#JHMChat Transcript

Healthcare social media transcript of the #JHMChat hashtag.
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Amy Melnick @AmyMelnick1
RT @SHMLive: There's still time to read the article on improving #qualityofcare for seriously ill #patients before #JHMChat begins in half…
Society of Hospital Medicine @SocietyHospMed
#JHMChat begins NOW! Join the conversation, then claim #CME: https://t.co/uXxkRn3Szr https://t.co/0NZBac2oRn
J Hospital Medicine @JHospMedicine
Good evening, I'm @WrayCharles your moderator for tonight's #JHMChat. Go ahead and introduce yourself while we wait for others to join. With a special welcome to our #PalliativeCare / #hpm colleagues, tonight!
Diane E. Meier @DianeEMeier
Hi everybody, @dianeemeier here, co-author of the recent JHM article on #palliative care and #hospitalists and director of @capcpalliative, an organization devoted to increasing access to quality serious illness care. #JHMChat
RobinE @refailsafe
Hi, I'm Robin Fail, a program manager at the Center to Advance Palliative care and co-author of the article we are discussing tonight. Glad to be here! #JHMchat
J Hospital Medicine @JHospMedicine
Don't forget to tag your tweets with #JHMChat - as this allows everyone to follow along. Topic 1 up in a moment…
Vinny Arora MD MAPP @FutureDocs
RT @DianeEMeier: Hi everybody, @dianeemeier here, co-author of the recent JHM article on #palliative care and #hospitalists and director of…
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: Good evening, I'm @WrayCharles your moderator for tonight's #JHMChat. Go ahead and introduce yourself while we wait for…
Jeremy Topin MD @JTopinMD
#jhmchat
Robert J. Mahoney, MD @mahoneyr
@JHospMedicine @WrayCharles Academic hospitalist, joining #JHMChat from delightful St. Louis, Missouri
J Hospital Medicine @JHospMedicine
Special thanks to our partners @SHMLive @CostsofCare @ABIMFoundation 4 bringing you #JHMChat tonight - another #CME edition!
Grace Farris MD @gracefarris
Grace Farris, hospitalist in NYC here #jhmchat
J Hospital Medicine @JHospMedicine
We welcome Robin E. Fail, MPP (@refailsafe) & Diane E. Meier, MD, FACP (@DianeEMeier) as our guest authors, where we'll be discussing their paper “Improving Quality of Care #JHMChat
Vinny Arora MD MAPP @FutureDocs
Lurking on #JHMChat while sick 😷 so maybe quieter than usual - @WrayCharles you got this!
Society of Hospital Medicine @SocietyHospMed
RT @JHospMedicine: Don't forget to tag your tweets with #JHMChat - as this allows everyone to follow along. Topic 1 up in a moment…
Society of Hospital Medicine @SocietyHospMed
RT @JHospMedicine: Special thanks to our partners @SHMLive @CostsofCare @ABIMFoundation 4 bringing you #JHMChat tonight - another #CME edit…
J Hospital Medicine @JHospMedicine
@JTopinMD Happy you can join, Jeremy #jhmchat
Jeremy Topin MD @JTopinMD
Lets try this agin.. Hello, Im Jeremy Topin, Pulm CC in Chicago #jhmchat
Vinny Arora MD MAPP @FutureDocs
RT @SHMLive: There's still time to read the article on improving #qualityofcare for seriously ill #patients before #JHMChat begins in half…
J Hospital Medicine @JHospMedicine
Let's get started with Topic 1. Don't forget to tag your tweets with: #JHMChat https://t.co/6X0PP5HqIB
Robert J. Mahoney, MD @mahoneyr
@JTopinMD Medicine is easy. Tweet chats are hard. #JHMChat
Hyung (Harry) Cho, MD @HyungChoMD
#jhmchat hello everyone! Harry Cho, hospitalist at @MountSinaiNYC
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: Let's get started with Topic 1. Don't forget to tag your tweets with: #JHMChat https://t.co/6X0PP5HqIB
Carol Sieger @carolsieger
RT @JHospMedicine: We welcome Robin E. Fail, MPP (@refailsafe) & Diane E. Meier, MD, FACP (@DianeEMeier) as our guest authors, where we'll…
Paul S @postscriptmd
#hpm physician and hospitalist at @medicalcollege #JHMChat
J Hospital Medicine @JHospMedicine
Great having you on-board, Harry! #JHMChat https://t.co/b598PeFngV
J Hospital Medicine @JHospMedicine
RT @JHospMedicine: We welcome Robin E. Fail, MPP (@refailsafe) & Diane E. Meier, MD, FACP (@DianeEMeier) as our guest authors, where we'll…
Carol Sieger @carolsieger
RT @SHMLive: #JHMChat begins NOW! Join the conversation, then claim #CME: https://t.co/uXxkRn3Szr https://t.co/0NZBac2oRn
Amy Melnick @AmyMelnick1
Thanks #jhmchat for hosting this tweet chat. I'm @AmyMelnick1 from the @CoalitionHPC - always looking for new partners to increase access/awareness of #palliative care.
Palliative Dork @PCDorkClub
Hello! We are an informal club for anyone who loves #hpm! #JHMChat
Elizabeth Gundersen @Top_Gundersen
Hi All, I’m Liz, former hospitalist & current inpatient palliative care doc, joining you from my couch in south Florida with my puppy and all his toys. Excited to be here! #JHMChat #hpm https://t.co/FWINJZVoS4
Diane E. Meier @DianeEMeier
Nobody knows better than #hospitalists which patients are suffering; which patients don't understand what to expect; which patients are being tossed like ping pong balls from specialist to specialist from test to test. #JHMChat
Robert J. Mahoney, MD @mahoneyr
@JHospMedicine T1 It seems like, for a variety of reasons, hospitalists are the first to identify that whatever has been going on so far medically has not been working. #JHMChat
Society of Hospital Medicine @SocietyHospMed
#JHMChat T1 is live! Join the discussion and don't forget to claim #CME! https://t.co/N3Jchf9Xqu
Vinny Arora MD MAPP @FutureDocs
RT @DianeEMeier: Nobody knows better than #hospitalists which patients are suffering; which patients don't understand what to expect; which…
Vinny Arora MD MAPP @FutureDocs
RT @mahoneyr: @JHospMedicine T1 It seems like, for a variety of reasons, hospitalists are the first to identify that whatever has been goin…
J Hospital Medicine @JHospMedicine
@AmyMelnick1 @CoalitionHPC We're here to help. Glad you could join us and look forward to hearing your thoughts on tonight's #JHMChat
RobinE @refailsafe
#JHMchat For patients who may not need specialist palliative care, hospitalists are well-positioned to engage patients and families in goals of care conversations and manage pain and symptoms, all of which have been shown to reduce readmissions.
Diane E. Meier @DianeEMeier
what an adorable puppy! jealous... #JHMChat
Palliative Dork @PCDorkClub
Earlier consults. Palliative care is an added layer of support for patients, families, and medical teams. Also educational opportunities for primary Palliative care. #JHMchat #hpm https://t.co/kRRkNGpZB1
Vinny Arora MD MAPP @FutureDocs
RT @refailsafe: #JHMchat For patients who may not need specialist palliative care, hospitalists are well-positioned to engage patients and…
J Hospital Medicine @JHospMedicine
@Top_Gundersen We knew you'd (both) be here! You'll definitely bring some great insights, Liz #jhmchat
J Hospital Medicine @JHospMedicine
RT @DianeEMeier: Nobody knows better than #hospitalists which patients are suffering; which patients don't understand what to expect; which…
Sonia Malhotra @SoniaMKhunkhun
@JHospMedicine hello from #nola-#palliativecare #hpm at UMC NOLA/Tulane SOM! Past Chair of @EarlyCareerSIG #JHMChat
Rab Razzak @rabrazzak
RT @DianeEMeier: Nobody knows better than #hospitalists which patients are suffering; which patients don't understand what to expect; which…
J Hospital Medicine @JHospMedicine
@SoniaMKhunkhun @EarlyCareerSIG Welcome, Sonia #JHMChat
Grace Farris MD @gracefarris
Q1, A1 this is sometimes how I feel #jhmchat #GraphicMedicine #medtwitter #MedTwitterRocks #PalliativeCare https://t.co/CjF7lennHg
Gretchen Diemer @gretchendiemer
Gretchen Diemer hospitalist in Philly. T1 Seems like they should go together like chocolate and peanut butter. We should probably set a low threshold to involve palliative care (like second admission in 6 months for same chronic illness) #JHMChat https://t.co/ULtn4GgKgj
Grace Farris MD @gracefarris
@mahoneyr @JTopinMD So true! #JHMchat
Robert J. Mahoney, MD @mahoneyr
@JHospMedicine T1 (cont'd) And it seems that hospital medicine and palliative care both have a particular sensitivity to care that does not promote the entire interest of the patient. #JHMChat
Diane E. Meier @DianeEMeier
#palliative care reduces #readmissions, hospital mortality, and improves patient experience of care #HCAHPS #JHMChat
Linda M Valentino CNO @LindaVRN
RT @DianeEMeier: Nobody knows better than #hospitalists which patients are suffering; which patients don't understand what to expect; which…
Maggie Rogers @magthenomad
RT @JHospMedicine: We welcome Robin E. Fail, MPP (@refailsafe) & Diane E. Meier, MD, FACP (@DianeEMeier) as our guest authors, where we'll…
Grace Farris MD @gracefarris
RT @DianeEMeier: Nobody knows better than #hospitalists which patients are suffering; which patients don't understand what to expect; which…
RobinE @refailsafe
@PCDorkClub Yes indeed, earlier consults are so important. In studies with cancer patients, they've been found to reduce length of stay, reduce symptom burden, and in some cases extend length of life! #JHMchat
Jeremy Topin MD @JTopinMD
From an ICU perspective, helping w/ continuity. Both with transfers in and out but also weekends. The three hospitals I work at do not have pal care service available on weekends! #jhmchat
Palliative Dork @PCDorkClub
RT @DianeEMeier: #palliative care reduces #readmissions, hospital mortality, and improves patient experience of care #HCAHPS #JHMChat
Christian Sinclair, MD, FAAHPM @ctsinclair
RT @PCDorkClub: Hello! We are an informal club for anyone who loves #hpm! #JHMChat
Palliative Dork @PCDorkClub
RT @refailsafe: @PCDorkClub Yes indeed, earlier consults are so important. In studies with cancer patients, they've been found to reduce l…
Claire Sevov @ClaireSevovMD
Hi, Med-peds hospitalist at @OSUWexMed, #jhmchat T1: As hospitalists we are often the next step after ICU, when the results of surviving critical illness become apparent.
