair You have my applause! Excellent, advocating advocacy!!! #hpm

Wed Mar 27 18:27:53 PDT 2013
BillPfohl
Marking too Chris...we have to dump terms like EOL , Terminal etc... #hpm
Wed Mar 27 18:27:58 PDT 2013
ctsinclair
RT @BillPfohl: @ctsinclair This might be the link http://t.co/IFNlhjdclD. "Yes that is the study! Thanks!" #Hpm
Wed Mar 27 18:28:03 PDT 2013
rfberry
Always eyes open for that! RT @ctsinclair We need a few people from the graphic design community to do some pro bono work on advocacy! #hpm
Wed Mar 27 18:28:22 PDT 2013
Kamiyamay
(Good point) RT @BillPfohl: Marking too Chris...we have to dump terms like EOL , Terminal etc... #hpm
Wed Mar 27 18:28:38 PDT 2013
equijada
@johnwhiteside55 tell me your thoughts? #hpm

Wed Mar 27 18:28:45 PDT 2013
oliverdr
especially if no one prepares them- short los!@johnwhiteside55 Home seems best but would imagine neg associations for family members #hpm
Wed Mar 27 18:28:54 PDT 2013
aliciabloom
@BillPfohl language is important, but we use plenty of euphemisms that create more barriers to honest conversations #hpm
Wed Mar 27 18:29:04 PDT 2013
KnowYourWishes
Marketing the message was a big point at #CTAC2013 @CTACorg #hpm
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Wed Mar 27 18:29:21 PDT 2013
CKRN
@johnwhiteside55 neg associations possible. But sometimes participating and attending a peaceful death is transformative& helps grief #Hpm
Wed Mar 27 18:29:23 PDT 2013
GraniteDoc
@ctsinclair I have some design friends, I may run this by them! #hpm
Wed Mar 27 18:29:26 PDT 2013
rfberry
T2 What are ways we as a community can help expand the palliative care workforce & advocate w/PCHETA? http://t.co/SAqEBVKJgs #hpm
Wed Mar 27 18:29:27 PDT 2013
ctsinclair
RT @rfberry: Pre-T2: Have you read about PCHETA - Palliative Care & Hospice Education and Training Act? http://t.co/P5ubU9Fe88 #Hpm
Wed Mar 27 18:29:29 PDT 2013
Kamiyamay
@oliverdr Much is determined by the staff/med team handling the case! #hpm
Wed Mar 27 18:29:45 PDT 2013
BillPfohl
Agreed!RT @aliciabloom: @BillPfohl language is important, we use plenty of euphemisms that create more barriers to honest conversations #hpm
Wed Mar 27 18:29:58 PDT 2013
ChrisAug89
RT Agreed! @aliciabloom @johnwhiteside55 majority of patients say they prefer to die at home, but sometimes it's too challenging #hpm
Wed Mar 27 18:30:04 PDT 2013
milhealth
@rfberry @BillPfohl ethnic component to selecting #hospice? #hpm

Wed Mar 27 18:30:11 PDT 2013
johnwhiteside55
I completely agree. Just trying to look at it from a diff angle #Hpm

Wed Mar 27 18:30:15 PDT 2013
Kamiyamay
MT @CKRN: @johnwhiteside55 neg associations possible. Participating and attending a peaceful death can be transformative& helps grief #hpm
Wed Mar 27 18:30:21 PDT 2013
CKRN
T2 incorporating HPC into health profession education is so key. #Hpm

Wed Mar 27 18:30:34 PDT 2013
ctsinclair
RT @CKRN: @johnwhiteside55 neg assoc possible. But sometimes participating/ attending a peaceful death is transformative& helps grief #Hpm
Wed Mar 27 18:30:50 PDT 2013
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oliverdr
@Kamiyamay So true and if you have only an average of 26 days to prepare everyone pretty tough! #hpm
Wed Mar 27 18:30:52 PDT 2013
suzanakm
@rfberry I did not read it until now. I look forwards to seeing how broad it is, how has it been affected by the sequester? T2 #hpm
Wed Mar 27 18:31:05 PDT 2013
Kamiyamay
(Agree) RT @CKRN: T2 incorporating HPC into health profession education is so key. #hpm
Wed Mar 27 18:31:12 PDT 2013
WaywardChad
MT @aliciabloom: language is important, we use plenty of euphemisms that create more barriers to honest conversations #hpm
Wed Mar 27 18:31:26 PDT 2013
CKRN
T2 I think, at least in nursing, many orgs. limit themselves by not hiring new grads. #Hpm
Wed Mar 27 18:31:32 PDT 2013
ctsinclair
T2 get hospice teams to help support it through contacting Congressional representatives. We have a large workforce! #Hpm
Wed Mar 27 18:31:36 PDT 2013
oliverdr
Imagine need for workforce if every stage3 and stage4 CA pt automatically went to PC! I dream we have that problem! #hpm
Wed Mar 27 18:31:42 PDT 2013
GraniteDoc
T2 We're actively developing curricula for IM residents and eventually hospitalists and other specialists, could use PCHETA grants #hpm
Wed Mar 27 18:31:50 PDT 2013
jfclearywisc
@ctsinclair @CKRN @johnwhiteside55 But I can't believe that me wiping my father's bum is going to be transformative 4 our relationship! #hpm
Wed Mar 27 18:32:00 PDT 2013
ctsinclair
T2 get a PCHETA fan twitter account or FB page? #Hpm

