1. #hpm
Healthcare Hashtag Twitter Transcript
From: Wed Mar 23 17:55:00 PDT 2011
To: Wed Mar 23 19:05:00 PDT 2011
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MatthewsMichele RT @renee_berry: #hpm Tweetchat is in less than 10min! Don't wait until you need
#palliative care to learn about it, join our friendly chat #meded #healthlit
Wed Mar 23 17:56:24 PDT 2011
MeredithGould And now a switch to our regular Wednesday programming: #HPM chat for an hour.
Wed Mar 23 18:00:32 PDT 2011
renee_berry See Comment Section for my thoughts: RT @doclake Happy Hospitalist talks abt
palliative care http://is.gd/GlZ0xY #hpm
Wed Mar 23 18:02:42 PDT 2011
emilybarryPR Right on! RT @MeredithGould: And now a switch to our regular Wednesday
programming: #HPM chat for an hour. #hpm
Wed Mar 23 18:02:47 PDT 2011
renee_berry @MeredithGould Hey Meredith are you hosting or @PracticalWisdom ? #hpm
Wed Mar 23 18:03:17 PDT 2011
renee_berry In the mean time... Hello everyone let's all start with introductions! Say hello & tell us
your passion or interest in --> #hpm
Wed Mar 23 18:04:06 PDT 2011
aliciabloom time for a little wednesday night #hpm chat. all the cool kids are doing it.
Wed Mar 23 18:04:11 PDT 2011
DrSnit RT @MeredithGould: And now a switch to our regular Wednesday programming:
#HPM chat for an hour.
Wed Mar 23 18:04:35 PDT 2011
DrSnit Hey cats! Good to see you! #hpm
Wed Mar 23 18:05:15 PDT 2011

2. GailZahtz Hi @renee_berry stopping in for as long as I can- patient, caregiver, founder of
@ALifeGuide coming out in beta this week for ebm hcsm #hpm
Wed Mar 23 18:05:26 PDT 2011
emilybarryPR Hi all! Emily Barry with Transcend Hospice Maarketing Group, aka @hospice_mktg!
Advocate for starting #hospice early, convos about eolc #hpm
Wed Mar 23 18:06:00 PDT 2011
GailZahtz If we're making T1 our passion in #hpm mine is definitely educating doctors and
patients on the greater help pal docs provide to all pts.
Wed Mar 23 18:06:47 PDT 2011
renee_berry --> passion for early palliative care, advance care directives, love live tweeting for
public health, work w/ @KLXmedia #hpm
Wed Mar 23 18:07:02 PDT 2011
GailZahtz @renee_berry HA, it was because of #HPM that I got a proxy and #hadthetalk so
thanks for that
Wed Mar 23 18:07:48 PDT 2011
MatthewsMichele @renee_berry hi all! I'm a media junkie...#hpm and #healthpolicy comm is my
thing...mgr, public engagement @klxmedia #hpm
Wed Mar 23 18:07:51 PDT 2011
renee_berry Well I'm going to do an impromptu lead on topics tonight... :) #hpm
Wed Mar 23 18:07:57 PDT 2011
renee_berry T1 W/ @NHDD less than a month away, what are your plans as an individual to
advocate for advance directive education in the community? #hpm
Wed Mar 23 18:08:40 PDT 2011
GailZahtz @MatthewsMichele Are you knew at @klxmedia ? I thought it was the infamous pair
from here at #hpm and some silent $ dude who never shows :))
Wed Mar 23 18:09:11 PDT 2011
GailZahtz @renee_berry T1 I thought April was for all #HPM Is it just for advance directive
education?
Wed Mar 23 18:09:55 PDT 2011
DrSnit My passion in #hpm is sharing and connecting REAL PEOPLE with OUR stories as
MEANING in our every day lives -Research/pub/evidence/listening
Wed Mar 23 18:09:56 PDT 2011
emilybarryPR T1 - Ask family and friends if they have advanced directives, tweet about importance
of eol convos #hpm
Wed Mar 23 18:10:29 PDT 2011
MatthewsMichele @GailZahtz @MatthewsMichele @klxmedia Yep, I'm the newbie...making it the
dymanic trio v. duo...lol...excited to be a part of the team! #hpm
Wed Mar 23 18:10:39 PDT 2011
renee_berry woo hooo! great! RT @emilybarryPR: T1 - Ask family and friends if they have
advanced directives, tweet about importance of eol convos #hpm

