Quality

Six Interventions To Radically Improve the U.S. Healthcare System


 

Danielle Scheurer, MD, MSCR, SFHM

美国太空探索技术公司取得了一项令人难以置信的成就。“猎鹰9号”发射器的一级火箭在成功将货物运送到国际空间站后,能够自主转向,释放了主发动机燃烧提供的巨大动能,飞回地球并垂直降落在漂浮在大西洋上的一艘相当小的自动驳船上,极其精准。
我们要让权力不能任性,就得把那些不应该有的权力砍掉,有些涉及到部门利益,要压缩寻租的空间。这不是一个简单的过程,从中央政府一直到地方、到基层,要打通“最后一公里”。
北京大学和北京外国语大学的2017届毕业生平均月薪分别为9042元和9020元,位居第二、三位。
The Death Proof star's early success was on the independent film circuit. But then she met Harvey Weinstein in a hotel room and it is there that she alleges he raped her.
自从2008年智能手机应用商店开始运营以来,达洛伊西奥就着手设计iPhone手机应用软件。那时12岁的他住在伦敦的温布尔顿,用卧室里的Mac电脑来工作。因为年纪太小,他在填写苹果(Apple)开发执照申请时用的都是他爸爸的名字。这之前他没在学校受过正式的电脑培训,他的父母(一个是律师,一个是商界管理人士)也都不从事技术行业工作。他几乎是完全靠刷网页、看教程来自学编程的。
Facebook CEO Mark Zuckerberg

中国财富榜每年的变化反映了中国资本的流动,显示了这个国家超级富豪的金融实力。
Ms Rogers added that she had not given her son parental consent to play the game as stated in its terms and conditions, and that as the game was free to play, the studio could not claim loss of profit as a result of the cheats.
I used to think guff was a product of failure and mediocrity — it existed because the truth was too painful, or because executives had not bothered to ascertain what the truth was.
"史上最短的明星婚姻"大盘点
Jude Webber
拉娜·德雷《渴望生活》
分析师们表示,未来几个月整体进口数据可能开始好转,因为大宗商品价格下跌在2014年底尤为显著,这将意味着按价值计算的中国进口同比降幅较小。
Domestic brands still dominate cellphone shipments in China as Chinese cellphone makers accelerated innovation, an industrial report showed.
据预测,在大宗商品价格上涨和需求温和上升的推动下,2017年以美元计的新兴市场国家出口额将出现自2014年以来的首次增长。

Metric transparency stimulates rapid improvements and fosters goal alignment. Measurement and reporting of cost is absolutely essential in moving the value equation.

A series of articles published between The New England Journal of Medicine and the Harvard Business Review aims to discover and suggest solutions to the issues currently ailing the U.S. healthcare system.1 The first installment focused on how to improve value on a large scale. The authors discuss the major barriers to realizing the value equation, along with some propositions for overcoming these barriers on a large scale.2 Although all six barriers are extremely difficult to surmount, the authors argue that because they are all mutually reinforcing in the current state, all will need to be addressed swiftly, tenaciously, and simultaneously.

对投资者而言,今年对行业的准确判断还只是个小问题,因为除了美股,今年全球的投资好选择不多。

1

We must make dedicated efforts to deliver services to the people, resolve the difficulties they face, promote social equity and justice, and demonstrate that development does better people’s lives.
Latest data from the US Treasury Department shows that India held securitie sworth $80 billion in September and further reduced its exposure to $77.5billion in October -- which is also a three-month low.
Ford's F-series pickup, the reigning champion for the last quarter-century, held off a strong challenge from Chevrolet's redesigned Silverado to remain the nation's No. 1 selling vehicle. The race to become the best-selling car, an all-Japanese final, belonged again to the Toyota (TM) Camry, which beat out the Honda (HMC) Accord.
The memes were shared as part of a private Facebook chat where admitted students in the class of 2021 shared edgy jokes as part of a "just-because-we-got-into-Harvard-doesn't-mean-we-can't-have-fun kind of thing", an admitted student told the Harvard Crimson.
Crown Prince Mohammed bin Salman said the majority of those being detained had agreed to pay back some of the money they had gained illegally in exchange for their freedom.
9.你会一直回避你的老板。
Overall more than 5.8 million enhancements were performed in Asia during 2010, while just over 4.5 million procedures were carried out in the US the Economist revealed.
Miranda Lambert “Bathroom Sink” (RCA Nashville)

