May 16 Chat: Does Personalized Medicine Require New Patient Responsibilities?

Actress Angelina Jolie set media channels ablaze this week with her New York Times op-ed explaining why she opted to have a preventive double mastectomy and breast reconstruction earlier this year, the actress follows in the footsteps of an increasingly larger number of women making difficult choices informed by genetic test results. In a single generation America has realized an increase in both awareness and research funding for the disease. This is the result in no small part to successful health communications campaigns in raising public awareness, social marketing in driving behavior change and health advocacy in allocating greater public funding for research.  The result is perhaps the most prominent test case for what the practice of personalized medicine will look like in the coming decades.  Based upon family and social history, health care providers can make individual recommendations on the value of genetic testing as a tool for helping patient’s better understand their risk for both breast and ovarian cancer. 

If we are moving towards an era where this is the new standard of care, what are patients' responsibilities?  We’d like you to consider these topics for discussion during this week’s #HCHLITSS twee chat?

Q1. What literacy skills are necessary for patients to understand the results of genetic tests so that they might appropriately be applied to shared clinical decision-making?

Q2.  Insurance companies are not covering genetic testing as usual and customary treatment. What impact does this have as America continues to work towards health equity? Is preventive mastectomy only available to those with enough financial resources for genetic testing?

Read the Angelina Joli op ed at http://nyti.ms/19l8bbZ. Also check out our own co-host, Alisa Hughely’s opinion on the topic at http://j.mp/10whq4e.

Anton J. Gunn, guest May 9, 2012

Transcript for May 9, 2012 Tweetchat with guest Anton Gunn.

Drv_rikard

Just 5 mins til guest Anton Gunn Dir of Externl Affairs for US HHS discussing #public #engagement & #healthadvocacy on #hchlitss

AntonJGunn

This is my first ever TweetChat. I am excited to participate in this event! #hchlitss

rv_rikard

RT @AntonJGunn: This is my first ever TweetChat. I am excited to participate in this event! <== We are excited to have you-Welcome #hchlitss

rv_rikard

RT @drkdhoffman: Welcome to the Health Communication, Health Literacy and Social Science Tweetchat! Our guest is Anton Gunn,#hchlitss

rv_rikard

Good evening everyone! Welcome!! Please take a moment and introduce yourself!! All are welcome here! #hchlitss

giasison

RT @AntonJGunn: This is my first ever TweetChat. I am excited to participate in this event! #hchlitss

rv_rikard

RT @enBloomMedia: We are so happy to have @AntonJGunn of HHS join us tonight. Welcome to everyone. #hchlitss

rv_rikard

@giasison <== Welcome Gia! #hchlitss

enBloomMedia

If anyone is having a bit of trouble with http://t.co/bY3s6lWjQ5 try tweetdeck or hootsuite. for #hchlitss chat tonight.

             

giasison

Hi all Gia here frm the Philippines practicing doctor & proud #breastcancer patient at the same time. Soc media advocate too! #hchlitss

StorkBrian

Good evening @rv_rikard @drkdhoffman Urologist Tweeting from Muskegon on the Shores of Lake Michigan http://t.co/uaEYs7m5ts #hchlitss

drkdhoffman

Welcome @AntonJGunn! I am having technical trouble at the moment but hope to be actively engaged soon! #HCHLITSS

rv_rikard

MT @enBloomMedia: If anyone is having a bit of trouble with tweetchat(.)com try tweetdeck or hootsuite. #hchlitss

drkdhoffman

Thank you for being our guest...we are very excited to have @AntonJGunn #HCHLITSS

rv_rikard

@StorkBrian <== Good evening and welcome!! :) #hchlitss

giasison

@AntonJGunn Welcome Anton honored to have you with us at #HCHLITSS

yayayarndiva

With all these #AWARE #MentalHealth #Heroes around wonder where kids/teens can find real #services #access #parity of care? #mhsm #hchlitss

enBloomMedia

So I am Alisa her in DC, blogging , advocating for patients and 1/3 of your #hchlitss host team tonight.

rv_rikard

RV Rikard - 1/3 of the #hchlitss tweet chat team! :) #hchlitss

giasison

RT @enBloomMedia: So I am Alisa her in DC, blogging , advocating for patients and 1/3 of your #hchlitss host team tonight.

giasison

RT @rv_rikard: RV Rikard - 1/3 of the #hchlitss tweet chat team! :) #hchlitss

StorkBrian

@AntonJGunn Thank you for joining us You have given me Twitter Profile Picture Envy:) #HCHLITSS

enBloomMedia

Hello @yayayarndiva glad to see you. Say hello to @AntonJGunn of HHS our #hchlitss guest tonight

rv_rikard

Folks, as you enter the chat - please give a shout out and introduce yourself so we know you are with us for the next bit :) #hchlitss

rv_rikard

@GRod9  <== Welcome!! #hchlitss

drkdhoffman

RT @rv_rikard: @GRod9  <== Welcome!! #hchlitss

KathyKastner

#hchlitss Evening all. Canadian contigent reporting in. Looking forward to learning from @AntonJGunn . Oh, and I devloped BestEndings . com

AntonJGunn

RT @StorkBrian: @AntonJGunn Thank you for joining usYou have given me Twitter Profile Picture Envy:)#HCHLITSS #hchlitss

drkdhoffman

RT @KathyKastner: #hchlitss Evening all. Canadian contigent reporting in. Looking forward to learning from @AntonJGunn . Oh, and I devloped…

rv_rikard

@KathyKastner <== My fellow #healthlit colleague from Canada! #hchlitss

rv_rikard

@chemobrainfog <== Good evening! Welcome! #hchlitss

KathyKastner

:)RT @rv_rikard: @KathyKastner <== My fellow #healthlit colleague from Canada! #hchlitss

drkdhoffman

Wonderful to see you @kathykastner @giasison @chemobrainfog ...so glad to see you #HCHLITSS

drkdhoffman

Shall we start asking questions and getting this tweetchat started? #hchlitss

AntonJGunn

@giasison Thanks for the follow. Always good to have new followers. Especially one who cares about #health & #healthcare! #hchlitss

enBloomMedia

@ AntonJGunn Q1. Public engagement is impt to this administration & # PatientEngagement is a popular idea in healthcare? Why? #hchlitss

rv_rikard

@enBloomMedia the honor is all yours! #hchlitss

StorkBrian

@drkdhoffman "Bring the Action" #HCHLITSS

drkdhoffman

RT @StorkBrian: @drkdhoffman "Bring the Action" #HCHLITSS

rv_rikard

MT @enBloomMedia: @AntonJGunn Q1. Pub engagmnt is impt to this admin & # PatientEngagement is a popular idea in healthcare? Why? #hchlitss