3. Wed Mar 23 18:10:58 PDT 2011
renee_berry @DrSnit awesome, that's why you fit in with this group for sure! #hpm
Wed Mar 23 18:11:28 PDT 2011
MeredithGould <--sociologist committed to communicating health & building online communities.
Also on Twitter as @HealthFaith http://healthfaith.com #hpm
Wed Mar 23 18:11:38 PDT 2011
CoachMattBloom RT @aliciabloom: time for a little wednesday night #hpm chat. all the cool kids are
doing it.
Wed Mar 23 18:11:49 PDT 2011
GailZahtz @MatthewsMichele Well welcome to #HPM you couldn't have better company than
@klxmedia with @renee_berry and @ctsinclair
Wed Mar 23 18:11:52 PDT 2011
hvto Hi all. T1 Have scheduled AD presentations at hospitals, ALF's, SNF's, and
churches. #hpm
Wed Mar 23 18:12:02 PDT 2011
drpippa Sorry to be late! T1- talking to staff, family, & friends. #hpm
Wed Mar 23 18:12:12 PDT 2011
renee_berry @GailZahtz Hey Gail, @NHDD is in April check www.nhdd.org for more details, but
here we're always advocating for edu on --> #hpm
Wed Mar 23 18:12:26 PDT 2011
emilybarryPR RT @GailZahtz: @MatthewsMichele Well welcome to #HPM you couldnt have better
company than @klxmedia with @renee_berry and @ctsinclair #hpm
Wed Mar 23 18:12:28 PDT 2011
MatthewsMichele I've sent it out to my fellow alumni and current students at my alma mater to engage
them on advance care planning #hpm
Wed Mar 23 18:12:39 PDT 2011
renee_berry Great welcome everyone! We are chatting about our plans for @NHDD (anything
from doing our own AD, chatting w/fam or community edu) #hpm
Wed Mar 23 18:13:11 PDT 2011
aliciabloom @NHDD is an opportunity for #HPM clinicians to partner w/ community
orgs/hospitals to host events re: importance of advance care planning
Wed Mar 23 18:13:30 PDT 2011
GailZahtz T1 from my end we're running a grief and preparation chat @ALifeGuide with
@JoshGriffin and others- helping plan ahead and cope after #HPM
Wed Mar 23 18:13:54 PDT 2011
MeredithGould If next month is like this month, I might have to ask someone to deploy MY AD. #hpm
Wed Mar 23 18:13:57 PDT 2011

4. hvto T1; Plan to leave notices at MD offices offering presentations at local hospitals for
individuals and groups #hpm
Wed Mar 23 18:14:13 PDT 2011
renee_berry we can all do this right? Thanks Pippa that's great! RT @drpippa: Sorry to be late! T1-
talking to staff, family, & friends. #hpm
Wed Mar 23 18:14:14 PDT 2011
renee_berry April 16th as in 'death & taxes' :) RT @MeredithGould: If next month is like this month,
I might have to ask someone to deploy MY AD #hpm
Wed Mar 23 18:14:52 PDT 2011
aliciabloom @NHDD is a chance to encourage communication about health care wishes before
a medical crisis strikes. #HPM
Wed Mar 23 18:15:06 PDT 2011
renee_berry RT @aliciabloom: @NHDD is a chance to encourage communication about health
care wishes before a medical crisis strikes. #HPM
Wed Mar 23 18:15:30 PDT 2011
MeredithGould @renee_berry Wha??? I was on the sched to host??? #hpm
Wed Mar 23 18:15:38 PDT 2011
drpippa Not just clinicians! @aliciabloom: @NHDD an opportunity for #HPM clinicians
partner w/ comm orgs/hosp to host events re: importance of acp
Wed Mar 23 18:15:42 PDT 2011
GailZahtz @aliciabloom I agree completely that education for proxies should be when we're
well for all areas, not just after medical crisis #HPM
Wed Mar 23 18:15:55 PDT 2011
MatthewsMichele Agreed-->aliciabloom: @NHDD is an opp for #HPM docs to join orgs/hospitals to
host events re: importance of advance care planning #hpm
Wed Mar 23 18:16:17 PDT 2011
hvto T1- Can any one recommend an appropriate "letter to the editor" type article?
Submitting my own but interested n other resources #hpm
Wed Mar 23 18:16:33 PDT 2011
renee_berry RT @drpippa: Not just clinicians! @aliciabloom: @NHDD an opportunity for #HPM
clinicians partner w/ comm orgs/hosp to host events re: im ...
Wed Mar 23 18:16:43 PDT 2011
drpippa Also - we are teaming up with local orgs for outreach that can cover a wider area than
we can cover alone. #hpm
Wed Mar 23 18:17:03 PDT 2011
KathyKastner Sory late.I love coming to this school of #hpm .Will be reviewing fantastic book
@DNRstories
Wed Mar 23 18:17:05 PDT 2011
Hi folks. Thanks for hosting Renee. Lurking. #hpm

5. Hi folks. Thanks for hosting Renee. Lurking. #hpm
Wed Mar 23 18:17:23 PDT 2011
equijada
renee_berry @hvto talk to @matthewsmichele she's been helping a lot of people with specific
@NHDD outreach to local media #hpm
Wed Mar 23 18:17:32 PDT 2011
renee_berry hi Earl!! RT @equijada: Hi folks. Thanks for hosting Renee. Lurking. #hpm
Wed Mar 23 18:17:59 PDT 2011
emilybarryPR @hvto Check out @nhdd website too #hpm
Wed Mar 23 18:18:04 PDT 2011
ctsinclair Hey everyone, sorry I am late. I was home sick today and overslept for Tweetchat,
thanks @Renee_Berry for picking up mantle #hpm
Wed Mar 23 18:18:38 PDT 2011
hvto @emilybarryPR Check out @nhdd website too - thought that as soon as I hit "enter".
#hpm
Wed Mar 23 18:19:10 PDT 2011
ctsinclair Will be mostly lurking and RT good tweets, not up for talking too much #hpm
Wed Mar 23 18:19:19 PDT 2011
GailZahtz @ctsinclair You okay? #hpm
Wed Mar 23 18:19:38 PDT 2011
renee_berry @ctsinclair no prob, we're chatting about plans as individuals for @NHDD #hpm
Wed Mar 23 18:19:44 PDT 2011
hvto @ctsinclair Need hospice? #hpm
Wed Mar 23 18:19:51 PDT 2011
DrSnit @equijada Hey lurky! :) Glad you're here! #hpm
Wed Mar 23 18:19:56 PDT 2011
DrSnit @ctsinclair Sorry you're sick. :( booo! #hpm
Wed Mar 23 18:20:08 PDT 2011
renee_berry We're about to move to T2 so wrap up any thoughts on your (personal) plans for 4/16
@NHDD #hpm
Wed Mar 23 18:20:36 PDT 2011
KathyKastner LOL RT @hvto: @ctsinclair Need hospice? #hpm
Wed Mar 23 18:20:37 PDT 2011
ctsinclair RT @hvto: @ctsinclair Need hospice? #hpm "No not too bad, body achy stuff,. carry

