#HCLDR Transcript
Healthcare social media transcript of the #HCLDR hashtag.
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See #HCLDR Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | HCLDR Moderator @hcldr Hello Everyone! Welcome to the weekly Health Care Leadership Tweet Chat #hcldr |
| HCLDR Moderator @hcldr Tonight on #hcldr we’re talking about Nursing Ratios + Healthcare. A topic ripped from the upcoming Ballot Question 1 in Massachusetts. Such a nuanced issue. Our blog has details https://t.co/AxbBApqV3v https://t.co/2Xc16QMk2Z |
 | Colin Hung @Colin_Hung @SandraWoodsMtl Happy Anniversary Sandra! Enjoy your dinner and congrats on the hike. #hcldr |
 | Brian E. Thomas @DivergentCIO RT @shyampurk: Why Wearables Are Important and What To Expect https://t.co/B0F3KadvBk #Wearables #Tech #Technology #hcldr #CIO #Samsung #Apple #Health #HealthCare @Samsung via @DivergentCIO |
 | Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba Good evening all. I'm Shereese from Maryland. I'm so pleased with tonight's topic. #hcldr https://t.co/0Ut56VtZX4 |
| Colin Hung @Colin_Hung @Ptexp_RN_Cherri No worries Cherri. We'll be here :) #hcldr |
| HCLDR Moderator @hcldr Helping to keep the chat flowing is wingman extraordinaire Joe @JoeBabaian #hcldr |
| HCLDR Moderator @hcldr Behind this blue circle is @Colin_Hung blogger, community builder, marketer, #healthIT true believer from Toronto, Canada #hcldr |
| Colin Hung @Colin_Hung @ShereesePubHlth Hello Shereese! Glad you like tonight's topic #hcldr |
 | Chelsea Friend @kiwifreund Hello from Mesa, AZ. I actually went back to school for my nursing degree before my #RareDiseases took me down. #hcldr |
 | Peggy White, RN, MN, FCAN @_HOBIC Peggy a RN from Thornbury Ontario joining in for an interesting topic #hcldr |
| HCLDR Moderator @hcldr Let’s start off with introductions! Tell us your name, what you do and where you are based #hcldr |
| Colin Hung @Colin_Hung A special welcome to all #hcldr #pinksocks #HITsm #HITMC friends in or heading to Boston for #connect2health #SPM2018 #CHC18 #MDCIO2018 https://t.co/mFcC0SjSRM |
 | Bingle @TheBingle RT @fsgoldstein: #Parkinsons Study Reveals Prescription Errors for #Dementia Therapies #healthequity #hcldr https://t.co/8WxbAOtZ3g |
| Colin Hung @Colin_Hung @kiwifreund Hello Chelsea. Appreciate that you are here. Looking fw to your tweets tonight #hcldr |
 | Barby Ingle Official @BarbyIngle Getting ready to head to Boston... but first... #hcldr whoot whoot *\O/* Good evening everyone. https://t.co/IYa3TZARg9 |
 | Joe Babaian 🇺🇦 @JoeBabaian @_HOBIC Welcome! #hcldr |
 | Laura Appel @lauradianeappel @hcldr Hello!!! Laura from East Lansing. Hospital Assn leader and #teamgsd member 🙂 #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @kiwifreund Hi! #hcldr |
 | Bonnie C. Sheeren, BCPA @bonniesheeren Sorry to miss out! Gotta watch the end of the Astros game and then on to the Beto/Cruz debate! Busy night on TV! #HCLDR https://t.co/5eFK6JUy9V |
| Colin Hung @Colin_Hung @BarbyIngle Evening Barby. Thanks for being here on #hcldr tonight. |
| Joe Babaian 🇺🇦 @JoeBabaian RT @hcldr: Tonight on #hcldr we’re talking about Nursing Ratios + Healthcare. A topic ripped from the upcoming Ballot Question 1 in Massachusetts. Such a nuanced issue. Our blog has details https://t.co/AxbBApqV3v https://t.co/2Xc16QMk2Z |
| Joe Babaian 🇺🇦 @JoeBabaian @Ptexp_RN_Cherri Hi there! #hcldr |
| HCLDR Moderator @hcldr Our #hcldr chat lasts 1hr. It's designed to educate & promote professional development, critical thinking & spur action |
| HCLDR Moderator @hcldr For those new to #hcldr every week we gather at 8:30pm ET to discuss interesting & timely healthcare topics |
| Joe Babaian 🇺🇦 @JoeBabaian @bonniesheeren Next time! #hcldr |
 | Greg Meyer @Greg_Meyer93 Good evening folks. Poking in and lurkin tonight. #HCLDR |
| Colin Hung @Colin_Hung @lauradianeappel @hcldr Hello Laura. So nice to see you here on #hcldr tonight. Hope all is well in MI |
 | Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Chuck! Host of #HealthSystemsChat in #SocialVR (1PM ET Thu during #Connect2Health, topic = Balancing Tech & Humanity), here for #HCLDR! https://t.co/sLk7cRBGEf |
 | Ted Chan @upwardmobility Checking in for tonight’s #hcldr. Hello @JoeBabaian and @Colin_Hung and thanks for hosting. Just representing my own views tonight as @caredash hasn’t taken an official position on nursing staffing yet. @hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @TechNurseJon Welcome Jon! 😊 #hcldr |
| Colin Hung @Colin_Hung @TechNurseJon Welcome Jon. THanks for joining our chat tonight. We love when new people lend their voices to the conversation. Hope you enjoy it #hcldr |
| Barby Ingle Official @BarbyIngle RT @Colin_Hung: @BarbyIngle Evening Barby. Thanks for being here on #hcldr tonight. |
| Joe Babaian 🇺🇦 @JoeBabaian @lauradianeappel @hcldr Hi Laura! #HCLDR |
| HCLDR Moderator @hcldr While intros continue, let’s go over some #hcldr tweetchat guidelines. |
| Colin Hung @Colin_Hung @bonniesheeren Totally understand Bonnie. Thanks for checking in ! #hcldr |
| HCLDR Moderator @hcldr You can read more about each week’s topic on the #hcldr blog https://t.co/ZeXP9qYIgJ |
 | Ken Taylor, RPIC @KenRayTaylor .@KenRayTaylor with @powerofpain glad to be here with all you amazing health leaders #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @upwardmobility @Colin_Hung @caredash @hcldr Hello Ted! #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @TechNurseJon John! You're not "shifting" tonight? #hcldr https://t.co/NXTMmCsSzb |
| Colin Hung @Colin_Hung @upwardmobility @JoeBabaian @caredash @hcldr We're glad you are here Ted. Looking fw to your tweets tonight #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @Greg_Meyer93 Great to see you Greg! #hcldr |
| Colin Hung @Colin_Hung @Greg_Meyer93 Hello Greg!!! So nice to see you. #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @hcldr: You can read more about each week’s topic on the #hcldr blog https://t.co/ZeXP9qYIgJ |
| Joe Babaian 🇺🇦 @JoeBabaian @KenRayTaylor @powerofpain Hi Ken! #hcldr |
| Bingle @TheBingle Bingle joining in from NY w/PtExp Hello All! #hcldr |
| 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. |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Chuck! Here for #HCLDR on nursing ratios. Did you know? 7% increase in patient mortality for every additional patient increase in nurse workload! Why need workflow tech to free nurses to do what they do best! https://t.co/ZkbG61rgAL PS I'm working on a 3D printed #HCLDR badge! https://t.co/k5dxAump8r |
| Colin Hung @Colin_Hung @ColtonOrtolf Hello Colton. Appreciate your support of #hcldr |
 | Fred Goldstein @fsgoldstein Hello all Fred here, popping in for a bit maybe longer. Great topic. PopHealth and healthcare system explorer in Jacksonville FL, heading to #FLAACOS18 & AMCP Nexus 2018 next week #hcldr |
 | Murray Izenwasser @Murrayiz Hello everyone. I’m normally doing this from West Palm Beach, but I’m standing at Logan waiting for my Lyft. Can someone please turn the heater on. #connect2health #spm2018 #hcldr |
 | Enlightening Results 💡 @GraceCordovano Waving hello to all our #hcldr friends from #Boston! #pinksocks #SPM2018 https://t.co/H7989pVS1C |
| Ted Chan @upwardmobility Today I spent much of the morning teaching the @OakStreetHealth @HarvardHBS case to the @caredash team. #hcldr Part of their success is the staffing innovation that maps to patient and value based care needs. I’m generally iffy on any mandates that stifle this type of innovation |
| Colin Hung @Colin_Hung @wareFLO Wow. Great stat Chuck...or should I say that's a sobering stat. #hcldr |
 | Jon @TechNurseJon @ShereesePubHlth Not tonight. 🙂#hcldr https://t.co/Gkp6C2T1E7 |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO This was pre-scheduled! Since I didn't think I'd make it back here in time! #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 |
| HCLDR Moderator @hcldr Please mark your answers with the appropriate T1, T2, T3, T4 or CT label. This will make our transcript easier to read #hcldr |
 | Jennifer Michelle, MPH (she) @MMSJennifer Hi everyone! I’m on call tonight but will be checking into the chat until I get toned out. Looking forward to it! #hcldr |
| Ken Taylor, RPIC @KenRayTaylor @JoeBabaian @powerofpain Hey Joe, are you going to be in Boston? #chc18 #hcldr |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO RT @Colin_Hung: @wareFLO Wow. Great stat Chuck...or should I say that's a sobering stat. #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @hcldr: Please mark your answers with the appropriate T1, T2, T3, T4 or CT label. This will make our transcript easier to read #hcldr |
| Colin Hung @Colin_Hung @GraceCordovano @Doug_Lind_Say @burtrosen @KisteinM @jhoronjeff @savvypuppets Dang. Just got another pang of #FOMO Hello Grace! @KisteinM @burtrosen @jhoronjeff Thanks for the pic! #hcldr |
| Greg Meyer @Greg_Meyer93 Adding in where I can. Lee from EHNAC sitting across from me at dinner :) #HCLDR |
| HCLDR Moderator @hcldr Let’s get ready for T1 in just 1 minute #hcldr |
| HCLDR Moderator @hcldr We have a lot of remarkable folks with us tonight & lots of ideas will be shared – please try to stay on topic. #hcldr |
| Colin Hung @Colin_Hung @MMSJennifer Hello Jennifer. So nice to see you. Thanks for joining the conversation tonight #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @hcldr: We have a lot of remarkable folks with us tonight & lots of ideas will be shared – please try to stay on topic. #hcldr |
 | Rasu Shrestha MD MBA @RasuShrestha RT @hcldr: Tonight on #hcldr we’re talking about Nursing Ratios + Healthcare. A topic ripped from the upcoming Ballot Question 1 in Massachusetts. Such a nuanced issue. Our blog has details https://t.co/AxbBApqV3v https://t.co/2Xc16QMk2Z |
| HCLDR Moderator @hcldr T1 Where do you feel nurses are most urgently needed in healthcare right now? Hospitals? Home Care? Schools? Private Practice? #hcldr https://t.co/FscBDximtH |
 | D'Anna Holmes, CPXP @PoPculture_px D’Anna here! Currently in DC... #hcldr |
| Colin Hung @Colin_Hung @savvypuppets Love it! #hcldr https://t.co/Nv1EBn8AtC |
| Barby Ingle Official @BarbyIngle T1. I think hospitals are the biggest need. So many times in the hospital stays I have had, There is one nurse for 5-6 patients and I see them 2 times a shift maybe. My husband or a friend comes up to help me because the nurses are not around enough #hcldr |
 | International Pain Foundation® @iPainOfficial RT @BarbyIngle: T1. I think hospitals are the biggest need. So many times in the hospital stays I have had, There is one nurse for 5-6 patients and I see them 2 times a shift maybe. My husband or a friend comes up to help me because the nurses are not around enough #hcldr |
| Colin Hung @Colin_Hung @savvypuppets Welcome back Jim @JimOnHealth Great to see you #hcldr |
| Colin Hung @Colin_Hung RT @hcldr: T1 Where do you feel nurses are most urgently needed in healthcare right now? Hospitals? Home Care? Schools? Private Practice? #hcldr https://t.co/FscBDximtH |
| Joe Babaian 🇺🇦 @JoeBabaian @savvypuppets @Colin_Hung Welcome to the #hcldr chat! We are glad to have you with us. |
 | Jeff Auker @jeffauker @Colin_Hung @bisgur @LGin412 @richkrn @WyattAdkins I’ll leave it to @bisgur for the data and @richkrn for the #nurse perspective, but a couple years analyzing the voice of the nurse — without those specialists patients lean on nurses for such personal counseling. Nurses will give it but how much does it add to #burnout? #hcldr |
| Colin Hung @Colin_Hung @PoPculture_px Hello D'Anna. Thanks for taking a break from filling out all those forms in triplicate to join #hcldr :) |
| Joe Babaian 🇺🇦 @JoeBabaian RT @BarbyIngle: T1. I think hospitals are the biggest need. So many times in the hospital stays I have had, There is one nurse for 5-6 patients and I see them 2 times a shift maybe. My husband or a friend comes up to help me because the nurses are not around enough #hcldr |