Wed Mar 27 18:32:09 PDT 2013
Kamiyamay
@oliverdr The tough ones are 24 hours or less....bottom line we need earlier referral for best outcomes! #hpm
Wed Mar 27 18:32:14 PDT 2013
WaywardChad
MT @rfberry T2 What are ways we as a community can help expand palliative care workforce & advocate w/PCHETA? http://t.co/ZljcLYiH9b #hpm
Wed Mar 27 18:32:32 PDT 2013
Kamiyamay
RT @CKRN: T2 I think, at least in nursing, many orgs. limit themselves by not hiring new
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3/28/13 9:16 AM
grads. #hpm
Wed Mar 27 18:32:38 PDT 2013
oliverdr
Silly for us to think that any Dr, nurse, social worker does not need to know how to counsel and care for a dying patient! Denial #hpm
Wed Mar 27 18:32:57 PDT 2013
CKRN
@jfclearywisc ha! Fair enough :-) #Hpm

Wed Mar 27 18:32:58 PDT 2013
BillPfohl
T2...I know I'm from Mrkt, but many ppl know little about hospice and even less about Palliative medicine.#Workcutout torus #hpm
Wed Mar 27 18:32:58 PDT 2013
rfberry
Really? I almost wonder if the @AAHPM current audience would be larger RT @ctsinclair: T2 get a PCHETA fan twitter account or FB page? #hpm
Wed Mar 27 18:33:12 PDT 2013
suzanakm
@oliverdr we're hoping to embed PC into gi, lung, and liver multid clinics. Already asked to see every pt w/ unresectable ca #hpm
Wed Mar 27 18:33:12 PDT 2013
ctsinclair
RT @CKRN: T2 incorporating HPC into health profession education is so key. "Yes, For all disciplines." #Hpm
Wed Mar 27 18:33:13 PDT 2013
WaywardChad
T2: I'd love to see greater levels of training in allied fields, like social work. My MSW program only had one class available. #hpm
Wed Mar 27 18:33:20 PDT 2013
ctsinclair
@jfclearywisc fair enough! #Hpm

Wed Mar 27 18:33:43 PDT 2013
oliverdr
@suzanakm AWESOME #hpm

Wed Mar 27 18:33:56 PDT 2013
johnwhiteside55
@Kamiyamay yes GNs have a challenge in getting that first role #Hpm
Wed Mar 27 18:33:58 PDT 2013
ctsinclair
RT @WaywardChad: love to see greater levels of training in allied fields, like social work. My MSW program only had 1 class available. #Hpm
Wed Mar 27 18:34:05 PDT 2013
rfberry
Has everyone sent a letter to their congressional leaders about PCHETA http://t.co/fgGZoWGigO @AAHPM has a great resource! Easy! #hpm
Wed Mar 27 18:34:19 PDT 2013
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ctsinclair
@rfberry I was kidding (kind of) #Hpm

Wed Mar 27 18:34:27 PDT 2013
oliverdr
@WaywardChad even one class is tough to get approved- how well I know! #hpm
Wed Mar 27 18:34:31 PDT 2013
Kamiyamay
@johnwhiteside55 Need mentoring programs #hpm

