#Hpm - TweetChat - 3/27/13

7/29/2019 #Hpm - TweetChat - 3/27/13

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3/28/13 9:hpm - Healthcare Social Media Transcript

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#hpm transcript

Healthcare Social Media TranscriptFrom: Wed Mar 27 18:00:00 PDT 2013

To: Wed Mar 27 19:15:00 PDT 2013

change timeperiod

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?

rfberry Welcome to the #hpm TweetChat! I'll be the host tonight, please take the next few minuteto introduce yourself & where you're from. #hpm

Wed Mar 27 18:00:10 PDT 2013

johnwhiteside55 9 pm hope all is well #HpmWed Mar 27 18:00:20 PDT 2013

rfberry RT @aliciabloom: it's about that time. . .#hpm tweetchat starting soon & a flurry of tweetscoming from me about #hospice & #palliative medicine

Wed Mar 27 18:00:46 PDT 2013

johnwhiteside55 John Whiteside. Florida #HpmWed Mar 27 18:00:51 PDT 2013

KnowYourWishes Lauren Van Scoy. Philadelphia. Pulm/Crit Care MD and author/writer about EOL issues#hpm

Wed Mar 27 18:01:36 PDT 2013

WaywardChad G'evening, all! Chad from Maryland....MSW and a grad student in #thanatology.Passionate about end-of-life care & conversations. #hpm

Wed Mar 27 18:01:47 PDT 2013
http://www.twitter.com/KnowYourWisheshttp://www.twitter.com/KnowYourWisheshttp://twitter.com/1262772314/status/317078797470023682http://www.twitter.com/rfberryhttp://www.twitter.com/aliciabloomhttp://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/johnwhiteside55http://www.twitter.com/johnwhiteside55http://www.twitter.com/johnwhiteside55http://www.symplur.com/healthcare-social-media/http://www.symplur.com/healthcare-hashtags/conferences/http://www.symplur.com/healthcare-hashtags/conferences/http://www.symplur.com/healthcare-hashtags/tweet-chats/http://twitter.com/611173037/status/317079035010220032http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/thanatology/http://www.twitter.com/WaywardChadhttp://twitter.com/262368526/status/317078987912392707http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KnowYourWisheshttp://twitter.com/1262772314/status/317078797470023682http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/johnwhiteside55http://twitter.com/121558178/status/317078777689698304http://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://www.twitter.com/rfberryhttp://twitter.com/1262772314/status/317078668683902976http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/johnwhiteside55http://twitter.com/121558178/status/317078627965624321http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://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=03-27-2013&shour=18&smin=0&tdate=03-27-2013&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-hashtags/hpm/?hashtag=hpm&fdate=03-27-2013&shour=18&smin=0&tdate=03-27-2013&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-social-media/

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Kamiyamay Hi, Camea Kirkpatrick, RN,BSN HPM Crisis nurse--Patient advocate and road warrior :-)#hpm

Wed Mar 27 18:02:22 PDT 2013

oliverdr Debbie Parker Oliver, University of Missouri coming from Lexington KY tonight #hpmWed Mar 27 18:02:24 PDT 2013

rfberry @johnwhiteside55@aliciabloom@waywardchad@Knowyourwishes@kamiyamay@olivedr hello!! What a great group tonight! #hpm

Wed Mar 27 18:03:24 PDT 2013

BillPfohl from Syracuse... (Home of the Orangemen)hello #hpm tweet chat peeps. #hpmWed Mar 27 18:03:50 PDT 2013

aliciabloom MSW, LSW in Philadelphia practicing in #hpm, but wishing I was in LA right now to watch#LaSalleMBB in the Sweet Sixteen #basketballwife

Wed Mar 27 18:03:52 PDT 2013

ctsinclair Intro: Christian Sinclair- hospice doc in KC (normally) but tonight tweeting from Chicago othe way to Massachusetts to see @suzanakm#hpm

Wed Mar 27 18:04:09 PDT 2013

rfberry I'm Renee Berry in Menlo Park, CA. I work @goBeMoRe & am a early palliative careadvocate. Looking forward to all of your thoughts! #hpm

Wed Mar 27 18:04:09 PDT 2013

GraniteDoc Hi all, Meredith MacMartin, pall care MD at DHMC in NH #hpmWed Mar 27 18:04:34 PDT 2013

ctsinclair @oliverdr hey Debbie. Wish we got more time to chat in NOLA #hpmWed Mar 27 18:04:42 PDT 2013

CKRN Courtney Kasun, RN, MNSc, CHPN. Hospice access nurse and palliative care consultantin Grand Junction CO #hpm#Hpm

Wed Mar 27 18:04:50 PDT 2013

oliverdr @ctsinclair indeed we need time to sit and chat-much to share! #hpmWed Mar 27 18:05:24 PDT 2013

Kamiyamay @CKRN :-) #hpmWed Mar 27 18:05:33 PDT 2013

rfberry Hi Meredith @GraniteDoc, Hey Courtney @CKRN & hello @ctsinclair!! How's it going Bill@BilPfohl?! #hpm

Wed Mar 27 18:05:48 PDT 2013
http://twitter.com/121558178/status/317080043845206016http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BilPfohlhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/CKRNhttp://www.twitter.com/GraniteDochttp://www.twitter.com/rfberryhttp://twitter.com/196778759/status/317079984374177796http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/CKRNhttp://www.twitter.com/Kamiyamayhttp://twitter.com/62575849/status/317079942787641344http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/oliverdrhttp://twitter.com/28098206/status/317079800026107904http://www.symplur.com/healthcare-hashtags/Hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/CKRNhttp://twitter.com/17206739/status/317079769218949120http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/ctsinclairhttp://twitter.com/88826066/status/317079736927006720http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GraniteDochttp://twitter.com/121558178/status/317079629879967744http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/goBeMoRehttp://www.twitter.com/rfberryhttp://twitter.com/17206739/status/317079628277764097http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/suzanakmhttp://www.twitter.com/ctsinclairhttp://twitter.com/24399366/status/317079559122079745http://www.symplur.com/healthcare-hashtags/basketballwife/http://www.symplur.com/healthcare-hashtags/LaSalleMBB/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/16059326/status/317079549458395136http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BillPfohlhttp://twitter.com/121558178/status/317079442822422528http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/olivedrhttp://www.twitter.com/kamiyamayhttp://www.twitter.com/Knowyourwisheshttp://www.twitter.com/waywardchadhttp://www.twitter.com/aliciabloomhttp://www.twitter.com/johnwhiteside55http://www.twitter.com/rfberryhttp://twitter.com/62575849/status/317079191147388929http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/196778759/status/317079180292530177http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kamiyamay

7/29/2019 #Hpm - TweetChat - 3/27/13

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aliciabloom excited to have @rfberry hosting tonight and glad to see some familiar & new faces! #hpmWed Mar 27 18:05:52 PDT 2013

rfberry We'll get started with T1 in just a couple of minutes. (T1 Teaser http://t.co/ahacTQlKNt )#hpm

Wed Mar 27 18:06:19 PDT 2013

Kamiyamay RT @aliciabloom: excited to have @rfberry hosting tonight and glad to see some familiar new faces! #hpm

Wed Mar 27 18:06:22 PDT 2013

KnowYourWishes Hi to everyone! :) #hpmWed Mar 27 18:06:32 PDT 2013

ctsinclair @GraniteDoc hey I'm headed into Manchester tonight! #hpmWed Mar 27 18:06:34 PDT 2013

rfberry absolutely! RT @aliciabloom: excited to have @rfberry hosting tonight and glad to seesome familiar & new faces! #hpm

Wed Mar 27 18:06:52 PDT 2013

johnwhiteside55 Thanks for hosting rfberry #HpmWed Mar 27 18:07:00 PDT 2013

rfberry are you in flight right now? RT @ctsinclair: @GraniteDoc hey Im headed into Manchestertonight! #hpm

Wed Mar 27 18:07:02 PDT 2013

BillPfohl @rfberry Going well Renee! I wish that Spring would really kick in...tired of the cold. #hpmWed Mar 27 18:07:17 PDT 2013

ctsinclair @rfberry@GraniteDoc nope. Just landed in Chicago midway. #hpmWed Mar 27 18:07:35 PDT 2013

rfberry No prob! Great to have a Twitter newbie joining the chat!! RT @johnwhiteside55: Thanksfor hosting rfberry #hpm

