1/26/2015 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=01­22­2015&shour=09&smin=00&tdate=01­22­2015&thour=10&tmin=15 1/24

#JACR transcript

Healthcare Social Media TranscriptFrom: Thu Jan 22 9:00:00 PST 2015To: Thu Jan 22 10:15:00 PST 2015

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

Healthcare Conference ­ Healthcare Tweet Chats ­ Healthcare Analytics

jacrjournal Welcome to the #JACR tweet chat! Guest mods @waldchristoph and@AKrishnarajMD discussing informatics and MU. Please introduce yourselves! Thu Jan 22 9:00:06 PST 2015

nxtstop1 RT @grebeccahaines: Pocket Guide to #MeaningfulUse from @RadiologyACR :http://t.co/cDB7UTsTgw. #JACR Tchat today @ 12N ET@JACRJournal on … Thu Jan 22 9:00:06 PST 2015

nxtstop1 hello everyone, Bernadette Keefe MD ~Chapel Hill NC ~delighted to be with each ofyou~ #jacr Thu Jan 22 9:01:16 PST 2015

akrishnarajmd Excited to hear everyone's thoughts on our important topics #jacr Thu Jan 22 9:01:21 PST 2015

cancergeek RT @JACRJournal: Welcome to the #JACR tweet chat! Guest mods @waldchristophand @AKrishnarajMD discussing informatics and MU. Please introd… Thu Jan 22 9:01:33 PST 2015

waldchristoph Hi I am Chris Wald and a Radiologist at Lahey Hospital & Medical Center inBurlington MA & Vice Chair ACR Commission on IT #JACR Thu Jan 22 9:01:34 PST 2015

cancergeek Andy in WI. Builder of hospitals & cancer ctrs, design patient experiences, developservice lines. Global marketer. Advocate. #JACR Thu Jan 22 9:02:39 PST 2015

1/26/2015 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=01­22­2015&shour=09&smin=00&tdate=01­22­2015&thour=10&tmin=15 2/24

waldchristoph Let's have a good discussion on these exciting and challenging topics #JACR Thu Jan 22 9:02:43 PST 2015

nxtstop1 Hello Chris, Arun and Bruce~ is that Ruth Carlos doing :The Box"? #jacr Thu Jan 22 9:02:52 PST 2015

aboutdunne RT @grebeccahaines: Pocket Guide to #MeaningfulUse from @RadiologyACR :http://t.co/cDB7UTsTgw. #JACR Tchat today @ 12N ET@JACRJournal on … Thu Jan 22 9:03:05 PST 2015

nxtstop1 @CancerGeek Hi Andy ~ nice to see you~ #jacr Thu Jan 22 9:03:07 PST 2015

akrishnarajmd I am Arun Krishnaraj a Radiologist at the University of Virginia and a proponent of allthings #informatics in imaging #jacr Thu Jan 22 9:03:17 PST 2015

grebeccahaines @JACRJournal #JACR Becky Haines here from @RadiologyACR Thu Jan 22 9:03:22 PST 2015

nxtstop1 @grebeccahaines @JACRJournal @RadiologyACR @waldchristoph Hi Becky ~ niceto see you again, Hi there Chris, nice to meet you~ #jacr Thu Jan 22 9:03:56 PST 2015

waldchristoph Patients increasingly demand access to their full medical record ­ are you providing italready? #JACR Thu Jan 22 9:04:00 PST 2015

cancergeek @nxtstop1 Great to see you too! #JACR Thu Jan 22 9:04:06 PST 2015

cancergeek RT @waldchristoph: Patients increasingly demand access to their full medical record­ are you providing it already? #JACR Thu Jan 22 9:04:15 PST 2015

cancergeek @grebeccahaines @JACRJournal @RadiologyACR Nice to see you Becky. #JACR Thu Jan 22 9:04:48 PST 2015

jacrjournal Let’s get started! T1: What are patient and provider perspectives on IT security andhealth privacy? #jacr Thu Jan 22 9:05:08 PST 2015

nxtstop1 Topic/Q 1 RT @waldchristoph: Patients increasingly demand access to their fullmedical record ­ are you providing it already? #JACR Thu Jan 22 9:05:08 PST 2015

akrishnarajmd As more institutions move towards open access EHRs it will be incumbent forradiologists to help guide access to imaging reports #jacr Thu Jan 22 9:05:12 PST 2015

1/26/2015 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=01­22­2015&shour=09&smin=00&tdate=01­22­2015&thour=10&tmin=15 3/24

grebeccahaines RT @InformaticsRC: Join @waldchristoph & @AKrishnarajMD for the #JACR tweetchat today in 15 min about #informatics, #MU & value. #Radiolog… Thu Jan 22 9:05:27 PST 2015

waldchristoph How do others balance rad report access for providers versus patients? examples?Using time delay for patient portal content? #JACR Thu Jan 22 9:05:27 PST 2015

cancergeek RT @JACRJournal: Let’s get started! T1: What are patient and provider perspectiveson IT security and health privacy? #jacr Thu Jan 22 9:06:06 PST 2015

nxtstop1 T1 Few MDs provide full access. Radiologists can lead the way on this thruindependent software, along w/multi modal reporting~? #jacr Thu Jan 22 9:06:22 PST 2015

waldchristoph @AKrishnarajMD Should there be a report for patients and a different report for docs?#JACR Thu Jan 22 9:06:27 PST 2015

nxtstop1 RT @JACRJournal: Let’s get started! T1: What are patient and provider perspectiveson IT security and health privacy? #jacr #jacr Thu Jan 22 9:06:56 PST 2015

cancergeek T1: IME patients do not hear/learn about security until there is a breach/issue. #JACR Thu Jan 22 9:07:23 PST 2015

jennykhoang Hi, Here from @Duke_Medicine. Not as wise on IT at all but keen to learn more from@AKrishnarajMD and #JACR Thu Jan 22 9:07:34 PST 2015

cancergeek RT @nxtstop1: T1 Few MDs provide full access. Radiologists can lead the way on thisthru independent software, along w/multi modal reportin… Thu Jan 22 9:07:37 PST 2015

bjh41647 #JACR patient portals a revolutionary chance to become visible. Understandablereport essential Thu Jan 22 9:08:10 PST 2015

nxtstop1 @waldchristoph @AKrishnarajMD T1 Now that is what is happening~ watered downfor patients.Huge opp for RADS to "speak" directly to pts #jacr Thu Jan 22 9:08:22 PST 2015

akrishnarajmd @waldchristoph Either 2reports are produced (one pt friendly, one refer friendly) orradiologist work to make their reports more clear #jacr Thu Jan 22 9:08:25 PST 2015

waldchristoph @nxtstop1 I think we'll need to be prepared to engage more directly with patients asthey see our workproduct ­ a chance&challenge #JACR Thu Jan 22 9:08:31 PST 2015