8.Kate Upton
内森是少数几位在夜间拍卖会上积极出价的交易商之一。他在佳士得的拍卖会上代表一位客户以50.65万英镑拍下了查尔斯-安东尼·夸佩尔(Charles-Antoine Coypel)1737年的画作《阿米达宫的毁灭》(The Destruction of the Palace of Armida),售价是预估价的两倍。
2. “Inside Out” (Pete Docter)
consistently
精准加力补短板。
中国社科院表示,在中国的工业及相关领域中,农民工们提供了50%的劳动力。然而由于户籍规定,他们却无法享受到与城市居民同等的权利。
但是我们波士士顿波士顿咨询集团不认为中国本次改革会导致中国经济不稳定。我们相信中国经济在习主席的领导下会持续高速增长。我们相信上个星期的改革(三中全会)会确保中国经济从现在一直增长到(至少)2020年。根据我们已掌握的资料,我们预测中国经济在未来10年会增加4万亿美金(而书中说是6.4万亿。2012中国GDP为8.3万亿美金)。如果加上印度,亚洲两大国未来的增长总量会达到10万亿美金。在此期间,中产阶级会迅速膨胀,进而增强对经济增长的乐观态度。当然,没有人能完美地预测未来,在我们的近期的一本关于中国和印度经济发展的书中(《Trillion Prize:Captivating the Newly Affluent in China and India》),我们也描述了一些经济增长缓慢的例子。不过总体上我们还是对中国的未来保持乐观态度。
He had been stranded for five hours by the time help arrived.
Influenced by the current economic situation, and resource relocation in China's financial market, the banking industry is away from the high-speed growth period, the expert added.
1.《宋飞正传》"踢脚舞"一集差点流产
adj. 奢侈的,浪费的,过度的,大量的
节目32 歌曲《给我你的爱》,张杰 林宥嘉
最流行的整形手术包括双眼皮手术——通过减少上眼睑多余的皮肤来使双眼看起来更大,抽脂手术——运用高频声波来减肥,以及鼻子整形手术。

2

The Chinese mainland had a population of 1.37 billion, an increase of 33.77 million people over the census taken in 2010, meaning the annual growth rate was 0.5 percent.
Consoles: Xbox One
如果美国汽车行业杂志《沃兹汽车》(Wardsauto)的专家最新编撰的最佳引擎榜单可作为一种指示,那么在当代轿车、卡车和跨界车的引擎盖下面正发生一场静悄悄的革命。涡轮增压、机械增压和柴油引擎——甚至还有一款电动发电机——主导了第20届年度十大最佳汽车引擎奖;根据《沃兹汽车》,这些奖项“表彰了杰出的动力系统成就、世界级技术以及那些帮助推动汽车销售的稀有发动机或者电力推进系统。”
Be Professional
《蜘蛛侠:英雄归来》
He took out his textbooks and busied himself with his daily homework routine.
2010 10-year Treasury yield (year-end): 5.0%
On the sales front, General Motors and Ford F -0.13% lost market share to Chrysler, which leveraged its Jeep brand to previously unimagined heights – and then, metaphorically left its heritage behind when it established legal domicile in the Netherlands and changed its name to FCA US LLC.
愿女儿的新年祝福带给你快乐。
狼和狗有何不同?
“I am so overwhelmed and elated that fur has been banned from London Fashion Week! Progress!” Faith wrote.
这是悬在全球经济头顶的最大问题,也是最大风险。

According to the report, some lenders have been using the platform to offer female college students high-interest loans on the condition that the borrowers hand over nude photos of themselves holding their ID cards as collateral.
但对于北京来说,若能在特朗普让美国退出TPP后不到一年的时间里达成RCEP协议,将是一场巨大的胜利。
Will the S&P 500 finish the year above 2,650
The capital plans to move most of its municipal departments to the suburban district of Tongzhou in 2017, the Beijing Municipal Committee announced on Wednesday.
The only thing worse than being bad is being bad without a vision. Johnson never lacked vision as a player and he's off to a good start as an executive.
单词refrigerator 联想记忆:
9. Mila Kunis - $11 million
The tension between Paramore's high-intensity hooks and withering lyrics explodes into fluorescent colors on After Laughter.
但是,当《老友记》第二季浓墨重彩地展现卡罗尔和苏珊的同性恋婚礼时,这个剧集就朝着人人平等的方向迈出了一大步。幕后,执行制片人玛塔·考夫曼说:"国家广播公司预计会接到成千上万的投诉电话和邮件"。然而在这部剧集上映之后,收到的恶意信件却是寥寥无几。原来,大家根本就不在乎。

