12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 1/29

#JACR transcript

Healthcare Social Media TranscriptFrom: Tue Dec 02 11:00:00 PST 2014To: Tue Dec 02 12:20:00 PST 2014

change time period

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

Healthcare Conference ­ Healthcare Tweet Chats ­ Healthcare Analytics

pfanderson RT @ruthcarlosmd: #Jacr tweet up 1pm cst today. Guest mod @pgnagy on qualityimprovement in imaging @ACRRFS @JACRJournal @nxtstop1 @pfander… Tue Dec 2 11:01:58 PST 2014

ruthcarlosmd Welcome to #JACR tweet chat in person at #RSNA14 or in the twitterverse. Guestmod today @pgnagy. Please introduce yourselves! Tue Dec 2 11:02:08 PST 2014

radsdoc82 RT @ruthcarlosmd: #Jacr tweet up 1pm cst today. Guest mod @pgnagy on qualityimprovement in imaging @ACRRFS @JACRJournal @nxtstop1 @pfander… Tue Dec 2 11:02:39 PST 2014

matthawkinsmd Matt Hawkins ­­ peds IR from #ATL @EmoryUniversity #RSNA14 #jacr Tue Dec 2 11:02:42 PST 2014

ruthcarlosmd Let;s get started! @pgnagy in the house. #JACR Tue Dec 2 11:02:51 PST 2014

aboutdunne #JACR PQI live chat now #RSNA14 Tue Dec 2 11:02:51 PST 2014

colinsegovis #Jacr tweet chat is on! #rsna14 Tue Dec 2 11:02:59 PST 2014

kristinahoque @ruthcarlosmd #JACR excited to be here in person! #RSNA14 rad resident at USC! Tue Dec 2 11:03:09 PST 2014

12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 2/29

jasonitrimd Jason Itri, U of Cincinnati #jacr Tue Dec 2 11:03:42 PST 2014

colinsegovis Colin Segovis rad res from #wakeforest #JACR Tue Dec 2 11:04:05 PST 2014

ruthcarlosmd happy to see everyone...old friends and new #jacr #RSNA14 Tue Dec 2 11:04:42 PST 2014

radsdoc82 Jonathan Flug. U Colorado msk. In transit #jacr tweet chst Tue Dec 2 11:04:49 PST 2014

akrishnarajmd Arun Krishnaraj, UVA, Body Imaging #JACR Tue Dec 2 11:04:51 PST 2014

matthawkinsmd @pgnagy is now online! #jacr Tue Dec 2 11:04:54 PST 2014

ruthcarlosmd T1: How do you conduct PQI in your practice? #JACR #RSNA14 Tue Dec 2 11:05:38 PST 2014

pgnagy Great to be hosting today’s #JACR TweetChat on Quality Improvement in Radiologyat #RSNA. Tue Dec 2 11:06:06 PST 2014

kristinahoque T1. As residents at USC we each have PQI projects that we incorporate into ourtraining #JACR #RSNA14 Tue Dec 2 11:06:54 PST 2014

matthawkinsmd RT @ruthcarlosmd: T1: How do you conduct PQI in your practice? #JACR #RSNA14 Tue Dec 2 11:06:55 PST 2014

kristinahoque @pgnagy so excited to have you! #JACR Tue Dec 2 11:07:39 PST 2014

nxtstop1 Hello Ruth & attendees ~ Bernadette Keefe MD ~ North Carolina ~ great to be here.#jacr Tue Dec 2 11:07:41 PST 2014

matthawkinsmd @ruthcarlosmd ­ #PQI can be haphazard in our practice. Need more unified groupefforts rather than scattered individual projects. #JACR Tue Dec 2 11:08:21 PST 2014

jasonitrimd T1. Identify the need; obtain reliable data; put the team together; and support them asthey solve problems #jacr Tue Dec 2 11:08:24 PST 2014

12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 3/29

ruthcarlosmd @KristinaHoque T!: how do the residents identify projects or problems to solve? #jacr#RSNA14 Tue Dec 2 11:08:25 PST 2014

jacrjournal RT @ruthcarlosmd: T1: How do you conduct PQI in your practice? #JACR #RSNA14 Tue Dec 2 11:08:31 PST 2014

akrishnarajmd T1. At UVA we introduce potential PQI projects at our monthly QA meetings #JACR Tue Dec 2 11:08:43 PST 2014

matthawkinsmd @pgnagy ­ Thanks for joining us, Paul. Great to have you! #JACR Tue Dec 2 11:08:54 PST 2014

elseviermmp RT @ruthcarlosmd: #Jacr tweet up 1pm cst today. Guest mod @pgnagy on qualityimprovement in imaging @ACRRFS @JACRJournal @nxtstop1 @pfander… Tue Dec 2 11:08:56 PST 2014

radiologyacr RT @JasonItriMD: T1. Identify the need; obtain reliable data; put the team together;and support them as they solve problems #jacr Tue Dec 2 11:09:01 PST 2014

ruthcarlosmd @MattHawkinsMD T1: agree...need a clearinghouse with standardized data collectedthen centrally aggregated. anonymous, of course! #jacr Tue Dec 2 11:09:09 PST 2014

kristinahoque @ruthcarlosmd projects form as a result of directly identifying a problem in dailyworkflow ­ as a structured attempt to improve. #JACR Tue Dec 2 11:09:41 PST 2014

radsdoc82 Most of my pqi projects originated from sentinel events or acute problems. Morereactive than proactive #jacr Tue Dec 2 11:10:01 PST 2014

colinsegovis T1 @ruthcarlosmd problems are everywhere. Just keep your eyes and ears open#JACR #rsna14 Tue Dec 2 11:10:09 PST 2014

pgnagy #JACR @KristinaHoque T1. Great to hear. Do you get any training or resources tohelp you with your PQI projects? Tue Dec 2 11:10:37 PST 2014

ruthcarlosmd @Radsdoc82 T1: is that the nature of #PQI being problem­oriented? #jacr Tue Dec 2 11:10:46 PST 2014

matthawkinsmd @tarheelrad ­­ Do you also have follow­up reporting periods to see progress? #JACR#RSNA14 Tue Dec 2 11:11:04 PST 2014

bjh41647 Ideally PQI should be ground up #Jacr Tue Dec 2 11:11:09 PST 2014

12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 4/29

kristinahoque @Radsdoc82 @ruthcarlosmd agree! Projects are generally reactive! How to transitionto proactive projects? #JACR #RSNA14 Tue Dec 2 11:11:34 PST 2014

ruthcarlosmd Why not aggregate #PQI across programs/practices? Sharing improves learning #jacr#RSNA14 Tue Dec 2 11:11:39 PST 2014

jacrjournal RT @bjh41647: Ideally PQI should be ground up #Jacr Tue Dec 2 11:12:04 PST 2014

kristinahoque @pgnagy absolutely! We even have PQI grants available and an interdisciplinaryadvisory group #JACR Tue Dec 2 11:12:21 PST 2014

kristinahoque RT @bjh41647: Ideally PQI should be ground up #Jacr Tue Dec 2 11:12:35 PST 2014

matthawkinsmd RT @ruthcarlosmd: Why not aggregate #PQI across programs/practices? Sharingimproves learning #jacr #RSNA14 Tue Dec 2 11:13:16 PST 2014

radsdoc82 @ruthcarlosmd would love to see multi institution quality storyboards #rsna14 #jacr Tue Dec 2 11:13:26 PST 2014

matthawkinsmd The #JACR tchat is on at the ACR booth. #RSNA14 http://t.co/bTNYHVHxQkhttp://t.co/crLR25Ncq4 Tue Dec 2 11:13:33 PST 2014

kristinahoque @ruthcarlosmd #JACR have an ongoing project with the ER ­ much more potentialwhen projects are interdisciplinary! #JACR Tue Dec 2 11:13:44 PST 2014

radiologyacr ACR PQI project is looking for beta sites http://t.co/v47C2mLoht #jacr #rsna14 Tue Dec 2 11:13:45 PST 2014

drgmcginty #rsna14 #selfie with @pgnagy #jacr tweetchat http://t.co/HYEQlPBC4X Tue Dec 2 11:14:01 PST 2014

radiologyboy1 RT @MattHawkinsMD: The #JACR tchat is on at the ACR booth. #RSNA14http://t.co/bTNYHVHxQk http://t.co/crLR25Ncq4 Tue Dec 2 11:14:05 PST 2014

kristinahoque RT @MattHawkinsMD: The #JACR tchat is on at the ACR booth. #RSNA14http://t.co/bTNYHVHxQk http://t.co/crLR25Ncq4 Tue Dec 2 11:14:13 PST 2014

nxtstop1 Like idea of groups sharing tips RT @ruthcarlosmd Why not aggregate #PQI across