Hyung (Harry) Cho, MD @HyungChoMD
@gracefarris #jhmchat discharge before noon
Diane E. Meier @DianeEMeier
chocolate and peanut butter...yum! you're making me hungry! #JHMChat
Sonia Malhotra @SoniaMKhunkhun
T1: knowing that #teamwork makes the dream work. 1 md or team cannot do what the collaboration of #HPM can do with other teams #JHMChat
Grace Farris MD @gracefarris
Agree #jhmchat https://t.co/oqZ7j6l8sm
Gretchen Diemer @gretchendiemer
@gracefarris Agree. I adore watching our palliative specialists navigate the more challenging family meetings though. I have learned so much from them! #jhmchat
Linda M Valentino CNO @LindaVRN
RT @DianeEMeier: #palliative care reduces #readmissions, hospital mortality, and improves patient experience of care #HCAHPS #JHMChat
Paul S @postscriptmd
T1 Primary Palliative Care education for hospitalists can be challenging when physicians are 7-on/7-off, and it's hard to assemble for more than a half hour at a time (tweeted as a #Hospitalist) #JHMChat
Robert J. Mahoney, MD @mahoneyr
@gretchendiemer Hospitalists do tend to be confronted with this truth a bit more directly than some of our outpatient colleagues who have office visits twice per year. #JHMChat
Rab Razzak @rabrazzak
RT @DianeEMeier: #palliative care reduces #readmissions, hospital mortality, and improves patient experience of care #HCAHPS #JHMChat
Gretchen Diemer @gretchendiemer
RT @DianeEMeier: #palliative care reduces #readmissions, hospital mortality, and improves patient experience of care #HCAHPS #JHMChat
Maggie Rogers @magthenomad
👋🏻 Maggie Rogers here! Senior Research Manager @CAPCpalliative and colleague to the wonderful @DianeEMeier and @refailsafe. Excited to join #JHMChat #hpm
Sri Lekha Tummalapalli, MD, MBA @LTummalapalli
Are there proposed indications for an inpatient palliative care consult? Certain diagnoses - late-stage CHF, COPD, cancer, symptom burden. Usually hospitalists do a great job of consulting early (esp. @DOMSinaiNYC) but wonder whether role for flagging #jhmchat
Grace Farris MD @gracefarris
RT @DianeEMeier: #palliative care reduces #readmissions, hospital mortality, and improves patient experience of care #HCAHPS #JHMChat
Christian Sinclair, MD, FAAHPM @ctsinclair
Hello #JHMChat! I'm a #palliative care doc at @KUcancercenter & @PalliCareKU, and editor of @Pallimed, moderator of @hpmchat Excited that you are hosting a palliative care themed chat tonight!
Palliative Dork @PCDorkClub
RT @SoniaMKhunkhun: T1: knowing that #teamwork makes the dream work. 1 md or team cannot do what the collaboration of #HPM can do with othe…
J Hospital Medicine @JHospMedicine
Excellent point, Jeremy. @DianeEMeier, any data on #PalliativeCare effects on inpatient continuity of care? #JHMChat https://t.co/lK3dSy1UhQ
Diane E. Meier @DianeEMeier
see recent meta-analysis in last week's JAMA IM on economics of hospital #palliative care https://t.co/HJtUItdZvR #JHMChat
Grace Farris MD @gracefarris
@HyungChoMD Or discharge before tomorrow at noon! #jhmchat
Sonia Malhotra @SoniaMKhunkhun
T1: It's also talking about serious illness care - making sure #goals are met & actually addressed! #hpm #JHMChat #PalliativeCare
J Hospital Medicine @JHospMedicine
RT @LTummalapalli: Are there proposed indications for an inpatient palliative care consult? Certain diagnoses - late-stage CHF, COPD, cance…
Maggie Rogers @magthenomad
1: We know that over half of #PalliativeCare referrals in hospitals are coming from hospitalists. For patients with serious illness this interaction and referral is a huge step to getting the care you need! #JHMChat #hpm
SystematicReviewBot @EvidenceRobot
RT @DianeEMeier: see recent meta-analysis in last week's JAMA IM on economics of hospital #palliative care https://t.co/HJtUItdZvR #JHMChat
Hyung (Harry) Cho, MD @HyungChoMD
RT @DianeEMeier: see recent meta-analysis in last week's JAMA IM on economics of hospital #palliative care https://t.co/HJtUItdZvR #JHMChat
Corey Kennard @PastorCorey
#JHMChat @PalliativeCare makes sure that all disciplines are involved from the very beginning of the consult.
J Hospital Medicine @JHospMedicine
@LTummalapalli @DOMSinaiNYC Great point! What are people's indicators for calling #PalliativeCare? or is it "I know it when I see it? #jhmchat
J Hospital Medicine @JHospMedicine
RT @DianeEMeier: see recent meta-analysis in last week's JAMA IM on economics of hospital #palliative care https://t.co/HJtUItdZvR #JHMChat
Diane E. Meier @DianeEMeier
Ideally all #hospitalists have core palliative care knowledge and skills and call for specialty consultation only on the most difficult or complex patients, just like in cardiology or ID #JHMChat
Robert J. Mahoney, MD @mahoneyr
@magthenomad Worth noting that at least a large percentage of those referrals were likely at the bedside nurse's prompting #JHMChat
J Hospital Medicine @JHospMedicine
RT @ctsinclair: Hello #JHMChat! I'm a #palliative care doc at @KUcancercenter & @PalliCareKU, and editor of @Pallimed, moderator of @hpmcha
Sonia Malhotra @SoniaMKhunkhun
@postscriptmd So true the education is very much needed yet challenging to deliver #PalliativeCare #hpm #jhmchat -we are looking at unique ways to do
Palliative Dork @PCDorkClub
RT @PastorCorey: #JHMChat @PalliativeCare makes sure that all disciplines are involved from the very beginning of the consult.
J Hospital Medicine @JHospMedicine
RT @DianeEMeier: Ideally all #hospitalists have core palliative care knowledge and skills and call for specialty consultation only on the m…
Gretchen Diemer @gretchendiemer
RT @DianeEMeier: see recent meta-analysis in last week's JAMA IM on economics of hospital #palliative care https://t.co/HJtUItdZvR #JHMChat
Palliative Dork @PCDorkClub
RT @DianeEMeier: Ideally all #hospitalists have core palliative care knowledge and skills and call for specialty consultation only on the m…
Claire Sevov @ClaireSevovMD
@DianeEMeier #jhmchat Proof of concept for clinicians but I worry that with the wrong PR this headline could twist patient perceptions of involving palliative care
Christian Sinclair, MD, FAAHPM @ctsinclair
@gracefarris I think that it is important to recognize that challenge hospitality face. As a PC consultant, I often wonder if my role is needed as an expert on a complex topic or as a service to help manage the undue burdens my colleagues face. Both are important to address. #JHMChat
Grace Farris MD @gracefarris
RT @JHospMedicine: @LTummalapalli @DOMSinaiNYC Great point! What are people's indicators for calling #PalliativeCare? or is it "I know it w…
Palliative Dork @PCDorkClub
RT @mahoneyr: @magthenomad Worth noting that at least a large percentage of those referrals were likely at the bedside nurse's prompting #J
J Hospital Medicine @JHospMedicine
Fantastic discussion so far...Let me throw this one out there for Topic 2... #JHMChat https://t.co/WFVGHrKUPG
Sonia Malhotra @SoniaMKhunkhun
RT @DianeEMeier: see recent meta-analysis in last week's JAMA IM on economics of hospital #palliative care https://t.co/HJtUItdZvR #JHMChat
Corey Kennard @PastorCorey
#JHMChat #PalliativeCare makes sure that all disciplines are involved from the very beginning of the consult.
