2011 05 04 hpm tweetchat transcript

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#hpm

Healthcare Hashtag Twitter Transcript

From: Wed May 04 18:00:00 PDT 2011

To: Wed May 04 19:00:00 PDT 2011

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Learn more about #hpm at The Healthcare Hashtag Project

MatthewsMichele Just settling down to get the #hpm tweetchat going! #hpmWed May 4 18:00:17 PDT 2011

renee_berry RT @ASCO: Go to #ASCOU to find an easy way to self-assess your knowledge of

Palliative Care http://ow.ly/4LwAn #hpmWed May 4 18:00:35 PDT 2011

renee_berry RT @MatthewsMichele: So excited to be hosting the #hpm tweetchat tonight at 9

p.m. ET! Hope you'll join me!Wed May 4 18:00:46 PDT 2011

SheyontheBay @MatthewsMichele I'm joining: CHPN in NY #hpmWed May 4 18:01:43 PDT 2011

CompAndChoices RT @matthewsmichele: So excited to be hosting the #hpm tweetchat tonight at 9

p.m. ET! Hope you'll join me!Wed May 4 18:01:58 PDT 2011

MatthewsMichele Hi everyone! Let's start introducing ourselves to get tonight's tweetchat going...I'll

start... #hpmWed May 4 18:02:00 PDT 2011

renee_berry RT @vlarendt: RT @kevinmd: The mission of the #hospice and #palliative care is to

ease patient suffering http://goo.gl/fb/RcmiK #hpmWed May 4 18:02:23 PDT 2011

nursefriendly Hello Everyone, Andrew Lopez, Jersey RN #HPMWed May 4 18:02:26 PDT 2011

MatthewsMichele <-#socialmedia, #healthpolicy junkie, @klxmedia team member, @NHDD blog

editor, proud #hospice, #hpm advocate & tonight’s moderator! #hpmWed May 4 18:02:30 PDT 2011

CompAndChoices <----Joining. From Oregon. :) #hpmWed May 4 18:02:44 PDT 2011

carlaaxt RT @vlarendt: RT @kevinmd: The mission of the #hospice and #palliative care is to

ease patient suffering http://goo.gl/fb/RcmiK #hpmWed May 4 18:03:17 PDT 2011

MatthewsMichele Welcome @CompAndChoices @nursefriendly @sheyonthebay! Just giving the late

comers another minute before we get started... #hpmWed May 4 18:04:10 PDT 2011

jen_c_taylor I vow not to lurk tonight! Jennifer, MSW #HPMWed May 4 18:04:16 PDT 2011

AliveHospice @PalliativeMed_j Thanks for the follow! #hpm #hospice #palliativeWed May 4 18:04:38 PDT 2011

PracticalWisdom HI I"m Lisa who morphs the ho-hum into compelling. Speaker, Trainer,

Presentation Designer, Rascal. Been looking forward to 2 night. #hpmWed May 4 18:04:42 PDT 2011

MatthewsMichele awesome! RT @jen_c_taylor: I vow not to lurk tonight! Jennifer, MSW #hpmWed May 4 18:04:43 PDT 2011

MatthewsMichele Pre-T1Diagnostic & Statistical Manual- Mental Disorders (DSM-5) getting lots of attn

lately: http://bit.ly/j1tXMZ, http://bit.ly/l389lg #hpmWed May 4 18:05:35 PDT 2011

nursefriendly Hi Everyone, are we discussion hospice, in theory, or direct patient care? #HPMWed May 4 18:05:47 PDT 2011

stefilako Steph ER RN, just checking out your chat as I'm putting kids down. #HPMWed May 4 18:06:14 PDT 2011

nursefriendly I frequently wonder if the next dose of Morphine I'm giving may be the last. #HPMWed May 4 18:06:23 PDT 2011

MatthewsMichele Thats a little background on T1 for everyone joining...T1 coming up... #hpmWed May 4 18:06:28 PDT 2011

renee_berry --> Silicon Valley, CA girl, passionate about early #palliative care, work

w/@KLXmedia tweeting from a sushi restaurant :) #hpmWed May 4 18:06:38 PDT 2011

MatthewsMichele Let's get started: T1: DSM-5 task force psychiatrists debate classifying grief as

mental illness. Is this is appropriate? #hpmWed May 4 18:06:56 PDT 2011

PracticalWisdom I'll be tweeting with my Pals from #HPM. Special shout out to @RichmondDoc who

has another great chat tonight. #hpmWed May 4 18:07:09 PDT 2011

renee_berry RT @MatthewsMichele: Pre-T1Diagnostic & Statistical Manual- Mental Disorders

(DSM-5) getting lots of attn lately: http://bit.ly/j1tXMZ, http://bit.ly/l389lg #hpmWed May 4 18:07:35 PDT 2011

PracticalWisdom My Tweets are my own and also those of my Firm. Many folks might be tweeting

only for themselves tonight. #hpmWed May 4 18:08:13 PDT 2011

nursefriendly T1 To classify it would justify the need to treat, or medicate it. #HPMWed May 4 18:08:16 PDT 2011

DrBeckerSchutte T1--I think that complicated grief symptoms may qualify as an adjustment disorder

level diagnosis. #hpmWed May 4 18:08:20 PDT 2011

CompAndChoices Tweeing from a chair on my back deck, from sunny western Oregon. Gotta take the

rays while I can get em#hpmWed May 4 18:08:41 PDT 2011

nursefriendly T1 Grief as well as Joy, are natural emotions we all experience as a matter of

course. At what point does grief become pathological? #HPMWed May 4 18:09:03 PDT 2011

drbeckerschutte Hi all--I'm a Kansas City, MO psychologist with a specialty in loss and transition,

sub-specialty is coping with serious illness. #hpmWed May 4 18:09:18 PDT 2011

MatthewsMichele @drbeckerschutte can you name a few of the symptoms you're referring to? #hpmWed May 4 18:09:33 PDT 2011

renee_berry T1 awesome topic, though I have a question.. is what appropriate, the debate or the

fact that grief is categorized as a mental disorder #hpmWed May 4 18:09:35 PDT 2011

Kaviraj2 RT @renee_berry: T1 awesome topic, though I have a question.. is what

appropriate, the debate or the fact that grief is categorized as a mental disorder

#hpmWed May 4 18:10:03 PDT 2011

MatthewsMichele @renee_berry the classification of grief as a mental disorder #hpmWed May 4 18:10:26 PDT 2011

DrBeckerSchutte @nursefriendly I think that when grief symptoms interfere with daily functioning for

an extended period of time, they may be "severe" #hpmWed May 4 18:10:32 PDT 2011

renee_berry (great to see some new faces tonight!!!!!) and @Kaviraj2 are you joining us for the

whole chat? great to see you too! #hpm

Wed May 4 18:10:36 PDT 2011

faisal_q OK weekly #hpm / #dsma / #FamMedChat all same Wednesday 9EST timeslot ~

Who here runs the #hashtag committee ? ;)Wed May 4 18:10:45 PDT 2011

MatthewsMichele RT @renee_berry: (great to see some new faces tonight!!!!!) and @Kaviraj2 are you

joining us for the whole chat? great to see you too! #hpmWed May 4 18:11:06 PDT 2011

