#HCLDR Transcript

Healthcare social media transcript of the #HCLDR hashtag.
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See #HCLDR Influencers/Analytics.

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HCLDR Moderator @hcldr
Hello Everyone! Welcome to the weekly Health Care Leadership Tweet Chat #hcldr
HCLDR Moderator @hcldr
Tonight we welcome special guest host [REDACTED USER] who will lead us in a discussion on "How observing a clinical process improved the management perspectives of non-clinical staff" – He is a co-author of [REDACTED USER] paper on this same topic. https://t.co/gk7XamYa9A https://t.co/JwOIFtzuYh
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RT @healthblawg: ICYMI> Live at HIMSS 2019 with CTG – Harlow On Healthcare https://t.co/GuwqHNMxgx #digitalhealth #hcldr #hitsm https://t.…
HCLDR Moderator @hcldr
Helping to keep the chat flowing are the #hcldr dynamic duo [REDACTED USER] and @JoeBabaian https://t.co/6KEmk85qVu
PF Anderson @pfanderson@disabled.social @pfanderson
@hcldr [REDACTED USER] @JoeBabaian Brothers under the skin! Dynamic Duo! #hcldr
Nathan Grunewald MD MBA FACS @NathanGrunewald
RT @Rothman: #PinkSocks peeps, my former startup @RothmanIndex is hosting a conference @LBHealth in #Baltimore Sept 26/27th It will bring…
PF Anderson @pfanderson@disabled.social @pfanderson
RT @Rothman: #PinkSocks peeps, my former startup @RothmanIndex is hosting a conference @LBHealth in #Baltimore Sept 26/27th It will bring…
Joe Babaian 🇺🇦 @JoeBabaian
[REDACTED USER] @hcldr Welcome! #hcldr
HCLDR Moderator @hcldr
Let’s start off with introductions! Tell us your name, what you do and where you are based #hcldr
Joe Babaian 🇺🇦 @JoeBabaian
@pfanderson @hcldr [REDACTED USER] Thanks Patricia! #hcldr
Joe Babaian 🇺🇦 @JoeBabaian
[REDACTED USER] [REDACTED USER] [REDACTED USER] You're so welcome! #hcldr
Bonnie C. Sheeren, BCPA @bonniesheeren
Bonnie Sheeren, Independent Pt Advocate here in Houston, TX--hoping Imelda doesn't decide to stick around & flood us like Harvey did! YIKES! #hcldr
HCLDR Moderator @hcldr
For those new to #hcldr every week we gather at 8:30pm ET to discuss interesting & timely healthcare topics
Michael W. Roberts @michaelwroberts
Good evening, #hcldr! Always a pleasure to chat and learn.
Nathan Grunewald MD MBA FACS @NathanGrunewald
[REDACTED USER] @hcldr Hold on to ur bootstraps! It's about to get real! Welcome!! #hcldr
Joe Babaian 🇺🇦 @JoeBabaian
@RareCandace Hi Candace! #hcldr
Nathan Grunewald MD MBA FACS @NathanGrunewald
Greetings team #hcldr! Innovation Officer and Urologist checking in from #WI! 🧀🍻 👋 Joe and Colin! https://t.co/tQFSake4Ne
Joe Babaian 🇺🇦 @JoeBabaian
@NathanGrunewald [REDACTED USER] @hcldr Great seeing you as always, Nathan! #hcldr
HCLDR Moderator @hcldr
You can read more about each week’s topic on the #hcldr blog https://t.co/ZeXP9qYIgJ
HCLDR Moderator @hcldr
While intros continue, let’s go over some #hcldr tweetchat guidelines.
Joe Babaian 🇺🇦 @JoeBabaian
@michaelwroberts Hello Michael! #hcldr
Michael W. Roberts @michaelwroberts
@bonniesheeren Can’t we, like, boycott storms or something? #hcldr
Laura Appel @lauradianeappel
Hello #hcldr! Here for the first time in awhile. Non-clinician ready to talk non-clinical! Laura from East Lansing, daytime policy person, wannabe designer. #designthinking
Shereese Maynard, MS; MBA @ShereeseMayMba
Hello all. I'm Shereese. Hi [REDACTED USER]. Hi @JoeBabaian #hcldr https://t.co/A4dPtdsxX6
Joe Babaian 🇺🇦 @JoeBabaian
[REDACTED USER] @hcldr Hi PJ! #HCLDR
Amanda G @LAlupusLady
Hello to everyone at #hcldr my body and I apologize but we can’t make it tonight. #LupusStyle sometimes your body has other plans.
Brad Lehman @brad_lehman
#hcldr Good evening! Brad in Clarkston Michigan - #SmileyAnswers and HappyOrNot - Measure patient and staff satisfaction 😀
Joe Babaian 🇺🇦 @JoeBabaian
@bonniesheeren Welcome Bonnie! #hcldr
Dr. Maram Museitif @MaramDrPH
Howdy everyone!! Sad to miss #hcldr this evening. I certainly believe we need to engage non-clinical staff with the care delivery as they are critical in coordinating care & communicating with patients. In addition they can spend more time with them.
HCLDR Moderator @hcldr
We assume all tweets during #hcldr express your own personal opinions & not those of your employer (unless specified)
HCLDR Moderator @hcldr
Watch this blue #hcldr avatar for the 4 questions we’ll be discussing. They are labeled T1, T2, T3 and T4.
Joe Babaian 🇺🇦 @JoeBabaian
@naomi_re_health Happy to see you! #hcldr
Michael W. Roberts @michaelwroberts
@JoeBabaian Hi, Joe! Good to see you tonight. #hcldr
Bonnie C. Sheeren, BCPA @bonniesheeren
@michaelwroberts I TOTALLY agree! #hcldr
Barby Ingle Official @BarbyIngle
#HCLDR chat welcome - I am @BarbyIngle... I am based in AZ. I do a lot of stuff for a lot of people and companies... I mostly use my personal health journey to teach others how to navigate the health system so they dont have the troubles I have with the minefield of care. https://t.co/9GXuhroSEx
Joe Babaian 🇺🇦 @JoeBabaian
@brad_lehman Happy to see my Michigan friend! #hcldr
Joe Babaian 🇺🇦 @JoeBabaian
@BarbyIngle Hi Barby!! 💖 #hcldr
HCLDR Moderator @hcldr
Please mark your answers with the appropriate T1, T2, T3 or T4 label so that people will know what you are responding to. #hcldr
HCLDR Moderator @hcldr
Dissenting comments and opposing views are perfectly acceptable. Personal attacks, vulgar language and negative tweets directed at an individual are not tolerated. #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
Patricia, medical librarian, geek, author, researcher, jack of many trades ... #hcldr
Pennies.Pints.PGH @PenniesPintsPGH
@hcldr Hello! I am Tim Murdoch. For work, I am a regional manager for an orthopedic bracing, rehab and med tech company in Pittsburgh. #hcldr
Michael W. Roberts @michaelwroberts
@LAlupusLady Sorry you can’t make it tonight. Hope you and your body get along better soon. :) #hcldr
Daniel Rothman @Rothman
Hi #HCLDR crew, I'm Daniel from #NYC, #HealthTech #Entrepreneur who spent 6 years working on the service provider side (as a non-clinician) @CityMD helping to improve the #PatientExperience
Nathan Grunewald MD MBA FACS @NathanGrunewald
@ShereesePubHlth [REDACTED USER] @JoeBabaian Hey Shereese! Hope ur well! #hcldr
Bonnie C. Sheeren, BCPA @bonniesheeren
@MaramMPH Hi Maram! I might be headed to Austin in October for a conference--will be in touch if I do! #hcldr
HCLDR Moderator @hcldr
Let’s get ready for T1 in just 1 minute #hcldr
HCLDR Moderator @hcldr
This chat usually goes VERY quickly & lots of ideas will be shared, so please try to stay on topic. #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @hcldr: Dissenting comments and opposing views are perfectly acceptable. Personal attacks, vulgar language and negative tweets directed…
Bonnie C. Sheeren, BCPA @bonniesheeren
@JoeBabaian Is it raining in your part of town? #hcldr
Mary🦄 Gurney, RPh, PhD, BCPA, FAPhA @rphteach
@hcldr Mary Gurney, pharmacist/faculty Glendale AZ.
