#Hpm Tweet Chat 1:11:12

7/31/2019 #Hpm Tweet Chat 1:11:12

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

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rfberry @ctsinclair cool! what city? #hpmWed Jan 11 18:00:08 PST 2012

AfternoonNapper As we kick off this hour dedicated to hospice and palliative medicine, let's start with a fewintroductions! What brings you here? #hpmWed Jan 11 18:01:06 PST 2012

hollyby For the next hour, I'll be tweeting from the #hospice and #palliative medicine tweetchat.Please join us! Use #hpmWed Jan 11 18:01:12 PST 2012

nursefriendly RT @hollyby: For the next hour, I'll be tweeting from the #hospice and #palliative medicinetweetchat. Please join us! Use #hpm

Wed Jan 11 18:01:45 PST 2012

happyhealing44 RT @CompAndChoices: Doctors don't want to talk about it, but they MUST. It's their job.http://t.co/kWYUSnZE#hpm#eolWed Jan 11 18:01:53 PST 2012

AfternoonNapper I'll be your host this evening. I'm a blogger and ePatient among other things. My interest inhpm comes from my own chronic illness. #hpm

Wed Jan 11 18:02:19 PST 2012
http://twitter.com/81878318/status/157281111431593984http://twitter.com/81878318/status/157281111431593984http://www.twitter.com/hollybyhttp://www.symplur.com/healthcare-hashtags/hospice/http://www.symplur.com/healthcare-hashtags/hospice/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-social-media/http://www.symplur.com/healthcare-social-media/http://www.symplur.com/healthcare-hashtags/conferences/http://www.symplur.com/healthcare-hashtags/tweet-chats/http://www.symplur.com/healthcare-hashtags/diseases/http://twitter.com/346151348/status/157281217664909312http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://twitter.com/81878318/status/157281111431593984http://www.symplur.com/healthcare-hashtags/eol/http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/kWYUSnZEhttp://www.twitter.com/CompAndChoiceshttp://www.twitter.com/happyhealing44http://twitter.com/22638297/status/157281076258160640http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/hollybyhttp://www.twitter.com/nursefriendlyhttp://twitter.com/32316055/status/157280938584313856http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/hollybyhttp://twitter.com/346151348/status/157280913565290496http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://twitter.com/121558178/status/157280670073356288http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/rfberryhttp://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=01-11-2012&shour=18&smin=0&tdate=01-11-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-hashtags/hpm/?hashtag=hpm&fdate=01-11-2012&shour=18&smin=0&tdate=01-11-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-social-media/

7/31/2019 #Hpm Tweet Chat 1:11:12

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rfberry Rene Berry, passionate about advocating for early access to #palliative care & advancecare planning for all, plus I just really like: #hpm

Wed Jan 11 18:02:47 PST 2012

hollyby Hello! Holly Yang, doc from @SanDiegoHospice. All tweets are my own. I'm here to learn,share, and be part of a great community. #hpm

Wed Jan 11 18:02:55 PST 2012

MarksPhone Mark here looking forward to #hpmWed Jan 11 18:03:12 PST 2012

nursecasestudy Thanks for coming everyone :) #healthcare#tweetchats starting now: #ChatDDS#dsma#healthchat#hpm Join us! #nursefriendly#s4pm

Wed Jan 11 18:03:21 PST 2012

MarksPhone @rfberry#hpm When did Wednesday happen?Wed Jan 11 18:03:37 PST 2012

PracticalWisdom Join Us for a #HPM TweetChat at: http://t.co/qcnVtqFe@afternoonNapper is ourModerator! #HPMWed Jan 11 18:04:16 PST 2012

nursefriendly @AfternoonNapper Love it when I can come to a #tweetchat and see all these familiarfaces :) #hpm

Wed Jan 11 18:04:23 PST 2012

AfternoonNapper As Tweeps are filtering in, please take a moment to glance at tonight's resource if youhaven't already. http://t.co/pDBpWzbu#hpm

Wed Jan 11 18:04:39 PST 2012

PracticalWisdom Hi Lisa Adult Edu, Passionate #HCSM Tweet Chats. Grandparents Abbotts in FL HUGEadvocates of DNR's, @Hospice/@deathwithdignity#HPM

Wed Jan 11 18:06:36 PST 2012

rfberry @MarksPhone every Wednesday since July 2010 :) http://t.co/2db1J1Mu#hpmWed Jan 11 18:06:37 PST 2012

nursefriendly @AfternoonNapper Hello Everyone, Andrew Lopez RN from New Jersey, Rehab Nurse,

Entrepreneur, #Parent#hpmWed Jan 11 18:07:34 PST 2012

AfternoonNapper Tonight we're looking at the The Center to Advance Palliative Care's state-by-state reportcard. Our first topic is coming right up. #hpm

Wed Jan 11 18:09:01 PST 2012

rfberry I think my Twitter is acting up? anyone else? #hpmWed Jan 11 18:09:23 PST 2012
http://twitter.com/121558178/status/157282996888674305http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://twitter.com/346151348/status/157282905570287616http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://twitter.com/22638297/status/157282541571813376http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/Parent/http://www.twitter.com/AfternoonNapperhttp://www.twitter.com/nursefriendlyhttp://twitter.com/121558178/status/157282302592958464http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/2db1J1Muhttp://www.twitter.com/MarksPhonehttp://www.twitter.com/rfberryhttp://twitter.com/25428892/status/157282297652056064http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/deathwithdignityhttp://www.twitter.com/Hospicehttp://www.symplur.com/healthcare-hashtags/HCSM/http://www.twitter.com/PracticalWisdomhttp://twitter.com/346151348/status/157281806163509249http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/pDBpWzbuhttp://www.twitter.com/AfternoonNapperhttp://twitter.com/22638297/status/157281739134341121http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/tweetchat/http://www.twitter.com/AfternoonNapperhttp://www.twitter.com/nursefriendlyhttp://twitter.com/25428892/status/157281708020998145http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/afternoonNapperhttp://t.co/qcnVtqFehttp://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/PracticalWisdomhttp://twitter.com/22063766/status/157281546242502656http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/MarksPhonehttp://twitter.com/422176685/status/157281477871157248http://www.symplur.com/healthcare-hashtags/s4pm/http://www.symplur.com/healthcare-hashtags/nursefriendly/http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/healthchat/http://www.symplur.com/healthcare-hashtags/dsma/http://www.symplur.com/healthcare-hashtags/ChatDDS/http://www.symplur.com/healthcare-hashtags/tweetchats/http://www.symplur.com/healthcare-hashtags/healthcare/http://www.twitter.com/nursecasestudyhttp://twitter.com/22063766/status/157281440004976641http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://twitter.com/32316055/status/157281370060767232http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SanDiegoHospicehttp://www.twitter.com/hollybyhttp://twitter.com/121558178/status/157281338070794241http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.twitter.com/rfberry

7/31/2019 #Hpm Tweet Chat 1:11:12

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AfternoonNapper Dartmouth Atlas of Health Care researchers have said "geography is destiny" re: healthcaraccess. What examples of this have you seen? #hpm

Wed Jan 11 18:09:44 PST 2012

MarksPhone @rfberry#hpm its a bit slowWed Jan 11 18:10:02 PST 2012

PracticalWisdom Oh, @_lizzy_ Where are you?? #HPMWed Jan 11 18:11:18 PST 2012

SheyontheBay Very slow. Barbara here, CHPN, case mgr, LNC...advocating for advance care planning#hpm

Wed Jan 11 18:11:26 PST 2012

AfternoonNapper Indeed it seems that Twitter is a bit sleepy this evening. We can move slow too. #hpmWed Jan 11 18:11:45 PST 2012

nursefriendly Very slow, yes. RT @SheyontheBay: Very slow. Barbara here, CHPN, case mgr,LNC...advocating for advance care planning #hpmWed Jan 11 18:12:29 PST 2012

rfberry @afternoonnapper, I keep trying to RT you and it's not working. ehhh #hpmWed Jan 11 18:12:51 PST 2012

rfberry T1 Dartmouth Atlas of Health Care researchers have said "geography is destiny" rehealthcare access, have you seen this? #hpm

Wed Jan 11 18:13:57 PST 2012

hollyby Me too. How come it works for this one? RT @rfberry: @afternoonnapper, I keep trying toRT you and its not working. #hpm

Wed Jan 11 18:14:00 PST 2012

PracticalWisdom My RT has not been working for a While I thought if was just my confuser on Tweetchat!#HPM