1/26/2015 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=01­22­2015&shour=09&smin=00&tdate=01­22­2015&thour=10&tmin=15 4/24

cancergeek T1: HIT security is an important topic & it should be addressed during pt on boardingto their care along with physicians #JACR Thu Jan 22 9:08:39 PST 2015

aboutdunne #JACR Patients wants medical records and report they can read and understand! Thu Jan 22 9:08:45 PST 2015

jacrjournal RT @bjh41647: #JACR patient portals a revolutionary chance to become visible.Understandable report essential Thu Jan 22 9:08:48 PST 2015

akrishnarajmd RT @bjh41647: #JACR patient portals a revolutionary chance to become visible.Understandable report essential Thu Jan 22 9:08:55 PST 2015

jacrjournal RT @CancerGeek: T1: IME patients do not hear/learn about security until there is abreach/issue. #JACR Thu Jan 22 9:09:00 PST 2015

cancergeek RT @nxtstop1: @waldchristoph @AKrishnarajMD T1 Now that is what is happening~watered down for patients.Huge opp for RADS to "speak" direct… Thu Jan 22 9:09:05 PST 2015

grebeccahaines T1: #JACR "I just want my damn data" @ePatientDave Thu Jan 22 9:09:15 PST 2015

radiologyacr RT @AboutDunne: #JACR Patients wants medical records and report they can readand understand! Thu Jan 22 9:09:17 PST 2015

jacrjournal RT @waldchristoph: @AKrishnarajMD Should there be a report for patients and adifferent report for docs? #JACR Thu Jan 22 9:09:26 PST 2015

arjunsharmarad Hi there, Arjun Sharma here, msk and informatics fellow at University of Maryland.Happy to be along for my first tweetchat. #JACR Thu Jan 22 9:09:38 PST 2015

radiologyacr RT @nxtstop1: T1 Few MDs provide full access. Radiologists can lead the way on thisthru independent software, along w/multi modal reportin… Thu Jan 22 9:09:40 PST 2015

akrishnarajmd Would like to see more NLP software than can "translate" doc speak to patient speakfor our reports. #jacr Thu Jan 22 9:09:41 PST 2015

waldchristoph @bjh41647 Agree ­ this will become the "Face of Radiology" and we'll emerge fromthe shadows (better get dressed well!) #JACR Thu Jan 22 9:09:42 PST 2015

1/26/2015 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=01­22­2015&shour=09&smin=00&tdate=01­22­2015&thour=10&tmin=15 5/24

nxtstop1 T1Yes,golden opp.Clear language MT @bjh41647: #JACR patient portalsrevolutionary chance to become visible.Understandable report essential Thu Jan 22 9:09:44 PST 2015

radiologyacr RT @AKrishnarajMD: As more institutions move towards open access EHRs it will beincumbent for radiologists to help guide access to imaging… Thu Jan 22 9:09:55 PST 2015

cancergeek T1: Health information & security cannot just be a simplified report; the contents needto be a dialogue btw pt & provider #JACR Thu Jan 22 9:10:12 PST 2015

nxtstop1 Be great but will b while MT @AKrishnarajMD: Like 2 c NLP software than can"translate" doc speak to patient speak for our reports. #jacr Thu Jan 22 9:10:20 PST 2015

waldchristoph @CancerGeek #JACR Check out content on Security and Patient Privacy onhttp://t.co/hST0xz88Gc Thu Jan 22 9:10:24 PST 2015

cancergeek RT @waldchristoph: @bjh41647 Agree ­ this will become the "Face of Radiology" andwe'll emerge from the shadows (better get dressed well!) … Thu Jan 22 9:10:27 PST 2015

bjh41647 #JACR key issue is meaningless jargon and cliches in typical reports. Need to bemore directive Thu Jan 22 9:10:32 PST 2015

akrishnarajmd @CancerGeek How do we create such an environment? #jacr Thu Jan 22 9:10:36 PST 2015

grebeccahaines T1: #JACR #structuredreporting can help. Less #sensitivity/more #specificity@RogueRad Thu Jan 22 9:10:47 PST 2015

akrishnarajmd RT @grebeccahaines: T1: #JACR #structuredreporting can help. Less#sensitivity/more #specificity @RogueRad Thu Jan 22 9:10:57 PST 2015

radiologyacr RT @bjh41647: #JACR key issue is meaningless jargon and cliches in typicalreports. Need to be more directive Thu Jan 22 9:11:09 PST 2015

grebeccahaines RT @bjh41647: #JACR key issue is meaningless jargon and cliches in typicalreports. Need to be more directive Thu Jan 22 9:11:23 PST 2015

radiologyacr RT @waldchristoph: @bjh41647 Agree ­ this will become the "Face of Radiology" andwe'll emerge from the shadows (better get dressed well!) … Thu Jan 22 9:11:25 PST 2015

1/26/2015 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=01­22­2015&shour=09&smin=00&tdate=01­22­2015&thour=10&tmin=15 6/24

cancergeek @waldchristoph @bjh41647 Do not default to patient portals. The real opportunity isseeing the "whites of your patients eyes." #JACR Thu Jan 22 9:11:36 PST 2015

ucradsafety Rebecca Smith­Bindman and research team joining. Lots of great points made so far!#JACR Thu Jan 22 9:11:36 PST 2015

waldchristoph #JACR Rad Report does not exist in isolation ­ who is putting it into context with otherrelevant info the rad does not have ­ PCP? Thu Jan 22 9:11:48 PST 2015

akrishnarajmd How long or should there be embargoes on patient reports? #jacr Thu Jan 22 9:12:00 PST 2015

jacrjournal RT @grebeccahaines: T1: #JACR #structuredreporting can help. Less#sensitivity/more #specificity @RogueRad Thu Jan 22 9:12:01 PST 2015

amykpatel Understandable reporting and making ourselves available to pts for clarificationregardless is essential. #JACR @waldchristoph Thu Jan 22 9:12:16 PST 2015

cancergeek RT @amykpatel: Understandable reporting and making ourselves available to pts forclarification regardless is essential. #JACR @waldchristo… Thu Jan 22 9:12:46 PST 2015

bjh41647 #JACR more quantitative reports mean less rhetorical variation. Bound to come butwhen? Thu Jan 22 9:13:02 PST 2015

jennykhoang #JACR have we identified examples of jargon & cliches that radiologists should notuse? @bjh41647 First intent to change and then guidance. Thu Jan 22 9:13:08 PST 2015

nxtstop1 living w/uncertainty>must get OK w/this MT @bjh41647: #JACR keyissue:meaningless jargon & cliches in typical reports. must b more directive Thu Jan 22 9:13:13 PST 2015

nxtstop1 RT @waldchristoph: @nxtstop1 I think we'll need to be prepared to engage moredirectly with patients as they see our workproduct ­ a chance… Thu Jan 22 9:13:31 PST 2015

ucradsafety RT @waldchristoph: #JACR Rad Report does not exist in isolation ­ who is putting itinto context with other relevant info the rad does not … Thu Jan 22 9:13:32 PST 2015

cancergeek T1: The rationale behind our decisions due to privacy & compliance need to beexplained to both physicians & patients in #nativetongue #JACR Thu Jan 22 9:14:05 PST 2015