Kaviraj2 RT @MatthewsMichele: Pre-T1Diagnostic & Statistical Manual- Mental Disorders

(DSM-5) getting lots of attn lately: http://bit.ly/j1tXMZ, http://bit.ly/l389lg #hpmWed May 4 18:11:08 PDT 2011

drbeckerschutte @MatthewsMichele I'm thinking of folks who are experiencing difficulty going to

work, connecting with others, for extended periods #hpmWed May 4 18:11:20 PDT 2011

Kaviraj2 RT @renee_berry: --> Silicon Valley, CA girl, passionate about early #palliative care,

work w/@KLXmedia tweeting from a sushi restaurant :) #hpmWed May 4 18:11:21 PDT 2011

MatthewsMichele no clueRT @faisal_q: OK weekly #hpm / #dsma / #FamMedChat all same

Wednesday 9EST timeslot ~ Who here runs the #hashtag committee ? ;) #hpmWed May 4 18:11:25 PDT 2011

Kaviraj2 RT @vlarendt: RT @kevinmd: The mission of the #hospice and #palliative care is to

ease patient suffering http://goo.gl/fb/RcmiK #hpmWed May 4 18:11:48 PDT 2011

Kaviraj2 RT @ASCO: Go to #ASCOU to find an easy way to self-assess your knowledge of

Palliative Care http://ow.ly/4LwAn #hpmWed May 4 18:12:08 PDT 2011

DrBeckerSchutte @MatthewsMichele Challenging to define complicated grief in 140 characters!

#hpmWed May 4 18:12:08 PDT 2011

CompAndChoices GREAT question. RT @nursefriendly: At what point does grief become

pathological? #HPMWed May 4 18:12:08 PDT 2011

nursefriendly Are you talking about a group of symptoms, or severity of a single?

@drbeckershutte T1 Complicated Grief Symptoms. #HPMWed May 4 18:12:32 PDT 2011

SheyontheBay RT@nursefriendly:Grief like Joy, natural emotions we all experience as a matter of

course.At what point does grief become pathological? #hpmWed May 4 18:12:35 PDT 2011

MatthewsMichele Any thoughts? RT @CompAndChoices: GREAT question. RT @nursefriendly: At

what point does grief become pathological? #hpmWed May 4 18:12:38 PDT 2011

DrBeckerSchutte So jealous of the sushi tweeting! #hpmWed May 4 18:12:57 PDT 2011

PracticalWisdom T1: In the past worked in the Mental Health Field. just pulled one of my Fav books.

Caring for the mind. Classic but not current 1995 #hpmWed May 4 18:13:20 PDT 2011

DrBeckerSchutte @nursefriendly I think that one sx can be severe enough to justify treatment, or a

cluster of sx can be persistently difficult. #hpmWed May 4 18:13:43 PDT 2011

CompAndChoices What I'm wondering is: why wouldn't "pathological" grief simply be classified as

"depression", rather than a different disorder? #hpmWed May 4 18:13:59 PDT 2011

MatthewsMichele Me too! RT @drbeckerschutte: So jealous of the sushi tweeting! #hpmWed May 4 18:14:03 PDT 2011

SheyontheBay T1 - or does it all come down to $$$$ - reimbursement for grief support to mitigate

becoming pathological? #hpmWed May 4 18:14:09 PDT 2011

drbeckerschutte Let me clarify that I don't think all grief qualifies for this--just grief that is prolonged

or incapacitating, which is subjective. #hpmWed May 4 18:14:27 PDT 2011

renee_berry @MatthewsMichele @CompAndChoices @nursefriendly I used to train volunteers

on this often because "prolonged depression" was always a Q #hpmWed May 4 18:14:49 PDT 2011

nursefriendly @drbeckerschutte How would grief differ from say "depression, anger" which are

frequently cause by the same situations? Death, Loss etc #HPMWed May 4 18:15:04 PDT 2011

EldrcareConsult Helllloooo all! #hpmWed May 4 18:15:08 PDT 2011

DrBeckerSchutte @SheyontheBay I think that it could also be about making sure that folks with

complicated grief have access to services. #hpmWed May 4 18:15:13 PDT 2011

MatthewsMichele Have to say-I feel like medicalizing grief totally negates raw human emotion and

response to loss and don't think its appropriate! #hpmWed May 4 18:15:38 PDT 2011

renee_berry T1 What is prolonged depression in the context of grief? Does it feel prolonged to

you? If yes, then it is, support will help. #hpmWed May 4 18:15:40 PDT 2011

MatthewsMichele Welcome @EldrcareConsult! #hpmWed May 4 18:15:52 PDT 2011

SheyontheBay @drbeckerschutte @SheyontheBay dont they already? Under ICD codes

depression/adjustment disorder? #hpmWed May 4 18:16:30 PDT 2011

PracticalWisdom T1: Says symptoms lasting longer than 2 months after the loss of a loved one.

Wish @MarkSmithMD @Miller7@DocForeman @susangiurleo Here #hpmWed May 4 18:16:32 PDT 2011

nursefriendly I'm wondering why grief should be classified as a new "diagnosis" when it

frequently overlaps with so many other established diagnoses. #HPMWed May 4 18:16:38 PDT 2011

DrBeckerSchutte @MatthewsMichele The issue that I struggle with is that folks who need insurance

to access care/support--is that medicalizing grief? #hpmWed May 4 18:17:16 PDT 2011

swan5675 RT @nursefriendly: Im wondering why grief should be classified as a new

"diagnosis" when it frequently overlaps with so many other #hpmWed May 4 18:17:24 PDT 2011

DrBeckerSchutte @nursefriendly True--I often use adjustment DO categories or depression

categories depending on presentation #hpmWed May 4 18:17:43 PDT 2011

PracticalWisdom RT @nursefriendly:Im wondering ? grief should b classified new "diagnosis" when

it frequently overlaps w/ so # other established diagn. #hpmWed May 4 18:17:47 PDT 2011

renee_berry @MatthewsMichele I wouldn't call it inappropriate if it's helpful in finding ways to

help people (in a clinical back scenes way) #hpmWed May 4 18:17:50 PDT 2011

PracticalWisdom T1: Feel confident others will answer. #hpmWed May 4 18:18:11 PDT 2011

nursefriendly Access can be provided without a new dx. RT @drbeckerschutte: @SheyontheBay I

think that it could also . ,. . . access to services. #HPMWed May 4 18:18:18 PDT 2011

swan5675 T1 Ah, yes....some things must be done in the name of reimbursement #hpmWed May 4 18:18:22 PDT 2011

jen_c_taylor I wonder why the DSM-IV diagnosis of "adjustment disorder" was not sufficient for