AntonJGunn

Public engagement means that you are focused on those you hope to serve. It means what matters to them, matters to you. #hchlitss

ChronicPainGPS

Hey everyone! Patti here - post procedure so tired and sore but wanted to stop in to say hello. TweetChat isn't working?! #hchlitss

rv_rikard

@ChronicPainGPS <== Good evening Patti! #hchlitss

AntonJGunn

There is no better way to get real answers to real question than to make a COMMITMENT to "engage" with patients and stakeholders. #hchlitss

rv_rikard

MT @AntonJGunn: Pub engagement means that you are focused on those you hope 2 serve. It means what matters to them, matters 2you. #hchlitss

chemobrainfog

Winner: MT @AntonJGunn: Public engagement means you are focused on those you hope to serve. What matters to them, matters to you. #hchlitss

giasison

A1 Both public/patient engagement is popular in both admin/healthcare bec it's an effective medium to get our messages through #HCHLITSS

anetto

@ChronicPainGPS Tweetchat has been working for me. Warning is gone too #hchlitss

drkdhoffman

Q2) @antonjgunn What are key ways health organizations can cultivate & maintain relationships with stakeholders? #hchlitss

rv_rikard

MT @AntonJGunn There is no better way 2 get real answers 2 real ques than 2make a COMMITMENT 2"engage" w/ patients & stakeholders. #hchlitss

rv_rikard

@anetto <== Welcome!! :) #hchlitss

rv_rikard

RT @drkdhoffman: Q2) @antonjgunn What are key ways health organizations can cultivate & maintain relationships with stakeholders? #hchlitss

giasison

Health advocacy & its message 'comes to life' when we all walk the talk thus public & patient engagement vital #HCHLITSS

ChronicPainGPS

Thanks! Glad I woke up in time to join in! MT @rv_rikard Good evening Patti! #hchlitss

drkdhoffman

RT @giasison: Health advocacy & its message 'comes to life' when we all walk the talk thus public & patient engagement vital #HCHLITSS

AntonJGunn

Health Orgs can cultivate relationships by having an open dialogue with stakeholders. Always talk. Always share. Always engage. #hchlitss

drkdhoffman

Welcome @anetto...glad to see you #HCHLITSS

rv_rikard

MT @AntonJGunn: Health Orgs can cultivate relationships by having an open dialogue w/ stakeholders. Always talk. share. engage. #hchlitss

AntonJGunn

Maintaining relationships w? stakeholders requires U 2 have a deliberate process of inclusion. Deliberate process 4 communication. #hchlitss

drkdhoffman

@AntonJGunn How can stakeholders better engage Patients? #HCHLITSS

             

giasison

THIS! MT @AntonJGunn: Public engagement means that u R focused on those u hope 2 serve-what matters to them, matters to you. #hchlitss

             

enBloomMedia

“@AntonJGunn: no better way to get real answers to real ? than to make COMMITMENT to "engage" w/patients and stakeholders. #hchlitss”<=Amen!

             

rv_rikard

RT @drkdhoffman: @AntonJGunn How can stakeholders better engage Patients? #hchlitss

             

enBloomMedia

“@giasison: Health advocacy & its message 'comes to life' when we all walk the talk thus public & patient engagement vital #HCHLITSS”Indeed!

             

StorkBrian

MT @AntonJGunn: Maintaining relationships requires U 2 have a deliberate process of inclusion. Deliberate process 4 communication. #hchlitss

              

giasison

@rv_rikard @AntonJGunn Key words--always talk,work & engage.Vital component is passion in all advocacies set #hchlitss

              

drkdhoffman

RT @giasison: @rv_rikard @AntonJGunn Key words--always talk,work & engage.Vital component is passion in all advocacies set #hchlitss

              

AntonJGunn

Stakeholders need to reach out to patients in the process of health care delivery. #hchlitss

              

giasison

RT @rv_rikard: RT @drkdhoffman: @AntonJGunn How can stakeholders better engage Patients? #hchlitss

              

drkdhoffman

RT @AntonJGunn: Stakeholders need to reach out to patients in the process of health care delivery. #hchlitss

           

giasison

+ 00/RT @AntonJGunn: Stakeholders need to reach out to patients in the process of health care delivery. #hchlitss

anetto

T1 Stakeholder could engage by asking for and acting on meaningful input from patients #hchlitss

   

drkdhoffman

Stakeholders need to reach out to patients in the process of health care delivery.<==exactly #HCHLITSS

              

AntonJGunn

If you care about patients, then you should show that you care by engaging them in the process. Patient-centered care works. #hchlitss

              

chemobrainfog

We are here-waiting! RT @AntonJGunn: Stakeholders need to reach out to patients in the process of health care delivery. #hchlitss

              

anetto

RT @AntonJGunn: Stakeholders need to reach out to patients in the process of health care delivery. #hchlitss

              

giasison

@AntonJGunn I concur! Stakeholders cannot deliver if they fail to reach out. Efforts will be futile. #hchlitss

              

rv_rikard

@AntonJGunn Q3) Have health organizations succeeded in bringing all the stakeholders to the table? If not, who’s missing? #hchlitss

              

AntonJGunn

That's why I am proud of our work on the #ACA. We have efforts focused on patients #partnershipforpatients #hchlitss

              

chemobrainfog

@AntonJGunn If you aren't married, I'm proposing right now..... You are spectacular. #hchlitss

