#Hpm-TweetChat-2/27/13

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2/28/13 10:hpm - Healthcare Social Media Transcript

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#hpm transcript

Healthcare Social MediaTranscriptFrom: Wed Feb 27 18:00:00 PST 2013

To: Wed Feb 27 19:15:00 PST 2013

change time period

Who were the influencers during this time period? #hpm analytics

Connecting the dots in healthcare social media: Healthcare Conference - Tweet Chats - Healthcare Analytics

What is #hpm?

oliverdr Greetings from warm Ruskin Florida- I escaped Mo snowstorm! #hpmWed Feb 27 18:00:10 PST 2013

aliciabloom for the next hour, i'll be hosting #hpm chat, which means a flurry of tweets about #hospice palliative care.Wed Feb 27 18:01:02 PST 2013

rfberry nice! Good evening! RT @oliverdr: Greetings from warm Ruskin Florida- I escaped Mosnowstorm! #hpmWed Feb 27 18:01:12 PST 2013

ctsinclair @oliverdr Yes you did. My kids had 4 days off from school in the last week. I'm going stircrazy. #hpm

Wed Feb 27 18:01:13 PST 2013

aliciabloom it's 9pm on the east coast, which means it's time to get #hpm chat started! please introduceyourself. . .Wed Feb 27 18:01:46 PST 2013

TexasKidDoc @ctsinclair I miss snow #hpmWed Feb 27 18:01:56 PST 2013
http://twitter.com/24399366/status/306947271352795136http://twitter.com/24399366/status/306947271352795136http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/oliverdrhttp://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/tweet-chats/http://www.symplur.com/healthcare-social-media-analytics/http://twitter.com/291849321/status/306947310410166272http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/TexasKidDochttp://twitter.com/24399366/status/306947271352795136http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/17206739/status/306947129845354498http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/ctsinclairhttp://twitter.com/121558178/status/306947127211356160http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/rfberryhttp://twitter.com/24399366/status/306947082957225984http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hospice/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/62575849/status/306946865344176128http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-social-media-analytics/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=02-27-2013&shour=18&smin=0&tdate=02-27-2013&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-hashtags/hpm/?hashtag=hpm&fdate=02-27-2013&shour=18&smin=0&tdate=02-27-2013&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-social-media/

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oliverdr We heard it was coming and were planning on coming here anyway so got out of dodge onSat! #hpm

Wed Feb 27 18:02:12 PST 2013

enBloomMedia MT @rfberry: Looking forward 2 #hpm chat! All welcome 2 join discussion on hospice &palliative med http://t.co/oDnFhC3Lr7 at 6p PST #hpm

Wed Feb 27 18:02:25 PST 2013

rfberry Renee Berry here in Menlo Park, CA. Work @goBeMoRe, passionate about palliative careadvance care planning & hospice volunteering #hpmWed Feb 27 18:02:52 PST 2013

aliciabloom hey @ctsinclair, @rfberry, @oliverdr, @waywardchad & @enBloomMedia! we've got agreat crowd forming here #hpm

Wed Feb 27 18:03:22 PST 2013

nursefriendly Hello Everyone, Andrew Lopez, RN from #NewJersey :) #Nurse#Healthcare#Tweetchat#Enthusiast :) cc #addictionchat#hpm

Wed Feb 27 18:03:35 PST 2013

rfberry @enBloomMedia great to see you Alisa, & Emily @Texaskidsdoc! #hpmWed Feb 27 18:03:35 PST 2013

WaywardChad G'evening, all....I'm Chad, an MSW and a grad student in #thanatology fromMaryland...passionate about end-of-life care & discussions. #hpm

Wed Feb 27 18:03:42 PST 2013

TurnerWest #hpm Turner West, Director of Education and Community Programs with Hospice of theBluegrass in Lexington, Ky #hpm

Wed Feb 27 18:04:20 PST 2013

rfberry @_lizzy_, @rhgerard, @ChelseaHanson you joining us tonight? #hpmWed Feb 27 18:04:37 PST 2013

milhealth Good evening! RT @oliverdr: Greetings from warm Ruskin Fla I escaped Mo snowstorm!#hpm (via @rfberry) where's Ruskin? (I'm in Miami:-)

Wed Feb 27 18:04:46 PST 2013

aliciabloom yes, great to see you Emily @TexasKidDoc! welcome @TurnerWest! #hpmWed Feb 27 18:04:59 PST 2013

rfberry Hi Turner! RT @TurnerWest Turner West, Director of Education and Community Programswith Hospice of the Bluegrass in Lexington, Ky #hpm

Wed Feb 27 18:05:24 PST 2013

oliverdr South of Tampa #hpmWed Feb 27 18:05:42 PST 2013
http://twitter.com/62575849/status/306948261133045760http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/121558178/status/306948183236423681http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TurnerWesthttp://www.twitter.com/rfberryhttp://twitter.com/24399366/status/306948076877262849http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TurnerWesthttp://www.twitter.com/TexasKidDochttp://www.twitter.com/aliciabloomhttp://twitter.com/27807159/status/306948023752216576http://www.twitter.com/rfberryhttp://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/milhealthhttp://twitter.com/121558178/status/306947987056230400http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ChelseaHansonhttp://www.twitter.com/rhgerardhttp://www.twitter.com/_lizzy_http://www.twitter.com/rfberryhttp://twitter.com/711076460/status/306947916608724992http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TurnerWesthttp://twitter.com/611173037/status/306947757615243264http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/thanatology/http://www.twitter.com/WaywardChadhttp://twitter.com/121558178/status/306947728238313474http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Texaskidsdochttp://www.twitter.com/enBloomMediahttp://www.twitter.com/rfberryhttp://twitter.com/22638297/status/306947726170529793http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/addictionchat/http://www.symplur.com/healthcare-hashtags/Enthusiast/http://www.symplur.com/healthcare-hashtags/Tweetchat/http://www.symplur.com/healthcare-hashtags/Healthcare/http://www.symplur.com/healthcare-hashtags/Nurse/http://www.symplur.com/healthcare-hashtags/NewJersey/http://www.twitter.com/nursefriendlyhttp://twitter.com/24399366/status/306947671560708098http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/enBloomMediahttp://www.twitter.com/waywardchadhttp://www.twitter.com/oliverdrhttp://www.twitter.com/rfberryhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/aliciabloomhttp://twitter.com/121558178/status/306947547409313792http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/goBeMoRehttp://www.twitter.com/rfberryhttp://twitter.com/259800426/status/306947433924014080http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/oDnFhC3Lr7http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/enBloomMediahttp://twitter.com/62575849/status/306947376738877440http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdr

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aliciabloom MSW, LSW practicing in #hpm and glad to be your host tonight!Wed Feb 27 18:05:44 PST 2013

ctsinclair @TexasKidDoc The snow misses you. It said to me today: "Where is that @TexasKidDoc?It confused me at the time, but now I understand. #hpm

Wed Feb 27 18:05:50 PST 2013

TexasKidDoc Hi all, pediatric resident, going into neonatology, #pedpc enthusiast (Will hopefully do thefellowship after NICU) #hpm

Wed Feb 27 18:05:51 PST 2013

AfternoonNapper @aliciabloom If I can stagger to my hotel room in time, I really want to chime in re: #hpmand #RareDiseaseDay.

