MDchat Transcript March 8, 2011

8/7/2019 MDchat Transcript March 8, 2011

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#MDchat

Healthcare Hashtag Twitter Transcript

From: Tue Mar 08 18:00:00 PST 2011

To: Tue Mar 08 19:01:00 PST 2011

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MD_Chat Welcome everyone to #MDchat! Hope you're doing wel l. We'll start in a few moments,but first introduce yourselves!Tue Mar 8 18:00:04 PST 2011

RichmondDoc Hey--Mark here, family doc in #RVA; multitasking as is so often the case; contributorto smhcop.wordpress.com; glad to be here. #mdchatTue Mar 8 18:01:36 PST 2011

consultdoc Mark Browne here. Trying to chat from the friendly skies on my way to Omaha#MDchatTue Mar 8 18:02:06 PST 2011

consultdoc #tweetchat=fail via gogo inflight internet tonight for #mdchatTue Mar 8 18:03:09 PST 2011

EllenRichter Hi folks! Been a few weeks but I am happy to join in tonight for #MDchat, even if itsjust to read & listen! :)Tue Mar 8 18:03:21 PST 2011

EOLnavigator Niamh van Meines, NP here #mdchatTue Mar 8 18:03:47 PST 2011

MD_chat @consultdoc Hi Mark! ...Could try TweetDeck or TweetGrid #mdchatTue Mar 8 18:03:53 PST 2011

MD_chat @EllenRichter Welcome back! #mdchatTue Mar 8 18:04:06 PST 2011

RyanMadanickMD Newbie here, Ryan at UNC (Chapel Hill), GI doc, esophageal specialist & fellowshipdirector #mdchatTue Mar 8 18:04:24 PST 2011

MD_chat @EOLnavigator@RichmondDoc Welcome & good evening! #mdchatTue Mar 8 18:04:37 PST 2011


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EllenRichter @consultdoc Hi Mark! @RichmondDoc Hi Mark! Uh oh, an echo! :) #MDchatTue Mar 8 18:04:46 PST 2011

MD_chat OK, first topic coming up in one minute. Please prepend topics with T1, T2 etc. Goodluck! #MDchatTue Mar 8 18:05:02 PST 2011

EllenRichter @MD_Chat Howdy Phil! (it is Phil, right?) :) #MDchatTue Mar 8 18:05:14 PST 2011

holisticnurses Hi, everyone! Telehealth/Holistic RN from NY. Mostly lurking but happy to learn.#MDChatTue Mar 8 18:05:20 PST 2011

RichmondDoc @EllenRichter :) #mdchatTue Mar 8 18:05:22 PST 2011

consultdoc #mdchat beginning now. Y'all comeTue Mar 8 18:05:40 PST 2011

RyanMadanickMD Just checking...did my other tweet pop up?? #mdchatTue Mar 8 18:05:42 PST 2011

EllenRichter @EOLnavigator Oh welcome! Another nurse! :) I'm a critical care nurse. #MDchatTue Mar 8 18:05:44 PST 2011

MD_chat T1 The Reality of Transforming Physician Practices to Patient-Centered. Seehttp://hisoc.us/hbLXa1 Discuss challenges. #MDchat

Tue Mar 8 18:06:00 PST 2011

EllenRichter @JoeCascio Hi Joe! Come join us here! #MDchatTue Mar 8 18:06:33 PST 2011

RichmondDoc #MDChat now in progress. Be prepared for a run of tweets.Tue Mar 8 18:06:37 PST 2011

thehealthmaven Hi everyone, Lea signing from DC area #mdchatTue Mar 8 18:06:52 PST 2011

EOLnavigator @EllenRichter Great to meet. HPM is my world. #mdchatTue Mar 8 18:07:04 PST 2011

RichmondDoc T1 I guess this really shouldn't be a surprise. After all, we have an established systemfor some time now; change is tough. #mdchatTue Mar 8 18:07:57 PST 2011

drseisenberg Steven, San Diego. Hematology/Oncology. Hey there! #mdchatTue Mar 8 18:08:05 PST 2011


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EllenRichter @EOLnavigator Thats a wonderful world, too. Hopefully you follow the terrific tweetsof the #hpm hashtag! :) #MDchatTue Mar 8 18:08:09 PST 2011

RichmondDoc T1 Even with best intentions and the right goals in mind, the process is difficult andlong and requires persistence and nurturing. #mdchatTue Mar 8 18:08:36 PST 2011

EllenRichter T1 As with any new change, you cant expect everyone to miraculously convert in theblink of an eye. Learning curve will take years #MDchatTue Mar 8 18:08:57 PST 2011

miller7 Practice transformation is hard!! http://1.usa.gov/eH4ygv#MDchatTue Mar 8 18:09:07 PST 2011

