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#hpm Healthcare Hashtag Twitter Transcript From: Wed May 04 18:00:00 PDT 2011 To: Wed May 04 19:00:00 PDT 2011 Customize transcript dates and layout Learn more about #hpm at The Healthcare Hashtag Project MatthewsMichele Just settling down to get the #hpm tweetchat going! #hpm Wed May 4 18:00:17 PDT 2011 renee_berry RT @ASCO: Go to #ASCOU to find an easy way to self-assess your knowledge of Palliative Care http://ow.ly/4LwAn #hpm Wed May 4 18:00:35 PDT 2011 renee_berry RT @MatthewsMichele: So excited to be hosting the #hpm tweetchat tonight at 9 p.m. ET! Hope you'll join me! Wed May 4 18:00:46 PDT 2011 SheyontheBay @MatthewsMichele I'm joining: CHPN in NY #hpm Wed May 4 18:01:43 PDT 2011 CompAndChoices RT @matthewsmichele: So excited to be hosting the #hpm tweetchat tonight at 9 p.m. ET! Hope you'll join me! Wed May 4 18:01:58 PDT 2011 MatthewsMichele Hi everyone! Let's start introducing ourselves to get tonight's tweetchat going...I'll start... #hpm Wed May 4 18:02:00 PDT 2011 renee_berry RT @vlarendt: RT @kevinmd: The mission of the #hospice and #palliative care is to ease patient suffering http://goo.gl/fb/RcmiK #hpm Wed May 4 18:02:23 PDT 2011 nursefriendly Hello Everyone, Andrew Lopez, Jersey RN #HPM Wed May 4 18:02:26 PDT 2011 MatthewsMichele <-#socialmedia, #healthpolicy junkie, @klxmedia team member, @NHDD blog editor, proud #hospice, #hpm advocate & tonight’s moderator! #hpm Wed May 4 18:02:30 PDT 2011

2011 05 04 hpm tweetchat transcript

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Page 1: 2011 05 04 hpm tweetchat transcript

#hpm

Healthcare Hashtag Twitter Transcript

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

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

Customize transcript dates and layout

Learn more about #hpm at The Healthcare Hashtag Project

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Page 2: 2011 05 04 hpm tweetchat transcript

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

#hpmWed May 4 18:10:03 PDT 2011

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

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

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

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

whole chat? great to see you too! #hpm

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Wed May 4 18:10:36 PDT 2011

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

#hpmWed May 4 18:12:08 PDT 2011

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Page 7: 2011 05 04 hpm tweetchat transcript

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

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

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

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

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

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

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

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

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

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

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

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

#hpmWed May 4 18:19:36 PDT 2011

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Page 9: 2011 05 04 hpm tweetchat transcript

Wed May 4 18:22:21 PDT 2011

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

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

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

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

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

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

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

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

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

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

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

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

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

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

#hpmWed May 4 18:23:33 PDT 2011

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

#hpmWed May 4 18:23:51 PDT 2011

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

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

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

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

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

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

Page 10: 2011 05 04 hpm tweetchat transcript

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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Wed May 4 18:27:23 PDT 2011

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Page 12: 2011 05 04 hpm tweetchat transcript

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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#hpmWed May 4 18:33:11 PDT 2011

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

nursefriendly Computerizing medication administration records, ensures that each aspirin is

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

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

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

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

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

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

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

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

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

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

Page 16: 2011 05 04 hpm tweetchat transcript

Wed May 4 18:39:29 PDT 2011

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

#hpmWed May 4 18:39:35 PDT 2011

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

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

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

#hpmWed May 4 18:39:39 PDT 2011

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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MatthewsMichele

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

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

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

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

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

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

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

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

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

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

#hpmWed May 4 18:42:56 PDT 2011

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

#hpmWed May 4 18:46:53 PDT 2011

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

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

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

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

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

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

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

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

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

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

#HPMWed May 4 18:47:54 PDT 2011

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

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

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

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

#hpmWed May 4 18:48:14 PDT 2011

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

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

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

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

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

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

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

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

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

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

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

#hpmWed May 4 18:48:44 PDT 2011

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

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

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

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

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

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

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

#hpmWed May 4 18:50:02 PDT 2011

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

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

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

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

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

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

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

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

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

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

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Wed May 4 18:50:47 PDT 2011

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

#hpmWed May 4 18:53:02 PDT 2011

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Page 24: 2011 05 04 hpm tweetchat transcript

PracticalWisdomstories makes it more interesting & compelling. #hpm

Wed May 4 18:58:18 PDT 2011

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

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

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

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

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

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

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

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

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

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

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

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