#JHMChat Transcript
Healthcare social media transcript of the #JHMChat hashtag.
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See #JHMChat Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Journal of Hospital Medicine @JHospMedicine Greetings! I am @WrayCharles your moderator for tonight's joint #JHMChat. Please introduce yourself... |
 | Society of Hospital Medicine @SocietyHospMed #JHMChat on the pressure of treating #VIPpatients starts NOW - Join the conversation, then claim #CME: https://t.co/3mFeUSZPvZ https://t.co/p8m38lNeja |
 | Joshua Allen-Dicker MD MPH @DrJoshuaAD @JHospMedicine @WrayCharles Happy to be here to discuss our #VIPcare paper #JHMchat @ShaniHerzig @ADAuerbachMD |
| Journal of Hospital Medicine @JHospMedicine RT @JHospMedicine: Greetings! I am @WrayCharles your moderator for tonight's joint #JHMChat. Please introduce yourself... |
 | Vinny Arora MD MAPP @FutureDocs RT @DrJoshuaAD: @JHospMedicine @WrayCharles Happy to be here to discuss our #VIPcare paper #JHMchat @ShaniHerzig @ADAuerbachMD |
| Vinny Arora MD MAPP @FutureDocs RT @SHMLive: #JHMChat on the pressure of treating #VIPpatients starts NOW - Join the conversation, then claim #CME: #JHMChat on the pressure of treating #VIPpatients starts NOW - Join the conversation, then claim #CME: https://t.co/3mFeUSZPvZ https://t.co/p8m38lNeja |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: Greetings! I am @WrayCharles your moderator for tonight's joint #JHMChat. Please introduce yourself... |
 | Chris Moriates, MD @ChrisMoriates @DrJoshuaAD @JHospMedicine @WrayCharles @ShaniHerzig @ADAuerbachMD Hey gang - joining from Austin. Good to "see" you #jhmchat |
 | Shoshana Herzig, MD, MPH @ShaniHerzig @DrJoshuaAD @JHospMedicine @WrayCharles @ADAuerbachMD Hi Josh! #JHMchat |
 | Rebecca Jaffe, MD @RJmdphilly Hi! Rebecca Jaffe here for #JHMChat. Which must mean miraculously all my VIP kiddos are in bed before 9! |
 | High Value Alliance @hvpaa RT @JHospMedicine: Greetings! I am @WrayCharles your moderator for tonight's joint #JHMChat. Please introduce yourself... |
| Journal of Hospital Medicine @JHospMedicine Glad to have you join us, Shoshana! #JHMChat https://t.co/iN717O639h |
| Journal of Hospital Medicine @JHospMedicine FYI. 3 topics tonight w/newly added polls! Don't forget to tag your tweets with #JHMChat. T1 up in a moment… #JHMChat |
| Journal of Hospital Medicine @JHospMedicine Want to welcome @DrJoshuaAD as author of "Percieved Safety & Value of VIP services" as our special guests tonight #JHMChat |
| Vinny Arora MD MAPP @FutureDocs Vinny Arora #jhmchat social media editor lurking tonight/chiming/RT with a wide awake toddler in background #toddlerlife |
| Journal of Hospital Medicine @JHospMedicine Be sure to register for #CME for participation in tonight's #JHMChat - sign up here!--> https://t.co/p4k5p8S4HX |
| Journal of Hospital Medicine @JHospMedicine Be sure to register for #CME for participation in tonight's #JHMChat - sign up here!--> https://t.co/p4k5p8S4HX https://t.co/s34JzE61zm |
 | Daniel Wolfson @WolfsonD #JHMChat Glad to participate in this chat. I'm bet there will be strong feelings about VIP services - #choosingwisely yes or no |
| Journal of Hospital Medicine @JHospMedicine As always, special thanks to our partners @SHMLive @CostsofCare @ABIMFoundation 4 bringing you #JHMChat tonight - another #CME edition! |
 | Benji Mathews, MD MBA @MDbenji @JHospMedicine @WrayCharles @benjikmathews here for #JHMChat |
 | Edward Bukstel @ebukstel RT @JHospMedicine: What's your experience w/#VIP care in hospitalized pts? Share ur thoughts tonight 9PM EST w/#JHMChat as we discuss w/@DrJoshuaAD https://t.co/nFpxYB3ww1 |
| Journal of Hospital Medicine @JHospMedicine RT @WolfsonD: #JHMChat Glad to participate in this chat. I'm bet there will be strong feelings about VIP services - #choosingwisely yes or no |
| Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: Be sure to register for #CME for participation in tonight's #JHMChat - sign up here!--> https://t.co/p4k5p8S4HX https://t.co/s34JzE61zm |