12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 5/29

programs/practices? Sharing improves learning #jacr #RSNA14 Tue Dec 2 11:14:21 PST 2014

jacrjournal RT @RadiologyACR: ACR PQI project is looking for beta sites http://t.co/v47C2mLoht#jacr #rsna14 Tue Dec 2 11:14:31 PST 2014

ruthcarlosmd RT @RadiologyACR: ACR PQI project is looking for beta sites http://t.co/v47C2mLoht#jacr #rsna14 Tue Dec 2 11:14:31 PST 2014

nxtstop1 Note RT @ruthcarlosmd RT @RadiologyACR: ACR PQI project is looking for betasites http://t.co/li3POb6gi2 #jacr #rsna14 Tue Dec 2 11:14:46 PST 2014

matthawkinsmd RT @DrGMcGinty: #rsna14 #selfie with @pgnagy #jacr tweetchathttp://t.co/HYEQlPBC4X Tue Dec 2 11:14:47 PST 2014

colinsegovis @ruthcarlosmd Check out the ACR PQI initiative. http://t.co/doMV35RbCB #jacr#rsna14 Tue Dec 2 11:14:52 PST 2014

karendesantis2 RT @RadiologyACR: ACR PQI project is looking for beta sites http://t.co/v47C2mLoht#jacr #rsna14 Tue Dec 2 11:14:58 PST 2014

akrishnarajmd RT @MattHawkinsMD: The #JACR tchat is on at the ACR booth. #RSNA14http://t.co/bTNYHVHxQk http://t.co/crLR25Ncq4 Tue Dec 2 11:15:15 PST 2014

pgnagy @ruthcarlosmd Group PQI across programs! Great resource on developing boundaryspanning leadership skills http://t.co/y7ld2JbRFO #JACR Tue Dec 2 11:15:32 PST 2014

radiologyboy1 RT @RadiologyACR: ACR PQI project is looking for beta sites http://t.co/v47C2mLoht#jacr #rsna14 Tue Dec 2 11:15:41 PST 2014

bjh41647 ACR PQI project in beta testing now. @10 sites. Open to all soon.#Jacr Tue Dec 2 11:15:45 PST 2014

kristinahoque RT @colinsegovis: @ruthcarlosmd Check out the ACR PQI initiative.http://t.co/doMV35RbCB #jacr #rsna14 Tue Dec 2 11:15:59 PST 2014

matthawkinsmd Good resources for #radres coming up in special issue of #JACR edited by @pgnagy­­ http://t.co/yNNp5fKOsk Tue Dec 2 11:16:07 PST 2014

12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 6/29

kristinahoque RT @pgnagy: @ruthcarlosmd Group PQI across programs! Great resource ondeveloping boundary spanning leadership skills http://t.co/y7ld2JbRF… Tue Dec 2 11:16:09 PST 2014

drgmcginty RT @colinsegovis: T1 @ruthcarlosmd problems are everywhere. Just keep your eyesand ears open #JACR #rsna14 Tue Dec 2 11:16:10 PST 2014

drgmcginty RT @bjh41647: Ideally PQI should be ground up #Jacr Tue Dec 2 11:16:15 PST 2014

kristinahoque RT @bjh41647: ACR PQI project in beta testing now. @10 sites. Open to allsoon.#Jacr Tue Dec 2 11:16:35 PST 2014

nxtstop1 T1 For issues like Quality Improvement where want constructive outcomes,but difficultsubject>more involved =better.Residents helpful #jacr Tue Dec 2 11:16:43 PST 2014

drgmcginty RT @MattHawkinsMD: Good resources for #radres coming up in special issue of#JACR edited by @pgnagy ­­ http://t.co/yNNp5fKOsk Tue Dec 2 11:16:59 PST 2014

drgmcginty RT @pgnagy: @ruthcarlosmd Group PQI across programs! Great resource ondeveloping boundary spanning leadership skills http://t.co/y7ld2JbRF… Tue Dec 2 11:17:04 PST 2014

jacrjournal RT @MattHawkinsMD: Good resources for #radres coming up in special issue of#JACR edited by @pgnagy ­­ http://t.co/yNNp5fKOsk Tue Dec 2 11:17:06 PST 2014

nxtstop1 REF ~ RT @MattHawkinsMD Good resources for #radres coming up in special issueof #JACR edited by @pgnagy ­­ http://t.co/3mgBJ00s5j Tue Dec 2 11:17:09 PST 2014

kristinahoque RT @MattHawkinsMD: Good resources for #radres coming up in special issue of#JACR edited by @pgnagy ­­ http://t.co/yNNp5fKOsk Tue Dec 2 11:17:13 PST 2014

matthawkinsmd RT @bjh41647: ACR PQI project in beta testing now. @10 sites. Open to allsoon.#Jacr Tue Dec 2 11:17:22 PST 2014

radsdoc82 RT @MattHawkinsMD: Good resources for #radres coming up in special issue of#JACR edited by @pgnagy ­­ http://t.co/yNNp5fKOsk Tue Dec 2 11:17:31 PST 2014

kristinahoque RT @nxtstop1: REF ~ RT @MattHawkinsMD Good resources for #radres coming upin special issue of #JACR edited by @pgnagy ­­ http://t.co/3mgBJ… Tue Dec 2 11:17:40 PST 2014

12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 7/29

akrishnarajmd RT @MattHawkinsMD: Good resources for #radres coming up in special issue of#JACR edited by @pgnagy ­­ http://t.co/yNNp5fKOsk Tue Dec 2 11:17:43 PST 2014

radiologyboy1 RT @pgnagy: @ruthcarlosmd Group PQI across programs! Great resource ondeveloping boundary spanning leadership skills http://t.co/y7ld2JbRF… Tue Dec 2 11:18:05 PST 2014

bjh41647 ACR PQI TO CULMINATE AT ACR 2015 with refresher course and feedback #Jacr Tue Dec 2 11:18:07 PST 2014

kristinahoque @pgnagy @ruthcarlosmd do you think there should be structured curriculum on PQIin residency? Or is it better to just learn by doing? #JACR Tue Dec 2 11:19:15 PST 2014

nxtstop1 T1 Another thought> all academic depts now are /embarking on formal QI. Haveoccasional joint meeting to chat~share.Its all re the pts #jacr Tue Dec 2 11:19:43 PST 2014

drgmcginty RT @KristinaHoque: @pgnagy @ruthcarlosmd do you think there should bestructured curriculum on PQI in residency? Or is it better to just le… Tue Dec 2 11:19:54 PST 2014

nsfredericks #jacr See step­by­step PQI project http://t.co/WIsvdMJiFc Tue Dec 2 11:20:11 PST 2014

ruthcarlosmd T2: What issues have you identified with the PQI process? #JACR Tue Dec 2 11:20:15 PST 2014

radiologyacr RT @KristinaHoque: @pgnagy @ruthcarlosmd do you think there should bestructured curriculum on PQI in residency? Or is it better to just le… Tue Dec 2 11:20:16 PST 2014

asset25 RT @DrGMcGinty: #rsna14 #selfie with @pgnagy #jacr tweetchathttp://t.co/HYEQlPBC4X Tue Dec 2 11:20:21 PST 2014

matthawkinsmd MT @bjh41647 ­ ACR PQI TO CULMINATE AT ACR 2015 with refresher course andfeedback #Jacr ­­ http://t.co/C25bbiWWtB Tue Dec 2 11:20:38 PST 2014

kristinahoque RT @bjh41647: ACR PQI TO CULMINATE AT ACR 2015 with refresher course andfeedback #Jacr Tue Dec 2 11:20:39 PST 2014

jacrjournal RT @ruthcarlosmd: T2: What issues have you identified with the PQI process? #JACRTue Dec 2 11:20:46 PST 2014

pgnagy @KristinaHoque #JACR Keys to supporting PQI Projects. Exec support, qualityprocess expertise, IT, analytics, and a community organizer.