Wed Jan 11 18:14:58 PST 2012

nursefriendlyRT @rfberry: T1 Dartmouth Atlas of Health Care researchers have said "geography isdestiny" re healthcare access, have you seen this? #hpmWed Jan 11 18:15:03 PST 2012

PracticalWisdom Twitter is being slow like http://t.co/Y1WrxZOJ#HPMWed Jan 11 18:15:14 PST 2012

healthpolicygrp RT @NHPCO_news: New edition of NHPCO's "Facts and Figures: Hospice Care inAmerica" has been released! #Hospice#hpmhttp://t.co/axQuZQw3
http://t.co/axQuZQw3http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/Hospice/http://www.twitter.com/NHPCO_newshttp://www.twitter.com/healthpolicygrphttp://twitter.com/25428892/status/157284471014555648http://www.symplur.com/healthcare-hashtags/HPM/http://t.co/Y1WrxZOJhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/22638297/status/157284422931054593http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/nursefriendlyhttp://twitter.com/25428892/status/157284403775672321http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/PracticalWisdomhttp://twitter.com/32316055/status/157284160124370947http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/afternoonnapperhttp://www.twitter.com/rfberryhttp://www.twitter.com/hollybyhttp://twitter.com/121558178/status/157284145503019008http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://twitter.com/121558178/status/157283869161295872http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/afternoonnapperhttp://www.twitter.com/rfberryhttp://twitter.com/22638297/status/157283778681778178http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/nursefriendlyhttp://twitter.com/346151348/status/157283594048512001http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://twitter.com/16857263/status/157283511634640897http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://twitter.com/25428892/status/157283482014461954http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/_lizzy_http://www.twitter.com/PracticalWisdomhttp://twitter.com/22063766/status/157283160747548672http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/MarksPhonehttp://twitter.com/346151348/status/157283084801282048http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapper

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Wed Jan 11 18:15:21 PST 2012

rfberry @hollyby maybe it was a TweetChat bug? Seems to be improving for me too.@AfternoonNapper is the Dartmouth Atlas Q T1? #hpm

Wed Jan 11 18:15:28 PST 2012

nursefriendly @rfberry No, what point are they trying to make? Where you live will determine your accesto #hospice#palliative care? #hpmWed Jan 11 18:15:36 PST 2012

colleen_young Hi all. #hpmWed Jan 11 18:15:47 PST 2012

nursefriendly RT @hollyby: Me too. How come it works for this one? RT @rfberry: @afternoonnapper, Ikeep trying to RT you and its not working. #hpmWed Jan 11 18:15:50 PST 2012

PracticalWisdom Perhaps it might help if you push down the Refresh Speed. I have mine now on 6 Sec.#HPM

Wed Jan 11 18:16:04 PST 2012

nursefriendly RT @rfberry: @hollyby maybe it was a TweetChat bug? Seems to be improving for me too@AfternoonNapper is the Dartmouth Atlas Q T1? #hpm

Wed Jan 11 18:16:08 PST 2012

PracticalWisdom Welcome Colleen! to SLoooow Twitter. It's slow but we are not! RT @colleen_young: Hi all#HPM

Wed Jan 11 18:16:40 PST 2012

AfternoonNapper T1: Dartmouth Atlas of Health Care researchers say "geography is destiny" re: healthcareaccess. What examples have you seen of this? #hpm

Wed Jan 11 18:16:46 PST 2012

rfberry @AfternoonNapper could you clarify a bit more on what you'd like the group to discuss forT1 exactly? #hpmWed Jan 11 18:16:51 PST 2012

hollyby T1: I think that is true of all of healthcare, not just palliative care in hospitals #hpmWed Jan 11 18:17:03 PST 2012

_lizzy_ Hello all! Joining Late. researcher, MSW, & hospice volunteer from Columbus Ohio #hpmWed Jan 11 18:17:07 PST 2012

nursefriendly @colleen_young Hello Colleen, #tweetdeck is buzzing right along, tweetchat (have it opentoo) is moving quite slow. #hpmWed Jan 11 18:17:15 PST 2012
http://twitter.com/22638297/status/157284979557138432http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/tweetdeck/http://www.twitter.com/colleen_younghttp://www.twitter.com/nursefriendlyhttp://twitter.com/15739043/status/157284945621037056http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/_lizzy_http://twitter.com/32316055/status/157284926218182656http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://twitter.com/121558178/status/157284877719437313http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://www.twitter.com/rfberryhttp://twitter.com/346151348/status/157284856701788160http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://twitter.com/25428892/status/157284829698867202http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/colleen_younghttp://www.twitter.com/PracticalWisdomhttp://twitter.com/22638297/status/157284696831688704http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://www.twitter.com/hollybyhttp://www.twitter.com/rfberryhttp://www.twitter.com/nursefriendlyhttp://twitter.com/25428892/status/157284678674554880http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/PracticalWisdomhttp://twitter.com/22638297/status/157284619165773824http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/afternoonnapperhttp://www.twitter.com/rfberryhttp://www.twitter.com/hollybyhttp://www.twitter.com/nursefriendlyhttp://twitter.com/28366957/status/157284607035842560http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/colleen_younghttp://twitter.com/22638297/status/157284560562958339http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/rfberryhttp://www.twitter.com/nursefriendlyhttp://twitter.com/121558178/status/157284528518475776http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://www.twitter.com/hollybyhttp://www.twitter.com/rfberryhttp://twitter.com/33715192/status/157284499049283585

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PracticalWisdom Welcome Lizzy~ RT @_lizzy_: Hello all! Joining Late. researcher, MSW, & hospicevolunteer from Columbus Ohio #HPMWed Jan 11 18:17:51 PST 2012

nursefriendly Welcome, glad you could make it :) RT @_lizzy_: Hello all! Joining Late. researcher, MSW& hospice volunteer from Columbus Ohio #hpm

Wed Jan 11 18:17:59 PST 2012

rfberry T1 I've read a lot of reports discussing the impact of geography on cost of care, or likelihoodfor certain tests, very intersting #hpm

Wed Jan 11 18:18:40 PST 2012

AfternoonNapper T1: example large hospitals w/ 300 or more beds more likely to report palliative care team(85%)... where do we find large hospitals? #hpm

Wed Jan 11 18:18:49 PST 2012

aliciabloom "geography as destiny" in health care is absolutely relevant. recent study about surgicalrates in older adults at EoL is evidence. #hpm

Wed Jan 11 18:18:56 PST 2012

rfberry agree RT @hollyby: T1 I think that is true of all of healthcare, not just palliative care inhospitals #hpmWed Jan 11 18:19:03 PST 2012

SheyontheBay T1. Famile member was dying in Eagle Pass TX in 2003 - no hospice in that geography#hpm

Wed Jan 11 18:19:42 PST 2012

rfberry @AfternoonNapper in large cities :) A big part of this is the steady growth of hospital basedpalliative care programs developing #hpm

Wed Jan 11 18:20:14 PST 2012

AfternoonNapper T1: example living in region where there are only small hospitals (fewer than fifty beds),access to palliative care is limited. #hpm

Wed Jan 11 18:20:28 PST 2012

MarksPhone Geography is driven by revenue and our healthcare system is basically for profit #hpmWed Jan 11 18:20:32 PST 2012

rfberry had a similar experience w/family RT @SheyontheBay T1 Family member was dying inEagle Pass TX in 2003 - no hospice in that geography #hpmWed Jan 11 18:20:51 PST 2012

drseisenberg hey gang-- late start for me... #hpmWed Jan 11 18:21:10 PST 2012
http://twitter.com/170039453/status/157285962127388672http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drseisenberghttp://twitter.com/121558178/status/157285885245784064http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/rfberryhttp://twitter.com/22063766/status/157285802714480641http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://twitter.com/346151348/status/157285788726464512http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://twitter.com/121558178/status/157285726596247552http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://www.twitter.com/rfberryhttp://twitter.com/16857263/status/157285595062870017http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://twitter.com/121558178/status/157285430017015808http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/rfberryhttp://twitter.com/24399366/status/157285401701257217http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/346151348/status/157285372701835264http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://twitter.com/121558178/status/157285334181363713http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://twitter.com/22638297/status/157285160570728448http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/_lizzy_http://www.twitter.com/nursefriendlyhttp://twitter.com/25428892/status/157285129071501312http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/_lizzy_http://www.twitter.com/PracticalWisdom

