#MEQAPI Transcript
Healthcare social media transcript of the #MEQAPI hashtag.
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See #MEQAPI Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | MEQAPI @meqapi and we're live on #MEQAPI, talking Quadruple Aim. Please introduce yourself and say hi to guest hosts @nxtstop1 and @subatomicdoc https://t.co/z7mW5rqFSu |
 | Bernadette Keefe MD @nxtstop1 RT @meqapi: and we're live on #MEQAPI, talking Quadruple Aim. Please introduce yourself and say hi to guest hosts @nxtstop1 and @subatomicdoc https://t.co/z7mW5rqFSu |
 | Matthew Katz, MD 🟦 @subatomicdoc @meqapi @nxtstop1 Hello everyone! Thanks so much for having me join today - a pleasure to be here #MEQAPI |
| Matthew Katz, MD 🟦 @subatomicdoc @meqapi @nxtstop1 I'm a radiation oncologist in Massachusetts, tinkerer with social media and currently serve @MassMedical for Communications #MEQAPI |
| Bernadette Keefe MD @nxtstop1 Hello all, host @mloxton, my co-host @subatomicdoc & Each of you , Bernadette Keefe MD-delighted to join & address the #QuadrupleAim #meqapi |
| Bernadette Keefe MD @nxtstop1 RT @subatomicdoc: @meqapi @nxtstop1 Hello everyone! Thanks so much for having me join today - a pleasure to be here #MEQAPI |
 | Alexandra Winter @alexandralw2 @subatomicdoc @meqapi @nxtstop1 Hello, Alexandra Winter, DVM, DACVS. Look forward to taking part and learning! #meqapi |
| Alexandra Winter @alexandralw2 RT @nxtstop1: Hello all, host @mloxton, my co-host @subatomicdoc & Each of you , Bernadette Keefe MD-delighted to join & address the #QuadrupleAim #meqapi |
 | Matthew Loxton is also on Mastodon @mloxton Matthew in Denver and DC, doing healthcare improvement using qualitative and quantitative methods to fix stuff that matters #meqapi |
| Matthew Katz, MD 🟦 @subatomicdoc @alexandralw2 @meqapi @nxtstop1 Hi Alexandra! Good to see you today #MEQAPI |
| Bernadette Keefe MD @nxtstop1 @alexandralw2 @subatomicdoc @meqapi @nxtstop1 Hello Alexandra ~ so lovely to have you with us! Welcome! #meqapi |
| MEQAPI @meqapi T1 What METHODS influence the Quadruple Aim #MEQAPI https://t.co/y1cNwwDGkz |
| Alexandra Winter @alexandralw2 @subatomicdoc @alexandralw2 @meqapi @nxtstop1 Hi Matt, good to see you too! #meqapi |
| Alexandra Winter @alexandralw2 RT @mloxton: Matthew in Denver and DC, doing healthcare improvement using qualitative and quantitative methods to fix stuff that matters #meqapi |
| Bernadette Keefe MD @nxtstop1 RT @mloxton: Matthew in Denver and DC, doing healthcare improvement using qualitative and quantitative methods to fix stuff that matters #meqapi |
| MEQAPI @meqapi @subatomicdoc @nxtstop1 Great to have you and Bernadette! Thanks for sharing your insights on #MEQAPI |
| Matthew Katz, MD 🟦 @subatomicdoc RT @mloxton: Matthew in Denver and DC, doing healthcare improvement using qualitative and quantitative methods to fix stuff that matters #meqapi |
| Alexandra Winter @alexandralw2 RT @meqapi: @subatomicdoc @nxtstop1 Great to have you and Bernadette! Thanks for sharing your insights on #MEQAPI |
| Alexandra Winter @alexandralw2 @nxtstop1 @alexandralw2 @subatomicdoc @meqapi Thank you Bernadette! #meqapi |
| Bernadette Keefe MD @nxtstop1 @meqapi @subatomicdoc @nxtstop1 Wonderful to be here with you all. Note to all about the chat format~ #meqapi |
| Bernadette Keefe MD @nxtstop1 T1 METHODS incl policies, workflow, payer systems MT @meqapi: T1 What METHODS influence the Quadruple Aim? https://t.co/s3YZMzXcW2 #meqapi |
 | Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @meqapi: 15 Minutes to #MEQAPI chat on the Quadruple Aim! Time to walk 250 steps, gram coffee, and flex your fingers https://t.co/H2IiXH4cpD |
| Bernadette Keefe MD @nxtstop1 @drlfarrell haha ~:) touche, lovely to have such a noted guest join us~ #meqapi |
| MEQAPI @meqapi @drlfarrell Hooray, Liam is here on #MEQAPI |
| Matthew Katz, MD 🟦 @subatomicdoc RT @nxtstop1: T1 METHODS incl policies, workflow, payer systems MT @meqapi: T1 METHODS incl policies, workflow, payer systems MT @meqapi: T1 What METHODS influence the Quadruple Aim? https://t.co/s3YZMzXcW2 #meqapi |
| Alexandra Winter @alexandralw2 RT @nxtstop1: @drlfarrell haha ~:) touche, lovely to have such a noted guest join us~ #meqapi |
| Matthew Katz, MD 🟦 @subatomicdoc @drlfarrell Hi Liam, thanks for joining us! #MEQAPI |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD #MEQAPI joining late. I am Maria, #prevmed physician in Wi |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @nxtstop1: T1 METHODS incl policies, workflow, payer systems MT @meqapi: T1 METHODS incl policies, workflow, payer systems MT @meqapi: T1 What METHODS influence the Quadruple Aim? https://t.co/s3YZMzXcW2 #meqapi |
 | Massachusetts Medical Society (MMS) @MassMedical Follow the #MEQAPI chat to get thoughts from physicians like @subatomicdoc about #physicianwellness and the #quadrupleaim. https://t.co/GZX6h5aIwW |
| Bernadette Keefe MD @nxtstop1 T1 RE: #QuadrupleAim (wellness/agency of the physician/HCP) & METHODS look no further than payment systems &"factory-style" workflow #meqapi |
 | Lisa Davis Budzinski @lisadbudzinski RT @MassMedical: Follow the #MEQAPI chat to get thoughts from physicians like @subatomicdoc about #physicianwellness and the #quadrupleaim. https://t.co/GZX6h5aIwW |
| Matthew Katz, MD 🟦 @subatomicdoc @MariaCMoraP Hi Maria, thanks for joining us today! #MEQAPI |
| Alexandra Winter @alexandralw2 RT @MassMedical: Follow the #MEQAPI chat to get thoughts from physicians like @subatomicdoc about #physicianwellness and the #quadrupleaim. https://t.co/GZX6h5aIwW |
| Alexandra Winter @alexandralw2 @drlfarrell https://t.co/fV9sDb3Xtc #meqapi |
 | Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba Hello, all. Shereese here #MEQAPI https://t.co/kHqVuCkt3c |
 | Janice McCallum @janicemccallum Hi @nxtstop1 @subatomicdoc & @mloxton. Checking in after great lunchtime discussion w friend on healthcare policy, costs, eol, more #meqapi |
| Bernadette Keefe MD @nxtstop1 T1 Amount of "busywork" physicians have to do 4each patient encounter is staggering....not including numerous calls to insurance cos #meqapi |
| Matthew Loxton is also on Mastodon @mloxton T1 inherited policies that create a punitive rather than supportive environment - starts with how med students are selected #meqapi |
| Alexandra Winter @alexandralw2 @drlfarrell @alexandralw2 :) I'm sure you know more than me! #meqapi |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD @nxtstop1 @meqapi #MEQAPI Reimbursement policies& requirements for documentation. Example, why are so many forms required to be completed by physician? |