DSM-V researchers 4 those living w/ prolonged grief? #HPMWed May 4 18:18:47 PDT 2011

renee_berry T1 I think it's also really important to remember that grief is not exclusive to our

experience of death, it's a part of all loss #hpmWed May 4 18:18:47 PDT 2011

DrBeckerSchutte T1: Does making it a diagnostic category mean that people will feel more or less

empowered to seek support? #hpmWed May 4 18:18:51 PDT 2011

EldrcareConsult Great idea @Practicalwisdom #hpmWed May 4 18:18:58 PDT 2011

PracticalWisdom T1: if an employee is diagnosed with Depression after death of a loved on wonder if

this might impact career. Know Privacy but U know. #hpmWed May 4 18:19:19 PDT 2011

nursefriendly RT @SheyontheBay: @drbeckerschutte @SheyontheBay dont they already? Under

ICD codes depression/adjustment disorder? #HPMWed May 4 18:19:22 PDT 2011

MatthewsMichele @drbeckerschutte @reneeberry @MatthewsMichele are you talking about grief or

depression? #hpmWed May 4 18:19:27 PDT 2011

renee_berry it's awesome :) RT @MatthewsMichele: Me too! RT @drbeckerschutte: So jealous

of the sushi tweeting! #hpmWed May 4 18:19:33 PDT 2011

CompAndChoices T1: I worry about stigmatizing grief--when it's already difficult enough at that stage.

#hpmWed May 4 18:19:36 PDT 2011

DrBeckerSchutte Yes!!RT @renee_berry: T1 I think its...important to remember that grief is not

exclusive to ... death, its a part of all loss #hpmWed May 4 18:19:50 PDT 2011

MatthewsMichele @drbeckerschutte I think it will make people feel jusged and less likely to seek

support, which is why I say inappropriate. #hpmWed May 4 18:20:07 PDT 2011

renee_berry @PracticalWisdom it may impact their career even if it's not diagnosed... & same

applies to students & academic engagement #hpmWed May 4 18:20:16 PDT 2011

swan5675 @PracticalWisdom T1 Diagnosis is not supposed to affect career, but it does if

anyone finds out. Easy to be labeled #hpmWed May 4 18:20:26 PDT 2011

MatthewsMichele my pt! !RT @renee_berry: T1 I think its...important to remember that grief is not

exclusive to ... death, its a part of all loss #hpmWed May 4 18:20:30 PDT 2011

iCareAware RT @MatthewsMichele: <-#socialmedia, #healthpolicy junkie, @klxmedia team

member, @NHDD blog editor, proud #hospice, #hpm advocate & ...Wed May 4 18:20:45 PDT 2011

PracticalWisdom T1: Think this is just another impact of this new DSMV. @GregSmithMD had a great

blog on this topic. #hpmWed May 4 18:21:02 PDT 2011

OncoPRN RT @compandchoices: GREAT question. RT @nursefriendly: At what point does

grief become pathological? #HPMWed May 4 18:21:02 PDT 2011

CompAndChoices RT @swan5675: @PracticalWisdom T1 Diagnosis is not supposed to affect

career, but it does if anyone finds out. Easy to be labeled #hpmWed May 4 18:21:03 PDT 2011

iCareAware RT @MatthewsMichele: Let's get started: T1: DSM-5 task force psychiatrists debate

classifying grief as mental illness. Is this is appropriate? #hpmWed May 4 18:21:13 PDT 2011

DrBeckerSchutte @MatthewsMichele Fundamental struggle for me, since I work from a strengths

perspective, to be in a system that req diagnosis codes #hpmWed May 4 18:21:25 PDT 2011

iCareAware RT @MatthewsMichele: no clueRT @faisal_q: OK weekly #hpm / #dsma /

#FamMedChat all same Wednesday 9EST timeslot ~ Who here runs the #has ...Wed May 4 18:21:43 PDT 2011

MatthewsMichele Final thoughts on T1? we'll be moving on in a minute or two. #hpmWed May 4 18:21:49 PDT 2011

nursefriendly I think it opens the door to new treatments and business for drug companies,

excuses to prescribe for something "new" which is not. #HPMWed May 4 18:21:53 PDT 2011

renee_berry I've almost always thought people should see a psychologist as a regular part of

#healthcare, just like seeing any other doc #hpmWed May 4 18:21:59 PDT 2011

PracticalWisdom @swan5675: Human Resource Professionals must have two different locked files

for personal records HIPPA so should not be a problem. #hpmWed May 4 18:22:04 PDT 2011

iCareAware RT @MatthewsMichele: Any thoughts? RT @CompAndChoices: GREAT question.

RT @nursefriendly: At what point does grief become pathological? #hpmWed May 4 18:22:09 PDT 2011

jen_c_taylor Multi-faceted topic, but I like this quote from http://bit.ly/eGArhv "grief is the

necessary price we pay for our capacity to love.” #HPMWed May 4 18:22:14 PDT 2011

DrBeckerSchutte @MatthewsMichele And why I love working with clients outside of insurance! #hpmWed May 4 18:22:19 PDT 2011

iCareAware RT @MatthewsMichele: Have to say-I feel like medicalizing grief totally negates raw

human emotion and response to loss and don't think its appropriate! #hpm

Wed May 4 18:22:21 PDT 2011

renee_berry RT @OncoPRN: RT @compandchoices: GREAT question. RT @nursefriendly: At

what point does grief become pathological? #HPMWed May 4 18:22:28 PDT 2011

drbeckerschutte @renee_berry You're my new favorite person! Can I quote you on that? #hpmWed May 4 18:22:36 PDT 2011

tweet4awareness RT @CompAndChoices: RT @swan5675: @PracticalWisdom T1 Diagnosis is not

supposed to affect career, but it does if anyone finds out. Easy to be labeled #hpmWed May 4 18:22:41 PDT 2011

nursefriendly Sorry, I'd stick to the existing categories, rather than try to classify grief as

pathological. #HPMWed May 4 18:22:44 PDT 2011

MatthewsMichele Ive almost always thought people should see a psychologist as a regular part of

#healthcare like seeing any other doc via @renee_berry #hpmWed May 4 18:22:47 PDT 2011

swan5675 @PracticalWisdom It WAS a problem for me....long story #hpmWed May 4 18:22:47 PDT 2011

DrBeckerSchutte @jen_c_taylor Beautiful quote! #hpmWed May 4 18:22:55 PDT 2011

PracticalWisdom T1: If we + this addit. dx then every single person, because we will all experience a

death will have a new or another dx. #hpmWed May 4 18:23:22 PDT 2011

renee_berry grief drove me into #entrepreneurship ... it has been crucial to my creative process

#hpmWed May 4 18:23:33 PDT 2011

MatthewsMichele I attended HCI-DC last week and T2 stems from a quote from one of the panelists...