Wed Feb 27 18:05:57 PST 2013

rfberry @WaywardChad, @nursefriendly, @milhealth, great to see you tonight! #hpmWed Feb 27 18:05:58 PST 2013

ctsinclair I would love if my Colorado friends @ckrn and @April 918 would join us tonight! #hpmWed Feb 27 18:06:47 PST 2013

TexasKidDoc @ctsinclair the snow speaks in mysterious ways sometimes!! #hpmWed Feb 27 18:06:50 PST 2013

aliciabloom it looks like we've got a great group gathered tonight, so let's get started! #hpmWed Feb 27 18:07:20 PST 2013

milhealth @WaywardChad, @nursefriendly, great to see you tonight! (via @rfberry) likewise. Itweeted u an article link last week re #hpm :-)Wed Feb 27 18:08:01 PST 2013

philiplederer #hpm chat - join us tonight! Topics incl: #ChoosingWisely campaign from the@ABIMFoundation@ctsinclair

Wed Feb 27 18:08:22 PST 2013

enBloomMedia Hello to all, Alisa here in DC #hpmWed Feb 27 18:08:41 PST 2013

rfberry RT @philiplederer: #hpm chat - join us tonight! Topics incl: #ChoosingWisely campaignfrom the @ABIMFoundation@ctsinclair#hpm

Wed Feb 27 18:08:52 PST 2013

MsWZ @rfberry: RT @philiplederer: #hpm chat - join us tonight! Topics incl: #ChoosingWiselycampaign from the @ABIMFoundation@ctsinclair#hpm

Wed Feb 27 18:09:18 PST 2013
http://twitter.com/12916102/status/306949164204449792http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/ABIMFoundationhttp://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/philipledererhttp://www.twitter.com/rfberryhttp://www.twitter.com/MsWZhttp://twitter.com/121558178/status/306949056788324353http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/ABIMFoundationhttp://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/philipledererhttp://www.twitter.com/rfberryhttp://twitter.com/259800426/status/306949011913445376http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/enBloomMediahttp://twitter.com/34545483/status/306948931630268417http://www.twitter.com/ctsinclairhttp://www.twitter.com/ABIMFoundationhttp://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/philipledererhttp://twitter.com/27807159/status/306948840500654080http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/nursefriendlyhttp://www.twitter.com/WaywardChadhttp://www.twitter.com/milhealthhttp://twitter.com/24399366/status/306948672078368769http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/291849321/status/306948546177937409http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/TexasKidDochttp://twitter.com/17206739/status/306948532877791233http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Aprilhttp://www.twitter.com/ckrnhttp://www.twitter.com/ctsinclairhttp://twitter.com/121558178/status/306948324735451136http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/milhealthhttp://www.twitter.com/nursefriendlyhttp://www.twitter.com/WaywardChadhttp://www.twitter.com/rfberryhttp://twitter.com/346151348/status/306948322369867776http://www.symplur.com/healthcare-hashtags/RareDiseaseDay/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/AfternoonNapperhttp://twitter.com/291849321/status/306948297845796865http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/pedpc/http://www.twitter.com/TexasKidDochttp://twitter.com/17206739/status/306948294511308803http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TexasKidDochttp://www.twitter.com/TexasKidDochttp://www.twitter.com/ctsinclairhttp://twitter.com/24399366/status/306948267911041024http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloom

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milhealth RT @rfberry: RT @philiplederer: #hpm chat - join us tonight! Topics incl: #ChoosingWiselycampaign from the @ABIMFoundation@ctsinclair#hpm

Wed Feb 27 18:09:26 PST 2013

nursefriendly @milhealth Hmm, I missed it, will have to look over my tweetstream :( #hpmWed Feb 27 18:09:35 PST 2013

aliciabloom T1- Last week, professional organizations released lists of "Five Things Physicians andPatients Should Question for #ChoosingWisely#hpm

Wed Feb 27 18:09:44 PST 2013

doctatum thawing out in MidMo, but warming up with #hpm tweetchat #hpmWed Feb 27 18:09:56 PST 2013

ctsinclair @enBloomMedia I need to remember to connect with you the next time I am in DC/NOVA.On my plans a coupkle more times this year. #hpm

Wed Feb 27 18:10:23 PST 2013

aliciabloom T1- the #ChoosingWisely Campaign is an initiative of the @ABIMFoundation -http://t.co/mQ7i9fvgCM#hpm

Wed Feb 27 18:10:50 PST 2013

oliverdr @doctatum greetings from Ruskin Fl- here for AGHE #hpmWed Feb 27 18:11:00 PST 2013

DianeEMeier RT @geri_doc: All MDs need basic training in palliative care writes @AlexSmithMD@UCSF#hpm expert #geriatrics great essay http://t.co/E ...

Wed Feb 27 18:11:32 PST 2013

doctatum RT @oliverdr: greetings from Ruskin Fl- here for AGHE-- you are missing about 2 feet ofsnow #hpm

Wed Feb 27 18:11:53 PST 2013

ctsinclair RT @aliciabloom: T1- the #ChoosingWisely Campaign is an initiative of the@ABIMFoundation - http://t.co/hfdlfw6UUB#hpm

Wed Feb 27 18:11:58 PST 2013

enBloomMedia @ctsinclair absolutely, I'd like that. #hpmWed Feb 27 18:12:00 PST 2013

philiplederer RT @aliciabloom: T1- the #ChoosingWisely Campaign is an initiative of the@ABIMFoundation - http://t.co/mQ7i9fvgCM#hpm

Wed Feb 27 18:12:22 PST 2013

WaywardChad MT @aliciabloom T1- Last week, professional orgs released lists of "5 Things Physicians &
http://www.twitter.com/aliciabloomhttp://www.twitter.com/WaywardChadhttp://twitter.com/34545483/status/306949938737209344http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/mQ7i9fvgCMhttp://www.twitter.com/ABIMFoundationhttp://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/aliciabloomhttp://www.twitter.com/philipledererhttp://twitter.com/259800426/status/306949845904683010http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/enBloomMediahttp://twitter.com/17206739/status/306949837562200064http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/hfdlfw6UUBhttp://www.twitter.com/ABIMFoundationhttp://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/aliciabloomhttp://www.twitter.com/ctsinclairhttp://twitter.com/33076161/status/306949814862635008http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/doctatumhttp://twitter.com/23801638/status/306949726572535809http://t.co/Ehttp://www.symplur.com/healthcare-hashtags/geriatrics/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/UCSFhttp://www.twitter.com/AlexSmithMDhttp://www.twitter.com/geri_dochttp://www.twitter.com/DianeEMeierhttp://twitter.com/62575849/status/306949593243975680http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/doctatumhttp://www.twitter.com/oliverdrhttp://twitter.com/24399366/status/306949550038478849http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/mQ7i9fvgCMhttp://www.twitter.com/ABIMFoundationhttp://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/aliciabloomhttp://twitter.com/17206739/status/306949438469967873http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/enBloomMediahttp://www.twitter.com/ctsinclairhttp://twitter.com/33076161/status/306949324707876864http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/doctatumhttp://twitter.com/24399366/status/306949273000505344http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/aliciabloomhttp://twitter.com/22638297/status/306949235184631808http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/milhealthhttp://www.twitter.com/nursefriendlyhttp://twitter.com/27807159/status/306949198467719169http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/ABIMFoundationhttp://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/philipledererhttp://www.twitter.com/rfberryhttp://www.twitter.com/milhealth

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Patients Should Question for #ChoosingWisely#hpm

Wed Feb 27 18:12:31 PST 2013

WaywardChad RT @aliciabloom: T1- the #ChoosingWisely Campaign is an initiative of the@ABIMFoundation - http://t.co/coyUvoh2CF#hpmWed Feb 27 18:12:39 PST 2013

rfberry RT @aliciabloom: T1- the #ChoosingWisely Campaign is an initiative of the@ABIMFoundation - http://t.co/mQ7i9fvgCM#hpmWed Feb 27 18:12:40 PST 2013

oliverdr @doctatum ESCAPED! on purpose! #hpmWed Feb 27 18:13:05 PST 2013

aliciabloom T1- from your perspective (whether you're a clinician, patient, or advocate) how can the#ChoosingWisely Campaign impact patient care? #hpm

Wed Feb 27 18:13:10 PST 2013

TexasKidDoc T1 - Love the pedi #choosingwisely campaign list! First I've seen of it!http://t.co/WzkAxcCBmn#hpm

Wed Feb 27 18:13:16 PST 2013

oliverdr @aliciabloom T1 #ChoosingWisely gives permission to ask questions of providers-important questions! #hpmWed Feb 27 18:14:36 PST 2013

WaywardChad MT @aliciabloom: T1 from yr perspective (whether clinician, patient or advocate) how can#ChoosingWisely Campaign impact patient care? #hpm

Wed Feb 27 18:15:04 PST 2013

ctsinclair T1: What amazes me abt #ChoosingWisely campaign is it gets docs to point out things theymight commonly do, that should be questioned #hpmWed Feb 27 18:15:09 PST 2013

rfberry T1 I feel like #ChoosingWisely empowers me w/concise edu materials to ask betterquestions at the bedside (as a pt & fam advocate) #hpm

Wed Feb 27 18:15:14 PST 2013

napernurse RT @ShahinaLakhani: Is it Ethical To Refuse Care To a Hospice Patient

http://t.co/4OJWQ2OXkP#eolchat#Rnchat#hpm#carechat#caregiving ...Wed Feb 27 18:15:22 PST 2013

enBloomMedia @aliciabloom T1: #choosingwisely seems to create an opportunity for healthy dialog #hpmWed Feb 27 18:15:35 PST 2013

