#Hpm Tweet Chat 6:20:12

7/31/2019 #Hpm Tweet Chat 6:20:12

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6/27/12 1:hpm - Healthcare Social Media Transcript

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#hpm transcript

Healthcare Social Media TranscriptFrom: Wed Jun 20 18:00:00 PDT 2012

To: Wed Jun 20 19:15:00 PDT 2012

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nursefriendly Wednesday #Healthcare#Tweetchats (all EDT): http://t.co/omhhurig 9p #dsma 9p #hpm 9#mHealth 9p #premeded 9p #SocMedChap#nurseup

Wed Jun 20 18:00:20 PDT 2012

_lizzy_ @aliciabloom Hi! Sorry to steal your tweet...it kept telling me it was too long #HpmWed Jun 20 18:00:46 PDT 2012

aliciabloom welcome to #hpm chat! let's get started with some introductions. . .Wed Jun 20 18:01:06 PDT 2012

aliciabloom @_lizzy_ haha! no worries. #hpmWed Jun 20 18:01:29 PDT 2012

MarksPhone Mark here #HpmWed Jun 20 18:01:56 PDT 2012

aliciabloom hi @MarksPhone! glad you're joining us. #hpmWed Jun 20 18:02:41 PDT 2012

_lizzy_ Hi! Lizzy Miles from Columbus Ohio. Active hospice volunteer, msw/lsw, thanatologist andpassionate about eol care and #Hpm
http://www.twitter.com/aliciabloomhttp://www.twitter.com/MarksPhonehttp://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/22063766/status/215610468272840706http://www.twitter.com/aliciabloomhttp://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/_lizzy_http://www.twitter.com/aliciabloomhttp://www.symplur.com/healthcare-hashtags/http://www.symplur.com/healthcare-social-media/http://www.symplur.com/healthcare-hashtags/conferences/http://www.symplur.com/healthcare-hashtags/conferences/http://www.symplur.com/healthcare-hashtags/tweet-chats/http://www.symplur.com/healthcare-hashtags/diseases/http://www.symplur.com/healthcare-social-media/http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/_lizzy_http://twitter.com/24399366/status/215610657947664384http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://www.twitter.com/aliciabloomhttp://twitter.com/22063766/status/215610468272840706http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/MarksPhonehttp://twitter.com/24399366/status/215610356133933056http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/_lizzy_http://www.twitter.com/aliciabloomhttp://twitter.com/24399366/status/215610259341967360http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/15739043/status/215610174700916737http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/_lizzy_http://twitter.com/22638297/status/215610065883889665http://www.symplur.com/healthcare-hashtags/nurseup/http://www.symplur.com/healthcare-hashtags/SocMedChap/http://www.symplur.com/healthcare-hashtags/premeded/http://www.symplur.com/healthcare-hashtags/mHealth/http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/dsma/http://www.symplur.com/healthcare-hashtags/Tweetchats/http://www.symplur.com/healthcare-hashtags/Healthcare/http://www.twitter.com/nursefriendlyhttp://www.symplur.com/healthcare-hashtags/http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/diseases/http://www.symplur.com/healthcare-hashtags/tweet-chats/http://www.symplur.com/healthcare-hashtags/conferences/http://www.symplur.com/healthcare-social-media/http://www.symplur.com/healthcare-hashtags/hpm/analytics/?hashtag=hpm&fdate=06-20-2012&shour=18&smin=0&tdate=06-20-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-hashtags/hpm/?hashtag=hpm&fdate=06-20-2012&shour=18&smin=0&tdate=06-20-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-social-media/

7/31/2019 #Hpm Tweet Chat 6:20:12

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Wed Jun 20 18:03:25 PDT 2012

aliciabloom MSW, LSW practicing in #hpm. i'll be your host tonight! #hpmWed Jun 20 18:04:27 PDT 2012

TexasKidDoc I'm here - Pediatric Resident in TX. Will be in and out. Trying to do my laundry too! #hpmWed Jun 20 18:04:46 PDT 2012

ctsinclair Hi everyone. Christian Sinclair here. Palliative care doctor, blogger. In Kansas city #hpmWed Jun 20 18:05:03 PDT 2012

aliciabloom welcome @TexasKidDoc! glad you're here, even if it's in between wash cycles :) #hpmWed Jun 20 18:05:36 PDT 2012

_lizzy_ @TexasKidDoc I am doing laundry as well! #HpmWed Jun 20 18:05:37 PDT 2012

ctsinclair Hey @texaskiddoc glad to see your name again. Hoping @haslingerppc or @kukidshp joinus for #hpm chat, maybe a special peds edition? #hpmWed Jun 20 18:06:05 PDT 2012

aliciabloom @ctsinclair is here! #hpmWed Jun 20 18:06:05 PDT 2012

ctsinclair @_lizzy_ Hooray for advocacy and household chores! #hpmWed Jun 20 18:06:29 PDT 2012

nursefriendly Hello Everyone, Andrew Lopez, RN from New Jersey :) #hpmWed Jun 20 18:06:35 PDT 2012

