Patricia Bomba MD, MACP, FRCP

Founder, NY MOLST & NYSeMOLSTregistry; Founder & Chair, MOLST Statewide Implementation Team

[Patricia Bomba MD, MACP, FRCP @PatBombaMD]

There are 2 things in life you can’t avoid: Death and Taxes. Talk to your family and loved ones about #WhatMattersMost, choose the right person to be your health care agent & put it in writing. @HealthNYGov @ExcellusBCBS @IPROorg @IPROQINQIO @KatieGOrem

[Patricia Bomba MD, MACP, FRCP @PatBombaMD]

Today is #NationalHealthcareDecisionsDay. Conversations Change Lives. Complete your Health Care Proxy. Listen to the short video to learn more: https://t.co/W8JhKRYPpY

[Patricia Bomba MD, MACP, FRCP @PatBombaMD]

Today is National Healthcare Decisions Day! Follow Five Easy Steps! Talk to your family and health care provider. Complete your health care proxy. #NHDD2022 @Univera_WNY @HealthNYGov @ECMCBuffalo @CHSBuffalo @KaleidaHealth @MOLSTMeg @PublisherBHL

[Patricia Bomba MD, MACP, FRCP @PatBombaMD]

Conversations Change Lives! Start your conversation today. Follow Five Easy Steps. #NHDD2022 @HealthNYGov @NYSAGING @GovKathyHochul @ExcellusBCBS @IPROQINQIO @csnedekerkazdan @MOLSTMeg @The_NPA @NYeMOLST @mssnytweet @MSSNYRothberg @DrMaryTBassett @NYSSPA

[Patricia Bomba MD, MACP, FRCP @PatBombaMD]

Today is #NationalHealthCareDecisionsDay! Talk to your family about #WhatMattersMost and put it in writing. @HealthNYGov @IPROQINQIO @csnedekerkazdan @MOLSTMeg @LeadingAgeNY @NYSAGING @NYeMOLST @NationalPOLST @GovKathyHochul @The_NPA @mssnytweet

[Patricia Bomba MD, MACP, FRCP @PatBombaMD]

Learn more about #NYMOLST & #NYeMOLSTregistry at https://t.co/v4opzjiiGy.
How to take control of your medical wishes https://t.co/1nqlsPP87K @MarkGruba @DrMaryTBassett @maiadorsett @KatieGOrem @HealthNYGov @IPROQINQIO @IPROorg @urochestermed @URMC_Medicine

[Patricia Bomba MD, MACP, FRCP @PatBombaMD]

Agree @maiadorsett. EMS leaders of @NYMOLST have been key in reframing DNR as DNAR, as CPR doesn’t stop death for the seriously ill patients near end of life. #NAEMSP2022

[Maia Dorsett @maiadorsett]

Talking about a topic near and dear to my heart - the role of POLST in allowing EMS to provide care that honors patient values and wishes.

I love the reframe: DNR is DNAR.

#NAEMSP2022

@NYMOLST @PatBombaMD

[Patricia Bomba MD, MACP, FRCP @PatBombaMD]

Agree @maiadorsett This is the key difference in Advance Care Planning tools. #POLST is key for EMS as the majority of POLST appropriate patients lack capacity and CANNOT make decisions “in the moment” in a crisis.

[Maia Dorsett @maiadorsett]

An incredibly important point: A POLST form is NOT an Advance Directive.

Advance Directive: making plans in case of unexpected deterioration.

POLST form: A set of MEDICAL ORDERS that is written after a guided conversation with their doc (or APP).

#NAEMSP2022

[California Elder Justice Coalition @elderjusticecal]

California’s biggest nursing home owner is facing a lawsuit over 24 COVID-related deaths. Elder neglect and abuse continue to occur regularly, but we need accountability. READ HERE: https://t.co/lgWOIRmGHu

[Governor Kathy Hochul @GovKathyHochul]

Welcome, @DrMaryTBassett! On behalf of 20 million New Yorkers, we are thrilled to bring your skills, knowledge, and expertise to @HealthNYGov.

[National POLST @NationalPOLST]

Fewer black men applied to medical school in 2014 than in 1978 and black men have the lowest life expectancy in the United States. With only 2% of American doctors being black men, this comes as no surprise. This documentary explores WHY. https://t.co/G4v0XylVp4

[Patricia Bomba MD, MACP, FRCP @PatBombaMD]

Congratulations @SMeghani_PhD on being selected for this prestigious well-deserved award! @PennNursing You touch the lives of many. You make a difference!