1/26/2015 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=01­22­2015&shour=09&smin=00&tdate=01­22­2015&thour=10&tmin=15 7/24

bjh41647 #JACR what doctor sees the whites of his patient's eyes any more. Too busy typinginto his ehr Thu Jan 22 9:14:16 PST 2015

grebeccahaines T1:#JACR informed patient as a partner in care could reduce unnecessary tests &radiation dose? Thu Jan 22 9:14:28 PST 2015

waldchristoph How about artificial intelligence solution that allows plain text enquiries by patientsinto rad report and EMR details? #JACR Thu Jan 22 9:14:45 PST 2015

cancergeek RT @bjh41647: #JACR what doctor sees the whites of his patient's eyes any more.Too busy typing into his ehr Thu Jan 22 9:14:51 PST 2015

cancergeek @bjh41647 Who types anymore? #JACR Thu Jan 22 9:15:11 PST 2015

cancergeek RT @grebeccahaines: T1:#JACR informed patient as a partner in care could reduceunnecessary tests & radiation dose? Thu Jan 22 9:15:29 PST 2015

nxtstop1 @waldchristoph T1 lack of interoperability &adequate clinical info is wrong,willchange>MDs required to give info,but need culture chg #jacr Thu Jan 22 9:15:50 PST 2015

bjh41647 #JACR a good cliche is 'within normal limits' also any unnecessary hedges Thu Jan 22 9:15:53 PST 2015

waldchristoph @CancerGeek Powerful cloud based products emerging. Companies need to gettheir act together: security documentation for data centers #JACR Thu Jan 22 9:16:01 PST 2015

grebeccahaines T1: #JACR @roguerad: Forget ultrasound: Do a proper history and physical insteadhttp://t.co/cOWXYSMvJZ via @kevinmd Thu Jan 22 9:16:12 PST 2015

akrishnarajmd @CancerGeek @bjh41647 New era of medicine. You have to balance input into theEHR with a quality patient interaction until VR improves #jacr Thu Jan 22 9:16:13 PST 2015

nxtstop1 TY RT @grebeccahaines: T1: #JACR @roguerad: Forget ultrasound: Do a properhistory and physical instead http://t.co/HH5dfXHbSh via @kevinmd Thu Jan 22 9:16:31 PST 2015

nulall RT @JennyKHoang: #JACR have we identified examples of jargon & cliches thatradiologists should not use? @bjh41647 First intent to change a… Thu Jan 22 9:16:41 PST 2015

1/26/2015 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=01­22­2015&shour=09&smin=00&tdate=01­22­2015&thour=10&tmin=15 8/24

radiologyacr RT @waldchristoph: @CancerGeek Powerful cloud based products emerging.Companies need to get their act together: security documentation for… Thu Jan 22 9:16:48 PST 2015

radiologyacr RT @grebeccahaines: T1:#JACR informed patient as a partner in care could reduceunnecessary tests & radiation dose? Thu Jan 22 9:17:02 PST 2015

akrishnarajmd http://t.co/mBMQGkdI1c What we should avoid! #jacr Thu Jan 22 9:17:18 PST 2015

waldchristoph @bjh41647 Google glass the answer" One eye on the patient, one eye on the recordwhile dictating into it? Weird image but not far off? #JACR Thu Jan 22 9:17:20 PST 2015

radiologyacr RT @amykpatel: Understandable reporting and making ourselves available to pts forclarification regardless is essential. #JACR @waldchristo… Thu Jan 22 9:17:31 PST 2015

cancergeek RT @nxtstop1: TY RT @grebeccahaines: T1: #JACR @roguerad: Forget ultrasound:Do a proper history and physical instead http://t.co/HH5dfXHbS… Thu Jan 22 9:17:37 PST 2015

ucradsafety It's not enough to have big data­ we need actionable data and support fromleadership for effective QI. @waldchristoph T1 #JACR Thu Jan 22 9:17:45 PST 2015

cancergeek RT @AKrishnarajMD: @CancerGeek @bjh41647 New era of medicine. You have tobalance input into the EHR with a quality patient interaction unt… Thu Jan 22 9:17:47 PST 2015

nulall @waldchristoph would also be nice to have common medical terms auto­translatedinto lay speak. Save the step of pt having to wikipedia #jacr Thu Jan 22 9:18:05 PST 2015

dotstefano RT @waldchristoph: @CancerGeek Powerful cloud based products emerging.Companies need to get their act together: security documentation for… Thu Jan 22 9:18:32 PST 2015

cancergeek @waldchristoph If vendors cannot draw a solid line from tech to patient, then is it theright product? Why do we purchase it? #JACR Thu Jan 22 9:18:41 PST 2015

waldchristoph @grebeccahaines @RogueRad @kevinmd Especially HISTORY: takes time but sopowerful! also an Art form which med school is NOT focused on #JACR Thu Jan 22 9:18:42 PST 2015

akrishnarajmd @UCRadSafety @waldchristoph In conjunction with actionable reports that stress theimportance of the quantitative data #jacr Thu Jan 22 9:18:52 PST 2015

1/26/2015 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=01­22­2015&shour=09&smin=00&tdate=01­22­2015&thour=10&tmin=15 9/24

jennykhoang RT @UCRadSafety: It's not enough to have big data­ we need actionable data andsupport from leadership for effective QI. @waldchristoph T1 … Thu Jan 22 9:18:54 PST 2015

amykpatel @bjh41647 I agree. The days of a sound physical exam are dead. PCPs and EDDocs heavily rely on what information we impart #JACR Thu Jan 22 9:19:05 PST 2015

cancergeek @NULall @waldchristoph Or everyone could use the same language. Whycomplicate it? #JACR Thu Jan 22 9:19:26 PST 2015

elizmcdonmmp @amykpatel Yes! Pts need context! "making ourselves available to pts for clarificationregardless is essential" #JACR @waldchristoph Thu Jan 22 9:19:53 PST 2015

nxtstop1 The Dance of The Hedge~ this way & then that way ~~~ @AKrishnarajMD:http://t.co/PfHUCEGDTN What we should avoid! #jacr” Thu Jan 22 9:19:57 PST 2015

waldchristoph @NULall Agree! AI solutions already exist translating insurance speak for patientsasking coverage questions: http://t.co/YLFu2Gv2VT #JACR Thu Jan 22 9:20:04 PST 2015

grebeccahaines T1 #jacr R any patient groups making recommendations on report sharing@LeapfrogGroup eg? Thu Jan 22 9:20:05 PST 2015

cancergeek T1: I always enjoy how we jump to #technology to solve the #problems that could beaddressed by #communication #JACR Thu Jan 22 9:20:23 PST 2015

akrishnarajmd Focus on the history and physical is not going to magically come back. We may needto ask those questions ourselves. #jacr Thu Jan 22 9:20:23 PST 2015

informaticsrc RT @NULall: @waldchristoph would also be nice to have common medical termsauto­translated into lay speak. Save the step of pt having to wi… Thu Jan 22 9:20:25 PST 2015

jennykhoang That's a great idea, @NULall. Like the misinterpretation of "negative for..." meaning abad result. @waldchristoph #JACR Thu Jan 22 9:20:29 PST 2015

courtneym8216 @nxtstop1 @AKrishnarajMD what's #JACR mean Thu Jan 22 9:20:44 PST 2015

bjh41647 #JACR got to agree. Few docs left who have or take time for h and p. See ZekeEmanuel in nut this week Thu Jan 22 9:21:05 PST 2015