12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 8/29

Tue Dec 2 11:20:56 PST 2014

kristinahoque @bjh41647 looking forward to ACR 2015 and hoping to see some great workshowcased at the poster sessions! #JACR Tue Dec 2 11:21:13 PST 2014

radsdoc82 @RadiologyACR @KristinaHoque @pgnagy @ruthcarlosmd so many greatresources exist like ihi . The challenge is finding them all #Jacr Tue Dec 2 11:21:29 PST 2014

ruthcarlosmd @KristinaHoque @pgnagy T1: good question...structured learning with hands onexperience consolidate knowledge. #JACR #RSNA14 Tue Dec 2 11:21:37 PST 2014

matthawkinsmd @nxtstop1 ­ Sometimes disorganized QI projects with great intention can increasechaos in a dept. #JACR #RSNA14 http://t.co/OF3Le53aym Tue Dec 2 11:21:59 PST 2014

kristinahoque @ruthcarlosmd T2: difficult to identify tangible goals and clear end points #JACR Tue Dec 2 11:22:01 PST 2014

matthawkinsmd RT @pgnagy: @KristinaHoque #JACR Keys to supporting PQI Projects. Exec support,quality process expertise, IT, analytics, and a community o… Tue Dec 2 11:22:10 PST 2014

matthawkinsmd @pgnagy @KristinaHoque ­­ The #HIT and analytics component cannot beunderestimated. #JACR #RSNA14 Tue Dec 2 11:22:34 PST 2014

kristinahoque @Radsdoc82 @RadiologyACR @pgnagy @ruthcarlosmd so true­ we need to find,use and promote resources! All the tools are there. #JACR Tue Dec 2 11:22:50 PST 2014

tirathpatelmd RT @MattHawkinsMD: @pgnagy @KristinaHoque ­­ The #HIT and analyticscomponent cannot be underestimated. #JACR #RSNA14 Tue Dec 2 11:22:53 PST 2014

leelueck @pgnagy @KristinaHoque can you say more on what you need from IT, analytics?#Jacr Tue Dec 2 11:22:54 PST 2014

tirathpatelmd RT @ruthcarlosmd: T2: What issues have you identified with the PQI process? #JACRTue Dec 2 11:22:59 PST 2014

radiologyacr RT @nsfredericks: #jacr See step­by­step PQI project http://t.co/WIsvdMJiFc Tue Dec 2 11:23:01 PST 2014

jacrjournal RT @nsfredericks: #jacr See step­by­step PQI project http://t.co/WIsvdMJiFc Tue Dec 2 11:23:06 PST 2014

12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 9/29

kristinahoque RT @pgnagy: @KristinaHoque #JACR Keys to supporting PQI Projects. Exec support,quality process expertise, IT, analytics, and a community o… Tue Dec 2 11:23:13 PST 2014

nxtstop1 @MattHawkinsMD Agee. With QI must start simple and small >build on successesfrom there #jacr Tue Dec 2 11:23:27 PST 2014

tirathpatelmd RT @nsfredericks: #jacr See step­by­step PQI project http://t.co/WIsvdMJiFc Tue Dec 2 11:23:33 PST 2014

matthawkinsmd RT @KristinaHoque: @ruthcarlosmd T2: difficult to identify tangible goals and clearend points #JACR Tue Dec 2 11:23:35 PST 2014

tirathpatelmd RT @nxtstop1: T1 Another thought> all academic depts now are /embarking on formalQI. Have occasional joint meeting to chat~share.Its all r… Tue Dec 2 11:24:01 PST 2014

tirathpatelmd RT @MattHawkinsMD: @nxtstop1 ­ Sometimes disorganized QI projects with greatintention can increase chaos in a dept. #JACR #RSNA14 http://… Tue Dec 2 11:24:08 PST 2014

kristinahoque @leelueck @pgnagy every project has unique needs ­ custom team needed toachieve success. #JACR Tue Dec 2 11:24:17 PST 2014

kristinahoque RT @nxtstop1: @MattHawkinsMD Agee. With QI must start simple and small >buildon successes from there #jacr Tue Dec 2 11:24:27 PST 2014

akrishnarajmd T2. Many projects have identified poor communication issues btwn rads and techsthat lead to suboptimal quality #JACR Tue Dec 2 11:24:39 PST 2014

radiologyacr RT @nxtstop1: @MattHawkinsMD Agee. With QI must start simple and small >buildon successes from there #jacr Tue Dec 2 11:24:42 PST 2014

nxtstop1 T2 I really like @docmikeevans video on Quality Improvement. A realistic,palpable,doable take on the subject. #jacr Tue Dec 2 11:25:01 PST 2014

tirathpatelmd RT @nxtstop1: T2 I really like @docmikeevans video on Quality Improvement. Arealistic,palpable, doable take on the subject. #jacr Tue Dec 2 11:25:12 PST 2014

matthawkinsmd #JACR tchat is on. @pgnagy @DrGMcGinty http://t.co/tbgk72L3LD Tue Dec 2 11:25:16 PST 2014

12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 10/29

bjh41647 Culture rules. Many still attached to old ways. Resist the inevitable. #jacr Tue Dec 2 11:25:17 PST 2014

pgnagy @leelueck @KristinaHoque #JACR Here is an article we wrote on those 5 resourceshttp://t.co/E5LqZPlnDO Tue Dec 2 11:25:21 PST 2014

leelueck @KristinaHoque @pgnagy Can information access be a roadblock? #Jacr Tue Dec 2 11:25:43 PST 2014

kristinahoque @tarheelrad great area for improvement and chance to really make a difference.Consider talks on Lean process #JACR Tue Dec 2 11:25:47 PST 2014

pfanderson Joining #jacr late, after fighting with & restarting my computer Tue Dec 2 11:26:01 PST 2014

kristinahoque RT @bjh41647: Culture rules. Many still attached to old ways. Resist the inevitable.#jacr Tue Dec 2 11:26:02 PST 2014

matthawkinsmd @nxtstop1 ­­ Early success is key. Small victories are vital. #JACR Tue Dec 2 11:26:03 PST 2014

akrishnarajmd RT @MattHawkinsMD: #JACR tchat is on. @pgnagy @DrGMcGintyhttp://t.co/tbgk72L3LD Tue Dec 2 11:26:08 PST 2014

kristinahoque RT @pgnagy: @leelueck @KristinaHoque #JACR Here is an article we wrote onthose 5 resources http://t.co/E5LqZPlnDO Tue Dec 2 11:26:08 PST 2014

jasonitrimd @leelueck @KristinaHoque @pgnagy Huge roadblock, you can't have good PQIwithout good data #jacr Tue Dec 2 11:26:16 PST 2014

matthawkinsmd RT @JasonItriMD: @leelueck @KristinaHoque @pgnagy Huge roadblock, you can'thave good PQI without good data #jacr Tue Dec 2 11:27:00 PST 2014

jasonitrimd @MattHawkinsMD @nxtstop1 Agree, and scope your project for success over a shorttime period. #jacr Tue Dec 2 11:27:04 PST 2014

bjh41647 Unsure whether formalized methods will appeal. Intimidating to most #jacr Tue Dec 2 11:27:09 PST 2014

goodday0183 Lots of good PQI ideas at today's #jacr tweet chat Tue Dec 2 11:27:15 PST 2014

12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 11/29

leelueck @pgnagy @KristinaHoque Thanks. I'll be sure to read it. #jacr Tue Dec 2 11:27:22 PST 2014

kristinahoque @leelueck @pgnagy I think access often isnt a huge problem­ it's effective use of theinfo #JACR Tue Dec 2 11:27:26 PST 2014

radsdoc82 RT @JasonItriMD: @leelueck @KristinaHoque @pgnagy Huge roadblock, you can'thave good PQI without good data #jacr Tue Dec 2 11:27:29 PST 2014

matthawkinsmd RT @pgnagy: @leelueck @KristinaHoque #JACR Here is an article we wrote onthose 5 resources http://t.co/E5LqZPlnDO Tue Dec 2 11:27:57 PST 2014

tirathpatelmd RT @KristinaHoque: @leelueck @pgnagy I think access often isnt a huge problem­it's effective use of the info #JACR Tue Dec 2 11:28:01 PST 2014

tirathpatelmd RT @bjh41647: Unsure whether formalized methods will appeal. Intimidating to most#jacr Tue Dec 2 11:28:23 PST 2014

tirathpatelmd RT @pgnagy: @leelueck @KristinaHoque #JACR Here is an article we wrote onthose 5 resources http://t.co/E5LqZPlnDO Tue Dec 2 11:28:41 PST 2014

pfanderson RT @tarheelrad: T2. Many projects have identified poor communication issues btwnrads and techs that lead to suboptimal quality #JACR Tue Dec 2 11:28:42 PST 2014

pgnagy @leelueck @KristinaHoque #JACR data access is essential to a PQI project. Withoutdata, you are left with only emotions. Tue Dec 2 11:28:44 PST 2014

jacrjournal RT @KristinaHoque: @leelueck @pgnagy I think access often isnt a huge problem­it's effective use of the info #JACR Tue Dec 2 11:28:54 PST 2014

radsdoc82 @JasonItriMD @leelueck @KristinaHoque @pgnagy how often do you readjust yourgoals/targets after data collection #Jacr Tue Dec 2 11:28:56 PST 2014

nxtstop1 @bjh41647 Think you're really right about the intimidating feature of QI. Initialconcerted effort to counter that, make palpable,OK #jacr Tue Dec 2 11:29:09 PST 2014

matthawkinsmd @bjh41647 ­­ It's a good point. Doesn't account for variability between institutions andtheir culture. #JACR #RSNA14 Tue Dec 2 11:29:13 PST 2014

