#MEQAPI Transcript

Healthcare social media transcript of the #MEQAPI hashtag.
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See #MEQAPI Influencers/Analytics.

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MEQAPI @meqapi
#MEQAPI is live! Talking “Rural Hospital Closures" Please introduce yourself https://t.co/lsRgHytU8f
MEQAPI @meqapi
#MEQAPI Some issues iro rural closures: Often - Last source of essential serv. eg OB/GYN - Largest employer in area - Only med safety net
MEQAPI @meqapi
#MEQAPI When rural hospitals close, often results in crashes of local infrastructure and business, and many vulnerable people left in limbo
MEQAPI @meqapi
#MEQAPI T1 What METHODS increase or reduce risks of Rural Hospital Closures or Service Termination https://t.co/qaXX9GT9TV
MEQAPI @meqapi
#MEQAPI Loss of rural hospitals often creates a "healthcare desert" for local population
Bernadette Keefe MD @nxtstop1
RT @meqapi: #MEQAPI is live! Talking “Rural Hospital Closures" Please introduce yourself https://t.co/lsRgHytU8f
Bernadette Keefe MD @nxtstop1
RT @meqapi: #MEQAPI Some issues iro rural closures: Often - Last source of essential serv. eg OB/GYN - Largest employer in area - Only med safety net
Bernadette Keefe MD @nxtstop1
RT @meqapi: #MEQAPI When rural hospitals close, often results in crashes of local infrastructure and business, and many vulnerable people left in limbo
Bernadette Keefe MD @nxtstop1
RT @meqapi: #MEQAPI T1 What METHODS increase or reduce risks of Rural Hospital Closures or Service Termination https://t.co/qaXX9GT9TV
Bernadette Keefe MD @nxtstop1
RT @meqapi: #MEQAPI Loss of rural hospitals often creates a "healthcare desert" for local population
Matthew Loxton is also on Mastodon @mloxton
Matthew in DC and Denver, doing healthcare improvement and making every day count towards improved pt outcomes #meqapi
Bernadette Keefe MD @nxtstop1
T1 Rural hospital closures are associated with lack of #Medicaid expansion and are an epidemic now in the U.S. #meqapi
Bernadette Keefe MD @nxtstop1
Hello @mloxton host and all listening (do join in) , Bernadette Keefe MD , here on a busy afternoon >#meqapi on Rural Hosp Closures #meqapi
Matthew Loxton is also on Mastodon @mloxton
T1 rural hospitals often not wildly profitable, and require subsidies from more populous regions = inherent vulnerability #meqapi
Matthew Loxton is also on Mastodon @mloxton
T1 the few incentive programs to attract HCPs to rural areas typically don't retain them long. #RevolvingDoor #meqapi
MEQAPI @meqapi
RT @nxtstop1: T1 Rural hospital closures are associated with lack of #Medicaid expansion and are an epidemic now in the U.S. #meqapi
Bernadette Keefe MD @nxtstop1
T1 Manner in which some states r tackling healthcare, even in #Medicaid expansion states, can force rural hosp closures (save $$$) #meqapi
MEQAPI @meqapi
RT @nxtstop1: T1 Manner in which some states r tackling healthcare, even in #Medicaid expansion states, can force rural hosp closures (save $$$) #meqapi
Matthew Loxton is also on Mastodon @mloxton
@nxtstop1 Bitter irony, mostly in areas least able to cope without it and highest population of vulnerable people #MEQAPI
MEQAPI @meqapi
@nxtstop1 Can you expand on that thought, Bernadette? #MEQAPI
MEQAPI @meqapi
#MEQAPI T2 What MACHINE factors increase or reduce risks of Rural Hospital Closures or Service Termination https://t.co/O5vUYkHAA0
Bernadette Keefe MD @nxtstop1
@meqapi @nxtstop1 Yes. Thinking Maryland>has very aggressive cost cutting policies>'forcing' hospitals to merge/close to make $ #meqapi
Bernadette Keefe MD @nxtstop1
RT @meqapi: #MEQAPI T2 What MACHINE factors increase or reduce risks of Rural Hospital Closures or Service Termination https://t.co/O5vUYkHAA0
Matthew Loxton is also on Mastodon @mloxton
T2 many scanners, labs, etc cost $$$, create large capital sink for rural hospitals. Long waits for labs from larger centers #meqapi
ElizabethKelly, Ph.D @Elizabe85727641