TurnerWest T1-Choosing Wisely helps reduce misallocation of healthcare resources and reducespotential harm to pt. from unnecessary procedures #hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TurnerWesthttp://twitter.com/259800426/status/306950745750654977http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/choosingwisely/http://www.twitter.com/aliciabloomhttp://www.twitter.com/enBloomMediahttp://twitter.com/36361956/status/306950692214542336http://www.symplur.com/healthcare-hashtags/caregiving/http://www.symplur.com/healthcare-hashtags/carechat/http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/Rnchat/http://www.symplur.com/healthcare-hashtags/eolchat/http://t.co/4OJWQ2OXkPhttp://www.twitter.com/ShahinaLakhanihttp://www.twitter.com/napernursehttp://twitter.com/121558178/status/306950657959673858http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/rfberryhttp://twitter.com/17206739/status/306950638347116545http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/ctsinclairhttp://twitter.com/611173037/status/306950615030956032http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/aliciabloomhttp://www.twitter.com/WaywardChadhttp://twitter.com/62575849/status/306950497317842944http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/aliciabloomhttp://www.twitter.com/oliverdrhttp://twitter.com/291849321/status/306950165124751360http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/WzkAxcCBmnhttp://www.symplur.com/healthcare-hashtags/choosingwisely/http://www.twitter.com/TexasKidDochttp://twitter.com/24399366/status/306950137954054144http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/aliciabloomhttp://twitter.com/62575849/status/306950119444598784http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/doctatumhttp://www.twitter.com/oliverdrhttp://twitter.com/121558178/status/306950011118292992http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/mQ7i9fvgCMhttp://www.twitter.com/ABIMFoundationhttp://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/aliciabloomhttp://www.twitter.com/rfberryhttp://twitter.com/611173037/status/306950006789795840http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/coyUvoh2CFhttp://www.twitter.com/ABIMFoundationhttp://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/aliciabloomhttp://www.twitter.com/WaywardChadhttp://twitter.com/611173037/status/306949975013740548http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/

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Wed Feb 27 18:15:36 PST 2013

philiplederer T1- >$750 billion are spent each year on tests and treatments that needlessly inflatemedical bills without helping patients get better #HPM

Wed Feb 27 18:15:42 PST 2013

TexasKidDoc T1 Love how straight forward it... love idea of questioning the status quo, plus using

evidenced based care #choosingwisely#hpmWed Feb 27 18:15:56 PST 2013

ctsinclair T1: Imagine a #ChoosingWisely campaign from McDonalds about how to pick a healthymeal, or your car mechanic on what service not to get #hpm

Wed Feb 27 18:15:58 PST 2013

aliciabloom T1- i appreciate that #ChoosingWisely is based on real clinical data & geared to empowerpatients #hpmWed Feb 27 18:16:09 PST 2013

oliverdr T1 I had a student express frustration with radiation one-felt wording alienated oncologists-interesting perspective #hpm

Wed Feb 27 18:16:35 PST 2013

rfberry @ctsinclair I love that idea. I think it's a great way to explain this! #hpmWed Feb 27 18:16:55 PST 2013

ctsinclair T1: IMHO Main impact abt #ChoosingWisely is docs feeling free to call each other on non-best practices with org endorsement #hpmWed Feb 27 18:17:11 PST 2013

TurnerWest #ChoosingWisely should also foster patient engagement which we all want to encourage#hpm

Wed Feb 27 18:17:13 PST 2013

WaywardChad T1 - Sure seems like it would empower me to be a stronger advocate for client-centeredcare! #hpmWed Feb 27 18:17:29 PST 2013

rfberry @oliverdr interesting. What type of language did they feel alienated oncologists? #hpmWed Feb 27 18:17:36 PST 2013

philiplederer T1- $750 billion on unnecessary medical tests and treatments= enormous $$$.~ the sameamount of money spent on the entire Iraq War #HPM

Wed Feb 27 18:17:39 PST 2013

WaywardChad RT @TurnerWest: #ChoosingWisely should also foster patient engagement which we allwant to encourage #hpmWed Feb 27 18:17:46 PST 2013
http://twitter.com/611173037/status/306951295384834048http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/TurnerWesthttp://www.twitter.com/WaywardChadhttp://twitter.com/34545483/status/306951266746130432http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/philipledererhttp://twitter.com/121558178/status/306951252409995265http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/rfberryhttp://twitter.com/611173037/status/306951224102629376http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/WaywardChadhttp://twitter.com/711076460/status/306951156540796928http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/TurnerWesthttp://twitter.com/17206739/status/306951150094139392http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/ctsinclairhttp://twitter.com/121558178/status/306951081026519040http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/rfberryhttp://twitter.com/62575849/status/306950996158988288http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/24399366/status/306950890844213249http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/aliciabloomhttp://twitter.com/17206739/status/306950843616358400http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/ctsinclairhttp://twitter.com/291849321/status/306950836393742337http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/choosingwisely/http://www.twitter.com/TexasKidDochttp://twitter.com/34545483/status/306950774473228288http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/philipledererhttp://twitter.com/711076460/status/306950752222470145

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rfberry RT @TurnerWest: #ChoosingWisely should also foster patient engagement which we allwant to encourage #hpm

Wed Feb 27 18:17:48 PST 2013

aliciabloom T1- we're all observing the same important keys: patient empowerment, encouragingdialogue, providing better care & reducing cost #hpm

Wed Feb 27 18:17:50 PST 2013

ctsinclair @oliverdr That is interesting to look at potential cross specialty turf battles. #hpmWed Feb 27 18:17:51 PST 2013

oliverdr T1 interesting these 5 were chosen could have been many others as well. Love 2 #hpmWed Feb 27 18:18:01 PST 2013

enBloomMedia A gentle reminder? MT @ctsinclair: T1 #ChoosingWisely gets docs to point out things theymight commonly do, that should be questioned #hpm

Wed Feb 27 18:18:13 PST 2013

TexasKidDoc Disappointed (But not surprised by) the urology list. Nothing about questioning if PSAtesting is right for you #hpm

Wed Feb 27 18:18:14 PST 2013

ctsinclair @TurnerWest I agree that more patient engagement is key, but beyond small media bumpnot sure patients will seek this info out #hpmWed Feb 27 18:18:20 PST 2013

doctatum T1: #choosingwisely can change provider practice. Both @ags and @aahpm rec NoTubeFeeding in adv dementia. Teach alternative HandFeed #hpm

Wed Feb 27 18:18:32 PST 2013

enBloomMedia MT @aliciabloom: T1- the same important keys: patient empowerment, encouragingdialogue, providing better care & reducing cost #hpmWed Feb 27 18:18:44 PST 2013

nursefriendly T1 I would question how much of that $750 billion would have been spent regardless on#DefensiveMedicine#doctors CYA #hpm

Wed Feb 27 18:18:47 PST 2013

WaywardChad MT @ctsinclair: T1 IMHO Main impact w/#ChoosingWisely: docs feeling free to call eachother on non-best practices with org endorsement #hpm

Wed Feb 27 18:19:06 PST 2013

ctsinclair T1: Would hope the #ChoosingWisely campaign and orgs look at content for re-purposingacross platforms/media #hpm

Wed Feb 27 18:19:16 PST 2013
http://twitter.com/17206739/status/306951673237106689http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/ctsinclairhttp://twitter.com/611173037/status/306951630589399041http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/ctsinclairhttp://www.twitter.com/WaywardChadhttp://twitter.com/22638297/status/306951549828096000http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/doctors/http://www.symplur.com/healthcare-hashtags/DefensiveMedicine/http://www.twitter.com/nursefriendlyhttp://twitter.com/259800426/status/306951539975667713http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/enBloomMediahttp://twitter.com/33076161/status/306951487836278785http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aahpmhttp://www.twitter.com/agshttp://www.symplur.com/healthcare-hashtags/choosingwisely/http://www.twitter.com/doctatumhttp://twitter.com/17206739/status/306951440054771713http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TurnerWesthttp://www.twitter.com/ctsinclairhttp://twitter.com/291849321/status/306951412162633728http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TexasKidDochttp://twitter.com/259800426/status/306951409176301568http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/ctsinclairhttp://www.twitter.com/enBloomMediahttp://twitter.com/62575849/status/306951357858971649http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/17206739/status/306951315504918528http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/ctsinclairhttp://twitter.com/24399366/status/306951312203972608http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/121558178/status/306951302468993024http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/TurnerWesthttp://www.twitter.com/rfberry

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philiplederer RT @ctsinclair: T1: Would hope the #ChoosingWisely campaign and orgs look at contentfor re-purposing across platforms/media #hpm