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rfberry RT @MarksPhone Geography is driven by revenue and our healthcare system is basicallyfor profit #hpm

Wed Jan 11 18:21:20 PST 2012

SheyontheBay Texas HPNA helpful, advised of a local home care agency that just received CON to start ahospice #hpm

Wed Jan 11 18:21:28 PST 2012

AfternoonNapper T1: the report card states those living in the South are much less likely to find a hospital wita palliative care program. #hpm

Wed Jan 11 18:21:48 PST 2012

nursefriendly T1 @SheyontheBay It seems simply a matter of supply and demand. The more demand inan area, the more specialized care is available #hpm

Wed Jan 11 18:22:01 PST 2012

aliciabloom health disparities are often geographical. impacts access, overall health and ofcourse...palliative & end of life care #hpmWed Jan 11 18:22:03 PST 2012

ShyDi47 In the London, ON area majority of hospitals have a palliative care unit. #hpmWed Jan 11 18:22:21 PST 2012

ShyDi47 VON Canada has a program as well 4 pt wanting 2 remain in there home to die. #hpmWed Jan 11 18:23:10 PST 2012

MarksPhone If we agree this issue of geography is a revenue problem then can we agree that marketforces can change that? Demand for hospice #hpmWed Jan 11 18:23:18 PST 2012

SheyontheBay @nursefriendly 100% death rate in Eagle Pass, same as NYC #hpmWed Jan 11 18:23:35 PST 2012

aliciabloom for the next hour, expect a flurry of #hospice & #palliative care related tweets! feel free tojoin me at #hpm chat

Wed Jan 11 18:23:43 PST 2012

ShyDi47 @MarksPhone I am definitely seeing that so it is all about $ #hpmWed Jan 11 18:24:12 PST 2012

rfberry @MarksPhone yes. & demand #palliative care as a standard. #hpmWed Jan 11 18:24:13 PST 2012

PracticalWisdom http://t.co/nL9bM23V RT @drseisenberg: hey gang-- late start for me... #HPMWed Jan 11 18:24:18 PST 2012
http://twitter.com/25428892/status/157286752120340480http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/drseisenberghttp://t.co/nL9bM23Vhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/121558178/status/157286728846147585http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.twitter.com/MarksPhonehttp://www.twitter.com/rfberryhttp://twitter.com/265843895/status/157286728447700992http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://www.twitter.com/ShyDi47http://twitter.com/24399366/status/157286605206458368http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/aliciabloomhttp://twitter.com/16857263/status/157286573086482432http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/nursefriendlyhttp://www.twitter.com/SheyontheBayhttp://twitter.com/22063766/status/157286499514191873http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://twitter.com/265843895/status/157286466991562755http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ShyDi47http://twitter.com/265843895/status/157286262770896897http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ShyDi47http://twitter.com/24399366/status/157286186333913088http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/22638297/status/157286177085472768http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/nursefriendlyhttp://twitter.com/346151348/status/157286123046047745http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://twitter.com/16857263/status/157286038266593281http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://twitter.com/121558178/status/157286005769117696http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://www.twitter.com/rfberry

7/31/2019 #Hpm Tweet Chat 1:11:12

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judith_graham RT @NHPCO_news: New edition of NHPCO's "Facts and Figures: Hospice Care inAmerica" has been released! #Hospice#hpmhttp://t.co/axQuZQw3

Wed Jan 11 18:24:18 PST 2012

nursefriendly I don't see the point, sorry. RT @SheyontheBay: @nursefriendly 100% death rate in EaglePass, same as NYC #hpm

Wed Jan 11 18:25:11 PST 2012

nursefriendly RT @aliciabloom: for the next hour, expect a flurry of #hospice & #palliative care relatedtweets! feel free to join me at #hpm chat

Wed Jan 11 18:25:19 PST 2012

MarksPhone Now with the shortage of physicians how do we overcome issue of teaching palliative careto HPM who are overworked. #hpm

Wed Jan 11 18:25:24 PST 2012

ShyDi47 @SheyontheBay that is a lot look at 2nd @ 3rd world countries what their infant mortalityrate is pretty sad #hpmWed Jan 11 18:25:25 PST 2012

rfberry @judith_graham important data! #hpmWed Jan 11 18:26:02 PST 2012

AfternoonNapper @MarksPhone Your point actually transitions nicely into T2. #hpmWed Jan 11 18:26:19 PST 2012

rfberry RT @MarksPhone Now with the shortage of physicians how do we overcome issue ofteaching palliative care to HPM who are overworked #hpmWed Jan 11 18:26:34 PST 2012

SheyontheBay @nursefriendly ;) the "demand" should be there, with the same death rates...but rural areasmiss out on community outreach, education #hpm

Wed Jan 11 18:26:36 PST 2012

ShyDi47 @MarksPhone shortage here in Canada as well impossible to find a family Dr #hpmWed Jan 11 18:26:45 PST 2012

PracticalWisdom U.S. Not G8 2 RT @ShyDi47: @SheyontheBay that is a lot look at 2nd @ 3rd worldcountries what their infant mortality rate is pretty sad #HPMWed Jan 11 18:26:48 PST 2012

AfternoonNapper T2: Given "geography is destiny," how far would you travel for yourself or a loved one tohave access to palliative/hospice care? #hpm

Wed Jan 11 18:27:04 PST 2012

rfberry @MarksPhone that's a great question, @afternoonNapper, cool! I'll wait for T2 then :) #hpmWed Jan 11 18:27:08 PST 2012
http://twitter.com/121558178/status/157287466011865088http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/afternoonNapperhttp://www.twitter.com/MarksPhonehttp://www.twitter.com/rfberryhttp://twitter.com/346151348/status/157287446739034112http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://twitter.com/25428892/status/157287382142554114http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/ShyDi47http://www.twitter.com/PracticalWisdomhttp://twitter.com/265843895/status/157287367940648960http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://www.twitter.com/ShyDi47http://twitter.com/16857263/status/157287332301651968http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/nursefriendlyhttp://www.twitter.com/SheyontheBayhttp://twitter.com/121558178/status/157287321618747392http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://www.twitter.com/rfberryhttp://twitter.com/346151348/status/157287260239306752http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://www.twitter.com/AfternoonNapperhttp://twitter.com/121558178/status/157287188571242496http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/judith_grahamhttp://www.twitter.com/rfberryhttp://twitter.com/265843895/status/157287033948217344http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/ShyDi47http://twitter.com/22063766/status/157287030110429185http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://twitter.com/22638297/status/157287008815947777http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/aliciabloomhttp://www.twitter.com/nursefriendlyhttp://twitter.com/22638297/status/157286975999705089http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/nursefriendlyhttp://www.twitter.com/SheyontheBayhttp://www.twitter.com/nursefriendlyhttp://twitter.com/23663116/status/157286750912389120http://t.co/axQuZQw3http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/Hospice/http://www.twitter.com/NHPCO_newshttp://www.twitter.com/judith_graham

7/31/2019 #Hpm Tweet Chat 1:11:12

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MarksPhone I bet there are a of derms out there, no stress work short hours and good income #hpmWed Jan 11 18:27:41 PST 2012

nursefriendly @SheyontheBay You are ignoring the #economics of the situation, how many people inEagle Pass vs ENYC? #hpmWed Jan 11 18:27:48 PST 2012

MsThaoTran RT @NHPCO_news: New edition of NHPCO's "Facts and Figures: Hospice Care inAmerica" has been released! #Hospice#hpmhttp://t.co/axQuZQw3

Wed Jan 11 18:27:49 PST 2012

AfternoonNapper Note that T2 comes with the built in question - is it practical to travel for palliative/hospicecare? #hpm

Wed Jan 11 18:28:19 PST 2012

rfberry as far as I could afford RT @AfternoonNapper T2 how far would you travel for yourself or aloved one to have access to palliative care? #hpm

Wed Jan 11 18:28:29 PST 2012

PracticalWisdom Thanks you guys! Wish I could stay but I've got Work/Work still to do tonight.@afternoonNapper Thank you! #HPM

Wed Jan 11 18:28:36 PST 2012

hollyby Physician shortage, esp #hpm physician shortage is a big problem. More funding for#meded is necessary. #hpmWed Jan 11 18:28:39 PST 2012

ShyDi47 With the baby boom generation general population r living longer due to advance Medicare#hpmWed Jan 11 18:29:00 PST 2012

