#HCLDR Transcript

Healthcare social media transcript of the #HCLDR hashtag.
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Nicole L. Pierce, PhD, RN @npiercePhDRN
RT @bisgur: @LGin412 @Colin_Hung @jeffauker @richkrn @WyattAdkins One way to help nurses - support them with the right team. We asked prima…
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 #A
Nicole L. Pierce, PhD, RN @npiercePhDRN
RT @hcldr: Tonight on #hcldr we’re talking about Nursing Ratios + Healthcare. A topic ripped from the upcoming Ballot Question 1 in Massach…
shereesepubhlth 😷 @ShereesePubHlth
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 @_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, BSc Psyc @BarbyIngle
Getting ready to head to Boston... but first... #hcldr whoot whoot *\O/* Good evening everyone. https://t.co/IYa3TZARg9
Nicole L. Pierce, PhD, RN @npiercePhDRN
Hello #hcldr! This is Nicole joining in from Chicago - former ICU nurse, now nurse scientist. Excited about this topic!
Joe Babaian @JoeBabaian
@_HOBIC Welcome! #hcldr
Laura Appel @lauradianeappel
@hcldr Hello!!! Laura from East Lansing. Hospital Assn leader and #teamgsd member 🙂 #hcldr
Jon @TechNurseJon
Hi, Jon here, participating in my first #hcldr chat. 👋
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 Massach…
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, BSc Psyc @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 @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
shereesepubhlth 😷 @ShereesePubHlth
@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
shereesepubhlth 😷 @ShereesePubHlth
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
Cherri Rogers @Ptexp_RN_Cherri
Hi! I’m Cherri from@#Pittsburgh and I’m an RN #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, EMT @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 @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
shereesepubhlth 😷 @ShereesePubHlth
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
shereesepubhlth 😷 @ShereesePubHlth
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 Massach…
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, BSc Psyc @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
Jim Atkinson @JimOnHealth
It’s been a while #hcldr - what's up tonight?
International Pain Foundation® @powerofpain
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 pati…
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? #…
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 pati…
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 perspec…
Joe Babaian @JoeBabaian
@MMSJennifer Hi! #hcldr
Ken Gordon @quickmuse
@lauradianeappel Good answer! #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
Cherri Rogers @Ptexp_RN_Cherri
T:1 I think all. More will be needed by the end of 2020 with predicted baby-boomer retirements #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 @Ptexp_RN_Cherri: T:1 I think all. More will be needed by the end of 2020 with predicted baby-boomer retirements #hcldr
Nicole L. Pierce, PhD, RN @npiercePhDRN
T1 - nurses are needed everywhere! Many hospitals are short-staffed, as are clinics. Yet more people want their care at home, so nurses are needed there too... I would say schools are most urgent though - kids need access to care to maximize their potential #hcldr
Joe Babaian @JoeBabaian
RT @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…
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 https://t.co/6paFv9Oyrt
Peggy White @_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 dise…
shereesepubhlth 😷 @ShereesePubHlth
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
Ken Gordon @quickmuse
T1 Imagine there's a great need for nurses in homeless shelters. Also: probably in natural-disaster areas. First-responder nurses! #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.
Joe Babaian @JoeBabaian
RT @quickmuse: T1 Imagine there's a great need for nurses in homeless shelters. Also: probably in natural-disaster areas. First-responder n…
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 c…
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
Jim Atkinson @JimOnHealth
T1 - nurses - we need to get ahead of the curve and help folks stay out of hospitals, so: home care, preventive med, wellness #hcldr #connectwithcare
Ken Taylor @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 @_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: I always, always feel the shortage when I am in the hospital, short-term and long-term. Home care is another area that…
Nicole L. Pierce, PhD, RN @npiercePhDRN
@ColtonOrtolf @cityblockhealth @HealthifyUS @_NowPow_ As a nurse who studies #SDoH, I agree - but many of these programs don't necessarily need nurses. There are a lot of healthcare roles that could help fill these positions and bring diverse perspectives. #hcldr
Alzheimer's Los Angeles @AlzheimersLA
@TechNurseJon Welcome, Jon! #hcldr
Joe Babaian @JoeBabaian
@quickmuse Powerful point. Yes. Also see @MSF_USA @MSF needs. #hcldr
Cherri Rogers @Ptexp_RN_Cherri
@BarbyIngle 5-6 patient/1 RN can’t be judged the same in every nurse assignment or hospital nurse staffing model. Level of care of each patient, How much other assisting does the RN get play into it #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: Balancing Tech & Humanity in Healthca…
Alzheimer's Los Angeles @AlzheimersLA
RT @npiercePhDRN: @ColtonOrtolf @cityblockhealth @HealthifyUS @_NowPow_ As a nurse who studies #SDoH, I agree - but many of these programs…
Barby Ingle, BSc Psyc @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