MD_Chat @EllenRichter Yes, it's Phil ;) Hey @holisticnurses! #mdchatTue Mar 8 18:09:15 PST 2011

consultdoc T1 Too many are viewing pt centered care as a pymnt model. True pt centered caremeans radical redesign, not just #EHR and more hrs #mdchatTue Mar 8 18:09:29 PST 2011

EOLnavigator We are the transition generation, the difficulties are here & now....no such issue forthe future generations #mdchatTue Mar 8 18:09:48 PST 2011

RichmondDoc T1 Maybe the most telling issue: how hard it has been to integrate systems speaks tohow fragmented the system has been. #mdchatTue Mar 8 18:09:54 PST 2011

holisticnurses T1 Key phrase in that article "change fatigue". #MDChatTue Mar 8 18:10:08 PST 2011

JoeCascio @EllenRichter Here I yam. Like you, listening, although not above throwing down acontrary opinion now an then. :) #MDchatTue Mar 8 18:10:16 PST 2011

EllenRichter T1 @RichmondDoc I agree. It is a long, uphi ll battle to convert medical practices intoa new type of patient-centered service #MDchatTue Mar 8 18:10:30 PST 2011

miller7 Often practices need "practice coaches" or facilitators to help ease transition orchange http://bit.ly/dHErqy#MDchatTue Mar 8 18:10:36 PST 2011

EOLnavigator @EllenRichter I do! Love them too! #mdchatTue Mar 8 18:10:43 PST 2011

hjluks howard luks... better late than never... #mdchatTue Mar 8 18:10:59 PST 2011


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RichmondDoc consu oc so u e y agree. s s no a s mp e paymen re orm: s a comp e erevamping of our current system/philosophy. #mdchatTue Mar 8 18:11:15 PST 2011

drsteventucker Steven Tucker - Oncology & International Medicine, in Singapore #mdchatTue Mar 8 18:11:28 PST 2011

hjluks T1 ? help pls! #mdchatTue Mar 8 18:11:34 PST 2011

thehealthmaven @consultdoc exactly, reengineering takes persistance n thinking l ike an innovator#mdchatTue Mar 8 18:11:58 PST 2011

RichmondDoc @hjluks The Reality of Transforming Physician Practices to Patient-Centered. Seehttp://hisoc.us/hbLXa1 Discuss challenges. #mdchatTue Mar 8 18:12:06 PST 2011

drseisenberg @drsteventucker Nice! #mdchatTue Mar 8 18:12:27 PST 2011

EOLnavigator @RichmondDoc This is what happens when we let technology / money cloud themission..patient care. #mdchatTue Mar 8 18:12:48 PST 2011

MD_Chat @hjluks Look at @MD_chat's stream and scroll down ;) #mdchatTue Mar 8 18:13:08 PST 2011

drsteventucker Can anyone estimate scope of problem? How many practices are NOT patient-centric? #mdchatTue Mar 8 18:13:11 PST 2011

EOLnavigator @hjluks Topic # 1 scroll back to see the Q for discussion #mdchatTue Mar 8 18:13:37 PST 2011

RichmondDoc @EOLnavigator I have a friend who wonders how patient-centered care morphedinto EMR reform and high-tech answers. #mdchatTue Mar 8 18:13:53 PST 2011

drsteventucker Also, is the problem a systems problem, or is it that some doctors are not "patient-centric"? #mdchatTue Mar 8 18:14:17 PST 2011

drseisenberg Collaboration takes determination...and commitment by everyone. No more loneranger. #mdchatTue Mar 8 18:14:23 PST 2011

RichmondDoc @drsteventucker If you mean in the sense of #PCMH: the vast majority. In terms ofpatient-centered care; probably all too many. #mdchatTue Mar 8 18:14:24 PST 2011

EOLnavigator @thehealthmaven@consultdoc Difficulty is...the innovators don't know how to teachthe average Joe to use the technology wel l. #mdchat


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doctorpreneur #mdchat Sorry bit late joining-its Emma, British Psychiatrist researching value inhealth care @HarvardHSPH - whats T1? What have I missed?Tue Mar 8 18:14:45 PST 2011

RichmondDoc @drsteventucker The idea of patient centered care in this case is that both systemsand docs aren't necessarily focused on the pt. #mdchatTue Mar 8 18:14:55 PST 2011

drsteventucker @RichmondDoc What is PCMH? - I have half of it , i think... #mdchatTue Mar 8 18:15:26 PST 2011

RyanMadanickMD The system for implementing the system also has to be in place... #mdchatTue Mar 8 18:15:32 PST 2011

EOLnavigator @RichmondDoc Regs & Data mining, I think.....innovation and businessdevelopment too. #mdchatTue Mar 8 18:15:36 PST 2011

EllenRichter @doctorpreneur The Reality of Transforming Physician Practices to Patient-Centered. See http://hisoc.us/hbLXa1 Discuss challenges. #MDchatTue Mar 8 18:15:45 PST 2011

holisticnurses @drsteventucker Glad you ask. I was thinking the same. #MDChatTue Mar 8 18:15:51 PST 2011