Wed Mar 27 18:07:52 PDT 2013

rfberry T1 What are your thoughts about the latest @CDCgov report on where death occurs:hospital vs home? http://t.co/ahacTQlKNt#hpm

Wed Mar 27 18:08:25 PDT 2013

oliverdr @ctsinclair you sure are on the road (or in the air) a lot! #hpmWed Mar 27 18:08:43 PDT 2013
http://twitter.com/62575849/status/317080778234265601http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/oliverdrhttp://twitter.com/121558178/status/317080702015389696http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/ahacTQlKNthttp://www.twitter.com/CDCgovhttp://www.twitter.com/rfberryhttp://twitter.com/121558178/status/317080567294345217http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/johnwhiteside55http://www.twitter.com/rfberryhttp://twitter.com/17206739/status/317080495894708224http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GraniteDochttp://www.twitter.com/rfberryhttp://www.twitter.com/ctsinclairhttp://twitter.com/16059326/status/317080417788383233http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/BillPfohlhttp://twitter.com/121558178/status/317080353632288769http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GraniteDochttp://www.twitter.com/ctsinclairhttp://www.twitter.com/rfberryhttp://twitter.com/1262772314/status/317080345747025920http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/johnwhiteside55http://twitter.com/121558178/status/317080315388628992http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/aliciabloomhttp://www.twitter.com/rfberryhttp://twitter.com/17206739/status/317080240021196800http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GraniteDochttp://www.twitter.com/ctsinclairhttp://twitter.com/262368526/status/317080229216653312http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KnowYourWisheshttp://twitter.com/196778759/status/317080188758401026http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/aliciabloomhttp://www.twitter.com/Kamiyamayhttp://twitter.com/121558178/status/317080176565571585http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/ahacTQlKNthttp://www.twitter.com/rfberryhttp://twitter.com/24399366/status/317080064082714624http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/aliciabloom

7/29/2019 #Hpm - TweetChat - 3/27/13

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WaywardChad RT @rfberry: T1 What are your thoughts about the latest @CDCgov report on where deatoccurs: hospital vs home? http://t.co/UbA6WBJ8uc#hpm

Wed Mar 27 18:08:59 PDT 2013

aliciabloom @rfberry link not working for me. . . #hpmWed Mar 27 18:09:12 PDT 2013

johnwhiteside55 Well since hospitals are making shorter stays. Makes sense #HpmWed Mar 27 18:09:33 PDT 2013

Kamiyamay @rfberry T1 - wondering if that was truly their wish. #hpmWed Mar 27 18:09:40 PDT 2013

KnowYourWishes Not so sure this data is meaningful. Would be more interested to see patient/familysatisfaction with place of death/way death went #hpm

Wed Mar 27 18:10:01 PDT 2013

rfberry @aliciabloom, strange, does this work? http://t.co/ahacTQlKNt#hpmWed Mar 27 18:10:22 PDT 2013

HomeWithMission Great article on #hospice RT @deathwdignity: RT @chadreilly: Give patients end-of-lifeoptions http://t.co/wWs5JQOTMc#hpm#palliativecare

Wed Mar 27 18:10:23 PDT 2013

oliverdr wondered if home deaths included nursing home I could not tell #hpmWed Mar 27 18:10:36 PDT 2013

aliciabloom @rfberry nope. maybe it's my browser. #hpmWed Mar 27 18:11:04 PDT 2013

Kamiyamay @KnowYourWishes Agree with that but also see family go against wishes...totalsatisfaction scores relevant. #hpm

Wed Mar 27 18:11:05 PDT 2013

KnowYourWishes Some people do NOT want loved ones dying in home. But assuming that this data iscongruent with wishes. #hpm

Wed Mar 27 18:11:09 PDT 2013

rfberry @KnowYourWishes that's an interesting point. What makes you think it's not meaningful?#hpm

Wed Mar 27 18:11:23 PDT 2013

oliverdr also wondered if those at home had services they needed ie hospice or if they were justsent home with nothing- skeptic in me #hpm

Wed Mar 27 18:11:28 PDT 2013
http://twitter.com/62575849/status/317081471158464512http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/121558178/status/317081450577002496http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KnowYourWisheshttp://www.twitter.com/rfberryhttp://twitter.com/262368526/status/317081392834043904http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KnowYourWisheshttp://twitter.com/196778759/status/317081372818829315http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KnowYourWisheshttp://www.twitter.com/Kamiyamayhttp://twitter.com/24399366/status/317081369811488769http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/aliciabloomhttp://twitter.com/62575849/status/317081251347566592http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/634188999/status/317081197626937344http://www.symplur.com/healthcare-hashtags/palliativecare/http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/wWs5JQOTMchttp://www.twitter.com/chadreillyhttp://www.twitter.com/deathwdignityhttp://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/HomeWithMissionhttp://twitter.com/121558178/status/317081192400818176http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/ahacTQlKNthttp://www.twitter.com/aliciabloomhttp://www.twitter.com/rfberryhttp://twitter.com/262368526/status/317081107885596673http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KnowYourWisheshttp://twitter.com/196778759/status/317081016424599552http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/Kamiyamayhttp://twitter.com/1262772314/status/317080990709317634http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/johnwhiteside55http://twitter.com/24399366/status/317080900796022785http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/aliciabloomhttp://twitter.com/611173037/status/317080845829697536http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/UbA6WBJ8uchttp://www.twitter.com/CDCgovhttp://www.twitter.com/rfberryhttp://www.twitter.com/WaywardChad

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rfberry @KnowYourWishes@Kamiyamay I totally agree that patient satisfaction data with thiswould increase the value & context. #hpm

Wed Mar 27 18:11:56 PDT 2013

KnowYourWishes Had friend die on hospice: husband said "that belongs in the HOSPITAL". He was verytraumatized by it, even though it was peaceful. #hpm

Wed Mar 27 18:11:59 PDT 2013

ChrisAug89 Hi Rene Joining in late frm Wmass.Pt CtredEducator&NephrologySW; Supporting Staff toSupport Pts.LOTS EOLissue inDialysis.#hpm

Wed Mar 27 18:12:36 PDT 2013

KnowYourWishes @rfberry Not meaningful without context of how death occurred...done badly at home isNOT better than done well at hospital. #hpm

Wed Mar 27 18:12:52 PDT 2013

Kamiyamay @KnowYourWishes I see families honor patient wishes and take home. I tell them they arhidden hero's of America-honor & respect #hpm

Wed Mar 27 18:12:57 PDT 2013

johnwhiteside55 @KnowYourWishes agreed its def a hard exp for most family members #HpmWed Mar 27 18:12:58 PDT 2013

aliciabloom T1: concerning to see that 1/4 of hospital deaths occurred in people over 85 #hpmWed Mar 27 18:13:23 PDT 2013

rfberry @oliverdr interesting. @AP reported @CDCgov officials said growing availability ofhospice may be a factor for fewer hospital deaths. #hpm

Wed Mar 27 18:13:31 PDT 2013

KnowYourWishes @Kamiyamay Agree- all about pt/family wishes and prefs #hpmWed Mar 27 18:13:50 PDT 2013

rfberry @KnowYourWishes good point for sure. #hpmWed Mar 27 18:14:00 PDT 2013

Kamiyamay @KnowYourWishes Home care must have careful guidance, good education andconsistent care that builds trust! #hpm

Wed Mar 27 18:14:08 PDT 2013

BillPfohl I wonder if there is an ethnic component? #hpmWed Mar 27 18:14:32 PDT 2013

rfberry @ChrisAug89 great, thanks for joining in! We're discussing this @CDCgov reporthttp://t.co/ahacTQlKNt for T1. #hpm

