8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 1/33

#JACR transcript

Healthcare Social Media Transcript

From: Thu Aug 28 9:00:00 PDT 2014

To: Fri Aug 29 10:30:00 PDT 2014

change time period

What is #JACR? Who were the influencers during this time period? #JACR analytics

Healthcare Conference - Healthcare Tweet Chats - Healthcare Analytics

jacrjournal Welcome to the monthly #JACR tweet chat. Big thanks to guest tweeter James V.Rawson, MD (@Jim_Rawson_MD)

Thu Aug 28 9:00:12 PDT 2014

ruthcarlosmd Welcome to #JACR tweet chat. Our guest mod today is @Jim_Rawson_MD. Topic"Leading in Uncertain Times." Very timely in #healthcare.

Thu Aug 28 9:00:26 PDT 2014

ruthcarlosmd Hi everybody...I see folks so excited about this topic showing up EARLY! Lots offamilliar faces and some new ones.i c u @ThorwarthMD #jacr

Thu Aug 28 9:01:10 PDT 2014

gru_rad RT @JACRJournal: Welcome to the monthly #JACR tweet chat. Big thanks to guesttweeter James V. Rawson, MD (@Jim_Rawson_MD)

Thu Aug 28 9:01:25 PDT 2014

radsdoc82 @LLALO You better put that coffee down! Gonna need both hands #jacr

Thu Aug 28 9:01:26 PDT 2014

radiologyacr RT @ruthcarlosmd: Welcome to #JACR tweet chat. Our guest mod today is@Jim_Rawson_MD. Topic "Leading in Uncertain Times." Very timely in …

Thu Aug 28 9:01:28 PDT 2014

gru_rad RT @ruthcarlosmd: Welcome to #JACR tweet chat. Our guest mod today is@Jim_Rawson_MD. Topic "Leading in Uncertain Times." Very timely in …

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 2/33

Thu Aug 28 9:01:30 PDT 2014

ruthcarlosmd A few ground rules. We assume that your tweets are your own. #jacr

Thu Aug 28 9:01:37 PDT 2014

jacrjournal A quick note for participants: JACR will be archiving these tweets online at a laterdate. #JACR

Thu Aug 28 9:01:45 PDT 2014

ruthcarlosmd Please introduce yourselves. We're friendly around these parts. #jacr

Thu Aug 28 9:02:04 PDT 2014

pfanderson RT @ruthcarlosmd: Welcome to #JACR tweet chat. Our guest mod today is@Jim_Rawson_MD. Topic "Leading in Uncertain Times." Very timely in …

Thu Aug 28 9:02:11 PDT 2014

pfanderson RT @ruthcarlosmd: #JACR tweet chat on Leading in Uncertain Times starting in 5minutes. @Jim_Rawson_MD guest mod. http://t.co/38aDKROK3E. …

Thu Aug 28 9:02:19 PDT 2014

ucradsafety Hello #JACR community- Rebecca Smith-Bindman and research team at UCSF willbe participating. Looking forward to the discussion!

Thu Aug 28 9:02:26 PDT 2014

ruthcarlosmd Please use T1, T2 etc so we can follow ll the conversations and your thoughts. #jacr

Thu Aug 28 9:02:30 PDT 2014

llalo @Radsdoc82 #jacr Multitasking is a core competency

Thu Aug 28 9:02:35 PDT 2014

radhelper #jacr great topic. i'm safwan halabi from henry ford hospital radiology dept.

Thu Aug 28 9:02:52 PDT 2014

aj_zurn RT @grebeccahaines: Wish u could b here 4 real, but u can join us virtually on@JAC RJournal tchat starting in 5 #JACR http://t.co/qqKj6QQQ…

Thu Aug 28 9:03:02 PDT 2014

nxtstop1 @JACRJournal If you register with @symplur @healthhashtags they will haveTranscript & Analytics immediately upon conclusion of chat #jacr

Thu Aug 28 9:03:22 PDT 2014

healthcommsteph Good looking bunch! :) @grebeccahaines @JACRJournal #JACR

Thu Aug 28 9:03:41 PDT 2014

jim_rawson_md Radiology Chair at @GRU_RAD Happy to be at #jacr chat. Tweeting from Augusta,GA

Thu Aug 28 9:03:49 PDT 2014

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 3/33

radsdoc82 Jonathan Flug from the University of Colorado. Looking forward to some greatinsight! #jacr

Thu Aug 28 9:03:54 PDT 2014

nxtstop1 Hi all, Bernadette Keefe, MD joining from Chapel Hill NC ~ delighted to be with eachof you~ #jacr

Thu Aug 28 9:04:03 PDT 2014

nulall @ruthcarlosmd Neil Lall from University of Colorado here for the #JACR tweetchat

Thu Aug 28 9:04:06 PDT 2014

pfanderson Patricia Anderson here for #jacr on healthcare leadership in uncertain times, fromUniversity of Michigan > FYI #hcldr #hcsm

Thu Aug 28 9:04:16 PDT 2014

matthawkinsmd @radhelper - hey Saf #jacr

Thu Aug 28 9:04:19 PDT 2014

ruthcarlosmd Hi to @LLALO--i have my coffee too. @UCRadSafety @nxtstop1 @radhelper,@Radsdoc82, welcome. #jacr

Thu Aug 28 9:04:24 PDT 2014

ruthcarlosmd let's get started with our fearless guest mo @Jim_Rawson_MD #jacr

Thu Aug 28 9:04:54 PDT 2014

matthawkinsmd #jacr -- Matt Hawkins from @EmoryUniversity joining

Thu Aug 28 9:05:24 PDT 2014

llalo #jacr Larry Liebscher. general radiologist in Waterloo, IA

Thu Aug 28 9:05:24 PDT 2014

ruthcarlosmd T: What aspects of health care are uncertain today? Spark some discussion! #jacr

Thu Aug 28 9:05:26 PDT 2014

nxtstop1 @ruthcarlosmd Thanks Ruth, and Thanks for all your efforts regarding social mediaand Radiology ~ #jacr

Thu Aug 28 9:05:28 PDT 2014

rogerengmd Roger Eng @ Chinese Hospital in beautiful San Francisco. #jacr

Thu Aug 28 9:05:44 PDT 2014

grebeccahaines #JACR Becky @grebeccahaines from ACR HQ

Thu Aug 28 9:05:50 PDT 2014

pfanderson @ruthcarlosmd @LLALO @UCRadSafety @nxtstop1 @radhelper @Radsdoc82Just uncorked my thermos! Coffee seems to be the beverage of the day #jacr

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 4/33

Thu Aug 28 9:06:06 PDT 2014

ruthcarlosmd hi there @NULall, @MattHawkinsMD, @grebeccahaines #jacr

Thu Aug 28 9:06:10 PDT 2014

nextithealth Curious about radiology and health care delivery? Follow #JACR tweet chatsubmitted by @RadiologyACR and follow along.

Thu Aug 28 9:06:54 PDT 2014

radhelper #JACR radiologists uncertain about reimbursement causing them to put volumeover research and education

Thu Aug 28 9:06:57 PDT 2014

pwiegmann12 Joining in on my first #JACR tweetchat also.

Thu Aug 28 9:06:58 PDT 2014

pfanderson RT @ruthcarlosmd: T: What aspects of health care are uncertain today? Sparksome discussion! #jacr

Thu Aug 28 9:07:00 PDT 2014

jacrjournal RT @NextITHealth: Curious about radiology and health care delivery? Follow #JACRtweet chat submitted by @RadiologyACR and follow along.

Thu Aug 28 9:07:24 PDT 2014

amykotsenas Amy Kotsenas joining from mayo Clinic, Rochester, MN #jacr

Thu Aug 28 9:07:27 PDT 2014

ruthcarlosmd T1: What isn't uncertain about #healthcare these days? ACA implementation, workforce issues, cost-sharing. #jacr

Thu Aug 28 9:07:33 PDT 2014

llalo #jacr T1 The long term group structure. Will we remain large groups servingmultiple health systems? Break up and become employed?

Thu Aug 28 9:07:34 PDT 2014

jacrjournal RT @ruthcarlosmd: T: What aspects of health care are uncertain today? Sparksome discussion! #jacr

Thu Aug 28 9:07:47 PDT 2014

healthcommsteph @ruthcarlosmd Stephanie from ACR PR way up North in Mass. #JACR

Thu Aug 28 9:07:48 PDT 2014

pfanderson @ruthcarlosmd Everything! Rapidly changing methodologies, techniques, tools fordiagnosis, patient communication, education ... #jacr

Thu Aug 28 9:07:48 PDT 2014

nxtstop1 T1 Key uncertainties in Radiology IMO: Role of the radiologist,reimbursement

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 5/33

mechanisms, how to handle classic "turf" issues ~ #jacr

Thu Aug 28 9:07:48 PDT 2014

radsdoc82 T1: As a new faculty in an academic dept, i am highly uncertain about the role andfunding of academic medicine #jacr

Thu Aug 28 9:07:53 PDT 2014

pfanderson RT @radhelper: #JACR radiologists uncertain about reimbursement causing themto put volume over research and education

Thu Aug 28 9:08:06 PDT 2014

ruthcarlosmd @LLALO Interesting trend of hospital buyout of practices only to spin them off againwhen overhead too expensive. #jacr

Thu Aug 28 9:08:10 PDT 2014

zaidirad Hi, Syed Zaidi from Ohio #JACR

Thu Aug 28 9:08:12 PDT 2014

matthawkinsmd #jacr - How do we survive the transition from # volume to #value? B/c right nowvolume pays the bills.