6. ctsinclair
on, ignore the infirm man hacking in the back of class"
Wed Mar 23 18:20:38 PDT 2011
DNRstories RT @KathyKastner: Sory late.I love coming to this school of #hpm .Will be reviewing
fantastic book @DNRstories
Wed Mar 23 18:21:08 PDT 2011
MatthewsMichele @hvto @emilybarryPR @nhdd is great resource! I'm also happy to help you and
identify press for a pitch. #hpm
Wed Mar 23 18:21:08 PDT 2011
GailZahtz @equijada Sent a dm cause I know you hardly check. BTW if anyone asks in DC
metro, National Rehab Hospital has amazing pal med team #hpm
Wed Mar 23 18:21:19 PDT 2011
GailZahtz @MatthewsMichele why don't you post a link to one at the fb page y'all started? #hpm
Wed Mar 23 18:22:17 PDT 2011
EldrcareConsult Hello all! Sorry I am late.....bad weather here in Knoxville #hpm
Wed Mar 23 18:22:22 PDT 2011
hvto @MatthewsMichele @hvto @emilybarryPR @nhdd Thank you - will be in touch. #hpm
Wed Mar 23 18:22:35 PDT 2011
renee_berry T2 What are some innovative & out of the box ways that we (as an online community)
can help advocate for early advance care planning? #hpm
Wed Mar 23 18:23:01 PDT 2011
doctatum Missouri EOL coalition doing button campaign. "Who Knows?" When asked what, a
conversation starts #nhdd #hpm
Wed Mar 23 18:23:14 PDT 2011
EldrcareConsult @renee_berry Hire a geriatric care manager! :) #hpm
Wed Mar 23 18:23:35 PDT 2011
ctsinclair The hospital that I work at will be hosting information booths about @NHDD, but I
also wonder if that is the best way to engage? #hpm
Wed Mar 23 18:23:53 PDT 2011
emilybarryPR That's great! RT @doctatum: Missouri EOL coalition doing button campaign. "Who
Knows?" When asked what, a conversation starts #nhdd #hpm
Wed Mar 23 18:24:11 PDT 2011
ctsinclair RT @doctatum: Missouri EOL coalition doing button campaign. "Who Knows?" When
asked what, a conversation starts #nhdd 'clever' #hpm
Wed Mar 23 18:24:22 PDT 2011
KathyKastner #hpm T2 add #seniors #eldercarechat to tweets.
Wed Mar 23 18:24:31 PDT 2011

7. GailZahtz @renee_berry T2 If AD is taken out of just EOL into all a proxy can do, it would be
much more approachable for people #HPM
Wed Mar 23 18:24:36 PDT 2011
EldrcareConsult Seriously, its all about education #hpm
Wed Mar 23 18:25:23 PDT 2011
ctsinclair RT @renee_berry: T2 What are some innovative ways that we (as an online
community) can help advocate for early advance care planning? #hpm
Wed Mar 23 18:25:34 PDT 2011
MatthewsMichele @ctsinclair @NHDD It's a way to engage with ppl who not yet bitten by the social
media bug and good way to direct to online resources #hpm
Wed Mar 23 18:26:00 PDT 2011
GailZahtz @EldrcareConsult Yes, but the education has to be more than just asking if you have
an AD when you go into the ER..too intimidating #HPM
Wed Mar 23 18:26:11 PDT 2011
hvto I use the 5 Wishes forms. Local church posted "5 Wishes with Robin" but sounded a
little kinky - ironically we had a great turnout. #hpm
Wed Mar 23 18:26:33 PDT 2011
renee_berry agree! RT @GailZahtz @renee_berry T2 If AD is taken out of just EOL into all a proxy
can do, would be much more approachable for people #hpm
Wed Mar 23 18:26:51 PDT 2011
ctsinclair T2: get young adults involved to at least consider advanced care planning with
engaging stories about sudden change in health status #hpm
Wed Mar 23 18:27:07 PDT 2011
DrSnit I'm constantly fascinated by the multiple cultural differences in "early planning" &
"having the talk." There is no standard way to die #hpm
Wed Mar 23 18:27:15 PDT 2011
renee_berry haha as long as they go over advance directives! RT @EldrcareConsult:
@renee_berry Hire a geriatric care manager! :) #hpm
Wed Mar 23 18:27:18 PDT 2011
renee_berry RT @ctsinclair: T2: get young adults involved to at least consider advanced care
planning with engaging stories about sudden change in health status #hpm
Wed Mar 23 18:27:27 PDT 2011
aliciabloom we need to take the AD conversation out of the hospital and into the community--
churches & community organizations. #HPM
Wed Mar 23 18:27:41 PDT 2011
KathyKastner #hpm T2 I can
Wed Mar 23 18:27:45 PDT 2011
EldrcareConsult @GailZahtz @EldrcareConsult Agreed Gail. It starts with the primary care docs long
before they would need an AD #hpm
Wed Mar 23 18:27:46 PDT 2011