AfternoonNapper @hollyby We'll be hitting on that subject too! :) #hpmWed Jan 11 18:29:21 PST 2012

subatomicdoc RT @hollyby: Physician shortage, esp #hpm physician shortage is a big problem. Morefunding for #meded is necessary. #hpm

Wed Jan 11 18:29:22 PST 2012

SheyontheBay @nursefriendly Doesn't *(shouldn't)* matter: EVERY dying person deserves access tohospice #hpm

Wed Jan 11 18:29:25 PST 2012

drseisenberg T2: As far as we had to go. Peace has no boundaries. #hpmWed Jan 11 18:29:43 PST 2012

T2 If you're asking me, personally I would say, "How far is the *hospice* willing to travel to
http://twitter.com/170039453/status/157288114564513792http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drseisenberghttp://twitter.com/16857263/status/157288037464809472http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/nursefriendlyhttp://www.twitter.com/SheyontheBayhttp://twitter.com/88581667/status/157288024785424384http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/meded/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/subatomicdochttp://twitter.com/346151348/status/157288024261144576http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/AfternoonNapperhttp://twitter.com/265843895/status/157287934935048192http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ShyDi47http://twitter.com/32316055/status/157287848112955392http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/meded/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://twitter.com/25428892/status/157287833458061313http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/afternoonNapperhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/121558178/status/157287803716255744http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://www.twitter.com/rfberryhttp://twitter.com/346151348/status/157287762662408192http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://twitter.com/246982872/status/157287636996849664http://t.co/axQuZQw3http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/Hospice/http://www.twitter.com/NHPCO_newshttp://www.twitter.com/MsThaoTranhttp://twitter.com/22638297/status/157287631393271808http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/economics/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/nursefriendlyhttp://twitter.com/22063766/status/157287602783920128http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhone

7/31/2019 #Hpm Tweet Chat 1:11:12

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_lizzy_ come to *my* home?" #hpmWed Jan 11 18:29:43 PST 2012

rfberry RT @hollyby Physician shortage, esp #hpm physician shortage is a big problem. Morefunding for #meded is necessary #hpm

Wed Jan 11 18:29:50 PST 2012

ShyDi47 @AfternoonNapper now that depends how far @ how long do they really have #hpmWed Jan 11 18:29:54 PST 2012

hollyby @AfternoonNapper Oops! Sorry to jump the gun. :) #hpmWed Jan 11 18:30:02 PST 2012

aliciabloom need to integrate #hpm into physician & other clinician education to ensure all providers caoffer primary #palliative care #hpm

Wed Jan 11 18:30:04 PST 2012

visitingnurse T2: Given geography is destiny, it's probably not how far would you travel, but how far canyou travel--transportation access barriers #hpm

Wed Jan 11 18:30:15 PST 2012

ShyDi47 @SheyontheBay they have the right to die with dignity @ a pain free death #hpmWed Jan 11 18:30:41 PST 2012

nursefriendly You're ignoring #economics RT @SheyontheBay Doesn't *(shouldn't)* matter: EVERYdying person deserves access to hospice #hpm

Wed Jan 11 18:30:41 PST 2012

MarksPhone What I dont get is that if physicians have family members who benefited from #hpm whydont they support it more or want to learn more #hpmWed Jan 11 18:30:45 PST 2012

AfternoonNapper @hollyby No worries. It means we're on the same page. #hpmWed Jan 11 18:30:45 PST 2012

rfberry T2 I think along w/more funding, there should be more advocates for generating interest inyoung adults for entering the field of #hpm

Wed Jan 11 18:31:02 PST 2012

hollyby T2: How far someone is willing to travel is a different question than how far CAN they trave#hpmWed Jan 11 18:31:28 PST 2012

nursefriendly @SheyontheBay Of course they deserve it, they deserve "access to healthcare" too, howmany #Americans are uninsured? #hpm

Wed Jan 11 18:31:29 PST 2012
http://twitter.com/22638297/status/157288560666484736http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/Americans/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/nursefriendlyhttp://twitter.com/32316055/status/157288553146089473http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://twitter.com/121558178/status/157288446182961152http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://twitter.com/346151348/status/157288374456172544http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/AfternoonNapperhttp://twitter.com/22063766/status/157288372996538368http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://twitter.com/22638297/status/157288359356665856http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://www.symplur.com/healthcare-hashtags/economics/http://www.twitter.com/nursefriendlyhttp://twitter.com/265843895/status/157288359071453185http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/ShyDi47http://twitter.com/25127891/status/157288247880454144http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/visitingnursehttp://twitter.com/24399366/status/157288202321924096http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/32316055/status/157288196001103874http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://www.twitter.com/hollybyhttp://twitter.com/265843895/status/157288160592789504http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://www.twitter.com/ShyDi47http://twitter.com/121558178/status/157288143010271232http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/meded/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/rfberryhttp://twitter.com/15739043/status/157288113658535937http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/_lizzy_

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_lizzy_ The last hospice I worked at - we covered 9 counties out of one office. Hospice traveled tothe patient #hpm

Wed Jan 11 18:31:49 PST 2012

rfberry @afternoonnapper & @hollyby (oops! I jumped in to that too! Sorry) #hpmWed Jan 11 18:31:53 PST 2012

rfberry RT @hollyby: T2: How far someone is willing to travel is a different question than how farCAN they travel. #hpmWed Jan 11 18:32:01 PST 2012

nursefriendly @SheyontheBay Who is going to pay for the #specialists to relocate, set up practices, pay#healthinsurance premiums for everyone? #hpm

Wed Jan 11 18:32:23 PST 2012

drseisenberg angel flight will fly patients for cancer care -- how about for palliative care? #hpmWed Jan 11 18:32:27 PST 2012

aliciabloom i have lectured to BSN & MSW students about #hpm. passionate clinicians can impact atrainees career path. #hpmWed Jan 11 18:32:27 PST 2012

visitingnurse RT @rfberry: T2 I think along w/more funding, ... be more advocates for generating interestin young adults for entering the field of #hpm

Wed Jan 11 18:32:30 PST 2012

SheyontheBay @nursefriendly EXACTLY! We're singin' the same song! #hpm

Wed Jan 11 18:32:30 PST 2012

SheyontheBay RT @aliciabloom: i have lectured to BSN & MSW students about #hpm. passionateclinicians can impact a trainees career path. #hpm

Wed Jan 11 18:32:59 PST 2012

nursefriendly @SheyontheBay If a #doctors sees no market, reimbursement for their services, like ruralareas with little #healthinsurance :( #hpm

Wed Jan 11 18:33:02 PST 2012

AfternoonNapperRT @drseisenberg: angel flight will fly patients for cancer care -- how about for palliativecare? #hpmWed Jan 11 18:33:07 PST 2012

rfberry awesome! RT @aliciabloom: I have lectured to BSN & MSW students about #hpm.passionate clinicians can impact a trainees career path #hpm

Wed Jan 11 18:33:08 PST 2012

ctsinclair RT @rfberry: RT @hollyby Physician shortage, esp #hpm physician shortage is a big
http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/rfberryhttp://www.twitter.com/ctsinclairhttp://twitter.com/121558178/status/157288972836552705http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/rfberryhttp://twitter.com/346151348/status/157288969007140865http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drseisenberghttp://www.twitter.com/AfternoonNapperhttp://twitter.com/22638297/status/157288948694126592http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/healthinsurance/http://www.symplur.com/healthcare-hashtags/doctors/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/nursefriendlyhttp://twitter.com/16857263/status/157288938338402304http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/SheyontheBayhttp://twitter.com/16857263/status/157288816854581250http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/nursefriendlyhttp://www.twitter.com/SheyontheBayhttp://twitter.com/25127891/status/157288815713726464http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/visitingnursehttp://twitter.com/24399366/status/157288804598808576http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/170039453/status/157288803999023105http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drseisenberghttp://twitter.com/22638297/status/157288786605248512http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/healthinsurance/http://www.symplur.com/healthcare-hashtags/specialists/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/nursefriendlyhttp://twitter.com/121558178/status/157288695647576064http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/rfberryhttp://twitter.com/121558178/status/157288659924680704http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/afternoonnapperhttp://www.twitter.com/rfberryhttp://twitter.com/15739043/status/157288645164941312http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/_lizzy_

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problem. More funding for #meded is necessary #hpm