3

7、《海底总动员2》
So, before the world gets the better of you and slaps a title on your forehead, create a unique manifesto of what you think you are.
得益于均衡发展,广州和深圳在该榜单上分列前两位。而杭州则因其技术优势而排名第三。武汉则由于在发展和成本间的良好平衡排名第四,随后的南京则是由于文化和生活水平排名第五。
截止发稿时为止,在中国社交媒体上仍然能够找到一些被泄露的照片和视频。
Mr. Sissako is both an indispensable political filmmaker and one of the great poets of contemporary cinema. His portrait of life under jihadi rule in northern Mali is brutal and shocking, but also gentle, generous and surprisingly funny. Mr. Sissako does not humanize violent extremists so much as demonstrate that they already belong to the species and reflect part of our common, tragic nature. But his movie also insists that the only effective and ethically serious way to oppose fanaticism is with humanism. Which is to say with irony, with decency and, perhaps above all, with art. (Read the review.)
My fellow trainer, Sylvia Guinan, made me aware of these rules that a husband has laid out for his wife to follow during the 2014 World Cup.
联邦、州和地方政府的裁员速度开始放缓。去年各级政府部门有逾25万人失去工作。今年截至目前,约有两万人找到了工作。经济学家说,美国的债务和赤字问题引发的担忧可能将限制政府支出和投资,但基础设施支出的任何反弹都会创造就业岗位。至少政府带来的拖累会减小。[qh]
农林牧渔和服务业是应届毕业生签约行业中薪资水平较低的行业,月薪分别为3347元和3115元。
Juckes warns that we're now trapped in the fourth megabubble fueled by the Federal Reserve in the last 30 years, since the rise of conservative economics. He calls this one, the Bubble With No Name Yet. OK, we invite you to send in your nomination to name the new bubble. But whatever you call it, do it fast, it's close to popping, like the Asian, Dot-com and Credit crashes the last 30 years.
根据上海市统计局发布的数据显示,截止2015年年底,上海市外来常住人口数量减少至980万人,占该市大约2400万常住人口总量的40.6%。
单词summary 联想记忆:
The first is the establishment of the Aero Engine Corp. of China (AECC) last year, which consolidates Chinese aero-engine know-how and capabilities, indicating that the indigenous development of aircraft engines is now a strategic priority for China. This focus is even more striking when one realizes that China now has access to rhenium, a rare metal that helps create strong superalloys necessary for the manufacture of high-pressure jet engine turbine blades. Since the 2010 discovery in the Shaanxi province of reserves, which account for 7% of the world’s total, considerable effort has been made to exploit and process this metal. Moreover, a major technological milestone was recently achieved that opens the door for mass production of single-crystal turbine blades, a key component of modern jet engines. It is thus no surprise that one of the cornerstones of the newly established joint Sino-Russian widebody aircraft program is the development of a dedicated, state-of-the-art engine.
以下是五个脱颖而出的、值得在2014年加以关注的初创企业。
Will the Federal Reserve's path out of bond buying get bumpy?
5) I’ve Got Your Back: We’ve all made big mistakes. In those times, step in with a reassurance: “I’m not judging you. You’re going to get through this. You’re not alone. We’ll figure this out together. It’s going to be OK.”

