012213 employee wellness #cphc twitter chat

8/13/2019 012213 Employee Wellness #CPHC Twitter Chat

1/17

#CPHC Chat1/22/2013 Employee Wellness

ChronicPainGPS Join today at 1pm EST #hcsm MT @GailZahtz: #cphc with @giasison Employee wellness

and prevention. Also her work with @WHO

ElinSilveous @GailZahtz I don't understand what the car pool healthcare #CPHC is all about??

GailZahtz @ElinSilveous LOL Vision/mission at http://t.co/vfwuMYRe #cphc is only in 3rd week-growing. Chat is 1 needle changing initiative/week.

GailZahtz @ElinSilveous Surely #CPHC is totally grassroots- you of all people may remember how

hard to start/support community in the beginning! TY

ElinSilveous @GailZahtz @lttlewys @giasison Decades ago I was product manager for the thennation's

leading health promotion/med self care prod line #CPHC

GailZahtz @ElinSilveous Considering this is only the 2nd and we await our guest- a fabulous free

for all is just fine! #CPHC

GailZahtz First off- rather than just introductions- we also love when people self promote health

initiatives, projects and concerns! #CPHC

lttlewys Morning!! First time here, on the tail end of #BreastCancer treatment and invloved

with @TheTutuProject & @TheCareyFoundation #CPHC

ChronicPainGPS Patti here! Developing Patient Enrichment Program for chronic pain patients.

Empower, educate, enrich lives! :o) #cphc

sandyhubbard My focus is on temporary or recurrent illness that requires adaptive technology,

design, lifestyle while honoring dignity and needs. #CPHC

ElinSilveous Hi everyone. Elin here, checking out this #CPHC chat on employee wellness/health

promotion.

MandiBPro Hello, all! Hope you're enjoying your Tuesday. Mine's wild and wooly thus far. :) #CPHC

Dlschermd @GailZahtz @lttlewys @giasison I'm here #cphcDanmunro Sorry - just joining - what's the hashtag focus? #CPHC

GailZahtz @dlschermd @lttlewys @giasison Great to see you all! Feel free to talk about why you

got involved with healthcare and projects! #CPHC

nursefriendly Hello Everyone, Andrew Lopez, RN from #NewJersey :) #cphc

GailZahtz @nursefriendly Goodness good to see you Andrew- folks this is new and

grassroots...appreciate support! Today-employee health and WHO #CPHC

Dlschermd #CPHC Happy to be here, seeing some familiar fellow ranters:)

toughLoveforx Hello #CPHC Michael Josefowicz here in Brooklyn. I'm here to explore the synergies

between primary health care and K-12 education. Kamiyamay

#CPHC Hi Gail..so glad to tweet in...yes to the focus!

menkris @GailZahtz Am here #cphc Radiologist working *primarily in KL (Mal) with a corp Hosp

group.Setting up patient advocacy in India/Mal #cphc

GailZahtz @MandiBPro Great to see you! I know you have been doing some #BigData work- feel free to

share with #CPHC

MandiBPro @GailZahtz Definitely. Finishing up a contract but will be jumping in the fray whole

hog in 5m. :) #CPHC


2/17

Timbigfish Watching some healthcare pros make connections and discuss initiatives. Yeah, they're doing

things that matter. #CPHC

MargieClayman @sandyhubbard @GailZahtz Hiya ladies - can't chat long but thought anything you're

involved in would be great :) #CPHC

GailZahtz @danmunro Background is starting at http://t.co/vfwuMYRe Focus of # has moved to focus

on highlighting healthcare initiatives. #CPHC

StorkBrian #cphc @GailZahtz Promoting Muskegon & Grand Haven, MI Blizzard outside Fire alarms

going off inside Is it Friday yet???

Nursefriendly @GailZahtz T1 People are looking to the Internet & Dr. Google for #Healthcare Info. Need

to steer them in right direction ;) #cphc

GailZahtz @nursefriendly How can we steer people- whether employees, other patients and/or

family to right direction? #CPHC

Timbigfish @GailZahtz @nursefriendly Easier to steer ppl in the right direction if destination is

worth the trip. Content & connections, y'all. #CPHCMarksPhone @GailZahtz @nursefriendly not sure you can steer them these are adults and learn

in response to problems they are trying to solve. #cphc

GailZahtz @MarksPhone Is steer the wrong word? How can we help people make their

own decisions that have good outcomes for all? #CPHC

MarksPhone We need to understand the problems specific to the health

solutions they are seeking and help them solve them. The is guide/steer #cphc

Nursefriendly First step is to get online ourselves, see what is out there, what we as #doctors

#nurses #healthcare #professionals trust. #cphc

MandiBPro I've participated in several employer-sponsored wellness plans, w/ same concern: only

fit(ter) folks seem to show consistent interest. #CPHC

GailZahtz @MandiBPro Do you see a connection between the data filter and the human filter in

trying to get engagement? #CPHC

MandiBPro @GailZahtz Yes, & more access to data & ability/encouragement to APPLY insights,

the wider the filter. Ease of access/application key. #CPHC

Burgessct We could work to remove the paywalls on objective peer-reviewed research?

Democratization of data and research? #CPHC

menkris @burgessct Agree. The guardian had an article on that last week. http://t.co/9NlQYhOq

#cphc

burgessct Exactly - pub money for research & then pay-walled? MT: @menkris GuardianArticle on that last week. http://t.co/j44ZIoH6 #cphc

GailZahtz @burgessct I saw a statistic last week about patients getting pay-

walled. Often employers do that too?! #CPHC

Burgessct Truly absurd RT @GailZahtz: @burgessct I saw a statistic last

week about patients getting pay-walled. Often employers do that too?!