| Bernadette Keefe MD @nxtstop1 @janicemccallum @nxtstop1 @subatomicdoc @mloxton Super to have you with us Janice, sounds like you just came from a superb convo ~:) #meqapi |
| Bernadette Keefe MD @nxtstop1 RT @MariaCMoraP: @nxtstop1 @meqapi #MEQAPI Reimbursement policies& requirements for documentation. Example, why are so many forms required to be completed by physician? |
| Alexandra Winter @alexandralw2 RT @janicemccallum: Hi @nxtstop1 @subatomicdoc & @mloxton. Checking in after great lunchtime discussion w friend on healthcare policy, costs, eol, more #meqapi |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @nxtstop1: Hello all, host @mloxton, my co-host @subatomicdoc & Each of you , Bernadette Keefe MD-delighted to join & address the #QuadrupleAim #meqapi |
| Matthew Katz, MD 🟦 @subatomicdoc T1. Quadruple aim expands upon the more commonly known triple aim. Improving patient experience, health of populations, lower cost #meqapi |
| Matthew Loxton is also on Mastodon @mloxton T1 punitive shifts, autocratic management, and workplace bullying still rampant in healthcare #meqapi |
| MEQAPI @meqapi T2 What MACHINE factors influence the Quadruple Aim #MEQAPI https://t.co/Mm3mm36WvW |
| Bernadette Keefe MD @nxtstop1 RT @drlfarrell: |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @mloxton: T1 inherited policies that create a punitive rather than supportive environment - starts with how med students are selected #meqapi |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @nxtstop1: T1 Amount of "busywork" physicians have to do 4each patient encounter is staggering....not including numerous calls to insurance cos #meqapi |
| Bernadette Keefe MD @nxtstop1 RT @mloxton: T1 inherited policies that create a punitive rather than supportive environment - starts with how med students are selected #meqapi |
| Alexandra Winter @alexandralw2 @subatomicdoc T1 yes eg https://t.co/iBQVIC0OAH #meqapi |
| Bernadette Keefe MD @nxtstop1 RT @subatomicdoc: T1. Quadruple aim expands upon the more commonly known triple aim. Improving patient experience, health of populations, lower cost #meqapi |
| Alexandra Winter @alexandralw2 @mloxton yes T1 #meqapi |
| Bernadette Keefe MD @nxtstop1 RT @mloxton: T1 punitive shifts, autocratic management, and workplace bullying still rampant in healthcare #meqapi |
| Lisa Davis Budzinski @lisadbudzinski Hi everyone! Lurking & learning As pts, we want what's best for Drs, their employees & workplace #patientperspective #MEQAPI |
| Bernadette Keefe MD @nxtstop1 RT @alexandralw2: @subatomicdoc T1 yes eg https://t.co/iBQVIC0OAH #meqapi |
| Matthew Katz, MD 🟦 @subatomicdoc T1. The fourth factor is provider wellness, doctors and others. Without a healthy workforce, the other three aren't sustainable #meqapi |
| Matthew Katz, MD 🟦 @subatomicdoc @janicemccallum @nxtstop1 @mloxton Hi Janice! Thanks for joining :-) #MEQAPI |
| Alexandra Winter @alexandralw2 @subatomicdoc T1 exactly, but traditionally this has been ignored as a factor #meqapi |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @mloxton: T1 punitive shifts, autocratic management, and workplace bullying still rampant in healthcare #meqapi |
| Matthew Katz, MD 🟦 @subatomicdoc RT @mloxton: T1 punitive shifts, autocratic management, and workplace bullying still rampant in healthcare #meqapi |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @subatomicdoc: T1. The fourth factor is provider wellness, doctors and others. Without a healthy workforce, the other three aren't sustainable #meqapi |
| Alexandra Winter @alexandralw2 RT @subatomicdoc: T1. The fourth factor is provider wellness, doctors and others. Without a healthy workforce, the other three aren't sustainable #meqapi |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @nxtstop1: T1 Amount of "busywork" physicians have to do 4each patient encounter is staggering....not including numerous calls to insurance cos #meqapi |
| Matthew Loxton is also on Mastodon @mloxton @MariaCMoraP @nxtstop1 @meqapi True, that's a mystery! Same as why on earth must pts fill in same info multiple times and on multiple forms? #meqapi |
| Lisa Davis Budzinski @lisadbudzinski RT @subatomicdoc: T1. The fourth factor is provider wellness, doctors and others. Without a healthy workforce, the other three aren't sustainable #meqapi |
| Alexandra Winter @alexandralw2 @meqapi T2 incompatibility between systems, timewasting and can lead to patient harm..? #meqapi |
| Bernadette Keefe MD @nxtstop1 Strategies 2help MT @drlfarrell: T1 reducing bureaucracy, guarding against vested interests, tryi 2B kind 2both colleagues &patients #meqapi |
| Matthew Katz, MD 🟦 @subatomicdoc @alexandralw2 T1. True. As a medical student the discussion was a variant triple aim: cost, access, quality. Pick two, you don't get all three #MEQAPI |
| Bernadette Keefe MD @nxtstop1 RT @mloxton: @MariaCMoraP @nxtstop1 @meqapi True, that's a mystery! Same as why on earth must pts fill in same info multiple times and on multiple forms? #meqapi |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @alexandralw2: @meqapi T2 incompatibility between systems, timewasting and can lead to patient harm..? #meqapi |
| Bernadette Keefe MD @nxtstop1 RT @subatomicdoc: T1. The fourth factor is provider wellness, doctors and others. Without a healthy workforce, the other three aren't sustainable #meqapi |
| Lisa Davis Budzinski @lisadbudzinski @subatomicdoc It's shameful that it has gotten to this point #MEQAPI |
| Alexandra Winter @alexandralw2 @nxtstop1 @drlfarrell yes yes. Kindness is not weakness #meqapi |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @drlfarrell: |
| Matthew Katz, MD 🟦 @subatomicdoc @alexandralw2 T1. I do think we can get all four, if we look carefully at the core needs of all stakeholders. #MEQAPI |
| Alexandra Winter @alexandralw2 @subatomicdoc @alexandralw2 absolutely. Those needs need to be clarified, carefully defined (not with endless meetings!) #meqapi |
| Alexandra Winter @alexandralw2 RT @drlfarrell: |
| Alexandra Winter @alexandralw2 RT @subatomicdoc: @alexandralw2 T1. I do think we can get all four, if we look carefully at the core needs of all stakeholders. #MEQAPI |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD @subatomicdoc Yes. Many hospitals offer wellness activities, but if physician don't even have time to eat then is a little ridiculous #meqapi |
| Alexandra Winter @alexandralw2 @subatomicdoc @alexandralw2 had conf call w @PCORI that touched on this yesterday #meqapi |