Hyung (Harry) Cho, MD @HyungChoMD
T1 Hospitalists are now managing much of the inpatient services, such as oncology that are in high need of #palliative care, #jhmchat
Sri Lekha Tummalapalli, MD, MBA @LTummalapalli
Does teaching vs. non-teaching services make a difference in utility of consults? Trainees may have more time with patients (this may vary) but less equipped to handle complex symptom management and goals of care #jhmchat
Grace Farris MD @gracefarris
@ctsinclair I do think I rely on both tbh #jhmchat
Diane E. Meier @DianeEMeier
criteria for eligibility for palliative care- in addn to diagnosis, look at prior utilization (eg >1 hospitalization or ED visit) in last 6 months and functional and/or cognitive impairment--> risk factors for family caregiver exhaustion and using 911, ED, hospital. #JHMChat
Nicole DePace @NicD610
RT @DianeEMeier: Ideally all #hospitalists have core palliative care knowledge and skills and call for specialty consultation only on the m…
Christian Sinclair, MD, FAAHPM @ctsinclair
@gracefarris Of course 'hospitalists' auto-corrected to 'hospitality.' And at my very first #JHMChat.. SMH Someday I will figure out Twitter.
Carol Sieger @carolsieger
RT @magthenomad: 1: We know that over half of #PalliativeCare referrals in hospitals are coming from hospitalists. For patients with seriou…
Sonia Malhotra @SoniaMKhunkhun
@JHospMedicine @LTummalapalli @DOMSinaiNYC I like the surprise question as it is sensitive to include a lot - this can be challenging for small #HPM #PalliativeCare teams #JHMChat
J Hospital Medicine @JHospMedicine
RT @LTummalapalli: Does teaching vs. non-teaching services make a difference in utility of consults? Trainees may have more time with patie…
Corey Kennard @PastorCorey
#JHMChat the lack of knowledge that #patients and their families have about #palliativecare can be a struggle.
Gretchen Diemer @gretchendiemer
@JHospMedicine Weekend coverage, esp for active symptom management! Not enough pall care docs/NPs to go around! #JHMchat
Robert J. Mahoney, MD @mahoneyr
@JHospMedicine T2 Not speaking specifically for my institution, but the temptation to do "more, better, faster" to treat serious illness seems to be rampant in medicine. HPM is the only way to hold this somewhat in check. #JHMChat
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: Fantastic discussion so far...Let me throw this one out there for Topic 2... #JHMChat https://t.co/WFVGHrKUPG
Carol Sieger @carolsieger
RT @DianeEMeier: Ideally all #hospitalists have core palliative care knowledge and skills and call for specialty consultation only on the m…
Charlie M. Wray @WrayCharles
RT @DianeEMeier: Nobody knows better than #hospitalists which patients are suffering; which patients don't understand what to expect; which…
Carol Sieger @carolsieger
RT @DianeEMeier: see recent meta-analysis in last week's JAMA IM on economics of hospital #palliative care https://t.co/HJtUItdZvR #JHMChat
Grace Farris MD @gracefarris
@HyungChoMD Yes so true #jhmchat
Vinny Arora MD MAPP @FutureDocs
RT @DianeEMeier: Ideally all #hospitalists have core palliative care knowledge and skills and call for specialty consultation only on the m…
Christian Sinclair, MD, FAAHPM @ctsinclair
RT @DianeEMeier: criteria for eligibility for palliative care- in addn to diagnosis, look at prior utilization (eg >1 hospitalization or E…
Gretchen Diemer @gretchendiemer
RT @DianeEMeier: criteria for eligibility for palliative care- in addn to diagnosis, look at prior utilization (eg >1 hospitalization or E…
Society of Hospital Medicine @SocietyHospMed
#JHMChat T2 - Join the conversation! https://t.co/VzZsUQwUtQ
Nirav Patel, MD @NiravPatelMD
RT @refailsafe: #JHMchat For patients who may not need specialist palliative care, hospitalists are well-positioned to engage patients and…
Maggie Rogers @magthenomad
RT @HyungChoMD: T1 Hospitalists are now managing much of the inpatient services, such as oncology that are in high need of #palliative care…
Christian Sinclair, MD, FAAHPM @ctsinclair
RT @JHospMedicine: Fantastic discussion so far...Let me throw this one out there for Topic 2... #JHMChat https://t.co/WFVGHrKUPG
Elizabeth Gundersen @Top_Gundersen
@SoniaMKhunkhun @postscriptmd Sometimes awareness is half the battle. When I was a junior hospitalist I didn't pause to consider goals of care until the patient had days to weeks to live. I look back now and wince at all the missed opportunities for person-centered care. #jhmchat #hpm
Alz Girl Lori @AlzGirlLori
Hi everyone, @AlzGirlLori here. Happy to be part of the #JHMChat this evening.
J Hospital Medicine @JHospMedicine
@ctsinclair @gracefarris someday... :) #JHMChat
Gretchen Diemer @gretchendiemer
RT @Top_Gundersen: @SoniaMKhunkhun @postscriptmd Sometimes awareness is half the battle. When I was a junior hospitalist I didn't pause to…
Sonia Malhotra @SoniaMKhunkhun
@DianeEMeier tougher in areas where #HPM is new or not taught. It becomes a free for all for consultation. Why #palliativecare #meded needed #jhmchat
J Hospital Medicine @JHospMedicine
RT @mahoneyr: @JHospMedicine T2 Not speaking specifically for my institution, but the temptation to do "more, better, faster" to treat seri…
Palliative Dork @PCDorkClub
T2 Continuity of care. A patient can get great inpatient Palliative care but may suffer if there is no opportunity for outpatient follow up. #JHMchat #hpm https://t.co/FdU0gQZn50
Carol Sieger @carolsieger
RT @DianeEMeier: Nobody knows better than #hospitalists which patients are suffering; which patients don't understand what to expect; which…
J Hospital Medicine @JHospMedicine
RT @DianeEMeier: criteria for eligibility for palliative care- in addn to diagnosis, look at prior utilization (eg >1 hospitalization or E…
Carol Sieger @carolsieger
RT @DianeEMeier: #palliative care reduces #readmissions, hospital mortality, and improves patient experience of care #HCAHPS #JHMChat
Grace Farris MD @gracefarris
@magthenomad @ctsinclair You just gotta ride the twitter chat 🌊#JHMchat
Diane E. Meier @DianeEMeier
#JHMChat great paper by @akelleymd on predictors for hospitalization and mortality: dx+utilization+fn'l impairment = 50% risk hospitalization and 22% risk death in next 12 months. https://t.co/CScxsVJhKq
Gretchen Diemer @gretchendiemer
RT @PCDorkClub: T2 Continuity of care. A patient can get great inpatient Palliative care but may suffer if there is no opportunity for outp…
Nancy H Stewart DO, MS @nvhstewart
@KellyCawcuttMD Yes. This. #jhmchat
Robert J. Mahoney, MD @mahoneyr
@magthenomad Beside family members, nurses are most keenly aware of the toll that medical care takes on patients - and their families. #JHMChat
Sonia Malhotra @SoniaMKhunkhun
RT @DianeEMeier: criteria for eligibility for palliative care- in addn to diagnosis, look at prior utilization (eg >1 hospitalization or E…
Alz Girl Lori @AlzGirlLori
How does your hospital handle #mentalhealth and #BehavioralHealth patients in the ED, esp with no designated BH department? #JHMChat
Grace Farris MD @gracefarris
RT @DianeEMeier: #JHMChat great paper by @akelleymd on predictors for hospitalization and mortality: dx+utilization+fn'l impairment = 50%…
Claire Sevov @ClaireSevovMD
#jhmchat T2 Hands down biggest challenge is lack of continuity. Some of our hospitalist service patients have a different attending 5 days in a row. Hard to even remember their name much less have a firm grasp of their medical course.
J Hospital Medicine @JHospMedicine
Great point, Sonia. Most trainees don't get a lot of #PalliativeCare exposure. Most of us here would probably agree that needs to change #JHMChat https://t.co/I9zRZSWGdJ
J Hospital Medicine @JHospMedicine
Great point, Sonia. Most trainees don't get a lot of #PalliativeCare exposure. Most of us here would probably agree that needs to change #JHMChat https://t.co/I9zRZSWGdJ https://t.co/I9zRZSWGdJ
Gretchen Diemer @gretchendiemer
RT @DianeEMeier: #JHMChat great paper by @akelleymd on predictors for hospitalization and mortality: dx+utilization+fn'l impairment = 50%…
Corey Kennard @PastorCorey
@JessicaZitter Are you on on the #JHMchat?