Wed Jan 11 18:33:52 PST 2012

healthpolicygrp Place & Health: Why Conditions Where We Live, Learn, Work & Play Matterhttp://t.co/vrQj9FxA@rwjf#hpm#hcsm#sdoh#PublicHealthWed Jan 11 18:34:06 PST 2012

drseisenberg RT @rfberry via RT @aliciabloom: I've lectured to BSN & MSW students abt #hpm.passionate clinicians can impact a trainees career path #hpm

Wed Jan 11 18:34:22 PST 2012

AfternoonNapper Still in reference to T2: does a patient needing to travel for hpm care affect hpm's purposeand effectiveness? #hpmWed Jan 11 18:34:25 PST 2012

hollyby MT @visitingnurse: T2: ...how far can you travel--transportation access barriers "physicalmobility & finances" #hpm

Wed Jan 11 18:34:53 PST 2012

SheyontheBay RT @nursefriendly:If a #doctors sees no market, reimbursement for their services, _ ruralareas with little #healthinsurance :(

7/31/2019 #Hpm Tweet Chat 1:11:12

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need 2 be hospitalized. #hpm

Wed Jan 11 18:36:03 PST 2012

nursefriendly @AfternoonNapper T2 To save a life, one would travel to the ends of the earth. To have agood death, you'll be disappointed. #hpm

Wed Jan 11 18:36:08 PST 2012

rfberrywish it were simple. but yes! RT @drseisenberg: Weve simply got to get access to anyone

and everyone...No one left in pain. #hpmWed Jan 11 18:36:30 PST 2012

aliciabloom one solution: integrate #hpm into physician & other clinician education to ensure allproviders can offer primary #palliative care

Wed Jan 11 18:36:37 PST 2012

visitingnurse Access first by education, then momentum RT @drseisenberg: Weve simply got to getaccess to anyone and everyone...No one left in pain. #hpm

Wed Jan 11 18:36:56 PST 2012

nursefriendly Not common! RT @AfternoonNapper: Note that T2 comes with the built in question - is itpractical to travel for palliative/hospice care? #hpm

Wed Jan 11 18:37:19 PST 2012

AfternoonNapper @aliciabloom You bring us nicely into T3! #hpmWed Jan 11 18:37:20 PST 2012

rfberry RT @aliciabloom: one solution: integrate #hpm into physician & other clinician education toensure all providers can offer primary #pall ...

Wed Jan 11 18:37:39 PST 2012

ShyDi47 @rfberry pain free death is the best possible route 2 go, u need 2 make them comfortable#hpm

Wed Jan 11 18:37:44 PST 2012

nursefriendly We won't see soon RT @hollyby: Physician shortage, esp #hpm physician shortage is a bigproblem. More funding for #meded is necessary. #hpm

Wed Jan 11 18:37:52 PST 2012

AfternoonNapper T3: Major barrier facing expansion of palliative care services is lack of palliative medicinephysicians. How do we get more doctors? #hpmWed Jan 11 18:37:58 PST 2012

aliciabloom @AfternoonNapper i like smooth transitions :) #hpmWed Jan 11 18:38:09 PST 2012

baerbelsmile RT @ShyDi47: If need be an end of life pt can die in their own home. They do notnecessarily mean they need 2 be hospitalized. #hpm

Wed Jan 11 18:38:19 PST 2012
http://twitter.com/137878535/status/157290278879887360http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ShyDi47http://www.twitter.com/baerbelsmilehttp://twitter.com/24399366/status/157290236878139393http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://www.twitter.com/aliciabloomhttp://twitter.com/346151348/status/157290191088922626http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://twitter.com/22638297/status/157290166384463872http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/meded/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/nursefriendlyhttp://twitter.com/265843895/status/157290133958303744http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/ShyDi47http://twitter.com/121558178/status/157290112709967872http://www.symplur.com/healthcare-hashtags/pall/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/rfberryhttp://twitter.com/346151348/status/157290033144012800http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/AfternoonNapperhttp://twitter.com/22638297/status/157290026378600450http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://www.twitter.com/nursefriendlyhttp://twitter.com/25127891/status/157289932455550977http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drseisenberghttp://www.twitter.com/visitingnursehttp://twitter.com/24399366/status/157289850368835584http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/121558178/status/157289823353307138http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drseisenberghttp://www.twitter.com/rfberryhttp://twitter.com/22638297/status/157289731296727040http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://www.twitter.com/nursefriendlyhttp://twitter.com/265843895/status/157289706810388480http://www.symplur.com/healthcare-hashtags/hpm/

7/31/2019 #Hpm Tweet Chat 1:11:12

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AfternoonNapper T3 report card stats to consider: today in the United States there are 2,887 physiciansboard-certified in palliative medicine. #hpm

Wed Jan 11 18:38:57 PST 2012

ShyDi47 @aliciabloom most do less confusion #hpmWed Jan 11 18:38:58 PST 2012

rfberry @ShyDi47 agree but I think people are more receptive to language focusing on quality oflife rather than 'a good death' #hpm

Wed Jan 11 18:39:28 PST 2012

visitingnurse Financial incentives for medschool educationRT @AfternoonNapper: T3: Major barrierfacing expansion of palliative ......more doctors? #hpmWed Jan 11 18:39:31 PST 2012

ShyDi47 Caregivers can be taught how 2 look after an end of life pt. #hpmWed Jan 11 18:39:44 PST 2012

SheyontheBay RT @drseisenberg: Weve simply got to get access to anyone and everyone...No one left inpain. #hpm

Wed Jan 11 18:39:48 PST 2012

AfternoonNapper T3 report card stats to consider: highest Dr. rates found in Hawaii (1 per 154 Medicaredeaths), NC (1 per 222) and CO (1 per 244). #hpm

Wed Jan 11 18:39:56 PST 2012

rfberry RT @ShyDi47: If need be an end of life pt can die in their own home. They do notnecessarily mean they need 2 be hospitalized. #hpmWed Jan 11 18:40:10 PST 2012

hollyby Don't forget that palliative consultation can be provided regardless of a patient's prognosis,so travel for care may be ok if needed. #hpmWed Jan 11 18:40:27 PST 2012

jorawstron @AfternoonNapper how much could be done via e.g. Skype with regional teamsimplementing centralised treatment plans? #hpm

Wed Jan 11 18:40:30 PST 2012

nursefriendly RT @_lizzy_: T2 If you're asking me, personally I would say, "How far is the *hospice*willing to travel to come to *my* home?" #hpmWed Jan 11 18:40:49 PST 2012

AfternoonNapper CORRECTION: highest palliative Dr. rates found in Hawaii (1 per 154 Medicare deaths),NM (1 per 222) and CO (1 per 244). #hpm

Wed Jan 11 18:40:51 PST 2012
http://twitter.com/346151348/status/157290916569300994http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://twitter.com/22638297/status/157290908516220928http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/_lizzy_http://www.twitter.com/nursefriendlyhttp://twitter.com/276588803/status/157290827515838466http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://www.twitter.com/jorawstronhttp://twitter.com/32316055/status/157290817684373505http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://twitter.com/121558178/status/157290745076785153http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ShyDi47http://www.twitter.com/rfberryhttp://twitter.com/346151348/status/157290684666220544http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://twitter.com/16857263/status/157290652638519296http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drseisenberghttp://www.twitter.com/SheyontheBayhttp://twitter.com/265843895/status/157290636771475456http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ShyDi47http://twitter.com/25127891/status/157290582660743170http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://www.twitter.com/visitingnursehttp://twitter.com/121558178/status/157290566999224322http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ShyDi47http://www.twitter.com/rfberryhttp://twitter.com/265843895/status/157290441644060674http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/ShyDi47http://twitter.com/346151348/status/157290438775152641http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapper

7/31/2019 #Hpm Tweet Chat 1:11:12

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ShyDi47 Education is a stepping stone looking after end of life PTS. #hpmWed Jan 11 18:40:54 PST 2012

healthpolicygrp County Health Rankings: Ranks within States (Outcomes+multiple factors)http://t.co/bMX9gmrT@CHRankings#hpm#hcsm#sdoh#PublicHealth#GIS

Wed Jan 11 18:41:19 PST 2012

SheyontheBay RT @nursefriendly: To save a life, one would travel to the ends of the earth. To have agood death, youll be disappointed.