| Journal of Hospital Medicine @JHospMedicine T1: @DrJoshuaAD highlighted some of the challenges of caring for #VIPs. What do you find most challenging about VIP care? #JHMChat |
 | Celine Goetz, MD FACP MRCP(London) @celinegoetzmd Thanks .@DrJoshuaAD for bringing the reality of VIP patient care into the literature. https://t.co/cvRXAHo9hk |
| Vinny Arora MD MAPP @FutureDocs It's not th equivalent of the guy on TV when his toddler busted in but close #JHMchat #toddlerlife https://t.co/2D03sk542h |
| Joshua Allen-Dicker MD MPH @DrJoshuaAD @JHospMedicine Important to define VIPs: not just the famous, but any patient w personal, professional, $$ relationships w hospital/MD/community #JHMchat |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: T1: T1: @DrJoshuaAD highlighted some of the challenges of caring for #VIPs. What do you find most challenging about VIP care? #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: As always, special thanks to our partners @SHMLive @CostsofCare @ABIMFoundation 4 bringing you #JHMChat tonight - another #CME edition! |
| Vinny Arora MD MAPP @FutureDocs RT @WolfsonD: #JHMChat Glad to participate in this chat. I'm bet there will be strong feelings about VIP services - #choosingwisely yes or no |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: Be sure to register for #CME for participation in tonight's #JHMChat - sign up here!--> https://t.co/p4k5p8S4HX https://t.co/s34JzE61zm |
| Shoshana Herzig, MD, MPH @ShaniHerzig @JHospMedicine @DrJoshuaAD T1: feeling like I'm "on the balcony" the whole time. #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: Want to welcome @DrJoshuaAD as author of "Percieved Safety & Value of VIP services" as our special guests tonight #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: FYI. 3 topics tonight w/newly added polls! Don't forget to tag your tweets with #JHMChat. T1 up in a moment… #JHMChat |
| Vinny Arora MD MAPP @FutureDocs @RJmdphilly I need you help #JHMchat |
| Journal of Hospital Medicine @JHospMedicine A very important point to keep in mind as we have this conversation tonight...#JHMChat https://t.co/3QdHfF31ha |
| Vinny Arora MD MAPP @FutureDocs @benjikmathews @RJmdphilly of course for parents, kids are always VIPs- could be a whole other #jhmchat |
 | Pathology @mvmd0908 RT @evemariecrane: Altered handling/testing for VIPs can also be an issue in #pathology-- and I'm super excited to see a tweet chat with official #CME! #pathjc https://t.co/hcE6r0VtLu |
| Edward Bukstel @ebukstel @DrJoshuaAD Sorry for lurking #JHMChat I've seen patients that perceived being mistreated on a floor being escalated to VIP if concern was valid |
| Journal of Hospital Medicine @JHospMedicine T1 Poll: In this paper, some physicians reported treating VIPs differently. Do you agree with this? #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: A very important point to keep in mind as we have this conversation tonight...#JHMChat https://t.co/3QdHfF31ha |
| Celine Goetz, MD FACP MRCP(London) @celinegoetzmd @JHospMedicine @DrJoshuaAD #jhmchat #vips there's a very visceral negative response when I'm asked to order unnecessary care or when consultants I didn't call show up |
| Chris Moriates, MD @ChrisMoriates @JHospMedicine @DrJoshuaAD The sense that a lot of ppl are "looking over my shoulder" makes me overthink things and do things I wouldn't normally do #Jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @celinegoetzmd: @JHospMedicine @DrJoshuaAD #jhmchat #vips there's a very visceral negative response when I'm asked to order unnecessary care or when consultants I didn't call show up |
| Rebecca Jaffe, MD @RJmdphilly T1: Less structured VIP care at my current institution - memories from residency - expectations for things I had no control over. #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: T1 Poll: T1 Poll: In this paper, some physicians reported treating VIPs differently. Do you agree with this? #JHMChat |