Wed Mar 27 18:34:47 PDT 2013
suzanakm
@oliverdr need the workforce to meet the demand! that is our challenge now... a good challenge to have I think. #hpm
Wed Mar 27 18:34:47 PDT 2013
aliciabloom
RT @rfberry: Has everyone sent a letter to their congressional leaders about PCHETA http://t.co/fvFEIocJE8 @AAHPM has a great resource! #hpm
Wed Mar 27 18:34:57 PDT 2013
jfclearywisc
@CKRN @ctsinclair T1: But we tend to sugarcoat "dying at home" with families rather than talking the reality of caring. (which is impt) #hpm
Wed Mar 27 18:35:00 PDT 2013
Kamiyamay
MT @rfberry: Has everyone sent a letter to their congressional leaders about PCHETA http://t.co/5LCT99ixD6 @AAHPM great resource! Easy! #hpm
Wed Mar 27 18:35:18 PDT 2013
Kamiyamay
RT @suzanakm: @oliverdr need the workforce to meet the demand! that is our challenge now... a good challenge to have I think. #hpm
Wed Mar 27 18:35:23 PDT 2013
ctsinclair
RT @rfberry: Has everyone sent a letter to their congressional leaders about PCHETA "not recently, but I will this week!" #Hpm
Wed Mar 27 18:35:30 PDT 2013
GraniteDoc
@rfberry Need to get hospital chains and lobbying groups on board, all will reap benefits of expanded PC workforce! #hpm
Wed Mar 27 18:35:58 PDT 2013
milhealth
@rfberry @BillPfohl @CDCgov interesting. I asked b-cause older gen Cuban/Am. dont even discuss the c word, although thats changing #hpm
Wed Mar 27 18:36:09 PDT 2013
Kamiyamay
@jfclearywisc Must have an even blend...reality with encouragement and education...not always easy but doable and rewarding #hpm
Wed Mar 27 18:36:24 PDT 2013
suzanakm
PCHETA - @umassmed we are hoping to develop interdisciplinary fellowships - hope to reach a new IPU in community too. #hpm
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Wed Mar 27 18:36:29 PDT 2013
CKRN
@jfclearywisc @ctsinclair absolutely. Preparing people for what caring and dying @ home entails is different than just asking wishes #Hpm
Wed Mar 27 18:36:29 PDT 2013
rfberry
Could be cool for sure. Just thinking of resources & current audience. RT @ctsinclair: @rfberry I was kidding (kind of) #hpm
Wed Mar 27 18:36:33 PDT 2013
rfberry
@ctsinclair cool, maybe we could write up a reminder to the community on @Pallimed #hpm
Wed Mar 27 18:36:57 PDT 2013
ctsinclair
@rfberry why would we only need to depend on organizations like aahpm to be the source of info about PCHETA. Could be multi sourced? #Hpm
Wed Mar 27 18:36:59 PDT 2013
johnwhiteside55
Thanks for the link. Rfberry #Hpm

Wed Mar 27 18:37:02 PDT 2013
suzanakm
PCHETA - needs to support community-based, hospice-based as well as academic educational venues. #hpm
Wed Mar 27 18:37:10 PDT 2013
Kamiyamay
MT @CKRN: @jfclearywisc @ctsinclair absolutely. Preparing people for caring and dying @ home entails different than just asking wishes #hpm
Wed Mar 27 18:37:34 PDT 2013
oliverdr
RT @ctsinclair absolutely. Preparing people for what caring and dying @ home entails is different than just asking wishes #hpm
Wed Mar 27 18:37:40 PDT 2013
ctsinclair
@rfberry yeah not like some if us need one more thing to organize and champion. ;-) #confessionsofachronicsupporter #Hpm
Wed Mar 27 18:37:59 PDT 2013
rfberry
@GraniteDoc good point! Makes sense to me! @PCHermes do you know if any hospitals/associations are joining in on PCHETA advocacy? #hpm
Wed Mar 27 18:38:06 PDT 2013
rfberry
RT @GraniteDoc: @rfberry Need to get hospital chains and lobbying groups on board, all will reap benefits of expanded PC workforce! #hpm
Wed Mar 27 18:38:12 PDT 2013
KnowYourWishes
sorry, i went MIA. On call tonight. #hpm

Wed Mar 27 18:38:43 PDT 2013
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rfberry
@ctsinclair very good point! #hpm

Wed Mar 27 18:38:48 PDT 2013
suzanakm
RT @GraniteDoc: @rfberry Need to get hospital chains and lobbying groups on board, all will reap benefits of expanded PC workforce! #hpm
Wed Mar 27 18:39:01 PDT 2013
rfberry
Could be cool if we all weighed in on @POPVOX about PCHETA http://t.co/Nw5nQAkXLB #hpm

Wed Mar 27 18:39:18 PDT 2013
ctsinclair
PCHETA needs simple basic talking points that can be shared (in 140 characters if possible) #Hpm
Wed Mar 27 18:39:32 PDT 2013
thatMeganRN
#hpm just got here sorry! Knew I was missing something....