J Hospital Medicine @JHospMedicine
RT @DianeEMeier: #JHMChat great paper by @akelleymd on predictors for hospitalization and mortality: dx+utilization+fn'l impairment = 50%…
Petra D., M.D. @petradMD
RT @PCDorkClub: T2 Continuity of care. A patient can get great inpatient Palliative care but may suffer if there is no opportunity for outp…
Christian Sinclair, MD, FAAHPM @ctsinclair
@JHospMedicine At @KUHospital and @KUcancercenter we have a quickly growing outpatient service. Biggest challenge is we are only seeing 10% of need. And we are just now starting to focus more on transitional care post discharge. So I'm going to go with workforce as biggest challenge. #JHMChat
Edgar V. Lerma 🇵🇭 @edgarvlermamd
Utility of the "Surprise" Question: A trigger for palliative care evaluation and advanced care planning #Nephpearls #JHMChat 👉🏼 https://t.co/YYMltXATTX https://t.co/11Te0ESHtD
Elizabeth Gundersen @Top_Gundersen
@gracefarris @ctsinclair When I was a hospitalist and palliative was just starting as a service line, the #palliative docs came to us & said, "we know you don't have time; call us instead." That has the pitfall of not developing primary palliative care skills, but I appreciated it at the time. #jhmchat
Palliative Dork @PCDorkClub
RT @mahoneyr: @magthenomad Beside family members, nurses are most keenly aware of the toll that medical care takes on patients - and their…
Maggie Rogers @magthenomad
T2: We hear a lot about not knowing when to refer to palliative care. When is the patient or symptom burden complex enough? When is the illness serious enough? Yes hospitalists refer, but is it early enough to have an impact? Just non-clinician-spaining 💁🏼‍♀️ #JHMChat
Charlie M. Wray @WrayCharles
RT @mahoneyr: @magthenomad Beside family members, nurses are most keenly aware of the toll that medical care takes on patients - and their…
Christian Sinclair, MD, FAAHPM @ctsinclair
RT @DianeEMeier: #JHMChat great paper by @akelleymd on predictors for hospitalization and mortality: dx+utilization+fn'l impairment = 50%…
Sonia Malhotra @SoniaMKhunkhun
T2:outpatient #PalliativeCare super important.Bandwidth an issue for small #HPM teams.tough to get to all the patients who need us #JHMChat
Carol Sieger @carolsieger
RT @SHMLive: There's still time to read the article on improving #qualityofcare for seriously ill #patients before #JHMChat begins in half…
J Hospital Medicine @JHospMedicine
RT @edgarvlermamd: Utility of the "Surprise" Question: A trigger for palliative care evaluation and advanced care planning #Nephpearls #JHM
Sonia Malhotra @SoniaMKhunkhun
RT @JHospMedicine: Great point, Sonia. Most trainees don't get a lot of #PalliativeCare exposure. Most of us here would probably agree that…
RobinE @refailsafe
#JHMchat This article sums up barriers for hospitalists including lack of time (no surprise there), difficulty finding records, and frequent handoffs. All things you all know too well! https://t.co/MmvbkZ2vHK
Diane E. Meier @DianeEMeier
seems like hospitalists are so crazy busy, hard to find time to sit down and talk with patients and their families about their understanding of their illness and what matters most to them in the context of those realities. #JHMChat
Corey Kennard @PastorCorey
#JHMChat #PalliativeCare to me is simply what General Hospital Care should be in the first place, right? Sad that it has become a specialty.
Gretchen Diemer @gretchendiemer
We are fortunate enough to have an outpt palliative care clinic which has encouraged me to consult earlier in disease process. #jhmchat https://t.co/oVqfmxsYYI
Christian Sinclair, MD, FAAHPM @ctsinclair
@PCDorkClub Yes! This! Effective care through transitions is full-contact #palliative care! Need collaboration between hospitalists and palliative care. #JHMChat
Sonia Malhotra @SoniaMKhunkhun
@ctsinclair @JHospMedicine @KUHospital @KUcancercenter Agree! We stared outpatient first (free standing pal clinic)before inpatient & it has been wildly successful #HPM #PalliativeCare #JHMChat
Amy Melnick @AmyMelnick1
RT @DianeEMeier: #JHMChat great paper by @akelleymd on predictors for hospitalization and mortality: dx+utilization+fn'l impairment = 50%…
J Hospital Medicine @JHospMedicine
RT @refailsafe: #JHMchat This article sums up barriers for hospitalists including lack of time (no surprise there), difficulty finding reco…
Shalini Vallabhan @ShaliniVall
RT @DianeEMeier: Ideally all #hospitalists have core palliative care knowledge and skills and call for specialty consultation only on the m…
Shalini Vallabhan @ShaliniVall
RT @DianeEMeier: #palliative care reduces #readmissions, hospital mortality, and improves patient experience of care #HCAHPS #JHMChat
Maggie Rogers @magthenomad
@ctsinclair I try to make a joke and spell “splaining” wrong on my first #JHMchat - feeling like you!
J Hospital Medicine @JHospMedicine
RT @refailsafe: #JHMchat This article sums up barriers for hospitalists including lack of time (no surprise there), difficulty finding reco…
Sonia Malhotra @SoniaMKhunkhun
@Top_Gundersen @gracefarris @ctsinclair This helps new programs in tough areas of buy-in as well. Has worked well in #nola #JHMChat #PalliativeCare #hpm
Robert J. Mahoney, MD @mahoneyr
@magthenomad If you have seen a patient admitted 2, 3, or 4 times for the same issue and discharged essentially unchanged, it may be time for a new plan (or, admittedly, maybe a new hospital). #JHMChat
Kim Ang @Kim_angbn
RT @DianeEMeier: seems like hospitalists are so crazy busy, hard to find time to sit down and talk with patients and their families about t…
Hyung (Harry) Cho, MD @HyungChoMD
T2 We have one outpatient palliative care clinic at Sinai. So overbooked - we desperately need more. #jhmchat
Grace Farris MD @gracefarris
@DianeEMeier This is true but also so demoralizing #jhmchat
Kim Ang @Kim_angbn
RT @DianeEMeier: #JHMChat great paper by @akelleymd on predictors for hospitalization and mortality: dx+utilization+fn'l impairment = 50%…
Robert Gerard @rhgerard
RT @DianeEMeier: Nobody knows better than #hospitalists which patients are suffering; which patients don't understand what to expect; which…
Kim Ang @Kim_angbn
RT @DianeEMeier: #palliative care reduces #readmissions, hospital mortality, and improves patient experience of care #HCAHPS #JHMChat
Gretchen Diemer @gretchendiemer
@JHospMedicine But to @gracefarris point, make sure palliative care team includes trainees in the conversation (not just consulting to do the work for them) so they can see how the best of the best do it! #jhmchat
Edgar V. Lerma 🇵🇭 @edgarvlermamd
Palliative approach to dialysis care #Nephpearls #JHMChat 👉🏼 https://t.co/Ggz6UkHuUJ https://t.co/v33TFryFqs
HPM Chat @hpmchat
#JHMChat is hopping with #hpm facts tonight! ♥ it! https://t.co/iZMFkWyAtU
Charlie M. Wray @WrayCharles
Topic 3 coming your way shortly...What a great #JHMChat tonight!