              

enBloomMedia

@ AntonJGunn Q4. What are some of the challenges to engaging the community around a social good like changing health behaviors? #hchlitss

              

CSlaterMD

Hi All, sorry late, Cindi in Boston #hchlitss

              

drkdhoffman

MT @antonjgunn If u care abt pts u should show u care by engaging them in process Pt-centered care works<=That is what pts want! #HCHLITSS

              

enBloomMedia

RT @AntonJGunn: That's why I am proud of our work on the #ACA. We have efforts focused on patients #partnershipforpatients #hchlitss

              

giasison

@rv_rikard @AntonJGunn Unfortunately it's the patients who are missing.Personal experience is policies are all paper,no action #hchlitss

              

drkdhoffman

Welcome @cslatermd Glad to see you! #HCHLITSS

              

drkdhoffman

RT @AntonJGunn: That's why I am proud of our work on the #ACA. We have efforts focused on patients #partnershipforpatients #hchlitss

              

drkdhoffman

RT @chemobrainfog: @AntonJGunn If you aren't married, I'm proposing right now..... You are spectacular. #hchlitss

              

CSlaterMD

TY!! happy to be here RT @drkdhoffman: Welcome @cslatermd Glad to see you! #hchlitss

              

AntonJGunn

Challenges? Well, there are lots. Lack of literacy. Social norms. Culture all can make it difficult. But we can overcome them. #hchlitss

              

enBloomMedia

Forgive my fading in and out, real tech difficulties tonight : ( #hchlitss

              

giasison

@AntonJGunn Yes to Patient centered healthcare leadership! #hchlitss

              

ChronicPainGPS

Absolutely! MT @giasison: @rv_rikard @AntonJGunn Key--always talk,work & engage.Vital component is PASSION in all advocacies set #hchlitss

              

CSlaterMD

RT @giasison: @AntonJGunn Yes to Patient centered healthcare leadership! #hchlitss

              

StorkBrian

@rv_rikard At the Risk of Sounding like a Typical Doc, a Stakeholder I have NOT seen at the Table is the Malpractice Attorneys #HCHLITSS

rv_rikard

RT @chemobrainfog  @AntonJGunn If you arent married, Im proposing right now..... You are spectacular. #hchlitss

              

AntonJGunn

We have tools like the #ACA that will reduce challenges in health care. #hchlitss

              

drkdhoffman

RT @AntonJGunn: We have tools like the #ACA that will reduce challenges in health care. #hchlitss

              

drkdhoffman

Q5) @antonjgunn As a self-described ‘hip-hopper’ have you included rap music into your own health advocacy? #HCHLITSS

              

drkdhoffman

RT @CSlaterMD: RT @giasison: @AntonJGunn Yes to Patient centered healthcare leadership! #hchlitss

              

CSlaterMD

@AntonJGunn which challenges? How do the tools help? #hchlitss

              

drkdhoffman

RT @CSlaterMD: @AntonJGunn which challenges? How do the tools help? #hchlitss

              

enBloomMedia

“@AntonJGunn: Challenges? ... Lack of literacy. Social norms. Culture all can make diff. But we can overcome them. #hchlitss” Yes! We CAN!

              

drkdhoffman

MT @cslatermd @AntonJGunn which challenges? How do the tools help? <=good questions #hchlitss

              

AntonJGunn

Ha! I include Hip Hop on everything I do. #hchlitss

              

giasison

@enBloomMedia @AntonJGunn Big challenge is cultural in some specially in set behaviors they have been 'accustomed' to #hchlitss

              

drkdhoffman

RT @AntonJGunn: Ha! I include Hip Hop on everything I do. #hchlitss

              

chemobrainfog

Need to chg this @AntonJGunn Unfortunately its patients who are missing.Personal experience is policies are all paper,no action #hchlitss

              

chemobrainfog

Need to chg this @AntonJGunn Unfortunately its patients who are missing.Personal experience is policies are all paper,no action #hchlitss

              

chemobrainfog

Need to chg this @AntonJGunn Unfortunately its patients who are missing.Personal experience is policies are all paper,no action #hchlitss

              

chemobrainfog

Need to chg this @AntonJGunn Unfortunately its patients who are missing.Personal experience is policies are all paper,no action #hchlitss

              

rv_rikard

RT @AntonJGunn: Ha! I include Hip Hop on everything I do. <== You ROCK!!!!!! WOOT!!!! #hchlitss

              

rv_rikard

RT @AntonJGunn: Ha! I include Hip Hop on everything I do. <== You ROCK!!!!!! WOOT!!!! #hchlitss

              

rv_rikard

RT @AntonJGunn: Ha! I include Hip Hop on everything I do. <== You ROCK!!!!!! WOOT!!!! #hchlitss

              

rv_rikard

RT @AntonJGunn: Ha! I include Hip Hop on everything I do. <== You ROCK!!!!!! WOOT!!!! #hchlitss

              

giasison

RT @AntonJGunn: Ha! I include Hip Hop on everything I do. #hchlitss

              

giasison

RT @AntonJGunn: Ha! I include Hip Hop on everything I do. #hchlitss

              

giasison

RT @AntonJGunn: Ha! I include Hip Hop on everything I do. #hchlitss

              

giasison

RT @AntonJGunn: Ha! I include Hip Hop on everything I do. #hchlitss

              

rv_rikard

RT @CSlaterMD: @AntonJGunn which challenges? How do the tools help? <== Good question! #hchlitss

              

rv_rikard

RT @CSlaterMD: @AntonJGunn which challenges? How do the tools help? <== Good question! #hchlitss

              

rv_rikard

RT @CSlaterMD: @AntonJGunn which challenges? How do the tools help? <== Good question! #hchlitss

              

rv_rikard

RT @CSlaterMD  @AntonJGunn which challenges? How do the tools help? <== Good question! #hchlitss

              

enBloomMedia

“@AntonJGunn: Ha! I include Hip Hop on everything I do. #hchlitss” Love That!

              

enBloomMedia

“@AntonJGunn: Ha! I include Hip Hop on everything I do. #hchlitss” Love That!