 | Ken Gordon @quickmuse @hcldr @ShereesePubHlth Have we been veering off topic? *Us?* #hcldr I know I have... but please, @hcldr, don't condemn the rest of these good healthcare-focused chatterers. They've done absolutely nothing wrong! |
| Laura Appel @lauradianeappel T1 Yes. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @PoPculture_px Welcome #hcldr |
| Colin Hung @Colin_Hung RT @jeffauker: @Colin_Hung @bisgur @LGin412 @richkrn @WyattAdkins I’ll leave it to @bisgur for the data and @richkrn for the #nurse perspective, but a couple years analyzing the voice of the nurse — without those specialists patients lean on nurses for such personal counseling. Nurses will give it but how much does it add to #burnout? #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @MMSJennifer Hi! #hcldr |
| Chelsea Friend @kiwifreund T1: I always, always feel the shortage when I am in the hospital, short-term and long-term. Home care is another area that suffers - but that also has to do with patient ability to pay. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @fsgoldstein Hi Fred! #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @TheBingle As always, welcome Bingle! #hcldr |
| Fred Goldstein @fsgoldstein T1 - as a former hospital CEO the needs may be there today, but given the excess utilization, I think if we clean that up, we don’t need the nurses there. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @kiwifreund: T1: T1: I always, always feel the shortage when I am in the hospital, short-term and long-term. Home care is another area that suffers - but that also has to do with patient ability to pay. #hcldr |
| Colin Hung @Colin_Hung @quickmuse @hcldr @ShereesePubHlth LOL. True Ken. We rarely go off topic - unless someone brings up snack food, TV, old movies, funny jokes or conference #FOMO :) But it all adds to the fabric of #hcldr chats |
| Murray Izenwasser @Murrayiz @lauradianeappel Was just going to say that. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @lauradianeappel: T1 Yes. #hcldr |
| Peggy White, RN, MN, FCAN @_HOBIC T1 nurses are needed in hospital but as well there is a significant need in home care with an aging population and chronic disease #hcldr |
| Jon @TechNurseJon @hcldr T1. #hcldr Everywhere. Don't forget about long term care, either. Also, many nurses I know work at more than one job (including myself). |
| Joe Babaian 🇺🇦 @JoeBabaian RT @_HOBIC: T1 nurses are needed in hospital but as well there is a significant need in home care with an aging population and chronic disease #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba T1 Home care. Rural areas are being crushed by the nursing shortage. As more people age in place, home health needs the special skills of nurses #hcldr |
| D'Anna Holmes, CPXP @PoPculture_px T1: So I talked about this a lil earlier but let me say this really loud for the people in the back.... #HOMEHEALTH Home health is drowning and as someone who literally depends on home health nursing to care for my trached child I will argue this point to death #hcldr #ptexp |
| Colin Hung @Colin_Hung @lauradianeappel T1 Lovely answer. We need more nurses in general. Not enough qualified ones to fill the voids. For me it's Home Care - A growing field that could stagnate if the companies can't find enough nurses #hcldr |
| Chelsea Friend @kiwifreund @BarbyIngle T1: Lucky you having a spouse! I usually have to do everything myself at the hospital, including waiting extra long for pain meds if my nurse is held up elsewhere. (This is usually after head/abdominal surgery.) #hcldr |
| Ted Chan @upwardmobility @hcldr We are part of the problem sometimes at @caredash. #hcldr Consumers complain about not seeing PCP or other physician when nurse or NP can do job. |
| Fred Goldstein @fsgoldstein Interesting concept and certainly there is a need for “people" to address #SDoH, a recent presentation said that trained coaches create behavior change and the licensure or background of the coach is less important #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @fsgoldstein: Interesting concept and certainly there is a need for “people" to address #SDoH, a recent presentation said that trained coaches create behavior change and the licensure or background of the coach is less important #hcldr |
| HCLDR Moderator @hcldr Repeating T1 Where do you feel nurses are most urgently needed in healthcare right now? Hospitals? Home Care? Schools? Private Practice? #hcldr https://t.co/8fDPJHi53M |
| Ken Taylor, RPIC @KenRayTaylor A1: I think hospitals are always in need of good nurses. Nurses give the medicines and treatment prescribed by doctors when they are not there. They take care of every patient as their own responsibility. So it is important not to have a shortage of good nurses. #hcldr |
| Colin Hung @Colin_Hung @ColtonOrtolf @cityblockhealth @HealthifyUS @_NowPow_ T1 I like it and I wonder if other health professionals could help in the area of #sdoh like nutritionists, pro-shoppers, financial planners, etc. Certainly nurses are a component, but not the only soln #hcldr |
| Peggy White, RN, MN, FCAN @_HOBIC T1 the challenge is we are still thinking about nurses in existing models of care and practice. Nurses need to follow patient across continuum to support improved health outcomes #hcldr |
 | Larry Gioia 🔠 @LGin412 @Colin_Hung @bisgur @jeffauker @richkrn @WyattAdkins ✅ out the @PwCAdvisory @PwCHealth Health Research Institute for all the latest thought leadership on the most recent trends and perspectives in health. @bisgur @ChicagoScience and team do an amazing job of staying one step ahead! #ABCD #hcldr #pinksocks https://t.co/RzIyRaiMxq |
| Colin Hung @Colin_Hung RT @kiwifreund: T1: T1: I always, always feel the shortage when I am in the hospital, short-term and long-term. Home care is another area that suffers - but that also has to do with patient ability to pay. #hcldr |
 | Alzheimer's Los Angeles @AlzheimersLA @TechNurseJon Welcome, Jon! #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @quickmuse Powerful point. Yes. Also see @MSF_USA @MSF needs. #hcldr |
| Laura Appel @lauradianeappel @Colin_Hung Need caregivers in the home, and a way for families to afford them. #hcldr |
| Ted Chan @upwardmobility T1: Nurses are a relatively cost efficient way to provide care across the entire healthcare system. So everywhere!! My answer is wherever nursing skills cost effectively map to driving quality care for patients. #hcldr |
| Bingle @TheBingle @hcldr T1 Great nurses are needed everywhere. Most urgently I believe home care could help greatly with the whole Healthcare situation. And that includes helping meds dosages & even easing some loneliness #hcldr |
| Colin Hung @Colin_Hung @Ptexp_RN_Cherri T1 That's the scariest part of the data. The number of nurses set to retire by 2020 is staggering #hcldr |
 | Jillian Regan @JillianReganMPH RT @wareFLO: 2 Days to the #Connect2Health #SPM2018 #VoiceDotHealth Meetup in Social #VirtualReality: 2 Days to the #Connect2Health #SPM2018 #VoiceDotHealth Meetup in Social #VirtualReality: Balancing Tech & Humanity in Healthcare, Oct 18 1PM ET https://t.co/sLk7cRBGEf Learn about #socialVR & network w/patients & HIT professionals #HITsm #HCLDR #HealthSystemsChat https://t.co/yUcJbjcHxw |
| Barby Ingle Official @BarbyIngle @kiwifreund I have had nurses/doctors ask us to bring my daily meds from home because I could take them on time that way because they get overwhelmed too... and yes, my husband is the most amazing husband on earth. #hcldr |
 | MeganJanas🔗 @megan_janas RT @GraceCordovano: Honored to be representing the patient & carepartner's voice as one of the expert judges for this year's Health Tech Standout! Competition at #CHC18 #Connect2Health Looking forward to hearing all the finalists tomorrow! I have my questions ready 🤓 🎯 #hcldr #pinksocks |
| Alzheimer's Los Angeles @AlzheimersLA RT @_HOBIC: T1 the challenge is we are still thinking about nurses in existing models of care and practice. Nurses need to follow patient across continuum to support improved health outcomes #hcldr |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO IMO care-bots will help improve nursing ratio! I love the movie Robot & Frank. Despite silly subplots, wonderful depiction of relationship btwn carebot & an early stage dementia patient who is able to stay in their home b/c of their robot caregiver #HCLDR https://t.co/09nMM8RHxL |
| Bingle @TheBingle @JoeBabaian Thanks JB #hcldr |
| Fred Goldstein @fsgoldstein If we have people practices at the top of their license/trainig many in home things don’t need an RN. There is a move to caregivers. Especially practical for seniors.. #hcldr |
 | Mike “STILL wearing the mask” Gonzalez, MD @Zindoctor I’ll be honest #hcldr, I’ve got at least one eyeball on the @astros game tonight. #NeverSettle #RallyCapTime You know I ❤️ you, but... baseball. cc: @Colin_Hung @JoeBabaian https://t.co/kXIlVdv93I |
| International Pain Foundation® @iPainOfficial RT @KenRayTaylor: A1: A1: I think hospitals are always in need of good nurses. Nurses give the medicines and treatment prescribed by doctors when they are not there. They take care of every patient as their own responsibility. So it is important not to have a shortage of good nurses. #hcldr |
 | Nicole L. Bohr, PhD, RN @nbohrPhDRN @ShereesePubHlth Tele-health could benefit from nurses, too - to help people manage their care in rural settings. There are many needs in rural care #hcldr |
| Colin Hung @Colin_Hung @npiercePhDRN T1 Agree there is need everywhere. Schools are often overlooked. Glad you highlighted it Nicole #hcldr |
 | Dr. David Tom Cooke @DavidCookeMD Everywhere. #Hcldr |
| D'Anna Holmes, CPXP @PoPculture_px @_HOBIC #hcldr and we have made it a standard of care to send parents home with high needs kids as well. Special needs moms are super heros but many find themselves doing things that in other setting would require 3 nurses to do #pterodactyl #pop #parentsofpatients |
| Joe Babaian 🇺🇦 @JoeBabaian @lauradianeappel @Colin_Hung Thank you for not just saying "we need" without mentioning the cost and access. So many these days are quick to say what we need to do as if that is the answer alone. It's a weak way to look smart. Tell me a solution that is complete vs just telling me what we need! Bravo! #hcldr |
| Alzheimer's Los Angeles @AlzheimersLA Imagine if nurses played more of a community outreach position, were able to go out into the community & serve people where they are instead of waiting for people to come to them. We'd change the entire care paradigm! #hcldr |
| Bingle @TheBingle RT @SandraWoodsMtl: Happy #hcldr day everyone! Just waving a quick hello, while waiting for a post-hike restaurant table🍁🍃🍂Spending a few days hiking in the mountains, with my better half, to celebrate our anniversary😁 https://t.co/YFbHlpjcCK |
| Colin Hung @Colin_Hung @_HOBIC T1 That's the concern with using laws to regulate ratios. Today hospitals have the need, but what happens when care shifts away from centralized locations to the home? #hcldr |
| Fred Goldstein @fsgoldstein 👏 👍#hcldr |
| Larry Gioia 🔠 @LGin412 @WheezyNurse @GraceCordovano @jhoronjeff I have a sneaking suspicion @GraceCordovano @jhoronjeff are up to lots of good on #hcldr tonight. 🍣🔠❤️✨ #ABCD #pinksocks #GetTheGifOut https://t.co/lL34w4BJat |
| Colin Hung @Colin_Hung @Zindoctor @astros @JoeBabaian Totally understand Michael. #hcldr |
 | Anne Saulovich 🇺🇦 @solete RT @DavidCookeMD: Everywhere. #Hcldr |
| Chelsea Friend @kiwifreund @BarbyIngle T1: I completely understand! One of my hospitals wouldn't allow me to bring my meds in. My response was that that was ridiculous, because I knew one particular med was $10k/month. Just say no to price gouging. #hcldr |