| Bernadette Keefe MD @nxtstop1 #QuadrupleAim MT @subatomicdoc: T1. 4th factor=provider wellness, doctors & others. W/out healthy workforce, other 3 not sustainable #meqapi |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @mloxton: @MariaCMoraP @nxtstop1 @meqapi True, that's a mystery! Same as why on earth must pts fill in same info multiple times and on multiple forms? #meqapi |
| Matthew Loxton is also on Mastodon @mloxton T2 EHR and equipment design sometimes incorporate unsupportive approach. Lack of work ergonomics in design and testing #meqapi |
| Bernadette Keefe MD @nxtstop1 RT @alexandralw2: @nxtstop1 @drlfarrell yes yes. Kindness is not weakness #meqapi |
| Alexandra Winter @alexandralw2 RT @nxtstop1: #QuadrupleAim MT @subatomicdoc: #QuadrupleAim MT @subatomicdoc: T1. 4th factor=provider wellness, doctors & others. W/out healthy workforce, other 3 not sustainable #meqapi |
| Matthew Katz, MD 🟦 @subatomicdoc @alexandralw2 @nxtstop1 @drlfarrell And 'resilience' is overrated. It shouldn't mean being able to keep piling more work on. Healthy providers=better care #MEQAPI |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @mloxton: T2 EHR and equipment design sometimes incorporate unsupportive approach. Lack of work ergonomics in design and testing #meqapi |
| Matthew Katz, MD 🟦 @subatomicdoc RT @sandydoc79: |
| Massachusetts Medical Society (MMS) @MassMedical What's the fourth aim that ties these three together? #physicianwellness, so that patient access to care is sustainable. #MEQAPI https://t.co/pxBVJYiJJM |
| Bernadette Keefe MD @nxtstop1 MACHINES include #EHR -Enough said! RT @meqapi: T2 What MACHINE factors influence the Quadruple Aim https://t.co/fsUJbTDN7G #meqapi |
| Matthew Katz, MD 🟦 @subatomicdoc @sandydoc79 @meqapi @INTEROPenAPI Some areas of medicine, like radiology, have interoperability projects with vendors #MEQAPI |
 | Maria Antonieta Diaz- Fernandez @MdAntonieta @MariaCMoraP @subatomicdoc Well said ... congruence to internal clients ...#MEQAPI |
| Bernadette Keefe MD @nxtstop1 T2 RT @meqapi: T2 What MACHINE factors influence the Quadruple Aim #MEQAPI https://t.co/fsUJbTDN7G #meqapi |
| Bernadette Keefe MD @nxtstop1 RT @subatomicdoc: @alexandralw2 @nxtstop1 @drlfarrell And 'resilience' is overrated. It shouldn't mean being able to keep piling more work on. Healthy providers=better care #MEQAPI |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD @mloxton We are still using pagers and fax machines!!!! And any innovation is somehow not compkia by with hippa or the institution #meqapi |
| Matthew Katz, MD 🟦 @subatomicdoc RT @MassMedical: What's the fourth aim that ties these three together? #physicianwellness, so that patient access to care is sustainable. #MEQAPI https://t.co/pxBVJYiJJM |
| Matthew Katz, MD 🟦 @subatomicdoc RT @nxtstop1: T2 RT @meqapi: T2 RT @meqapi: T2 What MACHINE factors influence the Quadruple Aim #MEQAPI https://t.co/fsUJbTDN7G #meqapi |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @MassMedical: What's the fourth aim that ties these three together? #physicianwellness, so that patient access to care is sustainable. #MEQAPI https://t.co/pxBVJYiJJM |
| MEQAPI @meqapi @subatomicdoc @alexandralw2 @nxtstop1 @drlfarrell Good point! Resilience should be the final failsafe, not a default approach #MEQAPI |
| MEQAPI @meqapi T3 What PEOPLE issues and expectations influence the Quadruple Aim #MEQAPI https://t.co/6DFSxfq5eq |
| Matthew Katz, MD 🟦 @subatomicdoc @nxtstop1 @meqapi T2. The EHR takes us away from patients - poor design for patient care and patient-physician relationship #MEQAPI |
| Matthew Katz, MD 🟦 @subatomicdoc RT @meqapi: @subatomicdoc @alexandralw2 @nxtstop1 @drlfarrell Good point! Resilience should be the final failsafe, not a default approach #MEQAPI |
| Bernadette Keefe MD @nxtstop1 T2 The introduction on non- UX non- user friendly #EHR s w/1600 clicks per day is tantamount to a bespoke torture device made for MD #meqapi |
| Maria Antonieta Diaz- Fernandez @MdAntonieta @nxtstop1 @meqapi T2 business intelligence helps #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton @subatomicdoc @alexandralw2 @nxtstop1 @drlfarrell Saying the doc should be "resilient" is essentially admitting that there is a lack of planning and management, poor leadership. #meqapi |
| Bernadette Keefe MD @nxtstop1 RT @subatomicdoc: @nxtstop1 @meqapi T2. The EHR takes us away from patients - poor design for patient care and patient-physician relationship #MEQAPI |
| Bernadette Keefe MD @nxtstop1 RT @mloxton: @subatomicdoc @alexandralw2 @nxtstop1 @drlfarrell Saying the doc should be "resilient" is essentially admitting that there is a lack of planning and management, poor leadership. #meqapi |
| Alexandra Winter @alexandralw2 @mloxton T2 hosp/clinic may incl ergonomic design but clinicians disagree on value-not consulted or educ re value #meqapi |
 | Fernando Alonso @Bolaredo RT @mloxton: @subatomicdoc @alexandralw2 @nxtstop1 @drlfarrell Saying the doc should be "resilient" is essentially admitting that there is a lack of planning and management, poor leadership. #meqapi |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD #MEQAPI T2 I don't think EHR is the problem. I The problem is that we use it as a recording machine, not a true computer to facilitate work |
| Alexandra Winter @alexandralw2 @subatomicdoc @nxtstop1 @meqapi yes. And patients often resent "computer doctors" #meqapi |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @alexandralw2: @mloxton T2 hosp/clinic may incl ergonomic design but clinicians disagree on value-not consulted or educ re value #meqapi |
| Alexandra Winter @alexandralw2 RT @meqapi: @subatomicdoc @alexandralw2 @nxtstop1 @drlfarrell Good point! Resilience should be the final failsafe, not a default approach #MEQAPI |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @mloxton: @subatomicdoc @alexandralw2 @nxtstop1 @drlfarrell Saying the doc should be "resilient" is essentially admitting that there is a lack of planning and management, poor leadership. #meqapi |
| Lisa Davis Budzinski @lisadbudzinski RT @mloxton: T2 EHR and equipment design sometimes incorporate unsupportive approach. Lack of work ergonomics in design and testing #meqapi |
| Lisa Davis Budzinski @lisadbudzinski RT @subatomicdoc: @alexandralw2 @nxtstop1 @drlfarrell And 'resilience' is overrated. It shouldn't mean being able to keep piling more work on. Healthy providers=better care #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton T3 still far too much focus on heroics, and far too little on carefull and thoughtful processes that make heroics unecessary #meqapi |