 | Zackary Berger @DrZackaryBerger RT @celinegoetzmd: @JHospMedicine @DrJoshuaAD #jhmchat #vips there's a very visceral negative response when I'm asked to order unnecessary care or when consultants I didn't call show up |
| Rebecca Jaffe, MD @RJmdphilly RT @JHospMedicine: T1 Poll: T1 Poll: In this paper, some physicians reported treating VIPs differently. Do you agree with this? #JHMChat |
| Journal of Hospital Medicine @JHospMedicine Great point, not all patients start off as #VIP #JHMChat https://t.co/oM5BM63FAx |
| Journal of Hospital Medicine @JHospMedicine RT @ChrisMoriates: @JHospMedicine @DrJoshuaAD The sense that a lot of ppl are "looking over my shoulder" makes me overthink things and do things I wouldn't normally do #Jhmchat |
| Daniel Wolfson @WolfsonD #JHMChat But isn't that a point, is there non-VIP & VIP pats, why do we even make the distinction- why are boards making that distinction |
| Chris Moriates, MD @ChrisMoriates I had a patient once and it suddenly felt like the Chairs of every dept were auto-consulted and weighing in #jhmchat https://t.co/6tI909RpFw |
| Journal of Hospital Medicine @JHospMedicine Great point, Rebecca. If attendings are struggling w/this - how to trainees feel? Any insights @DrJoshuaAD? https://t.co/uYO7T86dmS |
 | Erica Bednar @EMBOSU If you didn't know that #VIP hospital/medical care was a thing...you may find this chat of interest... #JHMChat https://t.co/zsJeZzns9E |
| Chris Moriates, MD @ChrisMoriates Of course the irony was that many of the Chairs had not seen an actual patient probably in years. #jhmchat https://t.co/AwF7yz6KuC |
| Rebecca Jaffe, MD @RJmdphilly Own internal struggle over ordering unnecessary things less annoying that someone wanting to know exact time of EGD...maybe? #JHMChat |
| Journal of Hospital Medicine @JHospMedicine For those of you just joining us, we're discussing @DrJoshuaAD article on care of VIP patient #JHMChat https://t.co/NNogjO5vuF |
| Joshua Allen-Dicker MD MPH @DrJoshuaAD @JHospMedicine We did not survey housestaff, but could be interesting area to look at re: their experience (which may differ from attendings) #JHMchat |
| Rebecca Jaffe, MD @RJmdphilly Is there a difference between a VIP pt and someone paying for VIPservices? (Consierge, special unit/food, etc) #jhmchat |
| Shoshana Herzig, MD, MPH @ShaniHerzig @ChrisMoriates Isn't that the irony of it all? - consultants who barely see patients, extra tests, extra days in the hospital = worse care #jhmchat |
| Benji Mathews, MD MBA @MDbenji Physicians more likely "comply with requests for unnecessary care for VIP patient as compared to a non-VIP patient" Overdiagnosis! #JHMChat |
| Daniel Wolfson @WolfsonD #JHMChat Should VIP services be restricted to amenities- private room, better food, valet services etc. |
| Journal of Hospital Medicine @JHospMedicine RT @DrJoshuaAD: @JHospMedicine We did not survey housestaff, but could be interesting area to look at re: @JHospMedicine We did not survey housestaff, but could be interesting area to look at re: their experience (which may differ from attendings) #JHMchat |
| Journal of Hospital Medicine @JHospMedicine RT @celinegoetzmd: @JHospMedicine @DrJoshuaAD #jhmchat #vips there's a very visceral negative response when I'm asked to order unnecessary care or when consultants I didn't call show up |
| Journal of Hospital Medicine @JHospMedicine We'll be announcing T2 shortly #JHMChat |
| Rebecca Jaffe, MD @RJmdphilly @DrJoshuaAD I'm sure it's different. Who gets all the pages? Maybe attendings get annoyed bc we feel like res again. #jhmchat |
| Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: T1 Poll: T1 Poll: In this paper, some physicians reported treating VIPs differently. Do you agree with this? #JHMChat |
| Journal of Hospital Medicine @JHospMedicine T2: 36% reported receiving pressure from admins on VIP care. How can MDs & admins partner on this? Does ur org have a std approach? #JHMChat |
| Vinny Arora MD MAPP @FutureDocs Agree #JHMchat cc @ShannonMartinMD https://t.co/cpZObpFvzQ |