Thu Aug 28 9:08:23 PDT 2014

jacrjournal RT @ruthcarlosmd: T1: What isn't uncertain about #healthcare these days? ACAimplementation, work force issues, cost-sharing. #jacr

Thu Aug 28 9:08:30 PDT 2014

radiologyacr RT @ruthcarlosmd: T: What aspects of health care are uncertain today? Sparksome discussion! #jacr

Thu Aug 28 9:08:39 PDT 2014

jim_rawson_md Much change in #healthcare-new technology, new business models, newpartnerships. Uncertainty & opportunity to improve #jacr

Thu Aug 28 9:08:44 PDT 2014

radsdoc82 T1: what isnt uncertain? The role of mid level providers will continue to grow. needto figure out how to divide work appropriately #jacr

Thu Aug 28 9:08:52 PDT 2014

ruthcarlosmd @radhelper Also, influences who enters radiology from medical school. chillingeffect on service provision in 10 years. #jacr

Thu Aug 28 9:09:07 PDT 2014

farleydc1 Interesting discussion so far. #JACR

Thu Aug 28 9:09:21 PDT 2014

zaidirad #JACR trend of hospital consolidations and system contracts leading to privatepractice groups consolidating or being pushed out

Thu Aug 28 9:09:55 PDT 2014

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 6/33

nxtstop1 @Jim_Rawson_MD T1 I like looking at the challenges facing Radiologists as anopportunity to rethink,reinvent,get creative ~ #jacr

Thu Aug 28 9:09:56 PDT 2014

llalo @ruthcarlosmd #jacr T1 Haven't seen much in radiology yet. Will become biggerissues as integrated care really takes hold.

Thu Aug 28 9:10:08 PDT 2014

radhelper #JACR interesting that private and academic docs feel equally at risk for differentreasons

Thu Aug 28 9:10:10 PDT 2014

jacrjournal RT @Jim_Rawson_MD: Much change in #healthcare-new technology, newbusiness models, new partnerships. Uncertainty & opportunity to improve …

Thu Aug 28 9:10:12 PDT 2014

ucradsafety Speaking of leading in uncertain times, I see a real opportunity for radiologists tohelp guide the quality of clinical care. #JACR

Thu Aug 28 9:10:19 PDT 2014

ruthcarlosmd @pfanderson Technology as a democratizer for information access, tho still needcuration for reliability of info. #jacr

Thu Aug 28 9:10:48 PDT 2014

pfanderson RT @Jim_Rawson_MD: Much change in #healthcare-new technology, newbusiness models, new partnerships. Uncertainty & opportunity to improve …

Thu Aug 28 9:10:57 PDT 2014

jim_rawson_md Great twist on T1 What isn't uncertain in changing landscape of #healthcare@Radsdoc82 #jacr

Thu Aug 28 9:11:00 PDT 2014

pfanderson RT @MattHawkinsMD: #jacr - How do we survive the transition from # volume to#value? B/c right now volume pays the bills.

Thu Aug 28 9:11:02 PDT 2014

radhelper @ruthcarlosmd #jacr really worried about next gen of radiologists. there is so muchbad morale through healthcare and especially radiology

Thu Aug 28 9:11:07 PDT 2014

pfanderson RT @ruthcarlosmd: @radhelper Also, influences who enters radiology from medicalschool. chilling effect on service provision in 10 years. …

Thu Aug 28 9:11:10 PDT 2014

pfanderson RT @zaidirad: #JACR trend of hospital consolidations and system contracts leadingto private practice groups consolidating or being pushed …

Thu Aug 28 9:11:19 PDT 2014

@ruthcarlosmd T1 Uncertain economic effects of healthcare reform on the job

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 7/33

nulall market very scary for trainees #jacr

Thu Aug 28 9:12:05 PDT 2014

radhelper @UCRadSafety #jacr quality incentives not keeping up with reality of people intrenches of health care delivery

Thu Aug 28 9:12:07 PDT 2014

nulall RT @radhelper: @ruthcarlosmd #jacr really worried about next gen of radiologists.there is so much bad morale through healthcare and espec…

Thu Aug 28 9:12:10 PDT 2014

jim_rawson_md Agree MT@UCRadSafety: Speaking of leading in uncertain times,real opportunity forradiologists to help guide quality of clinical care. #JACR

Thu Aug 28 9:12:12 PDT 2014

zaidirad @MattHawkinsMD Survive by documenting value to get buyin from health systemsand insurers. #imaging3 #JACR

Thu Aug 28 9:12:15 PDT 2014

llalo @radhelper #jacr T1 I'm very concerned about funding source for GRE and researchunder VBP. Got a taste of it in the late 1990's.

Thu Aug 28 9:12:19 PDT 2014

jim_rawson_md RT @nxtstop1: @Jim_Rawson_MD T1 I like looking at the challenges facingRadiologists as an opportunity to rethink,reinvent,get creative ~ …

Thu Aug 28 9:12:27 PDT 2014

pfanderson @ruthcarlosmd @radhelper Dentistry has been going through similar chilling effect,partial solution was more collaboration/integration #jacr

Thu Aug 28 9:12:33 PDT 2014

jacrjournal RT @radhelper: @ruthcarlosmd #jacr really worried about next gen of radiologists.there is so much bad morale through healthcare and espec…

Thu Aug 28 9:12:39 PDT 2014

radsdoc82 @radhelper @ruthcarlosmd Were fine ! Kidding aside, we need to start focusing onthe positives in our field when dealing w/students #jacr

Thu Aug 28 9:12:43 PDT 2014

pfanderson RT @radhelper: #JACR interesting that private and academic docs feel equally atrisk for different reasons

Thu Aug 28 9:12:44 PDT 2014

radiologyboy1 RT @grebeccahaines: Wish u could b here 4 real, but u can join us virtually on@JAC RJournal tchat starting in 5 #JACR http://t.co/qqKj6QQQ…

Thu Aug 28 9:12:48 PDT 2014

mri_doc Only one way to do quality right - do it yourself #jacr

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 8/33

Thu Aug 28 9:13:15 PDT 2014

pfanderson RT @ruthcarlosmd: @pfanderson Technology as a democratizer for informationaccess, tho still need curation for reliability of info. #jacr

Thu Aug 28 9:13:16 PDT 2014

drgmcginty RT @MattHawkinsMD: #jacr - How do we survive the transition from # volume to#value? B/c right now volume pays the bills.

Thu Aug 28 9:13:23 PDT 2014

lsaldanamd RT @MattHawkinsMD: #jacr - How do we survive the transition from # volume to#value? B/c right now volume pays the bills.

Thu Aug 28 9:13:55 PDT 2014

jacrjournal RT @Radsdoc82: @radhelper @ruthcarlosmd Were fine ! Kidding aside, we needto start focusing on the positives in our field when dealing w/…

Thu Aug 28 9:13:57 PDT 2014

pfanderson @ruthcarlosmd Curation, and more detailed provenance of ideas & data would alsohelp w/ assessing info quality #jacr

Thu Aug 28 9:13:58 PDT 2014

radsdoc82 @LLALO @radhelper What changed after the late 1990's that tempered this issue?#JACR

Thu Aug 28 9:14:05 PDT 2014

pfanderson RT @Jim_Rawson_MD: Great twist on T1 What isn't uncertain in changinglandscape of #healthcare @Radsdoc82 #jacr

Thu Aug 28 9:14:16 PDT 2014

farleydc1 RT @zaidirad: @MattHawkinsMD Survive by documenting value to get buyin fromhealth systems and insurers. #imaging3 #JACR

Thu Aug 28 9:14:21 PDT 2014

thorwarthmd @Jim_Rawson_MD @Radsdoc82 Recommend "Great by Choice" new Jim Collinsbook the current challenges will continue, no "new normal" #jacr

Thu Aug 28 9:14:21 PDT 2014

jim_rawson_md Agree @Radsdoc82: @radhelper @ruthcarlosmd We need to start focusing onpositives in our field when dealing w/students #jacr

Thu Aug 28 9:14:23 PDT 2014

radsdoc82 RT @Jim_Rawson_MD: Agree MT@UCRadSafety: Speaking of leading in uncertaintimes,real opportunity for radiologists to help guide quality of …

Thu Aug 28 9:14:36 PDT 2014

drgmcginty RT @Radsdoc82: @radhelper @ruthcarlosmd Were fine ! Kidding aside, we needto start focusing on the positives in our field when dealing w/…

Thu Aug 28 9:14:40 PDT 2014

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 9/33

pfanderson @Jim_Rawson_MD @Radsdoc82 Exactly! T1 on what's changing > what's NOTchanging? Great synopsis! #jacr

Thu Aug 28 9:14:48 PDT 2014

pfanderson RT @Radsdoc82: T1: what isnt uncertain? The role of mid level providers willcontinue to grow. need to figure out how to divide work appro…

Thu Aug 28 9:14:54 PDT 2014

jim_rawson_md RT @ThorwarthMD: @Jim_Rawson_MD @Radsdoc82 Recommend "Great byChoice" new Jim Collins book the current challenges will continue, no "new …

Thu Aug 28 9:15:01 PDT 2014

grebeccahaines RT @Radsdoc82: @radhelper @ruthcarlosmd Were fine ! Kidding aside, we needto start focusing on the positives in our field when dealing w/…

Thu Aug 28 9:15:05 PDT 2014

pfanderson RT @radhelper: @ruthcarlosmd #jacr really worried about next gen of radiologists.there is so much bad morale through healthcare and espec…

Thu Aug 28 9:15:07 PDT 2014

jacrjournal RT @ThorwarthMD: @Jim_Rawson_MD @Radsdoc82 Recommend "Great byChoice" new Jim Collins book the current challenges will continue, no "new …

Thu Aug 28 9:15:10 PDT 2014

farleydc1 RT @ThorwarthMD: @Jim_Rawson_MD @Radsdoc82 Recommend "Great byChoice" new Jim Collins book the current challenges will continue, no "new …

Thu Aug 28 9:15:15 PDT 2014

radhelper @mri_Doc #jacr T1 you can do quality yourself but you needcollaboration/numbers/data to prove that you are actually a quality provider.