12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 12/29

sumirpatelmd RT @bjh41647: Culture rules. Many still attached to old ways. Resist the inevitable.#jacr Tue Dec 2 11:29:28 PST 2014

leelueck @KristinaHoque @pgnagy Yes. So much data, so important to understand what itmeans. #Jacr Tue Dec 2 11:29:30 PST 2014

radiologyacr RT @bjh41647: Culture rules. Many still attached to old ways. Resist the inevitable.#jacr Tue Dec 2 11:29:32 PST 2014

tirathpatelmd RT @Radsdoc82: @JasonItriMD @leelueck @KristinaHoque @pgnagy how often doyou readjust your goals/targets after data collection #Jacr Tue Dec 2 11:29:35 PST 2014

radiologyacr RT @pgnagy: @leelueck @KristinaHoque #JACR data access is essential to a PQIproject. Without data, you are left with only emotions. Tue Dec 2 11:29:40 PST 2014

kristinahoque @Radsdoc82 @JasonItriMD @leelueck @pgnagy I often have a set of "firm goals" &separate subset of "soft goals" that constantly adjust #JACR Tue Dec 2 11:30:03 PST 2014

pgnagy Free primer on quality principles for Radiology. Thank you @JonathanKruskalhttp://t.co/e5TlVqA3QB #JACR Tue Dec 2 11:30:08 PST 2014

kristinahoque RT @pgnagy: @leelueck @KristinaHoque #JACR data access is essential to a PQIproject. Without data, you are left with only emotions. Tue Dec 2 11:30:14 PST 2014

pfanderson RT @pgnagy: @leelueck @KristinaHoque #JACR data access is essential to a PQIproject. Without data, you are left with only emotions. Tue Dec 2 11:30:18 PST 2014

leelueck @pgnagy @KristinaHoque I like emotions. #jacr Tue Dec 2 11:30:20 PST 2014

radsdoc82 @nxtstop1 @bjh41647 don't fear failure #jacr Tue Dec 2 11:30:27 PST 2014

colinsegovis RT @pgnagy: @leelueck @KristinaHoque #JACR data access is essential to a PQIproject. Without data, you are left with only emotions. Tue Dec 2 11:30:36 PST 2014

ruthcarlosmd RT @pgnagy: @leelueck @KristinaHoque #JACR data access is essential to a PQIproject. Without data, you are left with only emotions. Tue Dec 2 11:30:46 PST 2014

12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 13/29

kristinahoque RT @pgnagy: Free primer on quality principles for Radiology. Thank you@JonathanKruskal http://t.co/e5TlVqA3QB #JACR Tue Dec 2 11:30:47 PST 2014

jasonitrimd @Radsdoc82 Generally should continuously collect and display data, then look forimpact of interventions, eg SPC charts #jacr Tue Dec 2 11:30:47 PST 2014

radiologyacr RT @goodday0183: Lots of good PQI ideas at today's #jacr tweet chat Tue Dec 2 11:30:50 PST 2014

matthawkinsmd RT @pgnagy: Free primer on quality principles for Radiology. Thank you@JonathanKruskal http://t.co/e5TlVqA3QB #JACR Tue Dec 2 11:31:10 PST 2014

jasonitrimd @Radsdoc82 @nxtstop1 @bjh41647 Embrace failure! That's how you learn #jacr Tue Dec 2 11:31:32 PST 2014

jasonitrimd #jacr Tue Dec 2 11:31:33 PST 2014

matthawkinsmd @JasonItriMD @Radsdoc82 ­­ real­time feedback is essential. No doubt. #JACR Tue Dec 2 11:31:49 PST 2014

radiologywriter Awesome turnout for the #jacr tchat. Come join us! http://t.co/WfTIhRoAAC Tue Dec 2 11:31:49 PST 2014

tirathpatelmd RT @Radsdoc82: @nxtstop1 @bjh41647 don't fear failure #jacr Tue Dec 2 11:31:50 PST 2014

tirathpatelmd RT @JasonItriMD: @Radsdoc82 @nxtstop1 @bjh41647 Embrace failure! That's howyou learn #jacr Tue Dec 2 11:31:55 PST 2014

kristinahoque RT @JasonItriMD: @Radsdoc82 @nxtstop1 @bjh41647 Embrace failure! That's howyou learn #jacr Tue Dec 2 11:31:59 PST 2014

colinsegovis RT @JasonItriMD: @Radsdoc82 @nxtstop1 @bjh41647 Embrace failure! That's howyou learn #jacr Tue Dec 2 11:32:13 PST 2014

pfanderson RT @leelueck: @KristinaHoque @pgnagy Can information access be a roadblock?#Jacr Tue Dec 2 11:32:21 PST 2014

matthawkinsmd RT @JasonItriMD: @Radsdoc82 @nxtstop1 @bjh41647 Embrace failure! That's howyou learn #jacr Tue Dec 2 11:32:25 PST 2014

12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 14/29

radiologywriter RT @MattHawkinsMD: Good resources for #radres coming up in special issue of#JACR edited by @pgnagy ­­ http://t.co/yNNp5fKOsk Tue Dec 2 11:32:34 PST 2014

pgnagy @leelueck @KristinaHoque #JACR Except everyone joining a PQI project has a pettheory for what is wrong (generally with someone else). Tue Dec 2 11:32:57 PST 2014

matthawkinsmd @pgnagy ­­ how big is the #QI team at your institution? #JACR #RSNA14 Tue Dec 2 11:32:59 PST 2014

sumirpatelmd .@nxtstop1 T1 occasional joint meeting to discuss PQI ­ alternate with an M&M timeslot? #jacr #rsna14 Tue Dec 2 11:33:01 PST 2014

sumirpatelmd RT @nxtstop1: T1 Another thought> all academic depts now are /embarking on formalQI. Have occasional joint meeting to chat~share.Its all r… Tue Dec 2 11:33:09 PST 2014

cancergeek RT @ruthcarlosmd: #JACR tweet up at #rsna14 acr booth 3123 at 1pm talking abouthow to do PQI. @pgnagy@amykotsenas @KristinaHoque @CancerGe… Tue Dec 2 11:33:15 PST 2014

leelueck Took me years to accept this truth. @JasonItriMD: @Radsdoc82 @nxtstop1@bjh41647 Embrace failure! That's how you learn #jacr Tue Dec 2 11:33:23 PST 2014

tirathpatelmd @RadiologyWriter cameos by @MattHawkinsMD @Radsdoc82 @knowitzki@TirathPatelMD #jacr #rsna14 Tue Dec 2 11:33:26 PST 2014

nxtstop1 T2 Creating a safe environment to practice medicine key:where Quality work isdone,everyone is supported, mistakes are learned from~ #jacr Tue Dec 2 11:33:41 PST 2014

pfanderson @KristinaHoque @leelueck @pgnagy Information can be misunderstood,misinterpreted, shared w/others who misunderstand. Also can empower #jacr Tue Dec 2 11:34:11 PST 2014

nxtstop1 RT @SumirPatelMD: .@nxtstop1 T1 occasional joint meeting to discuss PQI ­alternate with an M&M time slot? #jacr #rsna14 Tue Dec 2 11:34:14 PST 2014

pfanderson RT @RadiologyWriter: Awesome turnout for the #jacr tchat. Come join us!http://t.co/WfTIhRoAAC Tue Dec 2 11:34:30 PST 2014

pfanderson RT @pgnagy: Free primer on quality principles for Radiology. Thank you@JonathanKruskal http://t.co/e5TlVqA3QB #JACR Tue Dec 2 11:34:50 PST 2014

12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 15/29

pfanderson RT @KristinaHoque: @Radsdoc82 @JasonItriMD @leelueck @pgnagy I often have aset of "firm goals" & separate subset of "soft goals" that cons… Tue Dec 2 11:34:54 PST 2014

pfanderson RT @leelueck: Took me years to accept this truth. @JasonItriMD: @Radsdoc82@nxtstop1 @bjh41647 Embrace failure! That's how you learn #jacr Tue Dec 2 11:35:06 PST 2014

tirathpatelmd @dr_fiona @ACRRFS @DrGMcGinty Andy is on Twitter: @andykmoriarity . #RSNA14#JACR Tue Dec 2 11:35:08 PST 2014

leelueck @pgnagy @KristinaHoque You don't mean to suggest that I might be wrong?! Tue Dec 2 11:35:21 PST 2014

cancergeek Sorry I'm late, but I made it, whew! #jacr Tue Dec 2 11:35:22 PST 2014

kristinahoque RT @nxtstop1: T2 Creating a safe environment to practice medicine key:whereQuality work is done,everyone is supported, mistakes are learne… Tue Dec 2 11:35:29 PST 2014

ruthcarlosmd @CancerGeek Great to see you! #jacr Tue Dec 2 11:36:35 PST 2014

kristinahoque RT @pfanderson: @KristinaHoque @leelueck @pgnagy Information can bemisunderstood, misinterpreted, shared w/others who misunderstand. Also … Tue Dec 2 11:36:48 PST 2014

matthawkinsmd How big are the #QI teams people have at their institutions? Do you have formal #QIteams? #JACR Tue Dec 2 11:37:20 PST 2014

bjh41647 #jacr social media is more social if you're with others tweeting in the same place Tue Dec 2 11:37:28 PST 2014

tirathpatelmd RT @bjh41647: #jacr social media is more social if you're with others tweeting in thesame place Tue Dec 2 11:37:41 PST 2014

matthawkinsmd @CancerGeek ­­ Are you virtually here, or really here? #JACR Tue Dec 2 11:37:43 PST 2014

kristinahoque RT @bjh41647: #jacr social media is more social if you're with others tweeting in thesame place Tue Dec 2 11:37:54 PST 2014

akrishnarajmd RT @bjh41647: #jacr social media is more social if you're with others tweeting in thesame place Tue Dec 2 11:37:58 PST 2014