Wed Mar 27 18:39:36 PDT 2013
BillPfohl
@oliverdr "Preparing people for what caring and dying @ home entails" that phenom is only a generation or 2 old.... #hpm
Wed Mar 27 18:39:38 PDT 2013
rfberry
+ + RT @suzanakm: PCHETA - needs to support community-based, hospice-based as well as academic educational venues. #hpm
Wed Mar 27 18:39:43 PDT 2013
jfclearywisc
@suzanakm Best when hospice is academic venue. @aahpm I have asked who has academic affiliations. Most! #hpm needs 2B academic in all venues
Wed Mar 27 18:39:43 PDT 2013
Kamiyamay
RT @rfberry: Could be cool if we all weighed in on @POPVOX about PCHETA http://t.co/MWFPausFOv #hpm
Wed Mar 27 18:39:46 PDT 2013
ctsinclair
RT @KnowYourWishes: sorry, i went MIA. On call tonight. "Living the dream! At least you are acting since we're just chatting!" #Hpm
Wed Mar 27 18:40:40 PDT 2013
GraniteDoc
@suzanakm Good point, how to organize many smaller groups to take advantage? Seems like the Duke-hospice collab model could work #hpm
Wed Mar 27 18:40:51 PDT 2013
rfberry
@thatMeganRN great you could join! We're just talking about advocating for the palliative care workforce http://t.co/fgGZoWGigO #hpm
Wed Mar 27 18:40:52 PDT 2013
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Kamiyamay
@rfberry True, need many venues, platforms and spread the word to people. Use the power of mobile! #hpm
Wed Mar 27 18:40:54 PDT 2013
ctsinclair
RT @rfberry: Could be cool if we all weighed in on @POPVOX about PCHETA http://t.co/PjP0ykJOKU #Hpm
Wed Mar 27 18:41:06 PDT 2013
suzanakm
@jfclearywisc true... collaboration between academic center and hospice and community setting is optimal #hpm
Wed Mar 27 18:41:09 PDT 2013
jfclearywisc
RT @suzanakm: @jfclearywisc true... collaboration between academic center and hospice and community setting is optimal #hpm
Wed Mar 27 18:41:26 PDT 2013
johnwhiteside55
RT @Kamiyamay: @rfberry Night all. Gotta run. Thanks for the invite #Hpm
Wed Mar 27 18:42:36 PDT 2013
ctsinclair
RT @suzanakm: PCHETA - needs to support community-based, #hospice-based as well as academic educational venues. #Hpm
Wed Mar 27 18:42:38 PDT 2013
rfberry
Do any of you see any road blocks to PCHETA advocacy within your clinical &/or local communities? #hpm
Wed Mar 27 18:42:39 PDT 2013
ctsinclair
Just reading a little bit about @POPVOX and that sounds like a fantastic idea @rfberry #Hpm
Wed Mar 27 18:43:15 PDT 2013
GraniteDoc
@suzanakm @jfclearywisc So much benefit for both parties with collab b/n academics + hospice, who is doing this successfully? #hpm
Wed Mar 27 18:43:32 PDT 2013
ctsinclair
RT @rfberry: Do any of you see any road blocks to PCHETA advocacy within your clinical &/or local communities? "Basic awareness" #Hpm
Wed Mar 27 18:43:37 PDT 2013
suzanakm
@GraniteDoc exactly... it may also help rural communities, like those in northern NE, etc. #hpm
Wed Mar 27 18:43:38 PDT 2013
ChrisAug89
So So Important @ctsinclair absolutely. Preparing people for caring and dying @ home entails different than just asking wishes #hpm
Wed Mar 27 18:43:45 PDT 2013
@johnwhiteside55 Best - world's best IDT here every Wed pm! #hpm
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=03-27-2013&thour=19&tmin=15&ssec=00&tsec=00&img=1 Page 18 of 25
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Kamiyamay
Wed Mar 27 18:43:45 PDT 2013
oliverdr
Biggest obstacle may be competition for other specialities with so many shortages priorities have not been PC #hpm
Wed Mar 27 18:44:08 PDT 2013
jfclearywisc
@rfberry Usual political barriers. Interesting that fellowship dirs reporting an increase in no & quality of candidates is increasing #Hpm
Wed Mar 27 18:44:11 PDT 2013
rfberry
@ctsinclair cool, if you have ideas abt how the platform could be useful to our community, keep me posted, the founder is local/awesome #hpm
Wed Mar 27 18:44:31 PDT 2013
suzanakm
@GraniteDoc we are working on building that here. One reason @ctsinclair coming our way. #hpm
Wed Mar 27 18:44:34 PDT 2013
Kamiyamay
@ctsinclair lack of "basic awareness" profound! #hpm

