#JHMChat Transcript
Healthcare social media transcript of the #JHMChat hashtag.
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See #JHMChat Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | 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 an hour! https://t.co/9NgRdtyOGw @JHospMedicine https://t.co/UekCzMnVJe |
 | Society of Hospital Medicine @SocietyHospMed #JHMChat begins NOW! Join the conversation, then claim #CME: https://t.co/uXxkRn3Szr https://t.co/0NZBac2oRn |
 | Journal of 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 |
| Journal of 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 @capcpalliative, an organization devoted to increasing access to quality serious illness care. #JHMChat |
| 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 others to join. With a special welcome to our #PalliativeCare / #hpm colleagues, tonight! |
 | Jeremy Topin MD @JTopinMD #jhmchat |
 | Robert J. Mahoney, MD @mahoneyr @JHospMedicine @WrayCharles Academic hospitalist, joining #JHMChat from delightful St. Louis, Missouri |
| Journal of Hospital Medicine @JHospMedicine Special thanks to our partners @SHMLive @CostsofCare @ABIMFoundation 4 bringing you #JHMChat tonight - another #CME edition! |
| Journal of 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 edition! |
| Journal of 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 an hour! https://t.co/9NgRdtyOGw @JHospMedicine https://t.co/UekCzMnVJe |
| Journal of 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 |
 | Harry (Hyung Jin) Cho, MD @HarryChoMD #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: 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 be discussing their paper “Improving Quality of Care #JHMChat |
 | Paul S @postscriptmd #hpm physician and hospitalist at @medicalcollege #JHMChat |
| Journal of Hospital Medicine @JHospMedicine Great having you on-board, Harry! #JHMChat https://t.co/b598PeFngV |
| Journal of 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 be discussing their paper “Improving Quality of Care #JHMChat |
| Carol Sieger @carolsieger RT @SHMLive: #JHMChat begins NOW! Join the conversation, then claim #CME: #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. |
 | 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 patients are being tossed like ping pong balls from specialist to specialist from test to test. #JHMChat |
| 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 going on so far medically has not been working. #JHMChat |
| Journal of 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 |
| Diane E. Meier @DianeEMeier what an adorable puppy! jealous... #JHMChat |
| Journal of Hospital Medicine @JHospMedicine @Top_Gundersen We knew you'd (both) be here! You'll definitely bring some great insights, Liz #jhmchat |
| Journal of Hospital Medicine @JHospMedicine RT @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 |
 | Sonia Malhotra,MD,MS @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 patients are being tossed like ping pong balls from specialist to specialist from test to test. #JHMChat |
| Journal of Hospital Medicine @JHospMedicine @SoniaMKhunkhun @EarlyCareerSIG Welcome, Sonia #JHMChat |
 | 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 |
| 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 RN @LindaVRN RT @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 |
 | 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 be discussing their paper “Improving Quality of Care #JHMChat |
 | Robin Fail @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 |
 | 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. |
| Harry (Hyung Jin) Cho, MD @HarryChoMD @gracefarris #jhmchat discharge before noon |
| Diane E. Meier @DianeEMeier chocolate and peanut butter...yum! you're making me hungry! #JHMChat |
| Sonia Malhotra,MD,MS @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 |
| 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 RN @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 |
 | 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! |
| Journal of 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 |
| Sonia Malhotra,MD,MS @SoniaMKhunkhun T1: It's also talking about serious illness care - making sure #goals are met & actually addressed! #hpm #JHMChat #PalliativeCare |
| 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 |
| Harry (Hyung Jin) Cho, MD @HarryChoMD 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. |
| Journal of 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 |
| Journal of 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 |
| Journal of Hospital Medicine @JHospMedicine RT @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! |
| Sonia Malhotra,MD,MS @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 |
| Journal of Hospital Medicine @JHospMedicine RT @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 |
| 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 |
| 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 |
| Sonia Malhotra,MD,MS @SoniaMKhunkhun RT @DianeEMeier: see recent meta-analysis in last week's JAMA IM on economics of hospital #palliative care https://t.co/HJtUItdZvR #JHMChat |
| Journal of Hospital Medicine @JHospMedicine Fantastic discussion so far...Let me throw this one out there for Topic 2... #JHMChat https://t.co/WFVGHrKUPG |
| Corey Kennard @PastorCorey #JHMChat #PalliativeCare makes sure that all disciplines are involved from the very beginning of the consult. |
