#HPM Tweet Chat 1:25:12

#hpm - Healthcare Social Media Transcript
6/27/12 12:55 PM
#hpm transcript
Healthcare Social Media Transcript
From: To: Wed Jan 25 18:00:00 PST 2012 Wed Jan 25 19:15:00 PST 2012 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
kathydavisku
RT @aahpm: WIHI free audio program: Have You Had The Conversation? Helping Loved Ones Discuss End-of-Life Prefs. http://t.co/fABUH7kj #hpm
Wed Jan 25 18:00:13 PST 2012
kathydavisku
RT @aahpm: WIHI free audio program: Have You Had The Conversation? Helping Loved Ones Discuss End-of-Life Prefs. http://t.co/fABUH7kj #hpm
Wed Jan 25 18:00:13 PST 2012
hollyby
For the next hour, I'm tweeting from the Hospice and Palliative Medicine Tweetchat. Learn how http://t.co/OQaR2LA6 via @ctsinclair #hpm
Wed Jan 25 18:01:31 PST 2012
_lizzy_
To all my non-hospice twitter friends, please excuse the noise for the next hour. Hospice friends, please join #hpm tweetchat 9est (now)
Wed Jan 25 18:01:34 PST 2012
nursefriendly
RT @_lizzy_: To all my non-hospice twitter friends, please excuse the noise for the next hour. Hospice friends, please join #hpm tweetc ...
Wed Jan 25 18:01:48 PST 2012
hollyby
Welcome to the #Hospice and #Palliative Medicine Tweetchat everyone! Lets get started with some introductions. #hpm
Wed Jan 25 18:02:02 PST 2012
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=01-25-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1
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nursefriendly
RT @hollyby: Welcome to the #Hospice and #Palliative Medicine Tweetchat everyone! Lets get started with some introductions. #hpm
Wed Jan 25 18:02:40 PST 2012
schwartzbrown
To all my non-hospice twitter friends, please excuse the noise for the next hour. #hpm
Wed Jan 25 18:03:13 PST 2012
elderpages
Tasha here. Research scientist, web master. Specializing in helping hospices connect with family caregivers #hpm
Wed Jan 25 18:03:35 PST 2012
ShahinaLakhani
RT @hollyby: Welcome to the #Hospice and #Palliative Medicine Tweetchat everyone! Lets get started with some introductions. #hpm
Wed Jan 25 18:04:10 PST 2012
hollyby
Welcome @_lizzy_ @nursefriendly @ShahinaLakhani @schwartzbrown @elderpages! #hpm

Wed Jan 25 18:04:14 PST 2012
nursefriendly
Hello Everyone, Andrew Lopez, RN from New Jersey, Nurse, Parent Entrepreneur #socialmedia #enthusiast :) #hpm
Wed Jan 25 18:04:16 PST 2012
hollyby
Hello! This is @hollyby #hpm MD from @SanDiegoHospice. I'm hosting tonight. All tweets are my own. #hpm
Wed Jan 25 18:04:32 PST 2012
DrBeckerSchutte
Ann, lurking in Kansas City. I'm way too far behind on my paperwork to play, but I'll be reading along. #hpm
Wed Jan 25 18:04:55 PST 2012
schwartzbrown
Hi, Mindy here, retired social worker from NJ #hpm

Wed Jan 25 18:05:05 PST 2012
nursefriendly
RT @DrBeckerSchutte: Ann, lurking in Kansas City. I'm way too far behind on my paperwork to play, but I'll be reading along. #hpm
Wed Jan 25 18:05:14 PST 2012
hollyby
@DrBeckerSchutte Thanks for lurking! ;) #hpm

Wed Jan 25 18:05:46 PST 2012
_lizzy_
Hi, I'm Lizzy. Social worker, hospice volunteer, death & dying researcher - "Thanatologist" if you want to get fancy. #hpm
Wed Jan 25 18:06:10 PST 2012
drpippa
Pippa here. Primary care and HPM in Boston. Haven't been around in a while, trying to get
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back in the habit. #Hpm

Wed Jan 25 18:06:47 PST 2012
_lizzy_
@nursefriendly I don't understand all the retweets? Is your name Ann too? ;) #hpm
Wed Jan 25 18:06:51 PST 2012
hollyby
@drpippa Hooray! Glad you are here! #hpm

Wed Jan 25 18:07:30 PST 2012
elderpages
@drpippa Welcome back! #hpm

Wed Jan 25 18:07:34 PST 2012
nursefriendly
Click on the conversation - it makes sense :) RT @_lizzy_ @nursefriendly I don't understand all the retweets? Is your name Ann too? ;) #hpm
Wed Jan 25 18:07:34 PST 2012
EWidera
Eric, #HPM doc from UCSF who will be in and out of the conversation for the next hour
Wed Jan 25 18:07:47 PST 2012
hollyby
We'll get started with Topic 1 in a minute or so... #hpm