Wed Feb 27 18:19:55 PST 2013

aliciabloom T1- Consumer Reports is engaged in developing patient directed materials & messages,which should help propel the messages #hpm

Wed Feb 27 18:19:55 PST 2013

yzafar As an Onc, I can guarantee that #1 on our #ChoosingWisely list will be ignored! #hpmWed Feb 27 18:20:02 PST 2013

ctsinclair @doctatum I like that @AmerGeriatrics and @AAHPM agreed on the hand feeding overtube feeding in advanced dementia #hpm

Wed Feb 27 18:20:15 PST 2013

rfberry @ctsinclair hopefully it empowers the communications teams at hospitals to have greatdigital content for patient engagement. #hpm

Wed Feb 27 18:20:16 PST 2013

rfberry RT @WaywardChad: T1 - Sure seems like it would empower me to be a stronger advocatefor client-centered care! #hpmWed Feb 27 18:20:21 PST 2013

enBloomMedia @nursefriendly that the next step in health reform, right? tort reforms #hpmWed Feb 27 18:20:26 PST 2013

rfberry Interesting!!! Why? RT @yzafar: As an Onc, I can guarantee that #1 on our#ChoosingWisely list will be ignored! #hpm

Wed Feb 27 18:20:37 PST 2013

jfclearywisc Jim Cleary, @uwhealth palliative care MD, & Director PPSG (@painpolicy) joining #Hpmchat for next 40 minutes.

Wed Feb 27 18:20:37 PST 2013

nursefriendly T1 When it comes to #hospitalizations, #Tests, #Diagnostics, much is ordered to mitigate#liability#malpractice exposure. #hpm

Wed Feb 27 18:20:41 PST 2013

philiplederer T1 - agree- need to increase patient engagement #HPMWed Feb 27 18:20:47 PST 2013

rfberry RT @aliciabloom: T1- i appreciate that #ChoosingWisely is based on real clinical data &geared to empower patients #hpm

Wed Feb 27 18:20:48 PST 2013

_lizzy_ KY House approves changes to prescription drug law http://t.co/SwEvx7zWGQ#hpmWed Feb 27 18:20:57 PST 2013
http://twitter.com/15739043/status/306952096215867393http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/SwEvx7zWGQhttp://www.twitter.com/_lizzy_http://twitter.com/121558178/status/306952060987924480http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/aliciabloomhttp://www.twitter.com/rfberryhttp://twitter.com/34545483/status/306952056651010048http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/philipledererhttp://twitter.com/22638297/status/306952028851171329http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/malpractice/http://www.symplur.com/healthcare-hashtags/liability/http://www.symplur.com/healthcare-hashtags/Diagnostics/http://www.symplur.com/healthcare-hashtags/Tests/http://www.symplur.com/healthcare-hashtags/hospitalizations/http://www.twitter.com/nursefriendlyhttp://twitter.com/27231379/status/306952014099795968http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/painpolicyhttp://www.twitter.com/uwhealthhttp://www.twitter.com/jfclearywischttp://twitter.com/121558178/status/306952013948801024http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.symplur.com/healthcare-hashtags/1/http://www.twitter.com/yzafarhttp://www.twitter.com/rfberryhttp://twitter.com/259800426/status/306951965974360064http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/nursefriendlyhttp://www.twitter.com/enBloomMediahttp://twitter.com/121558178/status/306951944335937536http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/WaywardChadhttp://www.twitter.com/rfberryhttp://twitter.com/121558178/status/306951926182969344http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/rfberryhttp://twitter.com/17206739/status/306951921539883008http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AAHPMhttp://www.twitter.com/AmerGeriatricshttp://www.twitter.com/doctatumhttp://www.twitter.com/ctsinclairhttp://twitter.com/11164392/status/306951867542433793http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.symplur.com/healthcare-hashtags/1/http://www.twitter.com/yzafarhttp://twitter.com/24399366/status/306951835934130176http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/34545483/status/306951835170787328http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/ctsinclairhttp://www.twitter.com/philiplederer

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aliciabloom please share any final thoughts on T1. . .T2, also related to #ChoosingWisely, coming in amoment. . . #hpm

Wed Feb 27 18:21:19 PST 2013

oliverdr @ctsinclair agreed collaboration geri and pall terrific #hpmWed Feb 27 18:21:22 PST 2013

doctatum RT @ctsinclair: thanks! forgot ags twittername. oops #hpmWed Feb 27 18:21:27 PST 2013

ctsinclair @yzafar What is #1 on the @ASCO#CHoosingWisely list? #hpmWed Feb 27 18:21:33 PST 2013

jfclearywisc RT @_lizzy_: KY House approves changes to prescription drug lawhttp://t.co/SwEvx7zWGQ#hpm

Wed Feb 27 18:21:44 PST 2013

WaywardChad Also have to say that as chronic sufferer of #sinusitis, I'm thankful for THAT#ChoosingWisely page! :) #hpmWed Feb 27 18:21:44 PST 2013

ctsinclair @jfclearywisc@_lizzy_ Hey Jim and Lizzy! #hpmWed Feb 27 18:21:56 PST 2013

nursefriendly T1 The key to minimizing excessive #healthcare expenses, is to have #patients#familiesaware when to question #doctors#hpm

Wed Feb 27 18:21:57 PST 2013

ctsinclair @doctatum No problem, just looked it up last week, otherwise I would have forgotten aswell. #hpm

Wed Feb 27 18:22:16 PST 2013

_lizzy_ Cal State San Marcos launches new palliative care course for chaplainshttp://t.co/LgVWRdrbbT#hpm

Wed Feb 27 18:22:25 PST 2013

rfberry I think #ChoosingWisely is a great example of collaboration & has potential to empower

great patient engagement. Needs amplification. #hpmWed Feb 27 18:22:25 PST 2013

yzafar @rfberry#1 is don't give unnecessary anticancer tx to those unlikely to benefit. But... Whenyou go to Midas, you get a muffler #hpm

Wed Feb 27 18:22:48 PST 2013

ctsinclair @nursefriendly Some of the imaging recommendations would surely cut down on
http://www.twitter.com/nursefriendlyhttp://www.twitter.com/ctsinclairhttp://twitter.com/11164392/status/306952562970591233http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/1/http://www.twitter.com/rfberryhttp://www.twitter.com/yzafarhttp://twitter.com/121558178/status/306952465507561472http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/rfberryhttp://twitter.com/15739043/status/306952466589687808http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/LgVWRdrbbThttp://www.twitter.com/_lizzy_http://twitter.com/17206739/status/306952428077608960http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/doctatumhttp://www.twitter.com/ctsinclairhttp://twitter.com/22638297/status/306952348834603008http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/doctors/http://www.symplur.com/healthcare-hashtags/families/http://www.symplur.com/healthcare-hashtags/patients/http://www.symplur.com/healthcare-hashtags/healthcare/http://www.twitter.com/nursefriendlyhttp://twitter.com/17206739/status/306952343969206273http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/_lizzy_http://www.twitter.com/jfclearywischttp://www.twitter.com/ctsinclairhttp://twitter.com/611173037/status/306952292605775872http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.symplur.com/healthcare-hashtags/sinusitis/http://www.twitter.com/WaywardChadhttp://twitter.com/27231379/status/306952295738904576http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/SwEvx7zWGQhttp://www.twitter.com/_lizzy_http://www.twitter.com/jfclearywischttp://twitter.com/17206739/status/306952246988509185http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/CHoosingWisely/http://www.twitter.com/ASCOhttp://www.symplur.com/healthcare-hashtags/1/http://www.twitter.com/yzafarhttp://www.twitter.com/ctsinclairhttp://twitter.com/33076161/status/306952222871257088http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/doctatumhttp://twitter.com/62575849/status/306952199987159040http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/oliverdrhttp://twitter.com/24399366/status/306952189241352192http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/aliciabloom

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unecessary costs due to defensive medicine #hpm

Wed Feb 27 18:23:05 PST 2013

TexasKidDoc Thanks for brining #choosingwisely to my attention! #hpmWed Feb 27 18:23:25 PST 2013

enBloomMedia @nursefriendly Valid point, though difficult to achieve given current health literacy #hpmWed Feb 27 18:23:44 PST 2013

rfberry @yzafar very well summarized in 140, I'm impressed! #hpmWed Feb 27 18:23:53 PST 2013

WaywardChad MT @rfberry: #ChoosingWisely a great example of collaboration & has potential toempower great patient engagement. Needs amplification. #hpmWed Feb 27 18:24:05 PST 2013