Megan Janas @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 St…
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…
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 “Just Wear 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
Colin Hung @Colin_Hung
RT @npiercePhDRN: T1 - nurses are needed everywhere! Many hospitals are short-staffed, as are clinics. Yet more people want their care at h…
International Pain Foundation® @powerofpain
RT @KenRayTaylor: A1: I think hospitals are always in need of good nurses. Nurses give the medicines and treatment prescribed by doctors wh…
Nicole L. Pierce, PhD, RN @npiercePhDRN
@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
Alzheimer's Los Angeles @AlzheimersLA
RT @quickmuse: T1 Imagine there's a great need for nurses in homeless shelters. Also: probably in natural-disaster areas. First-responder n…
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
Ken Gordon @quickmuse
@JoeBabaian @MSF_USA @MSF Dig it, Joe: https://t.co/9MP3znarbc #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
Jon @TechNurseJon
@kiwifreund @BarbyIngle T1. Don't forget that there is a whole team who can participate in your care at a hospital (and in many other settings). Not everything has to be done by a nurse. Techs and nursing assistants are some of my best friends. We need more people in many areas... #hcldr
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
Joe Babaian @JoeBabaian
RT @quickmuse: @JoeBabaian @MSF_USA @MSF Dig it, Joe: https://t.co/9MP3znarbc #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 d…
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 https://t.co/9LGSvbwmao
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
Nicole L. Pierce, PhD, RN @npiercePhDRN
@_HOBIC I agree - and that's a huge part of what we are looking at! Figuring out the right person for the right intervention is key to ensuring effective interventions. #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
Trine Tsouderos @ChicagoScience
RT @LGin412: @Colin_Hung @bisgur @jeffauker @richkrn @WyattAdkins ✅ out the @PwCAdvisory @PwCHealth Health Research Institute for all the l…
Joe Babaian @JoeBabaian
RT @TechNurseJon: @kiwifreund @BarbyIngle T1. Don't forget that there is a whole team who can participate in your care at a hospital (and i…
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…
Alzheimer's Los Angeles @AlzheimersLA
Especially as more people prefer to age in place. #hcldr https://t.co/P8mLDB89vl
shereesepubhlth 😷 @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
Barby Ingle, BSc Psyc @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 Healthcar…
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
Cherri Rogers @Ptexp_RN_Cherri
@JimOnHealth T1 good point, I’m afraid budgets for community health are minimal. If more 💸 allotted for government funded preventive care- us as nurses would be “all over this” #hcldr
Nicole L. Pierce, PhD, RN @npiercePhDRN
@ColtonOrtolf @cityblockhealth @HealthifyUS @_NowPow_ Having the correct support staff in place can help maximize nursing workflow. Many things that take up a lot of time in nursing can effectively be handed off to other HCPs, allowing for better nursing care and better outcomes. We need to utilize everyone's skills sets #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 impossib…
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. Pierce, PhD, RN @npiercePhDRN
@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
Jon @TechNurseJon
@fsgoldstein #hcldr I would love for you to expand on that.
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
Jim Atkinson @JimOnHealth
@Ptexp_RN_Cherri It’s a choice where we spend. Hospitals (Docs) have owned the “spend” with little to show for it. Most expensive healthcare / poorest outcomes / shorter lifespan. #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…
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
Jennifer Michelle, MPH, EMT @MMSJennifer
RT @npiercePhDRN: @ColtonOrtolf @cityblockhealth @HealthifyUS @_NowPow_ Having the correct support staff in place can help maximize nursing…
Joe Babaian @JoeBabaian
RT @fsgoldstein: So true, Having seen hospitals in Miami versus rural Missouri to California, there are differences in units, patient mix,…
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 p…
Nicole L. Pierce, PhD, RN @npiercePhDRN
@ColtonOrtolf Exactly - and this goes beyond bedside nurses. Even as a nurse scientist, I spend a lot of time doing administrative work that doesn't allow me to spend near as much time teaching nurses at the bedside or advancing science! Many people just assume nurses will handle it #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
Cherri Rogers @Ptexp_RN_Cherri
Yes, there are team members qualified to help the RN I’m sad to go back to budget but it does. Hospitals can have many different staffing models with the patient care team made up of different caregivers of varied certifications #hcldr
shereesepubhlth 😷 @ShereesePubHlth
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
Colin Hung @Colin_Hung
RT @npiercePhDRN: @ColtonOrtolf Exactly - and this goes beyond bedside nurses. Even as a nurse scientist, I spend a lot of time doing admin…
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, BSc Psyc @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
Cherri Rogers @Ptexp_RN_Cherri
Well said #hcldr
International Pain Foundation® @powerofpain
RT @BarbyIngle: T2. If ratios are not mandated hospitals & surgical centers will go w the less staffing 2 save money. I already know multip…