              

enBloomMedia

“@AntonJGunn: Ha! I include Hip Hop on everything I do. #hchlitss” Love That!

              

enBloomMedia

“@AntonJGunn: Ha! I include Hip Hop on everything I do. #hchlitss” Love That!

              

giasison

@AntonJGunn That makes it effective-- fun and at the same time you do what you love to do with PASSION & innovation #hchlitss

    :         

giasison

@AntonJGunn That makes it effective-- fun and at the same time you do what you love to do with PASSION & innovation #hchlitss

              

giasison

@AntonJGunn That makes it effective-- fun and at the same time you do what you love to do with PASSION & innovation #hchlitss

              

giasison

@AntonJGunn That makes it effective-- fun and at the same time you do what you love to do with PASSION & innovation #hchlitss

              

AntonJGunn

The #ACA will make health coverage available 2 millions who don't have it now. That's a big first step to helping them 2 get care. #hchlitss

              

AntonJGunn

Having coverage has been a long term challenge. Being able to afford health ins has been a challenge. The #ACA is changing that. #hchlitss

              

giasison

@AntonJGunn Really wish we have a similar one in the Philippines where access to healthcare has always been a challenge #hchlitss

              

giasison

@AntonJGunn Really wish we have a similar one in the Philippines where access to healthcare has always been a challenge #hchlitss

              

giasison

@AntonJGunn Really wish we have a similar one in the Philippines where access to healthcare has always been a challenge #hchlitss

              

CSlaterMD

lucky 2 do what u love MT @giasison: @AntonJGunn That makes it effective- fun at same time u do what u love w/PASSION & innovation #hchlitss

              

CSlaterMD

lucky 2 do what u love MT @giasison: @AntonJGunn That makes it effective- fun at same time u do what u love w/PASSION & innovation #hchlitss

              

CSlaterMD

lucky 2 do what u love MT @giasison: @AntonJGunn That makes it effective- fun at same time u do what u love w/PASSION & innovation #hchlitss

              

CSlaterMD

lucky 2 do what u love MT @giasison: @AntonJGunn That makes it effective- fun at same time u do what u love w/PASSION & innovation #hchlitss

              

AntonJGunn

There is a challenge in having a culturally competent workforce in health care. The #ACA is helping with that too! #diversity #hchlitss

              

enBloomMedia

“@giasison: @AntonJGunn That makes it effective-- fun and...you do what you love to do with PASSION & innovation #hchlitss” <-he does!

              

rv_rikard

Q6) What’s the role for health information technology in improving #healthliteracy and #health #communications? #hchlitss

              

giasison

RT @rv_rikard: Q6) What’s the role for health information technology in improving #healthliteracy and #health #communications? #hchlitss

              

rv_rikard

@AntonJGunn Q6) What’s the role for health information technology in improving #healthliteracy and #health #communications? #hchlitss

              

drkdhoffman

RT @rv_rikard: Q6) What’s the role for health information technology in improving #healthliteracy and #health #communications? #hchlitss

              

drkdhoffman

RT @giasison: @AntonJGunn That makes it effective-- fun and at the same time you do what you love to do with PASSION & innovation #hchlitss

              

CSlaterMD

MT @AntonJGunn: There is challenge having culturally competent health care workforce. #ACA is helping with that too! #diversity #hchlitss

              

AntonJGunn

We have to embrace technology to get higher quality outcomes in health care. #HIT #hchlitss

              

drkdhoffman

RT @rv_rikard: RT @AntonJGunn: Ha! I include Hip Hop on everything I do. <== You ROCK!!!!!! WOOT!!!! #hchlitss

              

drkdhoffman

RT @AntonJGunn: We have to embrace technology to get higher quality outcomes in health care. #HIT #hchlitss

              

giasison

@rv_rikard A6 Health info technology is a tool of the trade in ensuring innovative learning in healthcare along w/ its advocacy #hchlitss

              

CSlaterMD

RT @drkdhoffman: RT @AntonJGunn: We have to embrace technology to get higher quality outcomes in health care. #HIT #hchlitss

              

enBloomMedia

“@AntonJGunn: ...challenge having culturally compet workforce #ACA helping w/ that too! #diversity #hchlitss” So impt. Steep hill 2 climb!

              

AntonJGunn

#HIT can provide a standard framework for all to attain higher health literacy. #hchlitss

              

drkdhoffman

@antonjgunn Embracing technology like telemedicine? #HCHLITSS

              

drkdhoffman

RT @AntonJGunn: #HIT can provide a standard framework for all to attain higher health literacy. #hchlitss

              

giasison

Agree! RT @AntonJGunn: #HIT can provide a standard framework for all to attain higher health literacy. #hchlitss

              

AntonJGunn

PREACH! RT @rv_rikard Health info tech is a tool of the trade in ensuring innovative learning in healthcare along w/ its advocacy #hchlitss

              

rv_rikard

RT @AntonJGunn: #HIT can provide a standard framework for all to attain higher health literacy. <= Can you please explain? #hchlitss

              

ChronicPainGPS

Must overcome the fear of tech 2! MT @AntonJGunn: Have to embrace technology to get higher quality outcomes in health care. #HIT #hchlitss

              

StorkBrian

@AntonJGunn Agree, Physicians would also Embrace Improved EHR interoperability #HCHLITSS

              

AntonJGunn

Explain: telemedicine, EMRs, EHRs, etc they all are great tools to provide more info, better quality and better care. #hchlitss

              

katiejane 25

RT @CSlaterMD: RT @drkdhoffman: RT @AntonJGunn: We have to embrace technology to get higher quality outcomes in health care. #HIT #hchlitss

              

drkdhoffman

RT @StorkBrian: @AntonJGunn Agree, Physicians would also Embrace Improved EHR interoperability #HCHLITSS

              

CSlaterMD

definitely! RT @giasison: Agree! RT @AntonJGunn: #HIT can provide a standard framework for all to attain higher health literacy. #hchlitss

              

giasison

RT @StorkBrian: @AntonJGunn Agree, Physicians would also Embrace Improved EHR interoperability #HCHLITSS