8. Wed Mar 23 18:27:46 PDT 2011
nothosepeople RT @DrSnit: I'm constantly fascinated by the multiple cultural differences in "early
planning" & "having the talk." There is no standard way to die #hpm
Wed Mar 23 18:28:03 PDT 2011
DrSnit Many religions will teach people that there should be no fear of death. But they never
teach what to do when they really start to die #hpm
Wed Mar 23 18:28:12 PDT 2011
ctsinclair I think online polling and services like Hunch might be good to explore re: prevailing
attitudes #hpm
Wed Mar 23 18:28:13 PDT 2011
aliciabloom @DrSnit just as there is no standard way to live. #HPM
Wed Mar 23 18:28:16 PDT 2011
GailZahtz T2 Many people, especially teens don't want to confront any sudden medical change,
but will approach proxy for emergencies #HPM
Wed Mar 23 18:28:20 PDT 2011
renee_berry T2 I think advance care planning is a public health issue, should be part of annual
visit w/primary care MD starting @ age 17 #hpm
Wed Mar 23 18:28:34 PDT 2011
DrSnit @aliciabloom word. Yet we are constantly dictated to as though there IS a "better"
way to live and die both. #hpm
Wed Mar 23 18:29:11 PDT 2011
GailZahtz @renee_berry T2 your idea on annual visit made me think of all the work that's done
on self-exams and momogram-maybe a model? #hpm
Wed Mar 23 18:29:22 PDT 2011
joshgriffin RT @DrSnit: I'm constantly fascinated by the multiple cultural differences in "early
planning" & "having the talk." There is no standard way to die #hpm
Wed Mar 23 18:29:22 PDT 2011
EldrcareConsult @renee_berry YES!! Just what I was saying renee #hpm
Wed Mar 23 18:29:42 PDT 2011
renee_berry T2 (expanded) Have you seen innovative ways to educate the community on advance
care planning? Can we use this chat to brainstorm some? #hpm
Wed Mar 23 18:29:44 PDT 2011
DrSnit @ctsinclair The study of attitudes (both qualitative and quantitative) is what I both
specialize in and do. #hpm
Wed Mar 23 18:29:47 PDT 2011
hvto office asks "any change in insurance?" - how about "any change in AD's?" "Don't
have 1"= impetus for conversation during visit. #hpm
Wed Mar 23 18:30:00 PDT 2011

9. rlbates RT @DrSnit Many religions teach people there should be no fear of death. But they
never teach what to do when they really start to die #hpm
Wed Mar 23 18:30:05 PDT 2011
KathyKastner #hpm T2 (oops) I have to give a sneak preview of @DNRstories: Fantstic examples
of IRL decisions that helps give perspective to AD
Wed Mar 23 18:30:23 PDT 2011
GailZahtz @EldrcareConsult IMO a strong physician to physician campaign of pal med docs to
primary care and hospitals would go a long way #HPM
Wed Mar 23 18:30:30 PDT 2011
DrSnit @renee_berry why age 17? (and I agree with this idea and sentiment). #hpm
Wed Mar 23 18:30:33 PDT 2011
ctsinclair @DrSnit I think we need to take the research at make it more
accessible/personalized to the general public , need brainstorming power #hpm
Wed Mar 23 18:30:46 PDT 2011
EldrcareConsult @renee_berry I always ask during my inital assessments if they have an AD or
HPOA and if they dont I have information to give them #hpm
Wed Mar 23 18:30:50 PDT 2011
joshgriffin RT @DrSnit: Many religions will teach people that there should be no fear of death.
But they never teach what to do when they really start to die #hpm
Wed Mar 23 18:31:01 PDT 2011
renee_berry @GailZahtz interesting, I think that advance care planning shouldn't be a thing 'we
get around to' but a core part of care #hpm
Wed Mar 23 18:31:08 PDT 2011
aliciabloom reframe the advance directive discussion-- it's about how you want to live, not how
you want to die #HPM
Wed Mar 23 18:31:25 PDT 2011
ctsinclair RT @DrSnit Many religions teach people there should be no fear of death. But they
never teach what to do when they really start to die #hpm
Wed Mar 23 18:31:44 PDT 2011
DrSnit @ctsinclair YES! And this is why I'm here. I want to STOP being an "outside" no touch
researcher and BRING it to the people. #hpm
Wed Mar 23 18:31:51 PDT 2011
GailZahtz @renee_berry Yes, I'm thinking in every restroom now there are signs for self exam,
domestic violence, condoms- why not AD? #hpm
Wed Mar 23 18:32:03 PDT 2011
EldrcareConsult @renee_berry @GailZahtz There just needs to be an overhaul of the whole process
but how to you get buy in from the industtry? #hpm
Wed Mar 23 18:32:14 PDT 2011
renee_berry RT @EldrcareConsult: @renee_berry I always ask during my inital assessments if

