#JHMChat Transcript

Healthcare social media transcript of the #JHMChat hashtag.
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J 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 @DrJoshuaAD
@JHospMedicine @WrayCharles Happy to be here to discuss our #VIPcare paper #JHMchat @ShaniHerzig @ADAuerbachMD
J 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: https://t.co/3mFeUSZPvZ…
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 @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...
J Hospital Medicine @JHospMedicine
Glad to have you join us, Shoshana! #JHMChat https://t.co/iN717O639h
J 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
J 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
J Hospital Medicine @JHospMedicine
Be sure to register for #CME for participation in tonight's #JHMChat - sign up here!--> https://t.co/p4k5p8S4HX
J 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
J Hospital Medicine @JHospMedicine
As always, special thanks to our partners @SHMLive @CostsofCare @ABIMFoundation 4 bringing you #JHMChat tonight - another #CME edition!
Benji Mathews @benjikmathews
@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…
J 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…
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://…
J 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 @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 @DrJoshuaAD
@JHospMedicine Important to define VIPs: not just the famous, but any patient w personal, professional, $$ relationships w hospital/MD/community #JHMchat
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: T1: @DrJoshuaAD highlighted some of the challenges of caring for #VIPs. What do you find most challenging about VIP care…
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: As always, special thanks to our partners @SHMLive @CostsofCare @ABIMFoundation 4 bringing you #JHMChat tonight - anothe…
Vinny Arora MD MAPP @FutureDocs
RT @WolfsonD: #JHMChat Glad to participate in this chat. I'm bet there will be strong feelings about VIP services - #choosingwisely yes or…
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: Be sure to register for #CME for participation in tonight's #JHMChat - sign up here!--> https://t.co/p4k5p8S4HX https://…
Shoshana Herzig @ShaniHerzig
@JHospMedicine @DrJoshuaAD T1: feeling like I'm "on the balcony" the whole time. #jhmchat
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: Want to welcome @DrJoshuaAD as author of "Percieved Safety & Value of VIP services" as our special guests tonight #JHMCh
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: FYI. 3 topics tonight w/newly added polls! Don't forget to tag your tweets with #JHMChat. T1 up in a moment… #JHMChat
Joshua Allen-Dicker @DrJoshuaAD
Important to define VIPs: not just the famous, but any patient w personal, professional, $$ relationships w hospital/MD/community #JHMchat
Vinny Arora MD MAPP @FutureDocs
@RJmdphilly I need you help #JHMchat
J 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 wi…
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
J 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 @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 unneces…
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: In this paper, some physicians reported treating VIPs differently. Do you agree with this? #JHMChat
Zackary Berger, MD, PhD @ZackBergerMDPhD
RT @celinegoetzmd: @JHospMedicine @DrJoshuaAD #jhmchat #vips there's a very visceral negative response when I'm asked to order unneces…
Rebecca Jaffe, MD @RJmdphilly
RT @JHospMedicine: T1 Poll: In this paper, some physicians reported treating VIPs differently. Do you agree with this? #JHMChat
J Hospital Medicine @JHospMedicine
Great point, not all patients start off as #VIP #JHMChat https://t.co/oM5BM63FAx
J Hospital Medicine @JHospMedicine
RT @ChrisMoriates: @JHospMedicine @DrJoshuaAD The sense that a lot of ppl are "looking over my shoulder" makes me overthink things and…
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
J 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
J 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 @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
Joshua Allen-Dicker @DrJoshuaAD
MDs may not realize (&VIPs may not intend), but VIP identity may affect decision-making. Recognizing this is the biggest challenge #JHMchat
Shoshana Herzig @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 @benjikmathews
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.