TexasKidDoc some of these are such pet peeves. love evidenced based medicine and making it

commonplace to discuss #hpmWed Feb 27 18:24:07 PST 2013

ctsinclair @yzafar Oh yeah, I remember that one. But now some oncologists or other specialists canask why they are doing that if not reccomended #hpm

Wed Feb 27 18:24:14 PST 2013

philiplederer T1 #ChoosingWisely conversations between physicians and patients -> care that issupported by evidence, not duplicative, free from harm #HPM

Wed Feb 27 18:24:14 PST 2013

doctatum RT @oliverdr: @ctsinclair agreed collaboration geri and pall terrific-- Strong work from@ewidera and @dianeemeier I suspect #hpm

Wed Feb 27 18:24:15 PST 2013

_lizzy_ Hi all! Oops i forgot it was Wednesday. i am here now #HpmWed Feb 27 18:25:03 PST 2013

philiplederer T1- are medical schools / residency programs getting on board with teachingstudents/residents about #choosingwisely#HPM#meded

Wed Feb 27 18:25:20 PST 2013

jfclearywisc @yzafar#1 on the ASCO list or the @AAPHM list? #hpmWed Feb 27 18:25:21 PST 2013

rfberry ha! Well you remembered now, great to see you! RT @_lizzy_: Hi all! Oops i forgot it wasWednesday. i am here now #hpmWed Feb 27 18:25:38 PST 2013
http://twitter.com/121558178/status/306953277235417088http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/_lizzy_http://www.twitter.com/rfberryhttp://twitter.com/27231379/status/306953206045474818http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AAPHMhttp://www.symplur.com/healthcare-hashtags/1/http://www.twitter.com/yzafarhttp://www.twitter.com/jfclearywischttp://twitter.com/34545483/status/306953201125560320http://www.symplur.com/healthcare-hashtags/meded/http://www.symplur.com/healthcare-hashtags/HPM/http://www.symplur.com/healthcare-hashtags/choosingwisely/http://www.twitter.com/philipledererhttp://twitter.com/15739043/status/306953128232751106http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/_lizzy_http://twitter.com/33076161/status/306952927900233728http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/dianeemeierhttp://www.twitter.com/ewiderahttp://www.twitter.com/ctsinclairhttp://www.twitter.com/oliverdrhttp://www.twitter.com/doctatumhttp://twitter.com/34545483/status/306952921659109376http://www.symplur.com/healthcare-hashtags/HPM/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/philipledererhttp://twitter.com/17206739/status/306952924192460800http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/yzafarhttp://www.twitter.com/ctsinclairhttp://twitter.com/291849321/status/306952893917958145http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TexasKidDochttp://twitter.com/611173037/status/306952886192066561http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/rfberryhttp://www.twitter.com/WaywardChadhttp://twitter.com/121558178/status/306952834497273856http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/yzafarhttp://www.twitter.com/rfberryhttp://twitter.com/259800426/status/306952796400402433http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/nursefriendlyhttp://www.twitter.com/enBloomMediahttp://twitter.com/291849321/status/306952718822539265http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/choosingwisely/http://www.twitter.com/TexasKidDochttp://twitter.com/17206739/status/306952636035371008http://www.symplur.com/healthcare-hashtags/hpm/

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ctsinclair @TexasKidDoc Yes, I think every Peds office, ER and urgent care should have#ChoosingWisely one sheets in the waiting room. #hpm

Wed Feb 27 18:25:38 PST 2013

WaywardChad RT @TexasKidDoc: some of these are such pet peeves. love evidenced based medicineand making it commonplace to discuss #hpm

Wed Feb 27 18:25:40 PST 2013

yzafar @ctsinclair I hope so, but it is so ingrained in our Borg-like culture. Resistance is futile.#hpmWed Feb 27 18:25:44 PST 2013

oliverdr T1 important to make sure public gets ahold of these! #hpmWed Feb 27 18:25:44 PST 2013

TurnerWest @ctsinclair@yzafar it's discouraging that some practitioners are quick to dismiss theserecommendations #hpm

Wed Feb 27 18:25:48 PST 2013

enBloomMedia T1: how much do practice guidelines assist clinicians in adhereing to #ChoosingWisely#1?#hpmWed Feb 27 18:26:12 PST 2013

ctsinclair RT @philiplederer: T1 #ChoosingWisely convos btw physicians/patients -> care supportedby evidence, not duplicative, free from harm #hpm

Wed Feb 27 18:26:21 PST 2013

yzafar @jfclearywisc sorry, to be clear, ASCO list #hpmWed Feb 27 18:26:25 PST 2013

aliciabloom T2- from your perspective as an #hpm clinician or advocate, please share your thoughts onthe @AAHPM's #ChoosingWisely list. . .

Wed Feb 27 18:26:39 PST 2013

TexasKidDoc @philiplederer Doubt they are explicitly teaching but if they are teaching EBM they are likehitting on many of these topics #hpm

Wed Feb 27 18:26:43 PST 2013

ctsinclair RT @yzafar: I hope so, but it is so ingrained in our Borg-like culture. Resistance is futile.

"Be the change you want to see" #hpmWed Feb 27 18:26:48 PST 2013

nursefriendly #tortreforms historically don't help much :( RT @enBloomMedia: @nursefriendly that thenext step in health reform, right? tort reforms #hpm

Wed Feb 27 18:26:55 PST 2013

rfberry are they already? RT @TurnerWest: @ctsinclair@yzafar discouraging that some
http://www.twitter.com/yzafarhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/TurnerWesthttp://www.twitter.com/rfberryhttp://twitter.com/22638297/status/306953597457932288http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/nursefriendlyhttp://www.twitter.com/enBloomMediahttp://www.symplur.com/healthcare-hashtags/tortreforms/http://www.twitter.com/nursefriendlyhttp://twitter.com/17206739/status/306953567707754497http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/yzafarhttp://www.twitter.com/ctsinclairhttp://twitter.com/291849321/status/306953550330744832http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/philipledererhttp://www.twitter.com/TexasKidDochttp://twitter.com/24399366/status/306953533213790209http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/AAHPMhttp://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/11164392/status/306953473021313024http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/yzafarhttp://twitter.com/17206739/status/306953457313644545http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/philipledererhttp://www.twitter.com/ctsinclairhttp://twitter.com/259800426/status/306953418319220736http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/1/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/enBloomMediahttp://twitter.com/711076460/status/306953318566084608http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/yzafarhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/TurnerWesthttp://twitter.com/62575849/status/306953300362792960http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/11164392/status/306953298928345089http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/yzafarhttp://twitter.com/611173037/status/306953284722237440http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TexasKidDochttp://www.twitter.com/WaywardChadhttp://twitter.com/17206739/status/306953277277343744http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/TexasKidDochttp://www.twitter.com/ctsinclair

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practitioners are quick to dismiss these recommendations #hpm

Wed Feb 27 18:26:59 PST 2013

nursefriendly @ctsinclair Yes, if they are observed. All it takes is one concern over liability and it will beordered regardless of cost. #hpmWed Feb 27 18:27:55 PST 2013

enBloomMedia RT @philiplederer: T1 #ChoosingWisely convos btw physicians/patients -> care supportedby evidence, not duplicative, free from harm #hpmWed Feb 27 18:27:56 PST 2013

jfclearywisc @yzafar But #ASCO#1 is more than that. DOn't give chemo to those w poor Performstatue. No Benefit! Evidence based #hpm A lot will ignore!Wed Feb 27 18:28:00 PST 2013

doctatum I like @aahpm#choosingwisely rec's but wondered if there would be much pushback fromfolk on #5, no topical abh gels. I agree! #hpm

Wed Feb 27 18:28:17 PST 2013

TexasKidDoc many of these recommendations are pretty well known, nice to see all in 1 place andorganized this way but think many will be dismissed #hpm

Wed Feb 27 18:28:24 PST 2013

yzafar @rfberry@turnerwest@ctsinclair Not so much dismiss, rather not put care into a broadercontext. #hpm

Wed Feb 27 18:28:50 PST 2013

rfberry + Dont delay palliative care for a pt w/serious illness &physical, social, spiritual distress bcthey're pursuing disease-directed tx. #hpm

Wed Feb 27 18:29:08 PST 2013

enBloomMedia @nursefriendly That's a bummer : ( #hpmWed Feb 27 18:29:14 PST 2013

TurnerWest @yzafar yes, that's a better way of phrasing it #hpmWed Feb 27 18:29:32 PST 2013

aliciabloom T2- given the aging of the population & increasing numbers of those living with dementia, iwas glad to see the tube feed issue as #1#hpm