Thu Aug 28 9:15:31 PDT 2014

georgiaregents One thing we do: Have awesome professors working the Twitterverse. Like@Jim_Rawson_MD moderating today's #JACR.

Thu Aug 28 9:15:35 PDT 2014

ruthcarlosmd @pfanderson Need reliability metric. likes/shares/thumbs up all affirmative. need athumbs down button? who's in charge of curation? #jacr

Thu Aug 28 9:15:36 PDT 2014

zaidirad @LLALO @ruthcarlosmd #JACR Predict regional consolidation with state widelarge groups serving multiple systems. Will happen in Ohio.

Thu Aug 28 9:15:48 PDT 2014

pfanderson @radhelper @ruthcarlosmd Reimbursement always a motivator, but alsoindependence, role for personal control of professional work #jacr

Thu Aug 28 9:15:49 PDT 2014

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 10/33

drgmcginty @Jim_Rawson_MD @Radsdoc82 @radhelper @ruthcarlosmd yes, so glad I'ma#radiologist #lovemyjob #jacr

Thu Aug 28 9:15:50 PDT 2014

tirathpatelmd RT @zaidirad: @LLALO @ruthcarlosmd #JACR Predict regional consolidation withstate wide large groups serving multiple systems. Will happen…

Thu Aug 28 9:15:55 PDT 2014

drgmcginty RT @GeorgiaRegents: One thing we do: Have awesome professors working theTwitterverse. Like @Jim_Rawson_MD moderating today's #JACR.

Thu Aug 28 9:15:59 PDT 2014

pfanderson RT @NULall: @ruthcarlosmd T1 Uncertain economic effects of healthcare reformon the job market very scary for trainees #jacr

Thu Aug 28 9:16:19 PDT 2014

jim_rawson_md @ThorwarthMD @Radsdoc82 T1 Powerful thought Bill- I choose to provide great#Radiology to my patients #jacr

Thu Aug 28 9:16:19 PDT 2014

farleydc1 RT @radhelper: @mri_Doc #jacr T1 you can do quality yourself but you needcollaboration/numbers/data to prove that you are actually a quali…

Thu Aug 28 9:16:20 PDT 2014

pfanderson RT @radhelper: @UCRadSafety #jacr quality incentives not keeping up with realityof people in trenches of health care delivery

Thu Aug 28 9:16:22 PDT 2014

laneyme_lane RT @ruthcarlosmd: T: What aspects of health care are uncertain today? Sparksome discussion! #jacr

Thu Aug 28 9:16:35 PDT 2014

drgmcginty RT @zaidirad: @LLALO @ruthcarlosmd #JACR Predict regional consolidation withstate wide large groups serving multiple systems. Will happen…

Thu Aug 28 9:16:44 PDT 2014

llalo @Radsdoc82 @radhelper #jacr Managed care threatened funding. No one wantedto pay for GRE and research. Abated with loosening of MC.

Thu Aug 28 9:16:47 PDT 2014

farleydc1 RT @Jim_Rawson_MD: @ThorwarthMD @Radsdoc82 T1 Powerful thought Bill- Ichoose to provide great #Radiology to my patients #jacr

Thu Aug 28 9:16:54 PDT 2014

tirathpatelmd @zaidirad @LLALO @ruthcarlosmd Just a reflection of the overall health caremarket. I surmise There'll eventually be an oligopoly. #JACR

Thu Aug 28 9:16:59 PDT 2014

ruthcarlosmd @zaidirad @LLALO I see care delivery using utilities model (electric/water/etc).

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 11/33

great opp if you can find business practice model #jacr

Thu Aug 28 9:17:01 PDT 2014

drgmcginty @Jim_Rawson_MD @ThorwarthMD @Radsdoc82 #imaging3 in action #jacr

Thu Aug 28 9:17:07 PDT 2014

tirathpatelmd RT @radhelper: #JACR radiologists uncertain about reimbursement causing themto put volume over research and education

Thu Aug 28 9:17:08 PDT 2014

grebeccahaines @DrGMcGinty @Jim_Rawson_MD @Radsdoc82 @radhelper @ruthcarlosmd#JACR Patient focus as breast imager best part?

Thu Aug 28 9:17:09 PDT 2014

jim_rawson_md @UCRadSafety #jacr T1 Need to lead change not fight it

Thu Aug 28 9:17:19 PDT 2014

radhelper #jacr is it worth calling out providers that don't provide quality? i feel there is a wholeside of medicine that we ignore (for profits).

Thu Aug 28 9:17:41 PDT 2014

drgmcginty @LLALO @Radsdoc82 @radhelper and nobody was hiring either #jacr

Thu Aug 28 9:17:45 PDT 2014

jim_rawson_md Thx RT@GeorgiaRegents: One thing we do: Have awesome professors working theTwitterverse. Like @Jim_Rawson_MD moderating today's #JACR.

Thu Aug 28 9:17:47 PDT 2014

farleydc1 RT @Jim_Rawson_MD: @UCRadSafety #jacr T1 Need to lead change not fight it

Thu Aug 28 9:18:04 PDT 2014

drgmcginty “@Jim_Rawson_MD: @UCRadSafety #jacr T1 Need to lead change not fight it”#imaging3

Thu Aug 28 9:18:08 PDT 2014

grebeccahaines @radhelper @ruthcarlosmd #JACR Change focus from job $ to career helpingpatients & other clinicians?

Thu Aug 28 9:18:11 PDT 2014

tirathpatelmd @Radsdoc82 @radhelper @ruthcarlosmd Can be hard to recruit when manyattendings & older rads have become cynical. #JACR

Thu Aug 28 9:18:16 PDT 2014

mri_doc Quality of rad to hospital service or rad to patient service? Different quality #jacr

Thu Aug 28 9:18:21 PDT 2014

tirathpatelmd RT @radhelper: #JACR interesting that private and academic docs feel equally atrisk for different reasons

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 12/33

Thu Aug 28 9:18:26 PDT 2014

nxtstop1 @Jim_Rawson_MD #jacr T1 Re Positives?Just Endless:To Start:A Life ofConsulting with Bright Ppl about Problems They Can't Solve.Invaluable~

Thu Aug 28 9:18:35 PDT 2014

pfanderson @JACRJournal @ruthcarlosmd @radhelper I'll try to look. Polverini and Tedescohere at UM were influential in this area #jacr

Thu Aug 28 9:18:40 PDT 2014

thorwarthmd Will consolidation threaten or augment smaller groups? #jacr

Thu Aug 28 9:18:41 PDT 2014

pfanderson RT @ruthcarlosmd: @pfanderson Need reliability metric. likes/shares/thumbs upall affirmative. need a thumbs down button? who's in charge o…

Thu Aug 28 9:18:53 PDT 2014

jacrjournal RT @grebeccahaines: @radhelper @ruthcarlosmd #JACR Change focus from job$ to career helping patients & other clinicians?

Thu Aug 28 9:19:07 PDT 2014

pfanderson MT @l_peer @ruthcarlosmd Totally agree; Wrote about the link between quality andcuration here http://t.co/Sw01BA7bnw #jacr

Thu Aug 28 9:19:31 PDT 2014

ucradsafety @RogerEngMD Quality Improvement culture is not going away anytime soon, so it'simportant to embrace it. #JACR

Thu Aug 28 9:19:51 PDT 2014

jacrjournal RT @ThorwarthMD: Will consolidation threaten or augment smaller groups? #jacr

Thu Aug 28 9:19:53 PDT 2014

llalo @zaidirad @ruthcarlosmd #jacr My sense is opposite. Systems will want own loyalgroups. Likely employed and tightly integrated.

Thu Aug 28 9:20:10 PDT 2014

ruthcarlosmd @TirathPatelMD @Radsdoc82 @radhelper Cynicism is an earned privilege. Thocounter productive to address change. #jacr

Thu Aug 28 9:20:15 PDT 2014

radsdoc82 RT @nxtstop1: @Jim_Rawson_MD #jacr T1 Re Positives?Just Endless:To Start:ALife of Consulting with Bright Ppl about Problems They Can't So…

Thu Aug 28 9:20:16 PDT 2014

jim_rawson_md @mri_Doc Great question. Need metrics to measure quality provided to all of ourcustomers & stakeholders #jacr T1

Thu Aug 28 9:20:20 PDT 2014

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 13/33

nxtstop1 YES!MT @JACRJournal RT @grebeccahaines: @radhelper @ruthcarlosmd #JACRChange focus fr job $ 2 career helping patients&other clinicians?

Thu Aug 28 9:20:22 PDT 2014

ruthcarlosmd Time for T2: What skills and tools will health care professionals need in order tolead in an uncertain environment? #JACR

Thu Aug 28 9:20:23 PDT 2014

radhelper @ThorwarthMD #jacr smaller groups will be better poised for concierge typepractice. however, consolidation = scalability and efficiency.

Thu Aug 28 9:20:24 PDT 2014

farleydc1 RT @UCRadSafety: @RogerEngMD Quality Improvement culture is not going awayanytime soon, so it's important to embrace it. #JACR

Thu Aug 28 9:20:29 PDT 2014

rivenhomewood RT @pfanderson: MT @l_peer @ruthcarlosmd Totally agree; Wrote about the linkbetween quality and curation here http://t.co/Sw01BA7bnw #jacr

Thu Aug 28 9:20:33 PDT 2014

radsdoc82 RT @ruthcarlosmd: @TirathPatelMD @Radsdoc82 @radhelper Cynicism is anearned privilege. Tho counter productive to address change. #jacr

Thu Aug 28 9:20:49 PDT 2014

matthawkinsmd .@ThorwarthMD -- great question. We're still trying to figure out if consolidation is infact more efficient. #JACR

Thu Aug 28 9:20:50 PDT 2014

grebeccahaines @pfanderson @l_peer @ruthcarlosmd #JACR Thx 4 link!