Joe Babaian 🇺🇦 @JoeBabaian
@MaramMPH You'll be missed! Thanks for saying hi! #hcldr
Shereese Maynard, MS; MBA @ShereeseMayMba
@NathanGrunewald [REDACTED USER] @JoeBabaian What's up, kid. How are you? #hcldr
Erin Moriarty Wade @EMoriartyWade
Hi #hcldr friends. I’m a freelance writer specializing in healthcare and I have been a frequent flier in the healthcare system with our daughter for many years.
Joe Babaian 🇺🇦 @JoeBabaian
@EMoriartyWade Hi Erin! #hcldr
Bob @RBlount
Hello #hcldr from #Boston
Joe Babaian 🇺🇦 @JoeBabaian
@Rothman @CityMD Glad to see you join in! 😊 💯 #hcldr
HCLDR Moderator @hcldr
T1 Research suggests that allowing non-clinical staff to observe patients from admission to discharge helps reduce patient frustration. Why is a non-clinical perspective valuable? #hcldr https://t.co/N9wF9hNT8B
Nathan Grunewald MD MBA FACS @NathanGrunewald
@ShereesePubHlth [REDACTED USER] @JoeBabaian Not much. Kid just working on my finger paints. 😜 #hcldr https://t.co/9W4bdml8N9
Joe Babaian 🇺🇦 @JoeBabaian
@bonniesheeren Off and on, mostly off! #hcldr
Shereese Maynard, MS; MBA @ShereeseMayMba
lol, #hcldr
Barby Ingle Official @BarbyIngle
Hey @JoeBabaian Glad to join in tonight! Always good to be here with you, [REDACTED USER] and the rest of the gang! @pfanderson @LAlupusLady @GailZahtz and so many others! #hcldr
Joe Babaian 🇺🇦 @JoeBabaian
[REDACTED USER] [REDACTED USER] [REDACTED USER] Glad you're here! #hcldr
The Rothman Index @RothmanIndex
@hcldr Joining #hcldr - looking forward to learning
Joe Babaian 🇺🇦 @JoeBabaian
@quickmuse Hi Ken! #hcldr
Michael W. Roberts @michaelwroberts
T1: Having another perspective allows the observer to focus on additional aspects of the patient experience. What are the relief points or frustrations through the journey? #hcldr
Pamela @plandis1
@hcldr Pam here. Working on digital patient engagement in Jersey.
Erin Moriarty Wade @EMoriartyWade
@JoeBabaian Great to see you @JoeBabaian! #hcldr
Ted Chan @upwardmobility
Hi #hcldr, Ted Chan from @caredash checking in here from Boston. I’ll mostly be listening!
Joe Babaian 🇺🇦 @JoeBabaian
RT @michaelwroberts: T1: Having another perspective allows the observer to focus on additional aspects of the patient experience. What are…
Barby Ingle Official @BarbyIngle
T1. #hcldr I think the non-clinical perspective is good for workflow and helps them understand all it takes to get a patient through an appointment from booking to discharge. I love the idea... wish more practices did this.
Mary🦄 Gurney, RPh, PhD, BCPA, FAPhA @rphteach
@hcldr Non-clinical perspective may be able to identify other issues, including SDOH that the patient and/or family may not reveal to the clinical team. #hcldr
Joe Babaian 🇺🇦 @JoeBabaian
T1: Having more eyes on the patient journey can be helpful. Let's be cautious - undue focus on non-clinicians can be a slippery slope of scope-creep for administrators that don't have the training or skill to properly process what they are seeing. #hcldr
Erin Moriarty Wade @EMoriartyWade
[REDACTED USER] Hello [REDACTED USER]. Thanks for hosting a great #hcldr topic!
Nathan Grunewald MD MBA FACS @NathanGrunewald
[REDACTED USER] @hcldr I like to use the term "Indirect Patient Care." They are certainly valuable members of the patient care team. #hcldr
Joe Babaian 🇺🇦 @JoeBabaian
@upwardmobility @caredash Welcome Ted, great to see you. #hcldr
Mary🦄 Gurney, RPh, PhD, BCPA, FAPhA @rphteach
@hcldr A1 - missed adding that.
PF Anderson @pfanderson@disabled.social @pfanderson
[REDACTED USER] @hcldr I absolutely LOVE it when people define their terms! #hcldr
Erin Moriarty Wade @EMoriartyWade
T1. I think the question is why wouldn’t they be observing? If hospital administrators are making decisions about work flow, procedures, policies etc. without seeing firsthand how these decisions affect patients and clinicians then those are not fully informed decisions. #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @BarbyIngle: T1. #hcldr I think the non-clinical perspective is good for workflow and helps them understand all it takes to get a patien…
@KisteinM
@hcldr [REDACTED USER] @JoeBabaian Hi #hcldr Friends. I'm Kistein from @PatientOrator. Truly enjoyed reading this weeks blog post. Looking forward to everyone's thoughts on tonight's topic.
Bonnie C. Sheeren, BCPA @bonniesheeren
T1: My academic dean at MD Anderson was on a mission to educate as much staff as possible about the biology of cancer & treatments, so that we could go out & help family/friends. He was an amazing educator/administrator. #hcldr
@researchmatters
sarahgreene joining late from not-sunny Seattle. Hi all #hcldr
Joe Babaian 🇺🇦 @JoeBabaian
@pfanderson [REDACTED USER] @hcldr I know you do! 💖🙂 #hcldr
Nathan Grunewald MD MBA FACS @NathanGrunewald
T1 Individuals who provide indirect patient care are able to humanize their healthcare understanding when they experience the process alongside a patient (family experiences valuable, but are a different lens). #hcldr
Joe Babaian 🇺🇦 @JoeBabaian
@KisteinM @hcldr [REDACTED USER] @PatientOrator Happy dance! Great to see you! #hcldr 💖
Brad Lehman @brad_lehman
RT @bonniesheeren: T1: My academic dean at MD Anderson was on a mission to educate as much staff as possible about the biology of cancer &…
HCLDR Moderator @hcldr
Repeating T1 Research suggests that allowing non-clinical staff to observe patients from admission to discharge helps reduce patient frustration. Why is a non-clinical perspective valuable? #hcldr https://t.co/WMCJbuTmQx
Shereese Maynard, MS; MBA @ShereeseMayMba
RT @NathanGrunewald: T1 Individuals who provide indirect patient care are able to humanize their healthcare understanding when they experie…
PF Anderson @pfanderson@disabled.social @pfanderson
@BarbyIngle It's also part of the ... compassion. Sometimes. They have enough insider perspective to get how things work, & enough distance to see both sides (clinical and patient). This allows them to choose to be a bridge between them #hcldr
Daniel Rothman @Rothman
T1: A diversity in thought is good in pretty much any situation🔨 In this situation specifically I think all non-clinical executives need to spend a day a month at the patient level to make sure they keep touch with the reality of the #PatientExperience they provide. #HCLDR
Joe Babaian 🇺🇦 @JoeBabaian
RT @NathanGrunewald: T1 Individuals who provide indirect patient care are able to humanize their healthcare understanding when they experie…
Pennies.Pints.PGH @PenniesPintsPGH
[REDACTED USER] @hcldr @ThrivalFestival Thank you and welcome back to the burgh!