Wed Feb 27 18:29:46 PST 2013

nursefriendly @enBloomMedia We need to address the #healthliteracy issue regardless, teach #patients#families what questions to ask #hpmWed Feb 27 18:29:52 PST 2013

TexasKidDoc Amazing % about the lack of benefit of screening, yet we live in pro-screening medicalculture & Amer. Cancer Soci. can't give it up #hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TexasKidDochttp://twitter.com/22638297/status/306954340902514688http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/families/http://www.symplur.com/healthcare-hashtags/patients/http://www.symplur.com/healthcare-hashtags/healthliteracy/http://www.twitter.com/enBloomMediahttp://www.twitter.com/nursefriendlyhttp://twitter.com/24399366/status/306954317376671746http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/1/http://www.twitter.com/aliciabloomhttp://twitter.com/711076460/status/306954257469427712http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/yzafarhttp://www.twitter.com/TurnerWesthttp://twitter.com/259800426/status/306954182613688320http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/nursefriendlyhttp://www.twitter.com/enBloomMediahttp://twitter.com/121558178/status/306954157703708672http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://twitter.com/11164392/status/306954081782611968http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/turnerwesthttp://www.twitter.com/rfberryhttp://www.twitter.com/yzafarhttp://twitter.com/291849321/status/306953972781047808http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TexasKidDochttp://twitter.com/33076161/status/306953941755777024http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/5/http://www.symplur.com/healthcare-hashtags/choosingwisely/http://www.twitter.com/aahpmhttp://www.twitter.com/doctatumhttp://twitter.com/27231379/status/306953870695862272http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/1/http://www.symplur.com/healthcare-hashtags/ASCO/http://www.twitter.com/yzafarhttp://www.twitter.com/jfclearywischttp://twitter.com/259800426/status/306953853566332928http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/philipledererhttp://www.twitter.com/enBloomMediahttp://twitter.com/22638297/status/306953850735165440http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/nursefriendlyhttp://twitter.com/121558178/status/306953615476678656http://www.symplur.com/healthcare-hashtags/hpm/

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Wed Feb 27 18:29:56 PST 2013

yzafar @jfclearywisc I agree! But we still do it. It will take a sea change. But as @ctsinclair said, bthe change... #hpm

Wed Feb 27 18:30:28 PST 2013

philiplederer @TexasKidDoc I think focusing on medical schools / residency programs is critically

important - the next generation of MD's #meded#HPMWed Feb 27 18:30:30 PST 2013

oliverdr @rfberry My only issue with the pall care guideline is why does someone have to be indistress for referral-should be automatic for all #hpm

Wed Feb 27 18:30:55 PST 2013

WaywardChad MT @aliciabloom: T2- from your perspective as #hpm clinician or advocate, share yourthoughts on the @AAHPMs#ChoosingWisely list. #hpmWed Feb 27 18:31:18 PST 2013

aliciabloom T2- i also love that both AAHPM & AGS present a consistent message about feeding tubesfor those with dementia #hpm

Wed Feb 27 18:31:23 PST 2013

jfclearywisc @rfberry But if hospice is a major provider of palliative care and given some restrictionsthere, how can we not delay referral? #hpm

Wed Feb 27 18:31:26 PST 2013

enBloomMedia I Agree, learning curve steep MT @nursefriendly: @enBloomMedia address #healthliteracyissue, teach #patients#families questions 2 ask #hpm

Wed Feb 27 18:31:43 PST 2013

TexasKidDoc @aliciabloom Agree re:tube feeding! Wish we had more discussions about this in peds,almost a given that it will be done #pedpc#hpm

Wed Feb 27 18:31:57 PST 2013

jfclearywisc @TexasKidDoc@OtisBrawley of @AmericanCancer is being very open & honest about thevalue of Screening. V Rational discussions #hpmWed Feb 27 18:32:37 PST 2013

doctatum @aahpm = 1Feed by hand not by tube 2Get #palliative care early 3TurnOff Defibrillators atend, 4Radiate Limbs 1x, 5No gels for Nausea #hpm

Wed Feb 27 18:32:48 PST 2013

aliciabloom @TurnerWest@doctatum lots of #hospice RNs still using ABHR gel. i think it's in the#hospice comfort kit. #hpmWed Feb 27 18:32:58 PST 2013

nursefriendly @enBloomMedia Given the high costs of #malpractice#insurance, it is a concern that isgoing to trump #costsavings for a long time. #hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/costsavings/http://www.symplur.com/healthcare-hashtags/insurance/http://www.symplur.com/healthcare-hashtags/malpractice/http://www.twitter.com/enBloomMediahttp://www.twitter.com/nursefriendlyhttp://twitter.com/24399366/status/306955121894490115http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hospice/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/doctatumhttp://www.twitter.com/TurnerWesthttp://www.twitter.com/aliciabloomhttp://twitter.com/33076161/status/306955078865145856http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.twitter.com/aahpmhttp://www.twitter.com/doctatumhttp://twitter.com/27231379/status/306955034770419714http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AmericanCancerhttp://www.twitter.com/OtisBrawleyhttp://www.twitter.com/TexasKidDochttp://www.twitter.com/jfclearywischttp://twitter.com/291849321/status/306954865463160832http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/pedpc/http://www.twitter.com/aliciabloomhttp://www.twitter.com/TexasKidDochttp://twitter.com/259800426/status/306954807829229568http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/families/http://www.symplur.com/healthcare-hashtags/patients/http://www.symplur.com/healthcare-hashtags/healthliteracy/http://www.twitter.com/enBloomMediahttp://www.twitter.com/nursefriendlyhttp://www.twitter.com/enBloomMediahttp://twitter.com/27231379/status/306954733514551296http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/jfclearywischttp://twitter.com/24399366/status/306954722995216384http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/611173037/status/306954700144668673http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/AAHPMshttp://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/WaywardChadhttp://twitter.com/62575849/status/306954603449180160http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/oliverdrhttp://twitter.com/34545483/status/306954499610775552http://www.symplur.com/healthcare-hashtags/HPM/http://www.symplur.com/healthcare-hashtags/meded/http://www.twitter.com/TexasKidDochttp://www.twitter.com/philipledererhttp://twitter.com/11164392/status/306954492417564672http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/jfclearywischttp://www.twitter.com/yzafarhttp://twitter.com/291849321/status/306954358195642368

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Wed Feb 27 18:33:14 PST 2013

equijada T2 liked AAHPM CW list but hoping it would be more self-reflective (except #5) #HpmWed Feb 27 18:33:15 PST 2013

philiplederer how long will it take the #choosingwisely to get on USMLE, internal medicine board examsetc. people study for these tests! #HPM#meded

Wed Feb 27 18:33:43 PST 2013

doctatum RT @aliciabloom: @TurnerWest@doctatum lots of #hospice RNs still using ABHR gel. ithink its in the #hospice comfort kit. --TIME TO GO #hpm

Wed Feb 27 18:33:45 PST 2013

doctatum RT @equijada: T2 liked AAHPM CW list but hoping it would be more self-reflective (except#5)- SAY MORE? #hpm

Wed Feb 27 18:34:04 PST 2013

jfclearywisc @nursefriendly@enBloomMedia WIll #choosingwisely be a useable in legal defense?#HpmWed Feb 27 18:34:05 PST 2013

ctsinclair RT @equijada: T2 liked AAHPM CW list but hoping it would be more self-reflective (except#5) #hpmWed Feb 27 18:34:05 PST 2013

aliciabloom @jfclearywisc@rfberry i think AAHPM is trying to encourage earlier utilization of palliativecare consult services #hpm

Wed Feb 27 18:34:15 PST 2013

rfberry @jfclearywisc many cases of delayed referrals to hospital based palliative care programs(bof confusion w/hospice restrictions) right? #hpmWed Feb 27 18:34:20 PST 2013

TexasKidDoc @equijada Like that point, the best of these lists are the ones that tackle consistentcommon problems within the field #hpm

Wed Feb 27 18:34:20 PST 2013

oliverdr @jfclearywisc hospice can not be major provider of pall care if we move upstream must beoutpt pall care programs! #hpm

Wed Feb 27 18:34:20 PST 2013

ctsinclair @equijada we don't do everything perfectly? #hpmWed Feb 27 18:34:24 PST 2013

rfberry RT @aliciabloom: @jfclearywisc@rfberry i think AAHPM is trying to encourage earlierutilization of palliative care consult services #hpm