TexasKidDoc Glad to join again. would love special peds edition! Kids are extra awesome. ;) #hpmWed Jun 20 18:07:16 PDT 2012

aliciabloom pre-T1: read the overview & we'll discuss: new study to test the value of a checklist inadvance care planning (http://t.co/PoJop6aM) #hpm

Wed Jun 20 18:07:55 PDT 2012

_lizzy_ @ctsinclair@texaskiddoc. I too was excited to see the peds focus. I am on other end so itwould be nice to learn more about peds #HpmWed Jun 20 18:08:03 PDT 2012

JenLBose Hi all, Jen Bose- Marketing @aahpm in WI #hpmWed Jun 20 18:08:09 PDT 2012
http://twitter.com/491232095/status/215612032706285568http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aahpmhttp://www.twitter.com/JenLBosehttp://twitter.com/15739043/status/215612007636942848http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/texaskiddochttp://www.twitter.com/ctsinclairhttp://www.twitter.com/_lizzy_http://twitter.com/24399366/status/215611975458234368http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/291849321/status/215611812798922752http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TexasKidDochttp://twitter.com/22638297/status/215611639175712768http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/nursefriendlyhttp://twitter.com/17206739/status/215611616769736705http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/_lizzy_http://www.twitter.com/ctsinclairhttp://twitter.com/24399366/status/215611512717455361http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/aliciabloomhttp://twitter.com/17206739/status/215611513094942720http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/kukidshphttp://www.twitter.com/haslingerppchttp://www.twitter.com/texaskiddochttp://www.twitter.com/ctsinclairhttp://twitter.com/15739043/status/215611396921098241http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/TexasKidDochttp://www.twitter.com/_lizzy_http://twitter.com/24399366/status/215611392147988482http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TexasKidDochttp://www.twitter.com/aliciabloomhttp://twitter.com/17206739/status/215611255594041346http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/291849321/status/215611182646702080http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TexasKidDochttp://twitter.com/24399366/status/215611102384500736http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/15739043/status/215610843222654976

7/31/2019 #Hpm Tweet Chat 6:20:12

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AfternoonNapper Hi to all. #hpmWed Jun 20 18:08:16 PDT 2012

TexasKidDoc @_lizzy_ lights or darks? I just put in a cycle of reds, which felt extra special. It's the simplethings. #hpm

Wed Jun 20 18:08:26 PDT 2012

aliciabloom @TexasKidDoc@ctsinclair@haslingperppc@kukidshp would love to see us do a specialpeds edition of chat! #hpmWed Jun 20 18:08:55 PDT 2012

aliciabloom hi @JenLBose & @AfternoonNapper-- glad you're both here! #hpmWed Jun 20 18:09:15 PDT 2012

PracticalWisdom MT @VillageMemorial: Giving life 2 #language of #death - choosing vocabulary 4 dyinghttp://t.co/PisAZOYf#eol#hpm#DWDchat#choice

Wed Jun 20 18:10:36 PDT 2012

PracticalWisdom MT @NHPCO_news: #NowHiring Nursing Career Fair | Hospice & Palliative Care CharlotteRegion: US - NC Pl... http://t.co/F5yA40j5#hpm#jobsWed Jun 20 18:11:17 PDT 2012

TexasKidDoc T1 - I'm a big checklist fan (and Atul Gawande fan with his checklist manifesto!) Doctorsthink in checklists, at least I do most days #hpm

Wed Jun 20 18:11:20 PDT 2012

aliciabloom here's our pre-T1: new study to test the value of checklist in advance care planning(http://t.co/PoJop6aM). quick read & we'll discuss #hpmWed Jun 20 18:11:22 PDT 2012

ctsinclair Excited about the first topic tonight! #hpmWed Jun 20 18:11:32 PDT 2012

ctsinclair @PracticalWisdom Miss you in chat, come join us! #hpmWed Jun 20 18:11:53 PDT 2012