| Vinny Arora MD MAPP @FutureDocs RT @DrJoshuaAD: @JHospMedicine We did not survey housestaff, but could be interesting area to look at re: @JHospMedicine We did not survey housestaff, but could be interesting area to look at re: their experience (which may differ from attendings) #JHMchat |
| Benji Mathews, MD MBA @MDbenji Difficult to do nothing when "VIPs request." I acknowledge that I'm often more fearful of doing too little than of doing too much. #JHMChat |
| Joshua Allen-Dicker MD MPH @DrJoshuaAD @JHospMedicine Many #VIPcare challenges mentioned above. Finding common ground with admins is important for patient care #JHMchat |
| Chris Moriates, MD @ChrisMoriates So a little off topic but I thought cool takeaway for me of study was use of HOMERuN network to answer novel interesting question #jhmchat |
 | Julien L. Pham, MD @jlpham RT @JHospMedicine: T2: T2: 36% reported receiving pressure from admins on VIP care. How can MDs & admins partner on this? Does ur org have a std approach? #JHMChat |
| Vinny Arora MD MAPP @FutureDocs This is what @amitabhchandra2 @AnupamBJena call hobby doctors - interesting take for VIP patients #JHMChat https://t.co/p3syythL6n |
| Journal of Hospital Medicine @JHospMedicine RT @DrJoshuaAD: @JHospMedicine Many #VIPcare challenges mentioned above. Finding common ground with admins is important for patient care #JHMchat |
| Daniel Wolfson @WolfsonD #JHMChat VIP services - follow the money - donor driven - driven by development department & boards |
| Rebecca Jaffe, MD @RJmdphilly Curious if in collective experience ppl feel more pressure from patients themselves or admins? #jhmchat |
| Journal of Hospital Medicine @JHospMedicine T2 Poll: Have you ever felt pressured by administration to provide unnecessary care to a #VIP patient? #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @RJmdphilly: Curious if in collective experience ppl feel more pressure from patients themselves or admins? #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @ChrisMoriates: So a little off topic but I thought cool takeaway for me of study was use of HOMERuN network to answer novel interesting question #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @benjikmathews: Difficult to do nothing when "VIPs request." I acknowledge that I'm often more fearful of doing too little than of doing too much. #JHMChat |
| Journal of Hospital Medicine @JHospMedicine To answer @RJmdphilly question, it appears as if most of our discussant feel pressure from the patient... https://t.co/R2q6gSGFt8 |
 | Jorge A Rodriguez MD @translatedmed As a new attending, having a VIP patient made me feel bit like a resident again! I had to really work to shake that feeling. #JHMchat |
| Journal of Hospital Medicine @JHospMedicine RT @ben_geisler: |
 | Rich Duszak, MD @RichDuszak RT @benjikmathews: Difficult to do nothing when "VIPs request." I acknowledge that I'm often more fearful of doing too little than of doing too much. #JHMChat |
| Rebecca Jaffe, MD @RJmdphilly @JHospMedicine just thinking that admin must answer to many masters. #costofcare, board/trustees. Must be way to align priorities #JHMChat |
| Joshua Allen-Dicker MD MPH @DrJoshuaAD @FutureDocs @amitabhchandra2 @AnupamBJena Guzman et al, in their 'Caring for VIPs: Nine Principles' advise: Resist Chairperson's Syndrome https://t.co/06eQIdhoel #jhmchat |
| Journal of Hospital Medicine @JHospMedicine Also curious as to how patients would react knowing that the patient next door is considered #VIP and they aren't...? #JHMChat |
| Society of Hospital Medicine @SocietyHospMed #JHMChat is halfway through - don't forget to claim your #CME at the end of the discussion! https://t.co/H6ZhKfdHzV |
| Journal of Hospital Medicine @JHospMedicine RT @DrJoshuaAD: @FutureDocs @amitabhchandra2 @AnupamBJena Guzman et al, in their 'Caring for VIPs: Nine Principles' advise: @FutureDocs @amitabhchandra2 @AnupamBJena Guzman et al, in their 'Caring for VIPs: Nine Principles' advise: Resist Chairperson's Syndrome https://t.co/06eQIdhoel #jhmchat |
| Rebecca Jaffe, MD @RJmdphilly @translatedmed yup! Agree! #JHMChat |