Thu Aug 28 9:20:51 PDT 2014

jim_rawson_md RT @nxtstop1: @Jim_Rawson_MD #jacr T1 Re Positives?Just Endless:To Start:ALife of Consulting with Bright Ppl about Problems They Can't So…

Thu Aug 28 9:21:02 PDT 2014

zaidirad @MattHawkinsMD #JACR don't worry about losing #FFS, just provide excellentpatient care at high value, business model will follow.

Thu Aug 28 9:21:10 PDT 2014

pfanderson @ruthcarlosmd U put yr finger on it. "Who's in charge of curation?" All R,w/democratized of info flows, but who curates the curators? #jacr

Thu Aug 28 9:21:18 PDT 2014

davidnaegermd T2 high level expertise always helps. Big bias towards sub-specialization. #JACR

Thu Aug 28 9:21:21 PDT 2014

roguerad More work, less pay, fewer jobs, more red tape. Where's the uncertainty? #JACR

Thu Aug 28 9:21:21 PDT 2014

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 14/33

matthawkinsmd RT @zaidirad: @MattHawkinsMD #JACR don't worry about losing #FFS, just provideexcellent patient care at high value, business model will fo…

Thu Aug 28 9:21:35 PDT 2014

rogerengmd @DrGMcGinty @Jim_Rawson_MD @Radsdoc82 @radhelper @ruthcarlosmdDespite uncertainty, still love being a #radiologist, too! #jacr

Thu Aug 28 9:21:41 PDT 2014

radiologyacr RT @UCRadSafety: @RogerEngMD Quality Improvement culture is not going awayanytime soon, so it's important to embrace it. #JACR

Thu Aug 28 9:21:41 PDT 2014

nulall RT @ThorwarthMD: Will consolidation threaten or augment smaller groups? #jacr

Thu Aug 28 9:21:41 PDT 2014

nulall RT @radhelper: @ThorwarthMD #jacr smaller groups will be better poised forconcierge type practice. however, consolidation = scalability an…

Thu Aug 28 9:21:53 PDT 2014

ruthcarlosmd T2: clearly optimism about the future of medicine and about power to effect changeis key. #jacr

Thu Aug 28 9:21:59 PDT 2014

radsdoc82 @MattHawkinsMD @ThorwarthMD Also depends, is it real consolidation, or just onpaper for negotiating purposes #JACR

Thu Aug 28 9:22:15 PDT 2014

jim_rawson_md Agree @nxtstop1 The great team on #jacr chat now could define the future of#healthcare. Opportunity is knocking.

Thu Aug 28 9:22:31 PDT 2014

grebeccahaines RT @zaidirad: @MattHawkinsMD #JACR don't worry about losing #FFS, just provideexcellent patient care at high value, business model will fo…

Thu Aug 28 9:22:35 PDT 2014

nextithealth RT @RadiologyACR: RT @UCRadSafety: @RogerEngMD Quality Improvementculture is not going away anytime soon, so it's important to embrace it.…

Thu Aug 28 9:22:40 PDT 2014

roguerad My advice: read Seneca & develop a hobby cos' the past ain't coming back. #JACR

Thu Aug 28 9:22:47 PDT 2014

ruthcarlosmd @RogerEngMD @DrGMcGinty @Jim_Rawson_MD @Radsdoc82 @radhelperSelection bias in this group! We all do too! #jacr

Thu Aug 28 9:22:55 PDT 2014

rogerengmd @UCRadSafety Better to lead the quality discussion than let others less

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 15/33

knowledgeable do it for you #jacr

Thu Aug 28 9:22:58 PDT 2014

llalo T2 #jacr Team member. Collaboration. Cooperation.

Thu Aug 28 9:22:59 PDT 2014

nulall @ruthcarlosmd T2: Much of the uncertainty we're discussing is legal in nature.Advocacy is one of our most important tools. @RADPAC #jacr

Thu Aug 28 9:23:15 PDT 2014

nxtstop1 @ThorwarthMD T1 With out of box thinking both small groups (via social/greatportals/texts) & academic/lg (via education) can thrive! #jacr

Thu Aug 28 9:23:17 PDT 2014

jim_rawson_md Agree RT@UCRadSafety: @RogerEngMD Quality Improvement culture is not goingaway anytime soon, so it's important to embrace it. #JACR

Thu Aug 28 9:23:23 PDT 2014

tirathpatelmd @ThorwarthMD #JACR Consolidation will separate the weak groups from the chaffgroups.

Thu Aug 28 9:23:25 PDT 2014

pfanderson @JACRJournal @ruthcarlosmd @radhelper Examples> Blending Public Health intoDental Education http://t.co/2KxDwSmoBU #jacr

Thu Aug 28 9:23:25 PDT 2014

radhelper RT @RadiologyACR: RT @UCRadSafety: @RogerEngMD Quality Improvementculture is not going away anytime soon, so it's important to embrace it.…

Thu Aug 28 9:23:28 PDT 2014

tirathpatelmd RT @ruthcarlosmd: @TirathPatelMD @Radsdoc82 @radhelper Cynicism is anearned privilege. Tho counter productive to address change. #jacr

Thu Aug 28 9:23:38 PDT 2014

nxtstop1 RT @Jim_Rawson_MD: Agree @nxtstop1 The great team on #jacr chat now coulddefine the future of #healthcare. Opportunity is knocking.

Thu Aug 28 9:23:39 PDT 2014

ucradsafety RT @RogerEngMD: @UCRadSafety Better to lead the quality discussion than letothers less knowledgeable do it for you #jacr

Thu Aug 28 9:23:45 PDT 2014

jim_rawson_md RT@ruthcarlosmd: Time for T2: What skills and tools will health care professionalsneed in order to lead in an uncertain environment? #JACR

Thu Aug 28 9:23:45 PDT 2014

farleydc1 RT @RogerEngMD: @UCRadSafety Better to lead the quality discussion than letothers less knowledgeable do it for you #jacr

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 16/33

Thu Aug 28 9:23:51 PDT 2014

pfanderson @JACRJournal @ruthcarlosmd @radhelper Interprofessional education betweendentistry and nursing http://t.co/ZHi6XlBG4V #jacr

Thu Aug 28 9:23:51 PDT 2014

jkhmlf RT @radhelper: #jacr is it worth calling out providers that don't provide quality? i feelthere is a whole side of medicine that we ignore …

Thu Aug 28 9:23:52 PDT 2014

ruthcarlosmd @Jim_Rawson_MD @nxtstop1 What is the future of #healthcare? Crystal ballcloudy with chance of change. #jacr

Thu Aug 28 9:23:56 PDT 2014

farleydc1 RT @NULall: @ruthcarlosmd T2: Much of the uncertainty we're discussing is legalin nature. Advocacy is one of our most important tools. @RA…

Thu Aug 28 9:23:59 PDT 2014

jacrjournal RT @DavidNaegerMD: T2 high level expertise always helps. Big bias towards sub-specialization. #JACR

Thu Aug 28 9:24:04 PDT 2014

zaidirad @Jim_Rawson_MD We have the responsibility to fight for change, if we don't, thenwho else will do it! #imaging3 #JACR

Thu Aug 28 9:24:06 PDT 2014

grebeccahaines @LLALO #JACR Amen! Solving complex challenges takes teamwork

Thu Aug 28 9:24:11 PDT 2014

roguerad Greatest cause of uncertainty is our insatiable desire to be precise. Live with marginof error. #JACR

Thu Aug 28 9:24:19 PDT 2014

jacrjournal RT @radhelper: @ThorwarthMD #jacr smaller groups will be better poised forconcierge type practice. however, consolidation = scalability an…

Thu Aug 28 9:24:32 PDT 2014

farleydc1 RT @zaidirad: @Jim_Rawson_MD We have the responsibility to fight for change, ifwe don't, then who else will do it! #imaging3 #JACR

Thu Aug 28 9:24:34 PDT 2014

davidnaegermd RT @UCRadSafety: Quality Improvement culture is not going away anytime soon,so it's important to embrace it. #JACR

Thu Aug 28 9:24:36 PDT 2014

radiologyacr RT @RogerEngMD: @UCRadSafety Better to lead the quality discussion than letothers less knowledgeable do it for you #jacr

Thu Aug 28 9:24:42 PDT 2014

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 17/33

nulall @TirathPatelMD @ThorwarthMD but consolidation will also allow big groups toprice out small (though good) groups #jacr

Thu Aug 28 9:25:02 PDT 2014

tirathpatelmd @Jim_Rawson_MD @ruthcarlosmd #JACR Rads must be skilled enough todemonstrate and prove their value in the health care system.

Thu Aug 28 9:25:07 PDT 2014

pfanderson @JACRJournal @radhelper Interprofessional education & practice, towardcollaborative, patient-centered care. http://t.co/0vl5JKPO1v #jacr

Thu Aug 28 9:25:07 PDT 2014

ruthcarlosmd @NULall @RADPAC Yup. #healthcare solutions will be legislated or litigated intoimplementation. #jacr

Thu Aug 28 9:25:08 PDT 2014

pfanderson RT @Jim_Rawson_MD: RT@ruthcarlosmd: Time for T2: What skills and tools willhealth care professionals need in order to lead in an uncertain…

Thu Aug 28 9:25:22 PDT 2014

radhelper #jacr T2 next chapter of medical practice will see "winners" and "losers" . the proofwill be in the pudding (e.g. data and milestones)

Thu Aug 28 9:25:26 PDT 2014

tirathpatelmd @NULall @ThorwarthMD Good point. #JACR

Thu Aug 28 9:25:40 PDT 2014

pfanderson RT @ruthcarlosmd: @Jim_Rawson_MD @nxtstop1 What is the future of#healthcare? Crystal ball cloudy with chance of change. #jacr

Thu Aug 28 9:25:48 PDT 2014

nxtstop1 @Jim_Rawson_MD T1 Precisely Jim ~This is how sustainable, innovative,successful & engaging change starts. Social is new public square.#jacr

Thu Aug 28 9:25:53 PDT 2014

tirathpatelmd RT @radhelper: #jacr T2 next chapter of medical practice will see "winners" and"losers" . the proof will be in the pudding (e.g. data and…

Thu Aug 28 9:26:02 PDT 2014

jim_rawson_md T2 #jacr Tools needed include #changemanagement, #patientengagement, abilityto collaborate, passion for improving #healthcare....