| Alzheimer's Los Angeles @AlzheimersLA We need more nurses. And also: we need to make those nursing services affordable to everyone. We often see costs for the patient go up as level of skill & care increase. #hcldr |
| Anne Saulovich 🇺🇦 @solete RT @wareFLO: IMO care-bots will help improve nursing ratio! I love the movie Robot & Frank. Despite silly subplots, wonderful depiction of relationship btwn carebot & an early stage dementia patient who is able to stay in their home b/c of their robot caregiver #HCLDR https://t.co/09nMM8RHxL |
| Alzheimer's Los Angeles @AlzheimersLA Especially as more people prefer to age in place. #hcldr https://t.co/P8mLDB89vl |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @npiercePhDRN Brings up a point I made earlier. States that refuse to adopt the Advance Nurse Compact make it impossible for #telehealth to health some of the most marginalized among us. Supply is restricted by impeding geographic licensure deficits #hcldr |
| Barby Ingle Official @BarbyIngle @TechNurseJon @kiwifreund Very true. I am just a complicated patient, not a typical hospital care situation as well when I find myself in there, so I would like extra eyes or more time with the nurses when needed. #hcldr |
| Anne Saulovich 🇺🇦 @solete RT @Colin_Hung: @Ptexp_RN_Cherri T1 That's the scariest part of the data. The number of nurses set to retire by 2020 is staggering #hcldr |
| Anne Saulovich 🇺🇦 @solete RT @TheBingle: @hcldr T1 Great nurses are needed everywhere. Most urgently I believe home care could help greatly with the whole Healthcare situation. And that includes helping meds dosages & even easing some loneliness #hcldr |
| Colin Hung @Colin_Hung @kiwifreund @BarbyIngle T1 That could be a whole chat in of itself. But a great point that we can't expect patients to bear the cost of extra care. We need to find savings and get more efficient #hcldr |
| Alzheimer's Los Angeles @AlzheimersLA @LGin412 @WheezyNurse @GraceCordovano @jhoronjeff [I'm just here in appreciation of that Fresh Prince GIF.] #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @TechNurseJon @kiwifreund @BarbyIngle Zap! #hcldr cc #pts like @MarkMilliganDPT and more that ADD so much to #Healthcare #PhysicalTherapy |
| Colin Hung @Colin_Hung RT @ShereesePubHlth: @npiercePhDRN Brings up a point I made earlier. States that refuse to adopt the Advance Nurse Compact make it impossible for #telehealth to health some of the most marginalized among us. Supply is restricted by impeding geographic licensure deficits #hcldr |
| Alzheimer's Los Angeles @AlzheimersLA Cookie cutter solutions don't work for everyone. Healthcare has to be tailored to individual & community needs. #hcldr https://t.co/C9ZQkep9wJ |
| Nicole L. Bohr, PhD, RN @nbohrPhDRN @ShereesePubHlth Excellent point! It just makes disparities in care and outcomes more prevalent - we need to ensure equal access to all. #hcldr |
| HCLDR Moderator @hcldr An amazing T1 discussion. Let’s get ready for T2 in just 1 minute #hcldr |
| Bingle @TheBingle T1 My point of Nurses helping at home was actually expressed well on TV tonight. If a Nurse was visiting The Conners then perhaps RoseAnne would have lived. The Opioids would've been found by a Nurse. #hcldr |
| Chelsea Friend @kiwifreund @BarbyIngle @TechNurseJon I had to remember a lot after each brain surgery. Thank goodness anesthesia doesn't hang out in my body long. I was writing my output on my whiteboard for the nurses. #hcldr |
 | Wes Wilson @WesleyWilson Wes here, joining in late today after a meeting... ready for T2... #hcldr |
| Colin Hung @Colin_Hung @AlzheimersLA T1 Laws can be good, but often when they are used to address a systemic problem like this, it causes an equal amount of headache compared to the problem the law is trying to solve #hcldr I want more nurses too, but stipulating the ratio without flexibility seems bad |
| HCLDR Moderator @hcldr T2 Should nurse-to-patient staffing ratios be mandated? Why or why not? #hcldr https://t.co/QRMXkxSO1R |
 | Reinhart Gauss @ReinhartG RT @wareFLO: IMO care-bots will help improve nursing ratio! I love the movie Robot & Frank. Despite silly subplots, wonderful depiction of relationship btwn carebot & an early stage dementia patient who is able to stay in their home b/c of their robot caregiver #HCLDR https://t.co/09nMM8RHxL |
| D'Anna Holmes, CPXP @PoPculture_px @npiercePhDRN T1: had to go to war with #dallasisd over this very point! The nursing director for the district told me I had to prove that my son would get brain damage if his trach came out and he couldn’t breathe for more than 2mins 🤦🏾♀️. #hcldr #pop #parentsofpatients #sped |
| Fred Goldstein @fsgoldstein So true, Having seen hospitals in Miami versus rural Missouri to California, there are differences in units, patient mix, physician approach. family involvement, staff, workload, err... You name it. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @fsgoldstein: So true, Having seen hospitals in Miami versus rural Missouri to California, there are differences in units, patient mix, physician approach. family involvement, staff, workload, err... You name it. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @hcldr: T2 Should nurse-to-patient staffing ratios be mandated? Why or why not? #hcldr https://t.co/QRMXkxSO1R |
| Joe Babaian 🇺🇦 @JoeBabaian RT @TheBingle: T1 My point of Nurses helping at home was actually expressed well on TV tonight. If a Nurse was visiting The Conners then perhaps RoseAnne would have lived. The Opioids would've been found by a Nurse. #hcldr |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO @AlzheimersLA Love the concept! > Goldie Nejat creates helpers for helpers: Nejat's passion for engineering and healthcare led her to the study of assistive robots https://t.co/Q46rrSW6Qy #HCLDR https://t.co/3AHzoiLTKa |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba T2 In most states they are and that a good thing. In DC, for example, nurse case managers can't have more than 40 patients to whom they're assigned monthly. It keeps patients safe and nurses healthy & focused #hcldr #patientchat |
| Colin Hung @Colin_Hung @fsgoldstein T1 There is no magic formula, which is why many states have opted for public reporting of ratios versus mandatory ratios. Not perfect, but at least the problems are now highlighted #hcldr |
 | Mariah Obiedzinski @MariahWrites RT @hcldr: T2 Should nurse-to-patient staffing ratios be mandated? Why or why not? #hcldr https://t.co/QRMXkxSO1R |
| Barby Ingle Official @BarbyIngle T2. If ratios are not mandated hospitals & surgical centers will go w the less staffing 2 save money. I already know multiple locations who have a few nurses or PA's on staff & use temps to fill n when the PT load is high, Sometimes its unexpected & not enough staff/nurses #hcldr |
| Ted Chan @upwardmobility T2 #hcldr The US healthcare system is in desperate need of care model innovation. I’m opposed to anything like staffing restrictions that is a top-down mandate in the way care is delivered. We should be mapping care deliver to value, quality, and patient needs. |
| Wes Wilson @WesleyWilson @hcldr To an extent I think yes. If we concede teachers can only look after and effectively teach a max amount of students and have ratios on that, it only makes sense to think that there is a max out of patients that can be properly cared for. 1/2 #hcldr |
| International Pain Foundation® @iPainOfficial RT @BarbyIngle: T2. If ratios are not mandated hospitals & surgical centers will go w the less staffing 2 save money. I already know multiple locations who have a few nurses or PA's on staff & use temps to fill n when the PT load is high, Sometimes its unexpected & not enough staff/nurses #hcldr |
| Jennifer Michelle, MPH (she) @MMSJennifer T1: We have been brainwashed into thinking there is not enough money to fund our healthcare system. They’re absolutely is but we keep being told we can’t access it. We should have the staffing we need. Whether that is a specific staffing ratio, though, I can’t say. #hcldr |
| Chelsea Friend @kiwifreund T2: Ratios. It's tough. I read up on them, and I feel them when I know someone is assigned 6 patients and it's a neuro surgical floor and I'm one of the patients. But mandating isn't always the solution. #hcldr |
 | Kistein Monkhouse, MPA @KisteinM Hi #hcldr friends... @Colin_Hung you are missed! Catch you next time🏥 #pinksocks |
 | Ñick van Terheyden, MD -Dr Ñiçk 🇺🇸🇬🇧🇮🇪🇳🇬🌍 @drnic1 Hey @TwitterSupport - how is that you refuse to take down an account that steals my picture and identity? #hcldr #hitsm |
| Peggy White, RN, MN, FCAN @_HOBIC T2. This is a complex question. Mandated staffing has resulted in improved outcomes but could this be achieved without mandates and allow for more flexibility in staffing. Nurse leader at the senior table have to balance cost and quality and make others understand #hcldr |
| Colin Hung @Colin_Hung @BarbyIngle T2 Totally can see that Barby. I wonder if the public reporting of quality and outcomes could balance that short-sighted tactic of cutting nurses. When you do, pt outcomes goes down. Seems that they'll reap what they sow? #hcldr |
| Wes Wilson @WesleyWilson @hcldr but as @Colin_Hung has mentioned, there needs to be flexibility and more so, there needs to be evidence based approaches to each type of care. The ratio in one specialty may not be sufficient or appropriate for another area of care 2/2 #hcldr |
| Bingle @TheBingle T1 Sometimes the Nurses give the Doctor insight & direction. I remember it well. Oh, and if patient has question about Drs. being good or bad... Ask the Head Nurse! #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @_HOBIC: T2. This is a complex question. Mandated staffing has resulted in improved outcomes but could this be achieved without mandates and allow for more flexibility in staffing. Nurse leader at the senior table have to balance cost and quality and make others understand #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @kiwifreund: T2: T2: Ratios. It's tough. I read up on them, and I feel them when I know someone is assigned 6 patients and it's a neuro surgical floor and I'm one of the patients. But mandating isn't always the solution. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @MMSJennifer: T1: T1: We have been brainwashed into thinking there is not enough money to fund our healthcare system. They’re absolutely is but we keep being told we can’t access it. We should have the staffing we need. Whether that is a specific staffing ratio, though, I can’t say. #hcldr |
| D'Anna Holmes, CPXP @PoPculture_px T2: I am more concerned about the skill level of the nurse than the ratio... I’ve seen 1 nurse almost take a whole unit alone and had two dedicated nurses not remember my son had a deadly allergy to versed. Thank God he was vented and kept breathing. #hcldr #ptexp #pop |
| Ted Chan @upwardmobility T2: I suspect open innovation will lead to way more nurses and clinical informatics support staff, with physicians focused more on high leverage task. I know, sounds crazy, right? #hcldr |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO From an industrial engineering perspective, nursing ratios are decision variables in mathematical functions that calculate/predict such things as estimated levels of morbidity & mortality. These need to be optimized for each different context & local #HCLDR |
 | PF Anderson @pfanderson@disabled.social @pfanderson RT @BarbyIngle: T1. I think hospitals are the biggest need. So many times in the hospital stays I have had, There is one nurse for 5-6 patients and I see them 2 times a shift maybe. My husband or a friend comes up to help me because the nurses are not around enough #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @ColtonOrtolf The restrictions are to ensure awake & alert caregivers for patients and lessen episodes of burnout for nurses. This is already in place in some states and has been for a while. #HCLDR |