J Hospital Medicine @JHospMedicine
RT @DrJoshuaAD: MDs may not realize (&VIPs may not intend), but VIP identity may affect decision-making. Recognizing this is the biggest ch…
J Hospital Medicine @JHospMedicine
RT @DrJoshuaAD: @JHospMedicine We did not survey housestaff, but could be interesting area to look at re: their experience (which m…
J Hospital Medicine @JHospMedicine
RT @celinegoetzmd: @JHospMedicine @DrJoshuaAD #jhmchat #vips there's a very visceral negative response when I'm asked to order unneces…
J 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: In this paper, some physicians reported treating VIPs differently. Do you agree with this? #JHMChat
J 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: their experience (which m…
Benji Mathews @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
Joshua Allen-Dicker @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: 36% reported receiving pressure from admins on VIP care. How can MDs & admins partner on this? Does ur org have a st…
Vinny Arora MD MAPP @FutureDocs
This is what @amitabhchandra2 @AnupamBJena call hobby doctors - interesting take for VIP patients #JHMChat https://t.co/p3syythL6n
J Hospital Medicine @JHospMedicine
RT @DrJoshuaAD: @JHospMedicine Many #VIPcare challenges mentioned above. Finding common ground with admins is important for patient care #J
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
J Hospital Medicine @JHospMedicine
T2 Poll: Have you ever felt pressured by administration to provide unnecessary care to a #VIP patient? #JHMChat
J 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…
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…
Benjamin P. Geisler @ben_geisler
great poll on unnecessary #VIP care by @JHospMedicine - vote now #hospitalists #JHMChat
J 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
J Hospital Medicine @JHospMedicine
RT @ben_geisler: great poll on unnecessary #VIP care by @JHospMedicine - vote now #hospitalists #JHMChat
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…
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 @DrJoshuaAD
@FutureDocs @amitabhchandra2 @AnupamBJena Guzman et al, in their 'Caring for VIPs: Nine Principles' advise: Resist Chairperson's Syndrome https://t.co/06eQIdhoel #jhmchat
J 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
J Hospital Medicine @JHospMedicine
RT @DrJoshuaAD: @FutureDocs @amitabhchandra2 @AnupamBJena Guzman et al, in their 'Caring for VIPs: Nine Principles' advise: Resist…
Rebecca Jaffe, MD @RJmdphilly
@translatedmed yup! Agree! #JHMChat
Benjamin P. Geisler @ben_geisler
RT @DrJoshuaAD: MDs may not realize (&VIPs may not intend), but VIP identity may affect decision-making. Recognizing this is the biggest ch…
Celine Goetz, MD @celinegoetzmd
@JHospMedicine #jhmchat as hospital systems launch ad campaign tooting 'we're better than the others', the message from admin is #thecustomerisalwaysright
J Hospital Medicine @JHospMedicine
Couple more minutes until T3 is up…#JHMChat
Benji Mathews @benjikmathews
@DrJoshuaAD Did your survey indicate if there were special “VIP floors” at hospitals or were they intermixed? #jhmchat
J Hospital Medicine @JHospMedicine
Remember to tag your tweets w/#JHMChat!