Wed Jan 25 18:08:15 PST 2012
ShahinaLakhani
Hi Shahina here advocate for holistic care in hospice and palliative care. gr8 to b here #hpm
Wed Jan 25 18:08:16 PST 2012
hollyby
@EWidera Thanks for joining in Eric! #hpm

Wed Jan 25 18:08:33 PST 2012
drpippa
@hollyby @elderpages thanks for the warm welcomes! #Hpm

Wed Jan 25 18:08:48 PST 2012
SheyontheBay
RN, CHPN in NY #hpm

Wed Jan 25 18:08:48 PST 2012
jocelyn528
Hi everyone. Jocelyn, Gerontologist in Florida. #hpm

Wed Jan 25 18:08:59 PST 2012
elderpages
West Coasters. Peak out the window. New moon and, I believe, Venus in the sky. Beautiful! #hpm
Wed Jan 25 18:09:18 PST 2012
nursefriendly
Switching over to #HPM :) RT @healersjourney: multitasking here- #s4pm

Wed Jan 25 18:09:27 PST 2012
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hollyby
@SheyontheBay @jocelyn528 Glad you could make it! #hpm

Wed Jan 25 18:09:38 PST 2012
hollyby
Topic #1: People all over the world have started paying attention to prognosis thanks to http://t.co/GFg2bhCl. Have you looked at it? #hpm
Wed Jan 25 18:10:23 PST 2012
EWidera
@hollyby I have #HPM

Wed Jan 25 18:11:16 PST 2012
hollyby
T1: Health care providers: Have you used it with your patients? Or non-HCP: Have you used it for someone you know? #hpm
Wed Jan 25 18:11:34 PST 2012
elderpages
@hollyby Twitter can't find that linke. Sorry. Is it http://t.co/y4Ro3M4w? #hpm

Wed Jan 25 18:11:58 PST 2012
pamressler
Hello everyone, RN, faculty member at #Tufts, author and speaker passionate about the intersection of social media and healthcare #hpm
Wed Jan 25 18:11:59 PST 2012
schwartzbrown
@hollyby the link is broken #hpm

Wed Jan 25 18:12:30 PST 2012
hollyby
@elderpages Yes,not sure why, I typed the actual page in and it warped it. http://t.co/GFg2bhCl #hpm
Wed Jan 25 18:12:59 PST 2012
elderpages
@hollyby Solution: Copy and paste URL without the period. #hpm
Wed Jan 25 18:13:02 PST 2012
nursefriendly
@pamressler Interesting, new to me "Estimating Prognosis for Elders" #Tufts #hpm

Wed Jan 25 18:13:20 PST 2012
nursefriendly
Nope! RT @hollyby: T1: Health care providers: Have you used it with your patients? Or nonHCP: Have you used it for someone you know? #hpm
Wed Jan 25 18:13:59 PST 2012
DeathwDignity
T1: not yet, but curious to learn about it. #hpm

Wed Jan 25 18:14:09 PST 2012
drpippa
I have looked at it and have discussed with some patients. Suprisingly few questions about it given media blitz. http://t.co/d48L4XIt? #Hpm
Wed Jan 25 18:14:11 PST 2012
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hollyby
@elderpages Thanks. #hpm

Wed Jan 25 18:14:20 PST 2012
SheyontheBay
No i haven't #hpm
Wed Jan 25 18:14:42 PST 2012
elderpages
My impression is that it's well researched, well validated tools. As a usability expert, though, it's not easy to find links. :-( #hpm
Wed Jan 25 18:14:56 PST 2012
ShahinaLakhani
me too RT @deathwdignity: T1: not yet, but curious to learn about it. #hpm
Wed Jan 25 18:15:16 PST 2012
FadingFarAway
Hi all. First timer in tweet chat and reading along. I am a student, researcher, and social worker. #hpm
Wed Jan 25 18:15:52 PST 2012
hollyby
For those who haven't seen it yet, it is a collection & rating of tools to estimate prognosis. JAMA article here http://t.co/bgijecpR #hpm
Wed Jan 25 18:16:23 PST 2012
dlschermd
Hi. Former cardiologist, digital health evangelist and consultant. First #hpm chat
Wed Jan 25 18:16:33 PST 2012
SheyontheBay
MT @hollyby: For the next hour, Im tweeting from the Hospice and Palliative Medicine Tweetchat. Learn how http://t.co/Nq5gNkxe #hpm
Wed Jan 25 18:16:36 PST 2012
nursefriendly
Welcome :) RT @FadingFarAway: Hi all. First timer in tweet chat and reading along. I am a student, researcher, and social worker. #hpm
Wed Jan 25 18:16:37 PST 2012
_lizzy_
@FadingFarAway Welcome Allison! #hpm