Thu Aug 28 9:26:05 PDT 2014

radhelper RT @RogueRad: Greatest cause of uncertainty is our insatiable desire to beprecise. Live with margin of error. #JACR

Thu Aug 28 9:26:05 PDT 2014

roguerad If US rads still unhappy I would recommend spending time in a village in an

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 18/33

emerging economy. Actually there's a disruptive idea! #JACR

Thu Aug 28 9:26:06 PDT 2014

grebeccahaines @NULall @ruthcarlosmd @RADPAC #JACR Good example in Aug @JACRjournal.http://t.co/CuwBtzEpFk Maryland self referral law

Thu Aug 28 9:26:12 PDT 2014

radsdoc82 @DavidNaegerMD @UCRadSafety Embrace it, but also drive it! Quality needs tostart with the clinicians, not admin #JACR

Thu Aug 28 9:26:13 PDT 2014

zaidirad @Radsdoc82 @MattHawkinsMD @ThorwarthMD Consolidation will helpprogressive groups willing to embrace change, but hurt those that don't #JACR

Thu Aug 28 9:26:15 PDT 2014

ucradsafety @ruthcarlosmd In an uncertain environment for radiologists, evidence-basedappropriateness criteria and/or decision support. #JACR

Thu Aug 28 9:26:16 PDT 2014

pfanderson @Jim_Rawson_MD @ruthcarlosmd T2 I'm wondering about future role ofinterprofessional education & practice in radiology #jacr

Thu Aug 28 9:26:32 PDT 2014

zaidirad RT @TirathPatelMD: @ThorwarthMD #JACR Consolidation will separate the weakgroups from the chaff groups.

Thu Aug 28 9:26:39 PDT 2014

jim_rawson_md Agree RT@LLALO: T2 #jacr Team member. Collaboration. Cooperation.

Thu Aug 28 9:26:43 PDT 2014

farleydc1 RT @nxtstop1: @Jim_Rawson_MD T1 Precisely Jim ~This is how sustainable,innovative, successful & engaging change starts. Social is new publ…

Thu Aug 28 9:26:44 PDT 2014

tirathpatelmd @radhelper #JACR CMS is already picking winners and losers via their metric-oriented payment programs.

Thu Aug 28 9:26:51 PDT 2014

grebeccahaines RT @radhelper: #jacr T2 next chapter of medical practice will see "winners" and"losers" . the proof will be in the pudding (e.g. data and…

Thu Aug 28 9:26:52 PDT 2014

pfanderson RT @RadiologyACR: RT @RogerEngMD: @UCRadSafety Better to lead the qualitydiscussion than let others less knowledgeable do it for you #jacr

Thu Aug 28 9:26:52 PDT 2014

jacrjournal RT @radhelper: #jacr T2 next chapter of medical practice will see "winners" and"losers" . the proof will be in the pudding (e.g. data and…

Thu Aug 28 9:26:55 PDT 2014

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 19/33

radhelper @RogueRad #jacr amen!

Thu Aug 28 9:27:00 PDT 2014

jim_rawson_md RT @nxtstop1: @ThorwarthMD T1 With out of box thinking both small groups (viasocial/great portals/texts) & academic/lg (via education) can…

Thu Aug 28 9:27:03 PDT 2014

pfanderson RT @grebeccahaines: @NULall @ruthcarlosmd @RADPAC #JACR Good examplein Aug @JACRjournal. http://t.co/CuwBtzEpFk Maryland self referral law

Thu Aug 28 9:27:03 PDT 2014

radsdoc82 @RogueRad Calling it margin of error doesnt help. Margin of variance? #JACR

Thu Aug 28 9:27:06 PDT 2014

grebeccahaines RT @TirathPatelMD: @Jim_Rawson_MD @ruthcarlosmd #JACR Rads must beskilled enough to demonstrate and prove their value in the health care s…

Thu Aug 28 9:27:17 PDT 2014

jacrjournal RT @Radsdoc82: @DavidNaegerMD @UCRadSafety Embrace it, but also drive it!Quality needs to start with the clinicians, not admin #JACR

Thu Aug 28 9:27:23 PDT 2014

radhelper RT @UCRadSafety: @ruthcarlosmd In an uncertain environment for radiologists,evidence-based appropriateness criteria and/or decision suppor…

Thu Aug 28 9:27:27 PDT 2014

tirathpatelmd @UCRadSafety @ruthcarlosmd But how to show that value is more important thanvolume to rads whose salaries may be declining? #JACR

Thu Aug 28 9:27:45 PDT 2014

pfanderson @UCRadSafety @ruthcarlosmd Problem with evidence-based is that it is REactive,not PROactive #jacr

Thu Aug 28 9:27:48 PDT 2014

radhelper RT @Radsdoc82: @DavidNaegerMD @UCRadSafety Embrace it, but also drive it!Quality needs to start with the clinicians, not admin #JACR

Thu Aug 28 9:27:49 PDT 2014

ruthcarlosmd @UCRadSafety Technology solutions built on an evidence base will improve qualityof care, more sensible utilization. #jacr

Thu Aug 28 9:27:55 PDT 2014

pfanderson RT @Jim_Rawson_MD: Agree RT@LLALO: T2 #jacr Team member. Collaboration.Cooperation.

Thu Aug 28 9:28:01 PDT 2014

jim_rawson_md RT @nxtstop1: @Jim_Rawson_MD T1 Precisely Jim ~This is how sustainable,innovative, successful & engaging change starts. Social is new publ…

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 20/33

Thu Aug 28 9:28:05 PDT 2014

jacrjournal RT @grebeccahaines: @NULall @ruthcarlosmd @RADPAC #JACR Good examplein Aug @JACRjournal. http://t.co/CuwBtzEpFk Maryland self referral law

Thu Aug 28 9:28:10 PDT 2014

pfanderson RT @Radsdoc82: @RogueRad Calling it margin of error doesnt help. Margin ofvariance? #JACR

Thu Aug 28 9:28:15 PDT 2014

rose_marie_holt @radhelper I had to stop working due to illness. Make things better but countblessings. #JACR

Thu Aug 28 9:28:15 PDT 2014

thorwarthmd @zaidirad @Radsdoc82 @MattHawkinsMD Totally agree. Need to provide thatguidance/help #jacr

Thu Aug 28 9:28:15 PDT 2014

farleydc1 RT @UCRadSafety: @ruthcarlosmd In an uncertain environment for radiologists,evidence-based appropriateness criteria and/or decision suppor…

Thu Aug 28 9:28:23 PDT 2014

radhelper RT @TirathPatelMD: @radhelper #JACR CMS is already picking winners and losersvia their metric-oriented payment programs.

Thu Aug 28 9:28:23 PDT 2014

tirathpatelmd @Radsdoc82 @RogueRad Margin of error, or normal variance between humanbeings (patients)? #JACR

Thu Aug 28 9:28:37 PDT 2014

pfanderson @Radsdoc82 @RogueRad I like that! It is also more clear for plain languagecommunication (another needed skill) #jacr

Thu Aug 28 9:28:38 PDT 2014

llalo T1 #jacr Consolidation into large groups serving many health systems makes you acontract service provider. Think Aramark. Commoditization

Thu Aug 28 9:28:41 PDT 2014

healthcommsteph RT @RadiologyACR RT @RogerEngMD: @UCRadSafety Better to lead the qualitydiscussion than let others less knowledgeable do it for you #jacr

Thu Aug 28 9:28:48 PDT 2014

radhelper @TirathPatelMD #JACR there is still significant abuse of CMS. those abusing iscausing "scorched earth" of medical practice.

Thu Aug 28 9:29:00 PDT 2014

tirathpatelmd RT @ThorwarthMD: @zaidirad @Radsdoc82 @MattHawkinsMD Totally agree. Needto provide that guidance/help #jacr

Thu Aug 28 9:29:03 PDT 2014

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 21/33

roguerad Another cause of uncertainty is to look for solutions. No solutions. Just trade-offs.#JACR

Thu Aug 28 9:29:04 PDT 2014

nxtstop1 @NULall @TirathPatelMD @ThorwarthMD T2 Pricing not everything in radiologywhere specific talents /skills of a practice may outweigh #jacr

Thu Aug 28 9:29:05 PDT 2014

grebeccahaines @ruthcarlosmd @UCRadSafety #JACR @ACRSelect & #CDS integration key

Thu Aug 28 9:29:11 PDT 2014

tirathpatelmd RT @nxtstop1: @NULall @TirathPatelMD @ThorwarthMD T2 Pricing not everythingin radiology where specific talents /skills of a practice may …

Thu Aug 28 9:29:14 PDT 2014

jim_rawson_md Essential ingredient MR@pfanderson: @Jim_Rawson_MD @ruthcarlosmd T2 ?future role of interprofessional educ & practice in radiology #jacr

Thu Aug 28 9:29:15 PDT 2014

ucradsafety @TirathPatelMD @ruthcarlosmd Payment models are changing too. It's better towork with and support ordering physicians. #JACR

Thu Aug 28 9:29:21 PDT 2014

radsdoc82 @ruthcarlosmd @UCRadSafety Do we collaborate effectively w/vendors? Oftentimes it feels like products dont match clinical workflow #JACR

Thu Aug 28 9:29:35 PDT 2014

nulall RT @RogueRad: Another cause of uncertainty is to look for solutions. No solutions.Just trade-offs. #JACR

Thu Aug 28 9:29:38 PDT 2014

zaidirad @radhelper @TirathPatelMD have to advocate for #transparency in #outcomes,radiology will then get its due #imaging3 #JACR