10. renee_berry
they have an AD or HPOA and if they dont I have information to give them #hpm
Wed Mar 23 18:32:34 PDT 2011
renee_berry RT @DrSnit: @ctsinclair YES! And this is why Im here. I want to STOP being an
"outside" no touch researcher and BRING it to the people. #hpm
Wed Mar 23 18:32:58 PDT 2011
KathyKastner RT @aliciabloom: reframe the advance directive discussion-- it's about how you want
to live, not how you want to die #HPM #eldercarechat
Wed Mar 23 18:33:04 PDT 2011
renee_berry RT @aliciabloom: reframe the advance directive discussion-- its about how you want
to live, not how you want to die #hpm
Wed Mar 23 18:33:07 PDT 2011
DrSnit @KathyKastner am very interested in this. #hpm
Wed Mar 23 18:33:22 PDT 2011
ctsinclair Speaking of bold thinking for adv care planning check out @rlbates blog post about
her 5 wishes http://bit.ly/hIhYOa #nhdd #hpm
Wed Mar 23 18:33:24 PDT 2011
GailZahtz @EldrcareConsult within hospital and trainings, such as grand rounds, all docs
need more info on what pal med docs really offer #hpm
Wed Mar 23 18:33:29 PDT 2011
renee_berry (sorry for so many RT's everyone, I just agree many times over) #hpm
Wed Mar 23 18:33:32 PDT 2011
ctsinclair Every wednesday I seem to want to learn more and more about the enigimatic and
interesting @DrSnit #hpm
Wed Mar 23 18:34:10 PDT 2011
DrSnit @aliciabloom I love this! And at some point -how you live and how you die are
basically intertwined because we're on a terminal track #hpm
Wed Mar 23 18:34:16 PDT 2011
ctsinclair RT @renee_berry: (sorry for so many RTs everyone, I just agree many times over)
"S'alright" #hpm
Wed Mar 23 18:34:22 PDT 2011
drpippa We are doing a trial of waiting room posters & having MA ask all physicals & provide
a basic FAQ if needed while waiting for doc. #hpm
Wed Mar 23 18:34:37 PDT 2011
MeredithGould @ctsinclair She's quite amazing & wonderful -->@DrSnit #hpm
Wed Mar 23 18:34:43 PDT 2011
hvto @ctsinclair @rlbates this is why I use 5 wishes- 5 wish describes a great plan for
living; forgiveness, honor, etc. #hpm
Wed Mar 23 18:34:44 PDT 2011

11. KathyKastner Oh Good. Cause I couldn't put it down. RT @DrSnit: @KathyKastner am very
interested in this. #hpm cc@DNRstories
Wed Mar 23 18:34:55 PDT 2011
renee_berry @DrSnit @aliciabloom technically we're all dying right now... just as much as we're
living (right?) #hpm
Wed Mar 23 18:35:15 PDT 2011
ctsinclair @drpippa MA? #hpm
Wed Mar 23 18:35:23 PDT 2011
doctatum RT @DrSnit: @aliciabloom And at some point -how you live and how you die are
basically intertwined because were on a terminal track #hpm
Wed Mar 23 18:35:24 PDT 2011
EldrcareConsult I think with the knowledge we have in this group we could make a huge difference
#hpm
Wed Mar 23 18:35:40 PDT 2011
ctsinclair RT @DrSnit: @aliciabloom And at some point -how you live and how you die are
basically intertwined because were on a terminal track #hpm
Wed Mar 23 18:36:04 PDT 2011
aliciabloom @renee_berry @DrSnit absolutely right! #hpm
Wed Mar 23 18:36:05 PDT 2011
KathyKastner +1RT @EldrcareConsult: I think with the knowledge we have in this group we could
make a huge difference #hpm
Wed Mar 23 18:36:06 PDT 2011
MeredithGould T2 Should (that naughty word) be part of health ed in schools & part of athletic team
participation sign-up. #hpm
Wed Mar 23 18:36:14 PDT 2011
emilybarryPR Tks for reality check! RT @renee_berry: @DrSnit @aliciabloom technically were all
dying right now... just as much as were living right? #hpm
Wed Mar 23 18:36:25 PDT 2011
drpippa MA=medical assistant. Training them to ask just like they take vitals, ask re allergies,
etc @ctsinclair: @drpippa MA? #hpm
Wed Mar 23 18:36:45 PDT 2011
rlbates Thx RT @ctsinclair Speaking of bold thinking for adv care planning chk out @rlbates
post about her 5 wishes http://bit.ly/hIhYOa #nhdd #hpm
Wed Mar 23 18:37:08 PDT 2011
EldrcareConsult @MeredithGould That is a good point! I think health ed but not neccesarily school
sports #hpm
Wed Mar 23 18:37:10 PDT 2011
MeredithGould RT @drpippa: MA=medical assistant. Training them to ask just like they take vitals,

12. MeredithGould RT @drpippa: MA=medical assistant. Training them to ask just like they take vitals,
ask re allergies, etc @ctsinclair: @drpippa MA? #hpm
Wed Mar 23 18:37:11 PDT 2011
hvto @DrSnit @aliciabloom blog post today described a PA's response to dying pt -
http://bit.ly/gIRFRM, made AD discussion easier for family #hpm
Wed Mar 23 18:37:14 PDT 2011
renee_berry T2 What about setting goals w/a list of medical conferences--> not #hpm & submit
abstracts about advance care planning #hpm
Wed Mar 23 18:37:15 PDT 2011
ctsinclair @drpippa Cna the MA follow up with significant answers or are they instructed to
defer? Trying to avoid checklist and move on phenom #hpm
Wed Mar 23 18:37:36 PDT 2011
GailZahtz Gotta run, but whether we are chronic, diagnosed, terminal or healthy, we all choose
if we're living or dying today. #HPM
Wed Mar 23 18:37:42 PDT 2011
MeredithGould @EldrcareConsult I immediately think school sports because, well, kids can DIE
playing them. #hpm
Wed Mar 23 18:37:46 PDT 2011
renee_berry yes! have you seen @BradHStuart 's AIM program? RT @drpippa MA=medical
assistant. Training them to ask just like they take vitals #hpm
Wed Mar 23 18:38:05 PDT 2011
hvto I hate to leave this great group - think I'm forgiven; have to make posters for the AD
presentation coming up in the a.m. #hpm
Wed Mar 23 18:38:29 PDT 2011
renee_berry @MeredithGould @EldrcareConsult or how about durring driver's ed, instead of just
an organ donation sheet, start your advance directive #hpm
Wed Mar 23 18:38:48 PDT 2011
ctsinclair @hvto Yes you are forgiven #hpm
Wed Mar 23 18:39:08 PDT 2011
renee_berry obvi :) RT @hvto I hate to leave this great group - think Im forgiven; have to make
posters for the AD presentation coming up in am #hpm
Wed Mar 23 18:39:13 PDT 2011
FeliciaDewar @GailZahtz Gail, sorry to interrupt the #HPM chat but have you ever heard of "Youth
Juice"? I know u educate yourself lots, so just wonderin
Wed Mar 23 18:39:15 PDT 2011
MeredithGould @renee_berry Brilliant! Driver's Ed...along with a visit to an ER on Saturday night.
@EldrcareConsult #hpm
Wed Mar 23 18:39:16 PDT 2011
drpippa @renee_berry @bradhstuart no haven't seen it! Would love to tho #hpm
Wed Mar 23 18:39:22 PDT 2011