Wed Jan 25 18:16:42 PST 2012
elderpages
Put differently, the names look like it's case studies rather than the names of indexes. Hmmm. Anyone used one? #hpm
Wed Jan 25 18:16:42 PST 2012
hollyby
@FadingFarAway Welcome! #hpm

Wed Jan 25 18:16:44 PST 2012
hollyby
@elderpages Which links? #hpm

Wed Jan 25 18:16:52 PST 2012
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innovativenurse
@hollyby Thank you for sharing JAMA article #hpm

Wed Jan 25 18:17:42 PST 2012
hollyby
@dlschermd Welcome to you as well! #hpm

Wed Jan 25 18:17:51 PST 2012
DeathwDignity
Oops. Didn't introduce myself. Melissa from Death with Dignity Nat'l Ctr. We provide education about DwD laws like ones in OR &WA. #hpm
Wed Jan 25 18:18:00 PST 2012
elderpages
The links on the home pages that are blue bubbles are actually to specific calculators. They have names like Walter, Lee... #hpm
Wed Jan 25 18:18:04 PST 2012
SheyontheBay
@Nursefriendly "parent entrpreneur?". 'splain? #hpm

Wed Jan 25 18:18:26 PST 2012
pamressler
Welcome! RT @dlschermd: Hi. Former cardiologist, digital health evangelist and consultant. First #hpm chat #hpm
Wed Jan 25 18:18:39 PST 2012
hollyby
If you go to the top right-hand box, you can sort for the right prognostic tool by the kind of patient #hpm
Wed Jan 25 18:18:55 PST 2012
drpippa
I really like that strength/usefulness of each tool is presented visually, sorting function is excellent. #Hpm
Wed Jan 25 18:19:30 PST 2012
nursefriendly
What's to explain :) RT @SheyontheBay: @Nursefriendly "parent entrpreneur?". 'splain? #hpm

Wed Jan 25 18:19:50 PST 2012
schwartzbrown
It looks like a great tool. #hpm

Wed Jan 25 18:19:57 PST 2012
hollyby
I'll let you try it out later. The http://t.co/GFg2bhCl site got 500,000 hits in a very short period of time. Lots of public comment. #hpm
Wed Jan 25 18:20:21 PST 2012
elderpages
I like the intuitive positioning of the bubbles. The higher on page, the better the quality of the index #hpm
Wed Jan 25 18:20:24 PST 2012
elderpages
It asks right off if you are a provider. If not, it cautions that you discuss with provider. Didn't let me move forward (!) #hpm
Wed Jan 25 18:22:01 PST 2012
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EWidera
We are looking for clinicians who have used it with patients to talk with reporters. Let me know if you are up for it #HPM
Wed Jan 25 18:22:06 PST 2012
hollyby
T2: The authors (including @EWidera) thought hard about making this prognosis website open to the public as well as HCP. Thoughts? #hpm
Wed Jan 25 18:22:07 PST 2012
PracticalWisdom
HI I"m Lisa Adult Edu. Passionate about Tweet chats. Wish I could Tweet W/You. I've got a project I've got to finish Can't stay ;<( #HPM
Wed Jan 25 18:22:55 PST 2012
hollyby
@PracticalWisdom We'll catch you next time, Lisa. #hpm

Wed Jan 25 18:23:35 PST 2012
nursefriendly
@hollyby T2 The more we know about it, the more we can "play" & "experiment" with it, the more likely we are to incorporate it #hpm
Wed Jan 25 18:23:56 PST 2012
hollyby
@elderpages You are more honest than a lot of people on the web. ;) #hpm
Wed Jan 25 18:24:05 PST 2012
elderpages
If I say I'm a provider, I can fill it out. Interesting. Anyone care to summarize the comments (Mostly +? Mostly -?) #hpm
Wed Jan 25 18:24:06 PST 2012
elderpages
@PracticalWisdom Miss you. Good luck with your project. #hpm

Wed Jan 25 18:24:33 PST 2012
nursefriendly
@hollyby T2 Nurses are given diagnostic tools all the time, some we use, some we simply toss in the trash due to impracticality #hpm
Wed Jan 25 18:24:47 PST 2012
elderpages
@EWidera Are you part of the development team? #hpm

Wed Jan 25 18:24:57 PST 2012
pamressler
@PracticalWisdom Catch you later, Lisa #hpm

Wed Jan 25 18:25:26 PST 2012
nursefriendly
@hollyby T2 By opening up the set of tools to the #healthcare community, they can evaluate, comment, decide "usability" :) #hpm
Wed Jan 25 18:25:29 PST 2012
pamressler
MT @nursefriendly: @hollyby T2 Nurses are given diag tools all the time, some we use, some we toss in the trash due to impracticality #hpm
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Wed Jan 25 18:26:18 PST 2012
nursefriendly
@hollyby T2 If you want a new tool to be adopted, your best bet is to have the "End Users" evaluate it. #hpm
Wed Jan 25 18:26:43 PST 2012
elderpages
@nursefriendly T2 Are you given time to play and experiment? Is innovation encouraged? #hpm
Wed Jan 25 18:27:12 PST 2012
hollyby
T2 The authors (including @EWidera) thought hard about making this prognosis website open to the public as well as HCP. Thoughts? #hpm
Wed Jan 25 18:27:30 PST 2012
hollyby
My tweetchat is acting up. Sorry to be slow or repeating tweets. #hpm