12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 16/29

pgnagy @leelueck @KristinaHoque #JACR PQI needs to be data driven. It also needsemotionally intelligence leaders to build trust. Tue Dec 2 11:38:03 PST 2014

nxtstop1 Ooooh yes, but I feel right there too Bruce :) MT @bjh41647 #jacr social media ismore social if you're with others tweeting in same place Tue Dec 2 11:38:08 PST 2014

pfanderson RT @pgnagy: @leelueck @KristinaHoque #JACR Here is an article we wrote onthose 5 resources http://t.co/E5LqZPlnDO Tue Dec 2 11:38:09 PST 2014

radpacshakur RT @bjh41647: #jacr social media is more social if you're with others tweeting in thesame place Tue Dec 2 11:38:11 PST 2014

pfanderson RT @bjh41647: Culture rules. Many still attached to old ways. Resist the inevitable.#jacr Tue Dec 2 11:38:17 PST 2014

colinsegovis RT @bjh41647: #jacr social media is more social if you're with others tweeting in thesame place Tue Dec 2 11:38:19 PST 2014

shawnteaguemd @MattHawkinsMD we actually do 2 QI projects per section in our department asrequirement. So essentially every section is a team. #jacr Tue Dec 2 11:38:21 PST 2014

kristinahoque RT @pgnagy: @leelueck @KristinaHoque #JACR PQI needs to be data driven. It alsoneeds emotionally intelligence leaders to build trust. Tue Dec 2 11:38:55 PST 2014

pgnagy @leelueck @KristinaHoque “Progess in a PQI project moves at the speed of trust.” ­Stephen Covey #JACR Tue Dec 2 11:39:00 PST 2014

pfanderson RT @MattHawkinsMD: Good resources for #radres coming up in special issue of#JACR edited by @pgnagy ­­ http://t.co/yNNp5fKOsk Tue Dec 2 11:39:00 PST 2014

pfanderson RT @nxtstop1: Note RT @ruthcarlosmd RT @RadiologyACR: ACR PQI project islooking for beta sites http://t.co/li3POb6gi2 #jacr #rsna14 Tue Dec 2 11:39:09 PST 2014

bjh41647 #jacr nice to start local but more effective when we can benchmark against big data.Registries Tue Dec 2 11:39:11 PST 2014

radsdoc82 RT @bjh41647: #jacr social media is more social if you're with others tweeting in thesame place

12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 17/29

Tue Dec 2 11:39:11 PST 2014

ruthcarlosmd RT @pgnagy: @leelueck @KristinaHoque #JACR PQI needs to be data driven. It alsoneeds emotionally intelligence leaders to build trust. Tue Dec 2 11:39:16 PST 2014

ruthcarlosmd RT @bjh41647: #jacr social media is more social if you're with others tweeting in thesame place Tue Dec 2 11:39:29 PST 2014

kristinahoque @pgnagy @leelueck absolutely­ emotional intelligence is key to effectively leading aPQI team #JACR ... And a key skill for #radres to learn Tue Dec 2 11:39:40 PST 2014

tirathpatelmd RT @ShawnTeagueMD: @MattHawkinsMD we actually do 2 QI projects per sectionin our department as requirement. So essentially every section i… Tue Dec 2 11:39:49 PST 2014

kristinahoque RT @pgnagy: @leelueck @KristinaHoque “Progess in a PQI project moves at thespeed of trust.” ­ Stephen Covey #JACR Tue Dec 2 11:39:56 PST 2014

ruthcarlosmd T3: how can we integrate the patient experience in the PQI process? #JACR Tue Dec 2 11:40:03 PST 2014

pfanderson RT @pgnagy: @leelueck @KristinaHoque “Progess in a PQI project moves at thespeed of trust.” ­ Stephen Covey #JACR Tue Dec 2 11:40:12 PST 2014

nxtstop1 @KristinaHoque @pgnagy @leelueck T2 See I think that's the key~ getting the mostunderstanding & supportive ppl in dept to spearhead #jacr Tue Dec 2 11:40:21 PST 2014

colinsegovis All residents at Wake are required to a PQI project. #jacr #rsna14 Tue Dec 2 11:40:21 PST 2014

matthawkinsmd RT @pgnagy: @leelueck @KristinaHoque “Progess in a PQI project moves at thespeed of trust.” ­ Stephen Covey #JACR Tue Dec 2 11:40:24 PST 2014

colinsegovis RT @pgnagy: @leelueck @KristinaHoque “Progess in a PQI project moves at thespeed of trust.” ­ Stephen Covey #JACR Tue Dec 2 11:40:32 PST 2014

nxtstop1 Interesting! RT @colinsegovis All residents at Wake are required to a PQI project.#jacr #rsna14 Tue Dec 2 11:40:41 PST 2014

jasonitrimd @ruthcarlosmd Patient surveys, focus groups, going to the gemba #jacr Tue Dec 2 11:40:56 PST 2014

12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 18/29

tirathpatelmd @KristinaHoque @pgnagy @leelueck @MattHawkinsMD No matter the size of the#qi team, need to have 'buy­in' from all involved. #jacr #rsna14 Tue Dec 2 11:40:56 PST 2014

tirathpatelmd RT @JasonItriMD: @ruthcarlosmd Patient surveys, focus groups, going to the gemba#jacr Tue Dec 2 11:41:12 PST 2014

radiologywriter RT @pgnagy: @leelueck @KristinaHoque “Progess in a PQI project moves at thespeed of trust.” ­ Stephen Covey #JACR Tue Dec 2 11:41:15 PST 2014

sumirpatelmd .@pgnagy @leelueck @kristinahoque "Show them the data!" #jacr #rsna14 Tue Dec 2 11:41:19 PST 2014

pfanderson @ShawnTeagueMD @KristinaHoque @leelueck @pgnagy Rightly so! What lookslike same data may not share standard definitions, parameters #jacr Tue Dec 2 11:41:21 PST 2014

akrishnarajmd T3. Via surveys and personal interviews #JACR Tue Dec 2 11:41:25 PST 2014

kristinahoque @ruthcarlosmd this is the ultimate goal! We need to involve all key players to achievesuccess from all prospectives. #JACR Tue Dec 2 11:41:45 PST 2014

pfanderson RT @ruthcarlosmd: T3: how can we integrate the patient experience in the PQIprocess? #JACR Tue Dec 2 11:41:53 PST 2014

nxtstop1 @TirathPatelMD @KristinaHoque @pgnagy @leelueck @MattHawkinsMD T3Useless to embark on any QI w/out enough discussion 4 global buyin? #jacr Tue Dec 2 11:42:10 PST 2014

matthawkinsmd #Quality officer and the speed of trust ­­ http://t.co/vTW4LKeCbk ­­ via @pgnagy#JACR #RSNA14 #radiology Tue Dec 2 11:42:21 PST 2014

madisys RT @ruthcarlosmd: T3: how can we integrate the patient experience in the PQIprocess? #JACR Tue Dec 2 11:42:23 PST 2014

pfanderson @SumirPatelMD @pgnagy @leelueck @KristinaHoque Show them the data ... ANDthe metadata! #jacr Tue Dec 2 11:42:26 PST 2014

pgnagy Primer on building a quality program in Radiology. http://t.co/hSZim9hzk1 #JACR Tue Dec 2 11:42:30 PST 2014

12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 19/29

kristinahoque RT @nxtstop1: @TirathPatelMD @KristinaHoque @pgnagy @leelueck@MattHawkinsMD T3 Useless to embark on any QI w/out enough discussion 4globa… Tue Dec 2 11:42:37 PST 2014

tirathpatelmd @nxtstop1 @KristinaHoque @pgnagy @leelueck @MattHawkinsMD There's ways toget people to get on­board with your project. #JACR #RSNA14 Tue Dec 2 11:42:59 PST 2014

tirathpatelmd RT @pgnagy: Primer on building a quality program in Radiology.http://t.co/hSZim9hzk1 #JACR Tue Dec 2 11:43:10 PST 2014

ruthcarlosmd T3: Put the patient in pt­centered care. Pt as stakeholder integrated into practicechange at all levels. #JACR #RSNA14 @pgnagy Tue Dec 2 11:43:19 PST 2014

radiologyacr We're tweet chatting over here #jacr #rsna14 http://t.co/ccH3hz0eXT Tue Dec 2 11:43:23 PST 2014

pfanderson @AKrishnarajMD Has to be more than that. Patient advisors, patient team, patients ascommunity advocates & conduits #jacr Tue Dec 2 11:43:23 PST 2014

matthawkinsmd @nxtstop1 @TirathPatelMD @KristinaHoque @pgnagy @leelueck ­­ Getting buy­infrom key stakeholders is absolutely vital. #JACR Tue Dec 2 11:43:35 PST 2014