| Chelsea Friend @kiwifreund RT @PoPculture_px: T2: T2: I am more concerned about the skill level of the nurse than the ratio... I’ve seen 1 nurse almost take a whole unit alone and had two dedicated nurses not remember my son had a deadly allergy to versed. Thank God he was vented and kept breathing. #hcldr #ptexp #pop |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @MMSJennifer: T1: T1: We have been brainwashed into thinking there is not enough money to fund our healthcare system. They’re absolutely is but we keep being told we can’t access it. We should have the staffing we need. Whether that is a specific staffing ratio, though, I can’t say. #hcldr |
| Jon @TechNurseJon @hcldr T2. #hcldr I'm not familiar with the details of existing and proposed legislation on staffing ratios, but typically what happens when we try to legislate a solution in most industries is that we are left with a lot of good intentions. |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @kiwifreund: T1: T1: I always, always feel the shortage when I am in the hospital, short-term and long-term. Home care is another area that suffers - but that also has to do with patient ability to pay. #hcldr |
| Bingle @TheBingle @Colin_Hung @kiwifreund @BarbyIngle T1 A lot of savings could be had by getting prescription drugs outside of a hospital setting. Just saying. #hcldr |
| Laura Appel @lauradianeappel Surprising graph in Midern Healthcare today re nurse supply and demand. #hcldr https://t.co/LL7LyqIpLG |
| Ken Taylor, RPIC @KenRayTaylor T2: I think it should be mandated to keep a fine balance. Nobody wants an overworked nurse trying to do it all. At the same time the cost can get out of hand quickly if there are to many nurses on duty with no patients to care for. #hcldr |
| Colin Hung @Colin_Hung @WesleyWilson @hcldr ...and it ignores technology. @nyphospital for example is building a NASA-like patient monitoring center that uses AI + skilled staff to monitor patients in a central location. When they see something wrong they notify nursing station in real time. #hcldr Mandatory ignores this |
| HCLDR Moderator @hcldr Repeating T2 Should nurse-to-patient staffing ratios be mandated? Why or why not? #hcldr https://t.co/4WwvxPvQUG |
| International Pain Foundation® @iPainOfficial RT @KenRayTaylor: T2: T2: I think it should be mandated to keep a fine balance. Nobody wants an overworked nurse trying to do it all. At the same time the cost can get out of hand quickly if there are to many nurses on duty with no patients to care for. #hcldr |
 | Ashley Ashbee @ashley_ashbee @PoPculture_px T2: I'm so sorry you went through that. Good to remember that burnout is only one factor that can influence this kind of error. Thanks for sharing and hello, everyone. #HCLDR |
| Fred Goldstein @fsgoldstein Its there, its just being spent on waste, fraud and abuse and other inefficiencies… #hcldr 1/2 |
| Jennifer Michelle, MPH (she) @MMSJennifer @PoPculture_px @npiercePhDRN What????? That’s unbelievable. Ugh. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @kiwifreund This has been going on for a very long time. When my son was in a hospital, over a decade ago, we were warned to stay close, that patients with family there receive better care & have better outcomes because staffing levels can't be guaranteed. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @Colin_Hung: Should be a really interesting chat tonight on #hcldr Our topic = "Nurse Ratios + Healthcare" https://t.co/P417IYFOVu Join us at 8:30pm ET and bring your thoughts on how this is/isn't a good idea https://t.co/23mwE3kQBb |
 | Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl Hiiiiiiii, #hcldr. Laurel in Orlando. What up. |
| Colin Hung @Colin_Hung @ColtonOrtolf T2 I think that's the sad truth. $$$ are finite. Forcing people to pay for something in one area means either cutting something (common) or finding ways to become more efficient (harder). Ratios are important to monitor but mandatory? I'm not sure. #hcldr |
 | Colton Ortolf @ColtonOrtolf @ShereesePubHlth I agree that in the current model mandated staffing ratios will do good for patients. But it is also a step further into the abyss of our current care models. Why not just have mandates around specific outcomes or measurable metrics and force providers to be creative? #hcldr |
| Ted Chan @upwardmobility @ColtonOrtolf That’s exactly right. It’s crazy what we have physicians, who have CEO type salaries doing. And they are things that might be interesting for a nurse. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @PoPculture_px: @npiercePhDRN T1: @npiercePhDRN T1: had to go to war with #dallasisd over this very point! The nursing director for the district told me I had to prove that my son would get brain damage if his trach came out and he couldn’t breathe for more than 2mins 🤦🏾♀️. #hcldr #pop #parentsofpatients #sped |
| Bingle @TheBingle @TechNurseJon @hcldr T2 A lot of BS is in intentions. And as far as intentions go: Look to US Congress and The Lobbyists who hang around..... with good intentions of course. #hcldr |
 | Rich g Kenny, MMCi, RN @richkrn @ColtonOrtolf I agree with Colton here. Gains can be had by simply honing the nurses responsibilities on what they signed up to do in the first place... care for patients. Get nurses the admin support and enhance usability of tech systems and the concern about ratios goes away. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @PoPculture_px @npiercePhDRN That's absolutely horrifying. Where were they trained that they hadn't heard about oxygen deprivation impacts on the brain? #hcldr |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba T2 Many healthcare organizations also now recognized work-life balance as a vital part of their #CSR policy structure. Limiting the number of patients assigned to a nurse ensures the value of the nurse & the safety of the patient #hcldr https://t.co/7rm9p3DrXh |
| Jennifer Michelle, MPH (she) @MMSJennifer RT @WesleyWilson: @hcldr To an extent I think yes. If we concede teachers can only look after and effectively teach a max amount of students and have ratios on that, it only makes sense to think that there is a max out of patients that can be properly cared for. 1/2 #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @hcldr: Repeating T2 Should nurse-to-patient staffing ratios be mandated? Why or why not? #hcldr https://t.co/4WwvxPvQUG |
| D'Anna Holmes, CPXP @PoPculture_px @cartooninperson Agreed! Burnout is a serious issue and it is not being taken as seriously as it should. #hcldr |
| Chelsea Friend @kiwifreund @pfanderson I understand. I am a fierce advocate for friends and family when needed because I know how sucky it is flying solo. #hcldr |
| Ted Chan @upwardmobility T2: There’s also cost and resourcing saving innovation in the pipeline that saves labor or move work offsite (eg remote patient monitoring). Staffing requirements are a barrier that’s not needed when we should be focused on outcomes and value. #hcldr |
| Fred Goldstein @fsgoldstein Here is 2/2 #HCLDR https://t.co/4WpQlW5A5j |
| Joe Babaian 🇺🇦 @JoeBabaian RT @Colin_Hung: @ColtonOrtolf T2 I think that's the sad truth. $$$ are finite. Forcing people to pay for something in one area means either cutting something (common) or finding ways to become more efficient (harder). Ratios are important to monitor but mandatory? I'm not sure. #hcldr |
| Rich g Kenny, MMCi, RN @richkrn RT @lauradianeappel: Surprising graph in Midern Healthcare today re nurse supply and demand. #hcldr https://t.co/LL7LyqIpLG |
| Colin Hung @Colin_Hung @pfanderson @kiwifreund T2 Boom! You hit it on the head Patricia. The issue to me isn't the number of nurses it's the attention each patient is given. I'd take fewer nurses if they are paid better, had more time away, got mental health benefits and loved their work over extra nurses burned out #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @hcldr: Repeating T2 Should nurse-to-patient staffing ratios be mandated? Why or why not? #hcldr https://t.co/4WwvxPvQUG |
| Joe Babaian 🇺🇦 @JoeBabaian RT @KenRayTaylor: T2: T2: I think it should be mandated to keep a fine balance. Nobody wants an overworked nurse trying to do it all. At the same time the cost can get out of hand quickly if there are to many nurses on duty with no patients to care for. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @lauradianeappel: Surprising graph in Midern Healthcare today re nurse supply and demand. #hcldr https://t.co/LL7LyqIpLG |
| Bingle @TheBingle @ColtonOrtolf @ShereesePubHlth The Providers give all you need..... I've heard that before Dr. #hcldr |
| Jennifer Michelle, MPH (she) @MMSJennifer @fsgoldstein Yes, that’s a large part of the problem. #hcldr |
| D'Anna Holmes, CPXP @PoPculture_px @pfanderson @npiercePhDRN This was an actual BS RN... let’s just say I ended up on the news after that #Hcldr #pop #parentsofpatients |
| Fred Goldstein @fsgoldstein Yes perhaps a combination of telemedicine, micro hospitals and other approaches to help #hcldr |
 | burtrosen 🟦 @burtrosen RT @GraceCordovano: Waving hello to all our #hcldr friends from #Boston! #pinksocks #SPM2018 https://t.co/H7989pVS1C |
| PF Anderson @pfanderson@disabled.social @pfanderson @hcldr Any way this question is answer is a lose-lose situation. If you don't have defined ratios, economics pushes for unworkable staffing situations. If you do have them, then they adhere inflexibly to the rules/guidelines without adjusting to special scenarios. #hcldr |
| Bingle @TheBingle @pfanderson @kiwifreund And that's a sad statement. #hcldr |
| Colin Hung @Colin_Hung @lauradianeappel Thanks for sharing that Laura. So true that the distribution of nurses and the need for nurses isn't the same in all states. The more rural ones are having trouble filling slots b/c everyone wants to work in bigger cities/warmer climates #hcldr |
 | Tom Castles @theTomCastles RT @TheNathanHuet: I prefer “guest” to “customer” or “patient”. #hcmktg #HITsm #PatientExperience #hcldr #HCLDR #healthcare |
| Jennifer Michelle, MPH (she) @MMSJennifer @pfanderson @kiwifreund That is appalling. #hcldr |
| Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl I'm not too informed on tonight's topic so I think it'll be a lurky night for me, other than to say that when people are spread to thin, they miss things. They're human. It happens. But in healthcare, when things get missed, sometimes people die. So. #hcldr |
 | IrmaRaste ✨ InfluenceThroughStorytelling™ @IrmaRaste RT @wareFLO: Chuck! Host of #HealthSystemsChat in #SocialVR (1PM ET Thu during #Connect2Health, topic = Balancing Tech & Humanity), here for #HCLDR! https://t.co/sLk7cRBGEf |
| PF Anderson @pfanderson@disabled.social @pfanderson @kiwifreund Flying solo in the hospital is an exercise in powerlessness, loneliness, worry/fear, and a sense of being abandoned. #hcldr |
| D'Anna Holmes, CPXP @PoPculture_px @ShereesePubHlth I feel like a lot of organizations are talking the talk but still have many policies in place that punish people for trying to have work life balance. #HCLDR |
| HCLDR Moderator @hcldr Really interesting tweets on #hcldr right now. Let’s get ready for T3 in just 1 minute! |
| Fred Goldstein @fsgoldstein Good point @Colin_Hung, at Naryana health in India they designed their ICU IT system with direct input from staff, reduced LOS 1.5 days. That saves on nursing too. #hcldr |
| Wes Wilson @WesleyWilson @upwardmobility not necessarily, budget cuts have seen nursing staff drop and struggle to cope with demand. we have the ability to do what you are saying now, but not the capital/will to hire that staff. physicians are more bogged down /w paper work than duties they arent trained for #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @Colin_Hung: @pfanderson @kiwifreund T2 Boom! You hit it on the head Patricia. The issue to me isn't the number of nurses it's the attention each patient is given. I'd take fewer nurses if they are paid better, had more time away, got mental health benefits and loved their work over extra nurses burned out #hcldr |