| Celine Goetz, MD FACP MRCP(London) @celinegoetzmd @JHospMedicine #jhmchat as hospital systems launch ad campaign tooting 'we're better than the others', the message from admin is #thecustomerisalwaysright |
| Journal of Hospital Medicine @JHospMedicine Couple more minutes until T3 is up…#JHMChat |
| Benji Mathews, MD MBA @MDbenji @DrJoshuaAD Did your survey indicate if there were special “VIP floors” at hospitals or were they intermixed? #jhmchat |
| Journal of Hospital Medicine @JHospMedicine Remember to tag your tweets w/#JHMChat! |
| Journal of Hospital Medicine @JHospMedicine RT @celinegoetzmd: @JHospMedicine #jhmchat as hospital systems launch ad campaign tooting 'we're better than the others', the message from admin is #thecustomerisalwaysright |
| Journal of Hospital Medicine @JHospMedicine T3: What strategies have you found useful when treating VIP pts? How do you protect VIPs from potential harms of unnecessary care? #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @DrJoshuaAD: @FutureDocs @amitabhchandra2 @AnupamBJena Guzman et al, in their 'Caring for VIPs: Nine Principles' advise: @FutureDocs @amitabhchandra2 @AnupamBJena Guzman et al, in their 'Caring for VIPs: Nine Principles' advise: Resist Chairperson's Syndrome https://t.co/06eQIdhoel #jhmchat |
| Rebecca Jaffe, MD @RJmdphilly 3 recent hospitalizations of close friends - I find idea of VIP care sad as some aspects are what we hope to do for all but can't #JHMChat 1 |
| Joshua Allen-Dicker MD MPH @DrJoshuaAD @benjikmathews Yes--of the 4 hospitals that provided VIP services, 1 had separate unit/floor, 3 had separate rooms #JHMchat |
| Daniel Wolfson @WolfsonD #JHMChat I am personally feel that that w all physicians face everyday with patients w complex high needs you have to deal w this VIP issue |
| Joshua Allen-Dicker MD MPH @DrJoshuaAD @JHospMedicine As we consider preventing harms of unnecessary care, important to recognize anniversary of #ChoosingWisely, https://t.co/M2e2zcQdhA #JHMchat |
| Benji Mathews, MD MBA @MDbenji @JHospMedicine Don't think pt would know easily. Once had a "VIP" & homeless pt in adjacent rooms. Ironically similar diagnosis too #implicitbias #jhmchat |
| Rebecca Jaffe, MD @RJmdphilly Things like face to face care coordination with specialists, facilitation of necessary non urgent tests, etc. #jhmchat 2 |
| Journal of Hospital Medicine @JHospMedicine RT @WolfsonD: #JHMChat I am personally feel that that w all physicians face everyday with patients w complex high needs you have to deal w this VIP issue |
| Society of Hospital Medicine @SocietyHospMed RT @DrJoshuaAD: @JHospMedicine As we consider preventing harms of unnecessary care, important to recognize anniversary of #ChoosingWisely, https://t.co/M2e2zcQdhA #JHMchat |
| Journal of Hospital Medicine @JHospMedicine Love the patient-centered approach, Jigar! #jhmchat https://t.co/GK7BEsoRcf |
| Daniel Wolfson @WolfsonD Great to have celebrated 5th anniversary- now the hard work continues - dealing w hard issues of unnecessary care of 1% https://t.co/lD6bNuXm43 |
| Journal of Hospital Medicine @JHospMedicine T4: Curious is anyone has had any "bad" outcomes because of overutilization/caution in #VIP care? #JHMChat |
| Celine Goetz, MD FACP MRCP(London) @celinegoetzmd @JHospMedicine #jhmchat communication and unified message to patient from consultants and primary team are effective but *very* difficult to achieve |
| Journal of Hospital Medicine @JHospMedicine RT @RJmdphilly: 3 recent hospitalizations of close friends - I find idea of VIP care sad as some aspects are what we hope to do for all but can't #JHMChat 1 |
| Rebecca Jaffe, MD @RJmdphilly T3 engage PCP if helpful (defer for output discussion), swallow ego, appeal to reason, set boundaries #JHMchat |
| Joshua Allen-Dicker MD MPH @DrJoshuaAD @JHospMedicine Powerful anecdote re: compromising quality/value secondary to patient identity https://t.co/06eQIdhoel #JHMchat https://t.co/xnGrtDw6jJ |
