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Ron Paul and Rand Paul: providing health care to the needy at no charge

NPR story talks with Ron Paul’s former medical practice partner who describes how Paul’s practice refused to accept any federal money to perform medical work and how the Paul practice provided the needy with health care at no charge. Rand Paul continues to follow in his father’s footsteps and provides free surgeries to the needy even though he is busy working as the U.S. Senator of Kentucky. Story links:

http://www.npr.org/2011/10/25/141653000/before-he-delivered-for-voters-paul-delivered-babies

http://www.wkyt.com/news/headlines/Sen_Paul_performs_free_surgeries_in_Kentucky_128162148.html?ref=148

Duration : 0:1:11

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Intravenous line insertion

How to insert an intravenous line (“drip” in some vocabularies). For full details, visit http://pocketsnips.org – it’s free. Creative Commons licensing – attribution, non-commercial, share-alike.

Duration : 0:2:26

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Pay for performance in general practice: Lessons from the UK Stephen Campbell

Dr Stephen Campbell gives an update on the role and impact of pay for performance in the UK in this lecture recorded at The Australian National University on 3 March 2011.

He argues in defence of pay for performance but highlights the shortcomings of the indicators chosen for incentivisation in the Quality and Outcomes Framework (QOF). He also recommends how pay for performance should and should not be used in Australia.

Dr Stephen Campbell is a primary care health services researcher and leader who has been published in more than 100 peer-reviewed articles, including two articles in the New England Journal of Medicine in the last three years. He developed many of the original indicators that went in to the QOF and now leads the external contractor working with the National Institute for Health and Clinical Excellence (NICE) to support the ongoing development of indicators for NICE and the QOF. He led the development of the UK Royal College of General Practitioners Practice Accreditation scheme and co-developed the European Practice Assessment accreditation scheme. He teaches primary health care on the Manchester MPH. He holds a joint contract at The University of Heidelberg and an honorary contract at the University of Nijmegan. Dr Campbell has been involved in quality of primary care/general practice for 18 years and brings a unique perspective as someone who has been involved in and led pay for performance in UK general practice from the start.

Presented by The Australian Primary Health Care Research Institute.

Duration : 1:4:7

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Columbine Family Practice (303) 979-7200

7335 S Pierce St, Littleton, CO 80128
Like many people, you may have resolved to take better care of yourself and to stay on top of your family’s important health screenings. Perhaps you want to quit smoking but don’t know how to start. You might be overdue for your annual physical. Or you missed getting your flu shot.

If this sounds like you, you’ll be glad to know Columbine Family Practice is accepting new patients, offering everything you need in family medicine. We provide annual and back-to-school physicals, immunizations, preventive health screenings, senior care, sports medicine, well-baby and well-woman care, as well as being here for the sniffles, sneezes, bumps and bruises that may come your way. Our comprehensive services are designed for all ages and stages in acute and chronic health care. Let our friendly and efficient front-office staff help you with the many kinds of insurance we accept, including Medicare. – created at http://animoto.com

Duration : 0:0:34

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MDiTV News: How do You Start a Brawl Between Lawyers and Doctors?

http://www.mditv.com — If you want to spark a brawl gather together some lawyers, doctors and others from across the political spectrum and say two little words: medical malpractice.

Some will argue passionately that tort reform is essential to control health care costs and that high premiums are forcing some doctors to quit. Others will argue that with equal passion against limiting a patient’s right to seek compensation and that while some specialists pay high premiums, malpractice insurance and awards account for just a tiny fraction of the nation’s health care bill.

Yet despite the strong views, tort reform didn’t really figure into the new federal legislation on health care except for 50 million dollars to fund some state demonstration projects to test proposed reforms. That mismatch between passion and action doesn’t surprise some veterans of tort reform battles in Oregon.