RichmondDoc T1 I think another challenge is the time involved in the transition. It will take muchlonger, and lead to significant disruption. #mdchatTue Mar 8 18:15:52 PST 2011

chukwumaonyeije @drsteventucker will jump in and say its systems. Most docs are patient centric.Systems block this #mdchatTue Mar 8 18:16:20 PST 2011

RyanMadanickMD @drsteventucker@RichmondDoc pt-centered medical home #mdchatTue Mar 8 18:16:24 PST 2011

drsteventucker @RichmondDoc So what would be the first 3 simple steps in transforming to patientcentered care? #mdchatTue Mar 8 18:16:24 PST 2011

doctorpreneur #mdchat Ooooh you picked a big topic tonight..Tue Mar 8 18:16:39 PST 2011

consultdoc T1 - Change certainly takes time, but we as MD's are letting others dictate thetimeline to a great extent #mdchatTue Mar 8 18:17:20 PST 2011

drsteventucker @chukwumaonyeije Maybe progress can happen if we ASSUME the docs arepatient centric and just alter the system? #mdchatTue Mar 8 18:17:33 PST 2011


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doctorpreneur @EOLnavigator@RichmondDoc#mdchat Think you are right re. being business-focused in transition to more patient focus:align incentivesTue Mar 8 18:17:43 PST 2011

chukwumaonyeije Late to the chat tonight after a (long) forced hiatus. Will mostly be lurking. #MDCHATTue Mar 8 18:17:51 PST 2011

EOLnavigator@doctorpreneur You betcha! #mdchatTue Mar 8 18:18:13 PST 2011

thehealthmaven @eolnavigator so true..the execution is so mission critical #mdchatTue Mar 8 18:18:24 PST 2011

RichmondDoc @drsteventucker T1 step 1: ensure patients have a strong, central primary carefoundation to coordinate care #mdchatTue Mar 8 18:18:29 PST 2011

EllenRichter @chukwumaonyeije Welcome back, even as a lurker! :) #MDchatTue Mar 8 18:18:38 PST 2011

chukwumaonyeije True. RT @consultdoc T1 - Change certainly takes time, but we as MD's are lettingothers dictate the timeline to a great extent #mdchatTue Mar 8 18:18:46 PST 2011

doctorpreneur #mdchat Big challenge is just sheer "resistance to change":thats not just amongstdoctors-its a human trait!Tue Mar 8 18:18:50 PST 2011

KathyKastner Sry late 2 good not 2 RT @RichmondDoc: @EOLnavigator I have frnd who wondershow pt-cntred mrphd into EMR refrm + high-tech answers.#mdchatTue Mar 8 18:19:02 PST 2011

faisal_q @RichmondDoc bottom up turned into top down... isn't gov. grand :-) #mdchatTue Mar 8 18:19:05 PST 2011

RichmondDoc @drsteventucker T1 step 2: give providers and patients time to address concerns,de-emphasize imaging/intervention #mdchatTue Mar 8 18:19:13 PST 2011

drseisenbergStep 1: Create a tribe. Step 2: Create a vision. Step 3: Create help ing patients.

#mdchatTue Mar 8 18:19:20 PST 2011

holisticnurses @drsteventucker@RichmondDoc T1 1. An interdisplinary team approach. 2. Moreopps & methods for patient education. 3.Improved access #MDChatTue Mar 8 18:19:38 PST 2011

RichmondDoc @faisal_q For what it's worth: PCMH isn't a gov't sponsored thing. #mdchatTue Mar 8 18:19:42 PST 2011


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. .Create a vision. Step 3: Create helping patients. #mdchatTue Mar 8 18:19:49 PST 2011

ryanmadanickmd we also have so many systems in place, i might ask why this system is better thanothers already in place (devil's advocate) #mdchatTue Mar 8 18:20:07 PST 2011

RichmondDoc @drsteventucker T1 step 3: team-based approach to care, empower team membersto work at highest levels and empower pts in team. #mdchatTue Mar 8 18:20:19 PST 2011

chukwumaonyeije @drsteventucker Absolutely. Change the system to facilitate a patient-centricapproach and train young docs to insist upon it. #mdchatTue Mar 8 18:20:36 PST 2011

gunterwessels Rituals define community. How do we foster a better service script #mdchatTue Mar 8 18:20:45 PST 2011

doctorpreneur @drseisenberg#mdchat Part of creating tribe (not in an exclusive sense) is starting

"early" in health professional training careers..Tue Mar 8 18:20:50 PST 2011

EllenRichter T1 Its not only a change in focus for the practitioner, its a change in behavior &commitment by patient/family to =ly participate #MDchatTue Mar 8 18:21:15 PST 2011

drsteventucker T1 - Step 1 - Incentivize wellness. This is all moot if patients only want pills, must eatright, be active, lose weight. #mdchatTue Mar 8 18:21:29 PST 2011

