#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.