7/31/2019 #Hpm Tweet Chat 1:11:12

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may be feasible #hpm

Wed Jan 11 18:43:28 PST 2012

rfberry T3 (#Meded) Education is a system that needs a culture shift similar to what@CAPCpalliative has lead w/hospital systems #hpmWed Jan 11 18:43:43 PST 2012

ShyDi47 A PPS less than 30 pt is going quickly. #hpmWed Jan 11 18:43:58 PST 2012

ShyDi47 A PPS less than 30 pt is going quickly. #hpmWed Jan 11 18:43:58 PST 2012

nursefriendly RT @aliciabloom: need to integrate #hpm into physician & other clinician education toensure all providers can offer primary #palliative ...Wed Jan 11 18:44:09 PST 2012

_lizzy_ @AfternoonNapper can we broaden to 'more hospice/palliative specialists' ? let's not forget

other members of the team: SW, RN #hpmWed Jan 11 18:44:34 PST 2012

nursefriendly @aliciabloom Lofty goal, but in reality not very practical. #hpm like #geriatrics is a #poor#doctors field. #palliative#hpm

Wed Jan 11 18:44:48 PST 2012

jorawstron @nursefriendly@afternoonnapper I can barely travel now, let alone when condition hasprogressed to want #hpm input - start planning early?

Wed Jan 11 18:44:53 PST 2012

hollyby T3: Train all physicians in basic #hpm skills so that the specialists can see the toughercases. #hpm

Wed Jan 11 18:45:06 PST 2012

visitingnurse RT @_lizzy_: @AfternoonNapper can we broaden to more hospice/palliative specialists ?lets not forget other members of the team: SW, RN #hpmWed Jan 11 18:45:10 PST 2012

nursefriendly @aliciabloom It isn't sexy like #neurology#cardiology#radiology where they make the bigbucks. #hpm#palliative#hpm

Wed Jan 11 18:45:23 PST 2012

healthpolicygrp RT @hollyby: T3: Train all physicians in basic #hpm skills so that the specialists can see thtougher cases. #hpm

Wed Jan 11 18:45:40 PST 2012

AfternoonNapper @_lizzy_ Absolutely. #hpmWed Jan 11 18:45:45 PST 2012
http://twitter.com/346151348/status/157292151640829952http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/_lizzy_http://www.twitter.com/AfternoonNapperhttp://twitter.com/33715192/status/157292128777666561http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/healthpolicygrphttp://twitter.com/22638297/status/157292057730367488http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/radiology/http://www.symplur.com/healthcare-hashtags/cardiology/http://www.symplur.com/healthcare-hashtags/neurology/http://www.twitter.com/aliciabloomhttp://www.twitter.com/nursefriendlyhttp://twitter.com/25127891/status/157292004412358656http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://www.twitter.com/_lizzy_http://www.twitter.com/visitingnursehttp://twitter.com/32316055/status/157291984745267200http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://twitter.com/276588803/status/157291932660408320http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/afternoonnapperhttp://www.twitter.com/nursefriendlyhttp://www.twitter.com/jorawstronhttp://twitter.com/22638297/status/157291908929028097http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/doctors/http://www.symplur.com/healthcare-hashtags/poor/http://www.symplur.com/healthcare-hashtags/geriatrics/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/nursefriendlyhttp://twitter.com/15739043/status/157291853056708608http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://www.twitter.com/_lizzy_http://twitter.com/22638297/status/157291746349420544http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/nursefriendlyhttp://twitter.com/265843895/status/157291701768167425http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ShyDi47http://twitter.com/265843895/status/157291701768167425http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ShyDi47http://twitter.com/121558178/status/157291639780548608http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/CAPCpalliativehttp://www.symplur.com/healthcare-hashtags/Meded/http://www.twitter.com/rfberryhttp://twitter.com/24399366/status/157291575737716736http://www.symplur.com/healthcare-hashtags/hpm/

7/31/2019 #Hpm Tweet Chat 1:11:12

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healthpolicygrp RT @rfberry: T3 (#Meded) Education is a system that needs a culture shift similar to what@CAPCpalliative has lead w/hospital systems #hpmWed Jan 11 18:45:55 PST 2012

ShyDi47 We keep close watch on meds when they r end of life. As well there output, color of skin @urine, etc. #hpm

Wed Jan 11 18:45:56 PST 2012

nursefriendly @aliciabloom#doctors need to make a living too, #economics plays into it like it or not.#hpm#palliative#hpm

Wed Jan 11 18:46:03 PST 2012

rfberry agree RT @hollyby: T3 Train all physicians in basic #hpm skills so that the specialists cansee the tougher cases #hpm

Wed Jan 11 18:46:20 PST 2012

AfternoonNapper Let's look toward T4... #hpmWed Jan 11 18:47:27 PST 2012

_lizzy_ We need to start in the colleges with education/recruiting, but also educate existingprofessionals about #hpmWed Jan 11 18:47:31 PST 2012

aliciabloom @nursefriendly not suggesting all physicians become #hpm doctors, but that all learn someprimary #palliative care in their training. #hpm

Wed Jan 11 18:47:38 PST 2012

MarksPhone @rfberry#hpm#hpm that is a big hope. Train them so they can at least understand when

and where to apply #hpmWed Jan 11 18:47:41 PST 2012

nursefriendly @visitingnurse Yes, T2 Geography and ability to travel is a double-edged sword for both#patients and #providers#hpm

Wed Jan 11 18:47:43 PST 2012

ShyDi47 Pain Management very important in end of life pt. #hpmWed Jan 11 18:47:53 PST 2012

rfberryRT @jorawstron: @nursefriendly@afternoonnapper I can barely travel now, let alone whencondition has progressed to want #hpm input - st ...Wed Jan 11 18:47:57 PST 2012

AfternoonNapper T4: In 2008, the US received a grade of C for access to palliative care. In 2011, the grade isa B. Have you seen these improvements? #hpm

Wed Jan 11 18:48:09 PST 2012

hollyby I'm going to let that slide ;) MT @nursefriendly: @aliciabloom It isnt sexy like #neurology
http://www.symplur.com/healthcare-hashtags/neurology/http://www.twitter.com/aliciabloomhttp://www.twitter.com/nursefriendlyhttp://www.twitter.com/hollybyhttp://twitter.com/346151348/status/157292752718151680http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://twitter.com/121558178/status/157292701853822976http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/afternoonnapperhttp://www.twitter.com/nursefriendlyhttp://www.twitter.com/jorawstronhttp://www.twitter.com/rfberryhttp://twitter.com/265843895/status/157292686720761856http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ShyDi47http://twitter.com/22638297/status/157292643204874240http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/providers/http://www.symplur.com/healthcare-hashtags/patients/http://www.twitter.com/visitingnursehttp://www.twitter.com/nursefriendlyhttp://twitter.com/22063766/status/157292637051822080http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/MarksPhonehttp://twitter.com/24399366/status/157292623831367680http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/nursefriendlyhttp://www.twitter.com/aliciabloomhttp://twitter.com/15739043/status/157292595524009985http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/_lizzy_http://twitter.com/346151348/status/157292578734211073http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://twitter.com/121558178/status/157292298609233920http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/rfberryhttp://twitter.com/22638297/status/157292224676237312http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/economics/http://www.symplur.com/healthcare-hashtags/doctors/http://www.twitter.com/aliciabloomhttp://www.twitter.com/nursefriendlyhttp://twitter.com/265843895/status/157292197790744576http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ShyDi47http://twitter.com/33715192/status/157292192027774977http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/CAPCpalliativehttp://www.symplur.com/healthcare-hashtags/Meded/http://www.twitter.com/rfberryhttp://www.twitter.com/healthpolicygrp

7/31/2019 #Hpm Tweet Chat 1:11:12

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#cardiology#radiology#hpm

Wed Jan 11 18:48:18 PST 2012

rfberry yep RT @MarksPhone@rfberry that is a big hope. Train them so they can at leastunderstand when and where to apply #hpm

Wed Jan 11 18:48:42 PST 2012

nursefriendly@aliciabloom Learn #hpm on top of all the other requirements they have to digest? For afield that pays less than most? #palliative#hpmWed Jan 11 18:48:47 PST 2012

rfberry @hollyby hahaha :) #hpmWed Jan 11 18:48:50 PST 2012

aliciabloom @hollyby i think #palliative care is fun & sexier than those other specialities! #hpmWed Jan 11 18:49:42 PST 2012