#hpmWed May 4 18:23:51 PDT 2011

MatthewsMichele Pre-T2: ‘Difficulty in moving #HealthIT fwd is we're always missing key component,

ie regs., reimbursement'-VC Sami Hamade, #HCIDC #hpmWed May 4 18:24:01 PDT 2011

PracticalWisdom T1: Does this not hurt the belief that grief is natural and experienced differently by all

of us. #hpmWed May 4 18:24:05 PDT 2011

swan5675 RT @PracticalWisdom: T1: If we + this addit. dx then every single person, because

we will all experience a death #hpmWed May 4 18:24:06 PDT 2011

tweet4awareness RT @CompAndChoices: T1: I worry about stigmatizing grief--when it's already

difficult enough at that stage. #hpmWed May 4 18:24:08 PDT 2011

nursefriendly Too many people are on antidepressants and other drugs, for behavioral issues,

which 20 years ago were considered normal on occasion #HPMWed May 4 18:24:17 PDT 2011

PracticalWisdom Very Nice RT @nursefriendly: Sorry, Id stick to the existing categories, rather than try

to classify grief as pathological. #hpmWed May 4 18:24:37 PDT 2011

renee_berry @drbeckerschutte haha yes absolutely, I started saying it in 7th grade (pretty sure

my mom thought I was crazy) haha :) #hpmWed May 4 18:24:52 PDT 2011

swan5675 RT @nursefriendly: Too many people are on antidepressants and other drugs, for

behavioral issues, which were considered normal #hpmWed May 4 18:25:00 PDT 2011

jen_c_taylor Me too. RT @renee_berry: grief drove me into #entrepreneurship ... it has been

crucial to my creative proces #HPMWed May 4 18:25:25 PDT 2011

OncoPRN RT @renee_berry: I've almost always thought people should see a psychologist as

a regular part of #healthcare... #hpmWed May 4 18:25:35 PDT 2011

PracticalWisdom @nursefriendly: Too complex for me to give black and white answer. In the past

many people suffered and in fact died w/out some Meds #hpmWed May 4 18:25:44 PDT 2011

MatthewsMichele T2: If Hamade’s claim is true, what do you think is missing in #hpm that keeps

#HealthIT in our specialty from moving fwd? #hpmWed May 4 18:25:44 PDT 2011

hollyby Holly Yang, MD from @SanDiegoHospice. My tweets for the next 30 min are for the

#HPM tweetchat. All tweets are my own. Sorry I'm late! #hpmWed May 4 18:26:14 PDT 2011

MatthewsMichele Clarify T2: Do you think we need more #HealthIT incentives in #hpm? regulations

that support it? change in doc or pt 'tudes? #hpmWed May 4 18:27:00 PDT 2011

renee_berry @hollyby hey Holly, no prob, great to join whenever we can! #hpmWed May 4 18:27:05 PDT 2011

MatthewsMichele Glad you made it @hollyby! #hpmWed May 4 18:27:21 PDT 2011

PracticalWisdom RT @drbeckerschutte:@MatthewsMichele Fund struggle 4 me, since I work

strengths perspective, 2 be in a system that req diagnosis codes #hpmWed May 4 18:27:23 PDT 2011

Wed May 4 18:27:23 PDT 2011

renee_berry RT @MatthewsMichele: Clarify T2: Do you think we need more #HealthIT incentives

in #hpm? regulations that support it? change in doc or p ...Wed May 4 18:27:28 PDT 2011

aliciabloom sorry to be tardy to the party! #hpmWed May 4 18:27:32 PDT 2011

nursefriendly So if treated, you'd have missed out. RT @renee_berry: grief drove me into

#entrepreneurship ... it has been crucial to my creative #HPMWed May 4 18:27:41 PDT 2011

AureliaCotta @PracticalWisdom there is a very big difference in types of grief, the normal

average kind is not included in the new diag. Cat #hpmWed May 4 18:28:06 PDT 2011

MatthewsMichele @aliciabloom No worries; welcome! :) #hpmWed May 4 18:28:09 PDT 2011

PracticalWisdom @hollyby @SanDiegoHospice: Holly would love if you could catch up to learn what

you think re: Topic 1. @mattewsMichele is that o.k. #hpmWed May 4 18:28:14 PDT 2011

SheyontheBay @nursefriendly ;D #hpmWed May 4 18:28:19 PDT 2011

CompAndChoices @nursefriendly Love your comments on T1. Very insightful. #hpmWed May 4 18:28:19 PDT 2011

nursefriendly RT @PracticalWisdom: T1: Does this not hurt the belief that grief is natural and

experienced differently by all of us. #HPMWed May 4 18:28:19 PDT 2011

renee_berry T2 I think it's less of doc or pt attitudes & more of systems & administration not

always seeing the immense opportunities w/ #HealthIT #hpmWed May 4 18:28:20 PDT 2011

swan5675 RT @nursefriendly: RT @PracticalWisdom: T1: Does this not hurt the belief that

grief is natural #hpmWed May 4 18:29:08 PDT 2011

MatthewsMichele @renee_berry how do you think the govt agencies can play a role in improving that

or do you think its institutional? #hpmWed May 4 18:29:10 PDT 2011

renee_berry RT @CompAndChoices: @nursefriendly Love your comments on T1. Very

insightful. #hpmWed May 4 18:29:25 PDT 2011

MatthewsMichele RT @renee_berry: RT @CompAndChoices: @nursefriendly Love your comments

on T1. Very insightful. #hpmWed May 4 18:29:49 PDT 2011

swan5675 RT @renee_berry: RT @CompAndChoices: @nursefriendly Love your comments

on T1. Very insightful. #hpmWed May 4 18:29:59 PDT 2011

hollyby T2: Not sure that we are different from the rest of healthcare. Funding and proper

programs that meet the needs of the practitioners #hpmWed May 4 18:30:04 PDT 2011

nursefriendly Lots of people dying from Black Box Label Adverse reactons too. RT

@PracticalWisdom: @nursefriendly: Too complex for me to give black #HPMWed May 4 18:30:41 PDT 2011

PracticalWisdom @AureliaCotta:Thx I guess I now need to take a speed reading class. I like when

we have about 24 hours to read articles before chats. #hpmWed May 4 18:30:41 PDT 2011

renee_berry @MatthewsMichele all of the above, @Todd_Park is making headway there with the

open data movement & #opengov #hpmWed May 4 18:30:45 PDT 2011

MatthewsMichele T2 I tend to think that there's some reluctance across the board to do things

differently than they've been done in the past #hpmWed May 4 18:30:58 PDT 2011

PracticalWisdom I wondered too. RT @swan5675: RT @nursefriendly: RT @PracticalWisdom: T1:

Does this not hurt the belief that grief is natural #hpmWed May 4 18:31:12 PDT 2011

renee_berry I think we need people like @arrington or @TechCrunch writers analyzing health

systems, we would progress much faster #hpmWed May 4 18:31:39 PDT 2011

CompAndChoices @MatthewsMichele Could you please RT T2? I'm lost. LOL #hpmWed May 4 18:32:04 PDT 2011

PracticalWisdom ME Too! Just thinking the same thing. RT @CompAndChoices: @MatthewsMichele

Could you please RT T2? Im lost. LOL #hpmWed May 4 18:32:33 PDT 2011

EldrcareConsult Gosh I hate coming in during the middle of a chat #hpmWed May 4 18:32:55 PDT 2011