Wed Mar 27 18:14:37 PDT 2013
http://twitter.com/121558178/status/317082265949700096http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/ahacTQlKNthttp://www.twitter.com/CDCgovhttp://www.twitter.com/ChrisAug89http://www.twitter.com/rfberryhttp://twitter.com/16059326/status/317082242168016898http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BillPfohlhttp://twitter.com/196778759/status/317082144390385664http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KnowYourWisheshttp://www.twitter.com/Kamiyamayhttp://twitter.com/121558178/status/317082107027529728http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KnowYourWisheshttp://www.twitter.com/rfberryhttp://twitter.com/262368526/status/317082068389597185http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kamiyamayhttp://www.twitter.com/KnowYourWisheshttp://twitter.com/121558178/status/317081986801991680http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/CDCgovhttp://www.twitter.com/APhttp://www.twitter.com/oliverdrhttp://www.twitter.com/rfberryhttp://twitter.com/24399366/status/317081953205620736http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/1262772314/status/317081848884916224http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/KnowYourWisheshttp://www.twitter.com/johnwhiteside55http://twitter.com/196778759/status/317081842803159041http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KnowYourWisheshttp://www.twitter.com/Kamiyamayhttp://twitter.com/262368526/status/317081821630324737http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/KnowYourWisheshttp://twitter.com/1000358156/status/317081754932490242http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ChrisAug89http://twitter.com/262368526/status/317081599843921920http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KnowYourWisheshttp://twitter.com/121558178/status/317081588716429312http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kamiyamayhttp://www.twitter.com/KnowYourWisheshttp://www.twitter.com/rfberry

7/29/2019 #Hpm - TweetChat - 3/27/13

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jfclearywisc Jim Cleary @uwhealth#Palliative Care MD & Director PPSG (@Painpolicy) joining #hpmchat for the next 45 minutes.

Wed Mar 27 18:14:53 PDT 2013

aliciabloom T1: in-hospital death often implies more complex (unnecessary, unhelpful) interventions aEoL, which is concerning #hpm

Wed Mar 27 18:14:56 PDT 2013

oliverdr Increase in hospice would be good reason IF there was enough time for hospice- as weknow too often LOS very short and pts dumped there #hpm

Wed Mar 27 18:15:07 PDT 2013

KnowYourWishes Would be interesting to know if came from home or facility RT @aliciabloom: T1: 1/4 ofhospital deaths occurred in people over 85 #hpm

Wed Mar 27 18:15:13 PDT 2013

KnowYourWishes I bet there is! RT @BillPfohl: I wonder if there is an ethnic component? #hpmWed Mar 27 18:15:24 PDT 2013

Kamiyamay @BillPfohl I believe there is...ethnicity and culture very important. #hpmWed Mar 27 18:15:32 PDT 2013

UWGlobalHealth RT @jfclearywisc: Jim Cleary @uwhealth#Palliative Care MD & Director PPSG(@Painpolicy) joining #hpm chat for the next 45 minutes.

Wed Mar 27 18:15:49 PDT 2013

rfberry I haven't dug around the data enough to have found that yet. Good thought. RT@BillPfohl: I wonder if there is an ethnic component? #hpm

Wed Mar 27 18:16:25 PDT 2013

oliverdr I think I recall recent study by Teno related to economic status related to place of death-this report does not give that kind of data #hpm

Wed Mar 27 18:16:33 PDT 2013

rfberry Hi Jim! RT @jfclearywisc: Jim Cleary @uwhealth#Palliative Care MD & Director PPSG(@Painpolicy) joining the chat for the next 45 min. #hpm

Wed Mar 27 18:17:09 PDT 2013

suzanakm @ctsinclair giving Grand Rounds @umassmemorial@umassmed tomorrow - how aboutstarting #hpmGR for all pearls from #hpm talks at our centers?Wed Mar 27 18:17:13 PDT 2013

ctsinclair RT @KnowYourWishes Some people do NOT want loved ones dying in home. Butassuming that this data is congruent with wishes. #hpm

Wed Mar 27 18:17:23 PDT 2013

RT @oliverdr also wondered if those @ home had services they needed ie #hospice or if
http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/oliverdrhttp://twitter.com/17206739/status/317082962179014657http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KnowYourWisheshttp://www.twitter.com/ctsinclairhttp://twitter.com/36552960/status/317082920189849602http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpmGR/http://www.twitter.com/umassmedhttp://www.twitter.com/umassmemorialhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/suzanakmhttp://twitter.com/121558178/status/317082902531805185http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Painpolicyhttp://www.symplur.com/healthcare-hashtags/Palliative/http://www.twitter.com/uwhealthhttp://www.twitter.com/jfclearywischttp://www.twitter.com/rfberryhttp://twitter.com/62575849/status/317082752027611136http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/121558178/status/317082718951333888http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BillPfohlhttp://www.twitter.com/rfberryhttp://twitter.com/250174246/status/317082566979104768http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Painpolicyhttp://www.symplur.com/healthcare-hashtags/Palliative/http://www.twitter.com/uwhealthhttp://www.twitter.com/jfclearywischttp://www.twitter.com/UWGlobalHealthhttp://twitter.com/196778759/status/317082495277481984http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BillPfohlhttp://www.twitter.com/Kamiyamayhttp://twitter.com/262368526/status/317082459416186880http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BillPfohlhttp://www.twitter.com/KnowYourWisheshttp://twitter.com/262368526/status/317082414256115712http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/KnowYourWisheshttp://twitter.com/62575849/status/317082390247927810http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/24399366/status/317082344362225664http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/27231379/status/317082332114849793http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Painpolicyhttp://www.symplur.com/healthcare-hashtags/Palliative/http://www.twitter.com/uwhealthhttp://www.twitter.com/jfclearywisc

7/29/2019 #Hpm - TweetChat - 3/27/13

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ctsinclair they were just sent home w/nothing- skeptic in me #hpmWed Mar 27 18:17:30 PDT 2013

ctsinclair @oliverdr I like the skeptic in you! #hpmWed Mar 27 18:17:37 PDT 2013

GraniteDoc T1 lots of interesting data-i'm looking at fig 3 with lower LOS, esp lower rates of long hospending in death. Hard to sort out why. #hpmWed Mar 27 18:17:38 PDT 2013

aliciabloom @KnowYourWishes@BillPfohl there is a lot of literature out there about racial differencesin EoL care & medical decision making #hpm

Wed Mar 27 18:17:39 PDT 2013

suzanakm @rfberry@jfclearywisc@uwhealth@painpolicy Hi all... I guess I am here too, can join intonight. #hpm

Wed Mar 27 18:17:49 PDT 2013

rfberry @suzanakm sounds interesting! Though sometimes I worry about hashtag overload, maybe good to keep it on this stream. Thoughts? #hpm

Wed Mar 27 18:18:22 PDT 2013

aliciabloom T1: dying at home with a very short LOS on #hospice doesn't necessarily feel like a goodoutcome to me #hpm

Wed Mar 27 18:18:34 PDT 2013

BillPfohl @jfclearywisc Hey Jim...I have been enjoying the #HBMGlodal posts! #hpmWed Mar 27 18:19:00 PDT 2013

rfberry T1 Interesting: Female inpatient hospital deaths decreased in 2010. Male inpatient deathsdid not change significantly during this time #hpm

Wed Mar 27 18:19:04 PDT 2013

Kamiyamay @GraniteDoc multidisciplinary approach..many reasons probably #hpmWed Mar 27 18:19:06 PDT 2013

KnowYourWishes Agree completely!RT @aliciabloom: T1: dying at home with a very short LOS on #hospicedoesnt necessarily feel like a good outcome to me #hpm

Wed Mar 27 18:19:23 PDT 2013

suzanakm @rfberry good idea. #hpmWed Mar 27 18:19:29 PDT 2013

jfclearywisc @suzanakm@rfberry Hi Suzana rachel. Picking up the topics #hpmWed Mar 27 18:19:31 PDT 2013
http://twitter.com/27231379/status/317083499125407744http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/suzanakmhttp://www.twitter.com/jfclearywischttp://twitter.com/36552960/status/317083489138786304http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/suzanakmhttp://twitter.com/262368526/status/317083464207831041http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/aliciabloomhttp://www.twitter.com/KnowYourWisheshttp://twitter.com/196778759/status/317083390736203776http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GraniteDochttp://www.twitter.com/Kamiyamayhttp://twitter.com/121558178/status/317083382808981504http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://twitter.com/16059326/status/317083368581894147http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/HBMGlodal/http://www.twitter.com/jfclearywischttp://www.twitter.com/BillPfohlhttp://twitter.com/24399366/status/317083259014111232http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/aliciabloomhttp://twitter.com/121558178/status/317083208921522179http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/suzanakmhttp://www.twitter.com/rfberryhttp://twitter.com/36552960/status/317083070421409794http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/painpolicyhttp://www.twitter.com/uwhealthhttp://www.twitter.com/jfclearywischttp://www.twitter.com/rfberryhttp://www.twitter.com/suzanakmhttp://twitter.com/24399366/status/317083029233340416http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BillPfohlhttp://www.twitter.com/KnowYourWisheshttp://www.twitter.com/aliciabloomhttp://twitter.com/88826066/status/317083024648982529http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GraniteDochttp://twitter.com/17206739/status/317083020685357056http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/ctsinclairhttp://twitter.com/17206739/status/317082988632481793http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclair

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oliverdr No info on outcomes is a huge problem with this data! more unknown here than known#hpm

Wed Mar 27 18:19:50 PDT 2013

Kamiyamay @aliciabloom It is hard to take the journey when it is so short...crash course! #hpmWed Mar 27 18:19:51 PDT 2013

GraniteDoc @aliciabloom I agree, but here in-hospital death can be due to lack of options fordischarge, very little access to inpt hospice here #hpm

Wed Mar 27 18:19:57 PDT 2013

jfclearywisc @BillPfohl Thanks Bill. Join us for #hpmglobal at 8 am EDT every Monday morning #hpmWed Mar 27 18:20:15 PDT 2013

rfberry Important to remember. RT @KnowYourWishes: Some people do NOT want loved onesdying in home. #hpm

Wed Mar 27 18:20:30 PDT 2013

GraniteDoc @Kamiyamay Certainly, many reasons inc more availability of PC, more efficienthospitalists, etc. #hpm

Wed Mar 27 18:20:55 PDT 2013

aliciabloom @GraniteDoc that's difficult. many patients need a higher level of hospice care than canbe provided at home or in nursing home. #hpm

Wed Mar 27 18:20:55 PDT 2013

rfberry Renee here, though I am a gleek as well :) RT @jfclearywisc: @suzanakm@rfberry HiSuzana rachel. Picking up the topics #hpm

Wed Mar 27 18:21:06 PDT 2013

suzanakm This is a great excuse to procrastinate reading my finance text book tonight. #hpmWed Mar 27 18:21:11 PDT 2013

Kamiyamay MT @GraniteDoc: @aliciabloom I agree,here in-hospital death can B due 2 lack optionsdischarge, very little access inpt hospice here #hpm

Wed Mar 27 18:21:12 PDT 2013

jfclearywisc @aliciabloom T1. But while we "force" people to make hospice based palliative care aneither or decision there will be short LOS. #Hpm

Wed Mar 27 18:21:28 PDT 2013

johnwhiteside55 What is the general feelings of ptns? Home or hospital? #HpmWed Mar 27 18:21:49 PDT 2013

Kamiyamay @jfclearywisc Very intuitive! #hpmWed Mar 27 18:22:24 PDT 2013
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GraniteDoc @aliciabloom Very difficult, we have 3 inpt hospice in NH, closest to us is 1 hr away. Only1 in VT, 1hr+ away. #hpm

Wed Mar 27 18:22:43 PDT 2013

BillPfohl RT @KnowYourWishes: Some people do NOT want loved ones dying in home. Ques: Isthat older or younger ppl? #hpm

Wed Mar 27 18:22:49 PDT 2013

aliciabloom @jfclearywisc I would agree that is part of the problem, but not all of it. Probably truemostly for Oncology patients #hpm

Wed Mar 27 18:22:58 PDT 2013

oliverdr one can only dream that pts and families are able to make an informed choice and thatthere is a PLAN to make that happen #hpm

Wed Mar 27 18:23:06 PDT 2013

jfclearywisc @rfberry@suzanakm I think that during the day, #Hpm is often quiet enough for people tofollow during a GR without interference

Wed Mar 27 18:23:06 PDT 2013

ctsinclair T1 would be good to compare this data with the recent JAMA article by teno. Mobile nowso I don't have the link #Hpm

Wed Mar 27 18:23:15 PDT 2013

jfclearywisc @ctsinclair On your way to Boston I hear #hpmWed Mar 27 18:23:51 PDT 2013

aliciabloom @jfclearywisc for those w/ advanced chronic illness (CHF, COPD) seems like less of an

issue. need better advance care planning convos #hpmWed Mar 27 18:23:55 PDT 2013

Kamiyamay @BillPfohl Some of both..had an amazing weekend...many peeps at home...goodexperiences! Family happy, pt wishes! #hpm

Wed Mar 27 18:23:58 PDT 2013

rfberry We're going to move to T2 soon, please share any other thoughts on T1 about@CDCgov's report on place of death http://t.co/ahacTQlKNt#hpm

Wed Mar 27 18:24:10 PDT 2013

ctsinclair RT @oliverdr: one can only dream that pts and families are able to make an informedchoice and that there is a PLAN to make that happen #Hpm

Wed Mar 27 18:24:19 PDT 2013

ctsinclair @oliverdr but aren't we working to make it a reality? #HpmWed Mar 27 18:24:33 PDT 2013

RT @jfclearywisc: @rfberry during the day, #Hpm is often quiet enough for people to
http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/jfclearywischttp://twitter.com/17206739/status/317084764442095616http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/ctsinclairhttp://twitter.com/17206739/status/317084705101053952http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/ctsinclairhttp://twitter.com/121558178/status/317084668136673280http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/ahacTQlKNthttp://www.twitter.com/CDCgovhttp://www.twitter.com/rfberryhttp://twitter.com/196778759/status/317084616462856193http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BillPfohlhttp://www.twitter.com/Kamiyamayhttp://twitter.com/24399366/status/317084603963826176http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/aliciabloomhttp://twitter.com/27231379/status/317084586662322176http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/jfclearywischttp://twitter.com/17206739/status/317084434593640448http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/27231379/status/317084399122382848http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/suzanakmhttp://www.twitter.com/rfberryhttp://www.twitter.com/jfclearywischttp://twitter.com/62575849/status/317084397553713152http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/24399366/status/317084366696235008http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/aliciabloomhttp://twitter.com/16059326/status/317084328909762560http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KnowYourWisheshttp://www.twitter.com/BillPfohlhttp://twitter.com/88826066/status/317084302544351234http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/GraniteDoc

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suzanakm follow during a GR without interference -good point #hpmWed Mar 27 18:24:43 PDT 2013

rfberry Large majority when asked prefer home. RT @johnwhiteside55: What is the generalfeelings of ptns? Home or hospital? #hpm

Wed Mar 27 18:24:54 PDT 2013

oliverdr A critical role for PC if we can get people access-proactive planning for desired place ofdeath-only with a plan can it happen #hpm

Wed Mar 27 18:25:11 PDT 2013

Kamiyamay MT @ctsinclair: RT @oliverdr: one can dream pts and families able to make informedchoice and that there is a PLAN to make that happen #hpm

Wed Mar 27 18:25:21 PDT 2013

jfclearywisc @aliciabloom "The conversation" is equally impt for cancer patients. Often get sold thefarm with little benefit from exp therapies #hpm

Wed Mar 27 18:25:29 PDT 2013

oliverdr @ctsinclair sure hope we are making progress on this! #hpmWed Mar 27 18:25:50 PDT 2013

Kamiyamay @rfberry Without a doubt home, but for some this is not realistic or safe #hpmWed Mar 27 18:25:57 PDT 2013

BillPfohl @ctsinclair This might be the link http://t.co/JLTZMCrURF#hpmWed Mar 27 18:26:01 PDT 2013

ctsinclair T1 Would be great to work with this data and repurpose it for many different media types.Is CDC on Pinterest? ;) #Hpm

Wed Mar 27 18:26:11 PDT 2013

rfberry Pre-T2: Have you read about PCHETA - Palliative Care & Hospice Education and TrainingAct? http://t.co/q3bhVyqBfa#hpm

Wed Mar 27 18:26:19 PDT 2013

aliciabloom @johnwhiteside55 majority of patients say they prefer to die at home, but sometimes it'stoo challenging #hpm