1/26/2015 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=01­22­2015&shour=09&smin=00&tdate=01­22­2015&thour=10&tmin=15 10/24

grebeccahaines RT @waldchristoph: @NULall Agree! AI solutions already exist translating insurancespeak for patients asking coverage questions: http://t.c… Thu Jan 22 9:21:08 PST 2015

cancergeek @grebeccahaines @LeapfrogGroup I have worked with several local healthcare org'sto establish needs within their community. Its local #JACR Thu Jan 22 9:21:22 PST 2015

drjoshuatepper RT @nxtstop1: T1 Few MDs provide full access. Radiologists can lead the way on thisthru independent software, along w/multi modal reportin… Thu Jan 22 9:21:38 PST 2015

arjunsharmarad How about a website with commonly used radiology phrases and their layexplanations? #JACR Thu Jan 22 9:21:41 PST 2015

cancergeek RT @courtneym8216: @nxtstop1 @AKrishnarajMD what's #JACR mean Thu Jan 22 9:21:55 PST 2015

waldchristoph Mobile image&report access is powerful! Make sure you don’t save patient datalocally on device! #JACR Thu Jan 22 9:22:26 PST 2015

jacrjournal T2: How is image sharing and mobile access to imaging changing the practice ofmedicine? #jacr Thu Jan 22 9:22:30 PST 2015

nulall @arjunsharmarad such a database would definitely be the first step to any kind of AItranslation #jacr Thu Jan 22 9:22:33 PST 2015

akrishnarajmd @courtneym8216 @nxtstop1 Journal of the American College of Radiology #jacr Thu Jan 22 9:22:37 PST 2015

cancergeek T1: @arjunsharmarad I think its noble to have a reference, yet doesn't tat place theownership on patients? Why can't we #simplify it? #JACR Thu Jan 22 9:23:08 PST 2015

cancergeek RT @JACRJournal: T2: How is image sharing and mobile access to imagingchanging the practice of medicine? #jacr Thu Jan 22 9:23:20 PST 2015

bjh41647 #JACR glossary online would be a good idea but few would avail themselves.Incorrect knowledge worse than none Thu Jan 22 9:23:21 PST 2015

amykpatel @ElizMcDonMMP Yes, we need a solution for clear reporting, but in the newgeneration of rads, we cannot hide behind our pacs systems #JACR Thu Jan 22 9:23:52 PST 2015

T2: Check out this great update on mobile devices and imaging in the JACR

1/26/2015 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=01­22­2015&shour=09&smin=00&tdate=01­22­2015&thour=10&tmin=15 11/24

akrishnarajmd Informatics special issue http://t.co/0wcL2KMPBS #jacr Thu Jan 22 9:23:56 PST 2015

cancergeek T2: As medicine becomes more mobile, pts move further away from big box hospitals.Future will be at pts bedside in home, not hospital #JACR Thu Jan 22 9:24:22 PST 2015

waldchristoph @grebeccahaines @LeapfrogGroup Patients demand: 'Give us our damned data'http://t.co/7VLUxgKo4a #JACR Thu Jan 22 9:24:25 PST 2015

nulall @CancerGeek @NULall @waldchristoph specificity of medical jargon a necessity tocommunicate w/ surgeon but can be simplified for pt #jacr Thu Jan 22 9:24:33 PST 2015

grebeccahaines T1: #JACR Direct to Patients @RadiologyACR http://t.co/llK10QJQ2E Thu Jan 22 9:24:34 PST 2015

ucradsafety @arjunsharmarad With so many patients struggling w/ health literacy, it's not helpfulto send them to a dictionary. #JACR T1 Thu Jan 22 9:24:41 PST 2015

nxtstop1 Gr8 Along w/other imaging info @arjunsharmarad: How about a website withcommonly used radiology phrases and their lay explanations? #JACR” Thu Jan 22 9:24:46 PST 2015

cancergeek @bjh41647 I would be more than happy to help build one that is simple & easy toaccess/use. #JACR Thu Jan 22 9:24:55 PST 2015

waldchristoph #JACR Mobile access=>instant decision making. Make sure your device is up t thetask! Brightness, resolution –go to http://t.co/lHb6qSpKeH Thu Jan 22 9:25:13 PST 2015

radiologyacr RT @AKrishnarajMD: Focus on the history and physical is not going to magicallycome back. We may need to ask those questions ourselves. #j… Thu Jan 22 9:25:22 PST 2015

amykpatel RT @AKrishnarajMD: T2: Check out this great update on mobile devices and imagingin the JACR Informatics special issue http://t.co/0wcL2KMP… Thu Jan 22 9:25:22 PST 2015

cancergeek @NULall @waldchristoph Is it? Or is it just #dogma #JACR Thu Jan 22 9:25:33 PST 2015

nxtstop1 Ref ~MT @AKrishnarajMD: T2: Check out gr8 update on mobile devices & imaging>JACR Informatics special issue http://t.co/WVExZeomhi #jacr Thu Jan 22 9:25:42 PST 2015

1/26/2015 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=01­22­2015&shour=09&smin=00&tdate=01­22­2015&thour=10&tmin=15 12/24

jacrjournal RT @CancerGeek: T1: I always enjoy how we jump to #technology to solve the#problems that could be addressed by #communication #JACR Thu Jan 22 9:26:06 PST 2015

informaticsrc T2: Imaging sharing resource http://t.co/B0jzksGqRF and interoperability from@JACRJournal #Informatics issue #JACR Thu Jan 22 9:26:11 PST 2015

nulall @waldchristoph but how to ensure brightness/contrast adequate in essentially infinitedifferent lighting environments? #jacr Thu Jan 22 9:26:19 PST 2015

waldchristoph Mobile image access is powerful! Make sure you don’t save patient data locally ondevice! Use Zero footprint solutions #JACR Thu Jan 22 9:26:20 PST 2015

nxtstop1 Yes~Do need MT @AKrishnarajMD: Focus on the history & physical is not going 2magically come back.May need to ask those Qs ourselves. #jacr Thu Jan 22 9:26:40 PST 2015

amykpatel RT @CancerGeek: T1: I always enjoy how we jump to #technology to solve the#problems that could be addressed by #communication #JACR Thu Jan 22 9:26:43 PST 2015

akrishnarajmd T2: Eventually patients will demand mobile access to their images to share with theirdocs and facebook friends for 2nd opinions #jacr Thu Jan 22 9:27:05 PST 2015

bjh41647 #JACR truly heroic issue. See new JACR resource center. Thanks to Arun andChristoff Thu Jan 22 9:27:11 PST 2015

nxtstop1 RT @waldchristoph: #JACR Mobile access=>instant decision making. Make sureyour device is up t the task! Brightness, resolution –go to http… Thu Jan 22 9:27:17 PST 2015

jennykhoang @AKrishnarajMD Images on mobile devices would definitely would help patientsunderstand the report. #JACR Thu Jan 22 9:27:17 PST 2015

nulall @CancerGeek @NULall @waldchristoph realistically, a mix of both. Detailedsubanatomy of interest to surgeon, but likely not to patient #jacr Thu Jan 22 9:27:18 PST 2015

cancergeek T2: With mobile computing expectations of patients to have a diagnosis is less time towait. #JACR Thu Jan 22 9:27:28 PST 2015

nxtstop1 RT @waldchristoph: Mobile image access is powerful! Make sure you don’t savepatient data locally on device! Use Zero footprint solutions #… Thu Jan 22 9:27:31 PST 2015