RichmondDoc T1 We also need to work to ensure patient-centered and humanistic care is taughtand sustained during med school. Easily lost. #mdchatTue Mar 8 18:21:38 PST 2011

apjonas T1 Pt ctred needs upgrade to human centered. PCP gets dehumanized in tech stylepractice upgrade= pt care quality drop. pt=dr=humans#mdchatTue Mar 8 18:22:05 PST 2011

drsteventucker @RichmondDoc I like your step 3. I think we need more advocates, more techies inthe office teaching patient empowerment. #mdchatTue Mar 8 18:22:28 PST 2011

chukwumaonyeije @EllenRichter thanks. Its great to be back in the country and back online. #MDCHATTue Mar 8 18:22:44 PST 2011

drsteventucker In my practice I feel increasingly like a health/med librarian. I can help you sort thedata, place it in context #mdchatTue Mar 8 18:23:23 PST 2011

thehealthmaven @doctorpreneur true, strong visionary leadership key for tribes #mdchatTue Mar 8 18:23:45 PST 2011


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...teach how to use it and hv guide lines... it useless #mdchatTue Mar 8 18:24:15 PST 2011

hjluks @drsteventucker health literacy is a huge issue. We can give patients tons ofinformation... but how mny can truly digest it ? #mdchatTue Mar 8 18:25:01 PST 2011

hjluks @drsteventucker health literacy is a huge issue. We can give patients tons ofinformation... but how mny can truly digest it ? #mdchatTue Mar 8 18:25:01 PST 2011

RyanMadanickMD What about subspecialists? how do we/they fit in to a new system of PCMHs?#mdchatTue Mar 8 18:25:16 PST 2011

RichmondDoc @drsteventucker Thanks. Headed forward, patients will be partners in care vs.recipients of care; need to help develop skills #mdchatTue Mar 8 18:25:19 PST 2011

KathyKastner +1 RT @hjluks: @drsteventucker health literacy is a huge issue. We can givepatients tons of info.but how mny can truly digest it ? #mdchat

Tue Mar 8 18:25:29 PST 2011

hjluks @chukwumaonyeije @doctorpreneur yup... #mdchatTue Mar 8 18:25:41 PST 2011

apjonas T1 Pt ctred needs upgrade to human centered. PCP gets dehumanized in tech stylepractice upgrade= pt care quality drop. pt=dr=humans #mdchatTue Mar 8 18:26:15 PST 2011

drsteventucker @hjluks I dont think we should give the information. They need to get it to learn it. Wehelp them interpret that info. #mdchatTue Mar 8 18:26:15 PST 2011

JoeCascio @drsteventucker Can you say more about "techies" teaching? I consider myself atechie, but I think you mean something different. #mdchatTue Mar 8 18:26:36 PST 2011

hjluks @drsteventucker@hjluks I think we should also be source... search terms, links, etc...give them homework !! :-) #mdchatTue Mar 8 18:27:25 PST 2011

drsteventucker @RichmondDoc LOVE that! Patients are partners in care, not recipients of care.

#mdchatTue Mar 8 18:27:32 PST 2011

apjonas T1 The PCMH is a primary care model. Non PCP are outside this model, need 2make own #mdchatTue Mar 8 18:27:36 PST 2011

KathyKastner Principles of adult ed :)RT @drsteventucker: @hjluks I dont think we should giveinfo.pts need to get it to learn.We help interpret #mdchatTue Mar 8 18:27:50 PST 2011


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Tue Mar 8 18:28:03 PST 2011

RyanMadanickMD @drsteventucker@hjluks interesting recent article in Newsweek says too much infoactually backfires http://t.co/1XQdZIe#mdchatTue Mar 8 18:28:03 PST 2011

chukwumaonyeije @RichmondDoc you are on the money tonight doc. #MDCHATTue Mar 8 18:28:03 PST 2011

MD_chat @chukwumaonyeije Great to see you here! #mdchatTue Mar 8 18:28:30 PST 2011

drsteventucker @JoeCascio patient advocates. Chat room oderators. Support group leaders, etc#mdchatTue Mar 8 18:28:37 PST 2011

RichmondDoc @apjonas A lot of thought that #PMCH can fit within #ACO models; this allows bettercoordination of care across specialties. #mdchatTue Mar 8 18:28:54 PST 2011

gunterwessels Engagement is that>RT @hjluks: RT @drsteventucker: @RichmondDoc LOVE that!Patients are partners in care, not recipients of care. #mdchatTue Mar 8 18:28:57 PST 2011