              

rv_rikard

@AntonJGunn <== Thank you! I appreciate it!! A big WOOT WOOT!! #hchlitss

              

drkdhoffman

RT @rv_rikard: @AntonJGunn <== Thank you! I appreciate it!! A big WOOT WOOT!! #hchlitss

              

CSlaterMD

RT @rv_rikard: @AntonJGunn <== Thank you! I appreciate it!! A big WOOT WOOT!! #hchlitss

              

enBloomMedia

Are we ready for the next question? #hchlitss

              

drkdhoffman

Q7) @antonjgunn Can HIT also have an impact on eliminating #healthdisparities? #HCHLITSS

              

giasison

@StorkBrian @AntonJGunn Agree!As what Patti said @ChronicPainGPS there's a need to overcome fear of tech #hchlitss

              

drkdhoffman

@enBloomMedia yes...I just did..#HCHLITSS

              

rv_rikard

RT @drkdhoffman: Q7) @antonjgunn Can HIT also have an impact on eliminating #healthdisparities? #hchlitss

              

jensen_jessica

RT @giasison: @AntonJGunn That makes it effective-- fun and at the same time you do what you love to do with PASSION & innovation #hchlitss

              

EmpowerMochaPt

Absolutely! RT @AntonJGunn: We have to embrace technology to get higher quality outcomes in health care. #HIT #hchlitss

              

rv_rikard

RT @giasison: @StorkBrian @AntonJGunn Agree!As what Patti said @ChronicPainGPS theres a need to overcome fear of tech #hchlitss

              

giasison

RT @drkdhoffman: Q7) @antonjgunn Can HIT also have an impact on eliminating #healthdisparities? #HCHLITSS <-Great question!

              

EmpowerMochaPt

Good evening All! I'm making it in time to join the tail end of the discussion. #hchlitss

              

rv_rikard

@jensen_jessica @EmpowerMochaPt <== Welcome! Thank you for joining in!! #hchlitss

              

AntonJGunn

To the previous question: #HealthIT can help 2 reach people where they R – whether that means by txt on a mobile phone #hchlitss

              

drkdhoffman

Welcome @empowermochapt! good to see you! #HCHLITSS

              

jensen_jessica

@rv_rikard @EmpowerMochaPt Always a pleasure. #hchlitss

              

AntonJGunn

Also, technology can help present information in ways that are more visual/or movie based to convey things better. #hchlitss

              

rv_rikard

MT @EmpowerMochaPt: evening All! Im making it in time to join the tail end of the discussion. <= it's an ongoing conversation! :) #hchlitss

              

giasison

RT @AntonJGunn: Also, technology can help present information in ways that are more visual/or movie based to convey things better. #hchlitss

              

drkdhoffman

@antonjgunn Texting is really important way to reach hispanic population and the youth #HCHLITSS

              

rv_rikard

MT @AntonJGunn: #HealthIT can help 2 reach people where they R – whether that means by txt on a mobile phone #hchlitss

              

rv_rikard

RT @AntonJGunn: Also, technology can help present information in ways that are more visual/or movie based to convey things better. #hchlitss

              

giasison

@AntonJGunn Well said--> delivery of message is better & adapted more to the audience #HCHLITSS

              

AntonJGunn

HHS is making huge investments in to reducing #healthdisparities using #HIT. #hchlitss

              

enBloomMedia

MT "@AntonJGunn: #HealthIT can help 2 reach ppl where they R – whether...by txt on mobile phone #hchlitss” Improving #access2care is key

              

drkdhoffman

Welcome @jensen_jessica #HCHLITSS

              

ChronicPainGPS

RT @drkdhoffman: Q7) @AntonJGunn Can HIT also have an impact on eliminating #healthdisparities? #hchlitss

              

rv_rikard

@AntonJGunn Q8) What are some of the ways that HHS is harnessing HIT to accomplish the objectives of the #ACA? #hchlitss

              

drkdhoffman

RT @AntonJGunn: Also, technology can help present information in ways that are more visual/or movie based to convey things better. #hchlitss

              

CSlaterMD

yes, need more secure text RT @drkdhoffman: @antonjgunn Texting is really important way to reach hispanic population and the youth #hchlitss

              

drkdhoffman

RT @giasison: @AntonJGunn Well said--> delivery of message is better & adapted more to the audience #HCHLITSS

              

drkdhoffman

RT @rv_rikard: @AntonJGunn Q8) What are some of the ways that HHS is harnessing HIT to accomplish the objectives of the #ACA? #hchlitss

              

AntonJGunn

HHS launched an app challenge titled “Reducing Cancer Among Women of Color” last August. #hchlitss

              

enBloomMedia

“@AntonJGunn: HHS is making huge investments in to reducing #healthdisparities using #HIT. #hchlitss” Awesome, real value 4 patients

              

drkdhoffman

RT @enBloomMedia: MT "@AntonJGunn: #HealthIT can help 2 reach ppl where they R – whether...by txt on mobile phone #hchlitss” Improving #ac…

              

drkdhoffman

RT @AntonJGunn: HHS is making huge investments in to reducing #healthdisparities using #HIT. #hchlitss

              

CSlaterMD

RT @drkdhoffman: RT @giasison: @AntonJGunn Well said--> delivery of message is better & adapted more to the audience #hchlitss

              

EmpowerMochaPt

Pew research has published articles on how consumers are using smartphones to get health information. We need to expand #mhealth #hchlitss

              

giasison

RT @AntonJGunn: HHS launched an app challenge titled “Reducing Cancer Among Women of Color” last August. #hchlitss

              

StorkBrian

@AntonJGunn Could you give us some specific examples of HHS work in this area after the chat? #HCHLITSS

              

drkdhoffman

RT @AntonJGunn: HHS launched an app challenge titled “Reducing Cancer Among Women of Color” last August. #hchlitss

              

drkdhoffman

RT @StorkBrian: @AntonJGunn Could you give us some specific examples of HHS work in this area after the chat? #HCHLITSS

              

AntonJGunn

The winning app will provide users w/ info on screening & preventive servcs in diff languages & in culturally appropriate contexts #hchlitss