Cherri Rogers @Ptexp_RN_Cherri
RT @AlzheimersLA: Cookie cutter solutions don't work for everyone. Healthcare has to be tailored to individual & community needs. #hcldr
Jennifer Michelle, MPH, EMT @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
Nick van Terheyden, MD - "Dr Nick" @drnic1
Hey @TwitterSupport - how is that you refuse to take down an account that steals my picture and identity? #hcldr #hitsm
Peggy White @_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
Nicole L. Pierce, PhD, RN @npiercePhDRN
T2 - ratios should not be mandated. They encourage looking strictly at numbers, not allowing for inclusion of nursing judgment or acuity to factor in. We need to look beyond a strict ratio and maybe even beyond just safety #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 mandat…
Joe Babaian @JoeBabaian
RT @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 surg…
Joe Babaian @JoeBabaian
RT @MMSJennifer: T1: We have been brainwashed into thinking there is not enough money to fund our healthcare system. They’re absolutely is…
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
P. F. Anderson is recovering ... slowly @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 pati…
shereesepubhlth 😷 @ShereesePubHlth
@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
P. F. Anderson is recovering ... slowly @pfanderson
RT @TechNurseJon: @kiwifreund @BarbyIngle T1. Don't forget that there is a whole team who can participate in your care at a hospital (and i…
Chelsea Friend @kiwifreund
RT @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…
P. F. Anderson is recovering ... slowly @pfanderson
RT @MMSJennifer: T1: We have been brainwashed into thinking there is not enough money to fund our healthcare system. They’re absolutely is…
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.
P. F. Anderson is recovering ... slowly @pfanderson
RT @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…
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 @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
Jon @TechNurseJon
@Colin_Hung @AlzheimersLA Agreed @colin_hung #hcldr
International Pain Foundation® @powerofpain
RT @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 sa…
HealthTechReads @HealthTechReads
RT @ShereesePubHlth: @ColtonOrtolf The restrictions are to ensure awake & alert caregivers for patients and lessen episodes of burnout for…
Nicole L. Pierce, PhD, RN @npiercePhDRN
@PoPculture_px That is crazy! We shouldn't have to fight for our children to have access to a quality education that maximizes their potential regardless of medical status. #hcldr
Ashley Ashbee @cartooninperson
@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, EMT @MMSJennifer
@PoPculture_px @npiercePhDRN What????? That’s unbelievable. Ugh. #hcldr
P. F. Anderson is recovering ... slowly @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
P. F. Anderson is recovering ... slowly @pfanderson
RT @Colin_Hung: Should be a really interesting chat tonight on #hcldr Our topic = "Nurse Ratios + Healthcare" https://t.co/P417IYFOVu Join…
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
P. F. Anderson is recovering ... slowly @pfanderson
RT @PoPculture_px: @npiercePhDRN T1: had to go to war with #dallasisd over this very point! The nursing director for the district told me…
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
Nicole L. Pierce, PhD, RN @npiercePhDRN
@Colin_Hung @WesleyWilson @hcldr @nyphospital I wonder how this will affect alarm fatigue - it would be interesting to see how use of AI affects the amount of unnecessary alarms for nurses to respond to #hcldr
P. F. Anderson is recovering ... slowly @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
shereesepubhlth 😷 @ShereesePubHlth
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, EMT @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 student…
P. F. Anderson is recovering ... slowly @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
Jon @TechNurseJon
@fsgoldstein Yes. One thing that I'm seeing is that we are losing / have lost a lot of capacity in smaller, rural areas of my state, leading to increased stress on the system overall. It's a tough balance. #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…
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: I think it should be mandated to keep a fine balance. Nobody wants an overworked nurse trying to do it all. At the sa…
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
Cherri Rogers @Ptexp_RN_Cherri
T2:A significant obstacle is what model of staffing to use and when. Ratios alone aren’t the answer. Skill of the nurse, acuity of care required, and evidence based practice can effect what ratio should be for safe and fair assignments #hcldr
Jennifer Michelle, MPH, EMT @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
P. F. Anderson is recovering ... slowly @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 https://t.co/De…
Jennifer Michelle, MPH, EMT @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
Cherri Rogers @Ptexp_RN_Cherri
RT @npiercePhDRN: T2 - ratios should not be mandated. They encourage looking strictly at numbers, not allowing for inclusion of nursing jud…
Irma #MaskUp to fight #COVID19 @IrmaRaste
RT @wareFLO: Chuck! Host of #HealthSystemsChat in #SocialVR (1PM ET Thu during #Connect2Health, topic = Balancing Tech & Humanity), here fo…
P. F. Anderson is recovering ... slowly @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
Jon @TechNurseJon