nxtstop1 @TirathPatelMD @KristinaHoque @pgnagy @leelueck @MattHawkinsMD T3 Nodoubt ~just wondering if that's make or break~or go ahead & hope #jacr Tue Dec 2 11:43:40 PST 2014

tirathpatelmd RT @ruthcarlosmd: T3: Put the patient in pt­centered care. Pt as stakeholderintegrated into practice change at all levels. #JACR #RSNA14 … Tue Dec 2 11:43:42 PST 2014

kristinahoque @TirathPatelMD @nxtstop1 @pgnagy @leelueck @MattHawkinsMD getting buy infrom the start is the key to success! #JACR Tue Dec 2 11:43:45 PST 2014

jacrjournal RT @pgnagy: Primer on building a quality program in Radiology.http://t.co/hSZim9hzk1 #JACR Tue Dec 2 11:44:00 PST 2014

akrishnarajmd RT @pfanderson: @AKrishnarajMD Has to be more than that. Patient advisors,patient team, patients as community advocates & conduits #jacr Tue Dec 2 11:44:02 PST 2014

pfanderson RT @pgnagy: Primer on building a quality program in Radiology.http://t.co/hSZim9hzk1 #JACR Tue Dec 2 11:44:05 PST 2014

12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 20/29

radiologywriter RT @ruthcarlosmd: T3: Put the patient in pt­centered care. Pt as stakeholderintegrated into practice change at all levels. #JACR #RSNA14 … Tue Dec 2 11:44:15 PST 2014

radiologyacr RT @ruthcarlosmd: T3: Put the patient in pt­centered care. Pt as stakeholderintegrated into practice change at all levels. #JACR #RSNA14 … Tue Dec 2 11:44:16 PST 2014

pfanderson RT @RadiologyACR: We're tweet chatting over here #jacr #rsna14http://t.co/ccH3hz0eXT Tue Dec 2 11:44:16 PST 2014

amykotsenas Joining in a little late. Internet a little dodgy. #jacr Tue Dec 2 11:44:20 PST 2014

radsdoc82 @SumirPatelMD @pgnagy @leelueck @KristinaHoque I'm not sure that movie wouldhave done as well with a qi officer instead of nfl player #jacr Tue Dec 2 11:44:25 PST 2014

nxtstop1 @MattHawkinsMD @TirathPatelMD @KristinaHoque @pgnagy @leelueck T2 Agreeabout buyin~ really do.Chaos otherwise ~know we're on Q3 now #jacr Tue Dec 2 11:44:33 PST 2014

matthawkinsmd @nxtstop1 @KristinaHoque @leelueck ­­ All too often people start a project and thenask if it is ok. Doesn't work in #QI. #JACR Tue Dec 2 11:44:43 PST 2014

kristinahoque RT @MattHawkinsMD: @nxtstop1 @KristinaHoque @leelueck ­­ All too often peoplestart a project and then ask if it is ok. Doesn't work in #Q… Tue Dec 2 11:44:55 PST 2014

nulall @nxtstop1 @colinsegovis Isn't a PQI project a requirement for all radiology residentsnationally? #JACR Tue Dec 2 11:45:46 PST 2014

amykotsenas @pgnagy @SumirPatelMD @leelueck @KristinaHoque Data is key. Levels the fieldand takes emotions out if the equation. #JACR Tue Dec 2 11:45:46 PST 2014

leelueck T3 Does fear of admitting a mistake keep you from engaging patients in QI? #jacr Tue Dec 2 11:45:52 PST 2014

nxtstop1 RT @MattHawkinsMD: @nxtstop1 @KristinaHoque @leelueck ­­ All too often peoplestart a project and then ask if it is ok. Doesn't work in #Q… Tue Dec 2 11:45:53 PST 2014

bjh41647 #Jacr early buy in is good. Need to keep the goal in line of sight Tue Dec 2 11:46:06 PST 2014

12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 21/29

pfanderson @AmyKotsenas Mine, too! Dodgy internet everywhere ... #jacr Tue Dec 2 11:46:12 PST 2014

denabud RT @bjh41647: Culture rules. Many still attached to old ways. Resist the inevitable.#jacr Tue Dec 2 11:46:14 PST 2014

nxtstop1 RT @NULall: @nxtstop1 @colinsegovis Isn't a PQI project a requirement for allradiology residents nationally? #JACR Tue Dec 2 11:46:17 PST 2014

nxtstop1 @NULall @nxtstop1 @colinsegovis I don't know the answer but I bet someone heredoes~ #jacr Tue Dec 2 11:46:49 PST 2014

kristinahoque @leelueck that's an interesting question­ if we don't admit mistakes ­ we can't learnfrom them! #JACR Tue Dec 2 11:46:51 PST 2014

pfanderson RT @leelueck: T3 Does fear of admitting a mistake keep you from engaging patientsin QI? #jacr Tue Dec 2 11:46:52 PST 2014

pgnagy Bundle your PQI interventions! Video on influencing behavior change aroundhandwashing http://t.co/DT1A7T67Ji #JACR Tue Dec 2 11:47:15 PST 2014

pfanderson @leelueck The purple polka­dotted elephant sitting in the corner! #jacr Tue Dec 2 11:47:25 PST 2014

nxtstop1 REF RT @pgnagy Bundle your PQI interventions! Video on influencing behaviorchange around handwashing http://t.co/9liXdOcGla #JACR Tue Dec 2 11:47:41 PST 2014

jim_rawson_md RT @ruthcarlosmd: T3: Put the patient in pt­centered care. Pt as stakeholderintegrated into practice change at all levels. #JACR #RSNA14 … Tue Dec 2 11:47:43 PST 2014

leelueck @Radsdoc82 @SumirPatelMD @pgnagy @KristinaHoque Needs a goodscreenwriter! #jacr Tue Dec 2 11:47:51 PST 2014

bjh41647 #jacr too many view PQI as a 'have to' instead of a want to. Culture again Tue Dec 2 11:47:53 PST 2014

pfanderson @AmyKotsenas @pgnagy @SumirPatelMD @leelueck @KristinaHoque But withdiagnostic tech, emotions are central to patient experience #jacr Tue Dec 2 11:48:00 PST 2014

nulall RT @leelueck: T3 Does fear of admitting a mistake keep you from engaging patients

12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 22/29

in QI? #jacr Tue Dec 2 11:48:07 PST 2014

matthawkinsmd RT @pgnagy: Bundle your PQI interventions! Video on influencing behavior changearound handwashing http://t.co/DT1A7T67Ji #JACR Tue Dec 2 11:48:08 PST 2014

jim_rawson_md RT@pgnagy: Primer on building a quality program in Radiology.http://t.co/ShKku2oudr #JACR Tue Dec 2 11:48:15 PST 2014

pfanderson RT @pgnagy: Bundle your PQI interventions! Video on influencing behavior changearound handwashing http://t.co/DT1A7T67Ji #JACR Tue Dec 2 11:48:26 PST 2014

madisys RT @pgnagy: Primer on building a quality program in Radiology.http://t.co/hSZim9hzk1 #JACR Tue Dec 2 11:48:35 PST 2014

kristinahoque RT @bjh41647: #jacr too many view PQI as a 'have to' instead of a want to. Cultureagain Tue Dec 2 11:48:41 PST 2014

tirathpatelmd RT @Jim_Rawson_MD: RT@pgnagy: Primer on building a quality program inRadiology. http://t.co/ShKku2oudr #JACR Tue Dec 2 11:48:42 PST 2014

jacrjournal RT @pgnagy: Bundle your PQI interventions! Video on influencing behavior changearound handwashing http://t.co/DT1A7T67Ji #JACR Tue Dec 2 11:48:49 PST 2014

pgnagy @NULall @nxtstop1 @colinsegovis #JACR Yes! In ACGME talk its called systemsbaed practice learning. Tue Dec 2 11:48:53 PST 2014

jasonitrimd @bjh41647 Many also view as loss of autonomy #jacr Tue Dec 2 11:49:01 PST 2014

jim_rawson_md Agree RT@pgnagy: @leelueck @KristinaHoque #JACR PQI needs to be data driven.It also needs emotionally intelligence leaders to build trust. Tue Dec 2 11:49:11 PST 2014

kristinahoque @bjh41647 so true­ we need to build a new culture from the groud up! #JACR Tue Dec 2 11:49:11 PST 2014

sumirpatelmd RT @ruthcarlosmd: T3: Put the patient in pt­centered care. Pt as stakeholderintegrated into practice change at all levels. #JACR #RSNA14 … Tue Dec 2 11:49:36 PST 2014

matthawkinsmd Dr. Norbash sighting with @nsafdar at #JACR tchat http://t.co/LYv7TIWPan Tue Dec 2 11:50:00 PST 2014