Wed Jan 25 18:27:39 PST 2012
schwartzbrown
Why would it not be a good idea for the public to see this? #hpm
Wed Jan 25 18:28:39 PST 2012
elderpages
With the disclaimers, I think it opens up the discussion in a good way. Hard for docs to bring up prognosis. Easier if patients do. #hpm
Wed Jan 25 18:28:42 PST 2012
jfclearywisc
Jim Cleary joing Hospice and Palliative Medicine Tweetchat for the next 30 minutes #hpm
Wed Jan 25 18:29:10 PST 2012
innovativenurse
@hollyby def. good to open this up in my opinion. I'm going to be posting an article on how these systems need to be open source #hpm
Wed Jan 25 18:29:39 PST 2012
pamressler
RT @elderpages: With disclaimers, I think it opens up discussion in good way. Hard for docs to bring up prognosis. Easier if pts do. #hpm
Wed Jan 25 18:30:05 PST 2012
schwartzbrown
One point that reemerges in all of our discussions here and at #EOLchat is our society's denial of mortality, incl health pros #hpm
Wed Jan 25 18:30:06 PST 2012
drpippa
T2 - glad they made it public. Many of my colleagues don't start discussion, I would like to see more empowered patients. #Hpm
Wed Jan 25 18:30:12 PST 2012
FadingFarAway
T2: I like the idea of having it open to the public. I've often wondered how the availability of info on prognosis has on clients #hpm
Wed Jan 25 18:30:13 PST 2012
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hollyby
Super quick summary of comments: Many HCP & patients loved it to help plan. Many commented that was a useful tool. #hpm
Wed Jan 25 18:30:52 PST 2012
EWidera
@innovativenurse @hollyby let me know when the article is up on open source. I'd love to know what we can do to improve our site #HPM
Wed Jan 25 18:31:45 PST 2012
EWidera
@innovativenurse @hollyby let me know when article is up on open source. I'd love to know what we can do to improve our site #HPM
Wed Jan 25 18:32:06 PST 2012
elderpages
Web is a place where people can privately explore what is scary to say out loud. Allows families to look at unthinkable #hpm
Wed Jan 25 18:32:18 PST 2012
FadingFarAway
I'm a swker & had totell a client about prognosis today and it was difficult. I didn't have a clear answer. clients want to know #hpm
Wed Jan 25 18:32:25 PST 2012
hollyby
Super quick summary of comments: Others were afraid it would encourage rationing or thought it was depressing. #hpm
Wed Jan 25 18:32:45 PST 2012
pamressler
YES! RT @drpippa: T2 glad they made it public. Many of my colleagues dont start discussion, I would like to see more empowered pts #hpm
Wed Jan 25 18:33:51 PST 2012
DeathwDignity
RT @elderpages:With disclaimers, think it opens discussion in a good way. Hard for docs to bring up prognosis. Easier if patients do. #hpm
Wed Jan 25 18:33:59 PST 2012
hollyby
@innovativenurse Agreed! #hpm

Wed Jan 25 18:34:04 PST 2012
_lizzy_
T2 I am surprised that patients understood what to do with the multiple calculators?! #hpm
Wed Jan 25 18:34:41 PST 2012
hollyby
RT @elderpages: Web is a place where people can privately explore what is scary to say out loud. Allows families to look at unthinkable #hpm
Wed Jan 25 18:34:48 PST 2012
drpippa
RT @elderpages: Web is a place where people can privately explore what is scary to say out loud. #Hpm
Wed Jan 25 18:34:57 PST 2012
@elderpages I agree.Docs are not the best broaching topic of prognosis. Also inherent
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=01-25-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1 Page 9 of 17
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dlschermd
conflict, where they get paid to do more. #hpm