ShyDi47@AfternoonNapper would love to know what Canada ranks #hpm

Wed Jan 11 18:49:42 PST 2012

nursefriendly Most #patients knowing end was near-stay put. RT @ShyDi47: @SheyontheBay they havethe right to die with dignity @ a pain free death #hpm

Wed Jan 11 18:49:50 PST 2012

hollyby T3: Also need to train more nurses, NPs, social workers, chaplains, pharmacists, (all teammembers) with specialty in #hpm. #hpm

Wed Jan 11 18:50:15 PST 2012

aliciabloom @nursefriendly not to BE palliative care doctors, but to provide adequate palliative careWITHIN their own speciality is essential #hpm

Wed Jan 11 18:50:31 PST 2012

rfberry T4 I'd love it to be faster :) (#impatientforquality) I have actually seen direct & specificprogress at some institutions #hpm

Wed Jan 11 18:50:36 PST 2012

_lizzy_ @hollyby Thank you for including other disciplines...I was thinking of them but ran out ofspace #hpmWed Jan 11 18:51:09 PST 2012

visitingnurse RT @aliciabloom: @nursefriendly ... provide adequate palliative care WITHIN their ownspeciality is essential #hpm

Wed Jan 11 18:51:20 PST 2012

hollyby T4: I have seen those improvements. Definitely more hospitals with #palliative careconsultation services in my area. #hpmWed Jan 11 18:51:30 PST 2012
http://twitter.com/32316055/status/157293597396443137http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.twitter.com/hollybyhttp://twitter.com/25127891/status/157293553373020160http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/nursefriendlyhttp://www.twitter.com/aliciabloomhttp://www.twitter.com/visitingnursehttp://twitter.com/15739043/status/157293510326878208http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/_lizzy_http://twitter.com/121558178/status/157293371096965121http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/impatientforquality/http://www.twitter.com/rfberryhttp://twitter.com/24399366/status/157293349718601731http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/nursefriendlyhttp://www.twitter.com/aliciabloomhttp://twitter.com/32316055/status/157293282932690944http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://twitter.com/22638297/status/157293178469363712http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/ShyDi47http://www.symplur.com/healthcare-hashtags/patients/http://www.twitter.com/nursefriendlyhttp://twitter.com/265843895/status/157293143727947776http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://www.twitter.com/ShyDi47http://twitter.com/24399366/status/157293142918430720http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.twitter.com/hollybyhttp://www.twitter.com/aliciabloomhttp://twitter.com/121558178/status/157292926525911040http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/rfberryhttp://twitter.com/22638297/status/157292913980747777http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/nursefriendlyhttp://twitter.com/121558178/status/157292891813838851http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/MarksPhonehttp://www.twitter.com/rfberryhttp://twitter.com/32316055/status/157292790231994369http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/radiology/http://www.symplur.com/healthcare-hashtags/cardiology/

7/31/2019 #Hpm Tweet Chat 1:11:12

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aliciabloom @hollyby i agree that we need more specialized #hpm clinicians in all disciplines, as well amore primary palliative care knowledge #hpm

Wed Jan 11 18:51:34 PST 2012

rfberry @hollyby and public health researchers! :) #hpmWed Jan 11 18:51:39 PST 2012

ShyDi47 They have palliative courses here at a College @ Thanatology is taught at University. #hpmWed Jan 11 18:51:48 PST 2012

rfberry RT @hollyby: T3: Also need to train more nurses, NPs, social workers, chaplains,pharmacists, (all team members) with specialty in #hpm. ...

Wed Jan 11 18:51:53 PST 2012

AfternoonNapper @rfberry Good news is that fewer than 25 % of states need significant improvement (C); ab12 % receive nonpassing grades of D or F. #hpmWed Jan 11 18:51:53 PST 2012

rfberry RT @hollyby: T4: I have seen those improvements. Definitely more hospitals with #palliativcare consultation services in my area. #hpm

Wed Jan 11 18:51:56 PST 2012

hollyby @_lizzy_#hpm is a team sport! #hpmWed Jan 11 18:52:24 PST 2012

_lizzy_ T4: We still need to get referrals in earlier. LOS has declined. If we could get patientssooner, we'd be able to provide more. #hpm

Wed Jan 11 18:52:34 PST 2012

hollyby Yes! RT @rfberry: @hollyby and public health researchers! :) #hpmWed Jan 11 18:52:47 PST 2012

rfberry @AfternoonNapper can't help but wonder how 'significant' was defined :) #hpmWed Jan 11 18:52:51 PST 2012

aliciabloom #palliative care is definitely a growing & evolving field. access & utilization has improved &should continue....there is great need! #hpm

Wed Jan 11 18:52:53 PST 2012

rfberry woot RT @hollyby: @_lizzy_#hpm is a team sport! #hpmWed Jan 11 18:52:59 PST 2012

SheyontheBay RT @hollyby: @_lizzy_#hpm is a team sport! #hpmWed Jan 11 18:53:19 PST 2012
http://twitter.com/16857263/status/157294055632535553http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/_lizzy_http://www.twitter.com/hollybyhttp://www.twitter.com/SheyontheBayhttp://twitter.com/121558178/status/157293971993931776http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/_lizzy_http://www.twitter.com/hollybyhttp://www.twitter.com/rfberryhttp://twitter.com/24399366/status/157293945381060608http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.twitter.com/aliciabloomhttp://twitter.com/121558178/status/157293937143463937http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://www.twitter.com/rfberryhttp://twitter.com/32316055/status/157293918239735808http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/rfberryhttp://www.twitter.com/hollybyhttp://twitter.com/15739043/status/157293865500553216http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/_lizzy_http://twitter.com/32316055/status/157293823758843904http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/_lizzy_http://www.twitter.com/hollybyhttp://twitter.com/121558178/status/157293705382989824http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.twitter.com/hollybyhttp://www.twitter.com/rfberryhttp://twitter.com/346151348/status/157293694540713985http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/AfternoonNapperhttp://twitter.com/121558178/status/157293691134939138http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/rfberryhttp://twitter.com/265843895/status/157293670406684672http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ShyDi47http://twitter.com/121558178/status/157293636277641216http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/rfberryhttp://twitter.com/24399366/status/157293614920245248http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/aliciabloom

7/31/2019 #Hpm Tweet Chat 1:11:12

19/25



ShyDi47 Taken the palliative @ hospice course any 1 can do it. #hpmWed Jan 11 18:53:22 PST 2012

jorawstron Create standardised resources (eg liverpool guidelines) to support non-specialised doctors#hpm

Wed Jan 11 18:53:34 PST 2012

_lizzy_ RT @rfberry: woot RT @hollyby: @_lizzy_#hpm is a team sport! #hpmWed Jan 11 18:53:37 PST 2012

ctsinclair RT @rfberry: woot RT @hollyby: @_lizzy_#hpm is a team sport! #hpmWed Jan 11 18:53:50 PST 2012

nursefriendly @MarksPhone Mark if it will make it more difficult to put food on the table, or supportoneself, pay off medicalschool loans. . . #hpm

Wed Jan 11 18:54:04 PST 2012

aliciabloom love this! so true - > @hollyby: #hpm is a team sport! #hpmWed Jan 11 18:54:07 PST 2012

AfternoonNapper FYI: State graded A - District of Columbia; Maryland; Minnesota; Nebraska; Oregon; RhodeIsland; Vermont; Washington #hpmWed Jan 11 18:54:29 PST 2012

visitingnurse how about webinars on demand for CME credits RT @jorawstron: Create standardisedresources ...support non-specialised doctors #hpm

Wed Jan 11 18:54:49 PST 2012

nursefriendly @aliciabloom That is like saying as a #nurse, I should have learned how to assist in the ORhandle ER, and sub as a #schoolnurse#hpm

Wed Jan 11 18:55:19 PST 2012

_lizzy_ I wonder if there is a grade relationship to whether state has POLST? #hpmWed Jan 11 18:55:27 PST 2012

ShyDi47 Take a look at the holistic approach when working with end of life @ consider Maslow'sHierarchy of Needs @ u r on the right track. #hpm

Wed Jan 11 18:55:44 PST 2012

rfberry most of healthcare could learn from the #hospice & #palliative interdisciplinary team modelRT @hollyby#hpm is a team sport! #hpm

Wed Jan 11 18:56:11 PST 2012

nursefriendly @aliciabloom#palliative#care#medicine is new, born in the 1960s, still largely unknown,unpopular. Don't expect volunteers #hpm

Wed Jan 11 18:56:27 PST 2012
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7/31/2019 #Hpm Tweet Chat 1:11:12