RT @Ptexp_RN_Cherri: T2:A significant obstacle is what model of staffing to use and when. Ratios alone aren’t the answer. Skill of the nurs…
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
P. F. Anderson is recovering ... slowly @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 atten…
Jon @TechNurseJon
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 atten…
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
Nicole L. Pierce, PhD, RN @npiercePhDRN
T2 - as an ICU nurse, I worked in hospitals with and without mandatory staffing ratios. What was more important was the management supporting nurses when even the mandated ratio was not adequate - sometimes acuity forces change #hcldr
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
P. F. Anderson is recovering ... slowly @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 #LookForTheHelpers @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
P. F. Anderson is recovering ... slowly @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
Irma #MaskUp to fight #COVID19 @IrmaRaste
RT @GraceCordovano: Honored to be representing the patient & carepartner's voice as one of the expert judges for this year's Health Tech St…
P. F. Anderson is recovering ... slowly @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
Cherri Rogers @Ptexp_RN_Cherri
T:2 no matter how many nurses go for ratio, acuity, or Evidence-Based staffing. leaders will still manage disruption over different options and what is a fair workload #hcldr
Irma #MaskUp to fight #COVID19 @IrmaRaste
RT @wareFLO: A year after launching Epic, UMass Memorial will update its electronic records https://t.co/b5nJYqIPZ3 #HITsm #HCLDR #Connect2
Nicole L. Pierce, PhD, RN @npiercePhDRN
@wareFLO @_HOBIC The problem is - how can we adjust within a shift? And how can nursing intuition be factored into these ratios to ensure that nurses feel they have the resources to handle the anticipated and unanticipated? #hcldr
Barby Ingle, BSc Psyc @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
Colin Hung @Colin_Hung
RT @npiercePhDRN: @wareFLO @_HOBIC The problem is - how can we adjust within a shift? And how can nursing intuition be factored into these…
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
Colin Hung @Colin_Hung
RT @Ptexp_RN_Cherri: T:2 no matter how many nurses go for ratio, acuity, or Evidence-Based staffing. leaders will still manage disruption o…
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 @_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® @powerofpain
RT @BarbyIngle: T3. Patients can push for better and proper access to timely care and tools between appts/hospital stays, share r stories o…
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
P. F. Anderson is recovering ... slowly @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 leade…
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 i…
Joe Babaian @JoeBabaian
@pfanderson @MMSJennifer @kiwifreund yes. #hcldr
Nicole L. Pierce, PhD, RN @npiercePhDRN
T3 - adequate support staff! That would help ensure that nurses are doing nursing care. It's the requests and tasks beyond the job that lead to burnout #hcldr
P. F. Anderson is recovering ... slowly @pfanderson
RT @Colin_Hung: @pfanderson @kiwifreund T2 There are valid concerns on both sides of the argument. The status quo isn't working. More nurse…
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
Irma #MaskUp to fight #COVID19 @IrmaRaste
RT @Colin_Hung: A special welcome to all #hcldr #pinksocks #HITsm #HITMC friends in or heading to Boston for #connect2health #SPM2018 #CHC1
Cherri Rogers @Ptexp_RN_Cherri
T:2Yes. And lack of enough nurses to fill a schedule results in mandatory overtime. A 12 hour shift becomes a 16 real fast #hcldr
Irma #MaskUp to fight #COVID19 @IrmaRaste
RT @wareFLO: New DirectTrust CEO Sees Potential for Applying its Trust Framework in Other Healthcare Contexts https://t.co/oc2vxF2sP8 #HITs
Colin Hung @Colin_Hung
RT @npiercePhDRN: T2 - as an ICU nurse, I worked in hospitals with and without mandatory staffing ratios. What was more important was the m…
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
Nicole L. Pierce, PhD, RN @npiercePhDRN
T3 - a strong EBP program also helps - especially one that focuses not just on implementation of the latest evidence, but also on the de-implementation of practices that are not evidence based. Don't force nurses to do things that don't improve outcomes/experiences #hcldr
Cherri Rogers @Ptexp_RN_Cherri
Competition between hospitals for recruitment is brutal #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
P. F. Anderson is recovering ... slowly @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
Jon @TechNurseJon
@Colin_Hung @WesleyWilson @hcldr @nyphospital Eyes on the patient in all forms are great. That can help cover the safety issue. But what you're describing is monitoring, which is a tiny part of our overall job. Don't let this lull you into a sense that this changes anything about staffing. #hcldr
Colin Hung @Colin_Hung
@PoPculture_px @npiercePhDRN LOL. Love your "spirit animal" statement #hcldr
Peggy White @_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: inability to take a bathroom break - for 12.5 hours. Think about all that that implies. I don't…
Ken Taylor @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
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
RT @npiercePhDRN: @wareFLO @_HOBIC The problem is - how can we adjust within a shift? And how can nursing intuition be factored into these…
Nicole L. Pierce, PhD, RN @npiercePhDRN