Joe Babaian 🇺🇦 @JoeBabaian
@researchmatters Hi Sarah! Woo! #hcldr
Roque Espinal @respinal4ever
RT @jameyedwards: #Telehealth is Booming, but Who are the Power Users? https://t.co/q1wbF6GPth @AmerMedicalAssn 1) Younger People 2) Women…
@KisteinM
[REDACTED USER] @hcldr @JoeBabaian @PatientOrator Hi Colin. Always a pleasure to be here. #hcldr
Nathan Grunewald MD MBA FACS @NathanGrunewald
@EMoriartyWade Right, the proverbial "walk a mile in my shoes" for better understanding. #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @NathanGrunewald: T1 Individuals who provide indirect patient care are able to humanize their healthcare understanding when they experie…
Erin Moriarty Wade @EMoriartyWade
T1. I think walking through a clinical experience from the very beginning (booking the appointment) to the very end (paying for parking, getting in your car to go home and then getting a bill in the mail) is crucial to understanding how to improve the patient experience. #hcldr
@dlschermd
@hcldr T1: It fosters empathy. #hcldr
Bonnie C. Sheeren, BCPA @bonniesheeren
T1: And clinical staff should be allowed to go into other areas too. As a medical video producer we went everywhere & MDs and RNs would ask us what was happening in other parts of the hospital/institution? #hcldr
Erin Moriarty Wade @EMoriartyWade
RT @NathanGrunewald: @EMoriartyWade Right, the proverbial "walk a mile in my shoes" for better understanding. #hcldr
Roque Espinal @respinal4ever
RT @jameyedwards: “We already have the volume. We have the locations & the right people.” .@Walmart’s First #Healthcare Services ‘Super Ce…
Shereese Maynard, MS; MBA @ShereeseMayMba
T1 Some see non-clinical staff & non-threatening & non-judgmental; it's comforting to them. I don't know that life. #hcldr
Laura Appel @lauradianeappel
T1 Clinicians must focus on the clinical. They may also see the patient can’t get comfortable, but may not have time. The person staying behind may get unasked questions, concerns about qualifications, admissions that pt doesn’t want the treatment. #hcldr
The Rothman Index @RothmanIndex
RT @Rothman: #PinkSocks peeps, my former startup @RothmanIndex is hosting a conference @LBHealth in #Baltimore Sept 26/27th It will bring…
Brad Lehman @brad_lehman
RT @Rothman: T1: A diversity in thought is good in pretty much any situation🔨 In this situation specifically I think all non-clinical execu…
Joe Babaian 🇺🇦 @JoeBabaian
@dlschermd @hcldr It does. That's likely the primary reason this is helpful. 😊 💖 #hcldr #pinksocks #Empathy #compassion
Shereese Maynard, MS; MBA @ShereeseMayMba
*as #hcldr
Ziva Mann @MannZiva
Ziva here from MA, relaxing after a day of building tools with community members with lived experience, to enable conversations about mental health . #hcldr
Barby Ingle Official @BarbyIngle
RT @pfanderson: @BarbyIngle It's also part of the ... compassion. Sometimes. They have enough insider perspective to get how things work, &…
Bonnie C. Sheeren, BCPA @bonniesheeren
T1: I think @RanaAwdish mentioned in her book that the hospital staff at all levels should be made part of the effort. She was triaged by an ER security guard (!) during her life-threatening emergency & w/ a little more training, maybe that would not have happened? #hcldr
Joe Babaian 🇺🇦 @JoeBabaian
@MannZiva Hi Ziva, happy to see you. Hope all is well. #hcldr
@KisteinM
@JoeBabaian @hcldr [REDACTED USER] @PatientOrator My biggest hello to you Joe! So happy to be able to join. #hcldr
Pennies.Pints.PGH @PenniesPintsPGH
@dlschermd @hcldr I agree, non clinical feedback is valuable because at times, these team members may interact with the family as well, not only the patient. The family and patient may feel more a part of the process and that can go a long way. #hcldr
Pamela @plandis1
T1 Maybe what we need are people trained in pt. exp. and heuristic design to see the whole patient journey. #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
@quickmuse Wonderful Shaw quote! Here's the full context from a medical satire https://t.co/aGIs0T7Tj1 About https://t.co/F5R5FoacBL BMJ's take on it https://t.co/2bH9zLJdw8 #hcldr
@dlschermd
T1: Non-clinical administrators in decision-making capacity NEED to see things thru the patient’s, nurses’, docs’ perspective. #hcldr
Kimberly George @kimberlyanngeo
RT @Rothman: #PinkSocks peeps, my former startup @RothmanIndex is hosting a conference @LBHealth in #Baltimore Sept 26/27th It will bring…
Shereese Maynard, MS; MBA @ShereeseMayMba
T1 How Non-Clinical Staff Enable Patient Engagement, Care Coordination https://t.co/TszJsUqJRg #hcldr
Ziva Mann @MannZiva
T1: for me, the question here is, what’s more valuable, a clinical perspective or a caring one? And can we figure out how to marry the two? #hcldr
@researchmatters
Even good 4 parts of patient's journey. My training in design thinking, ethnography & qualitative research was useful in studies of communication breakdowns in cancer, & in assessing feasibility of group visits for people w/chron illness. Care team listened differently #hcldr
Joe Babaian 🇺🇦 @JoeBabaian
@pfanderson @quickmuse You know, a #hcldr with librarians and research professionals who care about healthcare would be an amazing chat.......
Ziva Mann @MannZiva
RT @researchmatters: Even good 4 parts of patient's journey. My training in design thinking, ethnography & qualitative research was useful…
Nokia Healthcare @nokiahealthcare
RT @hcldr: T1 Research suggests that allowing non-clinical staff to observe patients from admission to discharge helps reduce patient frust…
Joe Babaian 🇺🇦 @JoeBabaian
RT @dlschermd: T1: Non-clinical administrators in decision-making capacity NEED to see things thru the patient’s, nurses’, docs’ perspecti…
Bonnie C. Sheeren, BCPA @bonniesheeren
T1: Recently, had a BAD personal experience: Office staff person tried to triage & treat me over the phone, insisting they were an RN? Questioned, turned out they were a medical asst? The MD was furious when he heard what happened. #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
So that is how it works? How observing a clinical process improved the management perspectives of non-clinical staff. Heenan M, Lukich A, Myers D, Pomponio W, Yardley D. Healthc Manage Forum. 2019 Sep;32(5):242-246. https://t.co/V1MIy4siTe #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @PenniesPintsPGH: @dlschermd @hcldr I agree, non clinical feedback is valuable because at times, these team members may interact with th…
Brad Lehman @brad_lehman
[REDACTED USER] "Studies show that having unlimited access to family and loved ones reduces complications and stress for everyone involved, and improves the patient’s overall experience of care and outcomes in hospital." #hcldr Thanks for sharing! #compassion
@researchmatters
@MannZiva Or if you can tolerate a bit of polygamy, marrying clinical perspective, caring perspective, and objective observation can create change! #hcldr
HCLDR Moderator @hcldr
An amazing T1 discussion. Let’s get ready for T2 in just 1 minute #hcldr
Joe Babaian 🇺🇦 @JoeBabaian
RT @brad_lehman: [REDACTED USER] "Studies show that having unlimited access to family and loved ones reduces complications and stress for eve…
Joe Babaian 🇺🇦 @JoeBabaian
[REDACTED USER] Thanks Julie! #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
@JoeBabaian @quickmuse We could arrange that ....... #hcldr @pat_devine @openpeonie
Bonnie C. Sheeren, BCPA @bonniesheeren
Even worse, the office staff person was NOT allowing me to even make an appointment! The upper admin of this clinic heard ALL about this from me. Yet the MD never heard any of this until my office visit? GRRRR! #hcldr
Joe Babaian 🇺🇦 @JoeBabaian
RT @pfanderson: @JoeBabaian @quickmuse We could arrange that ....... #hcldr @pat_devine @openpeonie
HCLDR Moderator @hcldr
T2 What are the benefits, drawbacks and challenges to involving non-clinical staff in organizational / clinical workflow change? #hcldr https://t.co/jwLTw8Gj8o
Laura Appel @lauradianeappel
@MannZiva Indeed...how valuable can a clinician be if that person isn’t truly a caregiver? Our culture must be that all are empathetic to patients who are vulnerable and in our care. #hcldr
Ziva Mann @MannZiva
@JoeBabaian @pfanderson @quickmuse Oh, yes please!! #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @bonniesheeren: T1: I think @RanaAwdish mentioned in her book that the hospital staff at all levels should be made part of the effort.…
Shereese Maynard, MS; MBA @ShereeseMayMba
