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Posts by Alan Rozen, MD MCPC HMDC FAAHPM

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#pallonc trailblazer Dr Jennifer Temel takes the stage at
@aahpm.bsky.social #hapc25 to describe the #STEPPED palliative care trial showing that we can increase #supponc access by using a stepped approach (q3m) in appropriate patients.

1 year ago 13 5 1 0

Shout out to 2024 @aahpm.bsky.social Emerging Leaders of HaPC and alumni of the San Diego Hospice and the Institute of Palliative Medicine and Scripps/ @ucsdpalliative.medsky.social HPM fellowship program Drs. @laseajayi.com and Dominic Moore. Congrats to all the awardees! #hapc25

1 year ago 16 2 0 0

📣 👏🏻 🙏🏻 👏🏻 📣@corying.bsky.social

#HaPC25 #HUAMNities Awardee 🙌🏻

Honored + humbled for collegial #Friendship #Spirituality #Insight #Insight #Inspiration #Impact #Fun #Hope for sooo many years❣️

#PeopleCentered #Compassion #Palliative #Hospice #QoL #MedHum #Advocay #StrongerTogether

1 year ago 4 1 1 0
Stacie Levine, MD CMD FAAHPM accepting the 2025 AAHPM Award for Excellence in Education and Training

Stacie Levine, MD CMD FAAHPM accepting the 2025 AAHPM Award for Excellence in Education and Training

Congratulations to Dr. Stacie Levine #hapc25 @aahpm.bsky.social Award for Excellence in Education and Training!

1 year ago 9 2 0 0
Benefits of Early and Longitudinal Palliative Care in the Ambulatory
Care Setting


Enhances quality of life

Increases use of adaptive coping strategies

Reduces symptoms of depression

Fosters prognostic awareness

Improves communication about end-of-life care preferences

Leads to earlier initiation of hospice services

Decreases caregiver distress

#hapc25

Benefits of Early and Longitudinal Palliative Care in the Ambulatory Care Setting Enhances quality of life Increases use of adaptive coping strategies Reduces symptoms of depression Fosters prognostic awareness Improves communication about end-of-life care preferences Leads to earlier initiation of hospice services Decreases caregiver distress #hapc25

Benefits of Early Outpatient #PalliativeCare

Enhances QOL

Increases adaptive coping strategies

Reduces symptoms of depression

Fosters prognostic awareness

Improves communication about EOL care preferences

Leads to earlier initiation of #hospice services

Decreases caregiver distress

#hapc25

1 year ago 59 28 3 1
Triaging/Tailoring Palliative Care Services
• Can we identify patients at times of need to determine when to introduce or intensify palliative care resources?
• While utilization of earlier palliative care has improved over the last decade, we cannot rely exclusively on oncology clinician assessment of patients' palliative care needs.
• Triaging palliative care services requires objective triggers rather than clinician judgment.
#ha

Triaging/Tailoring Palliative Care Services • Can we identify patients at times of need to determine when to introduce or intensify palliative care resources? • While utilization of earlier palliative care has improved over the last decade, we cannot rely exclusively on oncology clinician assessment of patients' palliative care needs. • Triaging palliative care services requires objective triggers rather than clinician judgment. #ha

Note that Temel used this slide to highlight this is NOT the way oncologists should approach palliative care. 


Using Cancer Characteristics to Triage Palliative Care
Favorable targetable mutation (e.g., EGFR, ALK, ROS, RET)
No palliative care
Metastatic Non-Small Cell Lung Cancer
High PDL1
Palliative care after immune checkpoint inhibitor is no longer safe or effective
Low PDL1
Early palliative care
#hapc25

Note that Temel used this slide to highlight this is NOT the way oncologists should approach palliative care. Using Cancer Characteristics to Triage Palliative Care Favorable targetable mutation (e.g., EGFR, ALK, ROS, RET) No palliative care Metastatic Non-Small Cell Lung Cancer High PDL1 Palliative care after immune checkpoint inhibitor is no longer safe or effective Low PDL1 Early palliative care #hapc25

Temel highlighting that #PalliativeCare is more than physical symptom management.

She notes that she and her fellow oncologists should not rely on clinical characteristics of cancer alone to know when palliative care should be involved.

