#GHSHRM

Healthcare Hashtag Twitter Transcript

From: Fri Mar 04 6:00:00 PST 2011
To: Fri Mar 04 15:15:00 PST 2011
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Learn more about #GHSHRM at The Healthcare Hashtag Project

HealthIsSocial Healthcare Risk Management and Social Media #GHSHRM - http://ow.ly/47Duh

Fri Mar 4 6:00:18 PST 2011

HealthIsSocial Up now at #ghshrm are David Marks & Josephine Goode Evans on Just Culture in
an Unjust World
Fri Mar 4 6:14:27 PST 2011

41Minds Healthcare Risk Management and Social Media #GHSHRM - http://t.co/oNtELWG via
@HealthIsSocial
Fri Mar 4 6:16:31 PST 2011

HealthIsSocial Followers: what is a "just culture" to you? What's i look like? What's is need to thrive?
#ghshrm
Fri Mar 4 6:21:14 PST 2011

rnchat Nuses, I'm at a risk management conference (RM) - http://ghshrm.org #ghshrm

Please add your thoughts on RM, pt safety, etc. #rnchat
Fri Mar 4 6:23:39 PST 2011

HealthIsSocial Risk Management (esp in h/care) is not just about RM, but coming forth about
making mistakes. #ghshrm - paraphrase of David Marx JD
Fri Mar 4 6:27:28 PST 2011

RNchat Is failure to wash hands and act of gross negligence? (Rhetorical Q ;) But: must be
vigilant in mindfulness. #rnchat #ghshrm
Fri Mar 4 6:29:10 PST 2011

MD_Chat I'm at #ghshrm on Healthcare Risk Management http://ghshrm.org Up now: Wrong

Site S/p #mdchat 100% preventable. Expectation of Perfection.
Fri Mar 4 6:30:37 PST 2011

MD_Chat Wrong Site S/p *increased* after Joint Commission's Sentinel Alert o_O. So:
designed Checklist. Still more wrong site s/p! #ghshrm #mdchat
Fri Mar 4 6:34:25 PST 2011
HealthIsSocial Paging Dr @hjluks What resources/stats/cases on Wrong Site s/p would you
recommend? #ghshrm
Fri Mar 4 6:36:15 PST 2011

philbaumann @soreng Good morning, Soren. I'm here at #ghshrm speaking right before you. Let
me know if you're around and I'll introduce myself!
Fri Mar 4 6:42:26 PST 2011

rnchat People versus Systems in risk mgt - you can blame people, but doesn't solve
problem. What sys of accountability works best? #ghshrm #rnchat
Fri Mar 4 6:44:47 PST 2011

RNchat 3 kinds of risk behaviors: 1 Human Error ~ 2 At-Risk Behavior ~ 3 - Reckless

Behavior #ghshrm
Fri Mar 4 6:56:02 PST 2011

ajollymount Watching David Marx, at #Ghshrm great presentation.

Fri Mar 4 6:57:45 PST 2011

HealthIsSocial Gr8 pt: If rule is: "Must wear helmut in baseball if < 15" But 25yo says "rule doesn't
apply to me" Still at as much risk as 15 yo. #ghshrm
Fri Mar 4 7:01:10 PST 2011

MD_chat Where does Medical Malpractice System fit in risk management? #mdchat #ghshrm
Fri Mar 4 7:02:55 PST 2011

SarahBethRN @RNchat RNs are responsible for pt safety in as much as facilities can support them.
i.e. safe staffing, adequate education #ghshrm #rnchat
Fri Mar 4 7:04:54 PST 2011

RNchat Up now at #ghshrm is a very charming Josephine Goode Evans, RN of SSM Health
Care on Just Culture, #patientsafety.
Fri Mar 4 7:06:04 PST 2011

HealthIsSocial SSMHC launched Always Safe, an enterprise-wide safety approach for patients,
employees, physicians, h/care partners. #ghshrm #rnchat
Fri Mar 4 7:07:34 PST 2011

HealthIsSocial SSMHC's Always Safe enhancements: Incr system leadership awareness of

#patientsafety #ghshrm
Fri Mar 4 7:08:32 PST 2011

HealthIsSocial SSMHC's Always Safe enhancements: Reviewed risk ID/reporting sys, policies,
practices Improved enterprise-wide comm. Web-based tools #ghshrm
Fri Mar 4 7:09:52 PST 2011

RNchat Just Culture implementation: Encourage/support early ID of %s, hazards. Training,

tech, processes to help managers. #ghshrm #rnchat
Fri Mar 4 7:11:54 PST 2011

HealthIsSocial 3-year project, 3 phases in Just Culture initiative at SSM. Next tweets on each phase.
 #ghshrm
Fri Mar 4 7:14:41 PST 2011