Wed Mar 27 18:44:35 PDT 2013
aliciabloom
T2: i think we face the ever present challenge of people not understanding what palliative care is & clinicians misunderstanding it #hpm
Wed Mar 27 18:44:36 PDT 2013
thatMeganRN
#hpm remember that lawmakers see on quantity. Writing a letter/article is nice but doesn't have the same impact as a chorus of voices.
Wed Mar 27 18:44:44 PDT 2013
ctsinclair
@oliverdr great point about competition between PC and other specialties. Key in #meded for sure, probably also RN, SW? #Hpm
Wed Mar 27 18:45:26 PDT 2013
oliverdr
So trueRT @aliciabloom: face the ever present challenge of people not understanding what palliative care is clinicians misunderstanding #hpm
Wed Mar 27 18:45:30 PDT 2013
Kamiyamay
@aliciabloom You are so right, have an experience too long to tell...some hospital clinicians very guarded #hpm #hpm
Wed Mar 27 18:45:42 PDT 2013
rfberry
@ctsinclair when you ssay basic awareness, do you mean understanding of hpm or PCHETA awareness/action w/in the clinical community? #hpm
Wed Mar 27 18:45:51 PDT 2013
WaywardChad
MT @aliciabloom: T2 Face the ever present challenge: people not understanding what
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palliative care is & clinicians misunderstanding it #hpm

Wed Mar 27 18:46:05 PDT 2013
GraniteDoc
@suzanakm Oh yes, we're working hard on it but geography is not the only barrier! #hpm
Wed Mar 27 18:46:08 PDT 2013
ctsinclair
RT @thatMeganRN: lawmakers see quantity. Writing a letter/article is nice but doesnt have the same impact as a chorus of voices. "+100" #Hpm
Wed Mar 27 18:46:17 PDT 2013
oliverdr
@thatMeganRN disadvantage in PC is our chorus dies before it can sing #hpm

Wed Mar 27 18:46:31 PDT 2013
rfberry
@thatMeganRN I'm all for multiple venues for chorus of voices! In person. Online. Letters. Bring it all to advocate for --> #hpm
Wed Mar 27 18:46:35 PDT 2013
ctsinclair
@rfberry basic awareness about PCHETA. Even in the #hpm community I would expect some would think it is a new chemo drug. #Hpm
Wed Mar 27 18:47:07 PDT 2013
thatMeganRN
@oliverdr: Biggest obstacle may be competition for other specialities with so many shortages priorities have not been PC #hpm very true!
Wed Mar 27 18:47:18 PDT 2013
BillPfohl
Choruses are nice but Political Pacs go even further...is there such a thing? #hpm
Wed Mar 27 18:47:56 PDT 2013
GraniteDoc
@suzanakm @ctsinclair Would be very interested to talk w/ you about what is working in MA, think about how to bring it northward! #hpm
Wed Mar 27 18:48:04 PDT 2013
ctsinclair
@thatMeganRN great point about letters to lawmakers. Important not to be too cynical on citizen impact on govt. #Hpm
Wed Mar 27 18:48:07 PDT 2013
Kamiyamay
@rfberry Excellent point...Multiple venues, chorus of voices... #hpm

Wed Mar 27 18:48:17 PDT 2013
rfberry
We're about to move to a very quick T3 :) #hpm

Wed Mar 27 18:48:54 PDT 2013
rfberry
@Kamiyamay Thanks! #hpm

Wed Mar 27 18:49:02 PDT 2013
RT @thatMeganRN Agree with the shortages, my hospital used to have a good PC

http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=03-27-2013&thour=19&tmin=15&ssec=00&tsec=00&img=1 Page 20 of 25
3/28/13 9:16 AM
KGoffRN
program, its been cut. Rural area. Totally different. #hpm