Wed Mar 27 18:26:20 PDT 2013

ctsinclair What this chat needs is a few people from the graphic design community to do some probono work on advocacy! #Hpm

Wed Mar 27 18:26:51 PDT 2013

aliciabloom @jfclearywisc yes, but the Medicare hospice benefit doesn't adequately allow forconcurrent care of costly palliative treatments #hpm

Wed Mar 27 18:26:51 PDT 2013
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GraniteDoc @ctsinclair Yes, so many interesting data points here, thinking of how to translate for otheproviders and public #hpm

Wed Mar 27 18:27:14 PDT 2013

rfberry Congrats @nhpco_news on the fresh website! RT @BillPfohl: @ctsinclair This might bethe link http://t.co/qsvBiw9R05#hpm

Wed Mar 27 18:27:19 PDT 2013

KnowYourWishes Here here! RT @ctsinclair: What this chat needs is a few people from the graphic designcommunity to do some pro bono work on advocacy! #hpm

Wed Mar 27 18:27:24 PDT 2013

johnwhiteside55 Home seems best but would imagine neg associations for family members #HpmWed Mar 27 18:27:38 PDT 2013

Kamiyamay @ctsinclair You have my applause! Excellent, advocating advocacy!!! #hpmWed Mar 27 18:27:53 PDT 2013

BillPfohl Marking too Chris...we have to dump terms like EOL , Terminal etc... #hpmWed Mar 27 18:27:58 PDT 2013

ctsinclair RT @BillPfohl: @ctsinclair This might be the link http://t.co/IFNlhjdclD. "Yes that is thestudy! Thanks!" #Hpm

Wed Mar 27 18:28:03 PDT 2013

rfberry Always eyes open for that! RT @ctsinclair We need a few people from the graphic designcommunity to do some pro bono work on advocacy! #hpm

Wed Mar 27 18:28:22 PDT 2013

Kamiyamay (Good point) RT @BillPfohl: Marking too Chris...we have to dump terms like EOL ,Terminal etc... #hpm

Wed Mar 27 18:28:38 PDT 2013

equijada @johnwhiteside55 tell me your thoughts? #hpmWed Mar 27 18:28:45 PDT 2013

oliverdr especially if no one prepares them- short los!@johnwhiteside55 Home seems best but

would imagine neg associations for family members #hpmWed Mar 27 18:28:54 PDT 2013

aliciabloom @BillPfohl language is important, but we use plenty of euphemisms that create morebarriers to honest conversations #hpm

Wed Mar 27 18:29:04 PDT 2013

KnowYourWishes Marketing the message was a big point at #CTAC2013@CTACorg#hpm
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Wed Mar 27 18:29:21 PDT 2013

CKRN @johnwhiteside55 neg associations possible. But sometimes participating and attending apeaceful death is transformative& helps grief #Hpm

Wed Mar 27 18:29:23 PDT 2013

GraniteDoc @ctsinclair I have some design friends, I may run this by them! #hpmWed Mar 27 18:29:26 PDT 2013

rfberry T2 What are ways we as a community can help expand the palliative care workforce &advocate w/PCHETA? http://t.co/SAqEBVKJgs#hpm

Wed Mar 27 18:29:27 PDT 2013

ctsinclair RT @rfberry: Pre-T2: Have you read about PCHETA - Palliative Care & HospiceEducation and Training Act? http://t.co/P5ubU9Fe88#Hpm

Wed Mar 27 18:29:29 PDT 2013

Kamiyamay @oliverdr Much is determined by the staff/med team handling the case! #hpmWed Mar 27 18:29:45 PDT 2013

BillPfohl Agreed!RT @aliciabloom: @BillPfohl language is important, we use plenty of euphemismsthat create more barriers to honest conversations #hpm

Wed Mar 27 18:29:58 PDT 2013

ChrisAug89 RT Agreed! @aliciabloom@johnwhiteside55 majority of patients say they prefer to die athome, but sometimes it's too challenging #hpm

Wed Mar 27 18:30:04 PDT 2013

milhealth @rfberry@BillPfohl ethnic component to selecting #hospice? #hpmWed Mar 27 18:30:11 PDT 2013

johnwhiteside55 I completely agree. Just trying to look at it from a diff angle #HpmWed Mar 27 18:30:15 PDT 2013

Kamiyamay MT @CKRN: @johnwhiteside55 neg associations possible. Participating and attending apeaceful death can be transformative& helps grief #hpm

Wed Mar 27 18:30:21 PDT 2013

CKRN T2 incorporating HPC into health profession education is so key. #HpmWed Mar 27 18:30:34 PDT 2013

ctsinclair RT @CKRN: @johnwhiteside55 neg assoc possible. But sometimes participating/attending a peaceful death is transformative& helps grief #Hpm

Wed Mar 27 18:30:50 PDT 2013
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oliverdr @Kamiyamay So true and if you have only an average of 26 days to prepare everyonepretty tough! #hpm

Wed Mar 27 18:30:52 PDT 2013

suzanakm @rfberry I did not read it until now. I look forwards to seeing how broad it is, how has itbeen affected by the sequester? T2 #hpm

Wed Mar 27 18:31:05 PDT 2013

Kamiyamay (Agree) RT @CKRN: T2 incorporating HPC into health profession education is so key.#hpm

Wed Mar 27 18:31:12 PDT 2013

WaywardChad MT @aliciabloom: language is important, we use plenty of euphemisms that create morebarriers to honest conversations #hpm

Wed Mar 27 18:31:26 PDT 2013

CKRN T2 I think, at least in nursing, many orgs. limit themselves by not hiring new grads. #HpmWed Mar 27 18:31:32 PDT 2013

ctsinclair T2 get hospice teams to help support it through contacting Congressional representativesWe have a large workforce! #Hpm

Wed Mar 27 18:31:36 PDT 2013

oliverdr Imagine need for workforce if every stage3 and stage4 CA pt automatically went to PC! Idream we have that problem! #hpm

Wed Mar 27 18:31:42 PDT 2013

GraniteDoc T2 We're actively developing curricula for IM residents and eventually hospitalists andother specialists, could use PCHETA grants #hpm

Wed Mar 27 18:31:50 PDT 2013

jfclearywisc @ctsinclair@CKRN@johnwhiteside55 But I can't believe that me wiping my father's bumis going to be transformative 4 our relationship! #hpm

Wed Mar 27 18:32:00 PDT 2013

ctsinclair T2 get a PCHETA fan twitter account or FB page? #HpmWed Mar 27 18:32:09 PDT 2013

Kamiyamay @oliverdr The tough ones are 24 hours or less....bottom line we need earlier referral for

best outcomes! #hpmWed Mar 27 18:32:14 PDT 2013

WaywardChad MT @rfberry T2 What are ways we as a community can help expand palliative careworkforce & advocate w/PCHETA? http://t.co/ZljcLYiH9b#hpm

Wed Mar 27 18:32:32 PDT 2013

Kamiyamay RT @CKRN: T2 I think, at least in nursing, many orgs. limit themselves by not hiring new
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grads. #hpm

Wed Mar 27 18:32:38 PDT 2013

oliverdr Silly for us to think that any Dr, nurse, social worker does not need to know how to counseand care for a dying patient! Denial #hpm

Wed Mar 27 18:32:57 PDT 2013

CKRN @jfclearywisc ha! Fair enough :-) #HpmWed Mar 27 18:32:58 PDT 2013

BillPfohl T2...I know I'm from Mrkt, but many ppl know little about hospice and even less aboutPalliative medicine.#Workcutout torus #hpm

Wed Mar 27 18:32:58 PDT 2013

rfberry Really? I almost wonder if the @AAHPM current audience would be larger RT @ctsinclairT2 get a PCHETA fan twitter account or FB page? #hpm

Wed Mar 27 18:33:12 PDT 2013

suzanakm @oliverdr we're hoping to embed PC into gi, lung, and liver multid clinics. Already asked tsee every pt w/ unresectable ca #hpm

Wed Mar 27 18:33:12 PDT 2013

ctsinclair RT @CKRN: T2 incorporating HPC into health profession education is so key. "Yes, For adisciplines." #Hpm