1/26/2015 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=01­22­2015&shour=09&smin=00&tdate=01­22­2015&thour=10&tmin=15 13/24

cancergeek RT @NULall: @CancerGeek @NULall @waldchristoph realistically, a mix of both.Detailed subanatomy of interest to surgeon, but likely not to … Thu Jan 22 9:27:47 PST 2015

jennykhoang @AKrishnarajMD T2 ­ Far better than the clinician taking an iphone picture of a PACSscreen to show the patient! #JACR Thu Jan 22 9:28:10 PST 2015

waldchristoph @NULall on­the­fly mandatory test image adjudication by user! FDA rep talked aboutit at ACR IT Summit in 2013 #JACR Thu Jan 22 9:28:10 PST 2015

nxtstop1 @waldchristoph Would you render final Dx over mobile device? #JACR Thu Jan 22 9:28:17 PST 2015

cancergeek @NULall @waldchristoph Or a 3D video loop & model w verbal report to physician &sit down conversation with patient? #JACR Thu Jan 22 9:28:46 PST 2015

cancergeek RT @JennyKHoang: @AKrishnarajMD T2 ­ Far better than the clinician taking aniphone picture of a PACS screen to show the patient! #JACR Thu Jan 22 9:29:04 PST 2015

grebeccahaines @CancerGeek #jacr and on mobile device Thu Jan 22 9:29:07 PST 2015

informaticsrc @NULall @waldchristoph Insights from #Informatics Commission on #mobile needs#JACR http://t.co/52uFkB5fI8 Thu Jan 22 9:29:36 PST 2015

grebeccahaines RT @CancerGeek: @NULall @waldchristoph Or a 3D video loop & model w verbalreport to physician & sit down conversation with patient? #JACR Thu Jan 22 9:29:43 PST 2015

nxtstop1 RT @CancerGeek: @NULall @waldchristoph Or a 3D video loop & model w verbalreport to physician & sit down conversation with patient? #JACR Thu Jan 22 9:29:47 PST 2015

waldchristoph @nxtstop1 Who wants to read from 9 in screen? OK for procedure request in IR etc#JACR Thu Jan 22 9:29:48 PST 2015

akrishnarajmd Check out the new JACR Informatics Resource Center to learn more in depth detailsabout today's topics : http://t.co/4T5oMfzj6a #jacr Thu Jan 22 9:30:10 PST 2015

waldchristoph @NULall Also check JACR IT Reference Guide Content on Mobile Deviceshttp://t.co/lHb6qSpKeH #JACR Thu Jan 22 9:31:05 PST 2015

1/26/2015 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=01­22­2015&shour=09&smin=00&tdate=01­22­2015&thour=10&tmin=15 14/24

cancergeek T2: Perhaps image sharing + mobile isn’t about reading everywhere but aboutaccessing additional opinions on diff cases w other rads #JACR Thu Jan 22 9:31:28 PST 2015

nxtstop1 RT @waldchristoph: @NULall Also check JACR IT Reference Guide Content onMobile Devices http://t.co/TYDBUnjI4k #JACR Thu Jan 22 9:31:30 PST 2015

nxtstop1 @waldchristoph @nxtstop1 Agree #jacr Thu Jan 22 9:31:43 PST 2015

informaticsrc @waldchristoph @NULall Dr. Hirschorn addressed this ­ video herehttp://t.co/eA9r7Jpe15 #JACR Thu Jan 22 9:31:47 PST 2015

jennykhoang T2: Viewing images via mobile access is a valuable step for the patient make sense ofreports. Ties right back to T1. #JACR @JACRJournal Thu Jan 22 9:32:00 PST 2015

akrishnarajmd @CancerGeek Crowd sourcing image interpretation? #jacr Thu Jan 22 9:32:06 PST 2015

jacrjournal RT @AKrishnarajMD: Check out the new JACR Informatics Resource Center to learnmore in depth details about today's topics : http://t.co/4T5… Thu Jan 22 9:32:15 PST 2015

akrishnarajmd RT @JennyKHoang: T2: Viewing images via mobile access is a valuable step for thepatient make sense of reports. Ties right back to T1. #JAC… Thu Jan 22 9:32:15 PST 2015

radiologyacr RT @waldchristoph: @NULall Also check JACR IT Reference Guide Content onMobile Devices http://t.co/lHb6qSpKeH #JACR Thu Jan 22 9:32:29 PST 2015

akrishnarajmd RT @JennyKHoang T2: Viewing images via mobile access is a valuable step for thepatient make sense of reports. #jacr Thu Jan 22 9:32:33 PST 2015

grebeccahaines Via @waldchristoph: @NULall Also check JACR IT Ref Guide Content on MobileDevices http://t.co/72UdQsAx6z #JACR great resource #imaging3 Thu Jan 22 9:32:34 PST 2015

aboutdunne RT @JennyKHoang: T2: Viewing images via mobile access is a valuable step for thepatient make sense of reports. Ties right back to T1. #JAC… Thu Jan 22 9:32:37 PST 2015

waldchristoph @CancerGeek All our inpatient teams have laptops on their rounding carts and someuse tablets #JACR Thu Jan 22 9:32:46 PST 2015

1/26/2015 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=01­22­2015&shour=09&smin=00&tdate=01­22­2015&thour=10&tmin=15 15/24

nulall @CancerGeek Yes that's an excellent use case for mobile. Too many times end uptaking pics of screen for this like @JennyKHoang said #jacr Thu Jan 22 9:32:52 PST 2015

cancergeek T2: We tend to jump to productivity vs how we share/learn/increase access to othersin our field. #JACR Thu Jan 22 9:32:53 PST 2015

nxtstop1 Yes MT @JennyKHoang: T2: Viewing images via mobile access is a valuable step 4patient 2make sense of reports. See T1. #JACR @JACRJournal Thu Jan 22 9:32:57 PST 2015

arjunsharmarad @nxtstop1 @waldchristoph controversial, I think it should be okay for lower resmodalities, ct mr us assuming contrast res is there #jacr Thu Jan 22 9:33:09 PST 2015

mmoghadassi Some patients r in tune w their health & can articulate their concerns, others can not.Radiology oversight is critical. #jacr Thu Jan 22 9:33:30 PST 2015

cancergeek @AKrishnarajMD Could be...that is essentially what happens today when patientsreceive physician reports w medical jargon. #JACR Thu Jan 22 9:33:42 PST 2015

mmoghadassi RT @UCRadSafety: It's not enough to have big data­ we need actionable data andsupport from leadership for effective QI. @waldchristoph T1 … Thu Jan 22 9:34:00 PST 2015

cancergeek RT @NULall: @CancerGeek Yes that's an excellent use case for mobile. Too manytimes end up taking pics of screen for this like @JennyKHoang… Thu Jan 22 9:34:11 PST 2015

nxtstop1 @arjunsharmarad @nxtstop1 @waldchristoph @JennyKHoang @JACRJournal T2 Igather some difference of opinions~ matter of resolution~ #jacr Thu Jan 22 9:34:21 PST 2015

waldchristoph @AKrishnarajMD @CancerGeek #JACR Dr.Mendel crowdsourcing interpretations tobring rad expertise to Haiti patients http://t.co/o0oDnJ0of9 Thu Jan 22 9:34:24 PST 2015

cancergeek @waldchristoph #awesome Do they share those screens with patients 100% of thetime too? #JACR Thu Jan 22 9:34:44 PST 2015

akrishnarajmd Patients pay for the image acquisition and the report. They should be able to sharethose images with whomever they wish #jacr Thu Jan 22 9:34:58 PST 2015

cancergeek RT @waldchristoph: @AKrishnarajMD @CancerGeek #JACR Dr.Mendelcrowdsourcing interpretations to bring rad expertise to Haiti patients http:/… Thu Jan 22 9:35:09 PST 2015