@bonniesheeren And he should've been. This isn't unique unfortunately. Some non-clinical staff find it hard to stay in their lane, insisting that they're "just as good as . . . , This is not true. Everyone has value but occupational code must be followed #hcldr
Joe Babaian 🇺🇦 @JoeBabaian
RT @hcldr: T2 What are the benefits, drawbacks and challenges to involving non-clinical staff in organizational / clinical workflow change?…
PF Anderson @pfanderson@disabled.social @pfanderson
RT @hcldr: T2 What are the benefits, drawbacks and challenges to involving non-clinical staff in organizational / clinical workflow change?…
Joe Babaian 🇺🇦 @JoeBabaian
@pfanderson @quickmuse @pat_devine @openpeonie We should! New and fresh perspectives....always add life! #hcldr
Pennies.Pints.PGH @PenniesPintsPGH
[REDACTED USER] Proper collaboration is key! The main goal is to help the physician and patient meet their desired outcomes. Lots of communication is key and the patient and family being at the center of communication and staying informed. #hcldr
@KisteinM
A1: Providing an excellent experience for #patients at the point of care requires all hands on deck, including non clinical team members. From the receptionist to housekeeping, nutrition aides, billing dept, etc. #hcldr
Nokia Healthcare @nokiahealthcare
RT @EMoriartyWade: T1. I think walking through a clinical experience from the very beginning (booking the appointment) to the very end (pay…
Nokia Healthcare @nokiahealthcare
RT @brad_lehman: [REDACTED USER] "Studies show that having unlimited access to family and loved ones reduces complications and stress for eve…
Joe Babaian 🇺🇦 @JoeBabaian
T2: A challenge is that non-clinicians often won't know what they don't know - leading to observations that are too superficial for effective change. The patient journey is very much patient- & clinical-staff focused. Expanding this is a positive - with care. #hcldr #ptexp
Ziva Mann @MannZiva
@bonniesheeren Oh, no! Bonnie, that sounds so frustrating. #hcldr
Shereese Maynard, MS; MBA @ShereeseMayMba
T2 Experience! That's the answer to both questions; drawback & benefit. #hcldr
Nokia Healthcare @nokiahealthcare
RT @hcldr: T2 What are the benefits, drawbacks and challenges to involving non-clinical staff in organizational / clinical workflow change?…
Barby Ingle Official @BarbyIngle
T2. #hcldr I believe it is a huge benefit 2 involve nonclinical staff n clinic workflow. So many times front staff doesn't know how long something will take or the back office & clinical staff dont understand the workings of front office. Flipping the clinic can be good for all!
PF Anderson @pfanderson@disabled.social @pfanderson
@bonniesheeren When my daughter was a week old, I phoned in to the clinic because she had a bad cough. The office staff on the phone instructed me to wait ten days because most colds resolve by then. When we took her in ten days later, with pneumonia, to hospital, the doc was furious. #hcldr
@researchmatters
[REDACTED USER] @ShereesePubHlth Yes! This completely reminded me of Cleveland Clinic #empath #patientengagement video from a few years ago... https://t.co/WF8lg2fDwA #hcldr @ClevelandClinic
Ziva Mann @MannZiva
@researchmatters Mashup! I’m in. #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @researchmatters: [REDACTED USER] @ShereesePubHlth Yes! This completely reminded me of Cleveland Clinic #empath #patientengagement video fro…
Joe Babaian 🇺🇦 @JoeBabaian
[REDACTED USER] @hcldr Essential caveat! Excellent. Well said. #hcldr #ptexp
Pamela @plandis1
T2 I have so much respect for the clinician. My job is to lighten the admin and biz stuff so clinician can focus, focus, focus. #hcldr
Nathan Grunewald MD MBA FACS @NathanGrunewald
T2 Benefits of having indirect patient care staff involved are enormous: 🎯 Assist with creative and innovative thinking 🎯 Go beyond "the known" 🎯 Stop “we have always done it this way” 🎯 Create root cause solutions rather than workarounds #hcldr
Joe Babaian 🇺🇦 @JoeBabaian
RT @plandis1: T2 I have so much respect for the clinician. My job is to lighten the admin and biz stuff so clinician can focus, focus, focu…
Shereese Maynard, MS; MBA @ShereeseMayMba
RT @NathanGrunewald: T2 Benefits of having indirect patient care staff involved are enormous: 🎯 Assist with creative and innovative thinki…
Laura Appel @lauradianeappel
T2 As a non-clinician I need clinical input for all workflow decision making. We are currently working on accepted process for determining medical fitness for inpatient psych care. 90% of that is clinical decision process. Would be disaster without doing this together. #hcldr
Joe Babaian 🇺🇦 @JoeBabaian
@plandis1 Yes! #HCLDR
PF Anderson @pfanderson@disabled.social @pfanderson
RT @lauradianeappel: T2 As a non-clinician I need clinical input for all workflow decision making. We are currently working on accepted pro…
Daniel Rothman @Rothman
T2: I've seen a lot of pushback when non-clinicians have tried to get involved in clinical practice. The standard refrain is "you're not a doctor, therefore you don't understand👨‍⚕️👩‍⚕️" Having sat on the non-clinical side I think that sometimes execs are too 🤑💰focused. #HCLDR
Bonnie C. Sheeren, BCPA @bonniesheeren
@MannZiva But as a pt advocate--I let everyone involved know what had happened. Hoping that it made for positive changes? Hoping that's what happened! #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @NathanGrunewald: T2 Benefits of having indirect patient care staff involved are enormous: 🎯 Assist with creative and innovative thinki…
Bonnie C. Sheeren, BCPA @bonniesheeren
@pfanderson Yes. Sadly, having staff overstep their bounds in an ongoing issue! #hcldr
Joe Babaian 🇺🇦 @JoeBabaian
@RothmanIndex Thank you. 😊 #hcldr
Pamela @plandis1
T2 challenge is for all of us to respect the lanes of clinician and admin. Communicate. Coordinate. Align. But let the expert do what they do best. #hcldr
Joe Babaian 🇺🇦 @JoeBabaian
RT @plandis1: T2 challenge is for all of us to respect the lanes of clinician and admin. Communicate. Coordinate. Align. But let the expert…
HCLDR Moderator @hcldr
Repeating T2 What are the benefits, drawbacks and challenges to involving non-clinical staff in organizational / clinical workflow change? #hcldr https://t.co/rFfvNXZAsw
PF Anderson @pfanderson@disabled.social @pfanderson
@lauradianeappel Collaboration is key. Diverse perspectives create openings for new solutions. And they can open a view to a "big picture" view #hcldr
Pennies.Pints.PGH @PenniesPintsPGH
@hcldr Benefits- increased communication. Drawback- more chance to get the message muddied up and confusing. Challenge- aligning all team members with the physicians values and getting them to have depthful understanding of protocols and goals. #hcldr T2
Nathan Grunewald MD MBA FACS @NathanGrunewald
@lauradianeappel Yep, it must be an integrative process. #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
@NathanGrunewald Well said! #hcldr
Joe Babaian 🇺🇦 @JoeBabaian
@Rothman Well. Yes. We can do better and must. Educate. Extend. Model. #hcldr
HCLDR Moderator @hcldr
Repeating T2 What are the benefits, drawbacks and challenges to involving non-clinical staff in organizational / clinical workflow change? #hcldr https://t.co/IaEQhUXJ16
PF Anderson @pfanderson@disabled.social @pfanderson
RT @PenniesPintsPGH: @hcldr Benefits- increased communication. Drawback- more chance to get the message muddied up and confusing. Challenge…
Joe Babaian 🇺🇦 @JoeBabaian
RT @NathanGrunewald: T2 Benefits of having indirect patient care staff involved are enormous: 🎯 Assist with creative and innovative thinki…
Nathan Grunewald MD MBA FACS @NathanGrunewald
@Rothman Indeed. It should be a parallel process whereby the two groups compliment one another. #hcldr
Ziva Mann @MannZiva
T2: wearing my QI/HCD hat, I can learn from both providers, patients, caregivers, and help them hear/see each other’s experiences, facilitate redesign. It’s hard to see the blind spots from the inside. #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
@bonniesheeren I'm sure she meant well and was trying to help. I'm also sure she probably lost her job. My daughter almost died because of her instructions. #hcldr
@researchmatters
EXACTLY...if you invite them in, are you ready to sit with them, listen, and make adaptations based on their perspective! #hcldr
@dlschermd
[REDACTED USER] #hcldr T2: Non-clinical staff may understand workflow from multiple vantage points. However, they can optimally favorably change it only with input from clinical people in trenches. IT can play a critical role in implementing digital tech to help as well.