12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 23/29

pfanderson RT @Jim_Rawson_MD: Agree RT@pgnagy: @leelueck @KristinaHoque #JACR PQIneeds to be data driven. It also needs emotionally intelligence lea… Tue Dec 2 11:50:03 PST 2014

sumirpatelmd RT @Jim_Rawson_MD: Agree RT@pgnagy: @leelueck @KristinaHoque #JACR PQIneeds to be data driven. It also needs emotionally intelligence lea… Tue Dec 2 11:50:08 PST 2014

pfanderson @Jim_Rawson_MD @pgnagy @leelueck @KristinaHoque Nice way to couple thetwo most important factors #jacr Tue Dec 2 11:50:30 PST 2014

amykotsenas #jacr tweet chat using all the @mccormick_place bandwidth #rsna14 Tue Dec 2 11:50:48 PST 2014

jim_rawson_md But available even if you are in another site MT@bjh41647: #jacr social media ismore social if you're w others tweeting in same place Tue Dec 2 11:51:10 PST 2014

jasonitrimd @KristinaHoque @bjh41647 Or should culture be built from the top down? #jacr Tue Dec 2 11:51:12 PST 2014

tirathpatelmd RT @AmyKotsenas: #jacr tweet chat using all the @mccormick_place bandwidth#rsna14 Tue Dec 2 11:51:20 PST 2014

nxtstop1 To all chat #JACR attendees :Think you'll like: quality improvement by@docmikeevans https://t.co/AHpJNJ9tin ~ makes the subject appealing Tue Dec 2 11:51:22 PST 2014

nxtstop1 To all chat #JACR attendees :Think you'll like: quality improvement by@docmikeevans http://t.co/62vrvsVnKj ~ makes the subject appealing Tue Dec 2 11:51:23 PST 2014

kristinahoque @JasonItriMD @bjh41647 culture should be modeled by the top and built from thebottom #JACR Tue Dec 2 11:51:55 PST 2014

tirathpatelmd RT @KristinaHoque: @bjh41647 so true­ we need to build a new culture from thegroud up! #JACR Tue Dec 2 11:51:56 PST 2014

tirathpatelmd RT @KristinaHoque: @JasonItriMD @bjh41647 culture should be modeled by the topand built from the bottom #JACR Tue Dec 2 11:52:02 PST 2014

pfanderson @JasonItriMD @KristinaHoque @bjh41647 Support for culture shift needs to be topdown. Actual culture shift needs to be bottom up. #jacr Tue Dec 2 11:52:41 PST 2014

12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 24/29

pfanderson RT @KristinaHoque: @JasonItriMD @bjh41647 culture should be modeled by the topand built from the bottom #JACR Tue Dec 2 11:52:51 PST 2014

matthawkinsmd @JasonItriMD @KristinaHoque @bjh41647 ­­ It can go either way. What do you thinkJason? #RSNA14 #JACR Tue Dec 2 11:52:55 PST 2014

jim_rawson_md Culture change takes time. How long do we have? RT@bjh41647: #jacr too manyview PQI as a 'have to' instead of a want to. Culture again Tue Dec 2 11:53:13 PST 2014

aurora_cancer RT @ruthcarlosmd: T3: Put the patient in pt­centered care. Pt as stakeholderintegrated into practice change at all levels. #JACR #RSNA14 … Tue Dec 2 11:53:17 PST 2014

matthawkinsmd RT @KristinaHoque: @JasonItriMD @bjh41647 culture should be modeled by the topand built from the bottom #JACR Tue Dec 2 11:53:25 PST 2014

amykotsenas RT @KristinaHoque: @JasonItriMD @bjh41647 culture should be modeled by the topand built from the bottom #JACR Tue Dec 2 11:53:38 PST 2014

knowitzki RT @AmyKotsenas: #jacr tweet chat using all the @mccormick_place bandwidth#rsna14 Tue Dec 2 11:53:53 PST 2014

jacrjournal RT @Jim_Rawson_MD: Culture change takes time. How long do we have?RT@bjh41647: #jacr too many view PQI as a 'have to' instead of a want t… Tue Dec 2 11:54:17 PST 2014

jasonitrimd @MattHawkinsMD @KristinaHoque @bjh41647 Agree it can work either way, buteasier when leaders live and breath the culture you want #jacr Tue Dec 2 11:54:19 PST 2014

nxtstop1 MT @KristinaHoque: @pgnagy @leelueck emotional intelligence is key to effectivelyleading aPQI team #JACR ~ a key skill for all MDs to hone Tue Dec 2 11:54:22 PST 2014

amykotsenas @KristinaHoque @JasonItriMD @bjh41647 very wise! Culture is a two­way street.#JACR Tue Dec 2 11:54:33 PST 2014

radiologywriter RT @bjh41647: #jacr too many view PQI as a 'have to' instead of a want to. Cultureagain Tue Dec 2 11:54:34 PST 2014

pfanderson #jacr RT @AmyKotsenas: @pgnagy @SumirPatelMD @leelueck @KristinaHoque Imeant the negative emotions of #radiologists

12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 25/29

Tue Dec 2 11:54:51 PST 2014

jim_rawson_md Agree MT@pfanderson: @JasonItriMD @KristinaHoque @bjh41647 Support forculture shift­top down. Culture shift­bottom up. #jacr Tue Dec 2 11:54:59 PST 2014

tirathpatelmd RT @Jim_Rawson_MD: Agree MT@pfanderson: @JasonItriMD @KristinaHoque@bjh41647 Support for culture shift­top down. Culture shift­bottom up. … Tue Dec 2 11:55:13 PST 2014

tirathpatelmd RT @JasonItriMD: @MattHawkinsMD @KristinaHoque @bjh41647 Agree it can workeither way, but easier when leaders live and breath the culture… Tue Dec 2 11:55:29 PST 2014

radiologyacr RT @Jim_Rawson_MD: Agree MT@pfanderson: @JasonItriMD @KristinaHoque@bjh41647 Support for culture shift­top down. Culture shift­bottom up. … Tue Dec 2 11:55:33 PST 2014

pgnagy Don’t forget to publish! QI is implementation science. Guide to publish a paper onyour quality work. http://t.co/9I5ormUmNh #JACR Tue Dec 2 11:55:35 PST 2014

pfanderson @AmyKotsenas @pgnagy @SumirPatelMD @leelueck @KristinaHoque Notnegative, just emotional context of diagnostician can introduce bias #jacr Tue Dec 2 11:55:38 PST 2014

sumirpatelmd .@pfanderson @jasonitriMD @kristinahoque @bjh41647 meet in the middle ­ like thetranscontinental railroad #jacr #rsna14 Tue Dec 2 11:55:48 PST 2014

radiologyacr RT @bjh41647: #jacr too many view PQI as a 'have to' instead of a want to. Cultureagain Tue Dec 2 11:56:02 PST 2014

amykotsenas @pfanderson @pgnagy @SumirPatelMD @leelueck @KristinaHoque Yes, greatpoint! #JACR Tue Dec 2 11:56:13 PST 2014

radiologyacr RT @leelueck: T3 Does fear of admitting a mistake keep you from engaging patientsin QI? #jacr Tue Dec 2 11:56:28 PST 2014

jasonitrimd @pgnagy Great way to share best practices and help other be successful #jacr Tue Dec 2 11:56:42 PST 2014

jacrjournal RT @pgnagy: Don’t forget to publish! QI is implementation science. Guide to publish apaper on your quality work. http://t.co/9I5ormUmNh … Tue Dec 2 11:56:55 PST 2014

pfanderson RT @pgnagy: Don’t forget to publish! QI is implementation science. Guide to publish a

12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 26/29

paper on your quality work. http://t.co/9I5ormUmNh … Tue Dec 2 11:57:14 PST 2014

jim_rawson_md MT@pgnagy: Don’t forget to publish! QI is implementation science. Guide to publishpaper on your quality work http://t.co/xByhdOpaAR #JACR Tue Dec 2 11:57:15 PST 2014

nxtstop1 Practice must b safe environment RT @RadiologyACR RT @leelueck: T3 Does fearof admitting a mistake keep u fr engaging patients in QI? #jacr Tue Dec 2 11:57:15 PST 2014

tirathpatelmd RT @Jim_Rawson_MD: MT@pgnagy: Don’t forget to publish! QI is implementationscience. Guide to publish paper on your quality work http://t… Tue Dec 2 11:57:29 PST 2014

matthawkinsmd RT @pgnagy: Don’t forget to publish! QI is implementation science. Guide to publish apaper on your quality work. http://t.co/9I5ormUmNh … Tue Dec 2 11:57:35 PST 2014

pgnagy @nxtstop1 @KristinaHoque @leelueck #JACR Quality is the path of real leaders.Learning how to fix broken healthcare systems. Tue Dec 2 11:57:44 PST 2014

tirathpatelmd RT @AmyKotsenas: @KristinaHoque @JasonItriMD @bjh41647 very wise! Culture isa two­way street. #JACR Tue Dec 2 11:58:01 PST 2014

knowitzki RT @pgnagy: Don’t forget to publish! QI is implementation science. Guide to publish apaper on your quality work. http://t.co/9I5ormUmNh … Tue Dec 2 11:58:28 PST 2014

matthawkinsmd RT @pgnagy: @nxtstop1 @KristinaHoque @leelueck #JACR Quality is the path ofreal leaders. Learning how to fix broken healthcare systems. Tue Dec 2 11:58:45 PST 2014

kristinahoque RT @pgnagy: @nxtstop1 @KristinaHoque @leelueck #JACR Quality is the path ofreal leaders. Learning how to fix broken healthcare systems. Tue Dec 2 11:58:51 PST 2014

aboutdunne #rsna #JACR Tweet chat still on http://t.co/wPuQQrdmu9 Tue Dec 2 11:59:11 PST 2014

kristinahoque RT @SumirPatelMD: .@pfanderson @jasonitriMD @kristinahoque @bjh41647 meetin the middle ­ like the transcontinental railroad #jacr #rsna14 Tue Dec 2 11:59:23 PST 2014

nulall RT @pgnagy: Don’t forget to publish! QI is implementation science. Guide to publish apaper on your quality work. http://t.co/9I5ormUmNh … Tue Dec 2 11:59:34 PST 2014

tirathpatelmd RT @pgnagy: @nxtstop1 @KristinaHoque @leelueck #JACR Quality is the path of

