#OTalk Transcript

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

ProfileTweet
#OTalk @OTalk_
Hello everyone, welcome to tonight’s #OTalk @preston_jenny on the account tonight welcoming @DuncsOT and all our contributors.
#OTalk @OTalk_
So who else is joining us tonight, please say hello and let us know you are there #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
@OTalk_ Back to normal time now... yay! #otalk
Juliette Truman @Jt12Truman
I too am hoping to join you #OTalk
Lisa Forrest OT 🌈 @LisaForrestOT
RT @DuncsOT:
Terri Grant @TerriG20
@OTalk_ Trying to remember to join in on a Tuesday evening! #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
@SensationalOT Last week was weird. Nobody was aware of the time change situation until that day. #otalk
#OTalk @OTalk_
Three simple rules and no naughty step tonight! 1. Please use #OTalk, 2. Remember code of conduct and most of all 3. Have fun!!
Lisa Forrest OT 🌈 @LisaForrestOT
Evening everyone and happy OT Week @DrEmmaGreen_OT #OTalk
#OTalk @OTalk_
You’re not alone @hooper_ek, I’ve just done it myself, big oops #OTalk https://t.co/S3qLmOdD1F
melanie faulkner @melf74
Hi. I'm lurking!! #otalk
#OTalk @OTalk_
Welcome colleagues from GCU #OTalk https://t.co/QqfdrT2y4A
Bill Wong, OTD, OTR/L @BillWongOT
@TerriG20 @OTalk_ Reminder or alarm works best. #otalk
Ana Pires @anapire77988177
@OTalk_ I'm in #otalk
#OTalk @OTalk_
Bet it won’t last long @melf74, that’s how we all start #OTalk https://t.co/PXpJxiP3KR
Debra Hughes @Debraj_OT
sitting ready #otalk
Terri Grant @TerriG20
@BillWongOT @OTalk_ The problem is less organisational & more children’s needs-based! Here now 😊 #OTalk
#OTalk @OTalk_
So for our first question of the night “how joined up do you think your evaluation is?” #OTalk https://t.co/AaX21mntOk
Bill Wong, OTD, OTR/L @BillWongOT
@AbiEdwards7 @OTalk_ Make your tweets public please for the hour so that people can see if you want to contribute. #otalk
#OTalk @OTalk_
Can you tell us a bit more about that @hooper_ek #OTalk https://t.co/HV6hMyqJOy
Louise 💙 @NorwoodThreads
Evening everyone! Looking forward to tonight's talk, though confess I've one eye on this and one eye on some work I'm finishing up #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @NorwoodThreads: Evening everyone! Looking forward to tonight's talk, though confess I've one eye on this and one eye on some work I'm finishing up #OTalk
Juliette Truman @Jt12Truman
@hooper_ek Can you give an example please #OTalk
#OTalk @OTalk_
RT @Jt12Truman: @hooper_ek Can you give an example please #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
@hooper_ek I second that. In my setting- it’s often s/p fall, change in condition, or s/p discharge from acute care hospital. #otalk
Bill Wong, OTD, OTR/L @BillWongOT
@hooper_ek Very rarely we do get cases where patient is motivated to improve, as those are long term care patients in my setting. #otalk
#OTalk @OTalk_
RT @POPPED_Project:
#OTalk @OTalk_
RT @lottie01:
#OTalk @OTalk_
RT @hooper_ek:
#OTalk @OTalk_
RT @DuncsOT:
Dr Lynne Goodacre 💙 @LynneGoodacre
Interested in your comment not joined us enough for research @SensationalOT #OTalk can you tell more
#OTalk @OTalk_
RT @DuncsOT:
#OTalk @OTalk_
RT @LynneGoodacre: Interested in your comment not joined us enough for research @SensationalOT #OTalk can you tell more
#OTalk @OTalk_
RT @lottie01:
Juliette Truman @Jt12Truman
@hooper_ek Yes my experience too wish I had been more proactive to demonstrate #valueofOT #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @lottie01:
#OTalk @OTalk_