_lizzy_ @TexasKidDoc lol just one load of darks in dryer. #HpmWed Jun 20 18:11:54 PDT 2012

aliciabloom yay! me too! RT @ctsinclair: Excited about the first topic tonight! #hpmWed Jun 20 18:12:21 PDT 2012

aliciabloom agree! join us RT @ctsinclair: @PracticalWisdom Miss you in chat, come join us! #hpmWed Jun 20 18:12:30 PDT 2012
http://twitter.com/24399366/status/215613129915240449http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/aliciabloomhttp://twitter.com/24399366/status/215613090149048320http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/aliciabloomhttp://twitter.com/15739043/status/215612979339739136http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/TexasKidDochttp://www.twitter.com/_lizzy_http://twitter.com/17206739/status/215612972817584128http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://www.twitter.com/ctsinclairhttp://twitter.com/17206739/status/215612885727055874http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/24399366/status/215612842504761347http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/291849321/status/215612833780596736http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TexasKidDochttp://twitter.com/25428892/status/215612821902331907http://www.symplur.com/healthcare-hashtags/jobs/http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/F5yA40j5http://www.symplur.com/healthcare-hashtags/NowHiring/http://www.twitter.com/NHPCO_newshttp://www.twitter.com/PracticalWisdomhttp://twitter.com/25428892/status/215612650187534336http://www.symplur.com/healthcare-hashtags/choice/http://www.symplur.com/healthcare-hashtags/DWDchat/http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/eol/http://t.co/PisAZOYfhttp://www.symplur.com/healthcare-hashtags/death/http://www.symplur.com/healthcare-hashtags/language/http://www.twitter.com/VillageMemorialhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/24399366/status/215612311711391746http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://www.twitter.com/JenLBosehttp://www.twitter.com/aliciabloomhttp://twitter.com/24399366/status/215612228458655744http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/kukidshphttp://www.twitter.com/haslingperppchttp://www.twitter.com/ctsinclairhttp://www.twitter.com/TexasKidDochttp://www.twitter.com/aliciabloomhttp://twitter.com/291849321/status/215612104282079233http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/_lizzy_http://www.twitter.com/TexasKidDochttp://twitter.com/346151348/status/215612062200635393http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapper

7/31/2019 #Hpm Tweet Chat 6:20:12

4/14



MarksPhone What is interesting in that to me is the assumption the patient & family agree or understandwhat their goals are. Not sure most do #hpm

Wed Jun 20 18:12:32 PDT 2012

_lizzy_ T1 i think it is a good start, but I think it would be difficult for the contemplative types. Theseare not simple decisions. #Hpm

Wed Jun 20 18:13:36 PDT 2012

ctsinclair What intrigued me in reading this article is learning about the Intl Society for Adv CarePlanning and EOL Care. Never heard of it #hpmWed Jun 20 18:13:56 PDT 2012

aliciabloom T1: after reading about the proposed study to assess the value of EoL checklist, pleaseshare initial thoughts & then we'll drill down #hpm

Wed Jun 20 18:13:58 PDT 2012

AfternoonNapper Checklists at least provide a list of things to be contemplated. @_lizzy_#hpmWed Jun 20 18:14:28 PDT 2012

MarksPhone I begin at the point patients and family are tone deaf to assimulating new knowledge facingterminal illness #hpm

Wed Jun 20 18:14:30 PDT 2012

aliciabloom MT @TexasKidDoc: I'm a big checklist fan (and Atul Gawande fan with his checklistmanifesto!) Doctors think in checklists #hpm

Wed Jun 20 18:14:43 PDT 2012

rlanzara RT @PracticalWisdom: MT @VillageMemorial: Giving life 2 #language of #death - choosinvocabulary 4 dying http://t.co/PisAZOYf#eol#hpm ...

Wed Jun 20 18:15:31 PDT 2012

MarksPhone Check lists work in medicine that is proven, surgery, procedures etc. Here we areintegrating chklist w/human emotions #hpm

Wed Jun 20 18:15:47 PDT 2012

aliciabloom wonder if EoL checklist will make addressing issues about goals of care more accessible fophysicians, who often think in checklists #hpmWed Jun 20 18:16:06 PDT 2012

_lizzy_ @AfternoonNapper Agreed... As long as it is not expected to be completed in one setting. come from comm background too. #HpmWed Jun 20 18:16:16 PDT 2012

MarksPhone @aliciabloom that's a great point it can be a two way learning tool as well. #hpmWed Jun 20 18:16:46 PDT 2012

nursefriendly @MarksPhone#Checklists are often ignored by #doctors#nurses#healthcare professions
http://www.symplur.com/healthcare-hashtags/healthcare/http://www.symplur.com/healthcare-hashtags/nurses/http://www.symplur.com/healthcare-hashtags/doctors/http://www.symplur.com/healthcare-hashtags/Checklists/http://www.twitter.com/MarksPhonehttp://www.twitter.com/nursefriendlyhttp://twitter.com/22063766/status/215614202323279873http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/MarksPhonehttp://twitter.com/15739043/status/215614078750699521http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/AfternoonNapperhttp://www.twitter.com/_lizzy_http://twitter.com/24399366/status/215614036979613696http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/22063766/status/215613953269710849http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://twitter.com/11637332/status/215613886391517184http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/eol/http://t.co/PisAZOYfhttp://www.symplur.com/healthcare-hashtags/death/http://www.symplur.com/healthcare-hashtags/language/http://www.twitter.com/VillageMemorialhttp://www.twitter.com/PracticalWisdomhttp://www.twitter.com/rlanzarahttp://twitter.com/24399366/status/215613687757680640http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TexasKidDochttp://www.twitter.com/aliciabloomhttp://twitter.com/22063766/status/215613633617600514http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://twitter.com/346151348/status/215613624734068736http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/_lizzy_http://www.twitter.com/AfternoonNapperhttp://twitter.com/24399366/status/215613499425038337http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/17206739/status/215613488251408384http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/15739043/status/215613406735106048http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/_lizzy_http://twitter.com/22063766/status/215613139339841536http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhone

7/31/2019 #Hpm Tweet Chat 6:20:12

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Need better adoption rates. #hpm

Wed Jun 20 18:17:23 PDT 2012

AfternoonNapper @_lizzy_ Agree. I'm the kind who spends a lot of time breaking down the meaning ofquestions/wording. #hpm

Wed Jun 20 18:17:35 PDT 2012

MarksPhone Another point to consider is when to implement it? #hpmWed Jun 20 18:17:42 PDT 2012

ravipm2000 Hi.I'm Ravi Maharaj, pall care fellow in Madison,WI #hpmWed Jun 20 18:17:57 PDT 2012

JenLBose T1 Checklists will at least bring up the topic, regardless if the patient can digest it at thetime. It's something to think about #hpm

Wed Jun 20 18:18:01 PDT 2012

_lizzy_ T1 I have seen hospice w/ 29 documents in admission packet. I am always worried aboutinfo overload. But reminder for MD is good #HpmWed Jun 20 18:18:03 PDT 2012

aliciabloom i think checklists could serve as a good framework for goals of care discussions-- givesphysician & patient/family a starting point #hpmWed Jun 20 18:18:06 PDT 2012

fischmd Not surprised ppl fear running out of $, losing independence & disability more than death.http://t.co/WZqxUZgr RT @dianeemeier@50PLUS#hpm

Wed Jun 20 18:18:10 PDT 2012

nursefriendly @aliciabloom At the very least, using #checklists give a starting point for the discussion onend of life options. #hpm

Wed Jun 20 18:18:44 PDT 2012

TexasKidDoc Peds specific issue, maybe more common too- at my hosp we only ask about code status ithe ICU. Not even a start of a convo for others #hpm

Wed Jun 20 18:18:49 PDT 2012

ravipm2000 Checklists are great in medicine. The physician needs to add some style to make any listmore of a conversation. #hpm

Wed Jun 20 18:18:50 PDT 2012

ctsinclair I knew dr.block & gawande had been collaborating since his article "letting go." I waswondering if a checklist about eol would come up #hpmWed Jun 20 18:19:32 PDT 2012

_lizzy_ T1 in studies like these, i wonder if they do a pretest with a few docs first to work out kinks?#Hpm
http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/_lizzy_http://twitter.com/17206739/status/215614897504002049http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/390759406/status/215614724358930432http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ravipm2000http://twitter.com/291849321/status/215614717476081664http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TexasKidDochttp://twitter.com/22638297/status/215614699365089281http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/checklists/http://www.twitter.com/aliciabloomhttp://www.twitter.com/nursefriendlyhttp://twitter.com/257010511/status/215614555089403905http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/50PLUShttp://www.twitter.com/dianeemeierhttp://t.co/WZqxUZgrhttp://www.twitter.com/fischmdhttp://twitter.com/24399366/status/215614540036050945http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/15739043/status/215614523787325440http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/_lizzy_http://twitter.com/491232095/status/215614517122572290http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/JenLBosehttp://twitter.com/390759406/status/215614499326136321http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ravipm2000http://twitter.com/22063766/status/215614435656597505http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://twitter.com/346151348/status/215614409182154755http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/_lizzy_http://www.twitter.com/AfternoonNapperhttp://twitter.com/22638297/status/215614357147615233http://www.symplur.com/healthcare-hashtags/hpm/

7/31/2019 #Hpm Tweet Chat 6:20:12

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Wed Jun 20 18:19:43 PDT 2012

fischmd RT @dianeemeier: Hospitalization markedly increases risk of death/decline in #dementia.http://t.co/4DRHyRY6#palliative#hpm

Wed Jun 20 18:19:45 PDT 2012

aliciabloom study will train Oncologists to use the serious illness communication checklist with patients

@ "earlier stage in the disease process" #hpmWed Jun 20 18:20:12 PDT 2012

MarksPhone There is a reality CAPC study showed that about 70% patients didnt have a clue aboutpalliation and nearly and equal number of hcp #hpm