| Harry (Hyung Jin) Cho, MD @HarryChoMD T1 Hospitalists are now managing much of the inpatient services, such as oncology that are in high need of #palliative care, #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 most difficult or complex patients, just like in cardiology or ID #JHMChat |
| 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: 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 |
| Sonia Malhotra,MD,MS @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 |
| 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 most difficult or complex patients, just like in cardiology or ID #JHMChat |
 | Charlie M. Wray, DO, MS @WrayCharles RT @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 |
| 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 |
| 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 most difficult or complex patients, just like in cardiology or ID #JHMChat |
| 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 ED visit) in last 6 months and functional and/or cognitive impairment--> risk factors for family caregiver exhaustion and using 911, ED, hospital. #JHMChat |
| Gretchen Diemer @gretchendiemer RT @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 |
| Society of Hospital Medicine @SocietyHospMed #JHMChat T2 - Join the conversation! https://t.co/VzZsUQwUtQ |
| 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, #jhmchat |
| 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 |
 | Loretta Anderson @AlzGirlLori Hi everyone, @AlzGirlLori here. Happy to be part of the #JHMChat this evening. |
| Journal of 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 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 |
| Sonia Malhotra,MD,MS @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 |
| Journal of Hospital Medicine @JHospMedicine RT @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 |
| Carol Sieger @carolsieger RT @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 |
| Journal of Hospital Medicine @JHospMedicine RT @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 |
| Carol Sieger @carolsieger RT @DianeEMeier: #palliative care reduces #readmissions, hospital mortality, and improves patient experience of care #HCAHPS #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 |
 | Nancy H. Stewart, DO, MS (she/her) @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,MD,MS @SoniaMKhunkhun RT @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 |
| Loretta Anderson @AlzGirlLori How does your hospital handle #mentalhealth and #BehavioralHealth patients in the ED, esp with no designated BH department? #JHMChat |
| 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. |
| Journal of 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 |
| Journal of 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: #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 |
| Corey Kennard @PastorCorey @JessicaZitter Are you on on the #JHMchat? |
| Journal of Hospital Medicine @JHospMedicine RT @DianeEMeier: #JHMChat great paper by @akelleymd on predictors for hospitalization and mortality: #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 |
| 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 |
| 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, DO, MS @WrayCharles RT @mahoneyr: @magthenomad Beside family members, nurses are most keenly aware of the toll that medical care takes on patients - and their families. #JHMChat |
| Christian Sinclair, MD, FAAHPM @ctsinclair RT @DianeEMeier: #JHMChat great paper by @akelleymd on predictors for hospitalization and mortality: #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 |
| Sonia Malhotra,MD,MS @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 an hour! https://t.co/9NgRdtyOGw @JHospMedicine https://t.co/UekCzMnVJe |
| Journal of Hospital Medicine @JHospMedicine RT @edgarvlermamd: Utility of the "Surprise" Question: 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 |
| Sonia Malhotra,MD,MS @SoniaMKhunkhun RT @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 |
| Robin Fail @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,MD,MS @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: #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 |
| Journal of Hospital Medicine @JHospMedicine RT @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 |
 | Shalini Vallabhan @ShaliniVall RT @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 |
| 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! |
| Journal of Hospital Medicine @JHospMedicine RT @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 |
| Sonia Malhotra,MD,MS @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 their understanding of their illness and what matters most to them in the context of those realities. #JHMChat |
| Harry (Hyung Jin) Cho, MD @HarryChoMD T2 We have one outpatient palliative care clinic at Sinai. So overbooked - we desperately need more. #jhmchat |
| Kim Ang @Kim_angbn RT @DianeEMeier: #JHMChat great paper by @akelleymd on predictors for hospitalization and mortality: #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 |
 | Robert Gerard @rhgerard RT @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 |
| 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, DO, MS @WrayCharles Topic 3 coming your way shortly...What a great #JHMChat tonight! |
| Charlie M. Wray, DO, MS @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 most difficult or complex patients, just like in cardiology or ID #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @hpmchat: #JHMChat is hopping with #hpm facts tonight! ♥ it! https://t.co/iZMFkWyAtU |
| Sonia Malhotra,MD,MS @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 |