| Colin Hung @Colin_Hung @TechNurseJon @hcldr T2 Agreed. It happened with teachers. At one point they mandated teacher/student ratios. Good intention...until schools stopped accepting students b/c they had no more classrooms for the smaller classes...and the board ran out of money to hire the extra teachers #hcldr |
| Mariah Obiedzinski @MariahWrites RT @hcldr: Really interesting tweets on #hcldr right now. Let’s get ready for T3 in just 1 minute! |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO @_HOBIC That's my point. Not only should nursing ratios according to care context & venue, but dynamically over time. One way to do this is with some form of model whose parameters can be updated moment by moment (tho more difficult than it sounds, but the principle is sound) #HCLDR https://t.co/UxlM7RHsum |
| HCLDR Moderator @hcldr T3 What could healthcare leaders do to help the nursing situation if not through mandatory ratios? #hcldr https://t.co/c5YrgbY8tL |
| Bingle @TheBingle @MMSJennifer Look uo some of the top salaries of NIH/CDC others and then you'll see much waste & inefficiency in every aspect of Healthcare.... including research. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @Colin_Hung @kiwifreund Well said, Colin. Here. we recently almost had a nurses strike because of ratio issues. https://t.co/L5oLlOjyGB It's hard. #hcldr |
| Colin Hung @Colin_Hung @PoPculture_px @npiercePhDRN What?! #hcldr |
 | Janet Kennedy @GetSocialHealth @hcldr Mandate one thing, lose something else. #HCLDR |
| Laura Appel @lauradianeappel Having worked in legislative policy for 30 years I can decisively say that legislatures do not make nuanced patient care decisions. Eg check our your state’s new laws opiate prescribing...#hcldr |
| Fred Goldstein @fsgoldstein Whats the right number, a floor, a midpoint, what about case mix, rural versus quaternary care hospital, do we set a ton of them? #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @PoPculture_px @npiercePhDRN I'm sitting here shaking my head in disbelief. #hcldr |
| Wes Wilson @WesleyWilson @Ptexp_RN_Cherri agreed, I've been saying the same thing #hcldr |
| IrmaRaste ✨ InfluenceThroughStorytelling™ @IrmaRaste RT @GraceCordovano: Honored to be representing the patient & carepartner's voice as one of the expert judges for this year's Health Tech Standout! Competition at #CHC18 #Connect2Health Looking forward to hearing all the finalists tomorrow! I have my questions ready 🤓 🎯 #hcldr #pinksocks |
| PF Anderson @pfanderson@disabled.social @pfanderson @TheBingle @kiwifreund Exactly. And it was clearly a warning, not an FYI. #hcldr |
| Ted Chan @upwardmobility @Ptexp_RN_Cherri Along with what technology we support nurses with, whether we equip and empower them with leadership responsibility. #hcldr |
| IrmaRaste ✨ InfluenceThroughStorytelling™ @IrmaRaste RT @wareFLO: A year after launching Epic, UMass Memorial will update its electronic records https://t.co/b5nJYqIPZ3 #HITsm #HCLDR #Connect2Health #SPM2018 #VoiceDotHealth #HealthSystemsChat |
| Barby Ingle Official @BarbyIngle T3. Patients can push for better and proper access to timely care and tools between appts/hospital stays, share r stories of bad situations so that public becomes aware & provides societal solutions so nurses and HCP's dont get overwhelmed leading to better care longterm #hcldr |
| Fred Goldstein @fsgoldstein Can’t remember the physician who said it, but at a # of conferences he mentioned he counted the # of people coming into his mom’s room over the 3 or 4 days. It was like 60 something!! Thats a lot of attention.. #hcldr |
| Colin Hung @Colin_Hung @pfanderson @kiwifreund T2 There are valid concerns on both sides of the argument. The status quo isn't working. More nurses is one answer, but is it the only one? And no one really talks about the cost. Nurse unions underestimate. Opponents over estimate. Hard to know #hcldr |
| Ted Chan @upwardmobility @Ptexp_RN_Cherri T2: The single most inspiring speaker I have heard and quite possibly the best leader is @MadelineSBell, who started off as a nurse. #hcldr |
| Laura Appel @lauradianeappel @Colin_Hung @pfanderson @kiwifreund T2 And those nurses are making decisions and in control of providing nursing care; adjusting as needed throughout the day/night/shift. #hcldr |
| Peggy White, RN, MN, FCAN @_HOBIC T3. Need strong leaders at the table to advocate for nurses and bring evidence to practice setting. Also need to provide leadership related to defining nursing role and what can be done by others such as admin assistants #hcldr |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO BTW, this is not arguing that some sort of master formula should tell everyone what to do. The value of the formula is to inform design of the IT systems that will include decision variables representing individual nurse preferences and so on #HCLDR |
| Bingle @TheBingle Fascinating. Nurses are the backbone of a hospital. #hcldr |
| International Pain Foundation® @iPainOfficial RT @BarbyIngle: T3. Patients can push for better and proper access to timely care and tools between appts/hospital stays, share r stories of bad situations so that public becomes aware & provides societal solutions so nurses and HCP's dont get overwhelmed leading to better care longterm #hcldr |
| Colin Hung @Colin_Hung RT @hcldr: T3 What could healthcare leaders do to help the nursing situation if not through mandatory ratios? #hcldr https://t.co/c5YrgbY8tL |
| PF Anderson @pfanderson@disabled.social @pfanderson @MMSJennifer @kiwifreund When anyone in my family is in the hospital, I try to be with them every second. When my son was in the hospital last March, I only left him for 1 hour out of 3 days. I only slept 7-8 hrs total in the same 3 days. It was a safe feeling at the time. #hcldr |
| Colin Hung @Colin_Hung RT @_HOBIC: T3. Need strong leaders at the table to advocate for nurses and bring evidence to practice setting. Also need to provide leadership related to defining nursing role and what can be done by others such as admin assistants #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @pfanderson: @MMSJennifer @kiwifreund When anyone in my family is in the hospital, I try to be with them every second. When my son was in the hospital last March, I only left him for 1 hour out of 3 days. I only slept 7-8 hrs total in the same 3 days. It was a safe feeling at the time. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @pfanderson @MMSJennifer @kiwifreund yes. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @Colin_Hung: @pfanderson @kiwifreund T2 There are valid concerns on both sides of the argument. The status quo isn't working. More nurses is one answer, but is it the only one? And no one really talks about the cost. Nurse unions underestimate. Opponents over estimate. Hard to know #hcldr |
| D'Anna Holmes, CPXP @PoPculture_px @npiercePhDRN Are you my true spirit animal?! I was going to say nursing(leadership) can roll their sleeves up and get to work. I’ve sat back to many times and watched nursing leaders and admin leaders sit back while the bedside is drowning! #hcldr #ptexp #nurseexperience |
| IrmaRaste ✨ InfluenceThroughStorytelling™ @IrmaRaste RT @Colin_Hung: A special welcome to all #hcldr #pinksocks #HITsm #HITMC friends in or heading to Boston for #connect2health #SPM2018 #CHC18 #MDCIO2018 https://t.co/mFcC0SjSRM |
| IrmaRaste ✨ InfluenceThroughStorytelling™ @IrmaRaste RT @wareFLO: New DirectTrust CEO Sees Potential for Applying its Trust Framework in Other Healthcare Contexts https://t.co/oc2vxF2sP8 #HITsm #HCLDR #Connect2Health #SPM2018 #VoiceDotHealth #HealthSystemsChat |
| Fred Goldstein @fsgoldstein Nice point that’s a tough one, float people, call in, tough to do.. #hcldr |
| D'Anna Holmes, CPXP @PoPculture_px I do the same thing! I almost sleep with my eyes open! 👀 #Hcldr #pop #parentsofpatients |
| Chelsea Friend @kiwifreund T3: #1 complaint of nurses: inability to take a bathroom break - for 12.5 hours. Think about all that that implies. I don't have solutions, but that should raise questions. #hcldr |
| Rich g Kenny, MMCi, RN @richkrn T3 #hcldr look at experience. Turnover is a huge cost, apps 100k to replace a Nurse considering overtime, contract labor, recruitment, training, loss productivity. What if we applied the same rigor of customer experiences to the nurses? |
 | 💬Jen Horonjeff | #askpatients @jhoronjeff @LGin412 @WheezyNurse @GraceCordovano You know how we do. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @JoeBabaian @MMSJennifer @kiwifreund Oops. It was NOT a safe feeling. Typo. I was very much afraid of what would or would not happen if I was not awake to advocate for him whenever anyone else was in the room. He was in no condition to advocate for himself. #hcldr |
| Colin Hung @Colin_Hung T3 YES!!! @npiercePhDRN Well said. Nurses need support as do docs. It's time healthcare leaders realize what manufacturers learned in the 80s - that you can't treat people like cogs. If you support them everyone wins - especially patients #hcldr |
| Fred Goldstein @fsgoldstein Important issue. Being there improves their care, I have identified things the nurses and doctors missed, seen crazy behavior by staff, and watched errors occur.. #hcldr |
| Colin Hung @Colin_Hung @PoPculture_px @npiercePhDRN LOL. Love your "spirit animal" statement #hcldr |
| Peggy White, RN, MN, FCAN @_HOBIC T3 need review of what nurses are documenting - a lot of time spent on this and not all information used- often we are collecting information for others. Focus on nurses asking information that adds value to their practice. This work is occurring in Canada and US #hcldr |
| HCLDR Moderator @hcldr Repeating T3 What could healthcare leaders do to help the nursing situation if not through mandatory ratios? #hcldr https://t.co/KIVfAqOq5J |
| Colin Hung @Colin_Hung RT @kiwifreund: T3: #1 complaint of nurses: T3: #1 complaint of nurses: inability to take a bathroom break - for 12.5 hours. Think about all that that implies. I don't have solutions, but that should raise questions. #hcldr |
| Ken Taylor, RPIC @KenRayTaylor T3: Education and awareness is always a great thing to keep on top of. Being well rounded on many subjects can prevent common mistakes. Learning new technology is never ending. #hcldr |
| 💬Jen Horonjeff | #askpatients @jhoronjeff Challenge accepted. #hcldr #SPME2018 |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO @npiercePhDRN @_HOBIC This is of considerable discussion on the annual Health Systems Process Improvement Conference (#HSPI2018 #HSPI2019 https://t.co/xROzscTPi8). Some interesting ideas involving wearables, #IoT, #RTLS (Real-Time Location Systems), & workflow tech... #HCLDR https://t.co/3xYRnGCfsV |
| Colin Hung @Colin_Hung @fsgoldstein T3 I think in California they call them "break nurses" that literally float from unit to unit just to help maintain ratios while nurses take breaks. #hcldr |
| International Pain Foundation® @iPainOfficial RT @KenRayTaylor: T3: T3: Education and awareness is always a great thing to keep on top of. Being well rounded on many subjects can prevent common mistakes. Learning new technology is never ending. #hcldr |
| Ted Chan @upwardmobility @WesleyWilson T2 Nurses sit at a weird breakpoint infer for service models. Precisely because they can do things cost effectively they are always revenue maximizing. #hcldr |
| Laura Appel @lauradianeappel T3 Similar to what @wareFLO said about continual adjustments...maybe some #AI help to staff for acuity based on #patient history and #diagnosis. And of course, give people more time to care. #hcldr |