(The second slide is what NOT to do)

1 year ago 6 2 1 0
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In palliative care, much of my hospital consult work was educating others on the importance of early consults and the time needed to do them well. These two slides (by Dr. Greer and Dr. Temel) are key in illustrating why: much of the value add requires rapport, and rapport takes time. #hapc25

1 year ago 11 6 0 0
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Dr @ctsinclair.bsky.social describes the value of #metrics tracking in outpatient #hpm and using #data 📈 over time to show value to all #stakeholders #hapc25 #pallonc #supponc

1 year ago 11 3 0 0
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An inspirational @aahpm.bsky.social Emerging Leader, was grateful to share this #SuppOncSelfies📸 with @benwthompson.bsky.social. Thrilled to travel to #ColumbiaSC next month and share my passion for #pallonc #hapc25

1 year ago 12 1 0 0
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Introducing CAPC’s 2024 Serious Illness Scorecard: A State-By-State Look at Palliative Care Capacity https://ow.ly/Nt1y50Uayj7

✅ Find out your state’s rating
✅ Read the key findings
✅ Review the actions #palliative care champions and federal and state policymakers can take #hpm

1 year ago 6 1 0 0
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Hello #hapc25 👋

If you are new to Bluesky, I made a tip sheet to get familiar with this new platform.

There is actually a growing #hospice and #PalliativeCare group of people here.

1 year ago 40 13 5 1
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@geripal.bsky.social pub crawl after my bedtime #hapc25

1 year ago 10 1 0 0
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#hapc25

1 year ago 5 1 1 0
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If you’re not at #hapc25 what are you doing? @aahpm.bsky.social @hmdcert.bsky.social @mourningdovemed.bsky.social 💜

1 year ago 12 3 1 0
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Fantastic (early!) morning with Cambia scholars. Palliative Care is the MULTI disciplinary approach to patient centered care. #hapc25

1 year ago 9 2 0 0
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Always talking and promoting the integration of evidence informed spiritual care into palliative care with @christinap3.bsky.social Last day of #hapc25 exhibits

1 year ago 7 2 1 0
Slide 

AMERICAN ACADEMY.OF
HOSPICE AND PALLIATIVE MEDICINE
PRESIDENTIAL CITATION AWARD
VITAL talk

Slide AMERICAN ACADEMY.OF HOSPICE AND PALLIATIVE MEDICINE PRESIDENTIAL CITATION AWARD VITAL talk

Well deserved honor to @vitaltalk.bsky.social for shifting communication skills in healthcare to be a serious educational endeavor.

If you are in healthcare and want to improve your daily work, VitalTalk is one of the best things you can do.

www.vitaltalk.org
#medsky #hapc25 @aahpm.bsky.social

1 year ago 20 7 0 0
Tony Back, founder of VitalTalk at the podium.

Tony Back, founder of VitalTalk at the podium.

James Tulsky, founder of VitalTalk at the podium.

James Tulsky, founder of VitalTalk at the podium.

Bob Arnold, founder of VitalTalk at the podium.

Bob Arnold, founder of VitalTalk at the podium.

Congratulations to @vitaltalk.bsky.social! @aahpm.bsky.social 2025 Presidential Citation recipient!
I am personally grateful for the mentorship of founders Drs. Tony Back, James Tulsky, and Bob Arnold, and echo the shout outs to VitalTalk staff, #community, Kelly Edwards, and Walter Baile.
#hapc25

1 year ago 20 7 0 1
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Dr. Thomas J Smith accepting the 2025 AAHPM Lifetime Achievement Award.

Dr. Thomas J Smith accepting the 2025 AAHPM Lifetime Achievement Award.

Celebrating Dr. Tom Smith and his @aahpm.bsky.social 2025 Lifetime Achievement Award! #hapc25

1 year ago 7 1 0 0

“I think we should always have one mad scientist project going“ - Thomas Smith receiving the @aahpm.bsky.social Lifetime Achievement Award on the importance of curiosity and advancing science.

#hapc25 #hapc #PalliativeCare #OncoSky

1 year ago 20 5 1 1
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#WordsMatter Dr @ctsinclair.bsky.social suggests equipping patients with "Pain Prevention" instead of long-acting #opioids and "Rescue Medication" instead of short-acting. #pallonc #supponc #hapc25

@aahpm.bsky.social
@hpna-info.bsky.social
@hyliankoopa.bsky.social‬

1 year ago 12 5 0 0
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Dr @ericgoodlev.bsky.social describes setting appropriate #metrics for outpatient #hpm including both the process of clinic care, the outcomes for patients and adjusting for the high risk populations we serve. #pallonc #supponc #hapc25

@topgundersen.bsky.social

1 year ago 12 4 1 1

#hapc25 great preconference on outpatient palliative care.

1 year ago 9 2 0 0