Wed Feb 27 18:34:28 PST 2013
http://twitter.com/121558178/status/306955499608363008http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/jfclearywischttp://www.twitter.com/aliciabloomhttp://www.twitter.com/rfberryhttp://twitter.com/17206739/status/306955482143272960http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/ctsinclairhttp://twitter.com/62575849/status/306955465579974657http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/oliverdrhttp://twitter.com/291849321/status/306955464866934786http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/TexasKidDochttp://twitter.com/121558178/status/306955464028065792http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/rfberryhttp://twitter.com/24399366/status/306955444474220545http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/jfclearywischttp://www.twitter.com/aliciabloomhttp://twitter.com/17206739/status/306955403479105537http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/5/http://www.twitter.com/equijadahttp://www.twitter.com/ctsinclairhttp://twitter.com/27231379/status/306955402568945664http://www.symplur.com/healthcare-hashtags/Hpm/http://www.symplur.com/healthcare-hashtags/choosingwisely/http://www.twitter.com/enBloomMediahttp://www.twitter.com/nursefriendlyhttp://www.twitter.com/jfclearywischttp://twitter.com/33076161/status/306955398378823680http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/5/http://www.twitter.com/equijadahttp://www.twitter.com/doctatumhttp://twitter.com/33076161/status/306955317667848194http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hospice/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/doctatumhttp://www.twitter.com/TurnerWesthttp://www.twitter.com/aliciabloomhttp://www.twitter.com/doctatumhttp://twitter.com/34545483/status/306955311720325120http://www.symplur.com/healthcare-hashtags/meded/http://www.symplur.com/healthcare-hashtags/HPM/http://www.symplur.com/healthcare-hashtags/choosingwisely/http://www.twitter.com/philipledererhttp://twitter.com/22651861/status/306955192019087361http://www.symplur.com/healthcare-hashtags/Hpm/http://www.symplur.com/healthcare-hashtags/5/http://www.twitter.com/equijadahttp://twitter.com/22638297/status/306955188281942016

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nursefriendly @enBloomMedia Too many #patients are dying from #healthcareharm, for #consumers toignore their #healthliteracy anymore. #hpm

Wed Feb 27 18:34:45 PST 2013

equijada @philiplederer agree. Line up incentives = change. #HpmWed Feb 27 18:35:07 PST 2013

ctsinclair RT @jfclearywisc: WIll #choosingwisely be a useable in legal defense? "Establishes onestandard of care, but there could be many SOC" #hpmWed Feb 27 18:35:12 PST 2013

enBloomMedia Sad but true MT @nursefriendly: high costs of #malpractice#insurance, it's going to trump#costsavings for a long time. #hpm

Wed Feb 27 18:35:28 PST 2013

nursefriendly @enBloomMedia It is our responsibility as #doctors#nurses#pharmacists#HCPs to curatedirect them to trusted resources. #cphc#hpm

Wed Feb 27 18:35:36 PST 2013

equijada @ctsinclair haha. The beauty of successful collaborations is the aligning of imperfections.#Hpm

Wed Feb 27 18:36:13 PST 2013

TexasKidDoc @philiplederer not sure if that will help, lots of "right answer on test" but "we don't do it thatway" in medicine #hpm

Wed Feb 27 18:36:13 PST 2013

jfclearywisc @ctsinclair Is it a standard of care supported by ABIM and professional society of peers e.g

@AAHPM. Pretty powerful defense #hpmWed Feb 27 18:36:16 PST 2013

nursefriendly @enBloomMedia They are going to the #internet to research #healthcare regardless, wecan point them in the right direction. #hpm

Wed Feb 27 18:36:18 PST 2013

WaywardChad MT @aliciabloom: i think AAHPM is trying to encourage earlier utilization of palliative careconsult services #hpmWed Feb 27 18:36:23 PST 2013

aliciabloom T2- i was glad to see @AAHPM included ICDs on the #ChoosingWisely list #hpmWed Feb 27 18:36:28 PST 2013

philiplederer RT @equijada: @philiplederer agree. Line up incentives = change. #HpmWed Feb 27 18:36:40 PST 2013

enBloomMedia @nursefriendly Moving to an all hands on deck stage every meeting i attend all
http://www.twitter.com/nursefriendlyhttp://www.twitter.com/enBloomMediahttp://twitter.com/34545483/status/306956053025792000http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/philipledererhttp://www.twitter.com/equijadahttp://www.twitter.com/philipledererhttp://twitter.com/24399366/status/306955999963643904http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/AAHPMhttp://www.twitter.com/aliciabloomhttp://twitter.com/611173037/status/306955978975371265http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/WaywardChadhttp://twitter.com/22638297/status/306955959207608320http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/healthcare/http://www.symplur.com/healthcare-hashtags/internet/http://www.twitter.com/enBloomMediahttp://www.twitter.com/nursefriendlyhttp://twitter.com/27231379/status/306955949816549377http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AAHPMhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/jfclearywischttp://twitter.com/291849321/status/306955939234344960http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/philipledererhttp://www.twitter.com/TexasKidDochttp://twitter.com/22651861/status/306955937690812417http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/equijadahttp://twitter.com/22638297/status/306955785278222336http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/cphc/http://www.symplur.com/healthcare-hashtags/HCPs/http://www.symplur.com/healthcare-hashtags/pharmacists/http://www.symplur.com/healthcare-hashtags/nurses/http://www.symplur.com/healthcare-hashtags/doctors/http://www.twitter.com/enBloomMediahttp://www.twitter.com/nursefriendlyhttp://twitter.com/259800426/status/306955750977191937http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/costsavings/http://www.symplur.com/healthcare-hashtags/insurance/http://www.symplur.com/healthcare-hashtags/malpractice/http://www.twitter.com/nursefriendlyhttp://www.twitter.com/enBloomMediahttp://twitter.com/17206739/status/306955684614905856http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/choosingwisely/http://www.twitter.com/jfclearywischttp://www.twitter.com/ctsinclairhttp://twitter.com/22651861/status/306955661449756673http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/philipledererhttp://www.twitter.com/equijadahttp://twitter.com/22638297/status/306955569409957888http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/healthliteracy/http://www.symplur.com/healthcare-hashtags/consumers/http://www.symplur.com/healthcare-hashtags/healthcareharm/http://www.symplur.com/healthcare-hashtags/patients/http://www.twitter.com/enBloomMediahttp://www.twitter.com/nursefriendly

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stakeholders now talking about #patientengagement#hpm

Wed Feb 27 18:37:08 PST 2013

nursefriendly @enBloomMedia When #families#patients start asking right questions, tests, treatmentswill be questioned, by them. Change will happen. #hpmWed Feb 27 18:37:11 PST 2013

aliciabloom @nursefriendly@enBloomMedia this is exactly why we're talking about the#ChoosingWisely Campaign & why it was created #hpmWed Feb 27 18:37:19 PST 2013

jfclearywisc @oliverdr My point exactly. If we want to seen more integration, do we need to see majorchanges to #Hospice#Medicare#benefit? #hpmWed Feb 27 18:37:40 PST 2013

TurnerWest @nursefriendly Bingo. Well said #hpmWed Feb 27 18:37:59 PST 2013

oliverdr perhaps best way to disseminate is through attorneys :) who would use as legal defense#hpm

Wed Feb 27 18:38:15 PST 2013

philiplederer @equijada exactly. medical school curriculum -> USMLE -> residency curriculum -> boards-> physician behavior change -> $ saved #meded#HPMWed Feb 27 18:38:28 PST 2013

TurnerWest @jfclearywisc I feel like the Hospice Medicare benefit can't change fast enough. Providersin a very difficult predicament. #hpm

Wed Feb 27 18:39:01 PST 2013

aliciabloom @nursefriendly yes, which is exactly what #ChoosingWisely is about-- empowering patientswith clear information to ask questions. #hpmWed Feb 27 18:39:09 PST 2013

ctsinclair RT @equijada: @ctsinclair haha. The beauty of successful collaborations is the aligning ofimperfections. #hpm

Wed Feb 27 18:39:25 PST 2013

oliverdr @jfclearywisc and those changes need to include more PC providers- if the

#ChoosingWisely were embraced providers would be overwhelmed #hpmWed Feb 27 18:39:40 PST 2013

_lizzy_ T2 Wish post hospital rehab was on list. Too many go to rehab instead of hospice and thenhospice LOS too short #Hpm