4

That put outbound investment for October at $8.3bn, according to FT calculations based on official data, for a year-on-year fall of 26.5 per cent.
4. “Carol” This is the first movie that Todd Haynes directed that doesn’t have his name on it as a writer. Working from Phyllis Nagy’s distillation of the Patricia Highsmith novel, he reaffirmed that filmmakers don’t need to generate their own screenplays to be great, a truth many aspiring and established auteurs disregard.
But at the end of a madcap Golden Globes (Ms. Fey toasted it as 'the beautiful mess we hoped it would be'), the major honors soberly ended up with the favorites. David O. Russell's con-artist caper 'American Hustle' led with three awards, including best film comedy. And despite missing out in the other six categories it was nominated in, the unflinching historical drama '12 Years a Slave' concluded the night as best film drama.
I am afraid to go out in the sun now because of the holes in the ozone. I am afraid to breathe the air because I don't know what chemicals are in it. 我现在害怕晒太阳,因为臭氧层出现了空洞。我现在害怕呼吸空气,因为我不知道那里有多少化学物质。
也许同等重要的是,稳定或者下降的油价将会缓解通货膨胀压力使美国工人的工资更具有购买力。Renaissance Macro经济学家Neil Dutta 称“这对于国内需求来说是一个明确的积极的消息,人们将会有更多可以用来消费的钱”。
2. 麦嘉华对贝南克灾难性QE计划的末日警告
The Hidrate Spark 2 tracks your water intake by syncing with a mobile app and recording how many ounces of water you drink a day, which can also be tracked by remembering how many times you refilled your bottle labeled with the number of ounces on the side.
Anyone who doesn't feel they can tap into their inner-Picasso to create amazing drawings needn't worry. The study demonstrated that it wasn't the quality of the doodles and drawings that helped participants recall given words. Drawing a simple outline of a banana offered just as much benefit to the memory as a perfectly drawn piece of fruit. Additionally, the study found that participants only needed to spend a few seconds on their drawing to receive a significant boost to their ability to recall the word. The researchers plan to take their research a step further in the future by introducing more complex words and ideas and measuring the memory success of participants asked to recall those intricate thoughts.
adj. 娴熟的,有造诣的,完成的,有成就的,毫无疑问的
单词consciousness 联想记忆:
她对“广告狂人狂热症”的定义是“想像《广告狂人》中的人物那样着装”,不过,我想把它的定义改为,大众时装公司认为所有的消费者都想穿成《广告狂人》中的人物那样。该剧的视觉冲击力非常强大,以病毒级传播,仿佛重组了设计师们的创意DNA。

5

There has also always been a certain fluidity to this concept of whiteness. Irish and Italian immigrants to the United States, and Jews in Britain, were once seen as separate from the white national majority, and are now generally considered part of it, benefiting from racial privilege. At the same time, Jews’ white skin did not protect them from being cast as outsiders by some of Mr. Trump’s supporters who have circulated anti-Semitic memes on social media.
13个原因
制造业及休闲和酒店服务业应会继续创造就业岗位。美国的工厂是复苏早期的推动者,尽管增长放缓,工厂应该会继续有选择地扩员。继2010年每月增加约9,000个就业岗位之后,今年以来制造业每月增加约1.6万个就业岗位。欧洲、日本和中国经济增长放缓损害了全球贸易流。但最近,更多公司高管开始意识到,在美国制造比在中国等地制造好处更多。与此同时,包括酒店在内的休闲服务业整年都是就业岗位增长的一个可靠来源。[qh]
201309/256019.shtml
2015年首个周末,全球第二大比特币交易所——位于斯洛文尼亚的Bitstamp遭到黑客袭击,丢失了价值约500万美元的比特币。科技媒体很快指出,此事令数字货币比特币2015年开局不利,财经新闻网站QUARTZ曾称比特币为“2014年最糟糕的投资”。纵观该数字货币2014年1月1日至2015年1月1日的表现,QUARTZ此言非虚:2014年底,比特币的价值仅为同年年初的39%。
差不多人人都知道谷歌的分析工具Google Analytics,但是你是否用过谷歌的网站管理员工具(Google Webmaster Tools)?作为一名营销人员,我认为谷歌的网站管理工具是我用过的最重要的免费工具之一。你肯定想让自己公司的名字出现在谷歌搜索结果之中,对吧?那么为什么不听听谷歌网站管理员工具教给你的诀窍呢?
8.俄罗斯
中欧之间存在贸易摩擦,我们有经验去妥善解决。
A lone European telephone bidder paid a top price of 9.1 million for a smaller 1825 version of John Constable’s admired but difficult-to-love 1824 vertical landscape, “The Lock,” that had been in the same British family since 1855.
2. Dunkirk
推动社会治理创新。
Payouts also varied substantially between industries and cities. The average bonus at financial institutions was over Rmb17,200, while those in the education sector got less than half of that on average at less than Rmb7,500.
每个企业家平均会使用十几个云软件和应用。Zapier可以把你的网络生活联系起来,帮助你构建新的功能。Zapier最好的一点就是,你甚至不需要懂API就可以使用它。
根据历史记载,理查三世战败后,其裸露的尸体曾被放在一匹驮马上运往莱斯特,后埋在莱斯特一家方济会修道院的墓地,但没有任何标记。莱斯特位于英国中部。