Wed Jan 25 18:35:21 PST 2012
pamressler
Wed Jan 25 18:35:43 PST 2012
hollyby
RT @drpippa: T2 - glad they made it public. Many of my colleagues dont start discussion, I would like to see more empowered patients. #hpm
Wed Jan 25 18:35:56 PST 2012
drpippa
Twitter is having some issues. Hoping to continue tweet chat but not hopeful. #hpm
Wed Jan 25 18:36:09 PST 2012
hollyby
Looks like most of us on this chat (who have commented anyway) are very comfortable with it being a tool for public use. #hpm
Wed Jan 25 18:36:54 PST 2012
schwartzbrown
This is not a substitute for discussion between doc and patient, but it is an excellent adjunct. Rationing or planning? #hpm
Wed Jan 25 18:36:56 PST 2012
drpippa
Planning! RT @schwartzbrown: not a substitute for discussion btwn doc and pt, but it is an excellent adjunct. Rationing or planning? #Hpm
Wed Jan 25 18:38:18 PST 2012
hollyby
@schwartzbrown The authors all advised it be used and discussed with a health care professional. http://t.co/DHGR71xV #hpm
Wed Jan 25 18:38:29 PST 2012
jfclearywisc
@hollyby Very comforable with it being a eprognisis being public available. Is prognosis some secret only to be revealed by MDs? #hpm
Wed Jan 25 18:39:19 PST 2012
drpippa
Definitely right approach. RT @hollyby: authors all advised it be used & discussed with health care professional. http://t.co/DFDQo0vO #Hpm
Wed Jan 25 18:39:54 PST 2012
EWidera
@hollyby @schwartzbrown Very much so. We did decide to keep it open to public after a uniform response that the public wants to know #HPM
Wed Jan 25 18:40:33 PST 2012
elderpages
@_lizzy_ Yes, I am surprised public figured it out. Probably higher SES. Still, it's a good start. #hpm
Wed Jan 25 18:40:48 PST 2012
hollyby
@jfclearywisc I think it has been seen that way traditionally. #hpm

Wed Jan 25 18:41:23 PST 2012
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=01-25-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1
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elderpages
Any guesses on how a doctor would react if in the list of Google stacks a patient brings in prognosis rating? #hpm
Wed Jan 25 18:41:46 PST 2012
aliciabloom
open access to the prognostication tool may empower patients to initiate conversations with their health care providers #hpm
Wed Jan 25 18:42:10 PST 2012
_lizzy_
@elderpages I am all for anything that opens up the conversation between doctor and patient #hpm
Wed Jan 25 18:42:18 PST 2012
ShahinaLakhani
@schwartzbrown agree there is no substitute 4 human factor& honest &compassionate talk this tool must be an adjunct& not a replacement #hpm
Wed Jan 25 18:42:26 PST 2012
elderpages
@jfclearywisc I think there is a wise, kind ethic of not giving bad news without immediate access to answers. #hpm
Wed Jan 25 18:42:40 PST 2012
hollyby
Moving to T3... #hpm

Wed Jan 25 18:42:42 PST 2012
schwartzbrown
@_lizzy Not necessary that public use it as precise dx tool, but to understand risk factors, life-shortening sx, etc #hpm
Wed Jan 25 18:42:44 PST 2012
jfclearywisc
RT @aliciabloom: open access to prognostication tool may empower patients to initiate conversations with their health care providers #hpm
Wed Jan 25 18:42:48 PST 2012
hollyby
Amen! RT @_lizzy_: @elderpages I am all for anything that opens up the conversation between doctor and patient #hpm
Wed Jan 25 18:42:54 PST 2012
pamressler
@jfclearywisc Agreed...if we are to go in the direction of shared decision making, we all need to have access to info, not only HCPs #hpm
Wed Jan 25 18:43:06 PST 2012
jfclearywisc
MT @pamressler:...if we are to go in the direction of shared decision making, we all need to have access to info, not only HCPs #hpm
Wed Jan 25 18:43:41 PST 2012
hollyby
RT @elderpages: @jfclearywisc I think there is a wise, kind ethic of not giving bad news without immediate access to answers. #hpm
Wed Jan 25 18:43:41 PST 2012
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drpippa
RT @hollyby: Amen! RT @_lizzy_: @elderpages I am all for anything that opens up the conversation between doctor and patient #Hpm
Wed Jan 25 18:43:49 PST 2012
ShahinaLakhani
RT @hollyby: Amen! RT @_lizzy_: @elderpages I am all for anything that opens up the conversation between doctor and patient #hpm
Wed Jan 25 18:44:07 PST 2012
elderpages
Company arrived. Gotta go. Sorry! Keep up the great work everyone! #hpm
Wed Jan 25 18:44:12 PST 2012
schwartzbrown
Also, as a tool for helping people understand place and rational for hospice, palliation, nonintervention #hpm
Wed Jan 25 18:44:20 PST 2012
hollyby
T3: How would you start an advance directives talk w/ someone who is afraid of health care rationing? We want to honor their wishes too #hpm
Wed Jan 25 18:44:27 PST 2012
hollyby
@elderpages Thanks for joining in! #hpm