13. ctsinclair @renee_berry that might get controversial in some school districts a la "government
intrusion fears" #hpm
Wed Mar 23 18:39:42 PDT 2011
drpippa @ctsinclair varying success, really depends on how comfortable we can make them.
Def working on it! #hpm
Wed Mar 23 18:40:01 PDT 2011
MatthewsMichele T2 PSAs encouraging ppl to plan health care decisions like schooling/financial
futures ex. #NHDD post by Schuster http://bit.ly/hSjyTb #hpm
Wed Mar 23 18:40:04 PDT 2011
ctsinclair Anyone interested in taking on @Quora on the Advance care planning topic? Popular
place to be right now #hpm
Wed Mar 23 18:40:32 PDT 2011
MatthewsMichele @ctsinclair @renee_berry how is it anymore intrusive than telling them what they can
and cant eat in schools? #hpm
Wed Mar 23 18:40:40 PDT 2011
renee_berry Amazing innovations from @BradHStuart http://ow.ly/4lbx0 @drpippa you will LOVE
this :) #hpm
Wed Mar 23 18:41:09 PDT 2011
EldrcareConsult @renee_berry @MeredithGould @EldrcareConsult Oh now that is a good idea!
#hpm
Wed Mar 23 18:41:21 PDT 2011
drpippa @renee_berry @MeredithGould kids are hard - gen have no sense of their mortality
& we don't want to do harm. Not sure I agree with age #hpm
Wed Mar 23 18:42:37 PDT 2011
ctsinclair @MatthewsMichele Just saying it could be blown out of proportion without the right
implementation #hpm
Wed Mar 23 18:42:38 PDT 2011
MeredithGould @ctsinclair May I be forgiven in advance for something I may or not do? Just askin'
#hpm
Wed Mar 23 18:42:53 PDT 2011
renee_berry As a parent I would be like, yes child see the ED I don't want you there & I want you to
know why #driversEd #havethetalk early #hpm
Wed Mar 23 18:43:00 PDT 2011
renee_berry so can anything :) RT @ctsinclair: @MatthewsMichele Just saying it could be blown
out of proportion without the right implementation #hpm
Wed Mar 23 18:43:11 PDT 2011
DrSnit RT @hvto: @DrSnit @aliciabloom blog post today described a PA's response to
dying pt - http://bit.ly/gIRFRM, made AD discussion easier for family #hpm
Wed Mar 23 18:43:20 PDT 2011

14. MeredithGould @drpippa By "harm" do you mean scare the snot out of them? If so, why not?? #hpm
Wed Mar 23 18:43:22 PDT 2011
ctsinclair @MeredithGould I try to avoid promises without seeing the goods, but in your case I
will oblige ;-) #hpm
Wed Mar 23 18:43:49 PDT 2011
MeredithGould @ctsinclair <blush> Missed you at #mccsm #mayoragan #hpm
Wed Mar 23 18:44:13 PDT 2011
ctsinclair RT @hvto blog post today described a PAs response to dying pt - http://bit.ly/gIRFRM,
made AD discussion easier for family @NHDD #hpm
Wed Mar 23 18:44:19 PDT 2011
renee_berry @MeredithGould @drpippa agree we don't want to harm, just think it's important for
them to understand their mortality as a new driver #hpm
Wed Mar 23 18:45:34 PDT 2011
aliciabloom let's make "have you had the talk?" buttons. #hpm
Wed Mar 23 18:45:34 PDT 2011
ctsinclair RT @aliciabloom: let's make "have you had the talk?" buttons. #hpm
Wed Mar 23 18:45:53 PDT 2011
drpippa @MeredithGould not quite what i meant but evidence shows that scared straight
programs (whether for drugs, etoh, etc) don't work. #hpm
Wed Mar 23 18:45:58 PDT 2011
EldrcareConsult @aliciabloom I would so buy one of those! #hpm
Wed Mar 23 18:46:06 PDT 2011
MeredithGould @renee_berry @drpippa Clearly *I* am not a mom! #hpm
Wed Mar 23 18:46:12 PDT 2011
MeredithGould @drpippa Yeah, I know...you're right. #hpm
Wed Mar 23 18:46:36 PDT 2011
renee_berry RT @aliciabloom lets make "have you had the talk?" buttons. #hpm
Wed Mar 23 18:46:48 PDT 2011
ctsinclair RT @drpippa: @MeredithGould not quite what i meant but evidence shows that
scared straight programs dont work. 'agree work w/ empower' #hpm
Wed Mar 23 18:47:19 PDT 2011
renee_berry I have a five wishes @NHDD button, I wear it everywhere (even when I get drinks
w/friends at bars #yesImInMyTwenties ) #hpm
Wed Mar 23 18:47:29 PDT 2011