#CPHC


3/17

Nursefriendly @GailZahtz Employee #Healthcare :) Could spend a while on that, though I'd be

interested in thoughts #mandatory #influenza vaccination #cphc

GailZahtz @nursefriendly We are lucky to have some physicians who are helping us with the flu

issue. A few are here today! Hope to get up soon #CPHC

Nursefriendly @GailZahtz Yes, several have weighed in on the Mandatory #Vaccination and

other issues. Had a spirited discussion on that on LinkedIn #cphc

GailZahtz @sandyhubbard What can we do in the workplace and other public environments to

encourage and support people of all abilities? #CPHC

Dlschermd #CPHC Employees need incentives (lower premiums?) to get with employer driven

wellness programs. Problem is lack of efficacy data for them.

GailZahtz @Kamiyamay GREAT to see you! As we haven't heard from our guest- we are moving forward

with the issue of employee wellness- thoughts? #CPHC

Nursefriendly @GailZahtz T1 Steer them in the right direction by #1 Getting online, seeing what is out

there. #2 Learn what information they need. #cphcNursefriendly Then interface with #s4pm (Society for Participatory Medicine) and other patient

advocacy groups, share our findings, peer review :) #cphc

ElinSilveous @GailZahtz @danmunro What area of employee health/wellness/prevention is today's

focus? Efficacy? Outcomes? ROI? TY. #CPHC

GailZahtz @ElinSilveous Looking at initiatives that have been successful in the workplace- and

what else we can do. #CPHC

Dlschermd @ElinSilveous @gailzahtz @danmunro There is no efficacy work really being done.

That's the problem. #CPHC

ElinSilveous @dlschermd @gailzahtz @danmunro Check out research by

@Wendy_Lynch #CPHC

GailZahtz TY. Have a link? RT @ElinSilveous: @dlschermd @gailzahtz

@danmunro Check out research by @Wendy_Lynch #CPHC

ElinSilveous #CPHC RT @Wendy_Lynch new survey has some interesting suggestions

why so few look for cost info http://t.co/lP3jLsYc

ElinSilveous @dlschermd @gailzahtz @danmunro Efficacy, ROI & outcomes research was HUGE

in 80s, then fell away. I did some online research in 90s. #CPHC

Sandyhubbard @GailZahtz It would be eye opening for high school students to spend the day out in the

real world in a wheel chair. #CPHC

lttlewys @gailzahtz @sandyhubbard That is so tough, it's really needs to built into the cultureand people need to be aware & empathtic #CPHC

Kamiyamay Interesting this came up...if employees providing health aren't well....difficult to advocate

wellness. Offer, support, advocate! #CPHC

MarksPhone We make learning part of a larger MD centric (not WebMD) strategy where we are setting

up long term chenage to HC behavior etc. #cphc


4/17

StorkBrian #cphc @GailZahtz With respect to employee wellness, I wish hospitals would serve healthier

food Restaurants to for that matter

GailZahtz @StorkBrian Food at hospitals is actually big issue- as is ability to sleep, and

integrating access in environment. #CPHC

StorkBrian @GailZahtz #CPHC Sleep, indeed Lots of science behind the importance ofsleep Need for healthcare services, however, never stops

Kamiyamay @GailZahtz Working in community too....fast food, why can't we have vegie,

whole food fast places...dreaming! #CPHC

GailZahtz @MandiBPro @StorkBrian @sandyhubbard How can we create environments that

encourage sleep, good eating, etc? #CPHC

Kamiyamay @StorkBrian As on call sure understand. So how do we get organizations

and corp to accept and be involved? #CPHC

ElinSilveous Must start w/CEO RT @Kamiyamay @StorkBrian As on call sure

understand. So how do we get organizations and corp to accept... #CPHC

sandyhubbard Great brains can surely create a safe and private patient sleep environment

without noise, light, fear yet allow health pros to work. #CPHC

MandiBPro @sandyhubbard Difficult question. Seems The culture of medicine, and

residency as I understand it, glorifies sleep deprivation. :( #CPHC

menkris @GailZahtz @MandiBPro @StorkBrian @sandyhubbard The menus in the cafetaria can

be tweaked; maybe keep the healthy choice cheaper #cphc

StorkBrian @menkris @gailzahtz @mandibpro @sandyhubbard #CPHC I my mind, hospital

cafeterias should be leading the way w healthy eating choices w/o JF

menkris @StorkBrian @GailZahtz @MandiBPro @sandyhubbard They do; but folk also

complain about the terrible taste! :D Esp the ones on call #cphc

GailZahtz @menkris Isn't the terrible taste complaint similar to universal design

and other engagement- selling the better stuff? #CPHCnursefriendly @timbigfish @MandiBPro The most effective way to lead is by example. Need

to have people walking the walk, not just talking. #cphc

Kamiyamay @MandiBPro Excellent....lead by example and then incentives...take time to

be fit at work programs #CPHC

GailZahtz Really good points everyone: built into the culture, doing studies, helping employees advocate

for themselves! Oh- carry on!! #CPHC

Nursefriendly With both #patients and #heathcare professionals, doctors working together, we amass a

large pool of resources fairly quickly. #cphc

toughLoveforx @nursefriendly "doctors working together" fyi "the networked educator" is agrowing understanding in edu #ecosys #CPHC