"Digital health offers greater in-depth study of genotypes, >personalized health care." https://t.co/1jsFRXL9NI #MEQAPI, #hcldr, #patienchat https://t.co/GmNdNpHbQx
Bernadette Keefe MD @nxtstop1
T2 MACHINES: includes #EHR , digital medical records..Expense to install, train and maintain /upgrade >too much for some rural hosp #meqapi
Matthew Loxton is also on Mastodon @mloxton
#MEQAPI Just thinking, many states with high rurality also net beneficiaries of federal money, so vulnerable to fed cuts https://t.co/1zIyLIiWvl
Bernadette Keefe MD @nxtstop1
RT @mloxton: T2 many scanners, labs, etc cost $$$, create large capital sink for rural hospitals. Long waits for labs from larger centers #meqapi
Bernadette Keefe MD @nxtstop1
RT @mloxton: #MEQAPI Just thinking, many states with high rurality also net beneficiaries of federal money, so vulnerable to fed cuts https://t.co/1zIyLIiWvl
Matthew Loxton is also on Mastodon @mloxton
@nxtstop1 Right! And ditto cost and delays in equipment maintenance. Rural hospitals wait the longest for tech visits, get least visits #MEQAPI
MEQAPI @meqapi
#MEQAPI T3 What PEOPLE issues increase or reduce risks of Rural Hospital Closures or Service Termination https://t.co/7AajojKvIU
Matthew Loxton is also on Mastodon @mloxton
T3 huge problem hiring and retaining healthcare professionals in rural areas, and simultaneously have high burden of illness #MEQAPI
Matthew Loxton is also on Mastodon @mloxton
T3 also lower health literacy, discretionary income, and greater distances. Makes for high impact when a facility closes #MEQAPI
Bernadette Keefe MD @nxtstop1
RT @meqapi: #MEQAPI T3 What PEOPLE issues increase or reduce risks of Rural Hospital Closures or Service Termination https://t.co/7AajojKvIU
Bernadette Keefe MD @nxtstop1
RT @mloxton: T3 huge problem hiring and retaining healthcare professionals in rural areas, and simultaneously have high burden of illness #MEQAPI
Matthew Loxton is also on Mastodon @mloxton
RT @meqapi: #MEQAPI T3 What PEOPLE issues increase or reduce risks of Rural Hospital Closures or Service Termination https://t.co/7AajojKvIU
Matthew Loxton is also on Mastodon @mloxton
RT @meqapi: #MEQAPI T2 What MACHINE factors increase or reduce risks of Rural Hospital Closures or Service Termination https://t.co/O5vUYkHAA0
Matthew Loxton is also on Mastodon @mloxton
RT @meqapi: #MEQAPI T1 What METHODS increase or reduce risks of Rural Hospital Closures or Service Termination https://t.co/qaXX9GT9TV
Bernadette Keefe MD @nxtstop1
T3 PEOPLE issues: sometimes a self fulfilling prophecy> if people think the local hospital at risk of closure>won't apply 4job there #meqapi
Bernadette Keefe MD @nxtstop1
T3 VERY hard to recruit physicians to #rural hospitals - Often depend on the good graces of #immigrant physicians (at risk w/Trump) #meqapi
Matthew Loxton is also on Mastodon @mloxton
@nxtstop1 Especially relevant bc many foreign-trained nurses and physicians are willing but face huge accreditation hurdles #MEQAPI
MEQAPI @meqapi
#MEQAPI T4 What MATERIALS increase or reduce risks of Rural Hospital Closures or Service Termination https://t.co/Jd9820SvYp
Bernadette Keefe MD @nxtstop1
RT @meqapi: #MEQAPI T4 What MATERIALS increase or reduce risks of Rural Hospital Closures or Service Termination https://t.co/Jd9820SvYp
Matthew Loxton is also on Mastodon @mloxton
T4 availability of self-care materials lower in rural areas, which adds to impact of facility closures #meqapi
Bernadette Keefe MD @nxtstop1
T4 MATERIALS includes patients & other> Key 4rural hospitals is poverty of the population (assoc w/ worse health) and dicey internet #meqapi
Matthew Loxton is also on Mastodon @mloxton
RT @meqapi: #MEQAPI T4 What MATERIALS increase or reduce risks of Rural Hospital Closures or Service Termination https://t.co/Jd9820SvYp
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
Hello guys. Sorry I'm so late. #meqapi https://t.co/uemzqwgBev
Matthew Loxton is also on Mastodon @mloxton