RT @Jt12Truman: @hooper_ek Yes my experience too wish I had been more proactive to demonstrate #valueofOT #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @DuncsOT:
#OTalk @OTalk_
RT @pjmasonOT:
Dr Lynne Goodacre 💙 @LynneGoodacre
Never too late to start though #OTalk https://t.co/Nh0vCE3BRb
#OTalk @OTalk_
RT @DuncsOT:
#OTalk @OTalk_
RT @POPPED_Project:
Dr Lynne Goodacre 💙 @LynneGoodacre
Here you go @pjmasonOT #OTalk https://t.co/m6z3IcEbOC
Terri Grant @TerriG20
@lottie01 @OTalk_ And don’t always record those evaluations systematically #OTalk
Louise 💙 @NorwoodThreads
@hooper_ek Ours is reactive too - but in that we're now using an outcome measure to show our value, rather than to evaulate our input per se #otalk
#OTalk @OTalk_
RT @SensationalOT:
#OTalk @OTalk_
RT @NorwoodThreads: @hooper_ek Ours is reactive too - but in that we're now using an outcome measure to show our value, rather than to evaulate our input per se #otalk
Louise 💙 @NorwoodThreads
@hooper_ek Though this might help in a proactive sense in the long-run, if anyone has/makes time to look at the data! #OTalk
#OTalk @OTalk_
RT @SensationalOT:
Terri Grant @TerriG20
@NorwoodThreads @hooper_ek Really important point. So easy to collect data you think will be useful only to never get the chance to review it....#OTalk
#OTalk @OTalk_
Do you think this is a challenge in practice @NorwoodThreads #OTalk https://t.co/tcQxxlaLd1
#OTalk @OTalk_
RT @DuncsOT:
#OTalk @OTalk_
RT @TerriG20: @NorwoodThreads @hooper_ek Really important point. So easy to collect data you think will be useful only to never get the chance to review it....#OTalk
#OTalk @OTalk_
RT @pjmasonOT:
Bill Wong, OTD, OTR/L @BillWongOT
@DuncsOT @hooper_ek For some patients I have, time being able sitting in w/c is meaningful to increase interaction with environment. #otalk
Dr Lynne Goodacre 💙 @LynneGoodacre
A sense that we weren’t measuring what mattered to clients was the question that got me into research & informed my PhD #OTalk https://t.co/k4BdiKD5Cy
#OTalk @OTalk_
Stimulating discussion #OTalk, are we ready to move to the next question @DuncsOT
#OTalk @OTalk_
RT @SensationalOT:
#OTalk @OTalk_
RT @hooper_ek:
#OTalk @OTalk_
RT @POPPED_Project: can evaluate many things:
#OTalk @OTalk_
RT @JBOccyTherapy:
#OTalk @OTalk_
RT @LynneGoodacre: A sense that we weren’t measuring what mattered to clients was the question that got me into research & informed my PhD #OTalk https://t.co/k4BdiKD5Cy
Louise 💙 @NorwoodThreads
@OTalk_ Yes! I'm from a research background so highly value evaluation but need to be creative/share ideas how to balance with clinical work #OTalk
Juliette Truman @Jt12Truman
@DuncsOT @hooper_ek I am ashamed to admit I have measured what our service managers think is important to maintain a service rather than clients #OTalk
#OTalk @OTalk_
RT @DuncsOT:
Louise 💙 @NorwoodThreads
@hooper_ek Absolutely agree! #OTalk
#OTalk @OTalk_
Now this is an interesting question @DuncsOT #OTalk. Looking forward to the responses. https://t.co/HAXXK4TT3C
#OTalk @OTalk_
RT @margaretOT360:
#OTalk @OTalk_
RT @lottie01:
#OTalk @OTalk_
RT @Jt12Truman: @DuncsOT @hooper_ek I am ashamed to admit I have measured what our service managers think is important to maintain a service rather than clients #OTalk
#OTalk @OTalk_
RT @SensationalOT:
Venthan Mailoo @VenthanMailoo
@Jt12Truman @hooper_ek How can evaluation be proactive rather than re-active? Can something that has not happened yet or been done be evaluated? @OTalk_ #OTalk
Juliette Truman @Jt12Truman