Wed Jun 20 18:20:22 PDT 2012

ctsinclair We obviously have to be careful of checklist-mania but for high impact procedures andtreatments including goals of care)-great idea! #hpmWed Jun 20 18:20:32 PDT 2012

lsaldanamd RT @fischmd: RT @dianeemeier: Hospitalization markedly increases risk of death/declinein #dementia. http://t.co/4DRHyRY6#palliative#hpm

Wed Jun 20 18:20:58 PDT 2012

ravipm2000 T1. The docs should have training in communication or else this checklist will becomeimpersonal and robotic. #hpm

Wed Jun 20 18:21:12 PDT 2012

aliciabloom @ctsinclair seems to me like Dr. Block + Dr. Gawande = ideal collaboration for this kind ofstudy #hpm

Wed Jun 20 18:21:16 PDT 2012

aliciabloom RT @ravipm2000: Checklists are great in medicine. The physician needs to add some styleto make any list more of a conversation. #hpm

Wed Jun 20 18:21:28 PDT 2012

ctsinclair RT @_lizzy_: T1 in studies like these, i wonder if they do a pretest with a few docs first towork out kinks? "most likely" #hpmWed Jun 20 18:21:38 PDT 2012

TexasKidDoc adding checklists like smoking questions made it normative and nonjudgmental. Importantstep for EOL care too. Universal conversations #hpm

Wed Jun 20 18:22:01 PDT 2012

aliciabloom @ctsinclair absolutely! goals of care discussions involve emotion & do not always occur in methodical way #hpmWed Jun 20 18:22:03 PDT 2012

ctsinclair @_lizzy_ most likely a small pilot study presented as posters, but then a larger grant fundestudy follows like this #hpm
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Wed Jun 20 18:22:30 PDT 2012

aliciabloom @_lizzy_ the participating Oncologists will have a 2 1/2 hour training session about usingthe tool-- should work some kinks out. #hpm

Wed Jun 20 18:22:49 PDT 2012

_lizzy_ @ctsinclair Yes, just read that it was piloted and fine-tuned #HpmWed Jun 20 18:23:19 PDT 2012

ctsinclair @TexasKidDoc Great point about normative and nonjudging, similar to comprehensivesexual history in teens, adults #hpmWed Jun 20 18:23:46 PDT 2012

ctsinclair RT @ravipm2000: T1. The docs should have training in communication or else thischecklist will become impersonal and robotic. #hpm

Wed Jun 20 18:24:02 PDT 2012

aliciabloom Dr. Block says We need to ask the right questions." What are your thoughts on theproposed questions highlighted in the study summary? #hpmWed Jun 20 18:25:18 PDT 2012

TexasKidDoc important to note that this is happening at Harvard with MA's new EOL care discussion law#hpm

Wed Jun 20 18:25:22 PDT 2012

ctsinclair @ravipm2000 I see the checklist as a process (was this done) and outcomes tool (what wathe end result), not how to instruction guide #hpm

Wed Jun 20 18:25:23 PDT 2012

ctsinclair @fischmd join us in hpm chat tonight! #hpmWed Jun 20 18:25:45 PDT 2012

_lizzy_ T1 the article did not mention if training would include whether/how MD would advise onintervention intensity...hot topic lately #Hpm

Wed Jun 20 18:26:04 PDT 2012

aliciabloom great, interesting point! RT @TexasKidDoc: important to note that this is happening atHarvard with MAs new EOL care discussion law #hpm

Wed Jun 20 18:26:10 PDT 2012

MarksPhone http://t.co/hbEI4rSW2011 Public Opinion Research on Palliative Care If this helps toovercome barriers to care it is perfect #hpm

Wed Jun 20 18:26:27 PDT 2012

aliciabloom good point @_lizzy_. what could the physician/clinician bring to the checklist discussion?#hpm

Wed Jun 20 18:27:16 PDT 2012
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ctsinclair @TexasKidDoc in chronic serious illness in peds rarely seeing addressed adv careplanning. Not today, always tomorrow. #hpm

Wed Jun 20 18:28:09 PDT 2012

ctsinclair RT @AfternoonNapper: Checklists at least provide a list of things to be contemplated.@_lizzy_#hpmWed Jun 20 18:28:39 PDT 2012

_lizzy_ T1 well, a lot of patients still look to their doctor for advice. If they turn ?'s back on MD, howshould the MD respond? #Hpm

Wed Jun 20 18:29:36 PDT 2012

aliciabloom Another question for this T1: What are your thoughts on the proposed questions highlightedin the study summary? #hpm

Wed Jun 20 18:30:19 PDT 2012

_lizzy_ t1 don't get me wrong, I am in support of the checklist...just thinking of the next steps afterimplementation #Hpm

Wed Jun 20 18:30:35 PDT 2012

aliciabloom it seems like checklist aims to focus on goals, values & preferences as opposed to whichprocedures someone wants or doesn't want... #hpm