Thu Aug 28 9:29:45 PDT 2014

nursefriendly #Healthcare #Tweetchat #Moderators, are welcome to announce in our forum :)https://t.co/PyJOlVldjz #braintumorthursday #jacr @vnsnychat

Thu Aug 28 9:29:54 PDT 2014

ruthcarlosmd @pfanderson interprofessional learning=goal of #jacr tweet chats. Converstionswins hearts/minds, opens to shared solutions. @Jim_Rawson_MD

Thu Aug 28 9:29:59 PDT 2014

mri_doc RT @UCRadSafety: @ruthcarlosmd In an uncertain environment for radiologists,evidence-based appropriateness criteria and/or decision suppor…

Thu Aug 28 9:30:01 PDT 2014

RT @Radsdoc82: @RogueRad Calling it margin of error doesnt help. Margin of

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 22/33

roguerad variance? #JACR

Thu Aug 28 9:30:03 PDT 2014

jim_rawson_md @ruthcarlosmd @nxtstop1 Future is what we make it #jacr T2

Thu Aug 28 9:30:08 PDT 2014

farleydc1 RT @zaidirad: @radhelper @TirathPatelMD have to advocate for #transparency in#outcomes, radiology will then get its due #imaging3 #JACR

Thu Aug 28 9:30:20 PDT 2014

pfanderson @ruthcarlosmd @UCRadSafety We need ways to scale evidence/research anddata in ways that allow more rapid response to changing tech #jacr

Thu Aug 28 9:30:20 PDT 2014

tirathpatelmd RT @zaidirad: @radhelper @TirathPatelMD have to advocate for #transparency in#outcomes, radiology will then get its due #imaging3 #JACR

Thu Aug 28 9:30:36 PDT 2014

ruthcarlosmd Hey there @nursefriendly. welcome and chime in about uncertainty in #healthcareand how to lead. #jacr

Thu Aug 28 9:30:38 PDT 2014

pfanderson RT @RogueRad: Another cause of uncertainty is to look for solutions. No solutions.Just trade-offs. #JACR

Thu Aug 28 9:30:41 PDT 2014

ucradsafety @ruthcarlosmd Technology is driven by demand. Radiologists still have a lot of pullhere. #JACR

Thu Aug 28 9:30:43 PDT 2014

pfanderson RT @ruthcarlosmd: @pfanderson interprofessional learning=goal of #jacr tweetchats. Converstions wins hearts/minds, opens to shared soluti…

Thu Aug 28 9:30:59 PDT 2014

roguerad RT @radhelper: @RogueRad #jacr amen!

Thu Aug 28 9:31:15 PDT 2014

radhelper @grebeccahaines @ruthcarlosmd @UCRadSafety @ACRselect need culture ofquality before CDS utilized to fullest potential. #JACR

Thu Aug 28 9:31:22 PDT 2014

jim_rawson_md Reduce variation Become high reliability RT@Radsdoc82: @RogueRad Calling itmargin of error doesnt help. Margin of variance? #JACR

Thu Aug 28 9:31:25 PDT 2014

pfanderson @ruthcarlosmd @Jim_Rawson_MD I love that! Beautifully expressed! And importantvalues to share #jacr

Thu Aug 28 9:31:34 PDT 2014

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 23/33

tirathpatelmd @zaidirad @radhelper We must find evidence-based data that proves radiology'snecessity in today's health care system. #JACR

Thu Aug 28 9:31:47 PDT 2014

radiologyboy1 RT @UCRadSafety: @ruthcarlosmd Technology is driven by demand. Radiologistsstill have a lot of pull here. #JACR

Thu Aug 28 9:31:53 PDT 2014

radhelper RT @zaidirad: @radhelper @TirathPatelMD have to advocate for #transparency in#outcomes, radiology will then get its due #imaging3 #JACR

Thu Aug 28 9:31:53 PDT 2014

tirathpatelmd RT @UCRadSafety: @ruthcarlosmd Technology is driven by demand. Radiologistsstill have a lot of pull here. #JACR

Thu Aug 28 9:32:08 PDT 2014

ruthcarlosmd @UCRadSafety As a group who got here by having the right answer all the time,we're still going to search for the unfindable. #jacr

Thu Aug 28 9:32:17 PDT 2014

tirathpatelmd RT @ruthcarlosmd: @Jim_Rawson_MD @nxtstop1 What is the future of#healthcare? Crystal ball cloudy with chance of change. #jacr

Thu Aug 28 9:32:20 PDT 2014

farleydc1 RT @TirathPatelMD: @zaidirad @radhelper We must find evidence-based data thatproves radiology's necessity in today's health care system. #…

Thu Aug 28 9:32:24 PDT 2014

nxtstop1 T2 Totally Agree. Can Imagine Broadly / and in New ways or Not.@Jim_Rawson_MD: @ruthcarlosmd @nxtstop1 Future is what we make it #jacr

Thu Aug 28 9:32:26 PDT 2014

nursefriendly @ruthcarlosmd Thank you Ruth, we have a bright future in #HCSM, need more#doctors, #nurses #hcps online. #JACR :)

Thu Aug 28 9:32:32 PDT 2014

tirathpatelmd RT @nxtstop1: T2 Totally Agree. Can Imagine Broadly / and in New ways or Not.@Jim_Rawson_MD: @ruthcarlosmd @nxtstop1 Future is what we mak…

Thu Aug 28 9:32:33 PDT 2014

jim_rawson_md RT @pfanderson: @Radsdoc82 @RogueRad I like that! It is also more clear forplain language communication (another needed skill) #jacr

Thu Aug 28 9:33:09 PDT 2014

tirathpatelmd @Jim_Rawson_MD @ruthcarlosmd @nxtstop1 #JACR A question recently posed tome: Radiology will always be around, but will radiologists?

Thu Aug 28 9:33:15 PDT 2014

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 24/33

pfanderson RT @Jim_Rawson_MD: Reduce variation Become high reliability RT@Radsdoc82:@RogueRad Calling it margin of error doesnt help. Margin of vari…

Thu Aug 28 9:33:19 PDT 2014

thorwarthmd @Jim_Rawson_MD @ruthcarlosmd @nxtstop1 That is theme of Collins book andis optimistic #jacr

Thu Aug 28 9:33:30 PDT 2014

nursefriendly @ruthcarlosmd T2 One thing I've been impressed with, there is no shortage ofpositive role models online #hcsm #jacr

Thu Aug 28 9:33:38 PDT 2014

radhelper @TirathPatelMD @zaidirad #JACR radiology's necessity is already proven. what weneed to prove is "who" can best provide service with quality

Thu Aug 28 9:33:40 PDT 2014

jim_rawson_md @pfanderson @Radsdoc82 @RogueRad Communication is often cause of errorT2 #jacr Need to improv communication skills

Thu Aug 28 9:33:42 PDT 2014

cancergeek T2: Future will be how imaging + mol discs helps to identify right treatment for rightpt at right time #jacr

Thu Aug 28 9:33:44 PDT 2014

radhelper @TirathPatelMD @zaidirad #JACR and who should be paid for that service.

Thu Aug 28 9:33:58 PDT 2014

grebeccahaines RT @zaidirad: @radhelper @TirathPatelMD have to advocate for #transparency in#outcomes, radiology will then get its due #imaging3 #JACR

Thu Aug 28 9:34:02 PDT 2014

ucradsafety @pfanderson @ruthcarlosmd Better integration of evidence and tools would allowmore rapid implementation = decision support. #JACR

Thu Aug 28 9:34:02 PDT 2014

zaidirad @TirathPatelMD @radhelper Develop metrics at your own hospital, no need to waitfor national metrics #dontneedpermission #JACR

Thu Aug 28 9:34:13 PDT 2014

pfanderson @TirathPatelMD @zaidirad @radhelper What if the evidence doesn't support currentpractices? Must have flexibility to adapt/reinvent #jacr

Thu Aug 28 9:34:17 PDT 2014

nxtstop1 RT @ThorwarthMD: @Jim_Rawson_MD @ruthcarlosmd @nxtstop1 That is themeof Collins book and is optimistic #jacr

Thu Aug 28 9:34:19 PDT 2014

nursefriendly @UCRadSafety @ruthcarlosmd T2 Technology were #SocialMedia is concerned, isdriven by need, in #healthcare consumers big part. #jacr

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 25/33

Thu Aug 28 9:34:35 PDT 2014

pfanderson RT @Jim_Rawson_MD: @pfanderson @Radsdoc82 @RogueRad Communicationis often cause of error T2 #jacr Need to improv communication skills

Thu Aug 28 9:34:36 PDT 2014

ruthcarlosmd @CancerGeek Hey, there and welcome. precision medicine is the future. imagersneed to work with #bigdata to leverage own technology #jacr

Thu Aug 28 9:34:36 PDT 2014

jim_rawson_md RT @ruthcarlosmd: @pfanderson interprofessional learning=goal of #jacr tweetchats. Converstions wins hearts/minds, opens to shared soluti…

Thu Aug 28 9:34:49 PDT 2014

tirathpatelmd @grebeccahaines @zaidirad @radhelper @RichDuszak @economeer The@NeimanHPI (& alike) can take lead on demonstrating radiology's value. #JACR

Thu Aug 28 9:34:52 PDT 2014

pfanderson @Jim_Rawson_MD @Radsdoc82 @RogueRad So true! Plain language benefitsconsulting docs as much as patients #jacr

Thu Aug 28 9:35:05 PDT 2014

grebeccahaines RT @CancerGeek: T2: Future will be how imaging + mol discs helps to identify righttreatment for right pt at right time #jacr

Thu Aug 28 9:35:19 PDT 2014

nursefriendly @UCRadSafety @ruthcarlosmd T2 With more than 6/10 Americans looking to theweb for #health info per PEW, cannot ignore #consumers.#jacr