| Alexandra Winter @alexandralw2 RT @nxtstop1: T2 The introduction on non- UX non- user friendly #EHR s w/1600 clicks per day is tantamount to a bespoke torture device made for MD #meqapi |
| Bernadette Keefe MD @nxtstop1 REC: Video How do we create the medical culture that is conducive to physicians' health? Via @kevinMD #meqapi https://t.co/wnWeZDUF4f |
| Matthew Katz, MD 🟦 @subatomicdoc @nxtstop1 @meqapi A recent study: 49% of the workday spent on EHR, paperwork. 27% of time with patients https://t.co/pjj3rk8UzS >@AnnalsofIM #MEQAPI |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @mloxton: T3 still far too much focus on heroics, and far too little on carefull and thoughtful processes that make heroics unecessary #meqapi |
| Matthew Loxton is also on Mastodon @mloxton @drlfarrell "Infoglut" is a dated but still very relevant term :) #meqapi |
| Alexandra Winter @alexandralw2 @drlfarrell yes and it will take a real change in terms of educating patients to change this culture imo #meqapi |
| MEQAPI @meqapi RT @subatomicdoc: @nxtstop1 @meqapi A recent study: @nxtstop1 @meqapi A recent study: 49% of the workday spent on EHR, paperwork. 27% of time with patients https://t.co/pjj3rk8UzS >@AnnalsofIM #MEQAPI |
| Bernadette Keefe MD @nxtstop1 RT @mloxton: T2 EHR and equipment design sometimes incorporate unsupportive approach. Lack of work ergonomics in design and testing #meqapi |
| Bernadette Keefe MD @nxtstop1 RT @drlfarrell: |
| Alexandra Winter @alexandralw2 RT @nxtstop1: REC: REC: Video How do we create the medical culture that is conducive to physicians' health? Via @kevinMD #meqapi https://t.co/wnWeZDUF4f |
| Bernadette Keefe MD @nxtstop1 RT @subatomicdoc: @nxtstop1 @meqapi A recent study: @nxtstop1 @meqapi A recent study: 49% of the workday spent on EHR, paperwork. 27% of time with patients https://t.co/pjj3rk8UzS >@AnnalsofIM #MEQAPI |
| Matthew Katz, MD 🟦 @subatomicdoc RT @meqapi: T3 What PEOPLE issues and expectations influence the Quadruple Aim #MEQAPI https://t.co/6DFSxfq5eq |
| MEQAPI @meqapi @sandydoc79 Thank you for joining #MEQAPI |
| Janice McCallum @janicemccallum @nxtstop1 I should introduce you to @marksugrueRN aka "Captain Click", a #CNIO who fights against too many clicks in EHRs. #meqapi |
| Matthew Loxton is also on Mastodon @mloxton @drlfarrell Not quite up to "CSI" and "House"? ;) #meqapi |
| Matthew Katz, MD 🟦 @subatomicdoc @meqapi Lots of human factors to balance, strengths and weaknesses. One damaging expectation is omniscience. #MEQAPI |
 | Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Factory style workflow 100 yrs old, modern factory style workflow emphasizes agility, autonomy, and automation (take it from an IE) #meqapi https://t.co/X1AID8mr6n |
| Lisa Davis Budzinski @lisadbudzinski @alexandralw2 @drlfarrell We'll help in any way! Educating pts is paramount as well @Cpnervecenter #MEQAPI |
| Bernadette Keefe MD @nxtstop1 Drowning in data, but giving us precious little knowledge MT @mloxton: @drlfarrell "Infoglut" dated but still very relevant term ~;) #meqapi |
| Bernadette Keefe MD @nxtstop1 RT @janicemccallum: @nxtstop1 I should introduce you to @marksugrueRN aka "Captain Click", a #CNIO who fights against too many clicks in EHRs. #meqapi |
| Matthew Loxton is also on Mastodon @mloxton @alexandralw2 @drlfarrell Very hard to change that. Hollywood effect is "appearances over fact" every time #MEQAPI |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD @meqapi Physicians are not trained on multidisciplinary teams. Many times thrry don't know how yo relegate responsibility to PA, NP, nurses. #meqapi |
| Alexandra Winter @alexandralw2 T2 imo "patient-centered" doesn't always lead to a 'circle of trust' that will truly benefit the patient.. #meqapi |
| Bernadette Keefe MD @nxtstop1 T3 PEOPLE issues RT @meqapi: T3 What PEOPLE issues and expectations influence the Quadruple Aim #MEQAPI https://t.co/LxUpfV0YfT #meqapi |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @wareFLO: Factory style workflow 100 yrs old, modern factory style workflow emphasizes agility, autonomy, and automation (take it from an IE) #meqapi https://t.co/X1AID8mr6n |
| Bernadette Keefe MD @nxtstop1 RT @sandydoc79: |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO In fact, healthcare could do well to emulate modern factory computer integration manufacturing #CIM principles & technologies #meqapi https://t.co/X5uFLXdz1a |
| Matthew Loxton is also on Mastodon @mloxton RT @nxtstop1: REC: REC: Video How do we create the medical culture that is conducive to physicians' health? Via @kevinMD #meqapi https://t.co/wnWeZDUF4f |
| MEQAPI @meqapi T4 What MATERIALS influence the Quadruple Aim #MEQAPI https://t.co/OCP8pKmUvH |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @alexandralw2: T2 imo "patient-centered" doesn't always lead to a 'circle of trust' that will truly benefit the patient.. #meqapi |
| Bernadette Keefe MD @nxtstop1 RT @subatomicdoc: @meqapi Lots of human factors to balance, strengths and weaknesses. One damaging expectation is omniscience. #MEQAPI |
| Lisa Davis Budzinski @lisadbudzinski RT @nxtstop1: T3 PEOPLE issues RT @meqapi: T3 PEOPLE issues RT @meqapi: T3 What PEOPLE issues and expectations influence the Quadruple Aim #MEQAPI https://t.co/LxUpfV0YfT #meqapi |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @wareFLO: In fact, healthcare could do well to emulate modern factory computer integration manufacturing #CIM principles & technologies #meqapi https://t.co/X5uFLXdz1a |
| Bernadette Keefe MD @nxtstop1 RT @drlfarrell: |
| Matthew Katz, MD 🟦 @subatomicdoc @meqapi The e-patient movement is important. But it needs to go hand in hand with empowering clinicians too https://t.co/OYQTnsnTmV #MEQAPI |
| Bernadette Keefe MD @nxtstop1 RT @MariaCMoraP: @meqapi Physicians are not trained on multidisciplinary teams. Many times thrry don't know how yo relegate responsibility to PA, NP, nurses. #meqapi |
| Matthew Katz, MD 🟦 @subatomicdoc RT @meqapi: T4 What MATERIALS influence the Quadruple Aim #MEQAPI https://t.co/OCP8pKmUvH |
| Bernadette Keefe MD @nxtstop1 RT @alexandralw2: T2 imo "patient-centered" doesn't always lead to a 'circle of trust' that will truly benefit the patient.. #meqapi |
| Lisa Davis Budzinski @lisadbudzinski RT @sandydoc79: |
| Bernadette Keefe MD @nxtstop1 RT @sandydoc79: |
| Bernadette Keefe MD @nxtstop1 RT @subatomicdoc: @meqapi The e-patient movement is important. But it needs to go hand in hand with empowering clinicians too https://t.co/OYQTnsnTmV #MEQAPI |