Joe Babaian 🇺🇦 @JoeBabaian
RT @dlschermd: [REDACTED USER] #hcldr T2: Non-clinical staff may understand workflow from multiple vantage points. However, they can optim…
PF Anderson @pfanderson@disabled.social @pfanderson
@bonniesheeren A doctor friend of mine likes to use this idea for training. For positions at risk of overstepping, or believing that they know more than they do, she likes to put them in an environment where their limits become very clear. PAs spend a month in the ER, for example. #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @MannZiva: T2: wearing my QI/HCD hat, I can learn from both providers, patients, caregivers, and help them hear/see each other’s experie…
Ziva Mann @MannZiva
Yes! Partnership requires experience, commitment, a chance to fail forward and grow champions. #hcldr
Bonnie C. Sheeren, BCPA @bonniesheeren
T2: The office staff should feel like part of the mission, instead of just another job. And there should be continuing education for them as well to keep them updated on the latest on their part in the health care system. #hcldr
@KisteinM
[REDACTED USER] @hcldr T2: Great point Mike! Housekeeping play a pivotal role in the overall safety for everyone interacting within #healthcare settings #hcldr
Ziva Mann @MannZiva
RT @NathanGrunewald: T2 Benefits of having indirect patient care staff involved are enormous: 🎯 Assist with creative and innovative thinki…
HCLDR Moderator @hcldr
Really interesting tweets on #hcldr right now. Let’s get ready for T3 in just 1 minute!
Pennies.Pints.PGH @PenniesPintsPGH
@hcldr To meet concerns above, I have a client/doc that brings team members in and vendors and runs through mock patient care and makes sure all messages and experiences are on point. Then quizzes vendors as well after them viewing the walk throughs #hcldr
Ziva Mann @MannZiva
@bonniesheeren I really hope so. Oddly, I find it hardest to partner in the clinics where I am the patient. #hcldr
HCLDR Moderator @hcldr
T3 Are there benefits for the individual non-clinical staff member to observe workflows and be part of organizational change initiatives? #hcldr https://t.co/MiBi6Fix8L
Joe Babaian 🇺🇦 @JoeBabaian
@bonniesheeren How to make them part of the mission given the low pay and lack of buy in from a clinic looking to maximize revenue? #hcldr What can be done as some action?
Joe Babaian 🇺🇦 @JoeBabaian
RT @hcldr: T3 Are there benefits for the individual non-clinical staff member to observe workflows and be part of organizational change ini…
Shereese Maynard, MS; MBA @ShereeseMayMba
RT @hcldr: T3 Are there benefits for the individual non-clinical staff member to observe workflows and be part of organizational change ini…
Nokia Healthcare @nokiahealthcare
RT @NathanGrunewald: T2 Benefits of having indirect patient care staff involved are enormous: 🎯 Assist with creative and innovative thinki…
Michael W. Roberts @michaelwroberts
[REDACTED USER] @bonniesheeren Had the chance to speak with a pediatrician who let us know that all the staff make sure to say hello / express sympathy to the kids in the clinic. Loved that touch. #hcldr
Ziva Mann @MannZiva
@dlschermd [REDACTED USER] Absolutely. It’s got to be a partnership - not just dropping a knowledge bomb. #hcldr
Pennies.Pints.PGH @PenniesPintsPGH
@hcldr I have found these exercises to be incredible and helped me grow as well. Each person that interacts with the patient completely understands what this docs goals and desires are. #hcldr
Bonnie C. Sheeren, BCPA @bonniesheeren
T3: Yes, the dialogue should go both ways as the office staff many times has to deal w/ angry/upset patients. So, there should be a conversation about how to keep communication w/ pts constructive! #hcldr
Laura Appel @lauradianeappel
T3 Yes. Observation, empathy, design are skills available to people who have not studied organic chemistry 😙 #hcldr
Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl
So I hear there's this #hcldr thing happening....
PF Anderson @pfanderson@disabled.social @pfanderson
RT @michaelwroberts: [REDACTED USER] @bonniesheeren Had the chance to speak with a pediatrician who let us know that all the staff make sure to s…
Michael W. Roberts @michaelwroberts
@PenniesPintsPGH @hcldr That’s an awesome way to handle an important experience before testing it on patients. #hcldr
Nathan Grunewald MD MBA FACS @NathanGrunewald
T3 As in T2, they provide another perspective, one that may enhance change and assist with change that “works” well for clinical staff. #hcldr
@dlschermd
@hcldr T3: Advantages of non-clinical folks observing & contributing: Creates real life buy-in to institutions’ mission, translating to teamwork, with patient as the focus. Works better than retreats or pep talks. #hcldr
@
@hcldr T2: Challenge I often experienced as a non-clinician was trying to keep up with jargon +just being less familiar w/ how clinical enviro operates! Can be an intimidating/steep learning curve initially. But, asking clarifying qs can lead to new understandings + perspectives #hcldr
Nick Adkins @nickisnpdx
hello from the non-clinical side in #pgh tonight #hcldr 🤗 [REDACTED USER] is hugging & tweeting at the same time!💖✨ https://t.co/GibuUIFIg9
Nokia Healthcare @nokiahealthcare
RT @hcldr: T3 Are there benefits for the individual non-clinical staff member to observe workflows and be part of organizational change ini…
Joe Babaian 🇺🇦 @JoeBabaian
T3: The benefit for the non-clinician to observe the process rests in expanding horizons & better understanding the intricate nature & human side of the patient journey. It's humanizing if the observer has an open mind & is willing to dig deeply into their observations. #hcldr
Bonnie C. Sheeren, BCPA @bonniesheeren
@MannZiva @dlschermd [REDACTED USER] Yes! That seems like it would be top down? And discount the input of the staff? #hcldr
Erin Moriarty Wade @EMoriartyWade
T3. Absolutely! They play an important role, too. One of my favorite pediatric cardiologists that I have ever interviewed tells his non-clinical staff, “They are *your* patients until they are in the exam room with me.” #hcldr
Pennies.Pints.PGH @PenniesPintsPGH
@michaelwroberts @hcldr I have honestly only seen it done at one location and it for sure has made me step up my game overall. The attention to detail and patient experience was incredible to see. #hcldr
Nick Adkins @nickisnpdx
RT @Rothman: #PinkSocks peeps, my former startup @RothmanIndex is hosting a conference @LBHealth in #Baltimore Sept 26/27th It will bring…
PF Anderson @pfanderson@disabled.social @pfanderson
[REDACTED USER] @hcldr I used to give new staff a pep talk about how each day their work helped to make a difference for social justice and easing pain. #hcldr
Shereese Maynard, MS; MBA @ShereeseMayMba
T3 It can be helpful in a limited way, as we look to improve the care environment. That said, I'm also an advocate for using #AI for all non-clinical roles. Don't judge me. #hcldr
Mary🦄 Gurney, RPh, PhD, BCPA, FAPhA @rphteach
@hcldr A3: Heck yes! The benefits to the non-clinical staff members is that they maybe able to help problem solve with the clinical staff regarding an issue they identified. #hcldr
Michael W. Roberts @michaelwroberts
T3: It’s always meaningful to have the opportunity to be a force for change. The invitation helps validate the importance of each person’s role in the overall care of the patient. People pick to work in healthcare for a reason. #hcldr
Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl
[REDACTED USER] I know I'm late, but I thought I'd stop in. ;) #hcldr
Daniel Rothman @Rothman
T3: I would take it even further and say that non-clinicians be they _staff_ or even civilians talking with the voice of the _patient_, are a critical part of the care equation. #patientengagement #qualitycontrol #hcldr
Ziva Mann @MannZiva
[REDACTED USER] [REDACTED USER] @hcldr Facilitation is key!! #hcldr
Barby Ingle Official @BarbyIngle
T3 #hcldr For the best change to happen, each individual involved must feel buy-in. Doing it together can provide that critical balance & willingness to change what is needed. Belief, Confidence and Buy-in will benefit the whole team! Forming, Storming, Norming, Performing R key!