Wed Jan 25 18:44:45 PST 2012
jfclearywisc
@elderpages One of the problems of medicine is that it is better to pretend we have answers than to say "I don't know" #hpm
Wed Jan 25 18:44:47 PST 2012
_lizzy_
AND this is much better to have a tool with legitimate information rather than pts getting random advice fr web chat groups. #hpm
Wed Jan 25 18:45:22 PST 2012
DeathwDignity
Yes! MT @pamressler:...if we are to go in the direction of shared decision making, we all need to have access to info, not only HCPs #hpm
Wed Jan 25 18:45:58 PST 2012
jfclearywisc
@hollyby: T3: I start advance directives talk w "Who do you want to make healthcare descisions if you can't" No ? of rationing #hpm
Wed Jan 25 18:46:15 PST 2012
pamressler
@hollyby T3 necessary to listen to fears before beginning addressing advance directives talk #hpm
Wed Jan 25 18:46:44 PST 2012
schwartzbrown
Health care rationing happens all the time in irrational ways. Decisions need to be informed. Education with tool such as this great #hpm
Wed Jan 25 18:48:21 PST 2012
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drpippa
@hollyby I always start - what do you understand about their health, goals, then talk planning last. #Hpm
Wed Jan 25 18:48:36 PST 2012
EWidera
Got to go. Thanks for discussing eprognosis during the #HPM tweet chat!
Wed Jan 25 18:49:23 PST 2012
hollyby
RT @drpippa: @hollyby I always start - what do you understand about their health, goals, then talk planning last. #hpm
Wed Jan 25 18:49:25 PST 2012
hollyby
RT @pamressler: @hollyby T3 necessary to listen to fears before beginning addressing advance directives talk #hpm
Wed Jan 25 18:49:43 PST 2012
hollyby
@EWidera Thanks Eric! #hpm

Wed Jan 25 18:49:56 PST 2012
ShahinaLakhani
@hollyby T3 I always start conversations with "I am here to find out what your goals are" and add in the hard facts as needed #hpm
Wed Jan 25 18:50:22 PST 2012
drpippa
Focus on patient goals and preferences can eliminate/reduce any fear of rationing. Some people want "everything" and that's okay. #Hpm
Wed Jan 25 18:50:33 PST 2012
ShahinaLakhani
@hollyby T2 PPL need to know that the care is a partnership & we help them meet their goals as we keep medical facts in mind #hpm
Wed Jan 25 18:50:41 PST 2012
hollyby
@jfclearywisc I keep trying to retweet you, but tweetchat won't let me. Tweet rationing? ;) #hpm
Wed Jan 25 18:51:14 PST 2012
DeathwDignity
Follow-up T3 ?: When do you typically start discussion about Advance Directives? #hpm
Wed Jan 25 18:51:23 PST 2012
drpippa
Eprognosis is useful here because in order to plan for future all parties need to understand & agree on where health status is now #Hpm
Wed Jan 25 18:51:45 PST 2012
_lizzy_
T3 Educate & overcome myths that patients believe re ADs. You can change your mind. You can choose 'full treatment'. #hpm
Wed Jan 25 18:51:48 PST 2012
hollyby
MT @ShahinaLakhani... PPL need to know that the care is a partnership & we help them meet their goals as we keep medical facts in mind #hpm
Wed Jan 25 18:52:29 PST 2012
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hollyby
Yes RT @_lizzy_: T3 Educate & overcome myths that patients believe re ADs. You can change your mind. You can choose full treatment. #hpm
Wed Jan 25 18:52:47 PST 2012
hollyby
Ideally when people are healthy. RT @DeathwDignity: Follow-up T3 ?: When do you typically start discussion about Advance Directives? #hpm
Wed Jan 25 18:53:27 PST 2012
schwartzbrown
Advance Directives should ideally not be initiated by medical pros in health care setting, but by family members, individuals #hpm
Wed Jan 25 18:54:24 PST 2012
hollyby
We are getting close to the hour... thanks for putting up with Twitter being cranky. Closing thoughts? Wise words? Shout outs? #hpm
Wed Jan 25 18:55:00 PST 2012
drpippa
Routinely. RT @hollyby: Ideally when people are healthy. RT @DeathwDignity: When do you start discussion about Advance Directives? #Hpm
Wed Jan 25 18:55:01 PST 2012
_lizzy_
T3 I talk about ADs on 1st meeting. Let's make sure we understand your wishes. Do you have advanced directives in place? #hpm
Wed Jan 25 18:55:52 PST 2012
hollyby
RT @_lizzy_: T3 I talk about ADs on 1st meeting. Lets make sure we understand your wishes. Do you have advanced directives in place? #hpm
Wed Jan 25 18:56:35 PST 2012
KathyKastner
dear inspiring #hpm -ers. #EOLchat 26/1 - (9:30E, 8:30 C) preview of Best Endings, app to help with e-o-l decisons. Please come.
Wed Jan 25 18:56:42 PST 2012
DeathwDignity
@hollyby TY for hosting! Such a great convo I missed getting off the bus at the right stop. :) #hpm
Wed Jan 25 18:57:32 PST 2012
drpippa
T3 as a pcp it is my job to bring up ADs early and often so I can help patients in when they enter a crisis. #Hpm
Wed Jan 25 18:57:39 PST 2012
hollyby
@KathyKastner Hey Kathy! Thanks for the invite! #hpm