MandiBPro @dlschermd Would incentives + competition help? I know competition would help those

fringe who are alpha-oriented, but not other types #CPHC

Dlschermd Im specifically referring to mobile health tools (portals, apps). No efficacy studies in

workplace health programs. #CPHC


5/17

Kamiyamay Gym membership and advocate wellness during work hours! #CPHC

GailZahtz Okay- so can anyone name ONE initiative, no matter how small, that has or could make a

difference in employee health/ workplace? #CPHC

MandiBPro @GailZahtz Healthy dietary choices in vending machines, walking meetings, wireless

headsets to pace instead of sit - all would help. #CPHC

MandiBPro @GailZahtz Walking meetings. #CPHC

GailZahtz I am glad we have back-end tracking-- these are fabulous ideas of small changes that

would make a huge difference! #CPHC

MandiBPro Corporate culture shift from seated keyboard jockeys to interactive motion

machines. :) Encourage #healthyhabits w/ grassroots change. #CPHC

Burgessct We have stand-up *update* meetings in our company @MandiBPro keeps everyone

alert, brief and "healthy" #CPHC

GailZahtz @burgessct How does the stand up update work? #CPHC

Burgessct Stand in a room and updates their status reports - no sittng allowed -

RT @GailZahtz: @burgessct How does the stand up update work? #CPHC

MandiBPro @GailZahtz Instead of sitting at conf table, all attendees stand. I dothese 15 minutes, twice a day, with my dev teams. Effective. #CPHC

toughLoveforx @MandiBPro I've seen same technique routinely used in software

development. 15 minute Standups a couple of times a day. #CPHC @GailZahtz

GailZahtz Question is- how do we encourage these 15 minute "stand-ups"? #CPHC

MandiBPro @GailZahtz Good way: start w/ sticky notes on the wall as brainstorming exercise,

w/ team. They're moving, they're engaged. Daily. #CPHC

Nursefriendly @sandyhubbard No shortage of #chronic #illnesses out there :( #COPD #Diabetes

#KidneyFailure #congestiveheartfailure #MH #cancer #cphc

nursefriendly @ sandyhubbard That doesn't start to address the needs of #eldercare, #geriatrics

which are a huge demographic as well. #cphc

sandyhubbard @nursefriendly Helping to remove the stress of dealing with an unadapted

environment would be useful for those illnesses, I believe. #CPHC

nursefriendly @sandyhubbard Agree, with the #SilverTsunami approaching, keeping

people in their homes alone is a gargantuan challenge #cphc

nursefriendly @sandyhubbard It should come as no secret that there will not be money

to pay for nursinghomes, or space for all our parents. #cphc

sandyhubbard @nursefriendly You state these issues very well. I'm glad you

are involved and advocating! #CPHC

sandyhubbard @nursefriendly The Baby Boom is a Big Balloon of a

demographic that will need to be healthy and in their homes as they age. #CPHCburgessct Yes we will :) @sandyhubbard @nursefriendly #CPHC - trying to line it all up

before I need it

burgessct #CPHC - Babyboomers need to be healthy at home and educated about med

research/capability as we move to Individualized Care @GailZahtz

Kamiyamay Not just Babyboomers....all Gen's please! #CPHC

GailZahtz @Kamiyamay Agree it's all generations! Access, ease of life,

and having patients have dignity at home and in the hospital! #CPHC


6/17

sandyhubbard @burgessct We must be safe in home as we age and able to advocate

from position of power, financial stability and dignity. #CPHC

GailZahtz @sandyhubbard @burgessct You know I agree 100% that design and health

are now 1 issue- should not be separated anymore! #CPHC

MandiBPro @sandyhubbard Sadly, supporters 4 empowerment through info are the

ones who already KNOW how to use it, & we're minority population. #CPHCBurgessct Agree - those in the pews don't need evangelizing - @MandiBPro

@sandyhubbard #CPHC

Nursefriendly @sandyhubbard #the #babyboomers are here, and making their presence

known in #healthcare, we are not prepared for them in the least :( #cphc

sandyhubbard All of these points really boil down to removing barriers in every category to promote

understanding, access and advocacy. #CPHC

burgessct @GailZahtz @sandyhubbard - I would add - and make it easily accessible today and

tomorrow for the common man as well as the researcher #CPHC

toughLoveforx @sandyhubbard My thought is we need trusted people on the ground to

interpret or frame as barriers are removed. #CPHC

sandyhubbard @nursefriendly Great point. The whole point of universal design is that it is truly

universal. #CPHC @GailZahtz

GailZahtz So interesting, as many of you know Universal Design is a Big issue to me- we start

with work- and move quickly to good environment #CPHC

Nursefriendly @sandyhubbard Making the changes now, remodeling, building new houses with

#parents #eldercare in mind has to be a priority #cphc

menkris @sandyhubbard @burgessct Absolutely. Critical to that is patient-friendly home design.