HealthIsSocial Phase I: 1 Training hospital-to-hospital 2 Online-training - 3 Soft implementation post

training, managers begin using algorithm #ghshrm
Fri Mar 4 7:16:29 PST 2011

HealthIsSocial Phase II Entity champion team implementation rolling it out. #ghshrm

Fri Mar 4 7:17:09 PST 2011

HealthIsSocial Phase III, Sustainability - Went Live - Mgs begin documenting - Qrtly data reports -
Regional sys-level results - Qtr Conf calls #ghshrm
Fri Mar 4 7:18:33 PST 2011

HealthIsSocial Role of Just Culture Champion Team: Remove barriers - be catalyst for
implementation #ghshrm
Fri Mar 4 7:19:47 PST 2011

HealthIsSocial Just Culture champion team responsibilities: Review baseline data - determine
barriers #ghshrm
Fri Mar 4 7:21:59 PST 2011

HealthIsSocial SSMHC Just Culture: Helped manage behavioral choices: Employees' choices -
Report unsafe situations - Coaching - Recognize remedial #ghshrm
Fri Mar 4 7:25:44 PST 2011

HealthIsSocial Engage Corporate Human Resources at onset when rolling out patient and other
safety initiatives. Coaching is key. #ghshrm
Fri Mar 4 7:26:52 PST 2011

HealthIsSocial Establish accountability, work with HR managers: Develop coaching scripts, mini
training tools. Get Leadership, managers, employees #ghshrm
Fri Mar 4 7:29:36 PST 2011

HealthIsSocial Up now at #ghshrm is David Chaumette on Discovery Requests from Mars: E-

discovery & Electronic Health Information. Love this guy, hilarious!
Fri Mar 4 7:43:02 PST 2011

HealthIsSocial This talk here at #ghshrm on E-discovery by David Chaumette JD is really key for
broad #hcsm adoption.
Fri Mar 4 7:45:19 PST 2011

HealthIsSocial All this social media stuff & digital tech is *everywhere*, so legal discovery process
considerations are huge. #ghshrm eg What law applies?
Fri Mar 4 7:48:50 PST 2011

HealthIsSocial Lawyers must understand what technologies clients use and how they specifically
and uniquely use them. #ghshrm
Fri Mar 4 7:50:23 PST 2011

ajollymount Learn what type of communications is your facility is using. #GHSHRM per David
Chaumette you need to know this and where it is stored.
Fri Mar 4 7:51:09 PST 2011
HealthIsSocial What is role of Metadata in discovery process? Great question. Easy to overlook, but
files can have lotsa discoverable meta. #ghshrm
Fri Mar 4 7:55:35 PST 2011

HealthIsSocial Also re: discoverable meta-data: it can be inconsistent - eg Date Created, versus
Date Modified. #ghshrm
Fri Mar 4 7:56:44 PST 2011

HealthIsSocial Resources on e-discovery (tweet 1/2): http://Ediscoverylaw.com -

http://discoveryresources.org http://edrm.org #ghshrm
Fri Mar 4 8:02:00 PST 2011

HealthIsSocial Resources on e-discovery (tweet 2 of 2) - http://fje.gov - http://fje.gov -

http://thesedonaconference.org #ghshrm
Fri Mar 4 8:03:07 PST 2011

HealthIsSocial With proprietary software, clients should begin early to determine how to make data
available. #ghshrm
Fri Mar 4 8:05:01 PST 2011

HealthIsSocial I'm biased, 'cuz I like this gut, but I'd highly recommend David Chaumette for orgs
needing counsel on e-discovery, etc. Smart man. #ghshrm
Fri Mar 4 8:09:42 PST 2011

HealthIsSocial Up now at #ghshrm are Cathryn Schlesinger, risk mgt counsel for Memorial
Hermann Hospital System on #EMR She has a Master's in Public Health
Fri Mar 4 8:25:46 PST 2011

HealthIsSocial Also up at #ghshrm is Scott Nichols, partner at Strasburger & Price; area of practice
is Health Care Liability. Speaking on #EMR
Fri Mar 4 8:26:58 PST 2011

HealthIsSocial EMR - Friend or Foe? #ghshrm Scott Nichols is reviewing Hx of medical records,
from handwritten to hybrid.
Fri Mar 4 8:28:24 PST 2011

HealthIsSocial Rationale for EMR: automomate/make available pertinent info 2 all members of Tx
team, not just those w/access. But: does it do that? #ghshrm
Fri Mar 4 8:33:51 PST 2011

Chaumette Just finished speaking at #GHSHRM Education Day. Great crowd and I saw a bunch
of old friends.
Fri Mar 4 8:36:01 PST 2011

RNchat Negatives of EMR: eg: ICU nurse who asks "When do I get to take care of patient!"
#ghshrm #rnchat
Fri Mar 4 8:36:07 PST 2011