@kiwifreund This is so true. I went many shifts without a bathroom break, without food or water - and then was asked to work an extra four hours. We need to ensure nurses have access to breaks to maintain their own health, physical and mental #hcldr
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® @powerofpain
RT @KenRayTaylor: T3: Education and awareness is always a great thing to keep on top of. Being well rounded on many subjects can prevent co…
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 #patie
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
Cherri Rogers @Ptexp_RN_Cherri
Leadership and inter professional collaboration is now an important piece in BSN education and emphasized even heavier in MSN. The professional nurse is now a partner with the Doc not a subordinate #hcldr
P. F. Anderson is recovering ... slowly @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
P. F. Anderson is recovering ... slowly @pfanderson
RT @npiercePhDRN: T2 - as an ICU nurse, I worked in hospitals with and without mandatory staffing ratios. What was more important was the m…
P. F. Anderson is recovering ... slowly @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 t…
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
P. F. Anderson is recovering ... slowly @pfanderson
RT @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…
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
Nicole L. Pierce, PhD, RN @npiercePhDRN
@pfanderson @MMSJennifer @kiwifreund This leads to food insecurity at the bedside - parents unable to work because they need to be in the hospital to advocate for their children, and then they can't afford the food we have in the hospital. It's heartbreaking - and now we have food pantries in the hospital #hcldr
P. F. Anderson is recovering ... slowly @pfanderson
RT @fsgoldstein: Important issue. Being there improves their care, I have identified things the nurses and doctors missed, seen crazy behav…
Savvy Puppets @savvypuppets
@Colin_Hung @JoeBabaian We know, right?! #hcldr
P. F. Anderson is recovering ... slowly @pfanderson
RT @TechNurseJon: @Colin_Hung @WesleyWilson @hcldr @nyphospital Eyes on the patient in all forms are great. That can help cover the safety…
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
P. F. Anderson is recovering ... slowly @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 mai…
P. F. Anderson is recovering ... slowly @pfanderson
RT @npiercePhDRN: @kiwifreund This is so true. I went many shifts without a bathroom break, without food or water - and then was asked to w…
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
Nicole L. Pierce, PhD, RN @npiercePhDRN
@Colin_Hung @kiwifreund Exactly! All the staffing in the world doesn't make any difference if staff is not empowered #hcldr
Jennifer Michelle, MPH, EMT @MMSJennifer
RT @npiercePhDRN: @pfanderson @MMSJennifer @kiwifreund This leads to food insecurity at the bedside - parents unable to work because they n…
Jon @TechNurseJon
@Colin_Hung @fsgoldstein Where is this mythical place, and how do I get signed up? #hcldr https://t.co/ZsbpY3VtRw
P. F. Anderson is recovering ... slowly @pfanderson
RT @Colin_Hung: @npiercePhDRN @kiwifreund T3 Hearing this it's not surprising that nurses everywhere are clamoring for support - and for mo…
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
P. F. Anderson is recovering ... slowly @pfanderson
RT @TechNurseJon: @Colin_Hung @fsgoldstein Where is this mythical place, and how do I get signed up? #hcldr https://t.co/ZsbpY3VtRw
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
ReepRN @reepRN
RT @Colin_Hung: T3 YES!!! @npiercePhDRN Well said. Nurses need support as do docs. It's time healthcare leaders realize what manufacturers…
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
P. F. Anderson is recovering ... slowly @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: Failure to retain nurses is costly. From #HRI research 10 years ago (numbers much higher now). Every percentage point incre…
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, le…
Nicole L. Pierce, PhD, RN @npiercePhDRN
@PoPculture_px I wish it was that easy - I am currently at a union hospital, and as a non-union employee, I am not allowed to provide patient care. So as much as I would love to pitch in, I am limited in what I can do. These rules make it so much more difficult #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
P. F. Anderson is recovering ... slowly @pfanderson
RT @npiercePhDRN: @pfanderson @MMSJennifer @kiwifreund This leads to food insecurity at the bedside - parents unable to work because they n…
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
ReepRN @reepRN
RT @npiercePhDRN: T2 - as an ICU nurse, I worked in hospitals with and without mandatory staffing ratios. What was more important was the m…
Cherri Rogers @Ptexp_RN_Cherri
T:3Budget appropriately and a strategic plan for recruitment and RETENTION. Without a full pool of nurses leadership plays catch-up to manage staffing. Don’t fear using agency nurses #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
Nicole L. Pierce, PhD, RN @npiercePhDRN
T4 - there is not a one-size-fits-all solution. AI solutions might work well in some areas, but not at all in others. We need to turn to nurses at bedside and ask them what would help. Empower nurses! #hcldr
Cherri Rogers @Ptexp_RN_Cherri
RT @npiercePhDRN: @Colin_Hung @kiwifreund Exactly! All the staffing in the world doesn't make any difference if staff is not empowered #hcl
Jon @TechNurseJon