15. MatthewsMichele @renee_berry @MeredithGould great idea to help them plan their futures; they're at
that age--why not advance care planning too? #hpm
Wed Mar 23 18:47:39 PDT 2011
aliciabloom RT @renee_berry: I have a five wishes @NHDD button, I wear it everywhere (even
when I get drinks w/friends at bars #yesImInMyTwenties ) #hpm
Wed Mar 23 18:48:13 PDT 2011
drpippa Me too! @renee_berry: I have a five wishes @NHDD button, I wear it everywhere
(even when I get drinks w/friends at bars #notinmy20s) #hpm”
Wed Mar 23 18:48:40 PDT 2011
renee_berry ok wrap up w/ T2 final thoughts, moving to T3 #hpm
Wed Mar 23 18:49:28 PDT 2011
EldrcareConsult @drpippa @renee_berry @NHDD Someone needs to send me a "5 wishes" button!
:( #hpm
Wed Mar 23 18:50:02 PDT 2011
ctsinclair If anyone knows someone on Conana/Kimmel/Fallon/Colbert/Daily Show would love
to get @NHDD as a topic. Hits key demographic #hpm
Wed Mar 23 18:50:05 PDT 2011
doctatum While waiting T3, Modern Family "dying" neighbor scene hillarious. #hpm
Wed Mar 23 18:50:54 PDT 2011
drpippa Haven't spent time there...should go @ctsinclair: Anyone interested in taking on
@Quora on the ACP topic? Popular place to be right now #hpm
Wed Mar 23 18:51:25 PDT 2011
ctsinclair RT @doctatum: While waiting T3, Modern Family "dying" neighbor scene hillarious.
"Missed that one, will search" #hpm
Wed Mar 23 18:51:36 PDT 2011
emilybarryPR Great idea! RT @ctsinclair: If anyone knows someone on
Conana/Kimmel/Fallon/Colbert/Daily Hits key demographic #hpm
Wed Mar 23 18:51:40 PDT 2011
MatthewsMichele @ctsinclair @NHDD I'll work on that! Few contacts I can tap. #hpm
Wed Mar 23 18:51:46 PDT 2011
ctsinclair @drpippa Only if you have no other projects to work on. Reportedly @Quora can suck
you in. #hpm
Wed Mar 23 18:51:57 PDT 2011
GinaRClark RT @DrSnit: Many religions will teach people that there should be no fear of death.
But they never teach what to do when they really start to die #hpm
Wed Mar 23 18:51:58 PDT 2011
MeredithGould @doctatum LOVE Modern Family. Totally hilarious and great physical comedy. #hpm
Wed Mar 23 18:52:13 PDT 2011

16. renee_berry T3 What are your favorite advance care planning resources 1 that you send to other
professionals &2 that you send to fam/friends #hpm
Wed Mar 23 18:52:32 PDT 2011
drpippa I 2nd that! The dying scene was hilarious. @MeredithGould: @doctatum LOVE
Modern Family. Totally hilarious and great physical comedy. #hpm
Wed Mar 23 18:53:01 PDT 2011
renee_berry why I don't let myself on much RT @ctsinclair @drpippa Only if you have no other
projects to work on. Reportedly @Quora can suck you in #hpm
Wed Mar 23 18:53:01 PDT 2011
DNRstories @ctsinclair Agree. Bringing EOL issues into mainstream media is first step to
awareness #hpm
Wed Mar 23 18:53:15 PDT 2011
aliciabloom Five Wishes is an excellent tool for advance care planning discussions #HPM
Wed Mar 23 18:53:55 PDT 2011
renee_berry (rapid fire T3 peeps only 6min left in our lovely chat... fav resources?) #hpm
Wed Mar 23 18:54:15 PDT 2011
emilybarryPR T3 - Five Wishes, Engage With Grace are both great resources that are simple and
get convos going #hpm
Wed Mar 23 18:54:15 PDT 2011
renee_berry RT @aliciabloom: Five Wishes is an excellent tool for advance care planning
discussions #hpm
Wed Mar 23 18:54:22 PDT 2011
ctsinclair RT @emilybarryPR: T3 - Five Wishes, Engage With Grace are both great resources
that are simple and get convos going #hpm
Wed Mar 23 18:54:28 PDT 2011
EldrcareConsult @aliciabloom I like 5 wishes too #hpm
Wed Mar 23 18:54:34 PDT 2011
MeredithGould My fave social media buds hypothesize that @Quora is yet another Flavor of the
Month #hpm
Wed Mar 23 18:54:55 PDT 2011
renee_berry I sent people to CaringInfo.org often but I like that @NHDD has up to date content so
I send people there now more often #hpm
Wed Mar 23 18:55:24 PDT 2011
joshgriffin RT @ctsinclair: If anyone knows someone on Conana/Kimmel/Fallon/Colbert/Daily
Show would love to get @NHDD as a topic. Hits key demographic #hpm
Wed Mar 23 18:55:48 PDT 2011
ctsinclair RT @MeredithGould: My fave socmed buds hypothesize @Quora is yet another