| Sonia Malhotra,MD,MS @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 |
| Journal of Hospital Medicine @JHospMedicine Let's keep it rolling with Topic #3 for tonight's #JHMChat... https://t.co/ZG1qLzEefa |
| Sonia Malhotra,MD,MS @SoniaMKhunkhun RT @hpmchat: #JHMChat is hopping with #hpm facts tonight! ♥ it! https://t.co/iZMFkWyAtU |
| 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 |
 | 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 & @refailsafe. Looking forward to a great discussion on how to improve the value for the seriously ill https://t.co/VY2bbjnVw1 @FutureDocs @geri_doc https://t.co/jWd7wIDN1c |
 | 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 |
| Loretta Anderson @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 |
| Journal of Hospital Medicine @JHospMedicine RT @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 |
| 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 |
| Kim Ang @Kim_angbn RT @edgarvlermamd: Palliative approach to dialysis care #Nephpearls #JHMChat 👉🏼 https://t.co/Ggz6UkHuUJ https://t.co/v33TFryFqs |
| Sonia Malhotra,MD,MS @SoniaMKhunkhun @DianeEMeier Our #HPM #palliativecare team was the #1 thing requested by the med staff and the csuite invested in it #JHMChat |
| Robert J. Mahoney, MD @mahoneyr @magthenomad If this is true, we practice so much insanity. #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 |
| Journal of 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 care you provide? #JHMChat |
| Loretta Anderson @AlzGirlLori RT @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 @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, MACP @MCarneyMD RT @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 |
| 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,MD,MS @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 |
| Sonia Malhotra,MD,MS @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, DO, MS @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 |
| Harry (Hyung Jin) Cho, MD @HarryChoMD 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 more palliative care resources- they will listen to you more than they will listen to the palliative care team... #JHMChat |
| Maggie Rogers @magthenomad RT @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 |
| 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 |
| Journal of 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 here, I want you to think about what is most important to you as you live with this disease" #jhmchat #dontsayhospice |
| 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 in my career... #JHMchat https://t.co/OTPvuDlspA |
 | 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 +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 |
| 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,MD,MS @SoniaMKhunkhun T3:learn how to describe #HPM #PalliativeCare to patients and trainees.helps set stage upstream for serious illness care #teamwork #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @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 |
| Carol Sieger @carolsieger RT @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 |
 | Clay Anderson @AnglerMD RT @JHospMedicine: Let's keep it rolling with Topic #3 for tonight's #JHMChat... https://t.co/ZG1qLzEefa |
| Christian Sinclair, MD, FAAHPM @ctsinclair I would love to do this! #hpm #DocumentationDesign #JHMChat https://t.co/9Tyf4ZXpW5 |
 | 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 |
| Journal of Hospital Medicine @JHospMedicine If you're not paying attention, there's some incredible words of wisdom regarding #PalliativeCare / #hpm being dropped in tonights #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 |
| Journal of Hospital Medicine @JHospMedicine Final Topic on its way... #JHMChat |
| Sonia Malhotra,MD,MS @SoniaMKhunkhun @AmyMelnick1 Time, knowledge, challenging existing status quo some of the challenges for #HPM #PalliativeCare #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @ctsinclair: I would love to do this! #hpm #DocumentationDesign #JHMChat https://t.co/9Tyf4ZXpW5 |
| Sonia Malhotra,MD,MS @SoniaMKhunkhun RT @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 |
| 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 in tonights #JHMChat |
| Robert J. Mahoney, MD @mahoneyr Repeat for T3 #JHMChat https://t.co/1bTAhB498Q |
| Journal of 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 is also on Mastodon @mloxton Lurking on #jhmchat |
| Journal of Hospital Medicine @JHospMedicine RT @DianeEMeier: T3. look at @getpalliativecare.org for audience research tested language on describing palliative care in a manner meaningful to patients/families. #JHMChat |
 | Pallimed @Pallimed RT @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 |
| 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 |
 | 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 in tonights #JHMChat |
| Sonia Malhotra,MD,MS @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, MD @stephanieMlape @mloxton Also guilty. #JHMChat |
| Society of Hospital Medicine @SocietyHospMed Don't forget to claim #CME after tonight's #JHMChat! https://t.co/40h6vEvGX9 |
| Robin Fail @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 |
| Journal of Hospital Medicine @JHospMedicine @stephanieMlape @mloxton We don't mind. Glad you're here! #JHMCHat |
| Journal of Hospital Medicine @JHospMedicine RT @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 |
| Journal of Hospital Medicine @JHospMedicine RT @SHMLive: Don't forget to claim #CME after tonight's #JHMChat! https://t.co/40h6vEvGX9 |