12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 27/29

real leaders. Learning how to fix broken healthcare systems. Tue Dec 2 11:59:38 PST 2014

tirathpatelmd RT @AboutDunne: #rsna #JACR Tweet chat still on http://t.co/wPuQQrdmu9 Tue Dec 2 11:59:59 PST 2014

leelueck @pgnagy @nxtstop1 @KristinaHoque We're back to the idea that culture shift takestime. #jacr Tue Dec 2 12:00:03 PST 2014

jim_rawson_md @pgnagy @nxtstop1 @KristinaHoque @leelueck Our legacy cannot be we left abroken #healthcare system for our children #jacr #RSNA14 Tue Dec 2 12:00:05 PST 2014

radiologywriter RT @AboutDunne: #rsna #JACR Tweet chat still on http://t.co/wPuQQrdmu9 Tue Dec 2 12:00:18 PST 2014

matthawkinsmd @Jim_Rawson_MD @pgnagy ­ & peer­reviewed journals need 2 adapt & understandthe #QI work is more transcendent than some clinical work. #JACR Tue Dec 2 12:00:24 PST 2014

radiologywriter RT @pgnagy: @nxtstop1 @KristinaHoque @leelueck #JACR Quality is the path ofreal leaders. Learning how to fix broken healthcare systems. Tue Dec 2 12:00:26 PST 2014

jim_rawson_md RT @pgnagy: @nxtstop1 @KristinaHoque @leelueck #JACR Quality is the path ofreal leaders. Learning how to fix broken healthcare systems. Tue Dec 2 12:00:30 PST 2014

kristinahoque @pgnagy @nxtstop1 @leelueck a windy bumpy path­ but so exciting and rewarding!#JACR Tue Dec 2 12:00:31 PST 2014

jacrjournal RT @AboutDunne: #rsna #JACR Tweet chat still on http://t.co/wPuQQrdmu9 Tue Dec 2 12:00:33 PST 2014

jacrjournal RT @Jim_Rawson_MD: @pgnagy @nxtstop1 @KristinaHoque @leelueck Our legacycannot be we left a broken #healthcare system for our children #ja… Tue Dec 2 12:00:40 PST 2014

matthawkinsmd RT @AboutDunne: #rsna #JACR Tweet chat still on http://t.co/wPuQQrdmu9 Tue Dec 2 12:00:42 PST 2014

jim_rawson_md RT @AboutDunne: #rsna #JACR Tweet chat still on http://t.co/wPuQQrdmu9 Tue Dec 2 12:00:44 PST 2014

nxtstop1 @pgnagy @KristinaHoque @leelueck T3 Leaders know quality,the best leadersknow people too &how to get the best/from with them>success #jacr Tue Dec 2 12:00:47 PST 2014

12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 28/29

nxtstop1 RT @Jim_Rawson_MD: @pgnagy @nxtstop1 @KristinaHoque @leelueck Our legacycannot be we left a broken #healthcare system for our children #ja… Tue Dec 2 12:01:12 PST 2014

kristinahoque @Jim_Rawson_MD @pgnagy @nxtstop1 @leelueck absolutely­ we need to leaveour system in a better state than was passed to us. #JACR Tue Dec 2 12:01:25 PST 2014

kristinahoque RT @MattHawkinsMD: @Jim_Rawson_MD @pgnagy ­ & peer­reviewed journalsneed 2 adapt & understand the #QI work is more transcendent than some … Tue Dec 2 12:01:33 PST 2014

matthawkinsmd RT @Jim_Rawson_MD: @pgnagy @nxtstop1 @KristinaHoque @leelueck Our legacycannot be we left a broken #healthcare system for our children #ja… Tue Dec 2 12:01:46 PST 2014

leelueck Amen. MT @Jim_Rawson_MD: Our legacy cannot be we left a broken #healthcaresystem for our children #jacr #RSNA14” Tue Dec 2 12:02:09 PST 2014

jasonitrimd @nxtstop1 @pgnagy @KristinaHoque @leelueck Great leaders also inspire #jacr Tue Dec 2 12:02:13 PST 2014

ruthcarlosmd Wow...another hour with #JACR at the #RSNA14 talking about PQI Tue Dec 2 12:02:29 PST 2014

jim_rawson_md @leelueck @pgnagy @nxtstop1 @KristinaHoque There are enablers of culturechange which can accelerate it #jacr Tue Dec 2 12:02:53 PST 2014

nxtstop1 Yes, so right. Inspire> take us our of ourselvesRT @JasonItriMD @nxtstop1 @pgnagy@KristinaHoque @leelueck Great leaders also inspire #jacr Tue Dec 2 12:02:59 PST 2014

matthawkinsmd Thanks to @pgnagy for the #QI tchat. Great group of people contributing today!#RSNA14 #JACR @JACRJournal Tue Dec 2 12:03:12 PST 2014

nxtstop1 RT @Jim_Rawson_MD: @leelueck @pgnagy @nxtstop1 @KristinaHoque There areenablers of culture change which can accelerate it #jacr Tue Dec 2 12:03:22 PST 2014

radiologyacr Thanks everyone for your tweets! Any closing thoughts #jacr #RSNA14 Tue Dec 2 12:03:27 PST 2014

leelueck @KristinaHoque @pgnagy @nxtstop1 I'm excited for all the radres's up to thechallenge! #jacr Tue Dec 2 12:03:35 PST 2014

12/3/2014 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=12%2F02%2F2014&shour=11&smin=00&tdate=12%2F02%2F2014&thour=12&tmin=20 29/29

jacrjournal RT @RadiologyACR: Thanks everyone for your tweets! Any closing thoughts #jacr#RSNA14 Tue Dec 2 12:04:03 PST 2014

jim_rawson_md RT @MattHawkinsMD: @Jim_Rawson_MD @pgnagy ­ & peer­reviewed journalsneed 2 adapt & understand the #QI work is more transcendent than some … Tue Dec 2 12:04:04 PST 2014

kristinahoque Fantastic and inspiring chat! Let's bring all this energy home and translate it to PQIleadership! #jacr Tue Dec 2 12:04:18 PST 2014

tirathpatelmd RT @MattHawkinsMD: @Jim_Rawson_MD @pgnagy ­ & peer­reviewed journalsneed 2 adapt & understand the #QI work is more transcendent than some … Tue Dec 2 12:04:22 PST 2014

nxtstop1 Thanks 4 this important chat! Thx all for great convo! RT @RadiologyACR Thankseveryone for your tweets! Any closing thoughts #jacr #RSNA14 Tue Dec 2 12:05:13 PST 2014

jim_rawson_md RT@MattHawkinsMD: Thanks to @pgnagy for the #QI tchat. Great group of peoplecontributing today! #RSNA14 #JACR @JACRJournal Tue Dec 2 12:05:18 PST 2014

nxtstop1 +1 MT @Jim_Rawson_MD RT@MattHawkinsMD:Thanks to @pgnagy for the #QItchat.Great group of ppl contributing today! #RSNA14 #JACR @JACRJournal Tue Dec 2 12:06:08 PST 2014

matthawkinsmd RT @nxtstop1: Thanks 4 this important chat! Thx all for great convo! RT@RadiologyACR Thanks everyone for your tweets! Any closing thoughts… Tue Dec 2 12:06:12 PST 2014

radiologyacr #JACR tweet chat stats: 1,026,677 impressions, 374 tweets. Another great #rsna14chat! Tue Dec 2 12:11:20 PST 2014

jim_rawson_md RT@RadiologyACR: #JACR tweet chat stats: 1,026,677 impressions, 374 tweets.Another great #rsna14 chat! #RSNA14 #RSNArads Tue Dec 2 12:15:06 PST 2014