MatthewsMichele Pre-T2: ‘Difficulty in moving #HealthIT fwd is we're always missing key component,

ie regs., reimbursement'-VC Sami Hamade, #HCIDC #hpmWed May 4 18:32:59 PDT 2011

renee_berry RT @MatthewsMichele: Pre-T2: ‘Difficulty in moving #HealthIT fwd is we're always

missing key component, ie regs., reimbursement'-VC Sami Hamade, #HCIDC

#hpmWed May 4 18:33:11 PDT 2011

renee_berry RT @MatthewsMichele: Clarify T2: Do you think we need more #HealthIT incentives

in #hpm? regulations that support it? change in doc or p ...Wed May 4 18:33:16 PDT 2011

MatthewsMichele T2: If Hamade’s claim is true, what do you think is missing in #hpm community that

keeps #HealthIT in our specialty from moving fwd? #hpmWed May 4 18:33:18 PDT 2011

PracticalWisdom I hope you will take this in the flavor I intend but I have not attended the same

conferences so perhaps this might be some of the ???? #hpmWed May 4 18:33:28 PDT 2011

nursefriendly Blushing . . . . . thanks! #HPMWed May 4 18:33:29 PDT 2011

MatthewsMichele @nursefriendly no worries! #hpmWed May 4 18:33:52 PDT 2011

DrBeckerSchutte Re: Grief is natural. Yup! But complicated, extended grief may need support &

treatment. Might be normalizing instead of stigmatizing #hpmWed May 4 18:34:15 PDT 2011

renee_berry T2 @CMSinnovates is opening doors for collaborating on #healthIT projects to

improve systems & inspire innovation #opengov #hpmWed May 4 18:34:40 PDT 2011

aliciabloom not sure that it's our speciality, but rather a global issue. streamlined #healthIT

systems would enhance care across the continuum. #hpmWed May 4 18:34:46 PDT 2011

hollyby T2 (1/2): HPM is a big field with different needs: homecare, inpt. consults, outpt.

care, inpt. units. Also with specific regs #hpmWed May 4 18:34:51 PDT 2011

MatthewsMichele RT @hollyby: T2: HPM is a big field with different needs: homecare, inpt. consults,

outpt. care, inpt. units. Also with specific regs #hpmWed May 4 18:35:25 PDT 2011

DrSnit Sorry I'm missing #hpm chat. Seriously shitty day today. Too many deaths- too

much of my own stuff to talk theoretically about it. Miss youWed May 4 18:35:35 PDT 2011

DrBeckerSchutte So, would #healthIT include tablets for education in homecare, EMR, etc? #hpmWed May 4 18:35:47 PDT 2011

hollyby T2 (2/2): Definitely would need #HealthIT to take into account the "system" in total,

as well as ease of use. Efficiency & flexibility #hpmWed May 4 18:36:06 PDT 2011

MatthewsMichele RT @aliciabloom: not sure its our speciality, but a global issue. streamlined

#healthIT systems wld enhance care across continuum. #hpmWed May 4 18:36:12 PDT 2011

renee_berry @DrSnit we all have those days, thanks for saying hi #hpmWed May 4 18:36:19 PDT 2011

CompAndChoices T2: I wonder if political hogwash holds it back. The way $ is spent around EOL care

is a political football. #hpmWed May 4 18:36:20 PDT 2011

renee_berry RT @hollyby: T2 (2/2): Definitely would need #HealthIT to take into account the

"system" in total, as well as ease of use. Efficiency & flexibility #hpmWed May 4 18:36:32 PDT 2011

PracticalWisdom @DrSnit: Sorry xoxox you back. #hpmWed May 4 18:36:35 PDT 2011

nursefriendly Hmmmm . . .are we talking about hospice nurses with laptops at home, and

computerized interfaces, or hospital computer systems or both? #HPMWed May 4 18:36:40 PDT 2011

EldrcareConsult @hollyby I think tablets would help a lot in all medical feilds / #hpmWed May 4 18:36:44 PDT 2011

hollyby @DrSnit Hugs from all of us. Miss you back. #hpmWed May 4 18:36:45 PDT 2011

renee_berry RT @CompAndChoices: T2: I wonder if political hogwash holds it back. The way $

is spent around EOL care is a political football. #hpmWed May 4 18:36:51 PDT 2011

DrBeckerSchutte So true. @CompAndChoices: I wonder if political hogwash holds it back. The way $

is spent around EOL care is a political football. #hpmWed May 4 18:36:58 PDT 2011

CompAndChoices @DrSnit Go put your feet up and have a spiked cup of tea. #hpm.Wed May 4 18:37:02 PDT 2011

equijada Hi folks. t2 Health tech follows: - @rock_health @halletecco @azaaza Need to

deregulate & innovate. Hope these companies make $$$ #hpmWed May 4 18:37:05 PDT 2011

jen_c_taylor #HealthIT in #HPM can and I think will innovate and advance from the patient's

grassroots efforts and demands. #HPMWed May 4 18:37:08 PDT 2011

nursefriendly The answer to computer integration, health information adoption, is to convince

facility and insurance it will make/save money. #HPMWed May 4 18:37:30 PDT 2011

MatthewsMichele @drbeckerschutte yep and any other innovations that integrate new #tech and

#healthcare #hpmWed May 4 18:37:30 PDT 2011

EldrcareConsult I use a tablet all the time in my GCM practice #hpmWed May 4 18:37:54 PDT 2011

PracticalWisdom RT @drbeckerschutte:Grief is natural. But complicated, extended grief may need

support/DX. Might b normalizing instead of stigmatizing #hpmWed May 4 18:38:05 PDT 2011

EldrcareConsult As well as Skype to talk with cleints families #hpmWed May 4 18:38:15 PDT 2011

PracticalWisdom RT @EldrcareConsult: I use a tablet all the time in my GCM practice #hpmWed May 4 18:38:24 PDT 2011

DrBeckerSchutte @nursefriendly So sad that the answer is not to convince insurance/facility that it

will lead to better care! Grr. #hpmWed May 4 18:38:26 PDT 2011

CompAndChoices @renee_berry I'm old (and sometimes wise). LOL #hpmWed May 4 18:38:32 PDT 2011

EldrcareConsult @PracticalWisdom @drbeckerschutte Agreed! #hpmWed May 4 18:38:33 PDT 2011

nursefriendly Computerizing medication administration records, ensures that each aspirin is

billed for at $3.00 per pop in an efficient manner. #HPMWed May 4 18:38:35 PDT 2011

hollyby Agree. Need the right software & interfacing tho. RT @EldrcareConsult: @hollyby I

think tablets would help a lot in all medical fields/ #hpmWed May 4 18:38:35 PDT 2011

PracticalWisdom RT @nursefriendly: answer 2 computer integration, health info. adoption, is to

convince facility/insurance it will make/save money. #hpmWed May 4 18:38:54 PDT 2011

aliciabloom more integrated #healthIT could improve patient safety #hpmWed May 4 18:39:06 PDT 2011

MatthewsMichele @EldrcareConsult Really abt talking to client families? How's that played with pts

and their families, other docs? #hpmWed May 4 18:39:16 PDT 2011

renee_berry I'm a patient @paloaltomedical & am lucky because I can access my #EHR even

recently they have an iphone app it's amazing #hpmWed May 4 18:39:29 PDT 2011

Wed May 4 18:39:29 PDT 2011

PracticalWisdom Which topic. RT @EldrcareConsult: @PracticalWisdom @drbeckerschutte Agreed!