[Penn Nursing @PennNursing]

Congratulations to #PennNursing’s @SMeghani_PhD on being selected as a recipient of the prestigious 2021 Christian R. and Mary F. Lindback Award for Distinguished Teaching. @Penn will honor Dr. Meghani during a virtual event on Monday, April 26: https://t.co/e9OSGqiU5h.

[David Moufarrege @DavidMoufarrege]

Criminal robocalling is a common form of #elderabuse
It affects our parents, friends, neighbors. To stop it we'll need international cooperation @LeadingAge @PatBombaMD @LeadingAgeCA #fraud #cybercrime

https://t.co/G3QBKjYHAA

[Patricia Bomba MD, MACP, FRCP @PatBombaMD]

eMOLST improves quality, patient safety, equity and accessibility. @HealthNYGov @NYGovCuomo @NYSBA @mssnytweet @NewYorkACP @NYSOPWDD @NYSAGING

[Fred Mirarchi @DocEM1]

@PatBombaMD Great & glad to hear it. That is one step forward for safety

[Patricia Bomba MD, MACP, FRCP @PatBombaMD]

Fred, https://t.co/UYWrhSzEP6 is coded to prevent medical errors; is a risk management tool. Value recognized with COVID-19. Approximately 20% of MOLST orders reviewed and renewed during crisis. Patients called in for new discussions.

[Fred Mirarchi @DocEM1]

@PatBombaMD @ThaddeusPope @HealthNYGov @NYGovCuomo @ExcellusBCBS @IPROQINQIO @hinmanstraub @LeadingAgeNY @paula_span @JoeKGoldstein Pat, need to make sure they are right and reflect the patients wishes though. This case is deplorable but there have been many that have needed clarifications and revisions to protect patients wishes. TRIAD XII and Sim prove very useful to train providers.

[Patricia Bomba MD, MACP, FRCP @PatBombaMD]

NY’s unique https://t.co/UYWrhSzEP6 is a risk management tool! https://t.co/tplA3ptd8P Ensures accuracy and access to eMOLST medical orders and discussion in all sites of care. @HealthNYGov @NYGovCuomo @paula_span @JoeKGoldstein @NYSBA @NYSOPWDD @thearcny

[Patricia Bomba MD, MACP, FRCP @PatBombaMD]

Patients have a right to refuse treatment. https://t.co/tplA3ptd8P It doesn’t end when they lose the ability to make medical decisions. @HealthNYGov @NYSBA @NewYorkACP @mssnytweet @The_NPA @NYSSPA @NYACEP @ExcellusBCBS @JoeKGoldstein @paula_span

[Patricia Bomba MD, MACP, FRCP @PatBombaMD]

Honoring #NYMOLST is the law. #MOLST is a set of medical orders, not an advance directive. Failure to Follow #MOLST is Wrong. @HealthNYGov @NYGovCuomo @ExcellusBCBS @IPROQINQIO @hinmanstraub @LeadingAgeNY @paula_span @JoeKGoldstein https://t.co/5qf9A7J9Pr

[Vinay Prasad MD MPH @VPrasadMDMPH]

My view on schools-- they ought be open in all but rarest instances-was reached from late summer to fall, when I spent considerable time examining the risk of virtual schools to kids vs. the risk of in person schools to kids, teachers, community

Here is my journey

[thread]

[Patricia Bomba MD, MACP, FRCP @PatBombaMD]

Privileged to work with experts who interpret the evidence base. Review affirms ACP Models need evidence in many populations before scaled. @NASEM_Health @SMeghani_PhD @mere_mackenzie @IPROQINQIO @IPROorg @WilliamNovelli @NHDD @csnedekerkazdan

[Salimah Meghani, PhD FAAN @SMeghani_PhD]

Look forward to @NASEM_Health panel today on “Interpreting Evidence Base for Advance Care Planning”.

Hope our systematic review of Respecting Choices & related models @mere_mackenzie @PatBombaMD @SMeghani_PhD will inform the discussion.

#hapc #hpm @HPNAinfo @NHPCO_news