| Journal of Hospital Medicine @JHospMedicine RT @RJmdphilly: T3 engage PCP if helpful (defer for output discussion), swallow ego, appeal to reason, set boundaries #JHMchat |
| Zackary Berger @DrZackaryBerger #VIP care is fascinating for ++ reasons, not least of which: it is merely the far end of healthcare disparities #JHMChat |
| Benji Mathews, MD MBA @MDbenji @DrJoshuaAD T3: Couldn't agree more. Education, increased awareness of risk of inappropriate & unncecessary care as a serious problem with VIPs #jhmchat |
| Chris Moriates, MD @ChrisMoriates We like to point to how it can lead to worse care but oftentimes it IS better. And that feels terrible (cuz can't provide to 100%) #jhmchat https://t.co/JFFd8uaGIK |
| Rebecca Jaffe, MD @RJmdphilly RT @ChrisMoriates: We like to point to how it can lead to worse care but oftentimes it IS better. And that feels terrible (cuz can't provide to 100%) #jhmchat https://t.co/JFFd8uaGIK |
| Journal of Hospital Medicine @JHospMedicine RT @DrJoshuaAD: @JHospMedicine Powerful anecdote re: @JHospMedicine Powerful anecdote re: compromising quality/value secondary to patient identity https://t.co/06eQIdhoel #JHMchat https://t.co/xnGrtDw6jJ |
| Vinny Arora MD MAPP @FutureDocs Love #histmed interjected into #JHMchat https://t.co/ainoLIxT7q |
| Vinny Arora MD MAPP @FutureDocs RT @RJmdphilly: T3 engage PCP if helpful (defer for output discussion), swallow ego, appeal to reason, set boundaries #JHMchat |
| Vinny Arora MD MAPP @FutureDocs RT @celinegoetzmd: @JHospMedicine #jhmchat communication and unified message to patient from consultants and primary team are effective but *very* difficult to achieve |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: T4: T4: Curious is anyone has had any "bad" outcomes because of overutilization/caution in #VIP care? #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @ZackBergerMDPhD: #VIP care is fascinating for ++ reasons, not least of which: #VIP care is fascinating for ++ reasons, not least of which: it is merely the far end of healthcare disparities #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @ZackBergerMDPhD: #VIP care is fascinating for ++ reasons, not least of which: #VIP care is fascinating for ++ reasons, not least of which: it is merely the far end of healthcare disparities #JHMChat |
| Rebecca Jaffe, MD @RJmdphilly @ChrisMoriates again with recent experiences (in good hospitals) - we have along way to go to make hospitalization a positive exp #jhmchat |
| Journal of Hospital Medicine @JHospMedicine RT @ChrisMoriates: We like to point to how it can lead to worse care but oftentimes it IS better. And that feels terrible (cuz can't provide to 100%) #jhmchat https://t.co/JFFd8uaGIK |
 | A.J. Kothari @AJKothari #JHMChat T3 different based on clinician type: VIPophiles - overuse concerns, VIP-NEUTRAL - ?, VIPophobes - worry about not caring enough |
| Celine Goetz, MD FACP MRCP(London) @celinegoetzmd #jhmchat this is a key thing to acknowledge though it's so hard to swallow... .@ChrisMoriates https://t.co/BzQ1mb9GsY |
| Rebecca Jaffe, MD @RJmdphilly @DrJoshuaAD @JHospMedicine over and under testing for VIP. #jhmchat |
 | Michelle Brooks, MD, SFHM @michellebr00ks #JHMChat - late to the game, but will look through the whole transcript. Michelle Brooks, academic hospitalist @VCUHealth in Richmond. |
 | Charlie M. Wray, DO, MS @WrayCharles This is why VIP care hurts...#jhmchat https://t.co/XzmwqMagay |
| Journal of Hospital Medicine @JHospMedicine RT @celinegoetzmd: #jhmchat this is a key thing to acknowledge though it's so hard to swallow... .@ChrisMoriates https://t.co/BzQ1mb9GsY |
| Benji Mathews, MD MBA @MDbenji @ZackBergerMDPhD VIP care risks a kind of caste system. #jhmchat |
| Society of Hospital Medicine @SocietyHospMed Don't forget to claim #CME after #JHMChat through this link: https://t.co/OmdfEsqs1s |
| Michelle Brooks, MD, SFHM @michellebr00ks #JHMChat T3 - our hospital has a separate ward for the VIPs. Unfortunately it also has very slippery floors --> more falls. |