              

drkdhoffman

RT @enBloomMedia: “@AntonJGunn: HHS is making huge investments in to reducing #healthdisparities using #HIT. #hchlitss” Awesome, real value…

              

enBloomMedia

RT @AntonJGunn: HHS launched an app challenge titled “Reducing Cancer Among Women of Color” last August. #hchlitss

              

DarlineBedrest

Good evening, sorry I'm late #Hchlitss

              

drkdhoffman

Welcome @darlinebedrest...you are never late #HCHLITSS

              

giasison

@AntonJGunn Great start to bridge the disparity challenge in healthcare #hchlitss

              

drkdhoffman

RT @giasison: @AntonJGunn Great start to bridge the disparity challenge in healthcare #hchlitss

              

DarlineBedrest

@drkdhoffman thx. I'll try to catch myself up!! #Hchlitss

              

AntonJGunn

#ACA is helping us move faster toward a 21st cent healthcare systm that delivers smarter, more quality, lower-cost care. #hchlitss

              

enBloomMedia

@AntonJGunn Yes this begins to address #healthdisparities and #digitaldivide #hchlitss

              

drkdhoffman

Q9) @antonjgunn Which of your own   Leadership Essentials have you used the most in the past year? #HCHLITSS

              

drkdhoffman

RT @enBloomMedia: @AntonJGunn Yes this begins to address #healthdisparities and #digitaldivide #hchlitss

              

AntonJGunn

The #ACA means insurance reform, and #HealthIT means delivery reform. #hchlitss

              

drkdhoffman

RT @AntonJGunn: The #ACA means insurance reform, and #HealthIT means delivery reform. #hchlitss

              

AntonJGunn

Delivery transformation means changing the way we deliver care to drive down costs and improve outcomes. #hchlitss

              

rv_rikard

@DarlineBedrest <== Evening Darline!! ;) #hchlitss

              

rv_rikard

RT @AntonJGunn: The #ACA means insurance reform, and #HealthIT means delivery reform. #hchlitss

              

EmpowerMochaPt

MT@AntonJGunn: #ACA is helping move faster 2ward a 21st cent healthcare systm that delivers smarter, more quality, lower cost care #hchlitss

              

giasison

RT @drkdhoffman: Q9) @antonjgunn Which of your own   Leadership Essentials have you used the most in the past year? #HCHLITSS

              

DarlineBedrest

RT @AntonJGunn: #ACA is helping us move 2 a 21st cent healthcare systm that delivers smarter, more quality, lower-cost care. #Hchlitss

              

AntonJGunn

We know we can lower costs by improving care coordination—because we’ve seen this in leading health systems across the USA. #hchlitss

              

rv_rikard

RT @StorkBrian: @AntonJGunn Could you give us some specific examples of HHS work in this area after the chat?#HCHLITSS #hchlitss

              

giasison

! RT @AntonJGunn: Delivery transformation means changing the way we deliver care to drive down costs and improve outcomes. #hchlitss

              

enBloomMedia

“@AntonJGunn: Delivery transformation means changing the way we deliver care to drive down costs and improve outcomes. #hchlitss” That's it!

              

CSlaterMD

RT @drkdhoffman: Q9) @antonjgunn Which of your own   Leadership Essentials have you used the most in the past year?<<<--- gr8 Qx #hchlitss

              

DarlineBedrest

@rv_rikard hey friend. How RU? #Hchlitss

              

rv_rikard

RT @drkdhoffman: Q9) @antonjgunn Which of your own   Leadership Essentials have you used the most in the past year? #hchlitss

              

AntonJGunn

Did yall know that Basic electronic health record usage has doubled since 20 ? #hchlitss

              

drkdhoffman

RT @AntonJGunn: Did yall know that Basic electronic health record usage has doubled since 20 ? #hchlitss

              

rv_rikard

@DarlineBedrest -- I am well! Tomorrow is my #graduation :-) How are you friend? ;) #hchlitss

              

AntonJGunn

Ok, to you last question.... #hchlitss

              

rv_rikard

RT @AntonJGunn: Did yall know that Basic electronic health record usage has doubled since 20 ? #hchlitss

              

CSlaterMD

? ACO? MT @AntonJGunn: we can lower costs by improving care coordination—b/c we’ve seen this in leading health systems across USA. #hchlitss

              

StorkBrian

@AntonJGunn MT '#HealthIT means delivery reform' Hadn't thought of it that way before... I like it #hchlitss

              

rv_rikard

RT @AntonJGunn: Did yall know that Basic electronic health record usage has doubled since 20 ? <= Anton, you used yall! YOU ROCK! #hchlitss

              

DarlineBedrest

RT @enBloomMedia @AntonJGunn: Delivery transformation means changing the way we deliver care 2drive down costs & improve outcomes. #Hchlitss

              

CSlaterMD

Congrats!!! RT @rv_rikard: @DarlineBedrest -- I am well! Tomorrow is my #graduation :-) How are you friend? ;) #hchlitss

              

rv_rikard

@CSlaterMD -- Thank you! :) #hchlitss

              

DarlineBedrest

@rv_rikard CONGRATULATIONS!!!!! Take pictures #Hchlitss

              

drkdhoffman

RT @CSlaterMD: Congrats!!! RT @rv_rikard: @DarlineBedrest -- I am well! Tomorrow is my #graduation :-) How are you friend? ;) #hchlitss

              

AntonJGunn

I use all of my @ Essentials equally every day. It's a way of life for me, so it's hard to just claim one. #hchlitss

              

enBloomMedia

“@StorkBrian: @AntonJGunn MT '#HealthIT means delivery reform' Hadn't thought of it that way before... I like it #hchlitss” #access2care

              

rv_rikard

@DarlineBedrest <== Thank you! :) I'm sure there will be pictures a plenty... #hchlitss

              

rv_rikard

RT @AntonJGunn: I use all of my @ Essentials equally every day. Its a way of life for me, so its hard to just claim one. #hchlitss

              

giasison

RT @AntonJGunn: I use all of my @ Essentials equally every day. It's a way of life for me, so it's hard to just claim one. #hchlitss