| Alexandra Winter @alexandralw2 @subatomicdoc @meqapi yes this is very important. Epatients are not really representative of the typical patient #meqapi |
| Matthew Loxton is also on Mastodon @mloxton @MariaCMoraP @meqapi Are any medical schools doing well at this aspect? #meqapi |
| Alexandra Winter @alexandralw2 @alexandralw2 @subatomicdoc @meqapi yes https://t.co/sriqykvlRX #meqapi |
| Alexandra Winter @alexandralw2 RT @subatomicdoc: @meqapi The e-patient movement is important. But it needs to go hand in hand with empowering clinicians too https://t.co/OYQTnsnTmV #MEQAPI |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Furthermore, manufacturing embraced the kind of workflow management systems technology I advocate for healthcare two decades ago #meqapi https://t.co/Nszc5Elp7P |
| Lisa Davis Budzinski @lisadbudzinski RT @subatomicdoc: @meqapi The e-patient movement is important. But it needs to go hand in hand with empowering clinicians too https://t.co/OYQTnsnTmV #MEQAPI |
| Alexandra Winter @alexandralw2 RT @subatomicdoc: @meqapi Lots of human factors to balance, strengths and weaknesses. One damaging expectation is omniscience. #MEQAPI |
| Matthew Katz, MD 🟦 @subatomicdoc RT @alexandralw2: @subatomicdoc @meqapi yes this is very important. Epatients are not really representative of the typical patient #meqapi |
| Bernadette Keefe MD @nxtstop1 #Meded starting 2address I'll see if can find examples MT @mloxton: @MariaCMoraP @meqapi R any medical schools doing well at this ? #meqapi |
| Lisa Davis Budzinski @lisadbudzinski @subatomicdoc @meqapi Yes! Empowering both, the Drs & pts for a healthier outcome #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton RT @subatomicdoc: @meqapi The e-patient movement is important. But it needs to go hand in hand with empowering clinicians too https://t.co/OYQTnsnTmV #MEQAPI |
| Bernadette Keefe MD @nxtstop1 RT @alexandralw2: @alexandralw2 @subatomicdoc @meqapi yes https://t.co/sriqykvlRX #meqapi |
| Matthew Katz, MD 🟦 @subatomicdoc @alexandralw2 @meqapi I agree. e-patients have important insights and professionals need to listen. But there is selection bias in who speaks up #MEQAPI |
| Matthew Katz, MD 🟦 @subatomicdoc RT @lisadbudzinski: @subatomicdoc @meqapi Yes! Empowering both, the Drs & pts for a healthier outcome #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton @subatomicdoc @meqapi So true. Challenge seems to be matching eDoc and ePts. Maybe we need a kind of dating app? #meqapi |
 | Judith Lindsay @judithconsult RT @wareFLO: In fact, healthcare could do well to emulate modern factory computer integration manufacturing #CIM principles & technologies #meqapi https://t.co/X5uFLXdz1a |
| Bernadette Keefe MD @nxtstop1 RT @subatomicdoc: @alexandralw2 @meqapi I agree. e-patients have important insights and professionals need to listen. But there is selection bias in who speaks up #MEQAPI |
| MEQAPI @meqapi RT @sandydoc79: |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @subatomicdoc: @meqapi The e-patient movement is important. But it needs to go hand in hand with empowering clinicians too https://t.co/OYQTnsnTmV #MEQAPI |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @subatomicdoc: @alexandralw2 @meqapi I agree. e-patients have important insights and professionals need to listen. But there is selection bias in who speaks up #MEQAPI |
| Matthew Katz, MD 🟦 @subatomicdoc @MassMedical resource: Advocating for Physician Wellness: https://t.co/rdK7VSxA5O #MEQAPI More coming soon! A key goal this year |
| Janice McCallum @janicemccallum @alexandralw2 @subatomicdoc @meqapi #epatient universe is diverse and will comprise > % of population before long. #S4PM #meqapi |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @AinemCarroll: |
| Bernadette Keefe MD @nxtstop1 RT @AinemCarroll: |
 | Ian @IanAdAstra RT @nxtstop1: REC: REC: Video How do we create the medical culture that is conducive to physicians' health? Via @kevinMD #meqapi https://t.co/wnWeZDUF4f |
| MEQAPI @meqapi @AinemCarroll @MariaCMoraP Which specialties do you think are doing best, which worst? #MEQAPI |
| Lisa Davis Budzinski @lisadbudzinski RT @subatomicdoc: @MassMedical resource: Advocating for Physician Wellness: @MassMedical resource: Advocating for Physician Wellness: https://t.co/rdK7VSxA5O #MEQAPI More coming soon! A key goal this year |
| Matthew Katz, MD 🟦 @subatomicdoc Not Tinder knockoff please! #MEQAPI https://t.co/6U7oPzqXAA |
| Matthew Katz, MD 🟦 @subatomicdoc RT @janicemccallum: @alexandralw2 @subatomicdoc @meqapi #epatient universe is diverse and will comprise > % of population before long. #S4PM #meqapi |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO #QuadrupleAim essentially about workflow: the only overarching strategic concept that can unite 4 diffnt dispar8 stakeholder views #meqapi https://t.co/kKqRt2fDSt |
 | Carl Horsley @HorsleyCarl RT @subatomicdoc: T1. The fourth factor is provider wellness, doctors and others. Without a healthy workforce, the other three aren't sustainable #meqapi |
| Bernadette Keefe MD @nxtstop1 T3 Talking about MDT = multi-disciplinary teams Really essential for physicians to learn how to work well in teams. Will help ~ #meqapi |
| Matthew Katz, MD 🟦 @subatomicdoc @janicemccallum @alexandralw2 @meqapi Agreed, the dynamics are changing. Key remains trust for benefit of both patients and professionals https://t.co/Z2rwWm0SO4 #MEQAPI |
| Alexandra Winter @alexandralw2 @AinemCarroll @MariaCMoraP @meqapi some anes trainees will get some w debriefing, high fidel sim - not enough overall imo #meqapi |
| Matthew Katz, MD 🟦 @subatomicdoc RT @wareFLO: #QuadrupleAim essentially about workflow: #QuadrupleAim essentially about workflow: the only overarching strategic concept that can unite 4 diffnt dispar8 stakeholder views #meqapi https://t.co/kKqRt2fDSt |
| MEQAPI @meqapi T5 What MEASUREMENT factors influence the Quadruple Aim #MEQAPI https://t.co/UgLtNWjscW |
| Matthew Katz, MD 🟦 @subatomicdoc @wareFLO Workflow and principles that values/respects all in the process #MEQAPI |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO But, hey, I'm on vacation and need to stop thinking about this stuff! #meqapi https://t.co/eheyE3F2EN |
| Bernadette Keefe MD @nxtstop1 T3 Address undergraduate education& admissions to medical school. We would benefit by encouraging acceptance of more humanities stus #meqapi |