Structural and assist devices #cphc

nursefriendly @MandiBPro Have to wonder, if they were made more attractive, how #employee#wellness programs could reduce #burnout #attrition :( #cphc

GailZahtz Good question HOW? RT @nursefriendly wonder, if more attractive, how #employee

#wellness programs could reduce #burnout #attrition :( #CPHC

nursefriendly @MandiBPro In #healthcare & #nursing specifically, #burnout, resulting

#substanceabuse, #depression, etc is costing billions :( #cphc

MandiBPro @GailZahtz @nursefriendly Increased productivity w/out increased hours (via

brainpower output w/ healthier self) = job sat increase? #CPHC

Nursefriendly @MandiBPro @GailZahtz In #healthcare I think we are getting stretched

to the breaking point, dangerously - risking #patient safety #cphc

Kamiyamay @nursefriendly I agree Andrew...stretched often...feel like a rubber

band about to break at times! #CPHC

TechurSelf @kamiyamay re: working to breaking pt. Yes, I think of the

Japanese work-life balance part of the Happy movie.

http://t.co/Qxyy5wcd #CPHC

ElinSilveous @GailZahtz Check out work by Don Vickery, MD on Taking Care Program/Take Care of

Yourself. Certainly work needs done on #mHealth. #CPHC


7/17

GailZahtz @toughLoveforx How can we look at other models- like struggle in education- to compare

health outside of doctor's office? #CPHC

ElinSilveous Did #CPHC folks see this? --> RT @Health_Affairs Is It Time To Re-Examine Workplace

Wellness Get Well Quick Schemes?http://t.co/pzU2SVWk

MandiBPro @ElinSilveous There are free alternatives that simply require paradigm shift: stand-

up/walking meetings, employee support groups #CPHC

menkris @GailZahtz Walking groups that walk together everyday at a fixed time they decide on.

Has improved interpersonal relations for one #cphc

GailZahtz @menkris Walking groups! Fabulous idea. Why don't we have more meetings

that encourage general health? @bacigalupe Great to see you! #CPHC

Timbigfish @MandiBPro @nursefriendly Yeah, makes sense. But it starts at the top. Recently

read of female CEO who does walking (hiking) meetings. #CPHC

Kamiyamay @timbigfish In hospitals and facilities would like to see initiatives trickle

down to people out there working the long shifts too! #CPHC

MandiBPro @GailZahtz SO difficult in medicine, I know. Corp culture must commit to embodying

these values, and establish principles to support. #CPHCmenkris @GailZahtz In a hospital environment; not many interested. But lots of takers

for exercise incentives and initiatives. #cphc

GailZahtz Must start with the top everywhere yes? So how can we help? RT @ElinSilveous: Must

start w/CEO RT @Kamiyamay @StorkBrian #CPHC

menkris @GailZahtz Yes; a very hard sell #cphc

GailZahtz So we are talking about how universal design and access to healthy choices can make a

difference at work and everywhere. #CPHC

toughLoveforx @GailZahtz Health care outside the office... might be interesting to look at the

homeschool movement in #ecoys #CPHC

sandyhubbard @MargieClayman HI Margie - we're identifying common themes in healthcare that are

frustrating and targeting a few to discuss. #CPHC

ChronicPainGPS Resources assisting employers/employees/practitioners 2 implement/develop

programs w/employee health activities http://t.co/cwRleEg3 #cphc

ElinSilveous I am a huge proponent of medical self care and preventing medically unnecessary visits to

ER/Doc. Keeps people healthier, contains $ #CPHC

toughLoveforx @ElinSilveous "medical self care " yes. Any experience with "self-diagnosis" to

make judgements about when to see the Doc? #CPHC

nursefriendly @toughLoveforx #healthcare can no longer be conducted as a one-sidedconversation. All parties need to be involved, engaged. #cphc

lttlewys @nursefriendly @toughLoveforx Totally agree, need to have open &

clear communications with everyone! Share info/records #CPHC

nursefriendly @lttlewys @toughLoveforx We've become such a

"closed" culture, trained to keep #patients in the dark for liability

purposes :( #cphc
http://t.co/pzU2SVWkhttp://t.co/pzU2SVWkhttp://t.co/pzU2SVWkhttp://t.co/pzU2SVWk


8/17

lttlewys @nursefriendly @toughLoveforx Agree!! Really need to get the Drs to

understand it's about sharing data & info! Patients need help #CPHC

nursefriendly @toughLoveforx We need to emphasize that #doctors #nurses

#healthcareprofessionals don't have all the answers. Need #patient input :) #cphc

toughLoveforx @nursefriendly One problem is usually a patient wants the doc to have

all the answers. Then doesn't trust they do. #CPHCtoughLoveforx @Kamiyamay My thought is patients need to know what querstions to ask and

what info docs need to know. #CPHC @nursefriendly

MarksPhone @toughLoveforx @Kamiyamay @nursefriendly and this can be reversied where the

MD helps idendify what the patient is seeking to solve. #cphc

GailZahtz @MarksPhone Great point- how can physicians identify better what the

patient is seeking to solve? #CPHC

MarksPhone @GailZahtz Needs assessment at visit what do they want to know where to they

learn how active R they in their HC, etc. ? #cphc

MandiBPro @GailZahtz In the not-so-distant future, I hope physicians will have TIME to TALK to

the patients to uncover their real concerns. #CPHC

MandiBPro @ChronicPainGPS AGREE. We need to give docs time to truly evaluate

patients as individuals, not CPT codes. #CPHC

toughLoveforx @Kamiyamay "physicians will have TIME to TALK" wud patient diaries and

stories before meets help? #CPHC @MandiBPro @GailZahtz

MandiBPro @toughLoveforx Patient narratives would be helpful, but time-consuming to

prep for both. If only >5 min could be spent in conversation #CPHC

Nursefriendly @toughLoveforx #doctors #nurses #healthcareprofessionals don't like admitting

"They Don't Have All The Answers" - #FactOfLife #cphc

toughLoveforx @MandiBPro I was thinking for some even an informal - or question asking -

diary done by patient before meeting wud help. thgts? #CPHC

nursefriendly @ toughLoveforx #Medicine, #Healthcare are not perfect or exact sciences. Thereare no "money back guarantees" #Newsflash #cphc