@DuncsOT @OTalk_ This is what led me into research the desire to understand what difference OT and services could make #valueofOT #OTalk
#OTalk @OTalk_
RT @DuncsOT:
#OTalk @OTalk_
RT @Jt12Truman: @DuncsOT @OTalk_ This is what led me into research the desire to understand what difference OT and services could make #valueofOT #OTalk
#OTalk @OTalk_
RT @SensationalOT:
#OTalk @OTalk_
RT @hooper_ek:
#OTalk @OTalk_
RT @pjmasonOT:
Terri Grant @TerriG20
@Jt12Truman @OTalk_ @DuncsOT @hooper_ek But without the service you can’t begin to meet clients needs - sometimes a strategic approach is necessary! #OTalk
#OTalk @OTalk_
Liking this philosophy @lottie01 #OTalk https://t.co/X4TEdyU94E
Bill Wong, OTD, OTR/L @BillWongOT
@ChloeVincett Why is always good question to ask. If you don’t ask, your future supervisors might. #otalk
Bill Wong, OTD, OTR/L @BillWongOT
@VenthanMailoo @Jt12Truman @hooper_ek @OTalk_ I think some settings are just reactive, period. #otalk
#OTalk @OTalk_
Anyone like to help @lottie01 with this question @DuncsOT #OTalk https://t.co/IYbeXy9UEF
grainne carley @gra_carley
with e-systems access, it is much easier to measure results - e.g. MOHOST baseline & as outcome & the system does d work pulling data #otalk
#OTalk @OTalk_
RT @JBOccyTherapy:
Bill Wong, OTD, OTR/L @BillWongOT
RT @JBOccyTherapy:
Terri Grant @TerriG20
@NiamhKinsella @DuncsOT @OTalk_ @SensationalOT @hooper_ek We should be able to demonstrate shared values at least? #OTalk
#OTalk @OTalk_
RT @DuncsOT:
#OTalk @OTalk_
RT @gra_carley: with e-systems access, it is much easier to measure results - e.g. MOHOST baseline & as outcome & the system does d work pulling data #otalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @JBOccyTherapy:
Bill Wong, OTD, OTR/L @BillWongOT
@JBOccyTherapy In my setting, sometimes it might be what can we do to maximize quality of life. #otalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @NiamhKinsella:
#OTalk @OTalk_
RT @POPPED_Project:
Dr Lynne Goodacre 💙 @LynneGoodacre
A colleague did her PhD on how clients use outcome information when it is shared. Really interesting area to explore #OTalk https://t.co/u5OFzfKYVd
Terri Grant @TerriG20
@lottie01 @ChloeVincett Challenging this kind of thinking is a student’s raisin d’etre @ChloeVincett keep it up! Great question #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @POPPED_Project:
Terri Grant @TerriG20
@lottie01 @ChloeVincett I encourage students to keep asking why until the answer makes sense - “because we’ve always done it that way” doesn’t count! #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @TerriG20: @lottie01 @ChloeVincett Challenging this kind of thinking is a student’s raisin d’etre @ChloeVincett keep it up! Great question #OTalk
#OTalk @OTalk_
RT @TerriG20: @lottie01 @ChloeVincett Challenging this kind of thinking is a student’s raisin d’etre @ChloeVincett keep it up! Great question #OTalk
Juliette Truman @Jt12Truman
@POPPED_Project @VenthanMailoo @hooper_ek @OTalk_ I wanted to be proactive in deciding what I felt was imp to evaluate for client benefit rather than reacting to others #OTalk
grainne carley @gra_carley
RT @LynneGoodacre: A colleague did her PhD on how clients use outcome information when it is shared. Really interesting area to explore #OTalk https://t.co/u5OFzfKYVd
Bill Wong, OTD, OTR/L @BillWongOT
@JBOccyTherapy But for bed ridden patients, they are totally dependent on others for ADL’s. #otalk
#OTalk @OTalk_
Sounds really interesting @LynneGoodacre, is there a reference to this work so that we can read it @DuncsOT #OTalk https://t.co/BDd30bNw9t
#OTalk @OTalk_