| Journal of Hospital Medicine @JHospMedicine RT @FutureDocs: Love #histmed interjected into #JHMchat https://t.co/ainoLIxT7q |
| Joshua Allen-Dicker MD MPH @DrJoshuaAD @ChrisMoriates Is it? Our paper is a start, but no hard data yet re #VIPcare actual outcomes or #PatientExperience. More work to be done. #JHMchat |
| Benji Mathews, MD MBA @MDbenji @ZackBergerMDPhD T4: A more explicitly tiered system where people with money may have different kind of leverage/access/testing in the healthcare.#jhmchat |
| Rebecca Jaffe, MD @RJmdphilly @DrJoshuaAD @ChrisMoriates just scanned the 9 points paper below but many of these r things we should do for all (avoid silos etc) #JHMChat |
| Journal of Hospital Medicine @JHospMedicine @DrJoshuaAD @ChrisMoriates My guess is the HOMERuN network would love to explore this more #JHMChat @ADAuerbachMD |
| Chris Moriates, MD @ChrisMoriates @DrJoshuaAD Agreed. And wouldn't be surprised if in aggregate outcomes are no better (maybe even a tiny bit worse?) but on an indiv basis... #jhmchat |
 | Donna Berryman @BerrymanD RT @ZackBergerMDPhD: #VIP care is fascinating for ++ reasons, not least of which: #VIP care is fascinating for ++ reasons, not least of which: it is merely the far end of healthcare disparities #JHMChat |
 | Dr Monya De MD MPH @medjournalist RT @ChrisMoriates: Of course the irony was that many of the Chairs had not seen an actual patient probably in years. #jhmchat https://t.co/AwF7yz6KuC |
| Zackary Berger @DrZackaryBerger Yes. Our system is explicitly and implicitly tiered. People with more $, the right language, & the right skin get better care. #JHMChat https://t.co/2uh1QGhI7V |
| Jorge A Rodriguez MD @translatedmed If you were admitted, would you want VIP status ? #jhmchat |
| Rebecca Jaffe, MD @RJmdphilly @DrJoshuaAD @ChrisMoriates also I wonder how much is truly measurable. HCAHPS=crap metric. Hard outcomes likely not changed. #jhmchat |
| Michelle Brooks, MD, SFHM @michellebr00ks #JHMChat T4 - slippery floors in the VIP suite --> two separate falls resulting in injury in a week one time. When I complained... |
| Journal of Hospital Medicine @JHospMedicine As we wrap up the tonights discussion, feel free to throw out any further thoughts on #VIP care in hospitalized patients... #JHMChat |
| Michelle Brooks, MD, SFHM @michellebr00ks #JHMChat T4 - I was the "bad guy." |
| Journal of Hospital Medicine @JHospMedicine RT @translatedmed: If you were admitted, would you want VIP status ? #jhmchat |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @ZackBergerMDPhD: Yes. Our system is explicitly and implicitly tiered. People with more $, the right language, & the right skin get better care. #JHMChat https://t.co/2uh1QGhI7V |
| Zackary Berger @DrZackaryBerger MDs (including me) find much positive about providing #VIP care because it's a parallel universe where disparities are flattened #JHMChat |
| Joshua Allen-Dicker MD MPH @DrJoshuaAD @JHospMedicine @ChrisMoriates @ADAuerbachMD I hope so! Beyond HOMERuN, if any are interested in studying #VIPcare at their home institutions, please be in touch #jhmchat |
| Benji Mathews, MD MBA @MDbenji @DrJoshuaAD Did you sense if physicians felt care for VIPs worse than non-VIPs? Hesitancy to order tests approp, less thorough examination etc?.#jhmchat |
| Journal of Hospital Medicine @JHospMedicine RT @DrJoshuaAD: @JHospMedicine @ChrisMoriates @ADAuerbachMD I hope so! Beyond HOMERuN, if any are interested in studying #VIPcare at their home institutions, please be in touch #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @SHMLive: Don't forget to claim #CME after #JHMChat through this link: Don't forget to claim #CME after #JHMChat through this link: https://t.co/OmdfEsqs1s |
| Celine Goetz, MD FACP MRCP(London) @celinegoetzmd @ChrisMoriates @DrJoshuaAD #jhmchat but the stories of dz 'caught early' by unnecessary test-of-choice is what stays w pts and w docs who are lauded 'being thorough' |
| Journal of Hospital Medicine @JHospMedicine RT @celinegoetzmd: @ChrisMoriates @DrJoshuaAD #jhmchat but the stories of dz 'caught early' by unnecessary test-of-choice is what stays w pts and w docs who are lauded 'being thorough' |