Wed Jan 25 18:57:53 PST 2012
hollyby
@DeathwDignity Thanks! Safe travels! Good thing you weren't driving. ;) #hpm
Wed Jan 25 18:58:28 PST 2012
Page 14 of 17
6/27/12 12:55 PM
KathyKastner
@hollyby So sorry I missed tonite's #hpm looked awesome

Wed Jan 25 18:58:35 PST 2012
drpippa
@hollyby Thanks for hosting such a lively discussion! Have a great night and talk soon. #Hpm
Wed Jan 25 18:58:41 PST 2012
schwartzbrown
@hollyby Thanks for a very useful session! #hpm

Wed Jan 25 18:59:23 PST 2012
DeathwDignity
#ShamlessPlug shout-out: #DWDchat is returning tomorrow at 6p EST. All are welcome. #hpm
Wed Jan 25 18:59:29 PST 2012
aliciabloom
center discussions about advance directives around having choices & maintaining control, as well as gift people can give to loved ones #hpm
Wed Jan 25 18:59:52 PST 2012
pamressler
Tweeps in Boston area, love to have you join us at #Tufts Pain prog. for LIFE before Death movie http://t.co/dawULW4z on Feb 2 #hpm
Wed Jan 25 18:59:55 PST 2012
NatriceR
RT @KathyKastner: dear inspiring #hpm -ers. #EOLchat 26/1 - (9:30E, 8:30 C) preview of Best Endings, app to help with e-o-l decisons. ...
Wed Jan 25 19:00:27 PST 2012
hollyby
Seems like we all have a role to play. Well, health care or loving family member, check out http://t.co/3DCmKRuj (April 16th!) #nhdd #hpm
Wed Jan 25 19:00:29 PST 2012
pamressler
Thanks for a great chat tonight. Thanks @hollyby for hosting #hpm
Wed Jan 25 19:00:54 PST 2012
pamressler
Thanks for a great chat tonight. Thanks @hollyby for hosting #hpm
Wed Jan 25 19:00:54 PST 2012
hollyby
@pamressler So glad you are premiering the film Pam! #hpm

Wed Jan 25 19:00:58 PST 2012
ctsinclair
The #hpm Daily is out! http://t.co/hXekg5Al Top stories today via @doclake @kathydavisku @flhospicespc @meaningcomfort @hospice_mktg
Wed Jan 25 19:01:19 PST 2012
drpippa
@pamressler Thanks for invite! So sad that I have clinic. Perhaps we can connect IRL sometime. #Hpm
Wed Jan 25 19:01:35 PST 2012
Page 15 of 17
6/27/12 12:55 PM
hollyby
Thanks everyone for joining in! Especially our new tweetchatters! Hugs to you all! #hpm
Wed Jan 25 19:01:37 PST 2012
ShahinaLakhani
@hollyby A wonderful conversation thanks for hosting. Thanks everyone. Have a gr8 night #hpm
Wed Jan 25 19:01:43 PST 2012
hollyby
Thanks for tweeting everyone! See you next week on Wednesday 6 pm PST, 9 pm EST for the #HPM Tweetchat! #hpm
Wed Jan 25 19:02:11 PST 2012
drpippa
I second that! RT @hollyby: Seems like we all have a role to play. check out http://t.co/y6ZIB50h (April 16th!) #nhdd #Hpm
Wed Jan 25 19:02:18 PST 2012
pamressler
Hoping for a great turnout! RT @hollyby: @pamressler So glad you are premiering the film Pam! #hpm
Wed Jan 25 19:02:37 PST 2012
dlschermd
Thank you all. #hpm

Wed Jan 25 19:02:39 PST 2012
nursefriendly
RT @elderpages: @nursefriendly T2 Are you given time to play and experiment? Is innovation encouraged? #hpm
Wed Jan 25 19:03:35 PST 2012
pamressler
@drpippa Would love to! #hpm

Wed Jan 25 19:03:35 PST 2012
KThomtweets
RT @KathyKastner: dear inspiring #hpm -ers. #EOLchat 26/1 - (9:30E, 8:30 C) preview of Best Endings, app to help with e-o-l decisons. ...
Wed Jan 25 19:04:04 PST 2012
hollyby
@dlschermd Please join us again! It was great to meet you! #hpm

Wed Jan 25 19:04:09 PST 2012
nursefriendly
@elderpages T2 Finally I can tweet again :) No, usually staff nurses are simply told, these are the new "tools" get your inservice #hpm
Wed Jan 25 19:04:29 PST 2012
KathyKastner
@hollyby Holly - so sorry if my EOLchat invite was badly timed - didnt mean to divert from wonderful hosting/moderating #hpm
Wed Jan 25 19:05:24 PST 2012
nursefriendly
@elderpages There is a lot to say about #empowering #patients to participate in the decision-making process :) #s4pm #hpm
Page 16 of 17
6/27/12 12:55 PM
Wed Jan 25 19:05:42 PST 2012
nursefriendly
RT @hollyby: Welcome @_lizzy_ @nursefriendly @ShahinaLakhani @schwartzbrown @elderpages! #hpm