RT @Jt12Truman: @POPPED_Project @VenthanMailoo @hooper_ek @OTalk_ I wanted to be proactive in deciding what I felt was imp to evaluate for client benefit rather than reacting to others #OTalk
#OTalk @OTalk_
RT @TerriG20: @lottie01 @ChloeVincett I encourage students to keep asking why until the answer makes sense - “because we’ve always done it that way” doesn’t count! #OTalk
Juliette Truman @Jt12Truman
@k_tedjo @DuncsOT @hooper_ek Absolutely no benefit comes from closing a service #OTalk
#OTalk @OTalk_
RT @POPPED_Project:
Dr Lynne Goodacre 💙 @LynneGoodacre
@OTalk_ @DuncsOT Just completed her viva successfully so papers yet to follow #OTalk was from a PT perspective but some interesting insights
#OTalk @OTalk_
Time is whizzing by @DuncsOT, are we ready for our next question #OTalk
#OTalk @OTalk_
Will keep an eye out for that @LynneGoodacre, sounds so interesting #OTalk https://t.co/31gahDoS85
grainne carley @gra_carley
@JBOccyTherapy @BillWongOT Today in OT class we discussed twiddle mitts & concluded it is a purposeful occupation - can be done horizontal & many other ways #OTalk
Ana Pires @anapire77988177
@DuncsOT @OTalk_ @hooper_ek I'm trying to involve families and clients on the process as much as I can. It is not always easy but I'm trying to do it #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @gra_carley: @JBOccyTherapy @BillWongOT Today in OT class we discussed twiddle mitts & concluded it is a purposeful occupation - can be done horizontal & many other ways #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @margaretOT360:
Jackie Pottle @JackiePottleOT
@JBOccyTherapy @margaretOT360 @BillWongOT #otalk quality of life for palliative patients involves normality and control -key areas that OT helps with -research provides evidence
#OTalk @OTalk_
Good question @DuncsOT #OTalk https://t.co/113a7kMxTY
Ana Pires @anapire77988177
@DuncsOT @OTalk_ @hooper_ek I would love to get more ideias about outcome measures and goal setting with clients if someone is willing to share #otalk
#OTalk @OTalk_
RT @margaretOT360:
Louise 💙 @NorwoodThreads
@JBOccyTherapy @BillWongOT I really enjoy working on goals with patients that *aren't* ADLs - often so much more meaningful for patient (and OT!) #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
@DuncsOT Calling caregivers for info if applicable. #otalk
#OTalk @OTalk_
RT @AnaPire77988177: @DuncsOT @OTalk_ @hooper_ek I would love to get more ideias about outcome measures and goal setting with clients if someone is willing to share #otalk
#OTalk @OTalk_
RT @POPPED_Project:
Sophie Maynard @SophieMaynard8
@OTalk_ #OTalk lurking this evening after a long day on placement
Terri Grant @TerriG20
@DuncsOT Mass data collection systems (NCRS,CareNotes etc) to be customisable to collect & analyse what frontline therapists want/need #OTalk
Terri Grant @TerriG20
@POPPED_Project @DuncsOT I think that’s a more eloquent way of expressing what I meant! #OTalk
#OTalk @OTalk_
RT @TerriG20: @DuncsOT Mass data collection systems (NCRS,CareNotes etc) to be customisable to collect & analyse what frontline therapists want/need #OTalk
#OTalk @OTalk_
RT @ellram_OT:
#OTalk @OTalk_
RT @margaretOT360:
Louise 💙 @NorwoodThreads
@POPPED_Project @gra_carley @JBOccyTherapy @BillWongOT https://t.co/YQawOFlgOM #OTalk
#OTalk @OTalk_
RT @ellram_OT:
#OTalk @OTalk_
RT @NiamhKinsella:
Bill Wong, OTD, OTR/L @BillWongOT
RT @NiamhKinsella:
Terri Grant @TerriG20
@margaretOT360 @OTalk_ Maybe need to focus on translating what our SUs say into commissioners language? #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @TerriG20: @DuncsOT Mass data collection systems (NCRS,CareNotes etc) to be customisable to collect & analyse what frontline therapists want/need #OTalk