1/26/2015 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=01­22­2015&shour=09&smin=00&tdate=01­22­2015&thour=10&tmin=15 16/24

auntminnie JACR TweetChat is underway right now, use #JACR hashtag to participate#radiology Thu Jan 22 9:35:11 PST 2015

bjh41647 #JACR some research on accuracy interpreting from mobiles. Not enough to becompelling one way or another Thu Jan 22 9:35:39 PST 2015

arjunsharmarad Flight taking off, gotta run #jacr see ya guys, thanks! Thu Jan 22 9:35:43 PST 2015

cancergeek @AKrishnarajMD Should they also be able to demand to speak with the person thatgenerated that report and image too? #JACR Thu Jan 22 9:36:01 PST 2015

jennykhoang @nxtstop1 @arjunsharmarad @waldchristoph @JACRJournal Screen resolutionlimits your call on what you don't see. #JACR Thu Jan 22 9:36:36 PST 2015

akrishnarajmd @CancerGeek Of course. We need to put our contact info on our reports not just forreferrings but patients as well #jacr Thu Jan 22 9:36:36 PST 2015

arjunsharmarad RT @AKrishnarajMD: Patients pay for the image acquisition and the report. Theyshould be able to share those images with whomever they wis… Thu Jan 22 9:36:39 PST 2015

nxtstop1 RT @AKrishnarajMD: Patients pay for the image acquisition and the report. Theyshould be able to share those images with whomever they wis… Thu Jan 22 9:36:51 PST 2015

cancergeek @bjh41647 Could it be used as a first pass? #JACR Thu Jan 22 9:36:56 PST 2015

grebeccahaines Via @waldchristoph: @AKrishnarajMD @CancerGeek #JACR crowdsourcinginterpretations rad expertise 2 Haiti http://t.co/nOoCKj3dDe #imaging3 Thu Jan 22 9:36:56 PST 2015

cancergeek RT @AKrishnarajMD: @CancerGeek Of course. We need to put our contact info onour reports not just for referrings but patients as well #jacr Thu Jan 22 9:37:17 PST 2015

waldchristoph @AKrishnarajMD Patients own their privacy but can also give up as much of it as theysee fit­we should counsel about risks #JACR Thu Jan 22 9:37:25 PST 2015

nxtstop1 Key. MT @AKrishnarajMD: @CancerGeek Of course. Must put our contact info on ourreports not just for referrings but patients as well #jacr” Thu Jan 22 9:37:34 PST 2015

1/26/2015 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=01­22­2015&shour=09&smin=00&tdate=01­22­2015&thour=10&tmin=15 17/24

ucradsafety I'm more interested in patient use of tech to access their health data, rather than abilityof rads to interpret images on a phone. #jacr T2 Thu Jan 22 9:37:36 PST 2015

cancergeek @AKrishnarajMD IME if you do, you will increase your market positioning too. #JACR Thu Jan 22 9:37:51 PST 2015

cancergeek RT @UCRadSafety: I'm more interested in patient use of tech to access their healthdata, rather than ability of rads to interpret images on… Thu Jan 22 9:38:09 PST 2015

nxtstop1 RT @bjh41647: #JACR some research on accuracy interpreting from mobiles. Notenough to be compelling one way or another Thu Jan 22 9:38:13 PST 2015

jennykhoang RT @AKrishnarajMD: Patients pay for the image acquisition and the report. Theyshould be able to share those images with whomever they wis… Thu Jan 22 9:38:40 PST 2015

cancergeek T2: @UCRadSafety Agree. Picture is worth a 1000 words; share image, have a raddiscuss with patient....priceless. #JACR Thu Jan 22 9:38:51 PST 2015

waldchristoph @UCRadSafety Good point ­ there are definitely many more patients than radiologists:­) #JACR Thu Jan 22 9:38:54 PST 2015

bjh41647 #JACR @CancerGeek in specific circumstances and with common understanding.More work needed Thu Jan 22 9:39:08 PST 2015

akrishnarajmd @CancerGeek Who better to guide patients through their imaging then us. It'spossible http://t.co/NnTMMgoGt9 #jacr Thu Jan 22 9:39:21 PST 2015

jennykhoang @AKrishnarajMD Patients own their images just as much as they own theirabdominal incision. It's their choice to show either or both! #JACR Thu Jan 22 9:39:35 PST 2015

cancergeek RT @AKrishnarajMD: @CancerGeek Who better to guide patients through theirimaging then us. It's possible http://t.co/NnTMMgoGt9 #jacr Thu Jan 22 9:39:57 PST 2015

grebeccahaines T2: #jacr #imagesharing in real life: Common Connection @RadiologyACR#imaging3 http://t.co/jXNrKDij0f Thu Jan 22 9:40:04 PST 2015

elizmcdonmmp Pts & parents post images to social media for feedback in pt/condition groups.@waldchristoph @AKrishnarajMD #JACR Thu Jan 22 9:40:10 PST 2015

1/26/2015 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=01­22­2015&shour=09&smin=00&tdate=01­22­2015&thour=10&tmin=15 18/24

radiologyacr RT @AKrishnarajMD: @CancerGeek Who better to guide patients through theirimaging then us. It's possible http://t.co/NnTMMgoGt9 #jacr Thu Jan 22 9:40:11 PST 2015

waldchristoph @UCRadSafety Check out Health IT Buzz: Building Momentum: Expanding PatientAccess to Medical Records http://t.co/rlp60ZWP9e #JACR Thu Jan 22 9:40:19 PST 2015

liquidhealth RT @AKrishnarajMD: Patients pay for the image acquisition and the report. Theyshould be able to share those images with whomever they wis… Thu Jan 22 9:40:38 PST 2015

cancergeek @AKrishnarajMD If radiologists don't, you are allowing other physicians with lessexpertise speaking for you. #JACR Thu Jan 22 9:40:39 PST 2015

grebeccahaines RT @CancerGeek: T2: @UCRadSafety Agree. Picture is worth a 1000 words; shareimage, have a rad discuss with patient....priceless. #JACR Thu Jan 22 9:40:49 PST 2015

akrishnarajmd RT @CancerGeek @AKrishnarajMD If radiologists don't, you are allowing otherphysicians with less expertise speaking for you. #JACR Thu Jan 22 9:40:55 PST 2015

arjunsharmarad @JennyKHoang @nxtstop1 @waldchristoph @JACRJournal doesn't device screenres generally well exceed spatial res for x sectional? #JACR Thu Jan 22 9:40:57 PST 2015

jacrjournal T3: What is the impact of meaningful use and federal incentive program, both locallyand nationally? #jacr Thu Jan 22 9:41:01 PST 2015

waldchristoph @ElizMcDonMMP @AKrishnarajMD Recently used FaceTime & Skype to confer withdocs abroad and patient ­ they were very cooperative #JACR Thu Jan 22 9:41:38 PST 2015

cancergeek RT @JACRJournal: T3: What is the impact of meaningful use and federal incentiveprogram, both locally and nationally? #jacr Thu Jan 22 9:41:59 PST 2015

akrishnarajmd T3: It may be burdensome but rads must get on board with and attest to meaningfuluse. Too much money at stake http://t.co/uZIuW2cnjX #jacr Thu Jan 22 9:42:00 PST 2015

liquidhealth RT @CancerGeek: @NULall @waldchristoph Or a 3D video loop & model w verbalreport to physician & sit down conversation with patient? #JACR Thu Jan 22 9:42:00 PST 2015

jacrjournal RT @AKrishnarajMD: RT @CancerGeek @AKrishnarajMD If radiologists don't, youare allowing other physicians with less expertise speaking for … Thu Jan 22 9:42:12 PST 2015