@richkrn @ColtonOrtolf #hcldr This sounds great. We've so far been failing at it for decades, unfortunately. #HealthTech #HealthIT
Barby Ingle, BSc Psyc @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.…
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
P. F. Anderson is recovering ... slowly @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/…
Bingle @TheBingle
That sums it up! #hcldr
P. F. Anderson is recovering ... slowly @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, le…
Jim Atkinson @JimOnHealth
@fsgoldstein yes - let’s get patients out of nursing homes… #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 fo…
Peggy White @_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® @powerofpain
RT @BarbyIngle: T4. EHR that talk between providers and hospitals so a bigger picture can be seen for chronic patients. Also, set up nursin…
Rich g Kenny, MMCi, RN @richkrn
RT @bisgur: T3: Failure to retain nurses is costly. From #HRI research 10 years ago (numbers much higher now). Every percentage point incre…
Jon @TechNurseJon
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, le…
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: As a patient, I don't have a good answer for this one - but the nurses do! #hcldr https://t.co/Kg9v3Ivuq9
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
Colin Hung @Colin_Hung
RT @npiercePhDRN: T4 - there is not a one-size-fits-all solution. AI solutions might work well in some areas, but not at all in others. We…
Nicole L. Pierce, PhD, RN @npiercePhDRN
T4 - stop lumping nursing care in with bed/room charges. People are appalled that an overnight stay in the ICU costs thousands - but that includes all the expertise, attention, and skill of the nurse as well. Allow nurses to have value #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…
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 heal…
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…
Mariah Obiedzinski @MariahWrites
RT @upwardmobility: T2: I suspect open innovation will lead to way more nurses and clinical informatics support staff, with physicians focu…
Colin Hung @Colin_Hung
RT @npiercePhDRN: T4 - stop lumping nursing care in with bed/room charges. People are appalled that an overnight stay in the ICU costs thou…
Cherri Rogers @Ptexp_RN_Cherri
Yes and yes. The majority of nurses are still women and as so not as common to pursue advancement. I’d like to look for research on this #hcldr like for how many male RNs are in leadership compared to female
Alzheimer's Los Angeles @AlzheimersLA
RT @wareFLO: @AlzheimersLA Love the concept! > Goldie Nejat creates helpers for helpers: Nejat's passion for engineering and healthcare led…
Joe Babaian @JoeBabaian
RT @Ptexp_RN_Cherri: Yes and yes. The majority of nurses are still women and as so not as common to pursue advancement. I’d like to look fo…
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,…
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…
Nicole L. Pierce, PhD, RN @npiercePhDRN
@kiwifreund I think patients have a great insight into what would help nurses improve care - people often struggle to find solutions beyond what they typically see. I rely on patient advisory councils to steer everything I do as a researcher! #hcldr
Colin Hung @Colin_Hung
RT @Ptexp_RN_Cherri: Yes and yes. The majority of nurses are still women and as so not as common to pursue advancement. I’d like to look fo…
Bingle @TheBingle
Seems like it causes many problems. Avoid if u can. #hcldr
Peggy White @_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
Nicole L. Pierce, PhD, RN @npiercePhDRN
Alarm fatigue is such a huge issue - help nurses focus, and care improves! #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…
Alzheimer's Los Angeles @AlzheimersLA
RT @npiercePhDRN: T4 - there is not a one-size-fits-all solution. AI solutions might work well in some areas, but not at all in others. We…
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
P. F. Anderson is recovering ... slowly @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 #HCLD
Jennifer Michelle, MPH, EMT @MMSJennifer
@npiercePhDRN @pfanderson @kiwifreund This just blows my mind, but doesn’t surprise me. #hcldr
Janet Kennedy #LookForTheHelpers @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 htt…
Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO
@fsgoldstein Yo Fred! Roll that Twitter dice! #HCLDR https://t.co/4wkHcYUk12
Peggy White @_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 @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
P. F. Anderson is recovering ... slowly @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® @powerofpain
RT @KenRayTaylor: T4: Monitoring stations for room cameras can allow a nurse to be more efficient and less fatigue. Walking to a supply roo…
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
Jennifer Michelle, MPH, EMT @MMSJennifer
RT @npiercePhDRN: @kiwifreund I think patients have a great insight into what would help nurses improve care - people often struggle to fin…
MamaBear (she/her) @esteckler2
RT @ePatientDave: I understand, but boy, why is it still a breakthrough to propose listening to the person who has the problem? (I know, f…
Cherri Rogers @Ptexp_RN_Cherri
Unfortunately we need to be everywhere at the same time. We’re nurses, so we just do it. There are just some parts of our day technology can’t help or replace-and I love #HIT #hcldr
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
Jennifer Michelle, MPH, EMT @MMSJennifer
RT @Ptexp_RN_Cherri: Yes and yes. The majority of nurses are still women and as so not as common to pursue advancement. I’d like to look fo…