Joe Babaian 🇺🇦 @JoeBabaian
@twirlandswirl [REDACTED USER] Welcome! #hcldr
Joe Babaian 🇺🇦 @JoeBabaian
RT @michaelwroberts: T3: It’s always meaningful to have the opportunity to be a force for change. The invitation helps validate the importa…
@researchmatters
Exactly--"doing with" will get you further faster than "doing to," or even "doing for." #hcldr #togetherness #Healthcare
Mary🦄 Gurney, RPh, PhD, BCPA, FAPhA @rphteach
@hcldr A3: the other benefit for non-clinical staff is that they also get to be involved and learn. They also get to provide input and feel part of the organization. Which is not always true for healthcare organizations depending at which level the non-clinical staff member is at.
PF Anderson @pfanderson@disabled.social @pfanderson
[REDACTED USER] @hcldr ABSOLUTELY! I strongly support this idea. #hcldr
Barby Ingle Official @BarbyIngle
RT @researchmatters: Exactly--"doing with" will get you further faster than "doing to," or even "doing for." #hcldr #togetherness #Healthc
Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl
@JoeBabaian [REDACTED USER] I swear I've seen you somewhere before! :P #hcldr
HCLDR Moderator @hcldr
Repeating T3 Are there benefits for the individual non-clinical staff member to observe workflows and be part of organizational change initiatives? #hcldr https://t.co/kfRBSpHvfI
Joe Babaian 🇺🇦 @JoeBabaian
@nickisnpdx [REDACTED USER] @kitmueller @NathanGrunewald @pfanderson @BarbyIngle @ShereesePubHlth @KisteinM @burtrosen @RasuShrestha @andrewintech What could be better! Hugs back! 😊 💖 #hcldr #pinksocks
Nathan Grunewald MD MBA FACS @NathanGrunewald
@ShereesePubHlth There is a role for that too. Early on, people hated ATMs as human replacements. Nowadays, many would dread walking up to a human to get a cash withdrawal. #hcldr
@KisteinM
@bonniesheeren T2: 🎯 Agreed! There’s some departments within the same organization that have clinical & non clinical team members working with the mindset of “if you see something say something”. I imagine this on a systems level could make a huge difference in #patient experience.#hcldr
@KisteinM
RT @nickisnpdx: hello from the non-clinical side in #pgh tonight #hcldr 🤗 [REDACTED USER] is hugging & tweeting at the same time!💖✨ https://t.c…
Nathan Grunewald MD MBA FACS @NathanGrunewald
RT @nickisnpdx: hello from the non-clinical side in #pgh tonight #hcldr 🤗 [REDACTED USER] is hugging & tweeting at the same time!💖✨ https://t.c…
Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl
@pfanderson @bonniesheeren Please laugh when I say, "well, I am not a clinician, but..." all the time and I'm like YOU HAVE NO IDEA. I HAVE TO. YOU DON'T EVEN KNOW. #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @NathanGrunewald: @ShereesePubHlth There is a role for that too. Early on, people hated ATMs as human replacements. Nowadays, many would…
Joe Babaian 🇺🇦 @JoeBabaian
@RareCandace Well said. It's not a quarterly process. It's an every-day process! #hcldr
The Rothman Index @RothmanIndex
@hcldr @mjrothman We are biased/ without this type of collaboration we wouldn’t exist. #hcldr
Candace @RareCandace
T3: If non-clinical employees don’t want to be a part of the patient experience within an organization, they shouldn’t be. Whether they should be employed is a whole different story. #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @hcldr: T3 Are there benefits for the individual non-clinical staff member to observe workflows and be part of organizational change ini…
Ziva Mann @MannZiva
T3: Good god, yes. My job in a nutshell? how to make things better: 1. gather anyone touched by a workflow. 2. map your present state, learning from all involved. 3. ask “how can we..?” and develop your theory of change. 4. Try it out! #hcldr
Brad Lehman @brad_lehman
@EMoriartyWade I like how he let them take ownership of the experience - leads to higher employee satisfaction > higher patient satisfaction #hcldr
Daniel Rothman @Rothman
@JoeBabaian @nickisnpdx [REDACTED USER] @kitmueller @NathanGrunewald @pfanderson @BarbyIngle @ShereesePubHlth @KisteinM @burtrosen @RasuShrestha @andrewintech Hugs + tweeting + food... I'm huggy AND hungry now!
@KisteinM
@ShereesePubHlth @PatientOrator Thank you!! #hcldr
Erin Moriarty Wade @EMoriartyWade
@Rothman I’d add caregivers, too! We have seen and experienced a lot. #hcldr
Bernadee Koh @bernadee_koh
@rphteach @hcldr Yes healthcare is a team sport. Non clinical members contributing and supporting the work will result in a better designed and holistic approach to improve the #PatientExperience #hcldr
Nathan Grunewald MD MBA FACS @NathanGrunewald
@nickisnpdx [REDACTED USER] @kitmueller @JoeBabaian @pfanderson @BarbyIngle @ShereesePubHlth @KisteinM @burtrosen @RasuShrestha @andrewintech 🤗🤗🤗 #hcldr
Bonnie C. Sheeren, BCPA @bonniesheeren
@JoeBabaian And that would be my perfect world: that clinics would invest in their staff, instead of trying to get by with low paid, less qualified employees! #hcldr
HCLDR Moderator @hcldr
Almost time for our final question. Let’s get ready for T4 in just 1 minute! #hcldr
Ziva Mann @MannZiva
@JoeBabaian @bonniesheeren Dan Arieli points out that meaningful work, that is valued by the individual, is work that is more engaging. Ask them what would make their work better. Sometimes, all that’s needed is a little respect and the power to make things better. #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
[REDACTED USER] @hcldr While I love the ideas being presented tonight, I suspect all of us also know the flip side — where someone abuses the power they have, blocks/controls/delays access #hcldr
HCLDR Moderator @hcldr
T4 What can be done to create an environment / provide support to non-clinical staff to contribute to organizational change? #hcldr https://t.co/tIYkfEQRFD
@KisteinM
@nickisnpdx [REDACTED USER] @kitmueller @NathanGrunewald @JoeBabaian @pfanderson @BarbyIngle @ShereesePubHlth @burtrosen @RasuShrestha @andrewintech Serious #pinksock #hcldr FOMO
Joe Babaian 🇺🇦 @JoeBabaian
@bonniesheeren Exactly. It's a symptom of the over supply of lower quality franchise-like clinics on every corner. #hcldr 🤔
Joe Babaian 🇺🇦 @JoeBabaian
RT @hcldr: T4 What can be done to create an environment / provide support to non-clinical staff to contribute to organizational change? #hc
Ziva Mann @MannZiva
[REDACTED USER] [REDACTED USER] @hcldr All too often, the problem is structural/systemic - not individual. #hcldr
Daniel Rothman @Rothman
This is 💯% correct, I don't fully understand why it is so hard to do. I've seen doctor👩‍⚕️👨‍⚕️ run organizations, corporate run organizations 👩‍💼👨‍💼, finding the right balance is so hard to do (and one thing that Dr. Park @CityMD does really well). Any other rockstar🚀🌟🤘 companies?