RichmondDoc @chukwumaonyeije Thanks! #mdchatTue Mar 8 18:29:06 PST 2011

EOLnavigator @hjluks@drsteventucker I think patients are not interested in this info...they want thepersonal relationship wi th the HCP #mdchatTue Mar 8 18:29:24 PST 2011

hjluks @gunterwessels@hjluks@drsteventucker@hjluks Mny of my patients receivehomework... if they wont do that-- then post op success??? #mdchatTue Mar 8 18:29:34 PST 2011

RichmondDoc @EOLnavigator@hjluks@drsteventucker I would argue information is valued bysome patients, not others; relationship is universal. #mdchatTue Mar 8 18:30:00 PST 2011

MD_chat Shoulder tap: next topic coming up in a few moments. #MDchatTue Mar 8 18:30:02 PST 2011

gunterwessels


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Tue Mar 8 18:30:26 PST 2011

RichmondDoc @EOLnavigator@hjluks@drsteventucker So: assessing how much info ptswant/need, but form a therapeutic bond with them regardless. #mdchatTue Mar 8 18:30:29 PST 2011

hjluks @EOLnavigator@hjluks@drsteventucker Both ... they enjoy the relationship... butinformation is important too... #mdchatTue Mar 8 18:30:32 PST 2011

gunterwessels Many pts walk away not knowing what to do...Homework is GREAT!!! #mdchatTue Mar 8 18:31:06 PST 2011

hjluks @RichmondDoc@EOLnavigator@hjluks@drsteventucker exactly... some patientswant info.. some paternalistic relationship #mdchatTue Mar 8 18:31:19 PST 2011

drseisenberg @thehealthmaven@EOLnavigator@hjluks@drsteventucker Connect first andcommunicate the importance of partnership. #mdchatTue Mar 8 18:31:19 PST 2011

thehealthmaven @hjluks yes, the relationship moves the conversation & potential for behaviorchange forward #mdchatTue Mar 8 18:31:53 PST 2011

drsteventucker @RichmondDoc@EOLnavigator@hjluks But they need to be in the relationship.And they have responsibili ty to the relationship. #mdchatTue Mar 8 18:31:57 PST 2011

chukwumaonyeije Def a tipping point where too much info becomes counterproductive. RT@ryanmadanickmd@drsteventucker@hjlukshttp://t.co/1XQdZIe#mdchatTue Mar 8 18:32:12 PST 2011

RyanMadanickMD Yep! RT @hjluks: Cant cookbook a doctor-patient relationship,,, not one size fits all#mdchatTue Mar 8 18:32:24 PST 2011

consultdoc @RyanMadanickMD@hjluks Homework idea is good, but big culture change forboth docs and pts #mdchatTue Mar 8 18:32:25 PST 2011

RichmondDoc @RyanMadanickMD@hjluks@drsteventucker True that there that "tradition"continues, but times (and pts) are demanding change. #MDChat

Tue Mar 8 18:32:42 PST 2011

hjluks @gunterwessels correct :-) #mdchatTue Mar 8 18:32:49 PST 2011

drseisenberg Each a unique creation RT @hjluks: Cant cookbook a doctor-patient relationship,,,not one size fits all #mdchatTue Mar 8 18:33:00 PST 2011

MD_chat T2 Social Media to Enhance Patient Care: See @RichmondDoc s

htt ://hisoc.us/ UZtAJ Discuss case uses for SM in medicine. #MDchat


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. .Tue Mar 8 18:33:02 PST 2011

gunterwessels ACO concept demands segmentation and differentiation in service delivery RT@hjluks: @gunterwessels correct :-) #mdchatTue Mar 8 18:33:24 PST 2011

hjluks @chukwumaonyeije @ryanmadanickmd@drsteventucker@hjluks Analysisparalysis is always a possibility... need to balance amt of data #mdchatTue Mar 8 18:33:29 PST 2011

EOLnavigator @apjonas@consultdoc@KathyKastner@hjluks@drsteventucker Need also tomove into social media platforms. #mdchatTue Mar 8 18:33:35 PST 2011

consultdoc signing off now. Landing in Omaha. Thanks for the great conversation! #mdchatTue Mar 8 18:34:11 PST 2011

hjluks @RaganHealth welcome #mdchatTue Mar 8 18:34:27 PST 2011

EOLnavigator @drseisenberg@thehealthmaven@EOLnavigator@hjluks@drsteventucker Iagree. #mdchatTue Mar 8 18:34:35 PST 2011

faisal_q @EOLnavigator how is 3-4 minute in exam room a relationship w/ HCP? Must add"Value beyond the visit" #mdchat#homeworkTue Mar 8 18:34:44 PST 2011

RichmondDoc @consultdoc Safe travels! #mdchatTue Mar 8 18:34:47 PST 2011

KathyKastner 4 sureRT @EOLnavigator: @apjonas@consultdoc@KathyKastner@hjluks@drsteventucker Need also to move into social media platforms. #mdchatTue Mar 8 18:35:04 PST 2011