Colin Hung @Colin_Hung
RT @AlzheimersLA: Any solid leadership team should include a mix of stakeholders: nurses have to be a part of that in healthcare + wellness…
Cherri Rogers @Ptexp_RN_Cherri
RT @npiercePhDRN: @kiwifreund I think patients have a great insight into what would help nurses improve care - people often struggle to fin…
Nicole L. Pierce, PhD, RN @npiercePhDRN
@PoPculture_px Agreed - that's why I insist on showing up on every unit at least quarterly. I'm still a nurse, and I am in the hospital to support the frontline staff. It's the least I can do - plus I miss patient care! #hcldr
P. F. Anderson is recovering ... slowly @pfanderson
RT @TheBingle: @Colin_Hung @pfanderson @kiwifreund Quite honestly there are some great nurses that are dedicated and involved with each pat…
Mariah Obiedzinski @MariahWrites
RT @hcldr: Repeating T4 What technology, process or workflow solution could help nurses give the best care possible to patients? #hcldr htt…
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 implem…
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 htt…
Peggy White @_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 htt…
Joe Babaian @JoeBabaian
RT @Ptexp_RN_Cherri: Unfortunately we need to be everywhere at the same time. We’re nurses, so we just do it. There are just some parts of…
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: Monitoring stations for room cameras can allow a nurse to be more efficient and less fatigue. Walking to a supply roo…
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 https://…
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, BSc Psyc @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 #LookForTheHelpers @GetSocialHealth
RT @RasuShrestha: T4. Care collaboration tools. Having nurses be a part of your team is the secret to winning the "game". #hcldr https://…
Fred Goldstein @fsgoldstein
Love it!! Thanks @WareFLO #hcldr
Colin Hung @Colin_Hung
RT @npiercePhDRN: @PoPculture_px Agreed - that's why I insist on showing up on every unit at least quarterly. I'm still a nurse, and I am i…
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
Jim Atkinson @JimOnHealth
Nice tweeting everyone tonight #hcldr… i’m off to walk in this sweet humid Florida air!
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
P. F. Anderson is recovering ... slowly @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 @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
P. F. Anderson is recovering ... slowly @pfanderson
RT @WesleyWilson: @npiercePhDRN i would also say stop thinking physicians can do nurses jobs, physicians are not trained to nurse patients…
P. F. Anderson is recovering ... slowly @pfanderson
RT @AureliaCotta: Yup---and nurses and front line workers have been labelled as "waste in the system" for too long. Ridiculous. We need dir…
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…
Linda Stotsky @EMRAnswers
So sorry to have missed tonight’s chat! Can’t wait to read the transcript. #hcldr 🙋‍♀️💗
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
P. F. Anderson is recovering ... slowly @pfanderson
RT @KenRayTaylor: T4: Monitoring stations for room cameras can allow a nurse to be more efficient and less fatigue. Walking to a supply roo…
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
Cherri Rogers @Ptexp_RN_Cherri
RT @TheBingle: @Colin_Hung @Ptexp_RN_Cherri Get rid of the CEO's. Put a head nurse in charge of financial decisions & I guarantee patients…
P. F. Anderson is recovering ... slowly @pfanderson
RT @hcldr: Repeating T4 What technology, process or workflow solution could help nurses give the best care possible to patients? #hcldr htt…
Nicole L. Pierce, PhD, RN @npiercePhDRN
@pfanderson @MMSJennifer @kiwifreund @WeFeed1st is our hospital-based pantry - I’m so proud of the work they do! This is a great charity to sponsor - but I’m biased #hcldr
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
Jon @TechNurseJon
@wareFLO T4. 100% - Any technical solution requires an examination of current processes and workflows. There should be no sacred cows during this evaluation. #hcldr
P. F. Anderson is recovering ... slowly @pfanderson
RT @RasuShrestha: T4. Care collaboration tools. Having nurses be a part of your team is the secret to winning the "game". #hcldr https://…
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
P. F. Anderson is recovering ... slowly @pfanderson
RT @AureliaCotta: Yes---though I would like better communications with Doctors treating me. I tell the Nurses information and doctors don't…
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
Jennifer Michelle, MPH, EMT @MMSJennifer
RT @npiercePhDRN: @pfanderson @MMSJennifer @kiwifreund @WeFeed1st is our hospital-based pantry - I’m so proud of the work they do! This is…
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 @npiercePhDRN: @pfanderson @MMSJennifer @kiwifreund @WeFeed1st is our hospital-based pantry - I’m so proud of the work they do! This is…
Colin Hung @Colin_Hung
RT @pfanderson: @npiercePhDRN @MMSJennifer @kiwifreund More on food pantries in hospitals: https://t.co/fO8RcI6jGe | https://t.co/tA5YRDakr…
Bingle @TheBingle
@RasuShrestha @hcldr @JoeBabaian @Colin_Hung @HealthData4All @wareFLO @techguy @CoherenceMed @healthythinker @nickisnpdx @nursekeith @michellekatzmsn This patient totally agrees! #hcldr
Nicole L. Pierce, PhD, RN @npiercePhDRN
@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 https://t.co/yA7o6Gf6Vy
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!