Charlie M. Wray @WrayCharles
RT @edgarvlermamd: Palliative approach to dialysis care #Nephpearls #JHMChat 👉🏼 https://t.co/Ggz6UkHuUJ https://t.co/v33TFryFqs
Maggie Rogers @magthenomad
@mahoneyr What’s the quote? Insanity is doing the same thing over and over again and expecting different results. Definitely time for a new plan! #JHMchat
Kim Ang @Kim_angbn
RT @DianeEMeier: Ideally all #hospitalists have core palliative care knowledge and skills and call for specialty consultation only on the m…
J Hospital Medicine @JHospMedicine
RT @hpmchat: #JHMChat is hopping with #hpm facts tonight! ♥ it! https://t.co/iZMFkWyAtU
Sonia Malhotra @SoniaMKhunkhun
@PastorCorey I think this is how many specialties have https://t.co/6cvTuJ8i3A docs used to do all the deliveries but now we have ob's. #JHMChat
Kim Ang @Kim_angbn
RT @DianeEMeier: see recent meta-analysis in last week's JAMA IM on economics of hospital #palliative care https://t.co/HJtUItdZvR #JHMChat
Diane E. Meier @DianeEMeier
by the way #hospitalists- you have influence- tell your CMO and other administrators that there is desperate need for more palliative care resources- they will listen to you more than they will listen to the palliative care team... #JHMChat
Grace Farris MD @gracefarris
@magthenomad @mahoneyr But isn’t the “index hospitalization” the best time to consult #PalliativeCare #JHMChat
Grace Farris MD @gracefarris
RT @DianeEMeier: by the way #hospitalists- you have influence- tell your CMO and other administrators that there is desperate need for mor…
J Hospital Medicine @JHospMedicine
Let's keep it rolling with Topic #3 for tonight's #JHMChat... https://t.co/ZG1qLzEefa
Sonia Malhotra @SoniaMKhunkhun
@HyungChoMD This is our situation as well and we are looking to expand #HPM #PalliativeCare #JHMchat
Elizabeth Gundersen @Top_Gundersen
@JHospMedicine We have no outpatient palliative care. When I do inpatient consults I often struggle with the internal pressure of an artificially accelerated inpatient timeline knowing there probably won't be adequate follow-up of goals of care conversations. #jhmchat
Kim Ang @Kim_angbn
RT @gracefarris: Q1, A1 this is sometimes how I feel #jhmchat #GraphicMedicine #medtwitter #MedTwitterRocks #PalliativeCare https://t.co/…
Corey Kennard @PastorCorey
@HyungChoMD #JHMchat truly evidence that if we care about #patients, more investment needs to be made to support this crucial aspect of #Healthcare
Sonia Malhotra @SoniaMKhunkhun
RT @hpmchat: #JHMChat is hopping with #hpm facts tonight! ♥ it! https://t.co/iZMFkWyAtU
Sneha @sp1881
RT @JHospMedicine: Let's keep it rolling with Topic #3 for tonight's #JHMChat... https://t.co/ZG1qLzEefa
Kim Ang @Kim_angbn
RT @WrayCharles: To all my #hospitalmedicine & #hpm friends out there! Jump in the #JHMChat conversation tonight at 9PM EST w/@DianeEMeier
Aditya Pawar @renalranger
RT @edgarvlermamd: Palliative approach to dialysis care #Nephpearls #JHMChat 👉🏼 https://t.co/Ggz6UkHuUJ https://t.co/v33TFryFqs
Robert J. Mahoney, MD @mahoneyr
@JHospMedicine T2 For me, personally, the hardest part is the fortitude to say "we have done everything we should." There's always one more antibiotic, one more consult, one more pressor. #JHMChat
Maggie Rogers @magthenomad
@refailsafe @PCDorkClub And for those business minded folks.... reduce costs! Ding, ding, ding! #JHMchat #hpm
Sri Lekha Tummalapalli, MD, MBA @LTummalapalli
As consultants (speaking from the renal perspective), it's often either "Why are you calling me now?" vs. "Why didn't you call me earlier?" Curious, do palliative care folks often feel they are called too late? #jhmchat
Alz Girl Lori @AlzGirlLori
Curious if anyone here (or close family) has been a patient in need of #PalliativeCare. Did that change your view of the care you provide? #JHMChat
Christian Sinclair, MD, FAAHPM @ctsinclair
@SoniaMKhunkhun @PastorCorey And it is important to recognize how complex hospital medicine has become. There is so much info for hospitalists to stay up to date, that communication and coordination doesn't always get prioritized by the system. #JHMChat
J Hospital Medicine @JHospMedicine
RT @DianeEMeier: by the way #hospitalists- you have influence- tell your CMO and other administrators that there is desperate need for mor…
Jeremy Topin MD @JTopinMD
T2 Just like coordination btwn "traditional" consult serv needs 2 be coordination of who initiates palliative care comm / goals. Often in ICU, we discuss who will be best to do so. (hospitalist/pal car/intensivist) Who has the time? who has made a connection w/ family #jhmchat
Amy @giffordgirl1222
RT @WrayCharles: To all my #hospitalmedicine & #hpm friends out there! Jump in the #JHMChat conversation tonight at 9PM EST w/@DianeEMeier
Maggie Rogers @magthenomad
RT @LTummalapalli: As consultants (speaking from the renal perspective), it's often either "Why are you calling me now?" vs. "Why didn't yo…
Kim Ang @Kim_angbn
RT @edgarvlermamd: Palliative approach to dialysis care #Nephpearls #JHMChat 👉🏼 https://t.co/Ggz6UkHuUJ https://t.co/v33TFryFqs
Robert J. Mahoney, MD @mahoneyr
@magthenomad If this is true, we practice so much insanity. #JHMChat
Sonia Malhotra @SoniaMKhunkhun
@DianeEMeier Our #HPM #palliativecare team was the #1 thing requested by the med staff and the csuite invested in it #JHMChat
Paul S @postscriptmd
T2: Lack of GOC documentation, T3: document the conversations you *have* participated in. #JHMChat
Corey Kennard @PastorCorey
#JHMChat moving #palliativecare consults more upstream will make a difference.
Christian Sinclair, MD, FAAHPM @ctsinclair
@SoniaMKhunkhun @PastorCorey And it is kind of interesting how #palliative med and hospital med grew up as specialties during the same time. Many of our current palliative care staff also are hospitalists at @PalliCareKU @KUInternalMed #JHMChat
J Hospital Medicine @JHospMedicine
RT @AlzGirlLori: Curious if anyone here (or close family) has been a patient in need of #PalliativeCare. Did that change your view of the…
Robert Fried @Robert_Fried
RT @DianeEMeier: Nobody knows better than #hospitalists which patients are suffering; which patients don't understand what to expect; which…
Alz Girl Lori @AlzGirlLori
RT @DianeEMeier: Nobody knows better than #hospitalists which patients are suffering; which patients don't understand what to expect; which…
J Hospital Medicine @JHospMedicine
RT @LTummalapalli: As consultants (speaking from the renal perspective), it's often either "Why are you calling me now?" vs. "Why didn't yo…
Robert J. Mahoney, MD @mahoneyr
@gracefarris @magthenomad The problem is figuring out which one is the "index admission". Too often you only know that in hindsight. The rest of the time, it's a one-time thing. #JHMChat
Maggie Rogers @magthenomad
@LTummalapalli From conversations with folks participating in the National Palliative Care Registry, they definitely feel that referrals are coming too late! Pal care teams might respond to a referral ASAP but that’s moot if the referral didn’t happen early enough! #hpm #JHMchat
Maria T. Carney MD @MariaTCarney
RT @DianeEMeier: by the way #hospitalists- you have influence- tell your CMO and other administrators that there is desperate need for mor…
Corey Kennard @PastorCorey
#JHMChat also, setting to stage for #PalliativeCare consults come in the form of those doing the consulting seeing themselves as an extension of PC.
Sonia Malhotra @SoniaMKhunkhun
@LTummalapalli Yes!!!!! Esp if outpatient #hpm #palliativecare can be provided. #seriousillnesscare needs to be upstream #JHMChat
Diane E. Meier @DianeEMeier
setting the stage involves saying to a patient, I am calling in a colleague to help us figure out how best to meet your +your families' needs. Odd that we feel we need patient permission to call in #palliative care- we do not ask permission to call in ID or cards or onc. #JHMChat
RobinE @refailsafe
Have any hospitalists out there worked with your palliative care team to build a documentation template that you share? Curious about standards for writing notes, and how to address the difficulty finding records in all the handoffs. #JHMchat
Sonia Malhotra @SoniaMKhunkhun
@AlzGirlLori It made me realize how poorly my family knew what I did in the #hpm #palliativecare world. It's not just about end of life #JHMChat
TOdoc @CacoMj
@JHospMedicine So, we’re often the ones who actually introduce the concept of what palliative care actually means. There are pitfalls there - “it means giving up” “it means pulling the plug” “euthanasia” -that are hard to undo later. #jhmchat
Society of Hospital Medicine @SocietyHospMed
#JHMChat T3 https://t.co/LCu1Lwnzao
Charlie M. Wray @WrayCharles
As hospitalist, we're constantly put in this position. Anecdotally, I've NEVER regretted calling a #PalliativeCare consult in my career... #JHMchat https://t.co/OTPvuDlspA
Grace Farris MD @gracefarris
I use “Would I be surprised if...” a lot (Q2) #GraphicMedicine #JHMChat #PalliativeCare #medtwitter #MedTwitterRocks https://t.co/1k4QbXxq4G
Eileen Barrett MD MPH @EileenBarrettNM
@JHospMedicine When there is disagreement within the team or between teams on if additional aggressive interventions will make a meaningful difference #JHMChat
Hyung (Harry) Cho, MD @HyungChoMD
How about we just find better systems of co-managing patients with #palliativecare and hospitalist? #jhmchat https://t.co/rD0244p4oT
Gretchen Diemer @gretchendiemer
@JHospMedicine Setting the stage "I'm going to ask my experts in symptom management to come help us. Before they get here, I want you to think about what is most important to you as you live with this disease" #jhmchat #dontsayhospice
Kim Ang @Kim_angbn
RT @DianeEMeier: by the way #hospitalists- you have influence- tell your CMO and other administrators that there is desperate need for mor…
Ashly Nealon @ashlynealon
RT @DianeEMeier: setting the stage involves saying to a patient, I am calling in a colleague to help us figure out how best to meet your +y…
Maggie Rogers @magthenomad
RT @WrayCharles: As hospitalist, we're constantly put in this position. Anecdotally, I've NEVER regretted calling a #PalliativeCare consult…
Robert J. Mahoney, MD @mahoneyr
@ctsinclair @SoniaMKhunkhun @PastorCorey And, sometimes, fixing the short-term problem is easier than delving into the long-term plan. #JHMChat
J Hospital Medicine @JHospMedicine
RT @gretchendiemer: @JHospMedicine Setting the stage "I'm going to ask my experts in symptom management to come help us. Before they get he…
Vinny Arora MD MAPP @FutureDocs
RT @WrayCharles: As hospitalist, we're constantly put in this position. Anecdotally, I've NEVER regretted calling a #PalliativeCare consult…
Allison Silvers @SilversAllison
Don't forget about caregiver burden - a quick assessment (Zarit) can reveal a high-risk family #JHMChat
Amy Melnick @AmyMelnick1
To the non-clinician here (me)...I am puzzled/frustrated. Seems to be some 'obvious' type solutions here. #hospitalists working more closely w #palliative care teams & advocating for larger PC services. Good for patient care & bottom line. Why is this hard? #hpm #JHMChat https://t.co/FG6VSXM4MT
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: Let's keep it rolling with Topic #3 for tonight's #JHMChat... https://t.co/ZG1qLzEefa
Diane E. Meier @DianeEMeier
@cacomj #JHMChat #palliative care is NOT giving up or what we do when there is nothing more that we can do. misconception that keeps patients from the care and quality of life they deserve thru the whole course of an illness
Vinny Arora MD MAPP @FutureDocs
RT @DianeEMeier: setting the stage involves saying to a patient, I am calling in a colleague to help us figure out how best to meet your +y…
Claire Sevov @ClaireSevovMD
#jhmchat T3: Stage is set by the illness, let them tell you their story, then reflect back to them all the suffering they have already been through.