#hpmWed May 4 18:39:35 PDT 2011

nursefriendly When a doctor prescribes a medication and writes a progress note at a terminal,

as soon as they hit "send" billing process is started. #HPMWed May 4 18:39:35 PDT 2011

MatthewsMichele Agree! RT @aliciabloom: more integrated #healthIT could improve patient safety

#hpmWed May 4 18:39:39 PDT 2011

renee_berry yes RT @aliciabloom: more integrated #healthIT could improve patient safety #hpmWed May 4 18:39:43 PDT 2011

aliciabloom #healthIT is sort of the like the POLST form. unless it's integrated, recognized, &

utilized by all...it's not that effective. #hpmWed May 4 18:39:53 PDT 2011

EldrcareConsult @aliciabloom agreed.....but having the right interface is the problem. dealing with

that with my care manager software #hpmWed May 4 18:39:58 PDT 2011

MatthewsMichele RT @renee_berry: Im a patient @paloaltomedical & am lucky because I can

access my #EHR recently they have an iphone app its amazing #hpmWed May 4 18:40:02 PDT 2011

PracticalWisdom RT @drbeckerschutte: @nursefriendly So sad the answer is no 2 convince

insurance/facility that it will lead to better care! Grr. #hpmWed May 4 18:40:11 PDT 2011

renee_berry @aliciabloom um, what a great way to think about it... YES! #hpmWed May 4 18:40:38 PDT 2011

renee_berry RT @aliciabloom: #healthIT is sort of the like the POLST form. unless it's

integrated, recognized, & utilized by all...it's not that effective. #hpmWed May 4 18:40:49 PDT 2011

PracticalWisdom RT @nursefriendly: When MD prescribes a med & writes a progress note terminal,

as soon as they hit "send" billing process is started. #hpmWed May 4 18:40:52 PDT 2011

MatthewsMichele @renee_berry @paloaltomedical Jealous! My #healthcare providers are just not

there yet! #hpmWed May 4 18:41:04 PDT 2011

nursefriendly When computerized charting was introduced, they told us it was to eliminate

illegible entries, think it was really for billing purposes #HPMWed May 4 18:41:13 PDT 2011

MatthewsMichele

RT @aliciabloom: #healthIT is sort of the like the POLST form. unless it's

integrated, recognized, & utilized by all...it's not that effective. #hpmWed May 4 18:41:35 PDT 2011

aliciabloom @renee_berry & imagine how awesome the POLST form could be with solid

#healthIT, #EMR. no way for pt wishes to get lost in translation! #hpmWed May 4 18:41:55 PDT 2011

MatthewsMichele closing thoughts on T2, folks? Two minutes to T3 #hpmWed May 4 18:42:33 PDT 2011

renee_berry @aliciabloom @renee_berry oh man, that seems so simple & sensible... & yet

seems so far off to achieve #wishful #hpmWed May 4 18:42:55 PDT 2011

PracticalWisdom Mayb both? RT @nursefriendly: When comp. charting intro, told us it was 2

eliminate illeg entries, think was really 4 billing purposes #hpmWed May 4 18:42:55 PDT 2011

aliciabloom @nursefriendly yes, and also for patient safety. less errors when it's more legible.

#hpmWed May 4 18:42:56 PDT 2011

EldrcareConsult @PracticalWisdom Hey Lisa, need you to call me tomorrow #hpmWed May 4 18:43:03 PDT 2011

renee_berry RT @aliciabloom: @renee_berry & imagine how awesome the POLST form could

be with solid #healthIT, #EMR. no way for pt wishes to get lost in translation! #hpmWed May 4 18:43:04 PDT 2011

PracticalWisdom LIft off too! RT @MatthewsMichele: closing thoughts on T2, folks? Two minutes to

T3 #hpmWed May 4 18:43:07 PDT 2011

nursefriendly The right interface will always be an issue due to Proprietary Software vendors and

computer systems that will not "talk" to each other #HPMWed May 4 18:43:18 PDT 2011

CompAndChoices T2: Are there any real privacy concerns around streamlining health IT? #hpmWed May 4 18:43:21 PDT 2011

hollyby @nursefriendly I think it helps both. As a doc, it often slows me down. #hpmWed May 4 18:43:29 PDT 2011

PracticalWisdom @nursefriendly I'm not even a Doc and I have crappy handwritting=dysgraphia.

That's what I call it. #hpmWed May 4 18:43:54 PDT 2011

nursefriendly Would be awesome if the labs computer talked to radiology, talked to doctors office

computer. Integration would be miraculous. #HPMWed May 4 18:44:08 PDT 2011

PracticalWisdom Think it will change as you get used to it?RT @hollyby: @nursefriendly I think it

helps both. As a doc, it often slows me down. #hpmWed May 4 18:44:22 PDT 2011

MatthewsMichele Gov't agencies establishing regs to address RT @CompAndChoices: T2: Are there

any real privacy concerns around streamlining health IT? #hpmWed May 4 18:44:39 PDT 2011

BrianCollinson Pretty much impossible! @DrBeckerSchutte: #hpm @MatthewsMichele

Challenging to define complicated grief in 140 characters! #hpmWed May 4 18:44:42 PDT 2011

drbeckerschutte @nursefriendly Our children's hospital has some of that & it is amazing. #hpmWed May 4 18:44:47 PDT 2011

PracticalWisdom It will RT @nursefriendly: be awesome if labs comp. talked 2 radiology, talked 2 MD

office computer. Integration would be miraculous. #hpmWed May 4 18:45:14 PDT 2011

renee_berry RT @CompAndChoices: T2: Are there any real privacy concerns around

streamlining health IT? #hpmWed May 4 18:45:24 PDT 2011

renee_berry @CompAndChoices I think maybe from health executive perspectives, but I think

it's not a well educated fear at this point #hpmWed May 4 18:45:27 PDT 2011

AureliaCotta @PracticalWisdom well I only knew about it because my bereavement group talks

a lot about it. Unexpected deaths are worst. #hpmWed May 4 18:45:34 PDT 2011

PracticalWisdom RT @BrianCollinson: Pretty impossible! @DrBeckerSchutte: #hpm

@MatthewsMichele Challenging 2define complicated grief in 140 characters! #hpmWed May 4 18:45:40 PDT 2011

CompAndChoices @MatthewsMichele Ahhh....thanks! :) #hpmWed May 4 18:45:52 PDT 2011

renee_berry @BrianCollinson haha yes, but it's about the conversation right? join our #hpm chat

any time!Wed May 4 18:46:06 PDT 2011

nursefriendly Think of how many drug errors could be eliminated with computerized order entry?

how many times a day do we need to clarify drug order #HPMWed May 4 18:46:16 PDT 2011

PracticalWisdom Suicide 2RT @AureliaCotta: @PracticalWisdomonly knew about it because my

bereavement group talks about it. Unexpected deaths are worst. #hpmWed May 4 18:46:26 PDT 2011

hollyby @PracticalWisdom Some, but 10 clicks to order labs and attach it to billing takes

hollyby @PracticalWisdom Some, but 10 clicks to order labs and attach it to billing takes

longer than writing "CBC" & signing my name. #hpmWed May 4 18:46:51 PDT 2011

drbeckerschutte Okay all--I have to head out! Hopefully I'll catch some more #hpm chat next week.