Thu Aug 28 9:35:27 PDT 2014

nursefriendly RT @ruthcarlosmd: Time for T2: What skills and tools will health care professionalsneed in order to lead in an uncertain environment? #JA…

Thu Aug 28 9:35:35 PDT 2014

radiologyacr MT@TirathPatelMD @zaidirad #JACR radiology's necessity is already proven.whatwe need to prove is "who" can best provide service w/ quality

Thu Aug 28 9:35:37 PDT 2014

zaidirad @grebeccahaines @TirathPatelMD @radhelper @RichDuszak @economeer Wecan model it but don't wait, start now! No time to lose #JACR

Thu Aug 28 9:35:38 PDT 2014

drgmcginty RT @TirathPatelMD: @grebeccahaines @zaidirad @radhelper @RichDuszak@economeer The @NeimanHPI (& alike) can take lead on demonstrating radi…

Thu Aug 28 9:35:42 PDT 2014

pfanderson @CancerGeek Now I'm pondering the connections between imaging & genomics.Will we have persona medical imaging services/tools? #jacr

Thu Aug 28 9:36:02 PDT 2014

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 26/33

jim_rawson_md RT @UCRadSafety: @pfanderson @ruthcarlosmd Better integration of evidenceand tools would allow more rapid implementation = decision suppor…

Thu Aug 28 9:36:03 PDT 2014

nulall @Radsdoc82 @RogueRad Margin of error is real. Can never be 100% certain.Embrace Heisenberg. (And use some strategic planning.) #jacr

Thu Aug 28 9:36:06 PDT 2014

pfanderson RT @ruthcarlosmd: @CancerGeek Hey, there and welcome. precision medicine isthe future. imagers need to work with #bigdata to leverage ow…

Thu Aug 28 9:36:16 PDT 2014

nursefriendly @ruthcarlosmd T2 Ability to #curate, #communicate, #TeachTheTeachers arecritical skills as we go forward. #jacr

Thu Aug 28 9:36:17 PDT 2014

tirathpatelmd @radhelper @zaidirad Are radiologists better than the next alternative? #JACR

Thu Aug 28 9:36:29 PDT 2014

pfanderson RT @nursefriendly: @UCRadSafety @ruthcarlosmd T2 With more than 6/10Americans looking to the web for #health info per PEW, cannot ignore #…

Thu Aug 28 9:36:31 PDT 2014

cancergeek T2: HCP will need to listen to pts, data, & make smarter conclusions to lead shiftfrom break/fix to screen/risk reduce #jacr

Thu Aug 28 9:36:42 PDT 2014

nulall RT @zaidirad: @TirathPatelMD @radhelper Develop metrics at your own hospital,no need to wait for national metrics #dontneedpermission #JACR

Thu Aug 28 9:36:42 PDT 2014

thorwarthmd We need to lead both within and outside radiology #jacr

Thu Aug 28 9:36:44 PDT 2014

tirathpatelmd RT @zaidirad: @grebeccahaines @TirathPatelMD @radhelper @RichDuszak@economeer We can model it but don't wait, start now! No time to lose #…

Thu Aug 28 9:36:45 PDT 2014

tirathpatelmd RT @NULall: @Radsdoc82 @RogueRad Margin of error is real. Can never be100% certain. Embrace Heisenberg. (And use some strategic planning.)…

Thu Aug 28 9:37:00 PDT 2014

nursefriendly @ruthcarlosmd T2 Think the point many are missing, is that "We Are Creating TheEnvironment, Have Great Influence On It." #jacr

Thu Aug 28 9:37:05 PDT 2014

siewlee18 RT @nxtstop1: T2 Totally Agree. Can Imagine Broadly / and in New ways or Not.

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 27/33

@Jim_Rawson_MD: @ruthcarlosmd @nxtstop1 Future is what we mak…

Thu Aug 28 9:37:06 PDT 2014

jacrjournal RT @nursefriendly: @UCRadSafety @ruthcarlosmd T2 With more than 6/10Americans looking to the web for #health info per PEW, cannot ignore #…

Thu Aug 28 9:37:15 PDT 2014

jim_rawson_md RT @TirathPatelMD: @grebeccahaines @zaidirad @radhelper @RichDuszak@economeer The @NeimanHPI (& alike) can take lead on demonstrating radi…

Thu Aug 28 9:37:15 PDT 2014

ruthcarlosmd @pfanderson @CancerGeek Baby steps...issue personal dosimeters to track ownimaging test dose. cc @UCRadSafety #jacr

Thu Aug 28 9:37:18 PDT 2014

radiologyacr MT @nursefriendly:@ruthcarlosmd T2 With more than 6/10 Americans looking tothe web for #health info per PEW, cannot ignore #consumers.#jacr

Thu Aug 28 9:37:21 PDT 2014

farleydc1 RT @ThorwarthMD: We need to lead both within and outside radiology #jacr

Thu Aug 28 9:37:34 PDT 2014

pfanderson @UCRadSafety @ruthcarlosmd That's part of it. Also need to mine/integrate patient-generated data aka quantified self, pt reports, etc #jacr

Thu Aug 28 9:37:48 PDT 2014

nursefriendly @ruthcarlosmd T2 If we play our cards right, #LeadByPositiveExample, others willlook to us, model after what we're doing. #jacr

Thu Aug 28 9:37:49 PDT 2014

nxtstop1 @RadiologyACR @zaidirad Agree & how: what types of setting, what types ofoutreach (social, educational) Imagine #Millennials as pts! #jacr

Thu Aug 28 9:37:53 PDT 2014

davidnaegermd @NULall Lots of uncertainty and lack of precision is modern medicine. Too muchprecision may not be the problem? #JACR

Thu Aug 28 9:37:56 PDT 2014

pfanderson RT @ruthcarlosmd: @pfanderson @CancerGeek Baby steps...issue personaldosimeters to track own imaging test dose. cc @UCRadSafety #jacr

Thu Aug 28 9:37:58 PDT 2014

cancergeek @pfanderson Just spoke to #medonc & they said same thing, future is not aboutcure, but about identifying right Tx w imaging + genomic #jacr

Thu Aug 28 9:37:58 PDT 2014

pfanderson @ruthcarlosmd @CancerGeek @UCRadSafety My mind is being blown. What acool idea! #jacr

Thu Aug 28 9:38:18 PDT 2014

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 28/33

zaidirad @ThorwarthMD Yes radiologists can lead cost savings initiatives in health systemsunder pressure, lead the system not jut your dept #JACR

Thu Aug 28 9:38:19 PDT 2014

tirathpatelmd RT @RadiologyACR: MT@TirathPatelMD @zaidirad #JACR radiology's necessity isalready proven.what we need to prove is "who" can best provide …

Thu Aug 28 9:38:24 PDT 2014

cancergeek RT @ruthcarlosmd: @pfanderson @CancerGeek Baby steps...issue personaldosimeters to track own imaging test dose. cc @UCRadSafety #jacr

Thu Aug 28 9:38:25 PDT 2014

pfanderson RT @CancerGeek: @pfanderson Just spoke to #medonc & they said same thing,future is not about cure, but about identifying right Tx w imagin…

Thu Aug 28 9:38:30 PDT 2014

tirathpatelmd RT @nxtstop1: @RadiologyACR @zaidirad Agree & how: what types of setting, whattypes of outreach (social, educational) Imagine #Millennial…

Thu Aug 28 9:38:36 PDT 2014

ucradsafety @ruthcarlosmd @pfanderson @CancerGeek The hospitals should track dosethemselves. This is a huge quality issue. #JACR

Thu Aug 28 9:38:45 PDT 2014

nursefriendly @ruthcarlosmd T2 Skills & Tools should be adapted to #needs. There are clear andobvious needs in #healthcare to be addressed. #jacr

Thu Aug 28 9:38:48 PDT 2014

pfanderson RT @ThorwarthMD: We need to lead both within and outside radiology #jacr

Thu Aug 28 9:38:49 PDT 2014

radiologyboy1 @TirathPatelMD @radhelper @zaidirad What is the next alternative? Robots? #jacr

Thu Aug 28 9:38:56 PDT 2014

jim_rawson_md Agree. Put patient center of healthcare & build better care deliv systemMT@ThorwarthMD: Need to lead both within & outside radiology #jacr

Thu Aug 28 9:39:08 PDT 2014

cancergeek @ruthcarlosmd I have said an app that tracks total lifetime dose, w best techniqueto limit variation in tech education; #PtExp #jacr

Thu Aug 28 9:39:10 PDT 2014

pfanderson @ThorwarthMD Bravo :) And that's an excellent reason to be here, and to have thesechats #jacr

Thu Aug 28 9:39:17 PDT 2014

nxtstop1 RT @ruthcarlosmd: @pfanderson @CancerGeek Baby steps...issue personal

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 29/33

dosimeters to track own imaging test dose. cc @UCRadSafety #jacr

Thu Aug 28 9:39:24 PDT 2014

mkasotakis RT @nursefriendly: @UCRadSafety @ruthcarlosmd T2 With more than 6/10Americans looking to the web for #health info per PEW, cannot ignore #…

Thu Aug 28 9:39:28 PDT 2014

nursefriendly @ruthcarlosmd T2 For #radiologists, who spend much time behind the scenes, outof site, out of mind, #SoMe is a great opportunity.#jacr

Thu Aug 28 9:39:41 PDT 2014

tirathpatelmd @RadiologyBoy1 @radhelper @zaidirad Have other services interpreting studies?#JACR

Thu Aug 28 9:39:57 PDT 2014

jim_rawson_md RT @zaidirad: @ThorwarthMD Yes radiologists can lead cost savings initiatives inhealth systems under pressure, lead the system not jut you…

Thu Aug 28 9:40:00 PDT 2014

nxtstop1 RT @RadiologyBoy1: @TirathPatelMD @radhelper @zaidirad What is the nextalternative? Robots? #jacr