Joe Babaian 🇺🇦 @JoeBabaian
T4: To create a positive environment for the non-clinician participant in the patient journey, we must establish trust, respect, & boundaries that assure the clinical staff autonomy & security in their processes & interactions that support the patient. #Empathy #hcldr @dlschermd
Nathan Grunewald MD MBA FACS @NathanGrunewald
T4 Recognize the value indirect patient care team members can provide in the clinical and patient experience. Indirect patient care staff should understand they compliment the system and patient care priorities always come first. #hcldr
Bonnie C. Sheeren, BCPA @bonniesheeren
@JoeBabaian OK, another pet peeve: many clinics, hospitals are outsourcing billing to faraway companies employing minimum wage people. So people get $$$ medical bill in the mail & they're talking to a lowly paid person a thousand miles away? GRRR! #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
@twirlandswirl @bonniesheeren Medical librarians are trained to be sure to say, "I'm not a doctor" just like law clerks saying "I am not a lawyer." #IANAL https://t.co/NhP7zZGlNj is a very useful context to hold up front #hcldr
Pennies.Pints.PGH @PenniesPintsPGH
#hcldr all involved in the conversation tonight might enjoy this. Dr.Digioia has put a ton of research into his “shadowing” family centered care model. Just wanted to share with you all! https://t.co/zZeX0C6bRl
Nathan Grunewald MD MBA FACS @NathanGrunewald
@JoeBabaian @dlschermd Paramount to the process is non-judgmental value based collaborations. #PatientsFirst #hcldr
Mary🦄 Gurney, RPh, PhD, BCPA, FAPhA @rphteach
@hcldr A4: I think I have a different thought process - how might we create an environment/provide support to non-clinical and clinical staff to contribute to org change? How do we make all opinions valued and learn what each brings to the table? #hcldr
The Rothman Index @RothmanIndex
@hcldr This change can come from healthcare leadership. Invite staff to be involved and listen to everyone. #hcldr
Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl
This chat seems like an appropriate time to bring up the time I called the records department at the hospital I was born at (in Hawai'i) and they told me my blood type changed from living in Florida. #hcldr
Bernadee Koh @bernadee_koh
@hcldr A4: Three main ingredients - 1) Support from leadership and policymakers, 2) Dedication continuous improvement principles 3) Dedication to co-design with all team members clinical, non clinical, patients, caregivers, etc
@dlschermd
@hcldr T4: 1. Support non-clinical staff’s personal advancement. 2. Present them as part of the patient’s team. 3. Cross train to keep interest and foster personal value. #hcldr
@aggievic14
RT @Rothman: #PinkSocks peeps, my former startup @RothmanIndex is hosting a conference @LBHealth in #Baltimore Sept 26/27th It will bring…
Nathan Grunewald MD MBA FACS @NathanGrunewald
[REDACTED USER] @hcldr And that cultural revolution starts at the top with leadership that embraces and models these traits. #hcldr
@dlschermd
Bingo!
The Rothman Index @RothmanIndex
@NathanGrunewald @JoeBabaian @dlschermd Yes- it has to be a safe place to work toward patient centered goals. #hcldr
Pamela @plandis1
T4 Think of it as a campaign to convince, cajole and appeal to their better side. Also, put a patient in those meetings and make us LISTEN to them. Politics fall away when we hear patients. #hcldr
Ziva Mann @MannZiva
@bonniesheeren @dlschermd [REDACTED USER] I’d hope not. Effective, sustainable change has to happen from the bottom up - with support from leadership. #hcldr
Bonnie C. Sheeren, BCPA @bonniesheeren
@twirlandswirl That should go into the medical history textbooks! ha! #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
@rphteach @hcldr Thank you! It's very important to build a team, a supportive context & environment, a safe space for sharing ideas, ways that all can clearly support and contribute value courageously and generously #hcldr
Joe Babaian 🇺🇦 @JoeBabaian
RT @dlschermd: @hcldr T4: 1. Support non-clinical staff’s personal advancement. 2. Present them as part of the patient’s team. 3. Cross tra…
PF Anderson @pfanderson@disabled.social @pfanderson
RT @bonniesheeren: @JoeBabaian OK, another pet peeve: many clinics, hospitals are outsourcing billing to faraway companies employing minim…
Pennies.Pints.PGH @PenniesPintsPGH
RT @nickisnpdx: hello from the non-clinical side in #pgh tonight #hcldr 🤗 [REDACTED USER] is hugging & tweeting at the same time!💖✨ https://t.c…
PF Anderson @pfanderson@disabled.social @pfanderson
@twirlandswirl ROFLMAO! #hcldr
Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl
@pfanderson @bonniesheeren Right, I have good things to say that are almost definitely right, but I always caveat, and then word is like "but what's worked for me personally" or "what I've seen happen in similar situations is" or something. #hcldr
Michael W. Roberts @michaelwroberts
RT @EMoriartyWade: T3. Absolutely! They play an important role, too. One of my favorite pediatric cardiologists that I have ever interviewe…
Pamela @plandis1
T4 and tie success do all of our goals. No success. No money. #hcldr
Energizing Health @healergizing
RT @Rothman: #PinkSocks peeps, my former startup @RothmanIndex is hosting a conference @LBHealth in #Baltimore Sept 26/27th It will bring…
Ziva Mann @MannZiva
@JoeBabaian Hi, Joe! All well here. Hope you and yours are thriving. #hcldr
Bernadee Koh @bernadee_koh
@rphteach @hcldr Perhaps a culture of open communication to start?
