Rebecca Tisdale MD, MPA

Virtual care + ♥️ disease + global health + health services @vahsrd. Alum @ci2ifellowships / @stanfordchiefs / @stanmedres / @columbiaps / @stanford

[Circ: PHO @CircOutcomes]

Sim Pub with #AHA24 in @CircOutcomes:

Is cost to blame for disparities in access to semaglutide? Not always

📝 shows inequities in Semaglutide Prescriptions persist even in the VA, w/ its universal access to free or low-cost health care

🧵 (1/2)

[Rebecca Tisdale MD, MPA @beccatis]

@KhazanieHeart @Ron_Witteles @abe_verghese @KhazanieHeart the baby picture! 😍

[Rebecca Tisdale MD, MPA @beccatis]

@Ron_Witteles same here! Great to reconnect with so many and meet @KhazanieHeart (my “great-grand-chief” per #KarimSallam) at #AHA23!

[Ronald Witteles @Ron_Witteles]

Can you 👀 the 5 @StanfordChiefs in these 📷 from #AHA23? That’s @beccatis @KhazanieHeart @MugdhaJoshiMD #KarimSallam and yours truly! Will always be proud to be a member of that special club. @StanfordMedRes @StanfordDeptMed

[StanfordHealthPolicy @StanfordHP]

Stanford Health Policy researchers lead new study that finds screening all U.S. adults 35 and older for Chronic Kidney Disease would increase life expectancy in cost-effective way. 🫘📷 =📷https://t.co/RZwwGoGX0M

[Stanford Department of Medicine @StanfordDeptMed]

#StanDOM researchers (including @beccatis, @gchertow & @dkowens) determine that screening everyone aged 35 & over for #ChronicKidneyDisease could be a cost-effective way to increase life expectancy. https://t.co/fCtUmfwAQG

[Marika Cusick @marika_cusick]

Special thanks to my co-authors @StanfordHP @beccatis @gchertow @dkowens and Jeremy Goldhaber-Fiebert!

[Rebecca Tisdale MD, MPA @beccatis]

And a shoutout to @WrayCharles as well! 🙌🏻

[Rebecca Tisdale MD, MPA @beccatis]

The team that hikes together and @vahsrd conferences together, stays together! All-star mentor @DonnaZulman promoting teammate achievements both academic and physical 😄 @va_vccore @Ci2iFellowship

[Rebecca Tisdale MD, MPA @beccatis]

😊 @va_vccore community is the best community! @vahsrd

[Rebecca Tisdale MD, MPA @beccatis]

Thanks @WrayCharles !

[Charlie M. Wray, DO, MS @WrayCharles]

Some fantastic @vahsrd work here via @beccatis on what the location of a first diagnosis of HF can tell us about our patients. No surprise…inequalities appear to exist

[Nikhil Narang, MD @Nikhil15]

New work in #JACCHF @CelesteWitting @ATSandhu on a VA cohort analysis of pts w/ new HFrEF, studying GDMT implementation + optimization

✅ No significant disparity by race
✅ ⬇️ rate of dose titration in rural pts

Opportunity to leverage telemed?

📎 https://t.co/rCrTzKSlYR

[Rebecca Tisdale MD, MPA @beccatis]

Delighted to see this VA #heartfailure diagnosis setting project come to fruition—thx @ATSandhu @paheidenreich @boussard & the rest of this excellent team @StanfordDeptMed @StanfordHP @vahsrd @StanfordCVI

[JACC Journals @JACCJournals]

Many first #HeartFailure diagnoses occur in the acute care setting, especially among socioeconomically vulnerable populations. Better outpatient care was assoc. with lower rates of an acute care diagnosis. https://t.co/HzSGFHrrDL

#JACCHF #CardioTwitte @beccatis

[Rebecca Tisdale MD, MPA @beccatis]

Thank you @NSepehrvand @JustinEzekowitz for this thoughtful editorial—agreed re importance of a cancer-like approach to #HeartFailure care! @StanfordDeptMed @StanfordHP

[Nariman Sepehrvand @NSepehrvand]

@beccatis & colleagues showed potential missed opportunities for earlier #HeartFailure Dx.

In a #JACCHF editorial, @JustinEzekowitz and I discussed why we believe a cancer-like approach might be the right strategy in #HeartFailure care
@jaccjournals
https://t.co/bIXqu3sK0t

[Rebecca Tisdale MD, MPA @beccatis]

Thank you for leading this excellent work & team @JimmyZhengMD !

[Jimmy Zheng @JimmyZhengMD]

Disparities work is hard work ✊🏻✊🏽✊🏿 @American_Heart & @ABCardio1 #HF Data Challenge out today in @CircHF Special Issue.

In analysis of #GWTG-HF, we found Black, Hispanic, and Indigenous patients had ⬆️🏥length of stay for HF than White patients.

https://t.co/cbbh1GosnM 🧵/4

[Rebecca Tisdale MD, MPA @beccatis]

Congrats & thanks @CelesteWitting for leading this work!

[BiykemBozkurt @BiykemB]

Treatment Differences in Medical Therapy for Heart Failure With Reduced Ejection Fraction Between Sociodemographic Groups among VA patients. https://t.co/VIixJYOVQz @JACCJournals #JACCHF @ATSandhu @paheidenreich @CelesteWitting @beccatis

[Rebecca Tisdale MD, MPA @beccatis]

Couldn’t agree more @WrayCharles! VC is here—how do we use it well?

[Charlie M. Wray, DO, MS @WrayCharles]

Honored to comment on @JAMANetworkOpen findings that virtual care (VC) after ED visits may not be as good as F2F follow-up.

My take:
1. need MORE studies on the optimal use of VC

2. Not all VC is the same: video vs. phone

3. Is there an optimal mix of VC & F2F care?

1/2

[Rebecca Tisdale MD, MPA @beccatis]

Love incorporation of digital divide considerations in role for #telehealth for addressing structural determinants of health! @StanfordHP #StanfordHealthEquity @DonnaZulman @WrayCharles @jfergu18

[Rebecca Tisdale MD, MPA @beccatis]

@PGeldsetzer1 @StanfordDeptMed @stanford_pcph @StanfordEpiNews @StanfordBMIR @StanPopHealth @StanfordOPA What excellent news! Congrats @PGeldsetzer1 !

[Charlie M. Wray, DO, MS @WrayCharles]

@beccatis & I discussing this interesting paper in @JAMANetworkOpen on the concordance of virtual to in-person diagnosis.

https://t.co/DGeJ5NVW51

Authors find concordance rate of 87%. Not gonna lie, this seems high? Or, am I truly underestimating the power of virtual care?

[Rebecca Tisdale MD, MPA @beccatis]

@WrayCharles 😊 It’s easy when the first draft is already beautifully readable! Happy to repeat any time!