#OTalk @OTalk_
Only ten minutes remaining, be sure to make your points everyone before we finish up #OTalk @DuncsOT
Dr Lynne Goodacre 💙 @LynneGoodacre
Also co-creation of outcome measures #OTalk ie ensuring clients are central to any process of development and validation https://t.co/iUV86V6KSa
#OTalk @OTalk_
RT @hooper_ek:
Michelle Keefe @MichelleKeefe1
@AnaPire77988177 @OTalk_ @DuncsOT @hooper_ek As a student I hear conflicting views of client goals as outcome measures #OTalk
#HelloMyNameIs Laura @laurareidOT
@POPPED_Project @OTalk_ @TerriG20 @lottie01 @ChloeVincett Currently got a 3rd year student + I also love being asked why, helps me verbalise and justify my clinical reasoning and processes #OTalk
#OTalk @OTalk_
Maybe we need to add goal setting to our list of topics after February 2018 #OTalk https://t.co/IJZWQbjsf8
Juliette Truman @Jt12Truman
RT @TerriG20: @margaretOT360 @OTalk_ Maybe need to focus on translating what our SUs say into commissioners language? #OTalk
#OTalk @OTalk_
RT @laurareidOT: @POPPED_Project @OTalk_ @TerriG20 @lottie01 @ChloeVincett Currently got a 3rd year student + I also love being asked why, helps me verbalise and justify my clinical reasoning and processes #OTalk
#OTalk @OTalk_
RT @LynneGoodacre: Also co-creation of outcome measures #OTalk ie ensuring clients are central to any process of development and validation https://t.co/iUV86V6KSa
Bill Wong, OTD, OTR/L @BillWongOT
RT @lottie01:
#OTalk @OTalk_
RT @DuncsOT:
Bill Wong, OTD, OTR/L @BillWongOT
RT @laurareidOT: @POPPED_Project @OTalk_ @TerriG20 @lottie01 @ChloeVincett Currently got a 3rd year student + I also love being asked why, helps me verbalise and justify my clinical reasoning and processes #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
@MichelleKeefe1 @AnaPire77988177 @OTalk_ @DuncsOT @hooper_ek Sometimes we face that in clinical setting- like 10 inches on functional reach test... since it indicates low risk for falls. #otalk
Juliette Truman @Jt12Truman
@ChloeVincett @Uni_of_Essex Like to know more about this Chloe #OTalk
#OTalk @OTalk_
Five minutes remaining, that was quick, as always #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @ellram_OT:
#OTalk @OTalk_
Final thought provoking question for the night @DuncsOT #OTalk https://t.co/QwcnQJBcmz
#OTalk @OTalk_
RT @margaretOT360:
#OTalk @OTalk_
RT @lottie01:
Sophie Maynard @SophieMaynard8
@DuncsOT Info from practice might be saying ‘yes’ but research in a wider context might provide good evidence to suggest a different way #OTalk
Dr Lynne Goodacre 💙 @LynneGoodacre
Mine too @POPPED_Project maybe something in the air tonight..... #OTalk https://t.co/l6Wir9RyMj
Bill Wong, OTD, OTR/L @BillWongOT
@ellram_OT @MichelleKeefe1 @AnaPire77988177 @OTalk_ @DuncsOT @hooper_ek In my setting, sometimes having previous evals on file is a trap for being lazy. #otalk
grainne carley @gra_carley
@POPPED_Project Same problem here! Maybe it didn't get enough caffeine today #OTalk
#OTalk @OTalk_
I was wondering that too!! #OTalk https://t.co/vwkAh5Icfs
grainne carley @gra_carley
Info from research needs to be enhanced with info from practice & adapted to your SUs & setting #otalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @DuncsOT:
#OTalk @OTalk_
RT @DuncsOT:
Ana Pires @anapire77988177
@DuncsOT Easy way to collect data and make it easy to analyse and show progress to others. Involve client and caregivers into goal setting. #otalk