Wed Jan 25 19:07:08 PST 2012
hollyby
@KathyKastner Not at all! It was perfectly timed during the shout outs. :) #hpm
Wed Jan 25 19:07:09 PST 2012
ShahinaLakhani
@nursefriendly really sad,#nurses are still considered gofers not partners in #healthcare :( #hpm I am writing a blog on it for tomorrow
Wed Jan 25 19:07:32 PST 2012
colleen_young
Wed Jan 25 19:08:51 PST 2012
KathyKastner
Wed Jan 25 19:09:52 PST 2012
jimpope6
Wed Jan 25 19:09:58 PST 2012
HospiScript
HospiLink has been delivering #hospice information to you for the last three years! #hpm
Wed Jan 25 19:13:00 PST 2012
HospiScript
HospiScript is excited to announce HospiLink-Pediatrics Edition. Stay tuned for more information on this new offering. #hospice #hpm
Wed Jan 25 19:13:38 PST 2012
Page 17 of 17

#HPM Tweet Chat 1:25:12

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#HPM Tweet Chat 1:25:12

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#hpm - Healthcare Social Media Transcript

#hpm - Healthcare Social Media Transcript

Welcome @_lizzy_ @nursefriendly @ShahinaLakhani @schwartzbrown @elderpages! #hpm

Hi, Mindy here, retired social worker from NJ #hpm

@DrBeckerSchutte Thanks for lurking! ;) #hpm

#hpm - Healthcare Social Media Transcript

back in the habit. #Hpm

@drpippa Hooray! Glad you are here! #hpm

@drpippa Welcome back! #hpm

We'll get started with Topic 1 in a minute or so... #hpm

@EWidera Thanks for joining in Eric! #hpm

@hollyby @elderpages thanks for the warm welcomes! #Hpm

RN, CHPN in NY #hpm

Hi everyone. Jocelyn, Gerontologist in Florida. #hpm

Switching over to #HPM :) RT @healersjourney: multitasking here- #s4pm

#hpm - Healthcare Social Media Transcript

@SheyontheBay @jocelyn528 Glad you could make it! #hpm

@hollyby I have #HPM

@hollyby Twitter can't find that linke. Sorry. Is it http://t.co/y4Ro3M4w? #hpm

@hollyby the link is broken #hpm

@pamressler Interesting, new to me "Estimating Prognosis for Elders" #Tufts #hpm

T1: not yet, but curious to learn about it. #hpm

#hpm - Healthcare Social Media Transcript

@elderpages Thanks. #hpm

@FadingFarAway Welcome Allison! #hpm

@FadingFarAway Welcome! #hpm

@elderpages Which links? #hpm

#hpm - Healthcare Social Media Transcript

@hollyby Thank you for sharing JAMA article #hpm

@dlschermd Welcome to you as well! #hpm

@Nursefriendly "parent entrpreneur?". 'splain? #hpm

What's to explain :) RT @SheyontheBay: @Nursefriendly "parent entrpreneur?". 'splain? #hpm

It looks like a great tool. #hpm

#hpm - Healthcare Social Media Transcript

@PracticalWisdom We'll catch you next time, Lisa. #hpm

@PracticalWisdom Miss you. Good luck with your project. #hpm

@EWidera Are you part of the development team? #hpm

@PracticalWisdom Catch you later, Lisa #hpm

#hpm - Healthcare Social Media Transcript

Wed Jan 25 18:26:18 PST 2012

My tweetchat is acting up. Sorry to be slow or repeating tweets. #hpm

#hpm - Healthcare Social Media Transcript

@innovativenurse Agreed! #hpm

#hpm - Healthcare Social Media Transcript

conflict, where they get paid to do more. #hpm

@jfclearywisc I think it has been seen that way traditionally. #hpm

#hpm - Healthcare Social Media Transcript

Moving to T3... #hpm

#hpm - Healthcare Social Media Transcript

@elderpages Thanks for joining in! #hpm

#hpm - Healthcare Social Media Transcript

@EWidera Thanks Eric! #hpm

#hpm - Healthcare Social Media Transcript

@KathyKastner Hey Kathy! Thanks for the invite! #hpm

#hpm - Healthcare Social Media Transcript

@hollyby So sorry I missed tonite's #hpm looked awesome

@hollyby Thanks for a very useful session! #hpm

@pamressler So glad you are premiering the film Pam! #hpm

#hpm - Healthcare Social Media Transcript

Thank you all. #hpm

@drpippa Would love to! #hpm

@dlschermd Please join us again! It was great to meet you! #hpm