Edgar V. Lerma 🇵🇭 @edgarvlermamd
Barriers and facilitators to conservative management of CKD in the elderly #Nephpearls #JHMChat 👉🏼 https://t.co/7Z8SnZj4dR https://t.co/6KoIzqiUu5
Sonia Malhotra @SoniaMKhunkhun
T3:learn how to describe #HPM #PalliativeCare to patients and trainees.helps set stage upstream for serious illness care #teamwork #JHMChat
J Hospital Medicine @JHospMedicine
RT @AmyMelnick1: To the non-clinician here (me)...I am puzzled/frustrated. Seems to be some 'obvious' type solutions here. #hospitalists wo…
Carol Sieger @carolsieger
RT @refailsafe: #JHMchat This article sums up barriers for hospitalists including lack of time (no surprise there), difficulty finding reco…
Clay Anderson @AnglerMD
RT @JHospMedicine: Let's keep it rolling with Topic #3 for tonight's #JHMChat... https://t.co/ZG1qLzEefa
Adam Rodman @AdamRodmanMD
RT @gracefarris: I use “Would I be surprised if...” a lot (Q2) #GraphicMedicine #JHMChat #PalliativeCare #medtwitter #MedTwitterRocks http…
Christian Sinclair, MD, FAAHPM @ctsinclair
I would love to do this! #hpm #DocumentationDesign #JHMChat https://t.co/9Tyf4ZXpW5
Grace Farris MD @gracefarris
RT @SilversAllison: Don't forget about caregiver burden - a quick assessment (Zarit) can reveal a high-risk family #JHMChat
Laura Lawler, MD @DocLauraLawler
@gracefarris @DianeEMeier Agree, this often seems to be the case. BUT we must find a way to #DoBetter! #JHMChat Does talking w/ patients/families increase pt’s understanding and improve compliance & health? If this is evidenced based approach, we must advocate for systems to support our time w/ patients.
Maggie Rogers @magthenomad
T3: ALL hospitalists and, lets be honest... ALL clinicians should have basic skills in communication, delivering serious news, symptom and pain management, what we call “primary #PalliativeCare skills”... I’d say that’s a start! #JHMchat #hpm
Elizabeth Gundersen @Top_Gundersen
@SoniaMKhunkhun @LTummalapalli Absolutely. I consistently see patients die in ways they say they don't want because we are consulted late. Patients with chronic diseases such as COPD, CHF, dementia can benefit from goals of care discussions and symptom management plans many months earlier. #jhmchat
J Hospital Medicine @JHospMedicine
If you're not paying attention, there's some incredible words of wisdom regarding #PalliativeCare / #hpm being dropped in tonights #JHMChat
Eileen Barrett MD MPH @EileenBarrettNM
@JHospMedicine @LTummalapalli @DOMSinaiNYC This is *such* a great question. Frailty + when it seems they’ve fallen through the cracks to discuss the implications of their frailty with their PCP or family. I don’t want to flood the amazing #palliativecare team, but it’s nice to get ahead of a terrible admission #JHMChat
Robert J. Mahoney, MD @mahoneyr
@gretchendiemer @JHospMedicine I remember a hospital pastor telling me one time, "You don't have to tell the patient that you're calling me. Sometimes it's just better for me to show up and explain why I'm there." I wonder if the same is true for palliative medicine? #JHMChat
J Hospital Medicine @JHospMedicine
Final Topic on its way... #JHMChat
Sonia Malhotra @SoniaMKhunkhun
@AmyMelnick1 Time, knowledge, challenging existing status quo some of the challenges for #HPM #PalliativeCare #JHMChat
J Hospital Medicine @JHospMedicine
RT @ctsinclair: I would love to do this! #hpm #DocumentationDesign #JHMChat https://t.co/9Tyf4ZXpW5
J Hospital Medicine @JHospMedicine
RT @refailsafe: Have any hospitalists out there worked with your palliative care team to build a documentation template that you share? Cur…
Sonia Malhotra @SoniaMKhunkhun
RT @DianeEMeier: @cacomj #JHMChat #palliative care is NOT giving up or what we do when there is nothing more that we can do. misconceptio…
Diane E. Meier @DianeEMeier
T3. look at @getpalliativecare.org for audience research tested language on describing palliative care in a manner meaningful to patients/families. #JHMChat
Society of Hospital Medicine @SocietyHospMed
RT @JHospMedicine: If you're not paying attention, there's some incredible words of wisdom regarding #PalliativeCare / #hpm being dropped i…
Robert J. Mahoney, MD @mahoneyr
Repeat for T3 #JHMChat https://t.co/1bTAhB498Q
J Hospital Medicine @JHospMedicine
We've touched on it a bit, but here you go...Topic #4 for tonights #JHMChat... https://t.co/qnUOZOFzrY
Matthew Loxton @mloxton
Lurking on #jhmchat
J Hospital Medicine @JHospMedicine
RT @DianeEMeier: T3. look at @getpalliativecare.org for audience research tested language on describing palliative care in a manner meaning…
Pallimed @Pallimed
RT @PCDorkClub: T2 Continuity of care. A patient can get great inpatient Palliative care but may suffer if there is no opportunity for outp…
Pallimed @Pallimed
RT @DianeEMeier: Ideally all #hospitalists have core palliative care knowledge and skills and call for specialty consultation only on the m…
Pallimed @Pallimed
RT @JHospMedicine: We've touched on it a bit, but here you go...Topic #4 for tonights #JHMChat... https://t.co/qnUOZOFzrY
Elizabeth Gundersen @Top_Gundersen
@SoniaMKhunkhun @LTummalapalli Of course it doesn't have to be palliative care docs having goals of care discussions or doing symptom management. I'm a big supporter of all clinicians doing palliative care as part of good person-centered care! First GOC talk I saw as an intern was by a nephrologist. #jhmchat
Gretchen Diemer @gretchendiemer
@mahoneyr @JHospMedicine I tell them about every consult I'm calling and why. Not sure if it's necessary but seems important so they understand the plan. And my consultants don't stumble into irritable patient! #jhmchat
Eileen Barrett MD MPH @EileenBarrettNM
@JHospMedicine I can’t say it better! Specifically, though, I do believe #hospitalists & #palliativecare teams should have semi structured interactions outside of consults - so we know each other as people, support each other, have a relationship before tough conversations #JHMChat
Kelly Cawcutt MD MS @KellyCawcuttMD
RT @JHospMedicine: If you're not paying attention, there's some incredible words of wisdom regarding #PalliativeCare / #hpm being dropped i…
Sonia Malhotra @SoniaMKhunkhun
@Top_Gundersen @LTummalapalli I describe plan a of serious illness care as all the medical stuff while prepping for plan b which is complementary to a (acp,etc) #JHMChat
Stephanie M. Lape @stephanieMlape
@mloxton Also guilty. #JHMChat
Society of Hospital Medicine @SocietyHospMed
Don't forget to claim #CME after tonight's #JHMChat! https://t.co/40h6vEvGX9
RobinE @refailsafe
@CAPCpalliative @vitaltalk and @AriadneLabs have teamed up with offerings for serious illness communication training. Check out the new website for more info on the offerings: https://t.co/0Md3A67SCU #JHMchat
J Hospital Medicine @JHospMedicine
@stephanieMlape @mloxton We don't mind. Glad you're here! #JHMCHat
J Hospital Medicine @JHospMedicine
RT @refailsafe: @CAPCpalliative @vitaltalk and @AriadneLabs have teamed up with offerings for serious illness communication training. Check…
J Hospital Medicine @JHospMedicine
RT @SHMLive: Don't forget to claim #CME after tonight's #JHMChat! https://t.co/40h6vEvGX9
Alex M ⚕🇲🇽 @NephroGuy
RT @edgarvlermamd: Utility of the "Surprise" Question: A trigger for palliative care evaluation and advanced care planning #Nephpearls #JHM
Maggie Rogers @magthenomad
RT @HyungChoMD: How about we just find better systems of co-managing patients with #palliativecare and hospitalist? #jhmchat https://t.co/r…
Robert J. Mahoney, MD @mahoneyr