              

AntonJGunn

BUT, if I had to choose...it would be Essential number 4: Learn to Listen. #hchlitss

              

drkdhoffman

@antonjgunn Love the word "y'all" haven't heard that in a while--living in Boston #HCHLITSS

              

CSlaterMD

MT @DarlineBedrest @enBloomMedia @AntonJGunn Delivery transformation: changing delivery of care 2drive down costs/improve outcomes #hchlitss

              

rv_rikard

MT @AntonJGunn: Its a way of life for me, so its hard to just claim one. <== which on do you like the most? #hchlitss

              

drkdhoffman

RT @AntonJGunn: I use all of my @ Essentials equally every day. It's a way of life for me, so it's hard to just claim one. #hchlitss

              

rv_rikard

RT @AntonJGunn: BUT, if I had to choose...it would be Essential number 4: Learn to Listen. <= YES!! WOOT! WOOT!! #hchlitss

              

drkdhoffman

RT @StorkBrian: @AntonJGunn MT '#HealthIT means delivery reform' Hadn't thought of it that way before... I like it #hchlitss

              

giasison

@AntonJGunn You're truly commendable Anton! Thought leader and indeed humble! More power! #hchlitss

              

DarlineBedrest

@drkdhoffman I'm headed ur way!! ETA 6/ !! #Hchlitss

              

giasison

RT @AntonJGunn: BUT, if I had to choose...it would be Essential number 4: Learn to Listen. #hchlitss

              

CSlaterMD

MT @rv_rikard @AntonJGunn: I use all of @ Essentials equally every day. Its a way of life for me, so its hard to just claim one. #hchlitss

              

drkdhoffman

RT @rv_rikard: RT @AntonJGunn: BUT, if I had to choose...it would be Essential number 4: Learn to Listen. <= YES!! WOOT! WOOT!! #hchlitss

              

rv_rikard

RT @giasison: @AntonJGunn Youre truly commendable Anton! Thought leader and indeed humble! More power! <== I 2nd that! #hchlitss

    :         

drkdhoffman

RT @giasison: @AntonJGunn You're truly commendable Anton! Thought leader and indeed humble! More power! #hchlitss

              

enBloomMedia

@AntonJGunn @ essentials Understandable, we hear your Commitment, see your authenticy, & ur presence here proves you'll listen #hchlitss

              

drkdhoffman

@antonjgunn Would you like to share any final thoughts? #HCHLITSS

              

rv_rikard

RT @drkdhoffman: @antonjgunn Would you like to share any final thoughts? #hchlitss

              

giasison

@enBloomMedia @AntonJGunn @ Essentials Agree Alisa! #hchlitss

              

CSlaterMD

RT @drkdhoffman: @antonjgunn Would you like to share any final thoughts? #hchlitss

              

drkdhoffman

@DarlineBedrest wow! wonderful! #HCHLITSS

              

AntonJGunn

I have lots of final thoughts...First, this is a great way to dialogue about #healthcare issues #hchlitss

              

drkdhoffman

RT @AntonJGunn: I have lots of final thoughts...First, this is a great way to dialogue about #healthcare issues #hchlitss

              

rv_rikard

RT @AntonJGunn: I have lots of final thoughts...First, this is a great way to dialogue about #healthcare issues <= YEP! #hchlitss

              

enBloomMedia

“@AntonJGunn: I have lots of final thoughts...First, this is a great way to dialogue about #healthcare issues #hchlitss” We Agree ; )

              

CSlaterMD

nice! RT @AntonJGunn: I have lots of final thoughts...First, this is a great way to dialogue about #healthcare issues #hchlitss

              

AntonJGunn

Second, the power 2 improve our health care systems is at our finger tips. Engage. Include. Respect & Empower patients & consumers #hchlitss

              

DrTerstriep

RT @drkdhoffman: Stakeholders need to reach out to patients in the process of health care delivery.<==exactly #HCHLITSS

              

rv_rikard

MT @AntonJGunn: this is a great way to dialogue about #healthcare issues <=Would President Obama be interested in being our guest? #hchlitss

              

drkdhoffman

@antonjgunn We agree with you! We've been doing this for a year and a half...#HCHLITSS

              

giasison

RT @AntonJGunn: I have lots of final thoughts...First, this is a great way to dialogue about #healthcare issues #hchlitss <--AMEN!

              

drkdhoffman

RT @giasison: RT @AntonJGunn: I have lots of final thoughts...First, this is a great way to dialogue about #healthcare issues #hchlitss <--…

              

rv_rikard

RT @drkdhoffman: @antonjgunn We agree with you! Weve been doing this for a year and a half...#HCHLITSS #hchlitss

              

AntonJGunn

Third, please visit http://t.co/Rzbm1JeWHO, learn about the marketplaces coming in October. Help someone get covered. #hchlitss

              

enBloomMedia

@AntonJGunn Thanks once again! You are tuly taking "explosive action" towards transformation #hchlitss

              

DarlineBedrest

RT @AntonJGunn: 2nd the power 2 improve our healthcare sys is @ our finger tips. Engage Include Respect & Empower pts & consumers #Hchlitss

              

drkdhoffman

@antonjgunn Thank you so much for being our guest! We are so honored to have chatted with you! #HCHLITSS

              

drkdhoffman

RT @enBloomMedia: @AntonJGunn Thanks once again! You are tuly taking "explosive action" towards transformation #hchlitss

              

AntonJGunn

@enBloomMedia Indeed. That's what we do at HHS. Take action, improve health outcomes and help America achieve better health. #hchlitss

              

enBloomMedia

Thanks so much for all who participated in tonight's chat. You make it great! Sorry 4 my tech difficulties tonight ; ( #hchlitss

              

rv_rikard

RT @drkdhoffman: @antonjgunn Thank you so much for being our guest! We are so honored to have chatted with you! #hchlitss

              

drkdhoffman

Thank you to all our participants...without you we wouldn't be here! #HCHLITSS

              

CSlaterMD

so honored! TY!! RT @drkdhoffman: @antonjgunn Thank you so much for being our guest! We are so honored to have chatted with you! #hchlitss