| Rebecca Jaffe, MD @RJmdphilly VIP hard bc they shine light on many of the ways we fall short, but they have the privilege to do so bc of $$s and that feels wrong #jhmchat |
| Journal of Hospital Medicine @JHospMedicine Be sure to register for #CME for participation in tonight's #JHMChat - sign up here!--> https://t.co/azibIY1Wu9 #JHMChat |
| Journal of Hospital Medicine @JHospMedicine Be sure to register for #CME for participation in tonight's #JHMChat - sign up here!--> https://t.co/azibIY1Wu9... https://t.co/HkDTmHCix1 |
| Society of Hospital Medicine @SocietyHospMed Thank you to @JHospMedicine @WrayCharles @DrJoshuaAD for leading a great conversation on VIP #patientcare! #JHMChat |
| Journal of Hospital Medicine @JHospMedicine Be sure to join #JHMChat on May 8th 9PM EST when we discuss "practical framework 4 understanding & reducing medical overuse" w/@Dkorenstein |
| Rebecca Jaffe, MD @RJmdphilly RT @JHospMedicine: Be sure to join #JHMChat on May 8th 9PM EST when we discuss "practical framework 4 understanding & reducing medical overuse" w/@Dkorenstein |
| Journal of Hospital Medicine @JHospMedicine RT @RJmdphilly: VIP hard bc they shine light on many of the ways we fall short, but they have the privilege to do so bc of $$s and that feels wrong #jhmchat |
| Zackary Berger @DrZackaryBerger Formerly of the @SocietyGIM #EBM Task Force! https://t.co/8of34mv6sD |
| Joshua Allen-Dicker MD MPH @DrJoshuaAD RT @JHospMedicine: Be sure to join #JHMChat on May 8th 9PM EST when we discuss "practical framework 4 understanding & reducing medical overuse" w/@Dkorenstein |
| Michelle Brooks, MD, SFHM @michellebr00ks RT @JHospMedicine: Be sure to join #JHMChat on May 8th 9PM EST when we discuss "practical framework 4 understanding & reducing medical overuse" w/@Dkorenstein |
| Society of Hospital Medicine @SocietyHospMed The #JHMChat #CME evaluation will be open til 11pm ET. Claim your credit here: https://t.co/SxN52ytiyl |
| Society of Hospital Medicine @SocietyHospMed Special thanks to our #JHMChat partners @ABIMFoundation & @CostsofCare! |
| Chris Moriates, MD @ChrisMoriates @SHMLive @JHospMedicine @WrayCharles @DrJoshuaAD Thanks guys. This was fun. Now back to watching my SF Giants... goodnight #jhmchat |
| Joshua Allen-Dicker MD MPH @DrJoshuaAD RT @SHMLive: Special thanks to our #JHMChat partners @ABIMFoundation & @CostsofCare! |
| Benji Mathews, MD MBA @MDbenji @JHospMedicine Need onboarding toolkit for VIP care. How VIPs may behave, how physicians may behave in return, ethics, implicit/explicit bias etc. #jhmchat |
| Joshua Allen-Dicker MD MPH @DrJoshuaAD @SHMLive @JHospMedicine @WrayCharles Thanks all! #JHMchat |
| Journal of Hospital Medicine @JHospMedicine RT @benjikmathews: @JHospMedicine Need onboarding toolkit for VIP care. How VIPs may behave, how physicians may behave in return, ethics, implicit/explicit bias etc. #jhmchat |
| Society of Hospital Medicine @SocietyHospMed Look out for more information on the next #JHMChat - We'll be discussing #medicaloveruse w/ @DKorenstein, Monday, 5/8 at 9PM ET! |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: Be sure to join #JHMChat on May 8th 9PM EST when we discuss "practical framework 4 understanding & reducing medical overuse" w/@Dkorenstein |
| Vinny Arora MD MAPP @FutureDocs RT @benjikmathews: @JHospMedicine Need onboarding toolkit for VIP care. How VIPs may behave, how physicians may behave in return, ethics, implicit/explicit bias etc. #jhmchat |
| Vinny Arora MD MAPP @FutureDocs @DrJoshuaAD @SHMLive @JHospMedicine @WrayCharles great job! #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @SHMLive: Special thanks to our #JHMChat partners @ABIMFoundation & @CostsofCare! |
| Vinny Arora MD MAPP @FutureDocs RT @celinegoetzmd: @ChrisMoriates @DrJoshuaAD #jhmchat but the stories of dz 'caught early' by unnecessary test-of-choice is what stays w pts and w docs who are lauded 'being thorough' |
#JHMChat content from Twitter.