Thu Aug 28 9:40:01 PDT 2014

drgmcginty RT @pfanderson: @ThorwarthMD Bravo :) And that's an excellent reason to be here,and to have these chats #jacr

Thu Aug 28 9:40:01 PDT 2014

jim_rawson_md RT @nursefriendly: @ruthcarlosmd T2 Skills & Tools should be adapted to #needs.There are clear and obvious needs in #healthcare to be addr…

Thu Aug 28 9:40:12 PDT 2014

pfanderson @UCRadSafety @ruthcarlosmd @CancerGeek Yes, but patients move from placeto place. They worry about lifetime dose. Give them info! #jacr

Thu Aug 28 9:40:17 PDT 2014

nursefriendly @ruthcarlosmd T2 By having a presence on #SocialMediia #Radiologists canhighlight what they do, how important it tis.#jacr

Thu Aug 28 9:40:19 PDT 2014

ruthcarlosmd Time for T3: How can team members acquire these new skills? #JACR

Thu Aug 28 9:40:27 PDT 2014

tirathpatelmd @pfanderson @UCRadSafety @ruthcarlosmd @CancerGeek Yes! But this is whereimage sharing can help. #JACR

Thu Aug 28 9:40:37 PDT 2014

cancergeek T2: Some HCPs need to be brave & do the best action vs the reimbursed action.#jacr

Thu Aug 28 9:40:40 PDT 2014

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 30/33

ruthcarlosmd @nursefriendly #hcsm good portal for positive examples. #jacr leads thruinterprofessional engagement during tchats. i want to hear from all

Thu Aug 28 9:40:45 PDT 2014

nursefriendly @ruthcarlosmd T2 #Radiologists can take some of the #Mystery out of what they do,why that #Xray, #MRI, #CTscan is so important.#jacr

Thu Aug 28 9:40:59 PDT 2014

jim_rawson_md RT @ruthcarlosmd: Time for T3: How can team members acquire these new skills?#JACR

Thu Aug 28 9:41:09 PDT 2014

nxtstop1 @RadiologyBoy1 @TirathPatelMD @radhelper @zaidirad T2 Something I neverthought I would see : startup working on robotic ultrasound #jacr

Thu Aug 28 9:41:11 PDT 2014

nursefriendly RT @ruthcarlosmd: @nursefriendly #hcsm good portal for positive examples. #jacrleads thru interprofessional engagement during tchats. i wa…

Thu Aug 28 9:41:15 PDT 2014

pfanderson @TirathPatelMD @UCRadSafety @ruthcarlosmd @CancerGeek Yes! Imagesharing is trend to deal with. So is personal data collection/use #jacr

Thu Aug 28 9:41:28 PDT 2014

cancergeek T3: Skills can be learned via reading, conferences, COE, sharing best practices,#SoMe, & taking the time to listen each day. #jacr

Thu Aug 28 9:41:29 PDT 2014

drgmcginty @TirathPatelMD @RadiologyBoy1 @radhelper @zaidirad we need @RogueRad tomake this interesting. #jacr

Thu Aug 28 9:41:31 PDT 2014

tirathpatelmd @ruthcarlosmd Attend and get engaged with organized radiology. Advocate toeveryone you know. #JACR

Thu Aug 28 9:41:34 PDT 2014

zaidirad Great chat all, have to go do IR case, need more of these chats! #JACR

Thu Aug 28 9:41:37 PDT 2014

ucradsafety @pfanderson @ruthcarlosmd @CancerGeek Exactly why we need more realintegration, not more individualized gimmicks. Think long-term. #JACR

Thu Aug 28 9:41:40 PDT 2014

drgmcginty RT @nursefriendly: @ruthcarlosmd T2 By having a presence on #SocialMediia#Radiologists can highlight what they do, how important it tis.#j…

Thu Aug 28 9:41:46 PDT 2014

pfanderson RT @nursefriendly: @ruthcarlosmd T2 By having a presence on #SocialMediia

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 31/33

#Radiologists can highlight what they do, how important it tis.#j…

Thu Aug 28 9:42:09 PDT 2014

ruthcarlosmd @nursefriendly we are back to plain language communication to talk about care thatimpacts the patient. cc @pfanderson #jacr

Thu Aug 28 9:42:11 PDT 2014

tirathpatelmd RT @DrGMcGinty: @TirathPatelMD @RadiologyBoy1 @radhelper @zaidirad weneed @RogueRad to make this interesting. #jacr

Thu Aug 28 9:42:19 PDT 2014

llalo T3 #jacr Say yes. When asked to serve on committee, perform a task, contribute. Nomatter how small or seemingly minor. Say yes.

Thu Aug 28 9:42:21 PDT 2014

cancergeek T3: I still think #jacr has an opportunity to develop a YouTube channel & deliverquick 3-5min vids for each of these skills/topics

Thu Aug 28 9:42:24 PDT 2014

nursefriendly @CancerGeek T2 Lotsa #doctors online doing great things Andy, we need tohighlight them, encourage more to get online. #jacr #Meded #hcsm

Thu Aug 28 9:42:29 PDT 2014

tirathpatelmd RT @zaidirad: Great chat all, have to go do IR case, need more of these chats!#JACR

Thu Aug 28 9:42:31 PDT 2014

tirathpatelmd RT @LLALO: T3 #jacr Say yes. When asked to serve on committee, perform a task,contribute. No matter how small or seemingly minor. Say yes.

Thu Aug 28 9:42:36 PDT 2014

jim_rawson_md Acquire news skills through listening to patients/other stakeholders, #hcsm,reading journals, attending conf, bring fully engaged T3 #jacr

Thu Aug 28 9:42:50 PDT 2014

nursefriendly RT @CancerGeek: T2: Future will be how imaging + mol discs helps to identify righttreatment for right pt at right time #jacr

Thu Aug 28 9:42:55 PDT 2014

pfanderson @nursefriendly @ruthcarlosmd How they're different, what they can & can't do iscompletely opaque to general public #jacr

Thu Aug 28 9:43:00 PDT 2014

radhelper T3 #JACR have to be exposed to other industries that have already perfected qualitydelivery, customer service and good outcomes (tech?)

Thu Aug 28 9:43:02 PDT 2014

pfanderson RT @ruthcarlosmd: @nursefriendly we are back to plain language communicationto talk about care that impacts the patient. cc @pfanderson #j…

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 32/33

Thu Aug 28 9:43:04 PDT 2014

tirathpatelmd @LLALO As a corollary: interdisciplinary conferences should not be thought of as achore. #jacr

Thu Aug 28 9:43:07 PDT 2014

cancergeek T3: Some can be for the greater good of physicians, some can be for your referringphysicians, and other can be for general public #jacr

Thu Aug 28 9:43:07 PDT 2014

roguerad 3 missions for radiologists shd we choose to accept. Manage utilization. Managetechnology. Manage information. Note key word:manage. #jacr

Thu Aug 28 9:43:07 PDT 2014

ruthcarlosmd @LLALO I love this! "Say yes!" Should be a button. #jacr

Thu Aug 28 9:43:09 PDT 2014

tirathpatelmd RT @radhelper: T3 #JACR have to be exposed to other industries that have alreadyperfected quality delivery, customer service and good outc…

Thu Aug 28 9:43:21 PDT 2014

tirathpatelmd RT @RogueRad: 3 missions for radiologists shd we choose to accept. Manageutilization. Manage technology. Manage information. Note key word…

Thu Aug 28 9:43:27 PDT 2014

jim_rawson_md RT @CancerGeek: T3: Skills can be learned via reading, conferences, COE,sharing best practices, #SoMe, & taking the time to listen each da…

Thu Aug 28 9:43:28 PDT 2014

rogerengmd T2: Impossible for patients and healthcare stakeholders to recognize #radiologistvalue if we fail to leave the reading room #jacr

Thu Aug 28 9:43:29 PDT 2014

roguerad RT @DrGMcGinty: @TirathPatelMD @RadiologyBoy1 @radhelper @zaidirad weneed @RogueRad to make this interesting. #jacr

Thu Aug 28 9:43:42 PDT 2014

pfanderson RT @CancerGeek: T3: I still think #jacr has an opportunity to develop a YouTubechannel & deliver quick 3-5min vids for each of these skill…

Thu Aug 28 9:43:43 PDT 2014

nxtstop1 @TirathPatelMD @Jim_Rawson_MD @ruthcarlosmd Value always in contextualinterpretation of pts imaging file.@ Encounter shd show this~ #jacr

Thu Aug 28 9:43:52 PDT 2014

nursefriendly @CancerGeek T2 Question is, does the general public realize the value, utility of#radiology, how may #xray scripts are ignored? #jacr

Thu Aug 28 9:43:54 PDT 2014

8/28/2014 #JACR - Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=08%2F28%2F2014&shour=09&smin=00&tdate=08%2F29%2F2014&thour=10&tmin=30 33/33

Page 1 of 2 1 2 Next Last

tirathpatelmd RT @RogerEngMD: T2: Impossible for patients and healthcare stakeholders torecognize #radiologist value if we fail to leave the reading roo…

Thu Aug 28 9:43:57 PDT 2014

mostafaamin84 RT @RogueRad: 3 missions for radiologists shd we choose to accept. Manageutilization. Manage technology. Manage information. Note key word…

Thu Aug 28 9:44:00 PDT 2014

pfanderson @CancerGeek Cool idea, I like it. :) Or maybe they already have? #jacr

Thu Aug 28 9:44:03 PDT 2014

jim_rawson_md @CancerGeek Agree. Many ways to gain needed skills. No single path. T3 #jacr

Thu Aug 28 9:44:07 PDT 2014

radiologyboy1 RT @Jim_Rawson_MD: Acquire news skills through listening to patients/otherstakeholders, #hcsm, reading journals, attending conf, bring ful…

Thu Aug 28 9:44:09 PDT 2014