 | Savvy Puppets @savvypuppets @JoeBabaian @Colin_Hung We hope to someday have access to our own cellphone so we can tweet unsupervised. We need our independence! #hcldr |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Dynamic detection of workflow bottlenecks and transmission of options for useful action. See, for example, @TeleTracking #HCLDR |
 | Aurelia Cotta @AureliaCotta T2: Staff numbers have been cut very deeply for 20-odd years. Nurses, RNAs, cleaning staff, and paperwork has exploded, but we do have 10xs more VPs in charge of hospital whatever crap #hcldr YES HIRE MORE NURSES, pay for it by firing 75% of the admin and PR and billing/insurance |
| Bingle @TheBingle @Colin_Hung @pfanderson @kiwifreund Quite honestly there are some great nurses that are dedicated and involved with each patient. They do deserve a bit more. Not sure that could be accomplished.... #hcldr |
| Ted Chan @upwardmobility @WesleyWilson T2 Innovation driven, value-based and/or consumer centric players can’t hire them fast enough. #hcldr |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO RT @lauradianeappel: T3 Similar to what @wareFLO said about continual adjustments...maybe some #AI help to staff for acuity based on #patient history and #diagnosis. And of course, give people more time to care. #hcldr |
| Colin Hung @Colin_Hung @npiercePhDRN @kiwifreund T3 Hearing this it's not surprising that nurses everywhere are clamoring for support - and for more nurses to be hired. But that's like throwing people at the problem. More nurses doesn't fix that the organizations lack support for nurses #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @richkrn @ColtonOrtolf As long as the ratios are actually POSSIBLE ones. I've seen situations in nursing homes where there was one nurse per floor per shift, w/ patients who required 2 nurses to get to the bathroom, no one allowed to leave their floor. Patients had to wait >8 hrs to pee. #hcldr |
| Colin Hung @Colin_Hung @savvypuppets @JoeBabaian Puppets need phones too! #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @PoPculture_px: @npiercePhDRN Are you my true spirit animal?! I was going to say nursing(leadership) can roll their sleeves up and get to work. I’ve sat back to many times and watched nursing leaders and admin leaders sit back while the bedside is drowning! #hcldr #ptexp #nurseexperience |
 | Matthew Katz, MD 🟦 @subatomicdoc RT @hcldr: T3 What could healthcare leaders do to help the nursing situation if not through mandatory ratios? #hcldr https://t.co/c5YrgbY8tL |
| Fred Goldstein @fsgoldstein Yes @ColtonOrtloft! Fully implemented they will have healthier patients and need fewer of all types of caregivers… :) #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @kiwifreund: T3: #1 complaint of nurses: T3: #1 complaint of nurses: inability to take a bathroom break - for 12.5 hours. Think about all that that implies. I don't have solutions, but that should raise questions. #hcldr |
| D'Anna Holmes, CPXP @PoPculture_px @Colin_Hung @fsgoldstein Can I please get a break #pop #parentsofpatients ...no seriously that is such a good concept. Is that a state mandate? #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @fsgoldstein: Important issue. Being there improves their care, I have identified things the nurses and doctors missed, seen crazy behavior by staff, and watched errors occur.. #hcldr |
| Savvy Puppets @savvypuppets @Colin_Hung @JoeBabaian We know, right?! #hcldr |
| Ted Chan @upwardmobility @Ptexp_RN_Cherri Do you think nurses could and should be more demanding in asking for leadership/mgt roles? And is the issue gendered? #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @Colin_Hung: @fsgoldstein T3 I think in California they call them "break nurses" that literally float from unit to unit just to help maintain ratios while nurses take breaks. #hcldr |
| Colin Hung @Colin_Hung @pfanderson @richkrn @ColtonOrtolf T3 Wow. Just wow. Something needs to be done, but here is where I think public shaming of those types of facilities can be more effective and doesn't penalize those that are doing it well #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @Colin_Hung: @npiercePhDRN @kiwifreund T3 Hearing this it's not surprising that nurses everywhere are clamoring for support - and for more nurses to be hired. But that's like throwing people at the problem. More nurses doesn't fix that the organizations lack support for nurses #hcldr |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO One of the values of mathematical models of healthcare operations is that they can be used to say, look, we cannot, even in principle, do more with less. We've hit a hard constraint wall. Either rethink everything, or give us more resources #HCLDR |
| Wes Wilson @WesleyWilson @AureliaCotta it also helps if we could STOP cutting healthcare spending... the problem is getting worse and we are told nursing budgets are smaller and smaller... its one thing to say keep doing what your doing with less, its another to say, fix this problem with less... #hcldr |
| Bingle @TheBingle T3 At very top in USA the leaders could stop taking private jets to conferences. At lower levels saving money could provide more Nurses. #hcldr |
| Colin Hung @Colin_Hung @PoPculture_px @fsgoldstein T3 It was the way hospitals found to comply with the mandatory ratios while allowing nurses to take breaks. It seems a little ridiculous since the break nurse doesn't really know the patients on the ward BUT at least nurses can take a break #hcldr small win? |
| HCLDR Moderator @hcldr Almost time for our final question. Let’s get ready for T4 in just 1 minute! #hcldr |
| Fred Goldstein @fsgoldstein T3 listen, spend time on the floor, in the exam room, at the home health visit, etc. with the staff. See what they see, learn what they do. Then make appropriate changes. #hcldr |
 | Benjamin Isgur @bisgur T3: Failure to retain nurses is costly. From #HRI research 10 years ago (numbers much higher now). Every percentage point increase in turnover costs hospitals $300K annually. Hospitals that perform poorly in nurse retention spend $3.6M more than high performers. #hcldr |
| Bingle @TheBingle @Colin_Hung @pfanderson @npiercePhDRN @kiwifreund T3 Agreed. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @Colin_Hung @richkrn @ColtonOrtolf Hey, that was the BEST rated nursing home in the region. Absolutely the best, and by far. But the nurses shamed the patients for peeing in the bed, and the patients blamed the nurses for not helping them get out of bed to the bathroom. Real problem was managerial #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @bisgur: T3: T3: Failure to retain nurses is costly. From #HRI research 10 years ago (numbers much higher now). Every percentage point increase in turnover costs hospitals $300K annually. Hospitals that perform poorly in nurse retention spend $3.6M more than high performers. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @fsgoldstein: T3 listen, spend time on the floor, in the exam room, at the home health visit, etc. with the staff. See what they see, learn what they do. Then make appropriate changes. #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @hcldr: Almost time for our final question. Let’s get ready for T4 in just 1 minute! #hcldr |
| Ted Chan @upwardmobility T3: I would like healthcare leader to recognize the rich potential for nurses to drive more value by investing more to get them to leadership/management roles. What a rich pool of clinical leaders. #hcldr. Use tech and enhanced workforce to meet patient needs for quality/value. |
| HCLDR Moderator @hcldr T4 What technology, process or workflow solution could help nurses give the best care possible to patients? #hcldr https://t.co/lIhqvvYWb0 |
| Aurelia Cotta @AureliaCotta Get rid of private insurers. 35% of the cost of health insurance is overhead+profit compared to 2% for medicare/medicaid. Make it all non-profit. Same in Ontario btw admin and supervisors, directors, overhead is out of control. Too many managers, not enough front line. #hcldr |
| Colin Hung @Colin_Hung @TheBingle You and @AureliaCotta are correct that there is waste that can be taken out of healthcare - waste that can go back to things like more nurses, more social work staff, etc. There is a lot of overhead that could be eliminated. Let's create laws around THAT #hcldr |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO @fsgoldstein Management By Walking Around! #HCLDR https://t.co/DKG4iKjdMD |
| Fred Goldstein @fsgoldstein Yes sadly Nursing homes are often the worst… #hcldr |
| Wes Wilson @WesleyWilson Help promote the stop of nursing staff funding cuts, #careNOTcuts , let government know this is not the way to forward for better healthcare. the cost savings will effect patient outcomes if this continues #burnout #hcldr |
| Barby Ingle Official @BarbyIngle T4. EHR that talk between providers and hospitals so a bigger picture can be seen for chronic patients. Also, set up nursing stations in the patient rooms when its a one on one situation, my infusion providers do this and its amazing and GOOD care! #hcldr |
| Chelsea Friend @kiwifreund RT @AureliaCotta: Get rid of private insurers. 35% of the cost of health insurance is overhead+profit compared to 2% for medicare/medicaid. Make it all non-profit. Same in Ontario btw admin and supervisors, directors, overhead is out of control. Too many managers, not enough front line. #hcldr |
| Colin Hung @Colin_Hung @pfanderson @richkrn @ColtonOrtolf Wow. Again. Can't really judge by public numbers alone can we. How were they the best in the region if this is how residents were treated? Were the others in the region that bad? #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @fsgoldstein Heard a story recently about a legislator who was paired with someone who rides public transit for a day. The single mom spent 10hrs a day on the bus just to get her kids to & from school. TEN! He changed his tune on public transit after that. #hcldr |
| Colin Hung @Colin_Hung RT @hcldr: T4 What technology, process or workflow solution could help nurses give the best care possible to patients? #hcldr https://t.co/lIhqvvYWb0 |
| Bingle @TheBingle That sums it up! #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @fsgoldstein: T3 listen, spend time on the floor, in the exam room, at the home health visit, etc. with the staff. See what they see, learn what they do. Then make appropriate changes. #hcldr |
| Fred Goldstein @fsgoldstein Or more... decades ago (did I just say that) in my second hospital as CEO, rural farm community 42 beds. The third weekend on job we hit a huge census. I worked as a floor tech the entire weekend. #hcldr |
| Colin Hung @Colin_Hung RT @WesleyWilson: Help promote the stop of nursing staff funding cuts, #careNOTcuts , let government know this is not the way to forward for better healthcare. the cost savings will effect patient outcomes if this continues #burnout #hcldr |
| Peggy White, RN, MN, FCAN @_HOBIC T4 implement standardized clinical data and provide real time reports at the point of care for nurses to use in examining health outcomes to support their practice #hcldr |
| International Pain Foundation® @iPainOfficial RT @BarbyIngle: T4. EHR that talk between providers and hospitals so a bigger picture can be seen for chronic patients. Also, set up nursing stations in the patient rooms when its a one on one situation, my infusion providers do this and its amazing and GOOD care! #hcldr |
| Rich g Kenny, MMCi, RN @richkrn RT @bisgur: T3: T3: Failure to retain nurses is costly. From #HRI research 10 years ago (numbers much higher now). Every percentage point increase in turnover costs hospitals $300K annually. Hospitals that perform poorly in nurse retention spend $3.6M more than high performers. #hcldr |