Wed Mar 27 18:33:13 PDT 2013

WaywardChad T2: I'd love to see greater levels of training in allied fields, like social work. My MSWprogram only had one class available. #hpm

Wed Mar 27 18:33:20 PDT 2013

ctsinclair @jfclearywisc fair enough! #HpmWed Mar 27 18:33:43 PDT 2013

oliverdr @suzanakm AWESOME #hpmWed Mar 27 18:33:56 PDT 2013

johnwhiteside55 @Kamiyamay yes GNs have a challenge in getting that first role #HpmWed Mar 27 18:33:58 PDT 2013

ctsinclair RT @WaywardChad: love to see greater levels of training in allied fields, like social work.My MSW program only had 1 class available. #Hpm

Wed Mar 27 18:34:05 PDT 2013

rfberry Has everyone sent a letter to their congressional leaders about PCHETAhttp://t.co/fgGZoWGigO@AAHPM has a great resource! Easy! #hpm

Wed Mar 27 18:34:19 PDT 2013
http://twitter.com/121558178/status/317087219959607298http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AAHPMhttp://t.co/fgGZoWGigOhttp://www.twitter.com/rfberryhttp://twitter.com/17206739/status/317087164150198273http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/WaywardChadhttp://www.twitter.com/ctsinclairhttp://twitter.com/1262772314/status/317087135310163968http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/Kamiyamayhttp://www.twitter.com/johnwhiteside55http://twitter.com/62575849/status/317087125793288192http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/suzanakmhttp://www.twitter.com/oliverdrhttp://twitter.com/17206739/status/317087072018128898http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/ctsinclairhttp://twitter.com/611173037/status/317086973556834305http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/WaywardChadhttp://twitter.com/17206739/status/317086945031356416http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/CKRNhttp://www.twitter.com/ctsinclairhttp://twitter.com/36552960/status/317086938773483521http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/suzanakmhttp://twitter.com/121558178/status/317086942573502464http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/AAHPMhttp://www.twitter.com/rfberryhttp://twitter.com/16059326/status/317086882175533056http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/Workcutout/http://www.twitter.com/BillPfohlhttp://twitter.com/28098206/status/317086883136028673http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/CKRNhttp://twitter.com/62575849/status/317086876039258113http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/196778759/status/317086799816183808http://www.symplur.com/healthcare-hashtags/hpm/

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ctsinclair @rfberry I was kidding (kind of) #HpmWed Mar 27 18:34:27 PDT 2013

oliverdr @WaywardChad even one class is tough to get approved- how well I know! #hpmWed Mar 27 18:34:31 PDT 2013

Kamiyamay @johnwhiteside55 Need mentoring programs #hpmWed Mar 27 18:34:47 PDT 2013

suzanakm @oliverdr need the workforce to meet the demand! that is our challenge now... a goodchallenge to have I think. #hpm

Wed Mar 27 18:34:47 PDT 2013

aliciabloom RT @rfberry: Has everyone sent a letter to their congressional leaders about PCHETAhttp://t.co/fvFEIocJE8@AAHPM has a great resource! #hpm

Wed Mar 27 18:34:57 PDT 2013

jfclearywisc @CKRN@ctsinclair T1: But we tend to sugarcoat "dying at home" with families ratherthan talking the reality of caring. (which is impt) #hpm

Wed Mar 27 18:35:00 PDT 2013

Kamiyamay MT @rfberry: Has everyone sent a letter to their congressional leaders about PCHETAhttp://t.co/5LCT99ixD6@AAHPM great resource! Easy! #hpm

Wed Mar 27 18:35:18 PDT 2013

Kamiyamay RT @suzanakm: @oliverdr need the workforce to meet the demand! that is our challengenow... a good challenge to have I think. #hpm

Wed Mar 27 18:35:23 PDT 2013

ctsinclair RT @rfberry: Has everyone sent a letter to their congressional leaders about PCHETA"not recently, but I will this week!" #Hpm

Wed Mar 27 18:35:30 PDT 2013

GraniteDoc @rfberry Need to get hospital chains and lobbying groups on board, all will reap benefits oexpanded PC workforce! #hpm

Wed Mar 27 18:35:58 PDT 2013

milhealth @rfberry@BillPfohl@CDCgov interesting. I asked b-cause older gen Cuban/Am. dont

even discuss the c word, although thats changing #hpmWed Mar 27 18:36:09 PDT 2013

Kamiyamay @jfclearywisc Must have an even blend...reality with encouragement and education...notalways easy but doable and rewarding #hpm

Wed Mar 27 18:36:24 PDT 2013

suzanakm PCHETA - @umassmed we are hoping to develop interdisciplinary fellowships - hope toreach a new IPU in community too. #hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/umassmedhttp://www.twitter.com/suzanakmhttp://twitter.com/196778759/status/317087746608996352http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/Kamiyamayhttp://twitter.com/27807159/status/317087684478791680http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/CDCgovhttp://www.twitter.com/BillPfohlhttp://www.twitter.com/rfberryhttp://www.twitter.com/milhealthhttp://twitter.com/88826066/status/317087637921992707http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/GraniteDochttp://twitter.com/17206739/status/317087520141754368http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/ctsinclairhttp://twitter.com/196778759/status/317087489225551872http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/suzanakmhttp://www.twitter.com/Kamiyamayhttp://twitter.com/196778759/status/317087467561971712http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AAHPMhttp://t.co/5LCT99ixD6http://www.twitter.com/rfberryhttp://www.twitter.com/Kamiyamayhttp://twitter.com/27231379/status/317087394790793216http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/CKRNhttp://www.twitter.com/jfclearywischttp://twitter.com/24399366/status/317087378969878528http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AAHPMhttp://t.co/fvFEIocJE8http://www.twitter.com/rfberryhttp://www.twitter.com/aliciabloomhttp://twitter.com/36552960/status/317087337668542464http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/suzanakmhttp://twitter.com/196778759/status/317087337039405056http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/johnwhiteside55http://www.twitter.com/Kamiyamayhttp://twitter.com/62575849/status/317087272598114304http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/WaywardChadhttp://www.twitter.com/oliverdrhttp://twitter.com/17206739/status/317087256806580226http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/ctsinclair

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Wed Mar 27 18:36:29 PDT 2013

CKRN @jfclearywisc@ctsinclair absolutely. Preparing people for what caring and dying @ homeentails is different than just asking wishes #Hpm

Wed Mar 27 18:36:29 PDT 2013

rfberry Could be cool for sure. Just thinking of resources & current audience. RT @ctsinclair:

@rfberry I was kidding (kind of) #hpmWed Mar 27 18:36:33 PDT 2013

rfberry @ctsinclair cool, maybe we could write up a reminder to the community on @Pallimed#hpm

Wed Mar 27 18:36:57 PDT 2013

ctsinclair @rfberry why would we only need to depend on organizations like aahpm to be the sourceof info about PCHETA. Could be multi sourced? #Hpm

Wed Mar 27 18:36:59 PDT 2013

johnwhiteside55 Thanks for the link. Rfberry #HpmWed Mar 27 18:37:02 PDT 2013

suzanakm PCHETA - needs to support community-based, hospice-based as well as academiceducational venues. #hpm

Wed Mar 27 18:37:10 PDT 2013

Kamiyamay MT @CKRN: @jfclearywisc@ctsinclair absolutely. Preparing people for caring and dying@ home entails different than just asking wishes #hpm

Wed Mar 27 18:37:34 PDT 2013

oliverdr RT @ctsinclair absolutely. Preparing people for what caring and dying @ home entails isdifferent than just asking wishes #hpm

Wed Mar 27 18:37:40 PDT 2013

ctsinclair @rfberry yeah not like some if us need one more thing to organize and champion. ;-)#confessionsofachronicsupporter#Hpm

Wed Mar 27 18:37:59 PDT 2013

rfberry @GraniteDoc good point! Makes sense to me! @PCHermes do you know if anyhospitals/associations are joining in on PCHETA advocacy? #hpm

Wed Mar 27 18:38:06 PDT 2013

rfberry RT @GraniteDoc: @rfberry Need to get hospital chains and lobbying groups on board, allwill reap benefits of expanded PC workforce! #hpm