J Hospital Medicine @JHospMedicine
RT @celinegoetzmd: @JHospMedicine #jhmchat as hospital systems launch ad campaign tooting 'we're better than the others', the message…
J 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: Resist…
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 @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 @DrJoshuaAD
@JHospMedicine As we consider preventing harms of unnecessary care, important to recognize anniversary of #ChoosingWisely, https://t.co/M2e2zcQdhA #JHMchat
Benji Mathews @benjikmathews
@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
J 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…
Society of Hospital Medicine @SocietyHospMed
RT @DrJoshuaAD: @JHospMedicine As we consider preventing harms of unnecessary care, important to recognize anniversary of…
Hailey Lindborg @haiieylanae
RT @JHospMedicine: T2: 36% reported receiving pressure from admins on VIP care. How can MDs & admins partner on this? Does ur org have a st…
Jigar Contractor @jigsymd
T3 Shared decision making helps me understand why patients want something and helps them understand the evidence. #jhmchat
Joshua Allen-Dicker @DrJoshuaAD
#jhmchat https://t.co/FGBvJHwKa4
J 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
J Hospital Medicine @JHospMedicine
T4: Curious is anyone has had any "bad" outcomes because of overutilization/caution in #VIP care? #JHMChat
Celine Goetz, MD @celinegoetzmd
@JHospMedicine #jhmchat communication and unified message to patient from consultants and primary team are effective but *very* difficult to achieve
Joshua Allen-Dicker @DrJoshuaAD
Korenstein advocates for improved MD understanding & communication skills re: harms of unnecessary care https://t.co/hIwehe6J7M #JHMchat https://t.co/u7qGmlc8fi
J 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…
Rebecca Jaffe, MD @RJmdphilly
T3 engage PCP if helpful (defer for output discussion), swallow ego, appeal to reason, set boundaries #JHMchat
Joshua Allen-Dicker @DrJoshuaAD
@JHospMedicine Powerful anecdote re: compromising quality/value secondary to patient identity https://t.co/06eQIdhoel #JHMchat https://t.co/xnGrtDw6jJ
J Hospital Medicine @JHospMedicine
RT @RJmdphilly: T3 engage PCP if helpful (defer for output discussion), swallow ego, appeal to reason, set boundaries #JHMchat
Zackary Berger, MD, PhD @ZackBergerMDPhD
#VIP care is fascinating for ++ reasons, not least of which: it is merely the far end of healthcare disparities #JHMChat
Benji Mathews @benjikmathews
@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 p…
J Hospital Medicine @JHospMedicine
RT @DrJoshuaAD: @JHospMedicine Powerful anecdote re: compromising quality/value secondary to patient identity…
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 effectiv…
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: T4: Curious is anyone has had any "bad" outcomes because of overutilization/caution in #VIP care? #JHMChat
J Hospital Medicine @JHospMedicine
RT @ZackBergerMDPhD: #VIP care is fascinating for ++ reasons, not least of which: it is merely the far end of healthcare disparities #JHMC
Vinny Arora MD MAPP @FutureDocs
RT @ZackBergerMDPhD: #VIP care is fascinating for ++ reasons, not least of which: it is merely the far end of healthcare disparities #JHMC
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
Jigar Contractor @jigsymd
@DrJoshuaAD .@DrJoshuaAD Exactly!!! Shared decision making is the key! #jhmchat
J 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 p…
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 @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, FACP, FHM @michellebr00ks
#JHMChat - late to the game, but will look through the whole transcript. Michelle Brooks, academic hospitalist @VCUHealth in Richmond.
Charlie M. Wray @WrayCharles
This is why VIP care hurts...#jhmchat https://t.co/XzmwqMagay
J 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 @benjikmathews
@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
Jigar Contractor @jigsymd
@ChrisMoriates Makes you realize the inadequacies of some aspects of the care we provide to the rest (i.e. non-VIPs). #jhmchat
Michelle Brooks, MD, FACP, FHM @michellebr00ks
#JHMChat T3 - our hospital has a separate ward for the VIPs. Unfortunately it also has very slippery floors --> more falls.
J Hospital Medicine @JHospMedicine
RT @FutureDocs: Love #histmed interjected into #JHMchat https://t.co/ainoLIxT7q
Joshua Allen-Dicker @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 @benjikmathews
@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
J 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: it is merely the far end of healthcare disparities #JHMC
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/…
Zackary Berger, MD, PhD @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
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, FACP, FHM @michellebr00ks
#JHMChat T4 - slippery floors in the VIP suite --> two separate falls resulting in injury in a week one time. When I complained...
J 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, FACP, FHM @michellebr00ks
#JHMChat T4 - I was the "bad guy."