P. F. Anderson is recovering ... slowly @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
Cherri Rogers @Ptexp_RN_Cherri
Correct. It is changing and now nurses act as change agents in healthcare #hcldr
P. F. Anderson is recovering ... slowly @pfanderson
RT @npiercePhDRN: @pfanderson @MMSJennifer @kiwifreund @WeFeed1st is our hospital-based pantry - I’m so proud of the work they do! This is…
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 https://…
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 car…
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 htt…
P. F. Anderson is recovering ... slowly @pfanderson
@npiercePhDRN @MMSJennifer @kiwifreund @WeFeed1st Thank you for singing out about them! Bravo! #hcldr
Joe Babaian @JoeBabaian
RT @Ptexp_RN_Cherri: Correct. It is changing and now nurses act as change agents in healthcare #hcldr https://t.co/jGHXrXzZwh
Jennifer Michelle, MPH, EMT @MMSJennifer
RT @Colin_Hung: @npiercePhDRN @pfanderson @MMSJennifer @kiwifreund @WeFeed1st Thanks for sharing this info on pantries. I never knew this t…
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
Jon @TechNurseJon
@hcldr T4. Whatever the solution, it must be SIMPLE and require LESS work, or you're not addressing the problem. I see lots of proposed solutions that do not decrease the work load. In fact, they often increase it, or add unnecessary complexity. #simplify #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 @Ptexp_RN_Cherri: Correct. It is changing and now nurses act as change agents in healthcare #hcldr https://t.co/jGHXrXzZwh
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 car…
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
Cherri Rogers @Ptexp_RN_Cherri
Great point. I can’t find the article, but supports the sad fact we care for everyone but ourselves #hcldr
Jon @TechNurseJon
@hcldr T4. I don't need more data entry points, disparate systems, reports to look at, data to review, lack of interoperability, login IDs, equipment that's not where I can easily get to it.... #simplify #hcldr
Colin Hung @Colin_Hung
@pillarsofhealth Just registered! #hcldr
Jennifer Michelle, MPH, EMT @MMSJennifer
#hcldr
Colin Hung @Colin_Hung
RT @TechNurseJon: @hcldr T4. Whatever the solution, it must be SIMPLE and require LESS work, or you're not addressing the problem. I see lo…
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 dise…
Cherri Rogers @Ptexp_RN_Cherri
A pleasure tonight. I just couldn’t type fast enough and stay within character limits. Goodnight #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
Jon @TechNurseJon
RT @TechNurseJon: @hcldr T4. I don't need more data entry points, disparate systems, reports to look at, data to review, lack of interopera…
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
Nicole L. Pierce, PhD, RN @npiercePhDRN
@Colin_Hung @pfanderson @MMSJennifer @kiwifreund @WeFeed1st We raised $1,500 for the pantry at our Nursing Research Symposium - I am so proud and excited to help provide families with meals! #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
Nicole L. Pierce, PhD, RN @npiercePhDRN
@AureliaCotta @TheBingle @WesleyWilson I think that’s where nursing research shines - we focus on so many of those things to improve disparities #hcldr
Colin Hung @Colin_Hung
Have a great night everyone! Thanks for joining #hcldr tonight. Great conversation on this important topic.
Cherri Rogers @Ptexp_RN_Cherri
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
Bingle @TheBingle
@MikeB0001 It was a bittersweet comedy IMHO. #hcldr
Jennifer Michelle, MPH, EMT @MMSJennifer
RT @npiercePhDRN: @Colin_Hung @pfanderson @MMSJennifer @kiwifreund @WeFeed1st We raised $1,500 for the pantry at our Nursing Research Sympo…
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, EMT @MMSJennifer
RT @Colin_Hung: Have a great night everyone! Thanks for joining #hcldr tonight. Great conversation on this important topic.
Jennifer Michelle, MPH, EMT @MMSJennifer
Love these chats! Thanks, everyone! #hcldr
P. F. Anderson is recovering ... slowly @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 pati…
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