EOLnavigator @RichmondDoc@EOLnavigator@hjluks@drsteventucker Present the info in a way& forum that they can hear it. #mdchatTue Mar 8 18:35:07 PST 2011

RaganHealth @hjluks Thanks, Howard! #mdchatTue Mar 8 18:35:16 PST 2011

thehealthmaven @Md_chat excellent framing post http://hisoc.us/gUZtAJ#MDchatTue Mar 8 18:35:41 PST 2011

chukwumaonyeije @hjluks looking for a blog post you wrote maybe a year ago regarding balance ofpaternalism with needed info. Will post when found #mdchatTue Mar 8 18:35:49 PST 2011

drsteventucker @controversiesSWNice one! sweet... #mdchatTue Mar 8 18:35:55 PST 2011


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RichmondDoc @faisal_q@EOLnavigator T1 a 4 min visit is not a relationship. Our system does notmake this a priority. Needs to change. #mdchatTue Mar 8 18:36:05 PST 2011

hjluks @chukwumaonyeije k new site has search :-) #mdchatTue Mar 8 18:36:37 PST 2011

doctorpreneur #mdchat surely we only really want to use SM *when* & *if* the patient wants

it..rather than aim to provide for all pts all of the timeTue Mar 8 18:37:12 PST 2011

drsteventucker Gotta go see some real patients, it is 1036AM in Singapore! Hope to lurk... Thanks#mdchatTue Mar 8 18:37:13 PST 2011

EllenRichter Very good piece @RichmondDoc ~I thoroughly enjoyed reading about your steps ofthe process~http://hisoc.us/gUZtAJ#MDchatTue Mar 8 18:37:15 PST 2011

hjluks@consultdoc is that in the US ;-) #mdchatTue Mar 8 18:37:23 PST 2011

hjluks @drsteventucker enjoy... have a gr8 day! #mdchatTue Mar 8 18:38:00 PST 2011

RichmondDoc @EllenRichter Thanks. Totally just thinking things out. Hope to generate debate,discussion, new ideas. #mdchatTue Mar 8 18:38:35 PST 2011

chukwumaonyeije@drsteventucker agree. The homework paradigm is appropriate. Easy to overwhelmin a 15mimute visit. #mdchatTue Mar 8 18:39:07 PST 2011

EllenRichter T1 Most of my providers use text messaging for appointment reminders & frequenthealth tips. Thats a good start! #MDchatTue Mar 8 18:39:10 PST 2011

RyanMadanickMD @RichmondDoc you may have come up with all of the good ideas... #mdchatTue Mar 8 18:39:21 PST 2011

EllenRichter@RichmondDoc You give others a good foundation of ideas for where to start! I likethat! #MDchatTue Mar 8 18:39:44 PST 2011

hjluks @EllenRichter Tiger Text... new svc very interesting... set text to vaporize in 10-120seconds... doesnt stay on server #mdchatTue Mar 8 18:40:15 PST 2011

EllenRichter T1 I think that the more ways heal th care providers can connect with patients, themore meaningful the social media experiences #MDchatTue Mar 8 18:40:49 PST 2011


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...MD2MD comm #mdchatTue Mar 8 18:40:52 PST 2011

MD_chat @holisticnurses You failed the homework assignment ;) #mdchatTue Mar 8 18:41:01 PST 2011

drseisenberg Yes! RT @EOLnavigator: @faisal_q@EOLnavigator Its the content, connection & themeaning of the relationship #mdchat

Tue Mar 8 18:41:14 PST 2011

RichmondDoc @RyanMadanickMD I know there are other great ideas out there, and I hope thispost will allow some deeper conversation. #MDChatTue Mar 8 18:41:36 PST 2011

hjluks @holisticnurses why so... if u give them links and search terms about topic, possiblecontroversial, then bring back in 1 wk... etc #mdchatTue Mar 8 18:41:45 PST 2011

thehealthmaven Key that the social media content remain relevant & goes to "where the pt. is"

#mdchat...different layers of texture #mdchatTue Mar 8 18:42:43 PST 2011

EllenRichter T2 @controversiesSWThats good to hear. Give SM another 5-10 years & it will be amainstay of healthcare communication #MDchatTue Mar 8 18:43:41 PST 2011

EOLnavigator @thehealthmaven the generation behind us are already completely dependent onSM...health info / guidance must participate too #mdchatTue Mar 8 18:44:20 PST 2011

gunterwesselsEmerging but small segment...RT @thehealthmaven: Key that the social mediacontent remain relevant & goes to "where the pt. is" #mdchat...Tue Mar 8 18:44:23 PST 2011

hjluks @holisticnurses OK... fair enuf... what should I call it ;-) ?? Ur learning, u have terms,u have incentive... u are empowered..no? #mdchatTue Mar 8 18:45:16 PST 2011

blogbrevity Joining late ... would like 2 say @EllenRichter should get the @shortyvotes 4 Nurses> http://bit.ly/gQRy2T#mdchat#rnchatTue Mar 8 18:45:32 PST 2011

holisticnurses @MD_Chat my point exactly. :) #MDChatTue Mar 8 18:45:35 PST 2011

DoctorFisher SM: useful to promote my practice by developing a general public trust, not sure howuseful for individual pt relationships #mdchatTue Mar 8 18:45:44 PST 2011