J Hospital Medicine @JHospMedicine
RT @translatedmed: If you were admitted, would you want VIP status ? #jhmchat
Michelle Brooks, MD, FACP, FHM @michellebr00ks
RT @ZackBergerMDPhD: Yes. Our system is explicitly and implicitly tiered. People with more $, the right language, & the right skin ge…
Jigar Contractor @jigsymd
Providing high value and good care is improving the pt experience, VIP care highlights areas in need of reform #jhmchat
Zackary Berger, MD, PhD @ZackBergerMDPhD
MDs (including me) find much positive about providing #VIP care because it's a parallel universe where disparities are flattened #JHMChat
Joshua Allen-Dicker @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 @benjikmathews
@DrJoshuaAD Did you sense if physicians felt care for VIPs worse than non-VIPs? Hesitancy to order tests approp, less thorough examination etc?.#jhmchat
J Hospital Medicine @JHospMedicine
RT @DrJoshuaAD: @JHospMedicine @ChrisMoriates @ADAuerbachMD I hope so! Beyond HOMERuN, if any are interested in studying #VIPcare
Vinny Arora MD MAPP @FutureDocs
RT @JigsyMD: Providing high value and good care is improving the pt experience, VIP care highlights areas in need of reform #jhmchat
Jigar Contractor @jigsymd
Most prominent is care coordination & shared decision making (spending time explaining things to pts w./ their input) in my eyes. #jhmchat
Vinny Arora MD MAPP @FutureDocs
RT @SHMLive: Don't forget to claim #CME after #JHMChat through this link: https://t.co/OmdfEsqs1s
Celine Goetz, MD @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'
J Hospital Medicine @JHospMedicine
RT @celinegoetzmd: @ChrisMoriates @DrJoshuaAD #jhmchat but the stories of dz 'caught early' by unnecessary test-of-choice is what stay…
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 $$s and that feels wrong #jhmchat
J Hospital Medicine @JHospMedicine
Be sure to register for #CME for participation in tonight's #JHMChat - sign up here!--> https://t.co/azibIY1Wu9 #JHMChat
J Hospital Medicine @JHospMedicine
Be sure to register for #CME for participation in tonight's #JHMChat - sign up here!--> https://t.co/azibIY1Wu9... https://t.co/HkDTmHCix1
Society of Hospital Medicine @SocietyHospMed
Thank you to @JHospMedicine @WrayCharles @DrJoshuaAD for leading a great conversation on VIP #patientcare! #JHMChat
J Hospital Medicine @JHospMedicine
Be sure to join #JHMChat on May 8th 9PM EST when we discuss "practical framework 4 understanding & reducing medical overuse" w/@Dkorenstein
Rebecca Jaffe, MD @RJmdphilly
RT @JHospMedicine: Be sure to join #JHMChat on May 8th 9PM EST when we discuss "practical framework 4 understanding & reducing medical over…
J Hospital Medicine @JHospMedicine
RT @RJmdphilly: VIP hard bc they shine light on many of the ways we fall short, but they have the privilege to do so bc of $$s and that fee…
Zackary Berger, MD, PhD @ZackBergerMDPhD
Formerly of the @SocietyGIM #EBM Task Force! https://t.co/8of34mv6sD
Natasha T. D. Samani @natashasamani
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/…
Joshua Allen-Dicker @DrJoshuaAD
RT @JHospMedicine: Be sure to join #JHMChat on May 8th 9PM EST when we discuss "practical framework 4 understanding & reducing medical over…
Michelle Brooks, MD, FACP, FHM @michellebr00ks
RT @JHospMedicine: Be sure to join #JHMChat on May 8th 9PM EST when we discuss "practical framework 4 understanding & reducing medical over…
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 @DrJoshuaAD
RT @SHMLive: Special thanks to our #JHMChat partners @ABIMFoundation & @CostsofCare!
Benji Mathews @benjikmathews
@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 @DrJoshuaAD
@SHMLive @JHospMedicine @WrayCharles Thanks all! #JHMchat
J Hospital Medicine @JHospMedicine
RT @benjikmathews: @JHospMedicine Need onboarding toolkit for VIP care. How VIPs may behave, how physicians may behave in return, ethi…
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 over…
Vinny Arora MD MAPP @FutureDocs
RT @benjikmathews: @JHospMedicine Need onboarding toolkit for VIP care. How VIPs may behave, how physicians may behave in return, ethi…
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 stay…
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