| Alexandra Winter @alexandralw2 @nxtstop1 yes! That half written last answer (word limit :) was alluding to this. We need this in all of healthcare #meqapi |
| Matthew Loxton is also on Mastodon @mloxton T5 we dont much measure teamwork, collaboration, but at least starting to measure clinician job satisfaction #meqapi |
| Alexandra Winter @alexandralw2 @nxtstop1 agree, but doing this we need to evaluate the effect of enrolling these students #meqapi |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @AinemCarroll: |
| Alexandra Winter @alexandralw2 RT @nxtstop1: T3 Address undergraduate education& admissions to medical school. We would benefit by encouraging acceptance of more humanities stus #meqapi |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @mloxton: T5 we dont much measure teamwork, collaboration, but at least starting to measure clinician job satisfaction #meqapi |
| Alexandra Winter @alexandralw2 RT @AinemCarroll: |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @nxtstop1: T3 Address undergraduate education& admissions to medical school. We would benefit by encouraging acceptance of more humanities stus #meqapi |
| Bernadette Keefe MD @nxtstop1 @alexandralw2 @nxtstop1 T3 Well, I'm one ~ Columbia P&S , so it works ~:) #meqapi |
| Bernadette Keefe MD @nxtstop1 RT @AinemCarroll: |
| Matthew Katz, MD 🟦 @subatomicdoc RT @mloxton: T5 we dont much measure teamwork, collaboration, but at least starting to measure clinician job satisfaction #meqapi |
| Alexandra Winter @alexandralw2 @subatomicdoc @wareFLO patience, practice, process... #meqapi |
| Bernadette Keefe MD @nxtstop1 RT @subatomicdoc: @MassMedical resource: Advocating for Physician Wellness: @MassMedical resource: Advocating for Physician Wellness: https://t.co/rdK7VSxA5O #MEQAPI More coming soon! A key goal this year |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD @mloxton Yes, now we need to move to the next step... how to improve it. Can we cure burnout?? #meqapi |
| Bernadette Keefe MD @nxtstop1 RT @janicemccallum: @alexandralw2 @subatomicdoc @meqapi #epatient universe is diverse and will comprise > % of population before long. #S4PM #meqapi |
| Alexandra Winter @alexandralw2 T5 I think we need to teach effective collaboration. This in itself is a skill #meqapi |
| Bernadette Keefe MD @nxtstop1 RT @subatomicdoc: @janicemccallum @alexandralw2 @meqapi Agreed, the dynamics are changing. Key remains trust for benefit of both patients and professionals https://t.co/Z2rwWm0SO4 #MEQAPI |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO See #EmpathicWorkflow #meqapi (BTW I'm delighted to see #GoogleGlass come back 2 help fix HC workflow, as I predicted & took sh*t!) #meqapi https://t.co/0JYfdx3zgg |
| Alexandra Winter @alexandralw2 RT @nxtstop1: T3 Talking about MDT = multi-disciplinary teams Really essential for physicians to learn how to work well in teams. Will help ~ #meqapi |
| Alexandra Winter @alexandralw2 RT @wareFLO: See #EmpathicWorkflow #meqapi (BTW I'm delighted to see #GoogleGlass come back 2 help fix HC workflow, as I predicted & took sh*t!) #meqapi https://t.co/0JYfdx3zgg |
| Matthew Katz, MD 🟦 @subatomicdoc RT @alexandralw2: T5 I think we need to teach effective collaboration. This in itself is a skill #meqapi |
| Matthew Loxton is also on Mastodon @mloxton T5 saw a paper linked increased pt/HCP contact as a factor in reducing physician burnout. Maybe a good metric in there someplace #meqapi |
| Alexandra Winter @alexandralw2 RT @subatomicdoc: @MassMedical resource: Advocating for Physician Wellness: @MassMedical resource: Advocating for Physician Wellness: https://t.co/rdK7VSxA5O #MEQAPI More coming soon! A key goal this year |
| Bernadette Keefe MD @nxtstop1 T5 I.E. Safety, outcomes, targets RT @meqapi: T5 What MEASUREMENT factors influence #Quadruple Aim #MEQAPI https://t.co/GY3apldXAn #meqapi |
| Matthew Katz, MD 🟦 @subatomicdoc @MariaCMoraP @mloxton Cure? Doubt it; medicine attracts people willing to sacrifice prone to burnout. But we can have safeguards to ID, limit severity #MEQAPI |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @nxtstop1: T5 I.E. Safety, outcomes, targets RT @meqapi: T5 I.E. Safety, outcomes, targets RT @meqapi: T5 What MEASUREMENT factors influence #Quadruple Aim #MEQAPI https://t.co/GY3apldXAn #meqapi |
| Bernadette Keefe MD @nxtstop1 T5 RE: MEASUREMENTS. Issue w/ measurements (#MU for example) is when that being measured does not resonate w/ healthcare prof. #meqapi |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @mloxton: T5 saw a paper linked increased pt/HCP contact as a factor in reducing physician burnout. Maybe a good metric in there someplace #meqapi |
| Alexandra Winter @alexandralw2 @nxtstop1 @meqapi decreased errors (improved patient safety) - we discussed in #jacr chat how burnout incr errors #meqapi |
| Alexandra Winter @alexandralw2 RT @nxtstop1: T5 RE: T5 RE: MEASUREMENTS. Issue w/ measurements (#MU for example) is when that being measured does not resonate w/ healthcare prof. #meqapi |
| Matthew Katz, MD 🟦 @subatomicdoc RT @nxtstop1: T5 I.E. Safety, outcomes, targets RT @meqapi: T5 I.E. Safety, outcomes, targets RT @meqapi: T5 What MEASUREMENT factors influence #Quadruple Aim #MEQAPI https://t.co/GY3apldXAn #meqapi |
| Bernadette Keefe MD @nxtstop1 T5 If Zero Tolerance of error>ppl fear reporting error. This stifles learning. Fear is antithetical to educational environment #meqapi |
| MEQAPI @meqapi RT @alexandralw2: @nxtstop1 @meqapi decreased errors (improved patient safety) - we discussed in #jacr chat how burnout incr errors #meqapi |
| MEQAPI @meqapi T6 What ENVIRONMENTAL factors influence the Quadruple Aim #MEQAPI https://t.co/TG8PaYeB80 |
| Alexandra Winter @alexandralw2 RT @nxtstop1: T5 If Zero Tolerance of error>ppl fear reporting error. This stifles learning. Fear is antithetical to educational environment #meqapi |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @nxtstop1: T5 If Zero Tolerance of error>ppl fear reporting error. This stifles learning. Fear is antithetical to educational environment #meqapi |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Willingness, wepeat, workflow #meqapi https://t.co/1AbzzzUvFi |
| Bernadette Keefe MD @nxtstop1 T5 Likewise, many physicians face quota targets..yup. How many patients did YOU treat last month. #NoRoseGarden BUT #NoFactoryEither #meqapi |
| Matthew Loxton is also on Mastodon @mloxton @nxtstop1 Great point. In QI, a bedrock tenet is to "drive out fear". Beating staff up is unprofessional, unproductive, unsafe #MEQAPI |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD @nxtstop1 RVUs... why do we measure work on volume/complexity?? Requesting more RVUs rather than better outcomes?? #meqapi |
