This week’s topics include H1N1 update, treatment of atrial fibrillation, osteoporosis related fractures and impact on doctor's pay for performance.

Program notes:
:35 Impact of pay doctors for performance
1:20 Supplemented physician incomes by 30-40%
1:28 Pay for performance did improve performance measures in asthma and diabetes care, not heart disease
1:50 Continuity of care interrupted
3:02 Lancet- N1N1 flu update, influenza in immune-suppressed
3:47 Types of people that are immune suppressed
4:05 School closures and social considerations
4:34 School closings, maybe months
5:04 Instituted early be effective, before first 1% of population
6:15 Atrial fibrillation: Very little data on long term benefits of radio frequency ablation as the primary therapy
6:40 Most cardiologist will recommend medical therapy as the initial therapy and reserve radio frequency ablation for those who don't respond
7:05 Large increase in fractures related to osteoporosis
7:15 $2.4 billion in hospital costs
9:30 10% of hospitalization for osteoporosis is men
9:55 End

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