GailZahtz @nursefriendly For the other side- how much do patients today work with physicians

to get answers they do have? #CPHC

MandiBPro @GailZahtz We as patients and individuals lie to ourselves and our providers

CONSTANTLY, to our detriment. It's human nature. :( #CPHC

MandiBPro @toughLoveforx Ah, yes! If patient uses self-exploration to prep for appt,

absolutely. But honesty is key - and HARD to attain. #CPHC

TechurSelf @MandiBPro @toughLoveforx Yes, we think there is a place for self-tracking &

reporting on health & #wellness to share w/ HC provider. #CPHC

GailZahtz @TechurSelf can you talk more about self tracking and reporting? Seems

there is a disconnect with those who want and docs who read. #CPHC

MandiBPro @GailZahtz Currently VERY limited way to automate integration of

self-reported data into EMR/HIS. Hope to address in 2013. #CPHC

toughLoveforx @TechurSelf Any experience, research or links to self tracking and reporting

that you know about? #CPHC @MandiBPro

TechurSelf @GailZahtz Yes, def a disconnect. HC sys needs to integrate self-tracking & sharing of

personalized #bigdata in form useful to docs. #cphc


9/17

MandiBPro @GailZahtz @TechurSelf Addressing self-tracking integration w/ EHRs &

downstream entities will close crucial gap w/ patients who use. #CPHC

Sandyhubbard Within hospital environment, there is still much work to be done in Universal Design

regard, suprisingly. #CPHC

GailZahtz @sandyhubbard I was just at hospital that had re-design last month- put up fancywood on walls- no grab bars. #CPHC

sandyhubbard @GailZahtz How many restrooms do you see with accessible stalls yet paper

towel dispenser is at standing height. Insulting. #CPHC

GailZahtz It is so interesting- I say self promote- Universal and Sensory design is topic of

my upcoming book- wasn't going to mention ;-) #CPHC

sandyhubbard I am so excited you are writing a book on this subject, Gail!

@GailZahtz Universal and Sensory Design is topic of my upcoming book. #CPHC

GailZahtz @sandyhubbard Thank you! A bit de-railed from this and other projects- but

still planning a May marathon finish to publish! #CPHC

GailZahtz @MandiBPro How can we not ingrain good health in medicine if the hospitals and physicians

and nurses can't be healthy? #CPHC

StorkBrian @GailZahtz @mandibpro @sandyhubbard #CPHC Really wish I had a good answer for

that question

MandiBPro @GailZahtz I think it can be grass-roots, emp-led - depends on the size/mgmt style

of the org. I empower my teams to execute as works. #CPHC

Kamiyamay @MandiBPro You said a couple of key words...Empower and Team!!! #CPHC

GailZahtz Yes- so how? RT @lttlewys: RT @kamiyamay: @MandiBPro You said a couple

of key words...Empower and Team!!! #CPHC ~YES!!! #CPHC

toughLoveforx @GailZahtz imo Empower&Team connected off line and/or on line with a 100%

patient health focus..#CPHC @lttlewys @Kamiyamay @MandiBPro

Kamiyamay MandiBPro Employee support - excellent! Would improve attitude, environment,

productivity! #CPHC

MandiBPro @Kamiyamay Yes, and helps alleviate any Big Brother insecurity emps might feel

from mgmt-led initiatives. #CPHC

Kamiyamay I work in rural Texas...so many providing care in facilities and elsewhere smoke -

need incentives to stop.. #CPHC

Dlschermd Took so long to fight (3 years and a threatened law suit) for my hosp to ban

smoking years ago. I did it without hiring a lawyer. #CPHC

GailZahtz @dlschermd Your hospital allowed smoking indooors? Thought that

was a decade ago. #CPHC

Dlschermd @GailZahtz Was outdoors. I had to cross campus and hold

my breath. #CPHC

Timbigfish @Kamiyamay Yeah, might be easier for grassroots there. Nobody's watching

:-) #CPHC

GailZahtz @timbigfish HA- first you're napping now point out everyone is

watching! Think exciting conversation from no guest show! #CPHC


10/17


11/17

nursefriendly @MandiBPro @GailZahtz #healthcare by design had buffers built in. With #ForProfit

companies buying up facilities, losing buffers. #cphc

MandiBPro @nursefriendly Yes, this is a HUGE concern. And what is root cause? Shortage of

expert professionals? Cultural acceptance? #CPHC

nursefriendly MandiBPro @GailZahtz #Fortune500 companies like clockwork,#MittRomney, buy companies, fired highest paid, stripped benefits, resold. #cphc

nursefriendly @MandiBPro @GailZahtz Those #Fortune500 tactics are now being instituted in

#healthcare, and it is costing lives, employees #cphc

sandyhubbard @nursefriendly So you're saying that many of the limitations we

perceive in big health care orgs are for profit motive and CYA. #CPHC

lttlewys @nursefriendly @toughLoveforx That mentality is HORRID!! It's like some Dr's don't

want their patients informed & What about family #CPHC

nursefriendly @MandiBPro #RootCause? Trillions of dollars going into #healthcare annually,

huge profits to be made like any other business. #cphc

nursefriendly @MandiBPro Solutions will affect profits, will cut into the bottom line. In a

#ForProfit system, it is cheaper to let problems persist #cphc

nursefriendly @sandyhubbard Yes, and as more #investors move into the #SafeHaven of