Wed Mar 27 18:49:08 PDT 2013
ctsinclair
@BillPfohl some advocacy and lobbying by the professional orgs and larger hospice companies #Hpm
Wed Mar 27 18:49:16 PDT 2013
suzanakm
@ctsinclair one challenge w #PCHETA is when spelled out Palliative Care & Hospice Education & Training Act takes up most 140 characters #hpm
Wed Mar 27 18:49:24 PDT 2013
thatMeganRN
#hpm on T1: we must not assume that dying at home is preferable. This may not be the ideal for every patient-they may not want to die @ home
Wed Mar 27 18:49:47 PDT 2013
rfberry
T3 April 16th is just around the corner! Have you or your organization made plans to advocate for advance care planning w/ @NHDD? #hpm
Wed Mar 27 18:49:55 PDT 2013
BillPfohl
That's the way.....RT @ctsinclair: @BillPfohl some advocacy and lobbying by the professional orgs and larger hospice companies #hpm
Wed Mar 27 18:50:00 PDT 2013
Kamiyamay
MT @KGoffRN: RT @thatMeganRN Agree with the shortages, my hospital used to have a good PC program, its been cut. Rural area. #hpm
Wed Mar 27 18:50:22 PDT 2013
suzanakm
@GraniteDoc interesting idea... definitely to follow through #hpm

Wed Mar 27 18:50:24 PDT 2013
ctsinclair
They are closing the plane doors everyone. On my way to Manchester, NH and Worrcster, MA. Take care and great chat tonight! #Hpm
Wed Mar 27 18:50:34 PDT 2013
Kamiyamay
MT @rfberry: T3 April 16th around the corner! Have you or your organization made plans to advocate for advance care planning w/ @NHDD? #hpm
Wed Mar 27 18:51:09 PDT 2013
thatMeganRN
#hpm T3 our PC educator us planning an info blitz with Ask Me buttons, posters, info booths, etc.
Wed Mar 27 18:51:13 PDT 2013
suzanakm
T3 - @NHDD - yes! we are launching our first event this year. Med and nursing student led initiative supported by our cancer center! #hpm
Wed Mar 27 18:51:14 PDT 2013
oliverdr
@ctsinclair safe travels #hpm
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Wed Mar 27 18:51:18 PDT 2013
CKRN
@ctsinclair safe travels, friend! #Hpm

Wed Mar 27 18:51:23 PDT 2013
suzanakm
@ctsinclair good night... see you tomorrow #hpm

Wed Mar 27 18:51:25 PDT 2013
jfclearywisc
RT @thatMeganRN: #hpm on T1: we must not assume that dying at home is preferable. This may not be the ideal for every patient-they may n ...
Wed Mar 27 18:51:41 PDT 2013
suzanakm
T3 - we are holding a movie night on decision-making. Two hospitals, two panels. clinicians/public invited. #hpm
Wed Mar 27 18:52:19 PDT 2013
WaywardChad
MT @rfberry: T3 4/16 is just around the corner! Have you/your organization made plans to advocate for advance care planning w/ @NHDD? #hpm
Wed Mar 27 18:52:26 PDT 2013
BillPfohl
T3big time for us. we start the day at a Women's Business conference and then a local TV news block with call-in about AD & interviews #hpm
Wed Mar 27 18:52:28 PDT 2013
KGoffRN
@jfclearywisc So true. Seeing more and more that dying at home is not the preference. Or families just can't manage it. #hpm
Wed Mar 27 18:52:34 PDT 2013
rfberry
Very Cool! RT @suzanakm We are launching our first @NHDD event this year. Med & nursing student led & supported by our cancer center! #hpm
Wed Mar 27 18:52:38 PDT 2013
rfberry
@BillPfohl that's amazing! #hpm

Wed Mar 27 18:53:01 PDT 2013
thatMeganRN
@suzanakm @nhdd #hpm great idea! It would be great to do some education for NSF students as they don't often get it in school. Hmm...
Wed Mar 27 18:53:03 PDT 2013
WaywardChad
T3: I'm spreading the word via Twitter by hosting a session of #DWDChat on @NHDD on 4/11 as a starting point. :) #hpm
Wed Mar 27 18:53:18 PDT 2013
CKRN
RT @thatMeganRN: #hpm T3 our PC educator us planning an info blitz with Ask Me buttons, posters, info booths, etc. #Hpm
Wed Mar 27 18:53:21 PDT 2013
Page 22 of 25
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thatMeganRN
@suzanakm what movie are you screening ? #hpm