Wed Jun 20 18:31:27 PDT 2012

ravipm2000 @_lizzy_ the physician would have to look at the patient's goals and advise according towhat the pt views as important. #hpmWed Jun 20 18:31:56 PDT 2012

MarksPhone I keep thinking dont throw good to achieve perfect. Any where we can start this discussionw/pat w/family is a success #hpmWed Jun 20 18:32:17 PDT 2012

_lizzy_ @aliciabloom i like the ?s. intervention v time is going to come back to MD...with age-oldquestion "how much time do i have?" #HpmWed Jun 20 18:32:47 PDT 2012

aliciabloom yes! RT @ravipm2000: physician would have to look at the patients goals and adviseaccording to what the patient views as important. #hpm

Wed Jun 20 18:32:52 PDT 2012

rhgerard JAMA:| Challenges of Do-Not-Attempt-Resuscitation OrdersReply: http://t.co/bxmZ6Vaa#hpm#hospice#geriatrics

Wed Jun 20 18:33:16 PDT 2012

ctsinclair @aliciabloom Could you rt link to the study? #hpmWed Jun 20 18:33:35 PDT 2012
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ctsinclair @_lizzy_ prognosis is always the tricky bit! Need more research here! #hpmWed Jun 20 18:34:05 PDT 2012

ravipm2000 MT @aliciabloom: it seems checklist aims to focus on goals/ prefs opposed to whichprocedures someone wants or doesnt want... #hpm

Wed Jun 20 18:34:13 PDT 2012

aliciabloom here's the link- http://t.co/RfDtnNDf#hpmWed Jun 20 18:34:53 PDT 2012

_lizzy_ @ctsinclair agreed... This will spark more prognosis questions, I think...but maybe morerealistic conversations too #Hpm

Wed Jun 20 18:35:30 PDT 2012

aliciabloom this is a tricky ?- "How much medical intervention they are willing to undergo to gain moretime"- will really need to unpack it #hpm

Wed Jun 20 18:35:40 PDT 2012

ctsinclair Ack, gotta go gang. Sick kid upstairs. #hpmWed Jun 20 18:36:38 PDT 2012

MarksPhone If at the time of dx the oncologist begins shared decision making a scaffold is begun to buildon all of this is SDM I think #hpm

Wed Jun 20 18:36:58 PDT 2012

TexasKidDoc Think questions are very open ended, less important what content comes out thanquestions are asked. Opening dialogue is important #hpmWed Jun 20 18:37:16 PDT 2012

aliciabloom @ctsinclair bummer! sending get well wishes. #hpmWed Jun 20 18:37:47 PDT 2012

rhgerard JAMA Network | Dignity Therapy: Final Words for Final Days: http://t.co/Mf5P6Vsr#hpm#hospice#eol#hpmglobal

Wed Jun 20 18:38:37 PDT 2012

aliciabloom really like this question- "their biggest fears and what functional abilities they could notimagine living without." #hpmWed Jun 20 18:39:37 PDT 2012

_lizzy_ T1 i guess my concern is that the checklist isn't going to solve the oncologists' comfort leveissues...but maybe training will help #Hpm

Wed Jun 20 18:40:07 PDT 2012

aliciabloom @MarksPhone great point. starting off from diagnosis on the right foot with shared decisionmaking is critically important. #hpm
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Wed Jun 20 18:40:42 PDT 2012

TexasKidDoc @_lizzy_ routine makes it far more comfortable #hpmWed Jun 20 18:41:05 PDT 2012

aliciabloom @_lizzy_ i wonder if the checklist will help them feel more comfortable. guide theconversation, key points to touch on = less scary ? #hpmWed Jun 20 18:41:22 PDT 2012

MarksPhone @_lizzy_ We are not going to solve onc's issues until we do a serious needs assessmentetc. I'm people are doing that but that is key #hpm

Wed Jun 20 18:41:46 PDT 2012

TexasKidDoc @_lizzy_ ask any med student about taking a sexual history and they squirm, most doctorsask "men, women or both" without discomfort #hpmWed Jun 20 18:42:10 PDT 2012

ravipm2000 T1: my fear is that an emotionally unintelligent doc will ask the questions like a shopping lis

#hpmWed Jun 20 18:42:29 PDT 2012

TexasKidDoc @_lizzy_ Same issue with EOL. The more you ask, the easier it gets #hpmWed Jun 20 18:43:01 PDT 2012

aliciabloom check labs, review meds, discuss next chemo, go through serious illness communicationchecklist. i like it! it could work. #hpmWed Jun 20 18:43:15 PDT 2012

TexasKidDoc @ravipm2000 Shopping list may be better than never taking about it #hpmWed Jun 20 18:44:10 PDT 2012

ravipm2000 T1: I've seen scenarios where the checklist is covered in 2 or more visits but time is used torespond to emotion or probs arise #hpm