Wed Feb 27 18:39:42 PST 2013

ctsinclair @aliciabloom I'm glad ICD's were on there too, but aimed more at other specialties notours. #hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/ctsinclairhttp://twitter.com/15739043/status/306956815084695552http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/_lizzy_http://twitter.com/62575849/status/306956808675790849http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/jfclearywischttp://www.twitter.com/oliverdrhttp://twitter.com/17206739/status/306956744184193025http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/equijadahttp://www.twitter.com/ctsinclairhttp://twitter.com/24399366/status/306956675951243265http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/nursefriendlyhttp://www.twitter.com/aliciabloomhttp://twitter.com/711076460/status/306956645727096832http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/TurnerWesthttp://twitter.com/34545483/status/306956505096278016http://www.symplur.com/healthcare-hashtags/HPM/http://www.symplur.com/healthcare-hashtags/meded/http://www.twitter.com/equijadahttp://www.twitter.com/philipledererhttp://twitter.com/62575849/status/306956450704535553http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/711076460/status/306956383197220867http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/nursefriendlyhttp://www.twitter.com/TurnerWesthttp://twitter.com/27231379/status/306956303710961664http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/benefit/http://www.symplur.com/healthcare-hashtags/Medicare/http://www.symplur.com/healthcare-hashtags/Hospice/http://www.twitter.com/oliverdrhttp://www.twitter.com/jfclearywischttp://twitter.com/24399366/status/306956216209403905http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ChoosingWisely/http://www.twitter.com/enBloomMediahttp://www.twitter.com/nursefriendlyhttp://www.twitter.com/aliciabloomhttp://twitter.com/22638297/status/306956184324280320http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/patients/http://www.symplur.com/healthcare-hashtags/families/http://www.twitter.com/enBloomMediahttp://www.twitter.com/nursefriendlyhttp://twitter.com/259800426/status/306956168889262080http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/patientengagement/

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Wed Feb 27 18:40:16 PST 2013

RossJeanette T2 @aahpm#ChoosingWisely campaign gives some talking points in member sectionhttp://t.co/2dcyro5T79useful as a consultant #hpm

Wed Feb 27 18:40:24 PST 2013

ctsinclair RT @_lizzy_: T2 Wish post hospital rehab was on list. Too many go to rehab instead of

hospice and then hospice LOS too short #hpmWed Feb 27 18:40:27 PST 2013

philiplederer @TexasKidDoc not sure how to put it into practice but if you don't teach students/ residents#HPM they aren't going to learn it on their own

Wed Feb 27 18:40:36 PST 2013

rfberry RT @_lizzy_: T2 Wish post hospital rehab was on list. Too many go to rehab instead ofhospice and then hospice LOS too short #Hpm

Wed Feb 27 18:40:42 PST 2013

oliverdr #ChoosingWisely may mean pts more informed than providers #hpmWed Feb 27 18:40:49 PST 2013

aliciabloom @_lizzy_ definitely need to address that, but it's complicated from an insurancecoverage/patient cost stand-point. #hpm

Wed Feb 27 18:40:59 PST 2013

jfclearywisc @_lizzy_ Agree that post hospital rehab overused. #ChoosingWisely meant 2 B reflective o#Hpm practice not #EOLC practices in general

Wed Feb 27 18:41:28 PST 2013

TexasKidDoc @philiplederer Agreed, I was talking about the lists as a whole, not the #palliative sectionspecifically and how to teach it #hpm

Wed Feb 27 18:41:34 PST 2013

aliciabloom @ctsinclair i'm always amazed at how many patients/families don't understand need toconsider deactivation at EoL #hpm

Wed Feb 27 18:41:47 PST 2013

nursefriendly I have doubts :( A judge/jury could rule either way RT @jfclearywisc@enBloomMedia WIll#choosingwisely be a useable in legal defense? #HpmWed Feb 27 18:42:20 PST 2013

milhealth @_lizzy_@rfberry I can't understand why more ppl don't choose #hospice, in my personalexp. much better choice by far #hpm

Wed Feb 27 18:42:23 PST 2013

philiplederer RT @ctsinclair: RT @equijada: @ctsinclair haha. The beauty of successful collaborations ithe aligning of imperfections. #hpmWed Feb 27 18:42:25 PST 2013
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ctsinclair @aliciabloom Have seen it as less of an issue in past few years. #hpmWed Feb 27 18:42:35 PST 2013

TexasKidDoc MT @aliciabloom: im always amazed at how many patients/families don't understand needto consider deactivation ICD at #EoL#hpmWed Feb 27 18:42:39 PST 2013

doctatum RT @_lizzy_: T2 Wish post hospital rehab on list. rehab instead of hospice=short hospiceLOS: wish could do both at once? #hpm

Wed Feb 27 18:43:04 PST 2013

equijada @_lizzy_ agree the the incentive is to send to rehab. #HpmWed Feb 27 18:43:06 PST 2013

jfclearywisc @aliciabloom We had very knowledge "palliative care focused" onc fellow surprised byDeactivation. "never thought of it!" #hpm

Wed Feb 27 18:43:11 PST 2013

nursefriendly @enBloomMedia We need all involved parties, especially #families#caregivers#patients tbe in on #DecisionMaking#patientengagement#hpm

Wed Feb 27 18:43:28 PST 2013

doctatum local standard wins:(A judge could rule either way RT @jfclearywisc@enBloomMedia WIll#choosingwisely be a useable in legal defense? #hpmWed Feb 27 18:43:52 PST 2013

jfclearywisc @milhealth A better choice if we are accepting of your own death and agree not to try lifeprolonging treatments. #HpmWed Feb 27 18:44:24 PST 2013

aliciabloom issue with post-hospital rehab is Medicare pays room/board during skilled care. for hospiceroom/board in SNF not covered. #hpmWed Feb 27 18:44:35 PST 2013

nursefriendly When the request comes from a #patient#family member, #doctor is covered. Advised Tx was declined by #patient#family#hpm

Wed Feb 27 18:44:40 PST 2013

aliciabloom @jfclearywisc exactly! some clinicians just don't really think of it. #hpmWed Feb 27 18:45:15 PST 2013

nursefriendly @jfclearywisc When the #decisions on #treatment are #guided by #patient#family wishes,#liability to #doctor is minimized. #hpmWed Feb 27 18:45:31 PST 2013
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_lizzy_ @jfclearywisc Ahhh yes... But aren't we (#hpm) perfect already? ;) #HpmWed Feb 27 18:45:31 PST 2013

equijada How long does it take to deactivate defibrillator from decision to deactivation. In myexperience 1-3 hr. slow or fast? #Hpm

Wed Feb 27 18:46:40 PST 2013

_lizzy_ @aliciabloom Totally get why family wants that, but why isn't this being fixed by Medicare?#HpmWed Feb 27 18:46:40 PST 2013

nursefriendly @milhealth It is a matter of #education#stigma#informed#patient choices. Few learn of#hospice till late in the game. #hpm

Wed Feb 27 18:46:45 PST 2013

aliciabloom @nursefriendly@jfclearywisc also, when physicians communicate & document clearlyabout medical appropriateness, it also protects them #hpm

Wed Feb 27 18:47:33 PST 2013

oliverdr Sad that #decisions on #treatment have to be initiated by people in distress-seems likegood medicine should initiate! #hpm

Wed Feb 27 18:47:36 PST 2013

enBloomMedia Big difference MT @aliciabloom: post-hospital rehab =Medicare pays room/board dur skillecare 4 hospice room/board in SNF not covered #hpm

Wed Feb 27 18:47:48 PST 2013

jfclearywisc @equijada Biggest delay in Deactivating defibrillator. Getting the technician. Then

instantaneous. Have been told to lose my magnets! #hpmWed Feb 27 18:48:08 PST 2013

nursefriendly @aliciabloom Yes, when a #doctor recommends, and #family#declines, it is documentedand #liability issue is put to rest. #hpm

Wed Feb 27 18:48:31 PST 2013

TurnerWest @oliverdr You're right about that. #hpmWed Feb 27 18:48:53 PST 2013

aliciabloom ah, the million dollar ?! RT @_lizzy_: @aliciabloom Totally get why family wants that, butwhy isnt this being fixed by Medicare? #hpmWed Feb 27 18:48:54 PST 2013

aliciabloom @equijada i have seen the ICD deactivators come very quickly, but sometimes take hoursto arrive. luck of the draw sometimes. #hpm

Wed Feb 27 18:49:30 PST 2013

@oliverdr It is sad that it needs to be addressed during a #crisis, at the worst possible time
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