17. ctsinclair RT @MeredithGould: My fave socmed buds hypothesize @Quora is yet another
Flavor of the Month "concur - shiny new object syndrome" #hpm
Wed Mar 23 18:55:49 PDT 2011
KathyKastner #hpm A teenager is distracting me. I think I'll have to have the talk to shut her up.
Thank goodness for transcripts.
Wed Mar 23 18:55:50 PDT 2011
drpippa yep @renee_berry: I sent people to CaringInfo.org often but I like that @NHDD has
up to date content so I send ppl there now more often #hpm
Wed Mar 23 18:56:27 PDT 2011
aliciabloom POLST forms are the future #HPM
Wed Mar 23 18:56:35 PDT 2011
MeredithGould @ctsinclair Ok, just wanted another take on @Quora. I learning to be an late early
adopter for my own sanity & time mgmt #hpm
Wed Mar 23 18:56:47 PDT 2011
MatthewsMichele me too @renee_berry: sent ppl to CaringInfo.org often but like that @NHDD has up
to date content so I send people there now more often #hpm
Wed Mar 23 18:56:54 PDT 2011
healthpolicygrp MT @DrSnit: There is no standard way to die. There are multiple cultural "early
planning" & "having the talk differences" #hpm #publichealth
Wed Mar 23 18:57:02 PDT 2011
renee_berry Madison Park @CNN has written some great articles on different advance care
planning topics & angles #hpm
Wed Mar 23 18:57:24 PDT 2011
renee_berry RT @healthpolicygrp: MT @DrSnit: There is no standard way to die. There are
multiple cultural "early planning" & "having the talk differences" #hpm #publichealth
Wed Mar 23 18:57:45 PDT 2011
emilybarryPR Agree! More detailed than AD and part of med rec. I'm an advocate for them RT
@aliciabloom: POLST forms are the future #hpm
Wed Mar 23 18:57:48 PDT 2011
OncoPRN RT @ctsinclair: Anyone interested in taking on @Quora on the Advance care
planning topic? Popular place to be right now #hpm
Wed Mar 23 18:58:20 PDT 2011
ctsinclair Going to sleep all! Wise words: drink lots of water, wash your hands, dont get sick.
#hpm
Wed Mar 23 18:58:35 PDT 2011
renee_berry more clinical edu needed & I do like POLST but don't think they replace AD's RT
@aliciabloom POLST forms are the future #hpm
Wed Mar 23 18:59:00 PDT 2011
DrSnit @ctsinclair nite nite feel better!!! #hpm
Wed Mar 23 18:59:24 PDT 2011

18. doctatum RT @aliciabloom: POLST forms are the future #hpm
Wed Mar 23 18:59:32 PDT 2011
emilybarryPR Feel better @ctsinclair! Some of my @hospice_mktg colleagues are visiting KC
Hospice tomorrow! #hpm
Wed Mar 23 18:59:43 PDT 2011
MatthewsMichele @renee_berry @healthpolicygrp @DrSnit Too bad those differences sometimes =
not "having the talk" at all...how do we combat?! #hpm
Wed Mar 23 18:59:55 PDT 2011
MeredithGould @ctsinclair Pink gloves! Purple if pink doesn't work! Feel better. #hpm
Wed Mar 23 18:59:55 PDT 2011
MatthewsMichele @renee_berry @healthpolicygrp @DrSnit ...or work within them to address advance
care planning? #hpm
Wed Mar 23 19:01:23 PDT 2011
renee_berry OK everyone we're wrapping up! Thanks so much for joining the #hospice &
#palliative care tweetchat! stats here http://ow.ly/4lbWf #hpm
Wed Mar 23 19:01:30 PDT 2011
doctatum I think next step here is for our EMR to adequately capture Adv Dir. Prominently
Displayed ACP not done, might start the talk #hpm
Wed Mar 23 19:01:52 PDT 2011
DrSnit @MatthewsMichele I LISTEN to others once I ask them what their cultural beliefs are
-even if they don't want to talk about THEMSELVES #hpm
Wed Mar 23 19:02:18 PDT 2011
renee_berry @MatthewsMichele @healthpolicygrp @DrSnit ---> w/Public Education #havethetalk
@NHDD #hpm
Wed Mar 23 19:02:26 PDT 2011
drpippa Thanks for a fab tweet chat @renee_berry! Loved the conversation. #hpm
Wed Mar 23 19:02:36 PDT 2011
DrSnit Thanks for rocking the #hpm so much everyone. You cats get more fab every time I
see you! Thanks for great mod @renee_berry !! *cartwheel*
Wed Mar 23 19:03:23 PDT 2011
KathyKastner RT @drpippa: Thanks for a fab tweet chat @renee_berry! Loved the conversation.
#hpm
Wed Mar 23 19:03:23 PDT 2011
MatthewsMichele great chat everyone! Thanks. #hpm
Wed Mar 23 19:03:33 PDT 2011
renee_berry thanks for coming! (I knew you'd love tonight Pippa!!) RT @drpippa Thanks for a fab

19. renee_berry thanks for coming! (I knew you'd love tonight Pippa!!) RT @drpippa Thanks for a fab
tweet chat @renee_berry! Loved the conversation. #hpm
Wed Mar 23 19:03:51 PDT 2011
MeredithGould Your point about being alert for and sensitive to cultural differences is very
impt.@DrSnit #hpm
Wed Mar 23 19:03:55 PDT 2011
emilybarryPR Thanks for leading @renee_berry! Always great chats everyone! #hpm
Wed Mar 23 19:04:03 PDT 2011