Wed Mar 27 18:38:12 PDT 2013

KnowYourWishes sorry, i went MIA. On call tonight. #hpmWed Mar 27 18:38:43 PDT 2013
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rfberry @ctsinclair very good point! #hpmWed Mar 27 18:38:48 PDT 2013

suzanakm RT @GraniteDoc: @rfberry Need to get hospital chains and lobbying groups on board, allwill reap benefits of expanded PC workforce! #hpm

Wed Mar 27 18:39:01 PDT 2013

rfberry Could be cool if we all weighed in on @POPVOX about PCHETA http://t.co/Nw5nQAkXLB#hpm

Wed Mar 27 18:39:18 PDT 2013

ctsinclair PCHETA needs simple basic talking points that can be shared (in 140 characters ifpossible) #Hpm

Wed Mar 27 18:39:32 PDT 2013

thatMeganRN #hpm just got here sorry! Knew I was missing something....Wed Mar 27 18:39:36 PDT 2013

BillPfohl @oliverdr "Preparing people for what caring and dying @ home entails" that phenom isonly a generation or 2 old.... #hpm

Wed Mar 27 18:39:38 PDT 2013

rfberry + + RT @suzanakm: PCHETA - needs to support community-based, hospice-based aswell as academic educational venues. #hpm

Wed Mar 27 18:39:43 PDT 2013

jfclearywisc @suzanakm Best when hospice is academic venue. @aahpm I have asked who hasacademic affiliations. Most! #hpm needs 2B academic in all venues

Wed Mar 27 18:39:43 PDT 2013

Kamiyamay RT @rfberry: Could be cool if we all weighed in on @POPVOX about PCHETAhttp://t.co/MWFPausFOv#hpm

Wed Mar 27 18:39:46 PDT 2013

ctsinclair RT @KnowYourWishes: sorry, i went MIA. On call tonight. "Living the dream! At least youare acting since we're just chatting!" #Hpm

Wed Mar 27 18:40:40 PDT 2013

GraniteDoc @suzanakm Good point, how to organize many smaller groups to take advantage? Seemlike the Duke-hospice collab model could work #hpmWed Mar 27 18:40:51 PDT 2013

rfberry @thatMeganRN great you could join! We're just talking about advocating for the palliativecare workforce http://t.co/fgGZoWGigO#hpm

Wed Mar 27 18:40:52 PDT 2013
http://twitter.com/121558178/status/317088871420657664http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/fgGZoWGigOhttp://www.twitter.com/thatMeganRNhttp://www.twitter.com/rfberryhttp://twitter.com/88826066/status/317088867092140033http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/suzanakmhttp://www.twitter.com/GraniteDochttp://twitter.com/17206739/status/317088819201576960http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/KnowYourWisheshttp://www.twitter.com/ctsinclairhttp://twitter.com/196778759/status/317088595150254080http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/MWFPausFOvhttp://www.twitter.com/POPVOXhttp://www.twitter.com/rfberryhttp://www.twitter.com/Kamiyamayhttp://twitter.com/27231379/status/317088581439086592http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aahpmhttp://www.twitter.com/suzanakmhttp://www.twitter.com/jfclearywischttp://twitter.com/121558178/status/317088578675044355http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/suzanakmhttp://www.twitter.com/rfberryhttp://twitter.com/16059326/status/317088560043937793http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/BillPfohlhttp://twitter.com/299269310/status/317088549256192003http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/thatMeganRNhttp://twitter.com/17206739/status/317088533884055552http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/121558178/status/317088477789442048http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/Nw5nQAkXLBhttp://www.twitter.com/POPVOXhttp://www.twitter.com/rfberryhttp://twitter.com/36552960/status/317088404615598080http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/GraniteDochttp://www.twitter.com/suzanakmhttp://twitter.com/121558178/status/317088348873322497http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/rfberry

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Kamiyamay @rfberry True, need many venues, platforms and spread the word to people. Use thepower of mobile! #hpm

Wed Mar 27 18:40:54 PDT 2013

ctsinclair RT @rfberry: Could be cool if we all weighed in on @POPVOX about PCHETAhttp://t.co/PjP0ykJOKU#Hpm

Wed Mar 27 18:41:06 PDT 2013

suzanakm @jfclearywisc true... collaboration between academic center and hospice and communitysetting is optimal #hpm

Wed Mar 27 18:41:09 PDT 2013

jfclearywisc RT @suzanakm: @jfclearywisc true... collaboration between academic center and hospicand community setting is optimal #hpm

Wed Mar 27 18:41:26 PDT 2013

johnwhiteside55 RT @Kamiyamay: @rfberry Night all. Gotta run. Thanks for the invite #HpmWed Mar 27 18:42:36 PDT 2013

ctsinclair RT @suzanakm: PCHETA - needs to support community-based, #hospice-based as wellas academic educational venues. #Hpm

Wed Mar 27 18:42:38 PDT 2013

rfberry Do any of you see any road blocks to PCHETA advocacy within your clinical &/or localcommunities? #hpm

Wed Mar 27 18:42:39 PDT 2013

ctsinclair Just reading a little bit about @POPVOX and that sounds like a fantastic idea @rfberry#Hpm

Wed Mar 27 18:43:15 PDT 2013

GraniteDoc @suzanakm@jfclearywisc So much benefit for both parties with collab b/n academics +hospice, who is doing this successfully? #hpm

Wed Mar 27 18:43:32 PDT 2013

ctsinclair RT @rfberry: Do any of you see any road blocks to PCHETA advocacy within your clinica&/or local communities? "Basic awareness" #Hpm

Wed Mar 27 18:43:37 PDT 2013

suzanakm @GraniteDoc exactly... it may also help rural communities, like those in northern NE, etc.#hpmWed Mar 27 18:43:38 PDT 2013

ChrisAug89 So So Important @ctsinclair absolutely. Preparing people for caring and dying @ homeentails different than just asking wishes #hpm

Wed Mar 27 18:43:45 PDT 2013

@johnwhiteside55 Best - world's best IDT here every Wed pm! #hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/johnwhiteside55http://twitter.com/1000358156/status/317089595768582144http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/ChrisAug89http://twitter.com/36552960/status/317089567947776000http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GraniteDochttp://www.twitter.com/suzanakmhttp://twitter.com/17206739/status/317089561907974144http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/ctsinclairhttp://twitter.com/88826066/status/317089539669770240http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/suzanakmhttp://www.twitter.com/GraniteDochttp://twitter.com/17206739/status/317089469742329856http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/POPVOXhttp://www.twitter.com/ctsinclairhttp://twitter.com/121558178/status/317089318537658368http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://twitter.com/17206739/status/317089314871857153http://www.symplur.com/healthcare-hashtags/Hpm/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/suzanakmhttp://www.twitter.com/ctsinclairhttp://twitter.com/1262772314/status/317089305564692481http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/Kamiyamayhttp://www.twitter.com/johnwhiteside55http://twitter.com/27231379/status/317089013850849282http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/suzanakmhttp://www.twitter.com/jfclearywischttp://twitter.com/36552960/status/317088939372605440http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://www.twitter.com/suzanakmhttp://twitter.com/17206739/status/317088928865857536http://www.symplur.com/healthcare-hashtags/Hpm/http://t.co/PjP0ykJOKUhttp://www.twitter.com/POPVOXhttp://www.twitter.com/rfberryhttp://www.twitter.com/ctsinclairhttp://twitter.com/196778759/status/317088879993839616http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/Kamiyamay

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Kamiyamay Wed Mar 27 18:43:45 PDT 2013

oliverdr Biggest obstacle may be competition for other specialities with so many shortagespriorities have not been PC #hpm

Wed Mar 27 18:44:08 PDT 2013

jfclearywisc @rfberry Usual political barriers. Interesting that fellowship dirs reporting an increase in no& quality of candidates is increasing #Hpm

Wed Mar 27 18:44:11 PDT 2013

rfberry @ctsinclair cool, if you have ideas abt how the platform could be useful to our communitykeep me posted, the founder is local/awesome #hpm

Wed Mar 27 18:44:31 PDT 2013

suzanakm @GraniteDoc we are working on building that here. One reason @ctsinclair coming ourway. #hpm

Wed Mar 27 18:44:34 PDT 2013

Kamiyamay @ctsinclair lack of "basic awareness" profound! #hpmWed Mar 27 18:44:35 PDT 2013

aliciabloom T2: i think we face the ever present challenge of people not understanding what palliativecare is & clinicians misunderstanding it #hpm

Wed Mar 27 18:44:36 PDT 2013

thatMeganRN #hpm remember that lawmakers see on quantity. Writing a letter/article is nice but doesn'thave the same impact as a chorus of voices.