Wed Mar 27 18:53:36 PDT 2013
BillPfohl
@rfberry And plenty of Social Media too...(I;m hoping to blow it out locally) #hpm
Wed Mar 27 18:53:49 PDT 2013
Kamiyamay
RT @CKRN: RT @thatMeganRN: #hpm T3 our PC educator us planning an info blitz with Ask Me buttons, posters, info booths, etc. #hpm
Wed Mar 27 18:53:53 PDT 2013
suzanakm
The @NHDD project will become part of a longitudinal "Capstone" project, the students will build upon each year. #hpm
Wed Mar 27 18:54:02 PDT 2013
rfberry
@suzanakm yes! If you create student specific resources send them to @NHDD & maybe more student led initiatives will get active #hpm
Wed Mar 27 18:54:23 PDT 2013
Kamiyamay
(Great plan) RT @BillPfohl: @rfberry And plenty of Social Media too...(I;m hoping to blow it out locally) #hpm
Wed Mar 27 18:54:27 PDT 2013
CKRN
Awesome MT @suzanakm: T3- yes! we are launching our 1st event this yr. Med and nurs stud led initiative supported by our cancer car! #Hpm
Wed Mar 27 18:54:37 PDT 2013
aliciabloom
RT @rfberry: T3 April 16th is around the corner! Have you/your organization made plans to advocate for advance care planning w/ @NHDD? #hpm
Wed Mar 27 18:54:45 PDT 2013
rfberry
LOVE. RT @suzanakm The @NHDD project will become part of a longitudinal "Capstone" project, the students will build upon each year. #hpm
Wed Mar 27 18:54:48 PDT 2013
aliciabloom
T3: we always promote @NHDD by collaborating with our hospital partners to do clinical & community education! #hpm
Wed Mar 27 18:55:23 PDT 2013
rfberry
If you have a favorite quote or advance care planning fact, send them over to me, working on some materials for @NHDD's April #hpm
Wed Mar 27 18:55:49 PDT 2013
suzanakm
@thatMeganRN I honestly can't remember! We called @NHDD for advice... I'll see if I can find it. #hpm
Wed Mar 27 18:56:22 PDT 2013
rfberry
Just a few minutes left in the chat, if you'd like to share closing thoughts on @NHDD,
Page 23 of 25
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PCHETA or the @CDCgov report please do so now. #hpm

Wed Mar 27 18:56:36 PDT 2013
Kamiyamay
MT @rfberry: If you have a favorite quote or advance care planning fact, send them over to me, working on materials for @NHDDs April #hpm
Wed Mar 27 18:56:43 PDT 2013
BillPfohl
@rfberry Great job hosting! Catch you all in a week... #hpm

Wed Mar 27 18:57:52 PDT 2013
suzanakm
@rfberry I'll be sure to let you know how it goes. We are quite excited. #hpm
Wed Mar 27 18:58:12 PDT 2013
yzafar
Generalist + specialist palliative care - Nice piece by @QuillTim and @abern003 (Amy Abernethy) http://t.co/IPKqkONIyt @NEJM #hpm
Wed Mar 27 18:58:30 PDT 2013
oliverdr
@rfberry thanks for hosting great discussion #hpm

Wed Mar 27 18:58:39 PDT 2013
jfclearywisc
@rfberry Ciao Thanks#hpm

Wed Mar 27 18:58:43 PDT 2013
mickeymd913
#hpm Sorry I missed chat tonight. I just set an alarm for Wednesdays at 9 until eternity...
Wed Mar 27 18:58:47 PDT 2013
rfberry
@BillPfohl Sounds great! Thanks for joining! #hpm

Wed Mar 27 18:59:00 PDT 2013
Kamiyamay
Lth: We must all take the challenge from grassroots to top of government and best one on one. Spreading advocacy and dignity! Night! #hpm
Wed Mar 27 18:59:11 PDT 2013
thatMeganRN
#hpm @rfberry thanks for hosting tonight!

Wed Mar 27 18:59:20 PDT 2013
HospiScript
Studies Examine Doctor-Patient Communication about End-of-Life Care. #hpm http://t.co/zfjyoAzbpu

Wed Mar 27 18:59:46 PDT 2013
Kamiyamay
@rfberry Thank you - very relevant! Great job! #hpm

Wed Mar 27 18:59:55 PDT 2013
rfberry
Great to see @QuillTim & @abern003 on Twitter! Must follows for the hospice & palliative care community! #hpm
Page 24 of 25
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Wed Mar 27 19:00:02 PDT 2013
suzanakm
I am so impressed by what the students have done: movie, panels with medonc, surgon, EMT, pallcare, students. Advertising et al. #hpm
Wed Mar 27 19:00:18 PDT 2013
suzanakm
Fabulous chat @rfberry #hpm

Wed Mar 27 19:00:32 PDT 2013
GraniteDoc
@rfberry Thanks for hosting! Thanks all for another thought-provoking chat! #hpm
Wed Mar 27 19:00:38 PDT 2013
CKRN
@rfberry thanks for hosting! #Hpm