Wed Jun 20 18:44:10 PDT 2012

aliciabloom RT @TexasKidDoc: @ravipm2000 Shopping list may be better than never taking about it#hpm

Wed Jun 20 18:44:57 PDT 2012

ravipm2000 @TexasKidDoc I agree that it should be discussed but one has to be trained tocommunicate well or else it is perceived as insincere. #hpm

Wed Jun 20 18:45:24 PDT 2012

_lizzy_ The checklist implies knowledge deficit which isn't necessarily issue. Pro #hpm onc alreadyhaving convos. Will this convert onc? #HpmWed Jun 20 18:45:40 PDT 2012
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MarksPhone @ravipm2000 another point to consider beginning early so when the poop hits the fanreceptors for tough decisions are open #hpm

Wed Jun 20 18:46:21 PDT 2012

TexasKidDoc good point MT @_lizzy_: The checklist implies knowledge deficit which isnt necessarilyissue. Pro #hpm onc already having convos. #hpm

Wed Jun 20 18:46:42 PDT 2012

_lizzy_ @ravipm2000 i guess that is what i am trying to say...that if they aren't onboard will #hpmthen will checklist change things? #HpmWed Jun 20 18:46:47 PDT 2012

ravipm2000 @MarksPhone Agreed! I've seen many transplant pts thrown off that cliff! #hpmWed Jun 20 18:47:15 PDT 2012

MarksPhone @_lizzy_ not supported look at this study http://t.co/hbEI4rSW. both pcp and oncs arereluctant #hpm

Wed Jun 20 18:47:31 PDT 2012

TexasKidDoc @_lizzy_ I think it can-Checklists changed much in other parts of med, Normalizing hardconvos make them happen more across the board #hpm

Wed Jun 20 18:48:21 PDT 2012

aliciabloom @MarksPhone@ravpim2000 great point. many patients/families experience decisionfatigue when in crisis situations. #hpm

Wed Jun 20 18:48:28 PDT 2012

ravipm2000 @_lizzy_ At least they will help the patients plan more thoroughly provided that they canrespond to the emotive data from the pt. #hpm

Wed Jun 20 18:48:32 PDT 2012

_lizzy_ @MarksPhone yeah i did a paper in school...so many barriers, sadly. Age, ego, training.Hopefully checklist will start pt thinking. #Hpm

Wed Jun 20 18:49:13 PDT 2012

aliciabloom @TexasKidDoc i agree! more we can normalize these conversations, more likely they'llhappen. better that they occur than not at all. #hpmWed Jun 20 18:49:41 PDT 2012

ravipm2000 T1: the onc docs @UWMadison are pro pall care and mention that path early on so as timegoes by,they refer to the earlier convos #hpmWed Jun 20 18:50:01 PDT 2012

aliciabloom @_lizzy_ SO. MANY. BARRIERS. ugh! #hpmWed Jun 20 18:50:13 PDT 2012

TexasKidDoc @ravipm2000 this won't make bad docs good, but may at least give a framework instead of
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EXTRA awkward/avoided/bad convos #hpm

Wed Jun 20 18:50:25 PDT 2012

MarksPhone @_lizzy_ I was referring to physicians who dont get palliative care or hospice and wait toolong. This is binominal equation #hpm

Wed Jun 20 18:50:38 PDT 2012

MarksPhoneFor Donna and me the key for hboth of us was our onc managed us well as equalsw/respect. We both understood medicine he understood us #hpmWed Jun 20 18:52:05 PDT 2012

_lizzy_ @MarksPhone Or the onc wait for family doc and family doc wait for onc...and pt waits foreither. This will at least start convo #Hpm

Wed Jun 20 18:52:16 PDT 2012

ravipm2000 @TexasKidDoc I am happy with the qu's on the list it's just that I've seen the questions inthe list asked really badly #hpm

Wed Jun 20 18:52:49 PDT 2012

aliciabloom we've had a lively discussion about this EoL checklist, the hour will soon be coming to aclose- thank you! please share final thoughts #hpm

Wed Jun 20 18:52:50 PDT 2012

MarksPhone @_lizzy_ bingo #hpmWed Jun 20 18:52:54 PDT 2012

aliciabloom @MarksPhone it should be about mutual respect & open dialogue- that is truly person-centered care. #hpmWed Jun 20 18:53:39 PDT 2012

MarksPhone Time to take Nina out thank you all glad to be able to join and share with such adistinguished group #hpmhttp://t.co/hom3oDPZ

Wed Jun 20 18:54:22 PDT 2012

aliciabloom @_lizzy_ huge challenge. diversion of responsibility to the "other doctor." #hpmWed Jun 20 18:54:23 PDT 2012