| Bernadette Keefe MD @nxtstop1 RT @mloxton: @nxtstop1 Great point. In QI, a bedrock tenet is to "drive out fear". Beating staff up is unprofessional, unproductive, unsafe #MEQAPI |
| Matthew Katz, MD 🟦 @subatomicdoc @MariaCMoraP @mloxton i think of #burnout as an experienced condition, but also a symptom of a systems/environmental 'disease'. #MEQAPI |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @nxtstop1: T5 Likewise, many physicians face quota targets..yup. How many patients did YOU treat last month. #NoRoseGarden BUT #NoFactoryEither #meqapi |
| Bernadette Keefe MD @nxtstop1 RT @MariaCMoraP: @nxtstop1 RVUs... why do we measure work on volume/complexity?? Requesting more RVUs rather than better outcomes?? #meqapi |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @subatomicdoc: @MariaCMoraP @mloxton i think of #burnout as an experienced condition, but also a symptom of a systems/environmental 'disease'. #MEQAPI |
| Bernadette Keefe MD @nxtstop1 RT @subatomicdoc: @MariaCMoraP @mloxton Cure? Doubt it; medicine attracts people willing to sacrifice prone to burnout. But we can have safeguards to ID, limit severity #MEQAPI |
| Bernadette Keefe MD @nxtstop1 RT @subatomicdoc: @MariaCMoraP @mloxton i think of #burnout as an experienced condition, but also a symptom of a systems/environmental 'disease'. #MEQAPI |
| Alexandra Winter @alexandralw2 Stress is caused not just by workload but by lack of agency. If people feel stifled and not heard they withdraw #meqapi |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Perhaps, but the #EHR is not the key building block for #bigrWorkflow in #ehealth #meqapi #hcsmsa https://t.co/n58cqiRwyD |
| MEQAPI @meqapi @MariaCMoraP @nxtstop1 RVU was invented by a doctor, wasn't it? Sort of an institutional form of bullying #MEQAPI |
| Bernadette Keefe MD @nxtstop1 Yes! RT @alexandralw2: Stress is caused not just by workload but by lack of agency. If people feel stifled ¬ heard they withdraw #meqapi |
| Matthew Katz, MD 🟦 @subatomicdoc @MariaCMoraP @mloxton Yes, i agreed with that. That's why I put together a draft physician's hierachy of needs. #MEQAPI https://t.co/9pDVqwLYyD |
| MEQAPI @meqapi RT @subatomicdoc: @MariaCMoraP @mloxton Yes, i agreed with that. That's why I put together a draft physician's hierachy of needs. #MEQAPI https://t.co/9pDVqwLYyD |
| Alexandra Winter @alexandralw2 @subatomicdoc @MariaCMoraP @mloxton This is very true #meqapi |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @subatomicdoc: @MariaCMoraP @mloxton Yes, i agreed with that. That's why I put together a draft physician's hierachy of needs. #MEQAPI https://t.co/9pDVqwLYyD |
| Alexandra Winter @alexandralw2 RT @mloxton: @nxtstop1 Great point. In QI, a bedrock tenet is to "drive out fear". Beating staff up is unprofessional, unproductive, unsafe #MEQAPI |
 | 💧Martin Low 🌻 @MartinLow88 Just noting and flagging these discussions from our Irish colleagues #MH4Docs https://t.co/PtS4UHPW8p |
| Janice McCallum @janicemccallum RT @nxtstop1: Yes! RT @alexandralw2: Yes! RT @alexandralw2: Stress is caused not just by workload but by lack of agency. If people feel stifled ¬ heard they withdraw #meqapi |
| Bernadette Keefe MD @nxtstop1 T5 The point about lack of agency is huge. The awful position physicians find themselves in: Low Autonomy, High Responsibility ~ #meqapi |
| MEQAPI @meqapi RT @subatomicdoc: @MariaCMoraP @mloxton i think of #burnout as an experienced condition, but also a symptom of a systems/environmental 'disease'. #MEQAPI |
| Bernadette Keefe MD @nxtstop1 RT @subatomicdoc: @MariaCMoraP @mloxton Yes, i agreed with that. That's why I put together a draft physician's hierachy of needs. #MEQAPI https://t.co/9pDVqwLYyD |
| Alexandra Winter @alexandralw2 @nxtstop1 as a surgeon this is how we are measured too. Ridiculous, patients are not pieces of fruit selected by number #meqapi |
| Chuck Webster MD, MS AI, MS Systems Engineering @wareFLO Start w/workflows connecting strategic goals 2 specific actions. Define which data is needed. Not always in #EHR! #meqapi #SDOHHealthIMPACT https://t.co/uNZyvRsI0Y |
| Matthew Katz, MD 🟦 @subatomicdoc @MariaCMoraP @mloxton A great writeup by @nxtstop1 incorporating many of these concepts from almost two years ago to the day https://t.co/gyVnoepy5m #MEQAPI |
| Bernadette Keefe MD @nxtstop1 T6 Such as SPACE, TIME .... RT @meqapi: T6 What ENVIRONMENTAL factors influence the Quadruple Aim #MEQAPI https://t.co/TWGPKZSleY #meqapi |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @subatomicdoc: @MariaCMoraP @mloxton A great writeup by @nxtstop1 incorporating many of these concepts from almost two years ago to the day https://t.co/gyVnoepy5m #MEQAPI |
| Matthew Katz, MD 🟦 @subatomicdoc RT @wareFLO: Start w/workflows connecting strategic goals 2 specific actions. Define which data is needed. Not always in #EHR! #meqapi #SDOHHealthIMPACT https://t.co/uNZyvRsI0Y |
| MEQAPI @meqapi RT @subatomicdoc: @MariaCMoraP @mloxton A great writeup by @nxtstop1 incorporating many of these concepts from almost two years ago to the day https://t.co/gyVnoepy5m #MEQAPI |
| Matthew Katz, MD 🟦 @subatomicdoc RT @nxtstop1: T6 Such as SPACE, TIME .... RT @meqapi: T6 Such as SPACE, TIME .... RT @meqapi: T6 What ENVIRONMENTAL factors influence the Quadruple Aim #MEQAPI https://t.co/TWGPKZSleY #meqapi |
| MEQAPI @meqapi CT What should we do differently about the Quadruple Aim - what will YOU do differently? #MEQAPI https://t.co/mMdAWvTDR9 |
| Matthew Katz, MD 🟦 @subatomicdoc #MEQAPI https://t.co/diywN7wGSj |
| Bernadette Keefe MD @nxtstop1 T6 Gone is the physician's "lounge"-simply a quiet space to chat with each other, catch up w/ cases, debrief for a moment #BringBack #meqapi |
| Bernadette Keefe MD @nxtstop1 RT @subatomicdoc: @MariaCMoraP @mloxton A great writeup by @nxtstop1 incorporating many of these concepts from almost two years ago to the day https://t.co/gyVnoepy5m #MEQAPI |
| Alexandra Winter @alexandralw2 @nxtstop1 I think this is big contrib 2 depression etc high achievers find themselves in this sometimes untenable position #meqapi |
| Alexandra Winter @alexandralw2 RT @nxtstop1: T6 Gone is the physician's "lounge"-simply a quiet space to chat with each other, catch up w/ cases, debrief for a moment #BringBack #meqapi |
| Matthew Loxton is also on Mastodon @mloxton @alexandralw2 Part of ergonomics is value to purpose. Littering a cockpit with perfectly placed but useless instruments wouldn't be ergonomic #MEQAPI |