EOLnavigator @EllenRichter@controversiesSWNeed i t now! Yesterday. #mdchatTue Mar 8 18:45:54 PST 2011

h luks @EOLnavigator YIKES... #mdchat


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Tue Mar 8 18:46:02 PST 2011

thehealthmaven @gunterwessels you are right, emerging..the "influencer" segment is growing#mdchatTue Mar 8 18:46:04 PST 2011

gunterwessels Guide the guiding hand...RT @thehealthmaven: @gunterwessels you are right,emerging..the "influencer" segment is growing #mdchatTue Mar 8 18:46:31 PST 2011

thehealthmaven @gunterwessels well said! #mdchatTue Mar 8 18:47:17 PST 2011

controversiesSW Agreed. Almost none in mental health yet. RT @EOLnavigator: @EllenRichter@controversiesSWNeed it now! Yesterday. #mdchatTue Mar 8 18:47:30 PST 2011

hjluks @faisal_q@hjluks@holisticnurses U wld be amazed... almost never happens...#mdchatTue Mar 8 18:47:38 PST 2011

drseisenberg Connection, engagement, social media for patients starts with heart. #mdchatTue Mar 8 18:47:48 PST 2011

gunterwessels Emos...Fear, Need, Greed are useful...RT @drseisenberg: Connection, engagement,social media for patients starts with heart. #mdchatTue Mar 8 18:48:22 PST 2011

KathyKastner and time :) RT @drseisenberg: Connection, engagement, social media for patientsstarts with heart. #mdchatTue Mar 8 18:48:46 PST 2011

gunterwessels Hard, but good>RT @MandisHeroes: RT @drseisenberg: Step 1: Create a tribe. Step2: Create a vision. Step 3: Create helping patients. #mdchatTue Mar 8 18:49:09 PST 2011

thehealthmaven @mandisheroes luckily, transparency seems to have helped lone ranger syndrome :)#mdchatTue Mar 8 18:49:35 PST 2011

RaganHealth @DoctorFisher Trust is good, though. So if you can build it with public, it translates

eventually to individual trust, relationship #mdchatTue Mar 8 18:50:05 PST 2011

gunterwessels Emotion--> shame?RT @thehealthmaven: @mandisheroes luckily, transparencyseems to have helped lone ranger syndrome :) #mdchatTue Mar 8 18:50:08 PST 2011

chukwumaonyeije Personally i still like the homework metaphor. Absolutely empowering despi te feelingpunative. @holisticnurses@hjluks . #MDChatTue Mar 8 18:50:13 PST 2011


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, , ,social media for patients starts with heart. #MDchatTue Mar 8 18:50:30 PST 2011

hjluks @drseisenberg and a guitar :-) #mdchatTue Mar 8 18:50:37 PST 2011

gunterwessels LOL!!RT @hjluks: @drseisenberg and a guitar :-) #mdchatTue Mar 8 18:50:51 PST 2011

chukwumaonyeije At least thats what i hope my kids will think about homework one day. LOL. RT@holisticnurses@hjluks#MDChatTue Mar 8 18:51:26 PST 2011

gunterwessels Your best sales reps engage you wi th emotion...use it on your patients #mdchatTue Mar 8 18:51:41 PST 2011

RyanMadanickMD Exhausted, gn all thx for 1st #mdchatTue Mar 8 18:51:41 PST 2011

unxpctdblessing @chukwumaonyeije As an empowered patient, I find the term "homework" to beabsolutely punative. @holisticnurses@hjluks#MDChatTue Mar 8 18:52:13 PST 2011

EOLnavigator @KathyKastner@drseisenberg Time issue can be managed with social mediaplatforms. #mdchatTue Mar 8 18:52:13 PST 2011

thehealthmaven @gunterwessels accountability? #mdchatTue Mar 8 18:52:15 PST 2011

gunterwessels Emotionally valent concept-->RT @thehealthmaven: @gunterwesselsaccountability? #mdchatTue Mar 8 18:52:40 PST 2011

hjluks @holisticnurses :-) agree... sorry.. just had to do homework with 10, 8 and 6 yr olds :-)LOL #mdchat Nice to meet youTue Mar 8 18:53:05 PST 2011

thehealthmaven @gunterwessels yes, passion is what gets passed on & evoking emotion is whatgoes viral #mdchat