PF Anderson @pfanderson@disabled.social @pfanderson
RT @MannZiva: @bonniesheeren @dlschermd [REDACTED USER] I’d hope not. Effective, sustainable change has to happen from the bottom up - wit…
Mary🦄 Gurney, RPh, PhD, BCPA, FAPhA @rphteach
@hcldr A4: if we want everyone included - we as members of healthcare organizations need to value ALL, including patient, input. I know-speaking to the choir. Pharmacy isn't to this level yet and it makes me sad. Working on it with my students. #hcldr
Nathan Grunewald MD MBA FACS @NathanGrunewald
[REDACTED USER] @JoeBabaian @dlschermd humbled. thank you. #hcldr
The Rothman Index @RothmanIndex
@Rothman @LBHealth @nickisnpdx @JulieReisetter [REDACTED USER] @kimberlyanngeo @alexbfair @PavanChoksi @akalali @Jeremyccorr @RasuShrestha @LGin412 Thank you for mentioning us! We are looking forward to learning from leaders in patient safety. Also- having a great time. #hcldr
Barby Ingle Official @BarbyIngle
T4. #hcldr Creating an organized environment & provide support 4 clinical & non-clinical staff takes clear communication, setting expectations, buy-in, positive relationships, recognize hard work, trusting n each other, & having some fun/bonding as you lead the way! *\O/*
Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl
@bonniesheeren I joked I should legally change my race to "mutant." 😂😂😂 #hcldr
The Rothman Index @RothmanIndex
@NathanGrunewald [REDACTED USER] @JoeBabaian @dlschermd Great choice [REDACTED USER] #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
[REDACTED USER] So many times I've sat in a meeting room with >100 clinicians and researchers, and say we need patients at this table, only to have ONE patient stand up and say, "I'm here! That's me!" And they all think they're done now. #hcldr
HCLDR Moderator @hcldr
Repeating T4 What can be done to create an environment / provide support to non-clinical staff to contribute to organizational change? #hcldr https://t.co/Npci6ZLbvX
PF Anderson @pfanderson@disabled.social @pfanderson
@twirlandswirl @bonniesheeren Well done, you! #hcldr
Daniel Rothman @Rothman
T4: I've spent a decade trying to earn doctors' trust and I've made the most progress by being very direct that I'm clueless about medicine, and am just there to learn, then I ask thoughtful questions. >When dealing with doctors👩‍⚕️👨‍⚕️ a non-clinician is always "managing up" #hcldr
Bonnie C. Sheeren, BCPA @bonniesheeren
@twirlandswirl But then again---not so great if you needed a blood transfusion & the mixup continued? YIKES! #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
RT @hcldr: Repeating T4 What can be done to create an environment / provide support to non-clinical staff to contribute to organizational c…
Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl
@pfanderson @bonniesheeren I'm getting pretty good at this thing! Now I just need to get my Masters and get licensed. ;) #hcldr
PF Anderson @pfanderson@disabled.social @pfanderson
@bonniesheeren @twirlandswirl Terrifying and extremely dangerous #hcldr
@researchmatters
A4: a concrete step toward inclusiveness is creating a Patient & Family Advisory Council whose advice is taken seriously. This can send an organization-wide signal that a range of voices are comparably honored and incorporated #hcldr
Ziva Mann @MannZiva
@rphteach @hcldr I like Southcentral Foundation’s approach. They have an improvement project request form. Anyone can fill it out, and then, if selected, is responsible (with support, I hope!) for executing the work. #hcldr
Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl
@pfanderson @bonniesheeren Well that's sort of how it started - my birth records had me listed at A+ but I donated blood in college and found out I was O+ so I'd called to double check that my mother hadn't misremembered what my records had said in the first place. Curiosity, mostly. #hcldr
Joe Babaian 🇺🇦 @JoeBabaian
RT @researchmatters: A4: a concrete step toward inclusiveness is creating a Patient & Family Advisory Council whose advice is taken serious…
Ziva Mann @MannZiva
@PenniesPintsPGH As someone who has done shadowing (we called it walking in the patient’s footsteps), it’s fascinating and such rich learning! Highly recommended. #hcldr
@researchmatters
[REDACTED USER] [REDACTED USER] Yes, absolutely. Step 1 might be advice/ideation, but real movement is in the design & implementation #hcldr
Andrew Richards 🇺🇦 @andrewintech
@nickisnpdx [REDACTED USER] @kitmueller @NathanGrunewald @JoeBabaian @pfanderson @BarbyIngle @ShereesePubHlth @KisteinM @burtrosen @RasuShrestha Miss you guys! #pinksocks #hcldr #pgh
HCLDR Moderator @hcldr
That’s a wrap. Thank you for joining the #hcldr tweetchat tonight. Your time, tweets and comments are greatly appreciated!
@researchmatters
Or if we took our kids to work, would they see things in dramatically different ways that could then be applied to the patient & family experience? #hcldr #daretodream #PatientExperience
Bonnie C. Sheeren, BCPA @bonniesheeren
Good night, #hcldr! And it's really staring to come down now! Tropical Storm Imelda is here raining over our part of town! @JoeBabaian hope all of us H-town peeps stay high and dry!
HCLDR Moderator @hcldr
Special #hcldr shout-out to [REDACTED USER] for being our guest host tonight and to [REDACTED USER] for helping to bring this chat together. We appreciate all the effort you put into this!
Joe Babaian 🇺🇦 @JoeBabaian
[REDACTED USER] [REDACTED USER] You're so welcome! #hcldr
Nathan Grunewald MD MBA FACS @NathanGrunewald
Inspiring #hcldr tweet chat with [REDACTED USER], @JoeBabaian and [REDACTED USER] where we shared how healthcare is a team based patient care experience and how the team creates and improves the care together. Surprise appearance from @nickisnpdx 🤗Nick🤗 #pinksocks 👊🌈🙂🚀
Joe Babaian 🇺🇦 @JoeBabaian
@bonniesheeren Me too! Thanks for being here! #hcldr 💖
Ziva Mann @MannZiva
T4: leaders and champions must make it a mandate and a value. Engage front line staff, patients and families from the get-go bc their perspective and insights are essential. No checkboxes; define the problem and solve it together. Show their impact. Rinse and repeat. #hcldr
Brad Lehman @brad_lehman
@hcldr Thank you Joe and Colin!
Joe Babaian 🇺🇦 @JoeBabaian
@NathanGrunewald [REDACTED USER] [REDACTED USER] @nickisnpdx It was a great one! Thanks for sharing tonight Nathan! #hcldr
Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl
Glad to make a brief #hcldr cameo after many many months (over a year?) or being away! Have a good week!
Ziva Mann @MannZiva
@twirlandswirl @pfanderson @bonniesheeren Go go go!! #hcldr
HCLDR Moderator @hcldr
Don’t forget to use the #hcldr hashtag during week for interesting healthcare/leadership posts, pics, articles & news
Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl
@MannZiva @pfanderson @bonniesheeren All I need is money and confidence! Both are, like, SUPER easy to come by, right?! #hcldr
Michael W. Roberts @michaelwroberts
@hcldr [REDACTED USER] [REDACTED USER] Definitely! A big thank you!
@researchmatters
Word. #hcldr
Bonnie C. Sheeren, BCPA @bonniesheeren
@RareCandace @JoeBabaian Thx! I sort of thought being 1/2 thru hurricane season, we were on the downside---but....Imelda popped up! :( #hcldr
@researchmatters
Ciao for now, awesome ones! Thanks for what you're doing to fix #healthcare and improve #health! #hcldr
Bernadee Koh @bernadee_koh
@hcldr [REDACTED USER] [REDACTED USER] Thanks to @hcldr and [REDACTED USER] and all the folks who participated tonight. Really appreciated the exchange, tips and learning from you all!
Ziva Mann @MannZiva
@researchmatters Tricky to do it well with advisory councils. I think they’re too well named - advice vs partnership, shared design. So easy to distance them from the heart of the work needed! #hcldr
Joe Babaian 🇺🇦 @JoeBabaian
[REDACTED USER] [REDACTED USER] [REDACTED USER] Loved having you! Thanks! #hcldr
Ziva Mann @MannZiva
@researchmatters Exactly why I usually join #hcldr with my 14yo son. His insight is so different, and so humbling!! (Except tonight, bc he’s reading A Hitchhiker’s Guide.) #priorities #hcldr
Joe Babaian 🇺🇦 @JoeBabaian
@bonniesheeren @RareCandace We're on the 'clean' side here in #SugarLand, very lucky. Thinking about everyone getting hit harder.... #hcldr
Joe Babaian 🇺🇦 @JoeBabaian
[REDACTED USER] [REDACTED USER] Our pleasure and thanks to you! #hcldr
Ziva Mann @MannZiva
Have a great week, all! Go change the world. 🌏 #hcldr
Ziva Mann @MannZiva
@twirlandswirl @pfanderson @bonniesheeren Just try. Knock on doors, and find one that will welcome you. We need every member of our tribe. #hcldr
Joe Babaian 🇺🇦 @JoeBabaian
[REDACTED USER] [REDACTED USER] Very welcome!! #hcldr
@dlschermd
RT @lauradianeappel: T2 As a non-clinician I need clinical input for all workflow decision making. We are currently working on accepted pro…
Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl
@MannZiva @pfanderson @bonniesheeren Man, I hope so. I know I need to do more. #hcldr
@dlschermd
@MannZiva Certainly and hopefully not or ever an either or. #hcldr
Joe Babaian 🇺🇦 @JoeBabaian
And after a great #hcldr chat, the genesis of a new topic has formed! Yes! @pfanderson @openpeonie @pat_devine +more #librarians #research #access #FreshViews
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