#hpmWed May 4 18:46:53 PDT 2011

MatthewsMichele T4: Orgs like @HospiceAction promote online #hpm advocacy. How can #hpm

better use it to #educate #healthpolicy leaders abt our issues? #hpmWed May 4 18:46:55 PDT 2011

PracticalWisdom RT @nursefriendly: Think how # drug errors could be eliminated w/ comp. order

entry? ? # times a day do we need 2 clarify drug order #hpmWed May 4 18:47:27 PDT 2011

renee_berry thanks for joining!!! RT @drbeckerschutte: Okay all--I have to head out! Hopefully Ill

catch some more chat next week #hpmWed May 4 18:47:51 PDT 2011

DrBeckerSchutte YES!RT Suicide @AureliaCotta @PracticalWisdom Only knew about it because my

bereavement group talks about it. Unexpected deaths..worst. #hpmWed May 4 18:47:53 PDT 2011

TWHealthxWealth RT @nursefriendly: Think of how many drug errors could be eliminated with

computerized order entry? how many times a day do we need to clarify drug order

#HPMWed May 4 18:47:54 PDT 2011

MatthewsMichele T4<-Sorry guys wouldnt be me if I didnt throw a #healthpolicy question into the

mix...its so important to furthering access to #hpm! #hpmWed May 4 18:48:06 PDT 2011

DrBeckerSchutte Thanks for the thinking points! #hpmWed May 4 18:48:10 PDT 2011

CompAndChoices @MatthewsMichele T4 (T3?) Follow policymakers on Twitter & #FB, directly engage.

#hpmWed May 4 18:48:14 PDT 2011

nursefriendly Privacy concerns will always be there. Whether you are looking into a chart, or

pulling up records in a computer, temptation is there. #HPMWed May 4 18:48:16 PDT 2011

renee_berry @MatthewsMichele did I miss T3? :) #hpmWed May 4 18:48:17 PDT 2011

renee_berry RT @MatthewsMichele: T4: Orgs like @HospiceAction promote online #hpm

advocacy. How can #hpm better use it to #educate #healthpolicy lea ...Wed May 4 18:48:30 PDT 2011

PracticalWisdom Got YaRT @hollyby: @PracticalWisdom Some, 10 clicks 2 order labs & attach it 2

PracticalWisdom Got YaRT @hollyby: @PracticalWisdom Some, 10 clicks 2 order labs & attach it 2

billing takes longer than writing "CBC" & signing name. #hpmWed May 4 18:48:30 PDT 2011

CompAndChoices See ya! @DrBeckerSchutte #hpmWed May 4 18:48:31 PDT 2011

renee_berry RT @MatthewsMichele: T4<-Sorry guys wouldnt be me if I didnt throw a

#healthpolicy question into the mix...its so important to furthering access to #hpm!

#hpmWed May 4 18:48:44 PDT 2011

MatthewsMichele oops! Def meant T3, guys! #hpmWed May 4 18:49:03 PDT 2011

renee_berry @MatthewsMichele no apologies needed for being you, great topic #hpmWed May 4 18:49:20 PDT 2011

PracticalWisdom RT @nursefriendly: Priv.concerns always b there. Whether U R looking in2 chart/

pulling up records in a computer, temptation is there. #hpmWed May 4 18:49:21 PDT 2011

renee_berry RT @MatthewsMichele: T4: Orgs like @HospiceAction promote online #hpm

advocacy. How can #hpm better use it to #educate #healthpolicy lea ...Wed May 4 18:49:43 PDT 2011

PracticalWisdom Friendly reminder: Lots of good comments but if they are 2 long they are hard to RT!

#hpmWed May 4 18:50:02 PDT 2011

DNRstories I missed most of #hpm, but am checking it out now...Wed May 4 18:50:05 PDT 2011

aliciabloom we need to tell our stories, because the work that we do with patients & families is

compelling. #hpmWed May 4 18:50:24 PDT 2011

PracticalWisdom Great Idea. RT @CompAndChoices: @MatthewsMichele T4 (T3?) Follow

policymakers on Twitter & #FB, directly engage. #hpmWed May 4 18:50:26 PDT 2011

renee_berry T3 @HospiceAction could start by participating in a tweetchat some time, I got

started in #hospice advocacy w/hill day a few yrs ago #hpmWed May 4 18:50:37 PDT 2011

CompAndChoices @MatthewsMichele You're doing awesome. Hosting can be daunting. #hpmWed May 4 18:50:39 PDT 2011

MatthewsMichele T3 (formerly known as T4): Orgs like @HospiceAction promote online #hpm

advocacy... #hpmWed May 4 18:50:47 PDT 2011

Wed May 4 18:50:47 PDT 2011

renee_berry RT @PracticalWisdom: Great Idea. RT @CompAndChoices: @MatthewsMichele T4

(T3?) Follow policymakers on Twitter & #FB, directly engage. #hpmWed May 4 18:50:53 PDT 2011

PracticalWisdom T4: Don't think ready for publication but there are some great ideas/buddies/etc

coming along. Very excited. #hpmWed May 4 18:50:58 PDT 2011

MatthewsMichele T3(formerly known as T4 contd): How can #hpm better use it to #educate

#healthpolicy leaders abt our issues? #hpmWed May 4 18:51:08 PDT 2011

CompAndChoices @aliciabloom Tell the stories and then publish them widely. #hpmWed May 4 18:51:17 PDT 2011

PracticalWisdom & Important. RT @aliciabloom: we need to tell our stories, because the work that

we do with patients & families is compelling. #hpmWed May 4 18:51:31 PDT 2011

PracticalWisdom Story Corps must have some. RT @CompAndChoices: @aliciabloom Tell the

stories and then publish them widely. #hpmWed May 4 18:51:47 PDT 2011

renee_berry I think I say this 100x/day RT RT RT RT @CompAndChoices: @aliciabloom Tell the

stories and then publish them widely. #hpmWed May 4 18:52:05 PDT 2011

SheyontheBay RT: Great Idea. RT @CompAndChoices: @MatthewsMichele T4 (T3?) Follow

policymakers on Twitter & #FB, directly engage. #hpmWed May 4 18:52:08 PDT 2011

MatthewsMichele 'it'=online advocacy! I know I leverage my twitter and Facebook to raise awareness

abt upcoming #hpm legislation #hpmWed May 4 18:52:08 PDT 2011

hollyby T4: Online advocacy is important to build a voice, but it needs big numbers to get

noticed. Need to build # 's & couple w/ IRL contact #hpmWed May 4 18:52:27 PDT 2011