#Profitable #Healthcare, the problems are going to get worse. #cphc

GailZahtz Interesting how we have connected the dots- from employee health to universal design to

access at hospitals to Baby Boomers. #CPHC

ChronicPainGPS Patient/Dr partnership built on MUTUAL trust and respect. Treat Pts as People - unique

individuals, NOT cookie cutter diagnosis #cphc

GailZahtz @ChronicPainGPS This mutual trust issue comes up everyday! The missing key to all. I

am still amazed about @lttlewyns story... #CPHC

MarksPhone @GailZahtz "Changing the Office Visit from Transactional to Value Driven"

http://t.co/xcPMxngL Speaks to helping patients #cphc

toughLoveforx @MarksPhone Big thanks for Transaction to Value Driven Post. Many same

issues in education. #ecosys #CPHC @GailZahtz

ElinSilveous Worksite walking programs, yoga & aerobics are easy, low cost programs to implement.

often started by enthusiastic employee. #CPHC

MandiBPro @ElinSilveous EXACTLY! Walking the building, itself, is helpful - no need to even go

outside! Wireless headsets so you can pace helps. #CPHC

Nursefriendly @lttlewys @toughLoveforx Bringing #patients #families #caregivers into the equation is

going to require a major #CultureShift #cphc

ElinSilveous @MandiBPro I noticed @fitbit is targeting employee benefits/HR for worksite wellness.

Not sure of #ROI (health, productivity, cost) #CPHC MandiBPro

@ElinSilveous I saw that, too. Good engagement tool for those who are already leaning towards

device use, but for unhealthiest...not. #CPHC


12/17

Dlschermd @ElinSilveous @mandibpro @fitbit Will be interesting to see. They just

partnered with Loseit. #CPHC

ElinSilveous @dlschermd @mandibpro @fitbit Yes, it will. Await research for

sure. #CPHC

ChronicPainGPS @GailZahtz when I click on @lttlewyns handle, that page doesn't exist? #cphcGailZahtz @ChronicPainGPS Which click? #CPHC

ChronicPainGPS @GailZahtz: I am still amazed about @lttlewyns story - I don't know

that I'm familiar with that; tried looking up @lttlewyns not there #cphc

GailZahtz @ChronicPainGPS She is here on the chat- do not know if @lttlewyns shared

the story before of her smart port? Did you Brandi? #CPHC

Sandyhubbard @ChronicPainGPS @GailZahtz Hi Patti - Brandie's handle is @LttLewys -

like little without the "i" #CPHC

ChronicPainGPS @sandyhubbard: thanks! Got it now! #cphc

GailZahtz Is there something tangible we can do to promote the walk and talk, universal design and

other important ideas? #CPHC

ElinSilveous What is meant by universal design? Thank you. #CPHC @GailZahtz

GailZahtz @ElinSilveous Universal Design was started by Mace et al 25 years ago to

promote 7 ideas of better environments for everyone. #CPHC

ElinSilveous What were the 7 ideas of universal design? TY. @GailZahtz #CPHC

GailZahtz @ElinSilveous I can get you link- the original book is at the

University of NC website- search Universal Design co-authored by R

Mace #CPHC

Timbigfish @GailZahtz Most ppl, CEOs too, are followers. Would be cool to find fitness

minded leader to live this. What would @CoryBooker do? :-) #cphc

Dlschermd @GailZahtz We need to incentivize and also start ingraining in early school.Childhood obesity could be nipped in bud. #CPHC

GailZahtz @dlschermd Incentivize the kids to eat better? #CPHC

Dlschermd @GailZahtz Incentives to employees. Kids can be incentivized by literally

showing them the effects of poor habits. Patient volunteers.#CPHC

MandiBPro @GailZahtz I've bet my daughter $500 that she can't beat me in a 5K. It

incents BOTH of us. #CPHC

nursefriendly @toughLoveforx If the amount of #mederrors, #HealthcareHarm & #malpractice suits

didn't make it clear. #doctors, etc are not perfect #cphc

Kamiyamay @GailZahtz Different patients need and want different things...many don't know how to cut

through the maze. Why make it a maze? #CPHC

GailZahtz @Kamiyamay So how do we cut through patient mazes and dishonesty too?

@mandiBPro #CPHC

menkris @MandiBPro @GailZahtz For patients; keeping a daily journal helps. Keeps it real and there is a

record. #cphc


13/17

MandiBPro @GailZahtz I wrote a blog about this - the Healthcare Lie Detector, leveraging data

to identify gaps b/w health perception & reality. #CPHC

MandiBPro @menkris That would be extremely helpful, provided they keep don't omit,

"Smoked 3 cigs on GNO last night. Slept in, missed gym." X 5. #CPHC

toughLoveforx @MandiBPro Agreed. Honesty is hard. But often able to sense further questions to get

to really helpful stuff. That means HCP time. #CPHCGailZahtz We need to talk about how we can help patients be better and honest

communicators, not just providers. #CPHC

menkris @MandiBPro :) If it is a personal journal; for oneself alone that none else reads;

and if it will help with outcomes - even then? #cphc

MandiBPro @menkris Patient has to share the info w/ provider AND change

behavior if it is to help w/ outcomes. The truth hurts, but it's needed! #CPHC

ElinSilveous If someone feels intimidated asking their M.D. questions, they need to find another

provider, and FAST. #CPHC

Nursefriendly @sandyhubbard #Thankyou Sandy, these are #healthcare #discussions that need to be

had, and the sooner the better. #cphc

sandyhubbard Regular people need to be empowered to discuss. RT @nursefriendly healthcare

discussions that need to be had & the sooner the better. #cphc

Dlschermd @GailZahtz @kamiyamay @mandibpro Need to get wellness out in open and educate. Make

it part of vernacular. #CPHC

GailZahtz @dlschermd How do we make wellness part of the veernacular? #CPHC

Nursefriendly @toughLoveforx @Kamiyamay There is a strong need for #patient #advocates, #nurse