Duration : 0:3:25

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A Doctor Grows in Brooklyn

Doctor Jay Parkinson became a celebrity last year as word spread about his unconventional practice in Williamsburg, Brooklyn. Instead of maintaining a traditional office and paying support staff, Parkinson’s operation is entirely virtual and requires almost no overhead. (Unless you consider a Mac overhead.) Instead, he operates a web site loaded with Web 2.0 touches that allows patients to easily get in touch and explains his services in plain English. After an initial in-person consultation, exchanges can be online, either through instant messaging, email or web cam. He uses Gmail to handle his email load and has neatly integrated Google Calendar into his web site – allowing patients to see his schedule at a glance and book their own appointments.

Resisting the argument that technology has created a new Race to the Bottom in healthcare, by making medicine less human and the healthcare system increasingly complex, Parkinson argues that when used properly, Web 2.0 tools like mash-ups, mobile devices, instant messaging, digital video and social networking can free doctors to spend more time with patients – not less.

Duration : 0:5:1

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A Physician’s First-Hand Experience With EHR/EMRs

Most people who talk about the benefits of electronic health records (EHR, sometimes called EMR) focus on time and cost savings. Ingenix CareTracker EHR client Dr. Pablo Rodriguez says the technology helps him to be a better doctor.

Dr. Rodriguez is CEO of Womens Care, which is one of the largest womens health care practices in southern New England. He is an advocate of the role of technology in health care improvement efforts. At a recent event for area physicians, he shared his experience with CareTracker EHR and his insights on how his colleagues can take full advantage of the incentives available through The American Recovery and Reinvestment Act (ARRA), which provides for over $19 billion in reimbursements for physician offices who implement EHRs and demonstrate meaningful use.

Ingenix was there to capture his remarks and hear why he believes the temporary nature of ARRA funding means that now is the time for his colleagues to get on board with EHR technology.

Ingenix CareTracker EHR is a simple, affordable Web-based electronic health records solution that can be integrated with all the operational functions of medical practice. With electronic health records, pulling charts, approving refill requests, and signing lab results are a just click away. This simplicity strengthens the patient-physician experience, improves quality and reduces costs.

Unlike traditional client-server-based EHRs, which require large up-front investments in hardware, software and implementation fees, Ingenix CareTracker EHR offers a low-cost alternative without sacrificing functionality, security or physician productivity. Physicians access Ingenix CareTracker EHR through a secure Web interface, which connects their practice to a network of labs, partner physicians and hospitals. It is simple to deploy and use with a pay-as-you-go monthly subscription fee. For as little as $5,000 per year, a single-physician practice can start using Ingenix CareTracker EHR with just four hours of physician training and six hours of office manager training.

Using a Certification Commission for Healthcare Information Technology (CCHIT)-certified EHR, such as Ingenix CareTracker EHR, will likely help physicians qualify for the highest level of Medicare reimbursement incentives outlined in the HITECH Act, a part of the stimulus package. The U.S. Department of Health and Human Services is expected to release EHR standards at the end of 2009.

Duration : 0:5:34

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Implanon Insertion

Implanon is a long acting contraceptive implant that is fitted by trained healthcare professionals. The implant is 4cm by 2mm in size and is a semi rigid plastic rod containing the active substance etonogestrel (a progestogen).

The implant is inserted just under the skin of the non-dominant upper arm. This allows a small amount of etonogestrel to be released into the bloodstream continuously. This prevents the release of an egg cell from the ovaries and also makes it more difficult for sperm to enter the womb.

When you use Implanon you do not have to remember to take a pill every day. Therefore, Implanon is very reliable.

This video shows how the implant is inserted. It is effective for up to 3 years and can be removed at any time.

There are many methods of contraception Implanon is just one. Discuss fully with your family doctor or nurse to ensure that you use the safest and most appropriate method.

Builth and Llanwrtyd Medical Practice has made every effort to ensure that the information in these episodes is accurate, up to date, and as helpful as possible. However we will not be responsible for any inaccuracies or omissions.
In particular if you are unwell, it is important that you do not rely on information from the Internet – you should seek professional medical advice from your Doctor. If your condition is getting worse, or if you are seriously ill, you should call or visit your Surgery.

Duration : 0:2:8

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