20/25



AfternoonNapper @_lizzy_@rfberry Methodology information about the report card is available herehttp://t.co/OacaFZfN.#hpmWed Jan 11 18:56:47 PST 2012

ShyDi47 @aliciabloom @ it only gets better from here #hpmWed Jan 11 18:56:57 PST 2012

aliciabloom @nursefriendly no. i don't think it is. i believe primary palliative care skills are part of thedelivery of good health care. #hpm

Wed Jan 11 18:56:59 PST 2012

rfberry RT @AfternoonNapper: @_lizzy_@rfberry Methodology information about the report cardis available here http://t.co/OacaFZfN.#hpm

Wed Jan 11 18:57:16 PST 2012

jorawstron @hollyby Would be wonderful if all healthcare workers were aware of #hpm to improve Qoof their patients - everyone has a part to play

Wed Jan 11 18:57:20 PST 2012

nursefriendly @rfberry Nice thought Renee, but where will it come from when Fed Gov is cutting fundingto states, cities are laying off cops,firemen? #hpmWed Jan 11 18:57:42 PST 2012

marynurse243 @hollyby@rfberry We r seeing improvements too. Building #hpm infrastructure in Hospthru continuum #hpm consults readily avail

Wed Jan 11 18:57:53 PST 2012

aliciabloompain & symptom management, communication skills, advance care planning = primarypalliative care. useful skills for all specialities! #hpmWed Jan 11 18:57:59 PST 2012

AfternoonNapper We're getting ready to close out this hour that began slowly but picked up the pace. Anypassing thoughts from tonight? #hpm

Wed Jan 11 18:58:15 PST 2012

SheyontheBay RT @nursefriendly: That is like saying as a #nurse, I should have learned how to assist inthe OR, handle ER, and sub #schoolnurse :D #hpm

Wed Jan 11 18:58:20 PST 2012

ShyDi47 @jorawstron we all have very important roles to filfull in our line of work #hpmWed Jan 11 18:58:53 PST 2012

AfternoonNapper MT @aliciabloom: pain & symptom mngmnt, comm skills, advance care planning = primarypalliative care. useful skills for all! #hpm

Wed Jan 11 18:59:04 PST 2012
http://twitter.com/346151348/status/157295501916643328http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/AfternoonNapperhttp://twitter.com/265843895/status/157295453044617216http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jorawstronhttp://www.twitter.com/ShyDi47http://twitter.com/16857263/status/157295315479822337http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/schoolnurse/http://www.symplur.com/healthcare-hashtags/nurse/http://www.twitter.com/nursefriendlyhttp://www.twitter.com/SheyontheBayhttp://twitter.com/346151348/status/157295295439446017http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://twitter.com/24399366/status/157295226413789184http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/362864716/status/157295203441590272http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/hollybyhttp://www.twitter.com/marynurse243http://twitter.com/22638297/status/157295155773325312http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/nursefriendlyhttp://twitter.com/276588803/status/157295064090030080http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/jorawstronhttp://twitter.com/121558178/status/157295050039107584http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/OacaFZfN.http://www.twitter.com/rfberryhttp://www.twitter.com/_lizzy_http://www.twitter.com/AfternoonNapperhttp://www.twitter.com/rfberryhttp://twitter.com/24399366/status/157294977595097089http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/nursefriendlyhttp://www.twitter.com/aliciabloomhttp://twitter.com/265843895/status/157294966408876034http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/ShyDi47http://twitter.com/346151348/status/157294924797190145http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/OacaFZfN.http://www.twitter.com/rfberryhttp://www.twitter.com/_lizzy_http://www.twitter.com/AfternoonNapper

7/31/2019 #Hpm Tweet Chat 1:11:12

21/25



nursefriendly The dying don't travel well RT @hollyby: T2: How far someone is willing to travel is adifferent question than how far CAN they travel. #hpm

Wed Jan 11 18:59:30 PST 2012

healthpolicygrp RT @hollyby: Yes! RT @rfberry: @hollyby and public health researchers! :) #hpmWed Jan 11 18:59:32 PST 2012

hollyby@nursefriendly Disagree, #hpm is getting more widely accepted, with proof in the CAPCreport and in this community. :) #hpmWed Jan 11 18:59:35 PST 2012

hollyby @nursefriendly Disagree, #hpm is getting more widely accepted, with proof in the CAPCreport and in this community. :) #hpm

Wed Jan 11 18:59:35 PST 2012

ShyDi47 How do each @ everyone perceive yourself when it is your time to die? #hpmWed Jan 11 18:59:43 PST 2012

rfberry @nursefriendly don't think the funding has to come from gov, can be collected & drivenattention from leadership #hpm organizationsWed Jan 11 19:00:28 PST 2012

aliciabloom @nursefriendly@hollyby not all people who need #palliative care are dying. many are livinwell with serious illness. #hpm

Wed Jan 11 19:00:32 PST 2012

nursefriendly @AfternoonNapper#thankyou for hosting :) Provocative topics for sure :) #hpm#nursefriendlyWed Jan 11 19:00:52 PST 2012

ShyDi47 @aliciabloom not so sure about that #hpmWed Jan 11 19:01:37 PST 2012

AfternoonNapper I thank you all for being here and all participating in tonight's chat. #hpmWed Jan 11 19:01:38 PST 2012

SheyontheBay All primary docs should have mandatory CME in #hpm, and have the grace to refer to#hpm, as s/he would to any other specialist. (More) #hpmWed Jan 11 19:02:02 PST 2012

nursefriendly @rfberry Nice theory, but I don't see the billions needed to for it to happen coming whenpeople are starving, uninsured, out of work #hpm

Wed Jan 11 19:02:14 PST 2012

ctsinclair The #hpm Daily is out! http://t.co/hXekg5Al Top stories today via @teaminspire@rfberry@pallimed@thelizabethhosp@emilyamuse

Wed Jan 11 19:02:20 PST 2012
http://twitter.com/17206739/status/157296321269743616http://www.twitter.com/emilyamusehttp://www.twitter.com/thelizabethhosphttp://www.twitter.com/pallimedhttp://www.twitter.com/rfberryhttp://www.twitter.com/teaminspirehttp://t.co/hXekg5Alhttp://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/22638297/status/157296296607236097http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/nursefriendlyhttp://twitter.com/16857263/status/157296247198334976http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://twitter.com/346151348/status/157296148451819520http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://twitter.com/265843895/status/157296144215584768http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/ShyDi47http://twitter.com/22638297/status/157295952095490048http://www.symplur.com/healthcare-hashtags/nursefriendly/http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/thankyou/http://www.twitter.com/AfternoonNapperhttp://www.twitter.com/nursefriendlyhttp://twitter.com/24399366/status/157295868964380672http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.twitter.com/hollybyhttp://www.twitter.com/nursefriendlyhttp://www.twitter.com/aliciabloomhttp://twitter.com/121558178/status/157295852325568513http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/nursefriendlyhttp://www.twitter.com/rfberryhttp://twitter.com/265843895/status/157295663091163136http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ShyDi47http://twitter.com/32316055/status/157295629796786176http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/nursefriendlyhttp://www.twitter.com/hollybyhttp://twitter.com/32316055/status/157295629796786176http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/nursefriendlyhttp://www.twitter.com/hollybyhttp://twitter.com/33715192/status/157295619462004737http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/rfberryhttp://www.twitter.com/hollybyhttp://www.twitter.com/healthpolicygrphttp://twitter.com/22638297/status/157295611601879044http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/nursefriendly

7/31/2019 #Hpm Tweet Chat 1:11:12

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hollyby @aliciabloom Totally agree! Palliative care is an extra layer of support for patients withserious illness regardless of prognosis. #hpm

Wed Jan 11 19:02:39 PST 2012

nursefriendly That is lot of travel RT @_lizzy_:The last hospice I worked at-we covered 9 counties out ofone office.Hospice traveled to the patient #hpmWed Jan 11 19:02:51 PST 2012

rfberry @nursefriendly or dying. #hpmWed Jan 11 19:02:52 PST 2012

aliciabloom @ShyDi47#palliative care is appropriate throughout the continuum of serious illness. manychronically ill are still functional. #hpmWed Jan 11 19:02:53 PST 2012

SheyontheBay Assessment tool for need for PC referral should be mandatory, integrated intodocumentation #h

Documents

#Hpm Tweet Chat 1:11:12