              

giasison

RT @rv_rikard: RT @drkdhoffman: @antonjgunn Thank you so much for being our guest! We are so honored to have chatted with you! #hchlitss

              

enBloomMedia

RT @drkdhoffman: @antonjgunn Thank you so much for being our guest! We are so honored to have chatted with you! #HCHLITSS

    :         

ChronicPainGPS

MT @AntonJGunn: The power 2 improve our healthcare system is at our finger tips. Engage. Include. Respect & Empower PT & consumers #hchlitss

              

AntonJGunn

Thank you. Thank you. Thank you. You all are great. @drkdhoffman @enbloomMedia and @rv_rikard #hchlitss

              

rv_rikard

RT @drkdhoffman: Thank you to all our participants...without you we wouldnt be here! <== That is the absolute truth!!! #hchlitss

              

DarlineBedrest

RT @rv_rikard: RT @drkdhoffman: @antonjgunn Thank you so much for being our guest! We are so honored to have chatted with you! #Hchlitss

              

enBloomMedia

RT @AntonJGunn: Thank you. Thank you. Thank you. You all are great. @drkdhoffman @enbloomMedia and @rv_rikard #hchlitss

              

giasison

@rv_rikard @drkdhoffman @AntonJGunn @enBloomMedia Thank you for the honor of joining you in #HCHLITSS chat! You guys rock! Cheers to health!

              

StorkBrian

@AntonJGunn Enjoyed the #HCHLITSS conversation Very nice 2 meet you! @drkdhoffman @rv_rikard Thank you 4 hosting Remember it's #nursesweek

              

EmpowerMochaPt

I'll be producing a webinar on this.MT@AntonJGunn: please visit http://t.co/oe4CfJvRvP, learn abt the marketplaces coming in Oct 1 #hchlitss

              

drkdhoffman

Thank you to my co-hosts @rv_rikard and @enbloommedia You are TERRIFIC! #HCHLITSS

              

drkdhoffman

RT @AntonJGunn: Thank you. Thank you. Thank you. You all are great. @drkdhoffman @enbloomMedia and @rv_rikard #hchlitss

              

CSlaterMD

@rv_rikard @rv_rikard @enBloomMedia TY for hosting an inspiring chat w/distinguished guest. wonderful opportunity to learn #hchlitss

              

AntonJGunn

MT @EmpowerMochaPt: Ill be producing a webinar on this http://t.co/Rzbm1JeWHO, learn abt the marketplaces coming Oct 1 #hchlitss

              

rv_rikard

@AntonJGunn <== You are AWESOME man!! #hchlitss

              

drkdhoffman

RT @rv_rikard: @AntonJGunn <== You are AWESOME man!! #hchlitss

              

enBloomMedia

“@giasison: @rv_rikard @drkdhoffman @AntonJGunn @enBloomMedia TY for honor of joining u in #HCHLITSS chat! Uguys rock! Cheers to health!” U2

              

StorkBrian

@enBloomMedia Thank you for hosting as well #HCHLITSS

              

ChronicPainGPS

Was truly a pleasure Anton! MT @drkdhoffman: @AntonJGunn TYSM for being our guest! We are so to have chatted with you! #HCHLITSS

              

enBloomMedia

RT @rv_rikard: @AntonJGunn <== You are AWESOME man!! #hchlitss

              

AntonJGunn

No just a humble servant of the American people. Yall are awesome! RT @rv_rikard: @AntonJGunn <== You are AWESOME man!! #hchlitss

              

drkdhoffman

@antonjgunn You are terrific! Thank you so much #HCHLITSS

              

rv_rikard

RT @drkdhoffman: Congratulations to @rv_rikard PhD tomorrow!!!!!!!! #hchlitss

              

drkdhoffman

We will be posting a transcript of this chat on http://t.co/O0TA3cwpUb a summary (when I get caught up) on http://t.co/IjNOE67PjN #HCHLITSS

              

AntonJGunn

Now it's time to go get ready for @ScandalABC :-) #hchlitss

              

drkdhoffman

RT @AntonJGunn: Now it's time to go get ready for @ScandalABC :-) #hchlitss

              

ChronicPainGPS

WooHoo!! So happy for you! RT @drkdhoffman: Congratulations to @rv_rikard PhD tomorrow!!!!!!!! #hchlitss

              

enBloomMedia

@StorkBrian Thanks, think of me as fairy in the backgnd trying 2 make some magic for tonight, at least. Back full force next week #hchlitss

              

drkdhoffman

@antonjgunn You deserve some relaxation! :-D #HCHLITSS

              

rv_rikard

Folks, good night and my thanks to each of you! #hchlitss

              

drkdhoffman

Good night and thank you so much #HCHLITSS

              

enBloomMedia

“@rv_rikard: RT @drkdhoffman: Congratulations to @rv_rikard PhD tomorrow!!!!!!!! #hchlitss” from me too!

              

AntonJGunn

Nite. #hchlitss

              

enBloomMedia

“@AntonJGunn: Now it's time to go get ready for @ScandalABC :-) #hchlitss” <=You know it!

              

rv_rikard

@ChronicPainGPS <== Thank you! #PhD #Sociology # yearslater #healthlit #healthdisparities #NCState #Thankgoodness WOOOOOOOOTTT!! #hchlitss

              

DarlineBedrest

@rv_rikard if/when I get back to NC, we'll have to "throw a couple back" in your honor!! #Hchlitss

              

ncrainbowgrrl

@rv_rikard congrats! Just saw the end of the #HCHLITSS chat, and saw the Ph.D news! Awesome! :)

              

rv_rikard

@DarlineBedrest <== YEAH!!!!! ;-) I look forward to that! Maybe it's time I head out your way! #hchlitss

rv_rikard

@ncrainbowgrrl <== Thank you! :-) #hchlitss

DarlineBedrest

@rv_rikard U'll have 2 head 2 Boston. Headed there 6/7. Will B there all summer w/intent 2 make it permanent. Roll on up!! #Hchlitss

Transcript supplied by The Healthcare Hashtag Project.