@nxtstop1 Ah yes! Poor availability and dependability of high speed Internet makes telehealth less of an option, exacerbated by closures #meqapi
Bernadette Keefe MD @nxtstop1
No worries, always gr8 2have U w/ us #cozychat <renamed RT @ShereesePubHlth: Hello guys. Sorry I'm so late. #meqapi https://t.co/CKvORueRKS
Bernadette Keefe MD @nxtstop1
T4 RE: @mloxton comment re: internet and therefore limited #telehealth > yes! But...also patients limited too re: #healthliteracy #meqapi
MEQAPI @meqapi
#MEQAPI T5 What MEASUREMENT factors increase or reduce risks of Rural Hospital Closures or Service Termination https://t.co/6bheCXj1rN
Matthew Loxton is also on Mastodon @mloxton
@nxtstop1 Some good programs to improve rural access to broadband, but again depends on subsidies and federal largesse that can be cut #MEQAPI
Matthew Loxton is also on Mastodon @mloxton
RT @meqapi: #MEQAPI T5 What MEASUREMENT factors increase or reduce risks of Rural Hospital Closures or Service Termination https://t.co/6bheCXj1rN
Matthew Loxton is also on Mastodon @mloxton
@nxtstop1 Kinda a perfect ill-health storm brewing in rural America 😨 #meqapi
Bernadette Keefe MD @nxtstop1
@mloxton precisely-all too fluid, not dependable. An attitude of ambivalent(if that)support of poor rural areas: major issue in U.S. #meqapi
Bernadette Keefe MD @nxtstop1
RT @meqapi: #MEQAPI T5 What MEASUREMENT factors increase or reduce risks of Rural Hospital Closures or Service Termination https://t.co/6bheCXj1rN
Matthew Loxton is also on Mastodon @mloxton
T5 few quality and access metrics are published that distinguish between urban and rural settings. Hard to see how bad rural is #meqapi
Bernadette Keefe MD @nxtstop1
T5 MEASUREMENT >consider #health outcomes: See reference showing incr. mortality w/ local hosp/ #ED closure https://t.co/ucdAHVuJUv #meqapi
Matthew Loxton is also on Mastodon @mloxton
RT @nxtstop1: @mloxton precisely-all too fluid, not dependable. An attitude of ambivalent(if that)support of poor rural areas: @mloxton precisely-all too fluid, not dependable. An attitude of ambivalent(if that)support of poor rural areas: major issue in U.S. #meqapi
Matthew Loxton is also on Mastodon @mloxton
RT @nxtstop1: T5 MEASUREMENT >consider #health outcomes: T5 MEASUREMENT >consider #health outcomes: See reference showing incr. mortality w/ local hosp/ #ED closure https://t.co/ucdAHVuJUv #meqapi
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
RT @nxtstop1: T5 MEASUREMENT >consider #health outcomes: T5 MEASUREMENT >consider #health outcomes: See reference showing incr. mortality w/ local hosp/ #ED closure https://t.co/ucdAHVuJUv #meqapi
Matthew Loxton is also on Mastodon @mloxton
@nxtstop1 Hey @physicianswkly, hope you noticed we quoted you on #MEQAPI :)
Bernadette Keefe MD @nxtstop1
Some rural hosp do gr8 job MT @mloxton: T5 Few quality & access metrics are published that distinguish betw urban & rural settings. #meqapi
Matthew Loxton is also on Mastodon @mloxton
T5 rural population knows their healthcare services are sparse and threadbare, but may not realize just how much less they get #meqapi
MEQAPI @meqapi
#MEQAPI T6 What ENVIRONMENTAL factors increase or reduce risks of Rural Hospital Closures or Service Termination https://t.co/ssHt0VKbGF
Matthew Loxton is also on Mastodon @mloxton
@nxtstop1 Yes, certainly are. But fewer and further between than urban #MEQAPI
Bernadette Keefe MD @nxtstop1
RT @mloxton: T5 rural population knows their healthcare services are sparse and threadbare, but may not realize just how much less they get #meqapi
Bernadette Keefe MD @nxtstop1
RT @meqapi: #MEQAPI T6 What ENVIRONMENTAL factors increase or reduce risks of Rural Hospital Closures or Service Termination https://t.co/ssHt0VKbGF
Matthew Loxton is also on Mastodon @mloxton
@SurvivorshipIT @nxtstop1 Indeed, and no plan on the table to change that, as far as I can see #MEQAPI
Bernadette Keefe MD @nxtstop1
T6 ENVIRONMENTAL >often a 'prelude' to closures, when funding is cut back, services/wings of hosp, clinics closed, outdated spaces #meqapi