1/26/2015 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=01­22­2015&shour=09&smin=00&tdate=01­22­2015&thour=10&tmin=15 19/24

bjh41647 #JACR have you been in an airport or on facebook. No one seems to respect yourright not to know intimate secrets Thu Jan 22 9:42:24 PST 2015

grebeccahaines T3: What is the impact of meaningful use and federal incentive program, both locallyand nationally? #jacr @JACRJournal @ONC_HealthIT Thu Jan 22 9:42:25 PST 2015

waldchristoph @arjunsharmarad @JennyKHoang @nxtstop1 @JACRJournal But environmentalbrightness reduces perception of contrast (see earlier tweets) #JACR Thu Jan 22 9:42:44 PST 2015

nulall RT @AKrishnarajMD: T3: It may be burdensome but rads must get on board with andattest to meaningful use. Too much money at stake http://t… Thu Jan 22 9:43:03 PST 2015

grebeccahaines “@RogueRad: @grebeccahaines Perhaps. But context is everything. Anything thatdetracts more context is, ultimately, noise.” #jacr Thu Jan 22 9:43:14 PST 2015

ucradsafety RT @AKrishnarajMD: T3: It may be burdensome but rads must get on board with andattest to meaningful use. Too much money at stake http://t… Thu Jan 22 9:43:14 PST 2015

cancergeek T3: IME it has meant a lot of people jumped on a bandwagon for dollars vs thinkingthrough the strategy of what they needed & why. #JACR Thu Jan 22 9:43:18 PST 2015

jennykhoang .@AKrishnarajMD @CancerGeek I had a PA tell a pt they saw a small # on a facialbone CT I reported. There was nothing. #JACR Thu Jan 22 9:43:21 PST 2015

akrishnarajmd See Meaningful use as an opportunity to better integrate imaging services withexisting EHRs rather than a burden. #jacr Thu Jan 22 9:43:26 PST 2015

cancergeek RT @JennyKHoang: .@AKrishnarajMD @CancerGeek I had a PA tell a pt they saw asmall # on a facial bone CT I reported. There was nothing. #JA… Thu Jan 22 9:43:59 PST 2015

waldchristoph @UCRadSafety Making Patient Access to Their Health Information a Realityhttp://t.co/d98dULfb0E #JACR Thu Jan 22 9:44:26 PST 2015

cancergeek @JennyKHoang @AKrishnarajMD Did you follow up to see the "#cost " to the patient?#JACR Thu Jan 22 9:44:33 PST 2015

vallimfl RT @amykpatel: Understandable reporting and making ourselves available to pts forclarification regardless is essential. #JACR @waldchristo… Thu Jan 22 9:44:33 PST 2015

1/26/2015 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=01­22­2015&shour=09&smin=00&tdate=01­22­2015&thour=10&tmin=15 20/24

jacrjournal RT @grebeccahaines: “@RogueRad: @grebeccahaines Perhaps. But context iseverything. Anything that detracts more context is, ultimately, noi… Thu Jan 22 9:44:38 PST 2015

akrishnarajmd RT @waldchristoph @UCRadSafety Making Patient Access to Their HealthInformation a Reality http://t.co/3od2pCwUkD #JACR Thu Jan 22 9:44:44 PST 2015

liquidhealth RT @waldchristoph: Mobile image access is powerful! Make sure you don’t savepatient data locally on device! Use Zero footprint solutions #… Thu Jan 22 9:44:52 PST 2015

bjh41647 #JACR effect of new technology is to flatten the manpower pyramid. Everyonebecomes an expert. Thu Jan 22 9:45:31 PST 2015

grebeccahaines T3: #JACR @RadiologyACR Pocket Guide to Meaningful Use http://t.co/cDB7UTsTgwThu Jan 22 9:46:17 PST 2015

jennykhoang .@CancerGeek @AKrishnarajMD Pt complained. I had to resolve w PA, legal andpatient. We do need to be available for communication! #JACR Thu Jan 22 9:46:17 PST 2015

waldchristoph @UCRadSafety Interesting data by Accenture: http://t.co/OnKdbfq8ml Patients aspartners:updating their records&keeping them accurate #JACR Thu Jan 22 9:46:27 PST 2015

ucradsafety Patients are essential to the equation! #JACR @amykpatel @CancerGeek Thu Jan 22 9:47:06 PST 2015

cancergeek RT @JennyKHoang: .@CancerGeek @AKrishnarajMD Pt complained. I had toresolve w PA, legal and patient. We do need to be available for commun… Thu Jan 22 9:47:08 PST 2015

roguerad @bjh41647 Or create new pyramids of specialist knowledge to deal with theindiscriminate experts. #JACR Thu Jan 22 9:47:15 PST 2015

akrishnarajmd RT @RogueRad @bjh41647 Or create new pyramids of specialist knowledge to dealwith the indiscriminate experts. #JACR Thu Jan 22 9:47:27 PST 2015

nxtstop1 AI applied 2 images> man eliminated? MT @bjh41647: #JACR effect of newtechnology is to flatten the manpower pyramid. Everyone > an expert.” Thu Jan 22 9:47:43 PST 2015

nxtstop1 RT @grebeccahaines: T3: #JACR @RadiologyACR Pocket Guide to Meaningful Usehttp://t.co/cDB7UTsTgw Thu Jan 22 9:47:54 PST 2015

1/26/2015 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=01­22­2015&shour=09&smin=00&tdate=01­22­2015&thour=10&tmin=15 21/24

cancergeek RT @RogueRad: @bjh41647 Or create new pyramids of specialist knowledge to dealwith the indiscriminate experts. #JACR Thu Jan 22 9:48:17 PST 2015

ucradsafety RT @AKrishnarajMD: See Meaningful use as an opportunity to better integrateimaging services with existing EHRs rather than a burden. #ja… Thu Jan 22 9:48:26 PST 2015

waldchristoph PACS companies have not solved real time online meeting amongst docs & withpatients for consultation&live image view ­ why? G2M has! #JACR Thu Jan 22 9:48:36 PST 2015

karlita11 RT @AKrishnarajMD: @CancerGeek Who better to guide patients through theirimaging then us. It's possible http://t.co/NnTMMgoGt9 #jacr Thu Jan 22 9:49:25 PST 2015

akrishnarajmd T3: Tons of great Meaningful Use resources here (http://t.co/uZIuW2cnjX). The rulescan be confusing but must understand to survive. #jacr Thu Jan 22 9:49:32 PST 2015

ucradsafety Thus, patients have more ability to become an expert of their own health. #goals#JACR T3 @bjh41647 Thu Jan 22 9:49:34 PST 2015

cancergeek T3: IMO diagnosis is king. Radiologists & pathologists need to own it, broadcast it, &make patients feel it. Do & win; ingore & fail #jacr Thu Jan 22 9:50:00 PST 2015

nxtstop1 Response wishy/washy reports @RogueRad: @bjh41647 Or create new pyramids ofspecialist knowledge to deal w/the indiscriminate experts. #JACR Thu Jan 22 9:50:12 PST 2015

radiologyacr RT @AKrishnarajMD: T3: Tons of great Meaningful Use resources here(http://t.co/uZIuW2cnjX). The rules can be confusing but must understan… Thu Jan 22 9:50:25 PST 2015

waldchristoph Seen this one? A propos flattening manpower pyramid: shop online for your secondopinion, its out there: https://t.co/2tRQKzS8N0 #JACR Thu Jan 22 9:50:42 PST 2015

akrishnarajmd RT @CancerGeek T3: Diagnosis is king. Rads & paths need to own it, broadcast it, &make patients feel it. Do & win; ingore & fail #jacr Thu Jan 22 9:50:53 PST 2015

nxtstop1 RT @AKrishnarajMD: T3: Tons of great Meaningful Use resources here(http://t.co/uZIuW2cnjX). The rules can be confusing but must understan… Thu Jan 22 9:50:54 PST 2015

cancergeek T3: @UCRadSafety @bjh41647 Agree patients can own health. It's when they needthe "what" is wrong with me that rads need to own. #JACR Thu Jan 22 9:51:13 PST 2015