@gretchendiemer @JHospMedicine This is definitely true for some consults - especially if considering hospice. But for symptom management/goals of care, I wonder if it's more approachable for patients if it is part of the treatment plan, not a separate "specialist" coming to give a separate "opinion" #JHMChat
Carol Sieger @carolsieger
RT @DianeEMeier: setting the stage involves saying to a patient, I am calling in a colleague to help us figure out how best to meet your +y…
Sonia Malhotra @SoniaMKhunkhun
@AlzGirlLori Thank you! Why I love my #hospitalist colleagues!! #jhmchat and #PalliativeCare #hpm
Alex M ⚕🇲🇽 @NephroGuy
RT @edgarvlermamd: Palliative approach to dialysis care #Nephpearls #JHMChat 👉🏼 https://t.co/Ggz6UkHuUJ https://t.co/v33TFryFqs
Maggie Rogers @magthenomad
RT @DianeEMeier: by the way #hospitalists- you have influence- tell your CMO and other administrators that there is desperate need for mor…
Pallimed @Pallimed
RT @EileenBarrettNM: @JHospMedicine @LTummalapalli @DOMSinaiNYC This is *such* a great question. Frailty + when it seems they’ve fallen thr…
Pallimed @Pallimed
RT @JHospMedicine: If you're not paying attention, there's some incredible words of wisdom regarding #PalliativeCare / #hpm being dropped i…
Society of Hospital Medicine @SocietyHospMed
RT @JHospMedicine: We've touched on it a bit, but here you go...Topic #4 for tonights #JHMChat... https://t.co/qnUOZOFzrY
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: We've touched on it a bit, but here you go...Topic #4 for tonights #JHMChat... https://t.co/qnUOZOFzrY
RobinE @refailsafe
SHM's implementation guide on improving communication about serious illness is another great place to start for #hospitalists #JHMchat
J Hospital Medicine @JHospMedicine
@KellyCawcuttMD love having this perspectiv, Kelly #JHMChat
Diane E. Meier @DianeEMeier
I wish hospitalists knew that #palliative care is an added layer of support for the most complex and high need patients and families+that consult within the first 2-3 days of an admission has huge impact #JHMChat
UofUPalliativeCare @UofUPalliCare
RT @DianeEMeier: Ideally all #hospitalists have core palliative care knowledge and skills and call for specialty consultation only on the m…
J Hospital Medicine @JHospMedicine
RT @DianeEMeier: I wish hospitalists knew that #palliative care is an added layer of support for the most complex and high need patients an…
RobinE @refailsafe
#JHMchat https://t.co/h6hX6EQBNe
Gretchen Diemer @gretchendiemer
@EileenBarrettNM @JHospMedicine I say "aggressive" as often as I can when talking about palliative care! "Aggressive symptom management", "aggressive control of pain" etc. #jhmchat
Maggie Rogers @magthenomad
RT @refailsafe: #JHMchat https://t.co/h6hX6EQBNe
Diane E. Meier @DianeEMeier
I also wish #hospitalists knew that the training (on symptoms, on communication, on family caregiver burden, on options for care) we did not get in med school/residency is now available to us- our patients need us to have these skills. #JHMChat
J Hospital Medicine @JHospMedicine
We have about 10 min left in tonight's #JHMChat. So much great stuff in tonights discussion. Feel free to throw out any final thoughts on the intersection of #PalliativeCare & #hospitalmedicine
Abraham E. Gracia R. @Abraham_RMI
RT @edgarvlermamd: Palliative approach to dialysis care #Nephpearls #JHMChat 👉🏼 https://t.co/Ggz6UkHuUJ https://t.co/v33TFryFqs
Charlie M. Wray @WrayCharles
This is great, I'm gonna steal this one... #JHMChat https://t.co/Wwqu3sWkp3
Mark Cheong @markcheongwl
RT @edgarvlermamd: Palliative approach to dialysis care #Nephpearls #JHMChat 👉🏼 https://t.co/Ggz6UkHuUJ https://t.co/v33TFryFqs
Grace Farris MD @gracefarris
A4 wait, is this not the correct style? #GraphicMedicine #medtwitter #jhmchat https://t.co/P26n7yKARl
TOdoc @CacoMj
@gretchendiemer @EileenBarrettNM @JHospMedicine You mean you ❤️this aggressively? #jhmchat
Sonia Malhotra @SoniaMKhunkhun
T4:#hpm is a recognized subspecialty of medicine that needs to be taught to all & #palliativecare recognized by all subspecialists #jhmchat
Elizabeth Gundersen @Top_Gundersen
@gretchendiemer @mahoneyr @JHospMedicine I like when the patient is informed I am coming but often need to explain my role again once I'm there. Even if they have misgivings, are scared or are angry, I appreciate the chance to get in the door. We can usually reassure patients once we're there. #jhmchat
Sonia Malhotra @SoniaMKhunkhun
RT @WrayCharles: As hospitalist, we're constantly put in this position. Anecdotally, I've NEVER regretted calling a #PalliativeCare consult…
Maggie Rogers @magthenomad
@gretchendiemer @EileenBarrettNM @JHospMedicine That’s such an interesting tactic to fight the end of life connotation!! Using “aggressive” when describing symptom management definitely doesn’t make the mind go to end of life care. #JHMchat #HPM
Hyung (Harry) Cho, MD @HyungChoMD
RT @gracefarris: A4 wait, is this not the correct style? #GraphicMedicine #medtwitter #jhmchat https://t.co/P26n7yKARl
Edgar V. Lerma 🇵🇭 @edgarvlermamd
Conceptual framework for supportive care in CKD #Nephpearls #JHMChat 👉🏼 https://t.co/qE5eKe4BQt https://t.co/ijkPGLdeSf
Robert J. Mahoney, MD @mahoneyr
@JHospMedicine T4 It's surprising how lonely it feels as a provider telling a patient and his/her family that there are no other treatment options we expect to succeed - especially when there are treatment options we suspect will fail. In that moment, that it is nice to have support #JHMCHat
J Hospital Medicine @JHospMedicine
As we wrap up tonight's discussion, want to give @refailsafe & @DianeEMeier of a huge "Thank You" for joining us as special guests on tonights #JHMChat @CAPCpalliative
Sonia Malhotra @SoniaMKhunkhun
Often our #Hospitalist colleagues can get us into the inner circle where #palliativecare has been slow to gain acceptance #jhmchat #hpm
Society of Hospital Medicine @SocietyHospMed
RT @JHospMedicine: We have about 10 min left in tonight's #JHMChat. So much great stuff in tonights discussion. Feel free to throw out any…
J Hospital Medicine @JHospMedicine
RT @SoniaMKhunkhun: T4:#hpm is a recognized subspecialty of medicine that needs to be taught to all & #palliativecare recognized by all sub…
Eileen Barrett MD MPH @EileenBarrettNM
@CacoMj @JHospMedicine @LTummalapalli @DOMSinaiNYC @Atul_Gawande Well said. Not sure where in this chat this goes, but I hope everyone here knows about https://t.co/IJDJy9lUOs #jhmchat
Sri Lekha Tummalapalli, MD, MBA @LTummalapalli
We had such great pall care training during residency @MountSinaiNYC led by Dr. Stephen Berns and others on Ask-Tell-Ask and NURSE statements - such useful skills in multiple domains! @Stberns #jhmchat
Retire-at-HomeBG @RetireatHomeBG
RT @DianeEMeier: I wish hospitalists knew that #palliative care is an added layer of support for the most complex and high need patients an…
J Hospital Medicine @JHospMedicine
RT @EileenBarrettNM: @CacoMj @JHospMedicine @LTummalapalli @DOMSinaiNYC @Atul_Gawande Well said. Not sure where in this chat this goes, but…
Kelly Cawcutt MD MS @KellyCawcuttMD
RT @WrayCharles: This is great, I'm gonna steal this one... #JHMChat https://t.co/Wwqu3sWkp3
Diane E. Meier @DianeEMeier
@CAPCpalliative collaborated with the @SHMLive to develop a hospitalist toolkit right now available to CAPC members, see if your hospital is already a member right here: https://t.co/bKx7bHJo1t #JHMChat
Lisa Davis Budzinski @lisadbudzinski
@mloxton I’m lurking with you ✨ #jhmchat
Robert J. Mahoney, MD @mahoneyr