TexasKidDoc @ravipm2000 Me too. But many pts don't know how to change docs or cannot. If you aresuck together, better to encourage conversations. #hpmWed Jun 20 18:54:48 PDT 2012

_lizzy_ @aliciabloom wow! Time flies when we are tweeting. Thanks for a great topic! #HpmWed Jun 20 18:54:51 PDT 2012

ravipm2000 Having an EOL checklist: Good. Responding to pt and skillfully guiding pt through it: Better#hpm

Wed Jun 20 18:54:53 PDT 2012
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7/31/2019 #Hpm Tweet Chat 6:20:12

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aliciabloom RT @_lizzy_: @aliciabloom wow! Time flies when we are tweeting. Thanks for a great topic#Hpm

Wed Jun 20 18:55:11 PDT 2012

aliciabloom RT @ravipm2000: Having an EOL checklist: Good. Responding to pt and skillfully guiding pthrough it: Better! #hpm

Wed Jun 20 18:55:27 PDT 2012

ravipm2000 @TexasKidDoc:Agreed! #hpmWed Jun 20 18:55:34 PDT 2012

_lizzy_ @aliciabloom Heard a person hpm story from friend last week 3 docs, 3 opinions on care#HpmWed Jun 20 18:55:50 PDT 2012

aliciabloom @_lizzy_ yes it does :) #hpmWed Jun 20 18:55:52 PDT 2012

TexasKidDoc RT @ravipm2000: Having an EOL checklist: Good. Responding to pt and skillfully guiding pthrough it: Better! #hpm

Wed Jun 20 18:55:57 PDT 2012

_lizzy_ RT @TexasKidDoc: RT @ravipm2000: Having an EOL checklist: Good. Responding to ptand skillfully guiding pt through it: Better! #HpmWed Jun 20 18:56:30 PDT 2012

aliciabloom @_lizzy_ that's so hard. huge role for palliative care clinicians to be helpful and piece it alltogether. #hpm

Wed Jun 20 18:57:16 PDT 2012

_lizzy_ Remember #hpmglobal on Monday morning 8 est #HpmWed Jun 20 18:57:30 PDT 2012

aliciabloom thank you all for a really lively chat! hope to see you next week-- same time, same place#hpm

Wed Jun 20 18:57:45 PDT 2012

ravipm2000 RT @aliciabloom: @_lizzy_ thats so hard. huge role for palliative care clinicians to behelpful and piece it all together. #hpmWed Jun 20 18:57:45 PDT 2012

_lizzy_ @aliciabloom I respect the work that all the great docs do...not easy stuff! #HpmWed Jun 20 18:58:11 PDT 2012

ravipm2000 Great chat! Talk to you all again soon! #hpmWed Jun 20 18:59:42 PDT 2012
http://twitter.com/390759406/status/215625005843746818http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ravipm2000http://twitter.com/15739043/status/215624624342433793http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/_lizzy_http://twitter.com/390759406/status/215624516234252289http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/_lizzy_http://www.twitter.com/aliciabloomhttp://www.twitter.com/ravipm2000http://twitter.com/24399366/status/215624516259418112http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/15739043/status/215624455072915456http://www.symplur.com/healthcare-hashtags/Hpm/http://www.symplur.com/healthcare-hashtags/hpmglobal/http://www.twitter.com/_lizzy_http://twitter.com/24399366/status/215624393852846081http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/_lizzy_http://www.twitter.com/aliciabloomhttp://twitter.com/15739043/status/215624203452420096http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/ravipm2000http://www.twitter.com/TexasKidDochttp://www.twitter.com/_lizzy_http://twitter.com/291849321/status/215624063643680768http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ravipm2000http://www.twitter.com/TexasKidDochttp://twitter.com/24399366/status/215624042781229056http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/_lizzy_http://www.twitter.com/aliciabloomhttp://twitter.com/15739043/status/215624035764158464http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/_lizzy_http://twitter.com/390759406/status/215623967518625792http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TexasKidDochttp://www.twitter.com/ravipm2000http://twitter.com/24399366/status/215623939412590592http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ravipm2000http://www.twitter.com/aliciabloomhttp://twitter.com/24399366/status/215623868814077953http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/_lizzy_http://www.twitter.com/aliciabloom

7/31/2019 #Hpm Tweet Chat 6:20:12

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TexasKidDoc THanks for a great chat! #hpmWed Jun 20 19:01:10 PDT 2012

Kind4Kids Multi-tasking! RT @nursefriendly Wed #Healthcare#Tweetchats (EDT): 8p #IVchat 8p#s4pm 9p #dsma 9p #hpm 9p #mHealth 9p #premeded#nurseup

Wed Jun 20 19:10:16 PDT 2012
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#Hpm Tweet Chat 6:20:12

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