Wed Mar 27 18:44:44 PDT 2013

ctsinclair @oliverdr great point about competition between PC and other specialties. Key in #mededfor sure, probably also RN, SW? #Hpm

Wed Mar 27 18:45:26 PDT 2013

oliverdr So trueRT @aliciabloom: face the ever present challenge of people not understandingwhat palliative care is clinicians misunderstanding #hpm

Wed Mar 27 18:45:30 PDT 2013

Kamiyamay @aliciabloom You are so right, have an experience too long to tell...some hospital

clinicians very guarded #hpm#hpmWed Mar 27 18:45:42 PDT 2013

rfberry @ctsinclair when you ssay basic awareness, do you mean understanding of hpm orPCHETA awareness/action w/in the clinical community? #hpm

Wed Mar 27 18:45:51 PDT 2013

WaywardChad MT @aliciabloom: T2 Face the ever present challenge: people not understanding what
http://www.twitter.com/aliciabloomhttp://www.twitter.com/WaywardChadhttp://twitter.com/121558178/status/317090125882474496http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/rfberryhttp://twitter.com/196778759/status/317090086791548928http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/Kamiyamayhttp://twitter.com/62575849/status/317090036204072960http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/oliverdrhttp://twitter.com/17206739/status/317090018403418113http://www.symplur.com/healthcare-hashtags/Hpm/http://www.symplur.com/healthcare-hashtags/meded/http://www.twitter.com/oliverdrhttp://www.twitter.com/ctsinclairhttp://twitter.com/299269310/status/317089844436287488http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/thatMeganRNhttp://twitter.com/24399366/status/317089810747633664http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/196778759/status/317089805735436288http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/Kamiyamayhttp://twitter.com/36552960/status/317089799183933441http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/GraniteDochttp://www.twitter.com/suzanakmhttp://twitter.com/121558178/status/317089787980955648http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/rfberryhttp://twitter.com/27231379/status/317089705269272576http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/jfclearywischttp://twitter.com/62575849/status/317089690324967424http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/196778759/status/317089593826631680http://www.twitter.com/Kamiyamay

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palliative care is & clinicians misunderstanding it #hpm

Wed Mar 27 18:46:05 PDT 2013

GraniteDoc @suzanakm Oh yes, we're working hard on it but geography is not the only barrier! #hpmWed Mar 27 18:46:08 PDT 2013

ctsinclair RT @thatMeganRN: lawmakers see quantity. Writing a letter/article is nice but doesnthave the same impact as a chorus of voices. "+100" #HpmWed Mar 27 18:46:17 PDT 2013

oliverdr @thatMeganRN disadvantage in PC is our chorus dies before it can sing #hpmWed Mar 27 18:46:31 PDT 2013

rfberry @thatMeganRN I'm all for multiple venues for chorus of voices! In person. Online. LettersBring it all to advocate for --> #hpm

Wed Mar 27 18:46:35 PDT 2013

ctsinclair @rfberry basic awareness about PCHETA. Even in the #hpm community I would expectsome would think it is a new chemo drug. #HpmWed Mar 27 18:47:07 PDT 2013

thatMeganRN @oliverdr: Biggest obstacle may be competition for other specialities with so manyshortages priorities have not been PC #hpm very true!

Wed Mar 27 18:47:18 PDT 2013

BillPfohl Choruses are nice but Political Pacs go even further...is there such a thing? #hpmWed Mar 27 18:47:56 PDT 2013

GraniteDoc @suzanakm@ctsinclair Would be very interested to talk w/ you about what is working inMA, think about how to bring it northward! #hpm

Wed Mar 27 18:48:04 PDT 2013

ctsinclair @thatMeganRN great point about letters to lawmakers. Important not to be too cynical oncitizen impact on govt. #Hpm

Wed Mar 27 18:48:07 PDT 2013

Kamiyamay @rfberry Excellent point...Multiple venues, chorus of voices... #hpmWed Mar 27 18:48:17 PDT 2013

rfberry We're about to move to a very quick T3 :) #hpmWed Mar 27 18:48:54 PDT 2013

rfberry @Kamiyamay Thanks! #hpmWed Mar 27 18:49:02 PDT 2013

RT @thatMeganRN Agree with the shortages, my hospital used to have a good PC
http://www.twitter.com/thatMeganRNhttp://twitter.com/121558178/status/317090923387420673http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kamiyamayhttp://www.twitter.com/rfberryhttp://twitter.com/121558178/status/317090892332802048http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://twitter.com/196778759/status/317090736392773632http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/Kamiyamayhttp://twitter.com/17206739/status/317090695770939392http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/thatMeganRNhttp://www.twitter.com/ctsinclairhttp://twitter.com/88826066/status/317090682827309058http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/suzanakmhttp://www.twitter.com/GraniteDochttp://twitter.com/16059326/status/317090650124333056http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BillPfohlhttp://twitter.com/299269310/status/317090487347589120http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/thatMeganRNhttp://twitter.com/17206739/status/317090440887291906http://www.symplur.com/healthcare-hashtags/Hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rfberryhttp://www.twitter.com/ctsinclairhttp://twitter.com/121558178/status/317090307692982273http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/thatMeganRNhttp://www.twitter.com/rfberryhttp://twitter.com/62575849/status/317090291918188552http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/thatMeganRNhttp://www.twitter.com/oliverdrhttp://twitter.com/17206739/status/317090234720452608http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/thatMeganRNhttp://www.twitter.com/ctsinclairhttp://twitter.com/88826066/status/317090195977687040http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/suzanakmhttp://www.twitter.com/GraniteDochttp://twitter.com/611173037/status/317090181960302593http://www.symplur.com/healthcare-hashtags/hpm/

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KGoffRN program, its been cut. Rural area. Totally different. #hpmWed Mar 27 18:49:08 PDT 2013

ctsinclair @BillPfohl some advocacy and lobbying by the professional orgs and larger hospicecompanies #Hpm

Wed Mar 27 18:49:16 PDT 2013

suzanakm @ctsinclair one challenge w #PCHETA is when spelled out Palliative Care & HospiceEducation & Training Act takes up most 140 characters #hpm

Wed Mar 27 18:49:24 PDT 2013

thatMeganRN #hpm on T1: we must not assume that dying at home is preferable. This may not be theideal for every patient-they may not want to die @ home

Wed Mar 27 18:49:47 PDT 2013

rfberry T3 April 16th is just around the corner! Have you or your organization made plans toadvocate for advance care planning w/@NHDD? #hpm

Wed Mar 27 18:49:55 PDT 2013

BillPfohl That's the way.....RT @ctsinclair: @BillPfohl some advocacy and lobbying by theprofessional orgs and larger hospice companies #hpm

Wed Mar 27 18:50:00 PDT 2013

Kamiyamay MT @KGoffRN: RT @thatMeganRN Agree with the shortages, my hospital used to have agood PC program, its been cut. Rural area. #hpm

Wed Mar 27 18:50:22 PDT 2013

suzanakm @GraniteDoc interesting idea... definitely to follow through #hpmWed Mar 27 18:50:24 PDT 2013

ctsinclair They are closing the plane doors everyone. On my way to Manchester, NH and WorrcsterMA. Take care and great chat tonight! #Hpm

Wed Mar 27 18:50:34 PDT 2013

Kamiyamay MT @rfberry: T3 April 16th around the corner! Have you or your organization made plansto advocate for advance care planning w/@NHDD? #hpm

Wed Mar 27 18:51:09 PDT 2013

thatMeganRN #hpm T3 our PC educator us planning an info blitz with Ask Me buttons, posters, info

booths, etc.Wed Mar 27 18:51:13 PDT 2013

suzanakm T3 - @NHD

#Hpm - TweetChat - 3/27/13

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