@Top_Gundersen @gretchendiemer @JHospMedicine Fair enough. It is very hard for any consultant to arrive unexpectedly and then feel the need to justify their presence. #JHMChat
J Hospital Medicine @JHospMedicine
RT @DianeEMeier: @CAPCpalliative collaborated with the @SHMLive to develop a hospitalist toolkit right now available to CAPC members, see i…
Sonia Malhotra @SoniaMKhunkhun
@AmyMelnick1 @CoalitionHPC @CAPCpalliative @AAHPM @HPNAinfo #teamwork will help us change the status quo esp in regions like the south where #palliativecare #hpm not as readily accepted #jhmchat
jeromel @jeromelmd
RT @gretchendiemer: @EileenBarrettNM @JHospMedicine I say "aggressive" as often as I can when talking about palliative care! "Aggressive s…
J Hospital Medicine @JHospMedicine
Great toolkit here for #hospitalist to improve their skills in #PalliativeCare care. via tonight's #JHMChat https://t.co/dw1eAY1Ev2
Elizabeth Gundersen @Top_Gundersen
@gretchendiemer @EileenBarrettNM @JHospMedicine Yes! We don't want to call curative care "aggressive" and palliative care or symptom management "no longer aggressive." We also don't like the phrase "withdrawing care." We always care - aggressively! #JHMChat
Diane E. Meier @DianeEMeier
RT @LTummalapalli: We had such great pall care training during residency @MountSinaiNYC led by Dr. Stephen Berns and others on Ask-Tell-Ask…
Pallimed @Pallimed
RT @magthenomad: T3: ALL hospitalists and, lets be honest... ALL clinicians should have basic skills in communication, delivering serious n…
Pallimed @Pallimed
RT @SoniaMKhunkhun: T3:learn how to describe #HPM #PalliativeCare to patients and trainees.helps set stage upstream for serious illness car…
Pallimed @Pallimed
RT @edgarvlermamd: Barriers and facilitators to conservative management of CKD in the elderly #Nephpearls #JHMChat 👉🏼 https://t.co/7Z8SnZj…
Robert J. Mahoney, MD @mahoneyr
@JHospMedicine @refailsafe @DianeEMeier @CAPCpalliative Thanks @JHospMedicine, @refailsafe, and @DianeEMeier for another great #JHMChat!
Diane E. Meier @DianeEMeier
RT @Top_Gundersen: @gretchendiemer @EileenBarrettNM @JHospMedicine Yes! We don't want to call curative care "aggressive" and palliative ca…
RobinE @refailsafe
For risk-bearing organizations, it is certainly in everyone's best interest to prioritize communication, symptom management, and care coordination. Making the case to leadership should only get easier in a value-based world. And the patients will thank you, too! #JHMchat
Pallimed @Pallimed
RT @DianeEMeier: @CAPCpalliative collaborated with the @SHMLive to develop a hospitalist toolkit right now available to CAPC members, see i…
Pallimed @Pallimed
RT @mahoneyr: @JHospMedicine T4 It's surprising how lonely it feels as a provider telling a patient and his/her family that there are no ot…
Eileen Barrett MD MPH @EileenBarrettNM
@JHospMedicine Great chat! Parting thought (besides thanks!): could integrate #palliativecare more through being guest presenters at #hospitalist #journalclub - can build relationships, knowledge, & demonstrate special skillset #jhmchat
Sonia Malhotra @SoniaMKhunkhun
RT @refailsafe: For risk-bearing organizations, it is certainly in everyone's best interest to prioritize communication, symptom management…
Pallimed @Pallimed
RT @gretchendiemer: @JHospMedicine Setting the stage "I'm going to ask my experts in symptom management to come help us. Before they get he…
Doctivist @jbcowartmd
RT @JHospMedicine: Great toolkit here for #hospitalist to improve their skills in #PalliativeCare care. via tonight's #JHMChat https://t.co…
Diane E. Meier @DianeEMeier
thank you everyone- this was really fun. #JHMChat
J Hospital Medicine @JHospMedicine
#JHMChat wouldn't be something without each of you! Thanks to all those who joined us and hope tonight's discussion was informative. Loved having our #hpm colleagues w/us as well. We should do this more often...
Temple Ratcliffe @templeratcliffe
RT @WrayCharles: This is great, I'm gonna steal this one... #JHMChat https://t.co/Wwqu3sWkp3
Grace Farris MD @gracefarris
Thanks @WrayCharles for another great #JHMChat !
Allison Silvers @SilversAllison
Palliative care skills can ensure patients feel heard & understood #HCAHPS #JHMChat
Grace Farris MD @gracefarris
RT @mahoneyr: @JHospMedicine @refailsafe @DianeEMeier @CAPCpalliative Thanks @JHospMedicine, @refailsafe, and @DianeEMeier for another grea…
Jason A. Webb, MD @JasAWebb
RT @DianeEMeier: setting the stage involves saying to a patient, I am calling in a colleague to help us figure out how best to meet your +y…
J Hospital Medicine @JHospMedicine
One final shout out to our partners @SHMLive @CostsofCare @ABIMFoundation 4 bringing you #JHMChat tonight - another #CME edition! --> https://t.co/0R3URG3dK5
Society of Hospital Medicine @SocietyHospMed
RT @JHospMedicine: #JHMChat wouldn't be something without each of you! Thanks to all those who joined us and hope tonight's discussion was…
J Hospital Medicine @JHospMedicine
One final shout out to our partners @SHMLive @CostsofCare @ABIMFoundation 4 bringing you #JHMChat tonight - another #CME edition! --> https://t.co/0R3URG3dK5 https://t.co/0R3URG3dK5
Maggie Rogers @magthenomad
@JHospMedicine Foreshadowing for the future of palliative and hospital medicine collaborations!! #JHMChat #HPM
Michelle Fleshner @MFleshner301
RT @gracefarris: Q1, A1 this is sometimes how I feel #jhmchat #GraphicMedicine #medtwitter #MedTwitterRocks #PalliativeCare https://t.co/…
Charlie M. Wray @WrayCharles
@gracefarris It was my pleasure. And I still remain in awe of your quick artistic abilities. I'm a huge fan #JHMChat
Mary Dunne @MimiDunneMD
RT @DianeEMeier: by the way #hospitalists- you have influence- tell your CMO and other administrators that there is desperate need for mor…
Senior discovery @SeniorTypes
RT @DianeEMeier: Nobody knows better than #hospitalists which patients are suffering; which patients don't understand what to expect; which…
Sonia Malhotra @SoniaMKhunkhun
Thank you to #hospitalist colleagues for a great #jhmchat from this #PalliativeCare #hpm doc!Why I ♥️being in General IM group at our SOM!
J Hospital Medicine @JHospMedicine
RT @refailsafe: For risk-bearing organizations, it is certainly in everyone's best interest to prioritize communication, symptom management…
Mary Dunne @MimiDunneMD
RT @DianeEMeier: see recent meta-analysis in last week's JAMA IM on economics of hospital #palliative care https://t.co/HJtUItdZvR #JHMChat
Elizabeth Gundersen @Top_Gundersen
@mahoneyr @gretchendiemer @JHospMedicine Yes, ideally the patient would be informed, but I know that can be complicated and I'm happy to help any way I can. I ask the patient up front if s/he was expecting me and go from there. We're all on the same team trying to help patients. #jhmchat
Michelle Fleshner @MFleshner301
RT @WrayCharles: As hospitalist, we're constantly put in this position. Anecdotally, I've NEVER regretted calling a #PalliativeCare consult…
William Rivero @williamrivero
RT @edgarvlermamd: Palliative approach to dialysis care #Nephpearls #JHMChat 👉🏼 https://t.co/Ggz6UkHuUJ https://t.co/v33TFryFqs
Eileen Barrett MD MPH @EileenBarrettNM
@DianeEMeier @JHospMedicine Honestly, I also wish everyone knew it’s a extra layer of support for the #hospitalist team, too. #JHMChat
Laura Lawler, MD @DocLauraLawler
@WrayCharles @gracefarris Yes! I was only following along for part, but I was super impressed by your real-time #GraphicMedicine responses! Also, ♥️ #MedTwitterRocks. Haven’t seen that hashtag before but it’s so perfect. #JHMChat
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