#OTalk @OTalk_
RT @hooper_ek:
Bill Wong, OTD, OTR/L @BillWongOT
@samjfordham @DuncsOT For us in the US, sometimes productivity is the biggest enemy. #otalk
#OTalk @OTalk_
RT @NiamhKinsella:
Sophie Maynard @SophieMaynard8
@DuncsOT Unfortunately in some services this is already happening & the skills we can provide are restricted due to “cost effectiveness” #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
RT @SophieMaynard8: @DuncsOT Unfortunately in some services this is already happening & the skills we can provide are restricted due to “cost effectiveness” #OTalk
Bill Wong, OTD, OTR/L @BillWongOT
@SophieMaynard8 @DuncsOT Or in US, that would be things like therapy cap or number of Medicare days. #otalk
Dr Lynne Goodacre 💙 @LynneGoodacre
Not familiar with it but true wco-production of item generation in development ensures SU priorities are integral to outcome measure #OTalk https://t.co/3YGQZVZStP
#OTalk @OTalk_
One last thing, remember to complete your reflective log after tonight’s talk https://t.co/daNin21Bap #OTalk
#OTalk @OTalk_
RT @DuncsOT:
Bill Wong, OTD, OTR/L @BillWongOT
@samjfordham @DuncsOT And on the business side, if u are not productive, u are costing company $. But if you are very productive, hard to get things done. #otalk
Jackie Pottle @JackiePottleOT
@OTalk_ @DuncsOT #otalk info from best practise has to be evaluated and then shared by research is best way to do that and then we can help more patients
#OTalk @OTalk_
RT @NiamhKinsella:
Bill Wong, OTD, OTR/L @BillWongOT
@samjfordham @DuncsOT I am not a fan of over 90% productivity because sometimes that means cutting corners to get things done for the day. #otalk
#OTalk @OTalk_
RT @LynneGoodacre: Not familiar with it but true wco-production of item generation in development ensures SU priorities are integral to outcome measure #OTalk https://t.co/3YGQZVZStP
Bill Wong, OTD, OTR/L @BillWongOT
#otalk https://t.co/WkrLAHyJYn
#OTalk @OTalk_
RT @JackiePottleOT: @OTalk_ @DuncsOT #otalk info from best practise has to be evaluated and then shared by research is best way to do that and then we can help more patients
Juliette Truman @Jt12Truman
@ChloeVincett @Uni_of_Essex Thank you will link with you outside if #OTalk to learn more
David S. McGuire, OTR/L @davidsmcguire
RT @margaretOT360:
#OTalk @OTalk_
Tweets are definitely going a bit strange tonight. Huge thanks to @DuncsOT for facilitating a very interesting discussion tonight #OTalk
Dr Lynne Goodacre 💙 @LynneGoodacre
Thanks @DuncsOT hope you enjoyed yourself, lots of things to reflect on #OTalk thanks also @preston_jenny
Bill Wong, OTD, OTR/L @BillWongOT
@samjfordham @DuncsOT And as someone who bounces around often for my work, it’s confusing and hard to provide consistent care to patients. #otalk
#OTalk @OTalk_
RT @DuncsOT:
#OTalk @OTalk_
RT @LynneGoodacre: Thanks @DuncsOT hope you enjoyed yourself, lots of things to reflect on #OTalk thanks also @preston_jenny
#OTalk @OTalk_
RT @DuncsOT:
Louise 💙 @NorwoodThreads
@samjfordham @DuncsOT Agree- OT would (and does) thrive outside medical model of #NHS. Helpful to understand that model to communicate in our MDTs though 🙂 #OTalk
Juliette Truman @Jt12Truman
@OTalk_ @DuncsOT Thank you thought provoking good to hear challenges, new perspectives, challenge self and reflect on what I would do differently #otalk
Juliette Truman @Jt12Truman
@NorwoodThreads @samjfordham @DuncsOT Yes many of our REP highlight #valueofOT and our unique perspective but if we are to survive in new arenas evaluation is key #OTalk
#OTalk content from Twitter.