Chaumette Brilliant! RT @HealthIsSocial Lawyers must understand what technologies clients

use and how they specifically and uniquely use them. #ghshrm
Fri Mar 4 8:38:08 PST 2011
HealthIsSocial Negatives of EMR: May encourage mistakes - Discourage narrative charting -
Repetitive charting - Systems may not comm w/ea other. #ghshrm
Fri Mar 4 8:41:26 PST 2011

HealthIsSocial Positives of #EMR: Always legible! Registers footprints. Record vital signs. Automatic
e-notifications set per parameter. #ghshrm
Fri Mar 4 8:56:33 PST 2011

mazingf Hanging at #ghshrm

Fri Mar 4 8:57:32 PST 2011

HealthIsSocial @perficient_hc There's some great info from speakers at #ghshrm htp://ghshrm.org
on risk mgt. Currently on EMR. Sharp legal perspectives.
Fri Mar 4 9:00:45 PST 2011

RNchat An RN is now making case that good EMR systems can conduce better assessment,
re-assessment. Real-time, not 12 hours later. #ghshrm #rnchat
Fri Mar 4 9:05:24 PST 2011

HealthIsSocial Up now #ghshrm panel on Chain of Command: Bedside to Board. Helping nurses,
physicians, admin, lawyers to improve patient outcomes.
Fri Mar 4 9:13:17 PST 2011

HealthIsSocial LOL - "Mediocre General Hospital" #ghshrm

Fri Mar 4 9:14:50 PST 2011

HealthIsSocial Funny role play: "Nurse Wishy Washy" pages "Doctor Never Wrong" at "Mediocre
General Hospital" #ghshrm
Fri Mar 4 9:16:29 PST 2011

philbaumann @doctor_v Do you know Dr Michael Coburn? He's speaking now at #ghshrm
Fri Mar 4 9:19:17 PST 2011

jadziasolo Same here in Labor&Delivery! RT @RNchat Negatives of EMR: eg: ICU nurse who
asks "When do I get to take care of patient!" #ghshrm #rnchat
Fri Mar 4 9:21:06 PST 2011

mkmackey Welcome to Houston @philbaumann speaking today at http://ghshrm.org #ghshrm

Fri Mar 4 9:25:18 PST 2011

RNchat Winkler nurses case brought home the matter of Chain of Command #ghshrm
#rnchat Context http://bit.ly/hHzQHu
Fri Mar 4 9:29:42 PST 2011

MD_Chat Dr Michael Coburn is discussing Physician's Chain of Command. Academic v Private

Practice Setting #ghshrm #mdchat
Fri Mar 4 9:36:16 PST 2011

MD_chat Physician Chain of Command: Literature: Southwestern; American College of

Surgeons. #ghshrm #mdchat
Fri Mar 4 9:37:10 PST 2011
HealthIsSocial Physician Chain of Command: "I don't think it's matter of rank, it's do you know what
the hell to do?" lol #ghshrm
Fri Mar 4 9:38:53 PST 2011

RNchat Nurses perspective on Chain of Command. How nurses operate, initiate, stand
ground, challenge. #ghshrm #rnchat
Fri Mar 4 9:47:24 PST 2011

RNchat Key for nurses to document what is done, not done. Chart needs to reflect care. Duty
to advocate for patient. #ghshrm #rnchat
Fri Mar 4 9:48:31 PST 2011

rnchat Chain of Command routinely used as Plaintiff's wedge for blame. #ghshrm #rnchat
Fri Mar 4 9:49:25 PST 2011

HealthIsSocial Culture of safety re: Chain of Command. Engage senior leaders. Team 'huddles'.
#ghshrm
Fri Mar 4 9:50:43 PST 2011

HealthIsSocial SBAR: technique for communicating critical info for immediate attn/action:
Situation...Background...Assessment...Recommendation #ghshrm
Fri Mar 4 9:53:33 PST 2011

HealthIsSocial HROs High-Reliability Organizations: Culture where safety is # 1 #ghshrm Not much
adoption in Healthcare?
Fri Mar 4 9:55:34 PST 2011

HealthIsSocial Include COC in orientation for employees and physicians. #ghshrm #mdchat
Fri Mar 4 10:00:09 PST 2011

HealthIsSocial Dr Coburn: Non-emergent setting: interdisciplinary team approach; Emergent: urgent

response team of nursg, phys, admin #ghshrm #mdchat
Fri Mar 4 10:07:55 PST 2011

HealthIsSocial Session at #ghshrm Technology Is Not Enough: Integrating Risk Mgt and Quality
Improvement
Fri Mar 4 11:16:49 PST 2011

RNchat How many nurses would know medication error rate if patient asked? #ghshrm
#rnchat
Fri Mar 4 11:18:40 PST 2011

HealthIsSocial Average cost of Patient Leaving w/o being seen (LWBS): $100,000 #ghshrm
Fri Mar 4 11:20:22 PST 2011

postpartumprogr @HealthIsSocial Forgive me, but what is #ghshrm ?