Wed Mar 27 19:01:35 PDT 2013
rfberry
Great chat tonight!! If you missed the chat check the archive - will be updated with the transcript tomorrow http://t.co/F9ir3pFP95 #hpm
Wed Mar 27 19:02:32 PDT 2013
Kamiyamay
@CKRN nice to see you! #hpm

Wed Mar 27 19:02:37 PDT 2013
aliciabloom
thanks for hosting @rfberry! hope to see everyone again next week #hpm
Wed Mar 27 19:02:54 PDT 2013
Kamiyamay
MT @rfberry: Great chat tonight!! Missed chat check the archive-will be updated with the transcript tomorrow http://t.co/4HnV83exKV #hpm
Wed Mar 27 19:04:54 PDT 2013
suzanakm
good night all. Signing off. #hpm

Wed Mar 27 19:06:39 PDT 2013
Page 25 of 25

#HPM - TweetChat - 3/27/13

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#hpm - Healthcare Social Media Transcript

9 pm hope all is well #Hpm

John Whiteside. Florida #Hpm

#hpm - Healthcare Social Media Transcript

Hi all, Meredith MacMartin, pall care MD at DHMC in NH #hpm

@ctsinclair indeed we need time to sit and chat-much to share! #hpm

@CKRN :-) #hpm

#hpm - Healthcare Social Media Transcript

@GraniteDoc hey I'm headed into Manchester tonight! #hpm

Thanks for hosting rfberry #Hpm

@rfberry @GraniteDoc nope. Just landed in Chicago midway. #hpm

#hpm - Healthcare Social Media Transcript

@rfberry link not working for me. . . #hpm

@rfberry T1 - wondering if that was truly their wish. #hpm

@aliciabloom, strange, does this work? http://t.co/ahacTQlKNt #hpm

@rfberry nope. maybe it's my browser. #hpm

#hpm - Healthcare Social Media Transcript

@Kamiyamay Agree- all about pt/family wishes and prefs #hpm

@KnowYourWishes good point for sure. #hpm

I wonder if there is an ethnic component? #hpm

#hpm - Healthcare Social Media Transcript

I bet there is! RT @BillPfohl: I wonder if there is an ethnic component? #hpm

@BillPfohl I believe there is...ethnicity and culture very important. #hpm

#hpm - Healthcare Social Media Transcript

they were just sent home w/nothing- skeptic in me #hpm

@oliverdr I like the skeptic in you! #hpm

@GraniteDoc multidisciplinary approach..many reasons probably #hpm

@rfberry good idea. #hpm

@suzanakm @rfberry Hi Suzana rachel. Picking up the topics #hpm

#hpm - Healthcare Social Media Transcript

@aliciabloom It is hard to take the journey when it is so short...crash course! #hpm

What is the general feelings of ptns? Home or hospital? #Hpm

@jfclearywisc Very intuitive! #hpm

#hpm - Healthcare Social Media Transcript

@ctsinclair On your way to Boston I hear #hpm

@oliverdr but aren't we working to make it a reality? #Hpm

#hpm - Healthcare Social Media Transcript

follow during a GR without interference -good point #hpm

@ctsinclair sure hope we are making progress on this! #hpm

@ctsinclair This might be the link http://t.co/JLTZMCrURF #hpm

#hpm - Healthcare Social Media Transcript

@ctsinclair You have my applause! Excellent, advocating advocacy!!! #hpm

@johnwhiteside55 tell me your thoughts? #hpm

Marketing the message was a big point at #CTAC2013 @CTACorg #hpm

#hpm - Healthcare Social Media Transcript

Wed Mar 27 18:29:21 PDT 2013

@rfberry @BillPfohl ethnic component to selecting #hospice? #hpm

I completely agree. Just trying to look at it from a diff angle #Hpm

T2 incorporating HPC into health profession education is so key. #Hpm

#hpm - Healthcare Social Media Transcript

T2 get a PCHETA fan twitter account or FB page? #Hpm

#hpm - Healthcare Social Media Transcript

@jfclearywisc ha! Fair enough :-) #Hpm

@jfclearywisc fair enough! #Hpm

@suzanakm AWESOME #hpm

#hpm - Healthcare Social Media Transcript

@rfberry I was kidding (kind of) #Hpm

@johnwhiteside55 Need mentoring programs #hpm

#hpm - Healthcare Social Media Transcript

Wed Mar 27 18:36:29 PDT 2013

Thanks for the link. Rfberry #Hpm

sorry, i went MIA. On call tonight. #hpm

#hpm - Healthcare Social Media Transcript