SheyontheBay RT @CompAndChoices: @aliciabloom Tell the stories and then publish them

widely. #hpmWed May 4 18:52:43 PDT 2011

nursefriendly From Senator Gifford, to your neighbor in for a knee replacement, human nature will

always prevail despite HIPAA Laws #HPMWed May 4 18:52:43 PDT 2011

DNRstories RT @aliciabloom: we need to tell our stories, because the work that we do with

patients & families is compelling. #hpmWed May 4 18:52:46 PDT 2011

PracticalWisdom I think #HPM has made a signification contribution. Hey were can we vote

@mattewsMichele for those in this field who have made a diff. #hpmWed May 4 18:52:51 PDT 2011

ctsinclair RT @renee_berry: I think I say this 100x/day RT RT RT RT @CompAndChoices:

@aliciabloom Tell the stories and then publish them widely. #hpmWed May 4 18:52:52 PDT 2011

CompAndChoices @PracticalWisdom We collect & publish stories, too. And share with policymakers.

#hpmWed May 4 18:53:02 PDT 2011

renee_berry @hollyby absolutely, authentic voice is crucial ... & we don't need to wait for

traditional publishing to have a voice anymore #hpmWed May 4 18:53:31 PDT 2011

PracticalWisdom @nursefriendly: I'm actually surprised there are not more HIPAA violations. #hpmWed May 4 18:53:36 PDT 2011

renee_berry RT @hollyby: T4: Online advocacy is important to build a voice, but it needs big

numbers to get noticed. Need to build # 's & couple w/ IRL contact #hpmWed May 4 18:53:41 PDT 2011

MatthewsMichele YES! RT@hollyby: Online advocacy is key to build voice, but need big numbers to

get noticed. Need to build # s & couple w/ IRL contact #hpmWed May 4 18:53:49 PDT 2011

PracticalWisdom Thanks learned something new! RT @CompAndChoices: @PracticalWisdom We

collect & publish stories, too. And share with policymakers. #hpmWed May 4 18:54:01 PDT 2011

aliciabloom #hospice is care with value --> reduces costs and delivers high quality of care.

need to show #healthpolicy makers any way we can. #hpmWed May 4 18:54:23 PDT 2011

hollyby RT @PracticalWisdom: @StoryCorps must have some. RT @CompAndChoices:

@aliciabloom 'They do! #Legacy Initiative' http://bit.ly/lBlzKd #hpmWed May 4 18:54:41 PDT 2011

PracticalWisdom T4: I like to add #HPM to #HCSM and other related tweetchats when they have

common threads. #hpmWed May 4 18:54:52 PDT 2011

renee_berry that's why you're leaders RT @CompAndChoices we collect & publish stories, too.

And share with policymakers #hpmWed May 4 18:55:18 PDT 2011

MatthewsMichele #hospice=care w/ value reduces costs & delivers high quality of care. need to show

#healthpolicy makers any way we can via @aliciabloom #hpmWed May 4 18:55:41 PDT 2011

nursefriendly Do you wait for patients and family members to "google" you, or do you contact

nursefriendly Do you wait for patients and family members to "google" you, or do you contact

Alzheimers, Oncology and other support groups? #hpmWed May 4 18:56:00 PDT 2011

CompAndChoices @renee_berry [blush] thank you! #hpmWed May 4 18:56:00 PDT 2011

PracticalWisdom T4: Could you guys help me and perhaps others remember where to vote for our

fav. group this could help us all. @ctsinclair can U help? #hpmWed May 4 18:56:13 PDT 2011

renee_berry RT @MatthewsMichele: #hospice=care w/ value reduces costs & delivers high

quality of care. need to show #healthpolicy makers any way we can via

@aliciabloom #hpmWed May 4 18:56:22 PDT 2011

PracticalWisdom RT @renee_berry: thats why youre leaders RT @CompAndChoices we collect &

publish stories, too. And share with policymakers #hpmWed May 4 18:56:23 PDT 2011

MatthewsMichele It's also so important to couple online advocacy w/ good ole fashioned face time w/

#healthpolicy leaders #hpmWed May 4 18:56:42 PDT 2011

PracticalWisdom RT @nursefriendly: Do U wait 4 patients/family members 2 "google" you, or do you

contact Alzheimers, Oncology and other support groups? #hpmWed May 4 18:57:00 PDT 2011

hollyby RT @MatthewsMichele: Its also so important to couple online advocacy w/ good ole

fashioned face time w/ #healthpolicy leaders #hpmWed May 4 18:57:13 PDT 2011

renee_berry @MatthewsMichele @aliciabloom that is true, (but I) feel a stronger need to

advocate for EARLY #palliative care & advance care planning #hpmWed May 4 18:57:25 PDT 2011

SheyontheBay RT @MatthewsMichele: Its also so important to couple online advocacy w/ good ole

fashioned face time w/ #healthpolicy leaders #hpmWed May 4 18:57:44 PDT 2011

CompAndChoices Using video, blogs and soc media to share stories makes it more interesting &

compelling. #hpmWed May 4 18:57:44 PDT 2011

PracticalWisdom T4: During United Way campaigns Hospice Always gets lots of attention. Wish we

could add Palliative Care education during this time. #hpmWed May 4 18:57:51 PDT 2011

FamMedChat Thanks for the conversation and the ideas, everyone. Look for the next chat next

week...maybe Thursday to avoid #HPM conflict? #fammedchatWed May 4 18:58:00 PDT 2011

PracticalWisdom Facebook RT @CompAndChoices: Using video, blogs and soc media to share

PracticalWisdomstories makes it more interesting & compelling. #hpm

Wed May 4 18:58:18 PDT 2011

renee_berry helps them understand RT @CompAndChoices: Using video, blogs and soc

media to share stories makes it more interesting & compelling #hpmWed May 4 18:58:25 PDT 2011

nursefriendly I'm missing the connection here where we bring the option of hospice and palliative

care to the people who need it most. #hpmWed May 4 18:58:44 PDT 2011

aliciabloom @renee_berry completely agree! better advance care planning + early #palliative

will enhance care & ensure #hospice at the right time. #hpmWed May 4 18:58:51 PDT 2011

renee_berry @FamMedChat I'd love to join that chat! So yes, Thursdays would be awesome,

thought I could always try doing two at once :) #hpmWed May 4 18:59:05 PDT 2011

CompAndChoices A quick plug: if you're looking to see what compelling storytelling looks like. Highly

recommend "How To Die In Oregon" on HBO. May 26. #hpmWed May 4 18:59:05 PDT 2011

PracticalWisdom @FamMedChat: Thank you for your thoughtful consideration. Collaboration keeps

growing and helping. #hpmWed May 4 18:59:27 PDT 2011

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