Fri Mar 4 11:21:06 PST 2011

MatthewBrowning well, zero of course ;-( wish that was true RT @RNchat: How many nurses would
know medication error rate if patient asked? #ghshrm #rnchat
 Fri Mar 4 11:23:40 PST 2011

HealthIsSocial "Quality is fundamentally an outcome." Y = f(x) . Inputs > sequence of steps > Output
#ghshrm
Fri Mar 4 11:25:49 PST 2011

HealthIsSocial Quality is broad-based. Not only about clinical outcomes: Enterprise risk;
Malpractice; compliance; Reimbursement; Reporting #ghshrm
Fri Mar 4 11:29:01 PST 2011

WSUSpokane Looking at healthcare risk mgmt conference tweets from @HealthIsSocial @rnchat &
others #ghshrm tweet transcript http://bit.ly/gQgSzB
Fri Mar 4 11:33:50 PST 2011

HealthIsSocial Lean Six Sigma - Fast results + Sustained solutions. focuses on accuracy. #ghshrm
Fri Mar 4 11:38:26 PST 2011

HealthIsSocial Lean Six Sigma: Define > Measure > Analyze > Improve > Control #ghshrm
Fri Mar 4 11:39:06 PST 2011

HealthIsSocial Lean Six Sigma: Establishes measurable baseline #ghshrm Heavy on statistical
processes.
Fri Mar 4 11:39:56 PST 2011

HealthIsSocial Risk Mgt: Prevent harm to patients; liability exposure to providers & institutions;
financial loss to providers. #ghshrm
Fri Mar 4 11:42:14 PST 2011

HealthIsSocial 5 keys to risk mgt: Prevention - Correction - Documentation - Education -

Interdepartmental Coordination #ghshrm
Fri Mar 4 11:43:16 PST 2011

HealthIsSocial So QI and RM need to be integrated. How? = RM > QA > QI > Continuous QI >
Patient Safety #ghshrm
Fri Mar 4 11:44:45 PST 2011

HealthIsSocial Diminishing marginal returns on financial investments in quality. Logarithmic

decreases over time. Ego $ not enough. #ghshrm
Fri Mar 4 11:50:38 PST 2011

HealthIsSocial C-suite needs to understand clinical challenges, while Clinical executives need to
understand financial challenges. #ghshrm - Dr Shah
Fri Mar 4 11:52:51 PST 2011

HealthIsSocial Now at #ghshrm HIPAA, HITECH - "Post-HITECH World: Best Practices to Keep
Cyber Liability Genie in the Bottle"
Fri Mar 4 12:11:42 PST 2011

HealthIsSocial Types of Data Security Breaches: Lost, missing hardware (35%); Disposal of
documents (10%); Hacking (2%); Via web (15%) #hcsm #ghshrm
Fri Mar 4 12:16:16 PST 2011
HealthIsSocial Breach of more than 500 individuals HITECH, must give notice to prominent media.
#ghshrm
Fri Mar 4 12:20:36 PST 2011

HealthIsSocial Resource, btw, on HITECH HIPAA on Breach Notification Rule -

http://1.usa.gov/36cHDS #ghshrm
Fri Mar 4 12:21:51 PST 2011

ajollymount The #ghshrm break out sessions are very informative.

Fri Mar 4 12:26:11 PST 2011

HealthIsSocial How much does breach cost? Defense * Fines & Penalties * Liability #ghshrm
Fri Mar 4 12:27:43 PST 2011

HealthIsSocial Can u pretend HITECH breach never happened? NO: Class Action * Attorney
General Audits * FTC investigations/suits * OCR audits #ghshrm
Fri Mar 4 12:37:45 PST 2011

cmeadvocate speaking my language....RT @HealthIsSocial: So QI & RM need to be integrated.

How? = RM > QA > QI > Continuous QI > Patient Safety #ghshrm
Fri Mar 4 12:41:40 PST 2011

MD_chat US Department of Education have been getting involved with medical schools re:
h/care privacy breaches. #ghshrm #mdchat
Fri Mar 4 12:42:01 PST 2011

HealthIsSocial Emerging: EMRs * Wireless * Global compliance w/ security laws * Disgruntled

employees * Encryption requirements * 3rd-party vendors #ghshrm
Fri Mar 4 12:43:17 PST 2011

PhilBaumann Getting ready to speak at #ghshrm Nice crowd here.

Fri Mar 4 13:02:32 PST 2011

PhilBaumann Soren Gordhamer of Wisdom 2.0 up at #ghshrm on attention in our time. Smart, nice
man.
Fri Mar 4 14:13:03 PST 2011