| MEQAPI @meqapi .. and that's a wrap for #MEQAPI Many thanks to @nxtstop1 & @subatomicdoc for their insights. Tune in THU 27 3ET to chat Opioid Epidemic https://t.co/x24RHoiaEQ |
| Alexandra Winter @alexandralw2 RT @nxtstop1: T5 The point about lack of agency is huge. The awful position physicians find themselves in: T5 The point about lack of agency is huge. The awful position physicians find themselves in: Low Autonomy, High Responsibility ~ #meqapi |
| Matthew Katz, MD 🟦 @subatomicdoc RT @nxtstop1: T6 Gone is the physician's "lounge"-simply a quiet space to chat with each other, catch up w/ cases, debrief for a moment #BringBack #meqapi |
| Matthew Loxton is also on Mastodon @mloxton #MEQAPI https://t.co/T3Ex0Carm1 |
| Bernadette Keefe MD @nxtstop1 T6 RE: Time>eating is secondary ~ Sleeping relegated to a luxury. Recommendations for yoga & meditation to help woefully off base #meqapi |
| Alexandra Winter @alexandralw2 @nxtstop1 yes!!! #meqapi |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @nxtstop1: T6 Such as SPACE, TIME .... RT @meqapi: T6 Such as SPACE, TIME .... RT @meqapi: T6 What ENVIRONMENTAL factors influence the Quadruple Aim #MEQAPI https://t.co/TWGPKZSleY #meqapi |
| Alexandra Winter @alexandralw2 @meqapi @nxtstop1 @subatomicdoc thank you!! #meqapi |
| Matthew Loxton is also on Mastodon @mloxton #MEQAPI https://t.co/9bwcjdWV0h |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @nxtstop1: T5 The point about lack of agency is huge. The awful position physicians find themselves in: T5 The point about lack of agency is huge. The awful position physicians find themselves in: Low Autonomy, High Responsibility ~ #meqapi |
| Bernadette Keefe MD @nxtstop1 RT @meqapi: .. and that's a wrap for #MEQAPI Many thanks to @nxtstop1 & @subatomicdoc for their insights. Tune in THU 27 3ET to chat Opioid Epidemic https://t.co/x24RHoiaEQ |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @nxtstop1: T6 RE: T6 RE: Time>eating is secondary ~ Sleeping relegated to a luxury. Recommendations for yoga & meditation to help woefully off base #meqapi |
| Alexandra Winter @alexandralw2 RT @meqapi: .. and that's a wrap for #MEQAPI Many thanks to @nxtstop1 & @subatomicdoc for their insights. Tune in THU 27 3ET to chat Opioid Epidemic https://t.co/x24RHoiaEQ |
| Matthew Loxton is also on Mastodon @mloxton @acockroft Good point! #meqapi |
| Matthew Katz, MD 🟦 @subatomicdoc Wish i could stay but back to work for me. @MEQAPI @mloxton @nxtstop1 thanks again for the oppoortunity to participate in #meqapi |
| Matthew Katz, MD 🟦 @subatomicdoc RT @mloxton: #MEQAPI https://t.co/9bwcjdWV0h |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD #MEQAPI lack of space /computers. How many times have you go around a floor, and no place to place a simple order is available?? |
| Alexandra Winter @alexandralw2 @subatomicdoc @meqapi @mloxton @nxtstop1 same, talk soon! thanks again #meqapi |
| Bernadette Keefe MD @nxtstop1 A pleasure to co-host this #QuadrupleAim convo with my friend and colleague Matt @subatomicdoc ~& Big TY @mloxton, host & Each of U! #meqapi |
| Matthew Loxton is also on Mastodon @mloxton @MariaCMoraP Reduce, perhaps? #meqapi |
| Alexandra Winter @alexandralw2 @nxtstop1 @subatomicdoc @mloxton Thank you so much! Lots to learn!! #meqapi |
| Bernadette Keefe MD @nxtstop1 @subatomicdoc @meqapi @mloxton Thank you so much Matt, @subatomicdoc ~ This edifying convo on #QuadrupleAim at #MEQAPI via @meqapi |
| Matthew Loxton is also on Mastodon @mloxton @MariaCMoraP @subatomicdoc Yes! Blame harmful in several ways: it directly hurts those blamed, but it also misdirects attention and pretends to be solution #MEQAPI |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD @mloxton Shoot for the sun, because even if you fail, you will land among the stars. We need to prevent, reduce and fix. #meqapi |
| Matthew Loxton is also on Mastodon @mloxton @sandydoc79 Actually yes. Will see if I have any refs for you #MEQAPI |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @mloxton: @MariaCMoraP @subatomicdoc Yes! Blame harmful in several ways: it directly hurts those blamed, but it also misdirects attention and pretends to be solution #MEQAPI |
 | Caitlyn MooneyMD (She/Her) @CaitlynMooneyMD RT @subatomicdoc: T1. The fourth factor is provider wellness, doctors and others. Without a healthy workforce, the other three aren't sustainable #meqapi |
| Caitlyn MooneyMD (She/Her) @CaitlynMooneyMD RT @nxtstop1: T5 If Zero Tolerance of error>ppl fear reporting error. This stifles learning. Fear is antithetical to educational environment #meqapi |
| Caitlyn MooneyMD (She/Her) @CaitlynMooneyMD RT @mloxton: @nxtstop1 Great point. In QI, a bedrock tenet is to "drive out fear". Beating staff up is unprofessional, unproductive, unsafe #MEQAPI |
| Caitlyn MooneyMD (She/Her) @CaitlynMooneyMD RT @nxtstop1: T5 The point about lack of agency is huge. The awful position physicians find themselves in: T5 The point about lack of agency is huge. The awful position physicians find themselves in: Low Autonomy, High Responsibility ~ #meqapi |
| Bernadette Keefe MD @nxtstop1 RT @alexandralw2: @nxtstop1 I think this is big contrib 2 depression etc high achievers find themselves in this sometimes untenable position #meqapi |
 | CRedding, PhD ☮️🟧🟦 @creddingvye RT @meqapi: CT What should we do differently about the Quadruple Aim - what will YOU do differently? #MEQAPI https://t.co/mMdAWvTDR9 |
| Alexandra Winter @alexandralw2 RT @subatomicdoc: @alexandralw2 @nxtstop1 @drlfarrell And 'resilience' is overrated. It shouldn't mean being able to keep piling more work on. Healthy providers=better care #MEQAPI |
| Alexandra Winter @alexandralw2 RT @mloxton: @subatomicdoc @alexandralw2 @nxtstop1 @drlfarrell Saying the doc should be "resilient" is essentially admitting that there is a lack of planning and management, poor leadership. #meqapi |
 | CM @Luciamundi RT @nxtstop1: T6 Such as SPACE, TIME .... RT @meqapi: T6 Such as SPACE, TIME .... RT @meqapi: T6 What ENVIRONMENTAL factors influence the Quadruple Aim #MEQAPI https://t.co/TWGPKZSleY #meqapi |
| Maria Mora Pinzon, MD, MS, FACPM @MoraPinzonMD RT @mairenihuigin: @mloxton @MariaCMoraP @subatomicdoc Yes! Harmful effects of #safety1: |
| Alexandra Winter @alexandralw2 RT @subatomicdoc: @alexandralw2 @meqapi I agree. e-patients have important insights and professionals need to listen. But there is selection bias in who speaks up #MEQAPI |
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