#navigators, and assistance in navigating #healthcare #cphc

Kamiyamay @nursefriendly They must be taught -I teach what to ask....how do people access

that..not everyone offers..because teaching=time #CPHC

ChronicPainGPS @GailZahtz @nursefriendly: I don't know that pts know that they CAN work

WITH their Drs; many are intimidated by Dr; what to ask? #cphc

lttlewys @gailzahtz Agree, patients need to learn it's ok to question the Drs and to ask

others!! SoMe is awesome for that!! #CPHC

ChronicPainGPS Many Pts afraid to ? Drs and then Drs get offended if they do. Correct that will

take effort on BOTH sides to learn from each other #cphc

toughLoveforx @nursefriendly From watching my 90 year old mom in hospital a Patient Advocate cud

be a paying profession. #CPHC anyone do that? @KamiyamaytoughLoveforx @MandiBPro @nursefriendly @Kamiyamay Has anyone seen Patient Advocacy as a

paying profession or job description? #CPHC

lttlewys @toughloveforx @MandiBPro @nursefriendly @Kamiyamay I have, they are low-

paying & under utilized & considered glorified Social Workers #CPHC

menkris @toughLoveforx @MandiBPro @nursefriendly @Kamiyamay Don't think it pays; (it is a

pro-bono kind of job); but in job description, yes #cphc


14/17

toughLoveforx @lttlewys I know middle class people wud gladly pay a more

professional compensation. #CPHC @MandiBPro @nursefriendly @Kamiyamay

lttlewys @gailzahtz I had a wonderful woman, but she was so limited & I didn't fit into a lot of

requirements she needed to help me #CPHC

toughLoveforx @lttlewys I think, but don't know could be a significant help for HCP time

attention demands. #CPHC @MandiBPro @nursefriendly @KamiyamayChronicPainGPS @toughLoveforx: Program http://t.co/YM4Avubr to certify RNs as

#advocates #cphc

GailZahtz @ChronicPainGPS How does this advocacy program work? #CPHC

toughLoveforx @ChronicPainGPS Thanks! Checking now.. #CPHC

lttlewys @toughloveforx It's also getting the drs & facilities to cooperate ;-) #CPHC

toughLoveforx @lttlewys Can you explain "facilities?" Does that mean the hospital and

nursing staffs? #CPHC

ChronicPainGPS Patient Advocate Foundation http://t.co/llQq9Pks is also a great resource #cphc

toughLoveforx @ChronicPainGPS " Establish your own practice as an Independent RN Patient

Advocate (iRNPA)." so that is really interesting. #CPHC

ChronicPainGPS @GailZahtz: I had one come to our Chronic Pain Awareness Expo last Sept; they

advocate 4 U in all aspects of your healthcare #cphc

GailZahtz @ChronicPainGPS Would love to hear about your chronic pain expo! (if not

today- definitely soon!! sounds very interesting) #CPHC

ChronicPainGPS @GailZahtz: Attend appts w/you; review bills to ensure accuracy; advocate 4

services. Charge abt $100/hr (some offer slide scale) #cphc

lttlewys @toughloveforx Yes, and their staff! Treatment centers, anywhere medical care is

provided #CPHC

ChronicPainGPS They really are they to ensure that you fully understand your treatments, meds,

every aspect of your healthcare. #cphc

ChronicPainGPS I am advocate but not RN so I am really good at connecting people with infoand resources but can't get into the medical advice/aspect #cphc

GailZahtz RE babyboomers and numbers- 60 M currently disabled. 10k turn 65 daily to hit 70M in 8

years. Where are we? #CPHC

nursefriendly @sandyhubbard What little savings #babyboomers have, houses, assets, won't

last long in #nursinghomes. Government won't have funds #cphc

nursefriendly @sandyhubbard Unless there is something in the #AffordableCareAct that

covers nursinghomes, they will be out of reach financially #cphc

GailZahtz On nursing home- we are currently short 40 million beds- that's now, not in a

year. #CPHC

toughLoveforx @nursefriendly Also keep in mind baby boomers on the whole are much more

educated in health than previous gens. @sandyhubbard #CPHC

nursefriendly @burgessct @sandyhubbard When that phonecall comes in, crisis hits, is not the

time to be faced with life-altering situations. #cphc

nursefriendly @burgessct @sandyhubbard It only takes one #fall, #stroke #heartattack

#accident to change an independent parent, into a fulltime job. #cphc


15/17

burgessct Exactly - plan ahead, it wasn't raining when Noah built the ark @nursefriendly

@sandyhubbard @gailzahtz @mandibpro #CPHCindependence

GailZahtz With 60M needing UD and access, we have only 15M homes/units that are safe in the

U.S. today. #CPHC

GailZahtz @burgessct You already have me talking with physicians- actually they get cost saving

over new time/ideas. Interesting. #CPHCMandiBPro @burgessct I'd argue that patients are empowered to drive down cost faster and

more significantly than any other variable. BE HEALTHY! #CPHC

Kamiyamay @GailZahtz I start "You expect honesty from me, I need honesty from you for us to work as

a team to get best results" communication #CPHC

sandyhubbard We are having many great lines of thought here that we don't want to go to waste. I

hope we can revisit these in future #CPHC chats.