| Chelsea Friend @kiwifreund T4: As a patient, I don't have a good answer for this one - but the nurses do! #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @kiwifreund: T4: T4: As a patient, I don't have a good answer for this one - but the nurses do! #hcldr |
| Aurelia Cotta @AureliaCotta Yup---and our population is growing. We add millions of babies, children, refugees and immigrants in North America, (all the adults are taxpayers within 6 months of arrivals) and old people live longer. So of course health care budgets should go up. Cutting is dumb #hcldr |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO #WorkflowSighting! #HCLDR That's the problem, folks think tech VS workflow. No, tech AND workflow. In other industries when you have an X problem (such as pollution problem) you see X tech (4 example, pollution tech). HC has a workflow problem. Where is HC's workflow tech? #HCLDR |
| Bingle @TheBingle RT @pfanderson: @richkrn @ColtonOrtolf As long as the ratios are actually POSSIBLE ones. I've seen situations in nursing homes where there was one nurse per floor per shift, w/ patients who required 2 nurses to get to the bathroom, no one allowed to leave their floor. Patients had to wait >8 hrs to pee. #hcldr |
| Colin Hung @Colin_Hung RT @_HOBIC: T4 implement standardized clinical data and provide real time reports at the point of care for nurses to use in examining health outcomes to support their practice #hcldr |
| Mariah Obiedzinski @MariahWrites RT @upwardmobility: T2 #hcldr The US healthcare system is in desperate need of care model innovation. I’m opposed to anything like staffing restrictions that is a top-down mandate in the way care is delivered. We should be mapping care deliver to value, quality, and patient needs. |
| Mariah Obiedzinski @MariahWrites RT @upwardmobility: T2: T2: I suspect open innovation will lead to way more nurses and clinical informatics support staff, with physicians focused more on high leverage task. I know, sounds crazy, right? #hcldr |
| Alzheimer's Los Angeles @AlzheimersLA RT @wareFLO: @AlzheimersLA Love the concept! > Goldie Nejat creates helpers for helpers: @AlzheimersLA Love the concept! > Goldie Nejat creates helpers for helpers: Nejat's passion for engineering and healthcare led her to the study of assistive robots https://t.co/Q46rrSW6Qy #HCLDR https://t.co/3AHzoiLTKa |
| Alzheimer's Los Angeles @AlzheimersLA RT @fsgoldstein: So true, Having seen hospitals in Miami versus rural Missouri to California, there are differences in units, patient mix, physician approach. family involvement, staff, workload, err... You name it. #hcldr |
| Alzheimer's Los Angeles @AlzheimersLA RT @Colin_Hung: @AlzheimersLA T1 Laws can be good, but often when they are used to address a systemic problem like this, it causes an equal amount of headache compared to the problem the law is trying to solve #hcldr I want more nurses too, but stipulating the ratio without flexibility seems bad |
| Bingle @TheBingle Seems like it causes many problems. Avoid if u can. #hcldr |
| Peggy White, RN, MN, FCAN @_HOBIC T4 analytics to support examining what nurses should be doing and what they can let go of. Practice changes are slow to implement #hcldr |
| Wes Wilson @WesleyWilson @npiercePhDRN i would also say stop thinking physicians can do nurses jobs, physicians are not trained to nurse patients back to health and can't replace their roles and duties. #hcldr |
| Aurelia Cotta @AureliaCotta Yup---and nurses and front line workers have been labelled as "waste in the system" for too long. Ridiculous. We need direct patient care. Not more execs and managers and insurance workers. #hcldr |
| Bingle @TheBingle RT @pfanderson: @fsgoldstein Heard a story recently about a legislator who was paired with someone who rides public transit for a day. The single mom spent 10hrs a day on the bus just to get her kids to & from school. TEN! He changed his tune on public transit after that. #hcldr |
| Colin Hung @Colin_Hung @Ptexp_RN_Cherri That would be an interesting thing to look into Cherri. I think in general that nurses have not traditionally been involved in strategic decisions. That's changing (I think) #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @bisgur Failure to retain nurses, nursing ratios, gaps in coverage... are all a big part of the story in THE GOOD NURSE https://t.co/C2r0hsQ8xS | https://t.co/aKvoHX2NZE about one of the most prolific serial killers in US history https://t.co/CxI1Sjn1vR #hcldr |
| Bingle @TheBingle @npiercePhDRN T4 Nurses do know. #hcldr |
 | TeleTracking @TeleTracking RT @wareFLO: Dynamic detection of workflow bottlenecks and transmission of options for useful action. See, for example, @TeleTracking #HCLDR |
| Jennifer Michelle, MPH (she) @MMSJennifer @npiercePhDRN @pfanderson @kiwifreund This just blows my mind, but doesn’t surprise me. #hcldr |
| Janet Kennedy @GetSocialHealth RT @pfanderson: @bisgur Failure to retain nurses, nursing ratios, gaps in coverage... are all a big part of the story in THE GOOD NURSE https://t.co/C2r0hsQ8xS | https://t.co/aKvoHX2NZE about one of the most prolific serial killers in US history https://t.co/CxI1Sjn1vR #hcldr |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO @fsgoldstein Yo Fred! Roll that Twitter dice! #HCLDR https://t.co/4wkHcYUk12 |
| Peggy White, RN, MN, FCAN @_HOBIC T4 involve patient/family more if they want. Pts manage their meds at home but we admit then to hospital put them in a gown and take their meds away. #hcldr |
| Alzheimer's Los Angeles @AlzheimersLA Any solid leadership team should include a mix of stakeholders: nurses have to be a part of that in healthcare + wellness. #hcldr https://t.co/YWFOXRMrVv |
| Ken Taylor, RPIC @KenRayTaylor T4: Monitoring stations for room cameras can allow a nurse to be more efficient and less fatigue. Walking to a supply room or medication room dozens of times every shift does not improve nursing productivity or enhance patient care. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @Colin_Hung @richkrn @ColtonOrtolf Yep. It can be worse. #hcldr |
| Wes Wilson @WesleyWilson @AureliaCotta sooooooooooooooooooooooooooooo dumb, efficiency is one thing, but just cutting and not giving any tools to replace is just asking for the system to collapse (I honestly think that is what the ontario gov wanted, to watch it fail so they could say i told you so) #hcldr |
| International Pain Foundation® @iPainOfficial RT @KenRayTaylor: T4: T4: Monitoring stations for room cameras can allow a nurse to be more efficient and less fatigue. Walking to a supply room or medication room dozens of times every shift does not improve nursing productivity or enhance patient care. #hcldr |
| Colin Hung @Colin_Hung @WesleyWilson @npiercePhDRN It'd be an interesting marketing campaign for a hospital to mount - highlighting their nurses alongside physicians. I bet the public would react favorably. We only see a doc for 10min. We see nurses more often during a stay. Hmmmm #hcldr cc #HITMC |
 | Beth Steckler (she/her) @purplemamabear RT @ePatientDave: I understand, but boy, why is it still a breakthrough to propose listening to the person who has the problem? (I know, for generations docs were trained that pts don't know what they're talking about. Get over it!!!) #hcldr #s4pm #pinksocks #SPM2018 |
| HCLDR Moderator @hcldr Repeating T4 What technology, process or workflow solution could help nurses give the best care possible to patients? #hcldr https://t.co/0OLU4550ti |
| Colin Hung @Colin_Hung RT @AlzheimersLA: Any solid leadership team should include a mix of stakeholders: Any solid leadership team should include a mix of stakeholders: nurses have to be a part of that in healthcare + wellness. #hcldr https://t.co/YWFOXRMrVv |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @TheBingle: @Colin_Hung @pfanderson @kiwifreund Quite honestly there are some great nurses that are dedicated and involved with each patient. They do deserve a bit more. Not sure that could be accomplished.... #hcldr |
| Mariah Obiedzinski @MariahWrites RT @hcldr: Repeating T4 What technology, process or workflow solution could help nurses give the best care possible to patients? #hcldr https://t.co/0OLU4550ti |
| Fred Goldstein @fsgoldstein Gotta roll everyone, what an incredibly insightful chat tonight. Great discussion and thoughts. Thanks everyone. Follow @2healthguru and me this Thurs and Fri from #FLAACOS18 - 2 days of the latest on ACO’s! #hcldr |
 | Christina Lizaso @btrfly12 RT @_HOBIC: T4 analytics to support examining what nurses should be doing and what they can let go of. Practice changes are slow to implement #hcldr |
| Alzheimer's Los Angeles @AlzheimersLA Yes and yes! Family and caregivers have tons of knowledge and information that could be useful. #hcldr https://t.co/eih3NASfHA |
| Colin Hung @Colin_Hung RT @pfanderson: @bisgur Failure to retain nurses, nursing ratios, gaps in coverage... are all a big part of the story in THE GOOD NURSE https://t.co/C2r0hsQ8xS | https://t.co/aKvoHX2NZE about one of the most prolific serial killers in US history https://t.co/CxI1Sjn1vR #hcldr |
| Peggy White, RN, MN, FCAN @_HOBIC T4 standardized clinical data that can follow the pt across the system - reduce burden of duplication #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian @fsgoldstein @2healthguru Nite Fred! #hcldr |
| Rasu Shrestha MD MBA @RasuShrestha T4. Care collaboration tools. Having nurses be a part of your team is the secret to winning the "game". #hcldr |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO @fsgoldstein #HCLDR https://t.co/TrGn3QIVzV |
| Joe Babaian 🇺🇦 @JoeBabaian RT @hcldr: Repeating T4 What technology, process or workflow solution could help nurses give the best care possible to patients? #hcldr https://t.co/0OLU4550ti |
| Colin Hung @Colin_Hung @fsgoldstein @2healthguru Have a great night Fred. Always a pleasure to tweet with you #hcldr |
| Joe Babaian 🇺🇦 @JoeBabaian RT @KenRayTaylor: T4: T4: Monitoring stations for room cameras can allow a nurse to be more efficient and less fatigue. Walking to a supply room or medication room dozens of times every shift does not improve nursing productivity or enhance patient care. #hcldr |
| Colin Hung @Colin_Hung RT @RasuShrestha: T4. Care collaboration tools. Having nurses be a part of your team is the secret to winning the "game". #hcldr |
| Bingle @TheBingle @Colin_Hung @Ptexp_RN_Cherri Get rid of the CEO's. Put a head nurse in charge of financial decisions & I guarantee patients will be better off. And that $$$$$$$$ CEO salary is gone. #hcldr |
| Barby Ingle Official @BarbyIngle Good night all, off to Boston! #hcldr |
| Aurelia Cotta @AureliaCotta Yes---though I would like better communications with Doctors treating me. I tell the Nurses information and doctors don't hear when Nurses tell them, I repeat it all again, over and over. (I read my notes/records and dayum the subtext) #hcldr |
| Janet Kennedy @GetSocialHealth RT @RasuShrestha: T4. Care collaboration tools. Having nurses be a part of your team is the secret to winning the "game". #hcldr |
| Fred Goldstein @fsgoldstein Love it!! Thanks @WareFLO #hcldr |
| Ted Chan @upwardmobility T4: I broadly hate fee for service models, but I do think a large scale transition to outcomes based care will massively prove our the value of nurses across a broad spectrum of care. #hcldr |
| Alzheimer's Los Angeles @AlzheimersLA This is an appreciation tweet for nurses everywhere. Thank you for all you do 💜 #hcldr https://t.co/JYycZc6Uwx |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Great #HCLDR! Hope to some of you in social virtual reality Thursday during #Connect2Health https://t.co/sLk7cRBGEf |