 | Alex Meraz @NephroGuy RT @edgarvlermamd: Utility of the "Surprise" Question: 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 |
| Maggie Rogers @magthenomad RT @HyungChoMD: How about we just find better systems of co-managing patients with #palliativecare and hospitalist? #jhmchat https://t.co/rD0244p4oT |
| 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 +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 |
| Sonia Malhotra,MD,MS @SoniaMKhunkhun @AlzGirlLori Thank you! Why I love my #hospitalist colleagues!! #jhmchat and #PalliativeCare #hpm |
| Alex Meraz @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 more palliative care resources- they will listen to you more than they will listen to the palliative care team... #JHMChat |
| Pallimed @Pallimed RT @JHospMedicine: If you're not paying attention, there's some incredible words of wisdom regarding #PalliativeCare / #hpm being dropped in tonights #JHMChat |
| 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 |
| Journal of 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 most difficult or complex patients, just like in cardiology or ID #JHMChat |
| Journal of 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 and families+that consult within the first 2-3 days of an admission has huge impact #JHMChat |
| 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 |
| 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 |
| Journal of 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, DO, MS @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 |
| TOdoc @CacoMj @gretchendiemer @EileenBarrettNM @JHospMedicine You mean you ❤️this aggressively? #jhmchat |
| Sonia Malhotra,MD,MS @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,MD,MS @SoniaMKhunkhun RT @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 |
| 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 |
| 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 |
| Journal of 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,MD,MS @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 final thoughts on the intersection of #PalliativeCare & #hospitalmedicine |
| Journal of Hospital Medicine @JHospMedicine RT @SoniaMKhunkhun: T4:#hpm is a recognized subspecialty of medicine that needs to be taught to all & #palliativecare recognized by all subspecialists #jhmchat |
 | BruceGreyInfo @BruceGreyInfo RT @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 |
| 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 |
| Journal of Hospital Medicine @JHospMedicine RT @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 |
| Sonia Malhotra,MD,MS @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 symptom management", "aggressive control of pain" etc. #jhmchat |
| Journal of 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 |
| Pallimed @Pallimed RT @magthenomad: T3: 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 |
| Pallimed @Pallimed RT @SoniaMKhunkhun: T3:learn how to describe #HPM #PalliativeCare to patients and trainees.helps set stage upstream for serious illness care #teamwork #JHMChat |
| Pallimed @Pallimed RT @edgarvlermamd: Barriers and facilitators to conservative management of CKD in the elderly #Nephpearls #JHMChat 👉🏼 https://t.co/7Z8SnZj4dR https://t.co/6KoIzqiUu5 |
| 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 care or symptom management "no longer aggressive." We also don't like the phrase "withdrawing care." We always care - aggressively! #JHMChat |
| Robin Fail @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 if your hospital is already a member right here: https://t.co/bKx7bHJo1t #JHMChat |
| 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 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 |
| Sonia Malhotra,MD,MS @SoniaMKhunkhun RT @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 @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 |
| Diane E. Meier @DianeEMeier thank you everyone- this was really fun. #JHMChat |
| Journal of 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, MD, MS-HPEd @templeratcliffe RT @WrayCharles: This is great, I'm gonna steal this one... #JHMChat https://t.co/Wwqu3sWkp3 |
| Allison Silvers @SilversAllison Palliative care skills can ensure patients feel heard & understood #HCAHPS #JHMChat |
 | Jason A. Webb, M.D., DFAPA, FAAHPM, FACP @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 +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 |
| Journal of 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 informative. Loved having our #hpm colleagues w/us as well. We should do this more often... |
| Journal of 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 |
| Charlie M. Wray, DO, MS @WrayCharles @gracefarris It was my pleasure. And I still remain in awe of your quick artistic abilities. I'm a huge fan #JHMChat |
 | Mimi Dunne @MimiDunneMD RT @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 |
 | Senior discovery @SeniorTypes RT @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 |
| Sonia Malhotra,MD,MS @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! |
| Journal of Hospital Medicine @JHospMedicine RT @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 |
| Mimi 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 in my career... #JHMchat https://t.co/OTPvuDlspA |
 | William Rivero @williamrivero RT @edgarvlermamd: Palliative approach to dialysis care #Nephpearls #JHMChat 👉🏼 https://t.co/Ggz6UkHuUJ https://t.co/v33TFryFqs |
| 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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