GailZahtz @lttlewys On one hand we have people here advocating for patients to engage and track- on

the other your experience was opposite... #CPHC

menkris @MandiBPro Sharing is hard, yes indeed. Self motivation is the key. Provider & family support is

critical to that, I think #cphc

menkris @MandiBPro Thank you ! Will read and revert. #cphc

GailZahtz have only a few minutes for formal chat- though idea was to use the hashtag 24/7- what is

tangible that we can do from today's ideas? #CPHC

Nursefriendly @MandiBPro Unlike any other business, when you #CutCorners in #Healthcare,

#patients die, #healthcareharm & errors increase #cphc

GailZahtz @TechurSelf we have here @burgessct and @mandiBPro on big data and @lttlewys who

shared about docs not having tech access to her embed #CPHC

GailZahtz @menkris Thanks so much! @touchLoveFox also! Great to see you all! #CPHC

GailZahtz Seems a tie-in with everything said is the big disconnect is information shared between

physicians and patients (on both sides) #CPHC

toughLoveforx @GailZahtz Yes. Information is important, but what I've seen in education is the

importance of Shared Decision Making. Tricky stuff. #CPHC

nursefriendly @lttlewys @toughLoveforx The dynamics are rapidly changing, #patients are

starting to demand a seat at the table, bout time. #cphc

GailZahtz @toughLoveforx Was just at a physician and payor led site that encourages shared

decision making, only no patients on the board. #CPHC

nursefriendly @lttlewys @toughLoveforx #medicine for a very long time was the private

domain of doctors, shrouded in secrecy, they had all the keys. #cphc


16/17

nursefriendly @lttlewys @toughLoveforx That dynamic has to change, and doctors,

nurses #hcps need to realize #patients need access #cphc

nursefriendly @lttlewys @toughLoveforx It is a common #mentality in #healthcare. The less

#patients know, the less they can complain about. #cphc

GailZahtz OH- big news out of MN! Family #caregivers now to be re-imbursed same as non-family!#CPHC

MandiBPro FANTASTIC!!! RT @GailZahtz: OH- big news out of MN! Family #caregivers now to be

re-imbursed same as non-family! #CPHC

Nursefriendly @lttlewys @toughLoveforx A persistent barrier is #HealthcareLiteracy and learning to

navigate the #healthcare system. #cphc

ElinSilveous thanks for an interesting #CPHC chat everyone. Need to prepare for a meeting. Have a

fabulous week!

MandiBPro @ElinSilveous Great to see you, Elin! See you next time. :) #CPHC

Burgessct Thanks for the invite - this has been enjoyable - is anyone archiving the stream? #cphc

GailZahtz @burgessct I am archiving- and got requests to publish- will get to that tomorrow

definitely! #CPHC

hronicPainGPS It was GREAT! Happy to share - great info for pts/providers MT @GailZahtz: Would love

to hear about your chronic pain expo! #cphc

MandiBPro GREAT chat today, guys, thank you @GailZahtz and all! Must run to next engagement, but

have LOTS of ideas for "what NOW"... #CPHC

TechurSelf @GailZahtz Thanks for organizing #CPHC. Looking forward to future chats!

lttlewys @gailzahtz Thanks so much for inviting me, need to add this chat to my @Listly list!!

http://t.co/Zju2glGF #CPHC

SusannaJSmith @GailZahtz Maybe update http://t.co/Xabx1Mfd w/ 3 main ideas discussed on today &

topic for next week for future participants? #CPHC

GailZahtz @SusannaJSmith Yes, I think an update on http://t.co/vfwuMYRe of the main topics

discussed would be great idea! I will work on asap. #CPHC

GailZahtz @MandiBPro @nursefriendly Money is needed to pay the bills for all- difference in healthcare

is there are many "buyers" #CPHC

Burgessct .@MandiBPro Let's bust open paradigm of $$ driven-make it care driven by driving

down cost connect & collect down? #CPHC @nursefriendly

TechurSelf @mandibpro @GailZahtz Yes, agree. Would be so excited to see that

happen, and it's coming. #CPHC

Nursefriendly @lttlewys @toughLoveforx It makes it difficult for #patientadvocates (a

#nurses #1 priority, directive) when it clashes w/ profits #cphc

TechurSelf@mandibpro @burgessct Yes, and when the reimbursement/ins sys rewards

#wellness, even better. #CPHC


17/17

toughLoveforx @nursefriendly 2me "A persistent barrier is #HealthcareLiteracy" shd be a central part

of Literacy in the K-12 curriculum. #CPHC @lttlewys

GailZahtz May I just say- this is 3rd week, our guest did not show- and this was amazing and informative-

truly crowd-sourced! #CPHC

sandyhubbard @GailZahtz For folks who need to get back to their day, does this chat happen every

week? #CPHC

GailZahtz @burgessct @MandiBPro @sandyhubbard TYSM and yes, chat is weekly on tuesdays

at 1 ET and working on website and other platforms. #CPHC

ICLNetwork See work of Dr. Jeff Belkora, Dir. of Decision Services @ UCSF. His methodology facilitates

critical reflection btwn physician/patient #CPHC

GailZahtz Thank you everyone as you get back to daily life! Too fast to mention all- website is

http://t.co/vfwuMYRe and we need help ;-)) #CPHC

GailZahtz Thank you everyone! When we do something for passion not pay- amazing when great people

help Make It Matter! #CPHC

012213 employee wellness #cphc twitter chat

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