1/26/2015 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=01­22­2015&shour=09&smin=00&tdate=01­22­2015&thour=10&tmin=15 22/24

cancergeek RT @AKrishnarajMD: RT @CancerGeek T3: Diagnosis is king. Rads & paths need toown it, broadcast it, & make patients feel it. Do & win; ingo… Thu Jan 22 9:51:46 PST 2015

informaticsrc And many more #MU meaningful use resources here too http://t.co/dfRh9WKehg #jacrThu Jan 22 9:51:51 PST 2015

bjh41647 #JACR patient experts desirable but will be few; cannot leave the rest behind Thu Jan 22 9:51:58 PST 2015

ucradsafety RT @CancerGeek: T3: @UCRadSafety @bjh41647 Agree patients can own health.It's when they need the "what" is wrong with me that rads need to… Thu Jan 22 9:52:23 PST 2015

waldchristoph @waldchristoph Lots of concerns with this approach, but becoming part of the imageinterpretation mktplace, how do WE differentiate? #JACR Thu Jan 22 9:52:40 PST 2015

akrishnarajmd RT @InformaticsRC And many more #MU meaningful use resources here toohttp://t.co/2oN95oOERQ #jacr Thu Jan 22 9:52:49 PST 2015

nxtstop1 Whoa @waldchristoph:Seen this?A propos flattening manpower pyramid: shop online4 2nd opinion,its out there: https://t.co/BluE2oK6yE #JACR Thu Jan 22 9:52:57 PST 2015

cancergeek T3: @waldchristoph It's a locality & community challenge. Each is unique & you needto understand & define to be able to position #JACR Thu Jan 22 9:54:31 PST 2015

bjh41647 #JACR nothing new to shopping for second opinion. If there is a buck to be made... Thu Jan 22 9:54:33 PST 2015

nxtstop1 @waldchristoph T3 Head start by credentialing/reputation. Add communicationpiece:direct language,answer pt & referral Qs and needs, #jacr Thu Jan 22 9:55:29 PST 2015

waldchristoph @waldchristoph Accurate report is minimum. Value add through direct MD access,personal communication, instructive report language #JACR Thu Jan 22 9:55:49 PST 2015

akrishnarajmd RT @waldchristoph Accurate report is minimum. Value add through direct MD access,personal communication, instructive report language #JACR Thu Jan 22 9:56:14 PST 2015

jennykhoang RT @AKrishnarajMD: T3: Tons of great Meaningful Use resources here(http://t.co/uZIuW2cnjX). The rules can be confusing but must understan… Thu Jan 22 9:56:15 PST 2015

1/26/2015 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=01­22­2015&shour=09&smin=00&tdate=01­22­2015&thour=10&tmin=15 23/24

jacrjournal Thanks everyone for your tweets! Any closing thoughts? #jacr Thu Jan 22 9:56:40 PST 2015

bjh41647 #JACR nxstop1 that's the idea. Too many will take bad advice or succumb to bettermarketing of inferior services Thu Jan 22 9:57:22 PST 2015

akrishnarajmd Must use technology to add value not just improve access and press ganey scores#jacr Thu Jan 22 9:57:24 PST 2015

jacrjournal RT @AKrishnarajMD: RT @waldchristoph Accurate report is minimum. Value addthrough direct MD access, personal communication, instructive re… Thu Jan 22 9:57:30 PST 2015

cancergeek CT: There are many opportunities to change the game in radiology. Don't jump to techwhen it can be solved in person. #JACR Thu Jan 22 9:58:15 PST 2015

cancergeek RT @AKrishnarajMD: Must use technology to add value not just improve access andpress ganey scores #jacr Thu Jan 22 9:58:24 PST 2015

waldchristoph Many past articles on Radiology Value Add opportunities in JACRhttp://t.co/zaVWcMY8Hq #JACR Thu Jan 22 9:58:27 PST 2015

bjh41647 #JACR as always, my thanks to mods, RC, and all participants. Tell your friends Thu Jan 22 9:58:32 PST 2015

akrishnarajmd Pleasure to participate. Please check out the new JACR Informatics resource centerfor more info (http://t.co/4T5oMfzj6a ) #jacr Thu Jan 22 9:58:54 PST 2015

waldchristoph @JACRJournal Let's not forget to take care of the human in this brave new world!#JACR Thu Jan 22 10:00:19 PST 2015

nxtstop1 Yes~ Please spread the word>the chat for RADS ~RT @bjh41647: #JACR as always,my thanks to mods, RC, and all participants. Tell your friends Thu Jan 22 10:00:36 PST 2015

waldchristoph Thanks all for the great comments and questions! Please to tweet with y'all! CheersCW #JACR Thu Jan 22 10:01:02 PST 2015

nxtstop1 TYSM Chris 4 super hosting & refs RT @waldchristoph: @JACRJournal Let's notforget to take care of the human in this brave new world! #JACR Thu Jan 22 10:01:13 PST 2015

1/26/2015 #JACR ­ Healthcare Social Media Transcript

http://embed.symplur.com/twitter/transcript?hashtag=JACR&fdate=01­22­2015&shour=09&smin=00&tdate=01­22­2015&thour=10&tmin=15 24/24

ucradsafety #JACR Closing thoughts: Radiologists must work together on goals, embracechange, not be reactive. Thu Jan 22 10:01:35 PST 2015

amykpatel RT @waldchristoph: @JACRJournal Let's not forget to take care of the human in thisbrave new world! #JACR Thu Jan 22 10:01:41 PST 2015

grebeccahaines RT @nxtstop1: Whoa @waldchristoph:Seen this?A propos flattening manpowerpyramid: shop online 4 2nd opinion,its out there: https://t.co/Blu… Thu Jan 22 10:01:43 PST 2015

informaticsrc Many #Informatics resources collected & curated by @AKrishnarajMD@waldchristoph w/ #JACR and #ACR experts: visit http://t.co/ra836D9kgb Thu Jan 22 10:01:47 PST 2015

akrishnarajmd RT @UCRadSafety #JACR Closing thoughts: Radiologists must work together ongoals, embrace change, not be reactive. Thu Jan 22 10:01:58 PST 2015

nxtstop1 @AKrishnarajMD Thank you so much Arun for super moderating/hosting and all thegreat references/insights #jacr Thu Jan 22 10:02:23 PST 2015

grebeccahaines RT @CancerGeek: CT: There are many opportunities to change the game inradiology. Don't jump to tech when it can be solved in person. #JACR Thu Jan 22 10:02:43 PST 2015

grebeccahaines RT @AKrishnarajMD: Pleasure to participate. Please check out the new JACRInformatics resource center for more info (http://t.co/4T5oMfzj6… Thu Jan 22 10:02:49 PST 2015

nxtstop1 Thanks everyone for joining in the chat today. This is THE one and only chat forradiologists on twitter~ so important to be here~ TY #jacr Thu Jan 22 10:03:33 PST 2015

grebeccahaines New #HIT must­visit from #jacr @JACRJournal @RadiologyACR:http://t.co/27bOPpMXkN #informatics #radiology #imaging3 @ONC_HealthIT Thu Jan 22 10:04:58 PST 2015

nxtstop1 REF MT @grebeccahaines:New #HIT must­visit from #jacr @JACRJournal@RadiologyACR: http://t.co/gT0u8MLlpp #radiology #imaging3 @ONC_HealthIT Thu Jan 22 10:05:57 PST 2015

jennykhoang .#JACR closing thoughts ­ The definition of value in radiology is evolving. IT willfacilitate communication and demystify our role to pts. Thu Jan 22 10:08:29 PST 2015