| PF Anderson @pfanderson@disabled.social @pfanderson @npiercePhDRN @MMSJennifer @kiwifreund More on food pantries in hospitals: https://t.co/fO8RcI6jGe | https://t.co/tA5YRDakry | https://t.co/tq0fClxQ1R | https://t.co/qfydgERkqf | https://t.co/1MLSUi3vjg | https://t.co/KNtPDw0aHY #hcldr |
| Colin Hung @Colin_Hung @npiercePhDRN @PoPculture_px It's this kind of attitude and empathy that the system seems to drive out - through too many hours and too little support. Nursing is a calling but we treat them like line workers. That's gotta be the start of the change #hcldr |
 | Pillars of Health @pillarsofhealth T4 #hcldr It needs all three as healthcare is a complicated situation with no easy solution. However, having enough staff so they can provide focused and quality care to patients and having technology that aids that communication will be a huge step. |
 | Cherri Rogers, MSN, RN @Ptexp_RN_Cherri @hcldr T4: #Pteducation #HIT video content tablet/TV. Takes away initial lesson and go to QnA and teachback a great timesaver like @pCarebyTVRC #hcldr |
| Colin Hung @Colin_Hung #nursesrock #hcldr @AlzheimersLA |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @WesleyWilson: @npiercePhDRN i would also say stop thinking physicians can do nurses jobs, physicians are not trained to nurse patients back to health and can't replace their roles and duties. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @AureliaCotta: Yup---and nurses and front line workers have been labelled as "waste in the system" for too long. Ridiculous. We need direct patient care. Not more execs and managers and insurance workers. #hcldr |
 | Julie Gerdeman @JulieGerdeman RT @RasuShrestha: As we think thru the last 10 years of #healthdata and contemplate the next 10 ahead, key for us to ensure that we design tech to enable better care (vs impede it). Ask any clinician who's dealt with alert fatigue in the last decade! https://t.co/vukQkStT2k #DataX10 #HCLDR https://t.co/GVkkb1XawD |
| Colin Hung @Colin_Hung @upwardmobility T4 I'm with you on this, just wish it didn't have to take a monumental shift to value for us to realize the value that nurses provide #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @KenRayTaylor: T4: T4: Monitoring stations for room cameras can allow a nurse to be more efficient and less fatigue. Walking to a supply room or medication room dozens of times every shift does not improve nursing productivity or enhance patient care. #hcldr |
| Rasu Shrestha MD MBA @RasuShrestha Nurses are the lighthouses in the stormy seas of healthcare. ✔Need to have more nurse leaders. ✔Embed nurses in all care teams. ✔Engage nurses in designing solutions in healthcare. #hcldr #nursesrock https://t.co/bmGRwMXErW @hcldr https://t.co/yrYQRBpFTO |
| Colin Hung @Colin_Hung @EMRAnswers Thanks for thinking about us Linda! #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @hcldr: Repeating T4 What technology, process or workflow solution could help nurses give the best care possible to patients? #hcldr https://t.co/0OLU4550ti |
| HCLDR Moderator @hcldr That’s a wrap. Thank you for joining the #hcldr tweetchat tonight. Your time, tweets and comments are greatly appreciated! |
| Bingle @TheBingle @WesleyWilson @npiercePhDRN Physicians & Researchers (not all but many top ones; see my top example) don't give two craps about patients. They think they have nothing to offer. They automatically tune pts out IMHO. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @RasuShrestha: T4. Care collaboration tools. Having nurses be a part of your team is the secret to winning the "game". #hcldr |
| Aurelia Cotta @AureliaCotta @WesleyWilson Yeah, health care workers all complained about the last govt, and voted in the new one, headed by a Drug Dealer, but we are about to witness the worst cuts Ontario has ever seen. Just like the Conservatives always do, slash and burn. #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson RT @AureliaCotta: Yes---though I would like better communications with Doctors treating me. I tell the Nurses information and doctors don't hear when Nurses tell them, I repeat it all again, over and over. (I read my notes/records and dayum the subtext) #hcldr |
| Pillars of Health @pillarsofhealth T1 #hcldr It depends very widely on the area. In each area it's highly important to look at where the most patients need care and haven't been able to receive it due to various reasons, and if more nurses would help that. In some places that may be hospitals, in some places homes |
| HCLDR Moderator @hcldr Don’t forget to use the #hcldr hashtag during week for interesting healthcare/leadership posts, pics, articles & news |
| Colin Hung @Colin_Hung RT @pfanderson: @npiercePhDRN @MMSJennifer @kiwifreund More on food pantries in hospitals: @npiercePhDRN @MMSJennifer @kiwifreund More on food pantries in hospitals: https://t.co/fO8RcI6jGe | https://t.co/tA5YRDakry | https://t.co/tq0fClxQ1R | https://t.co/qfydgERkqf | https://t.co/1MLSUi3vjg | https://t.co/KNtPDw0aHY #hcldr |
| Bingle @TheBingle @RasuShrestha @hcldr @JoeBabaian @Colin_Hung @HealthData4All @wareFLO @techguy @CoherenceMed @healthythinker @nickisnpdx @nursekeith @michellekatzmsn This patient totally agrees! #hcldr |
| Nicole L. Bohr, PhD, RN @nbohrPhDRN @TheBingle @WesleyWilson As a nurse researcher, I disagree with you here. Nursing research is completely focused on the patient experience, including symptom management, #SDoH, etc. - Researchers care! #hcldr |
| Alzheimer's Los Angeles @AlzheimersLA RT @Colin_Hung: #nursesrock #hcldr @AlzheimersLA |
| Joe Babaian 🇺🇦 @JoeBabaian Thanks everyone for a super #hcldr chat tonight! We appreciate all of YOU! :) |
| Pillars of Health @pillarsofhealth #hcldr tweetchat is always fun! We were sorry to join late but enjoyed the conversation and questions. If anyone is in Toronto on the 29th we would love to continue some of these conversations in person at #pillarsofhealthTO! |
| PF Anderson @pfanderson@disabled.social @pfanderson Has anyone mentioned burnout? That's a big part of turnover & retention. Friend told me most nurses in burn unit are incredibly caring, but only last 5 years. And they don't just leave the unit, they leave the profession entirely. #hcldr |
| Colin Hung @Colin_Hung @npiercePhDRN @pfanderson @MMSJennifer @kiwifreund @WeFeed1st Thanks for sharing this info on pantries. I never knew this type of program existed. It's sad there is a need for it, but encouraging that it exists! #hcldr |
 | Love @JesusLovesYoxxx RT @RasuShrestha: T4. Care collaboration tools. Having nurses be a part of your team is the secret to winning the "game". #hcldr |
| Colin Hung @Colin_Hung RT @RasuShrestha: Nurses are the lighthouses in the stormy seas of healthcare. ✔Need to have more nurse leaders. ✔Embed nurses in all care teams. ✔Engage nurses in designing solutions in healthcare. #hcldr #nursesrock https://t.co/bmGRwMXErW @hcldr https://t.co/yrYQRBpFTO |
| Bingle @TheBingle Yup! #hcldr |
| Love @JesusLovesYoxxx RT @pfanderson: @bisgur Failure to retain nurses, nursing ratios, gaps in coverage... are all a big part of the story in THE GOOD NURSE https://t.co/C2r0hsQ8xS | https://t.co/aKvoHX2NZE about one of the most prolific serial killers in US history https://t.co/CxI1Sjn1vR #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @npiercePhDRN @MMSJennifer @kiwifreund @WeFeed1st Thank you for singing out about them! Bravo! #hcldr |
| Jennifer Michelle, MPH (she) @MMSJennifer RT @Colin_Hung: @npiercePhDRN @pfanderson @MMSJennifer @kiwifreund @WeFeed1st Thanks for sharing this info on pantries. I never knew this type of program existed. It's sad there is a need for it, but encouraging that it exists! #hcldr |
| Bingle @TheBingle RT @AlzheimersLA: This is an appreciation tweet for nurses everywhere. Thank you for all you do 💜 #hcldr https://t.co/JYycZc6Uwx |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Yes, and use honest to god workflow tech: workflow engines, editors, analytics etc. I've done BOTH: Workflow analysis with AND without workflow tech. Former is almost a waste of time (and I'm an Industrial Engineer!) But the latter is incredibly productive. #HCLDR |
| Aurelia Cotta @AureliaCotta @WesleyWilson The system needed lots of things, (like equity between certain front line specialties, which would leave more money for all) and some areas needed more home care, others needed more beds. Less Admin. But RW taxcuts won't pay for that, US or Canada #hcldr |
 | Mohamad Arif Ali @mhealth1 RT @RasuShrestha: Nurses are the lighthouses in the stormy seas of healthcare. ✔Need to have more nurse leaders. ✔Embed nurses in all care teams. ✔Engage nurses in designing solutions in healthcare. #hcldr #nursesrock https://t.co/bmGRwMXErW @hcldr https://t.co/yrYQRBpFTO |
| Ted Chan @upwardmobility @Colin_Hung There’s so much opportunity to change heathcare staffing in the next decade. Overlaid with tech/care model innovation, there are many win-win opps. As a healthcare outside sometimes I seem like a grump, but I’m mostly excited for an opportunity to be part of the change. #hcldr |
| Colin Hung @Colin_Hung @pillarsofhealth Just registered! #hcldr |
| Jennifer Michelle, MPH (she) @MMSJennifer #hcldr |
 | Betty Oldershaw @BettyOldershaw RT @_HOBIC: T1 nurses are needed in hospital but as well there is a significant need in home care with an aging population and chronic disease #hcldr |
| Colin Hung @Colin_Hung @TechNurseJon @hcldr Well said Jon. I just had this very conversation this week. You can't expect healthcare to adopt a brand new workflow that is WORSE than the one before. That's a non starter yet many "disruptors" expect that #hcldr |
| Bingle @TheBingle @npiercePhDRN @WesleyWilson Not in my PtExp. As I said: NOT EVERYONE. However, an NYU Professor, a top NIH Researcher, A.S. Fauci & others disrespect what patient has to offer by not even acknowledging patient exp & research then I RESPECTFULLY DISAGREE W/You #hcldr |
| Aurelia Cotta @AureliaCotta @npiercePhDRN @TheBingle @WesleyWilson Some researchers care. Some care but are oblivious about the less privileged patients, don't understand the need for food pantries, transportation, translation, needs of the rest of the family etc. #hcldr |
| Colin Hung @Colin_Hung @upwardmobility I think we are all grumps depending on the perspective. The issues though, need a little grumpiness from time to time. I'm excited too. #hcldr |
| Bingle @TheBingle @JimOnHealth I think it much, much better than Nursing Home. #hcldr |
| Colin Hung @Colin_Hung @MMSJennifer Thanks for sharing that Jennifer! #hcldr |
| Colin Hung @Colin_Hung Have a great night everyone! Thanks for joining #hcldr tonight. Great conversation on this important topic. |
| Bingle @TheBingle @MikeB0001 It was a bittersweet comedy IMHO. #hcldr |
| Wes Wilson @WesleyWilson @npiercePhDRN @TheBingle I have to agree with Nicole here, patient experience is critically important and is taken into consideration the work we do. Some great nurses at #imig2018 presented amazing EBM on cancer #ptexp , it's in the research, it's in the care, and it's in the decision making #HCLDR |
| Jennifer Michelle, MPH (she) @MMSJennifer RT @Colin_Hung: Have a great night everyone! Thanks for joining #hcldr tonight. Great conversation on this important topic. |
| Jennifer Michelle, MPH (she) @MMSJennifer Love these chats! Thanks, everyone! #hcldr |
| PF Anderson @pfanderson@disabled.social @pfanderson @Ptexp_RN_Cherri Maybe this? Compassion fatigue, moral distress, and work engagement in surgical intensive care unit trauma nurses: a pilot study. https://t.co/dg5erFGV2j #hcldr |
 | Lisa Meadows @GrandPrincess41 RT @BarbyIngle: T1. I think hospitals are the biggest need. So many times in the hospital stays I have had, There is one nurse for 5-6 patients and I see them 2 times a shift maybe. My husband or a friend comes up to help me because the nurses are not around enough #hcldr |
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