Matthew Loxton is also on Mastodon @mloxton
T6 political and economic environment, So fewer jobs, less investment in healthcare infrastructure, less mobility #meqapi
Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba
RT @mloxton: @nxtstop1 Yes, certainly are. But fewer and further between than urban #MEQAPI
Matthew Loxton is also on Mastodon @mloxton
@nxtstop1 Is it my imagination, or are MH and OB/GYN the first to get cut back? #meqapi
Matthew Loxton is also on Mastodon @mloxton
RT @meqapi: #MEQAPI T6 What ENVIRONMENTAL factors increase or reduce risks of Rural Hospital Closures or Service Termination https://t.co/ssHt0VKbGF
Bernadette Keefe MD @nxtstop1
T5 InTv w/ Gov Sandoval- Nevada https://t.co/uQMzS37lUy Expanded #Medicaid 2support local hosp & #mentalhealth cc #meqapi #ruralhospitals https://t.co/Bf4uT3965R
Bernadette Keefe MD @nxtstop1
Correct! Maternity Care & Mental Health MT @mloxton: @nxtstop1 Is it my imagination, or are MH and OB/GYN the first to get cut back? #meqapi
Matthew Loxton is also on Mastodon @mloxton
RT @nxtstop1: T5 InTv w/ Gov Sandoval- Nevada https://t.co/uQMzS37lUy Expanded #Medicaid 2support local hosp & #mentalhealth cc #meqapi #ruralhospitals https://t.co/Bf4uT3965R
Bernadette Keefe MD @nxtstop1
@drlfarrell @mloxton @nxtstop1 great! #meqapi
MEQAPI @meqapi
@drlfarrell @mloxton @nxtstop1 Feel free to post your inputs for posterity. People can always respond asynchronously :) #MEQAPI
MEQAPI @meqapi
#MEQAPI CT: What should we do differently about “Rural Hospital Closures"– what will YOU do differently https://t.co/lsRgHytU8f
Bernadette Keefe MD @nxtstop1
RT @nxtstop1: REF: Disappearing From #RuralAmerica: REF: Disappearing From #RuralAmerica: Maternal Care https://t.co/3Zu51jAhYb ♦️Do Join the convo on rural hospital closures 3PM ET>>#MEQAPI https://t.co/hiaGh9XtPV
MEQAPI @meqapi
#MEQAPI CT: What should we do differently about “Rural Hospital Closures"– what will YOU do differently https://t.co/lsRgHyLuZN
Bernadette Keefe MD @nxtstop1
RT @drlfarrell:
Matthew Loxton is also on Mastodon @mloxton
CT need serious national discussion on whether healthcare should be treated as a right. Rural areas suffer bc we treat as commodity #MEQAPI
Bernadette Keefe MD @nxtstop1
Re viability of small communities comment of @drlfarrell >takes incredible creativity, some compromise, skin in the game for members #meqapi
Matthew Loxton is also on Mastodon @mloxton
CT will personally pay more attention to urban vs rural health disparities #MEQAPI
Matthew Loxton is also on Mastodon @mloxton
RT @meqapi: #MEQAPI CT: #MEQAPI CT: What should we do differently about “Rural Hospital Closures"– what will YOU do differently https://t.co/lsRgHyLuZN
Bernadette Keefe MD @nxtstop1
Do share any learnings with hashtag~ ty~:) RT @mloxton: CT will personally pay more attention to urban vs rural health disparities #MEQAPI
Bernadette Keefe MD @nxtstop1
RT @mloxton: CT need serious national discussion on whether healthcare should be treated as a right. Rural areas suffer bc we treat as commodity #MEQAPI
Matthew Loxton is also on Mastodon @mloxton
@drlfarrell Splendid question! In some mountain areas 911 fire is not available on grounds ppl are willingly building McMansions in the forests #MEQAPI
Matthew Loxton is also on Mastodon @mloxton
@drlfarrell However, it is a qualitatively different proposition to tell rural pop that they chose to have bad healthcare services #MEQAPI
MEQAPI @meqapi
@SurvivorshipIT @nxtstop1 @mloxton Please come again next week! Chats are announced using #MEQAPI hashtag and on https://t.co/PyTLnDytA9
Matthew Loxton is also on Mastodon @mloxton
@drlfarrell Right ;) That really does sound like more of a free choice than the person whose job entails cleaning it and commuting there #MEQAPI
Matthew Loxton is also on Mastodon @mloxton
@drlfarrell A lot of people who flatly deny that healthcare sb a right also live in rural areas that suffer bc we treat it as a commodity #MEQAPI
#MEQAPI content from Twitter.