Tue Mar 8 18:53:21 PST 2011

controversiesSW Noticed that many here have hundreds, thousands of followers! So there is sometrust in SM developed somehow, right? #mdchatTue Mar 8 18:54:06 PST 2011

gunterwessels Agree, and gets acted on>RT @thehealthmaven: @gunterwessels yes, passion iswhat gets passed on & evoking emotion is what goes viral #mdchatTue Mar 8 18:54:11 PST 2011

blo brevit

@shortyvotes No NOT me !-- the award is a nomination 4 --> @EllenRichter#mdchat#rnchat


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Tue Mar 8 18:55:00 PST 2011

hjluks Six Rules Doctors Need to Know: *Amended* #F4P, #FLOWR#whypmhttp://t.co/ASfnqSy#mdchatTue Mar 8 18:55:04 PST 2011

EOLnavigator AgreeRT @thehealthmaven: @gunterwessels yes, passion is what gets passed on &evoking emotion is what goes viral #mdchatTue Mar 8 18:55:28 PST 2011

drsteventucker What did I miss? ;) #mdchatTue Mar 8 18:55:35 PST 2011

holisticnurses @unxpctdblessing@chukwumaonyeije@hjluks Fair enough. It may work for someindividuals. #MDChatTue Mar 8 18:56:02 PST 2011

drsteventucker Dream (my reality) - get all the patients with similar diagnosis in one room; give thema lecture and answer all questions #mdchatTue Mar 8 18:56:28 PST 2011

EllenRichter @hjluks I dont think you need to beat yourself up on the "homework" term. Its justanother way to introduce info to your pts #MDchatTue Mar 8 18:56:46 PST 2011

drsteventucker Better approach still - start with open mike questions, then pu ll up a smalllecture/slide set to emphasize points #mdchatTue Mar 8 18:57:02 PST 2011

drsteventucker Tape it, youtube it, run it on iPads in your office while people wait. #mdchatTue Mar 8 18:57:31 PST 2011

hjluks @drsteventucker me getting yelled at over homework :-( ;-) #mdchatTue Mar 8 18:57:37 PST 2011

gunterwessels Homework, assignment, medical adivce; same...RT @EllenRichter: @hjluks I dontthink you need to beat yourself up on the "homework" #MDchatTue Mar 8 18:57:42 PST 2011

thehealthmaven @drsteventucker well, it is late, so you can dream..:) #mdchatTue Mar 8 18:57:42 PST 2011

EOLnavigator The virtual visit! #mdchatTue Mar 8 18:57:53 PST 2011

blogbrevity Plz RT -- I nominate @EllenRichter head of #RNchat 4 a @shortyaward in nursing >http://bit.ly/gQRy2T#mdchatTue Mar 8 18:58:11 PST 2011

EOLnavigator @drsteventucker They are in the social media room! #mdchatTue Mar 8 18:58:52 PST 2011


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doctorpreneur @controversiesSW@EOLnavigator@EllenRichter#MDChat Agree-More mentalhealth attention in this area is my *dream*:huge potentialTue Mar 8 18:58:55 PST 2011

controversiesSW Thanks guys for terrific chat, and for letting a non-doc sit in. #mdchatTue Mar 8 18:59:00 PST 2011

drsteventucker @JoeCascio@EllenRichter That honestly shocks me. It is 2010! Do they have a

coin-operated telephone in the office? #mdchatTue Mar 8 18:59:13 PST 2011

hjluks @faisal_q@holisticnurses no question... vry few ppl follow "doctors orders" If pt isengaged they will seek out info (homework) #mdchatTue Mar 8 18:59:19 PST 2011

thehealthmaven Having a video landing page goes a long way 4 your patients..patients want to "see"#mdchat pic is worth a thousand wordsTue Mar 8 18:59:25 PST 2011

RichmondDocLastly: Health care is about the patient, and the provider-patient team. We need tofind tools to facilitate that: #PCMH, SocMed... #mdchatTue Mar 8 18:59:38 PST 2011

ElinSilveous Two gr8 chats going on #MDChat & #AgChat. Thanks for sharing & for letting me sitin.Tue Mar 8 18:59:44 PST 2011

EOLnavigator @drsteventucker Need an Ipad 2 for that!!! #mdchatTue Mar 8 18:59:58 PST 2011

gunterwessels@RaganHealth employ emotions when influencing your patients behavior #mdchatTue Mar 8 19:00:18 PST 2011

faisal_q +1 RT @hjluks: @faisal_q@holisticnurses vry few ppl follow "doctors orders" If pt isengaged they will seek out info (homework) #mdchatTue Mar 8 19:00:18 PST 2011

EllenRichter @JoeCascio Currently, my healthcare providers who DO use texting dont allow itboth ways yet. That will be a big improvement! #MDchatTue Mar 8 19:00:35 PST 2011

MDchat Transcript March 8, 2011

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