6

上周二,Snapchat推出了一种名为Discover的服务,Vice、CNN和《人物》杂志等媒体可通过它在Snapchat发布视频内容。已经有几个频道推出广告服务,要价可不便宜。据《广告周刊》报道,Snapchat的广告标价是每天75万美元。
10.美国密歇根上半岛
这座墓地在2007年7月份的时候首次被发现,由新疆文化遗产和考古研究院负责开挖,挖掘工作得到当地政府的支持。研究团队将他们的发现发表在了中国的期刊《文物》上。这篇文章最近被翻译成英语,并发布在了《中国文化遗迹》杂志上。
The 60-episode TV drama was adapted from a novel Legend of Princess Pearl published in 2007. It focuses on the protagonist Shen Zhenzhu’s romance with her husband and their efforts to protect the country.
但是,这些进展也指向美国和欧盟在利用此类案件上的巨大差异,欧盟目前正在讨论是否要赋予中国世界贸易组织(WTO)框架下的“市场经济”地位——这一让步会使对中国提起反倾销案变难。
人们的担忧涵盖了各个领域,从全球问题(比如俄罗斯试图影响2016年美国总统选举),到地方问题(比如担心用户淹没在通知和新闻推送中,造成心理健康问题和生产率损失)。
《老友记》里几乎都是白人演员,所以它在当时并不是一部以兼容并包著称的电视剧。剧中的主要角色没有一个是"非主流"。甚至乔伊还经常拿罗斯的第一个老婆是同性恋这事开玩笑,而且经常能在台词中看到性别歧视的只言片语。
男性使用这个密码的几率是女性的2.8倍。
Type A and Type B personality theory describes Type A individuals as outgoing, ambitious, rigidly organized, highly status-conscious, sensitive, impatient, anxious, proactive, and concerned with time management.

Best chances: It's always hard to bet against Streep getting a best actress nomination, and Hanks is overdue for an acting nomination after missing out in recent years.

Conclusion

The London school’s MBA is ranked first in Europe, its EMBA programme, delivered jointly with Columbia Business School in the US, is ranked third and its MiM programme is in the top 10 on its first participation. The MiM ranking was the last missing piece for LBS to come first in Europe.
“An employee bragged to all his colleagues that it was his last day, but failed to let his boss or the HR manager know.”
Critics have been eager to point out that he is not so closely involved in new product development as his predecessor, and fails to elicit the same excitement when he takes to the stage to introduce them. But Mr Cook is aware of his shortcomings and has drawn on the worlds of fitness and fashion to assemble a new team of talents, including Angela Ahrendts, formerly of Burberry, and industrial designer Marc Newson.
[k?m'plein]
The first view is that the price is inherently cyclical. What has come down must go back up again and the deeper the trough the higher the next mountain.
Finally, only two schools join the open ranking for the first time this year. Antai College of Economics and Management at Shanghai Jiao Tong University comes straight in at 32 and Eller College of Management at the University of Arizona is ranked 68th out of 75.
横跨全美的大日食
1997:H5N1传染人类1997: H5N1 Infects Humans


Dr. Scheurer is a hospitalist and chief quality officer at the Medical University of South Carolina in Charleston. She is physician editor of The Hospitalist. Email her at [email protected].

References

  1. 根据中国海关总署发布的数据,这些进出口贸易使11月中国的贸易顺差比10月的贸易顺差382亿美元提高20亿美元,至402亿美元,远超9月份的6个月低点286亿美元。11月的贸易差额也超过了经济学家预期的350亿美元。
  2. The other issue with tanking is Philly, Phoenix, and Brooklyn are all bad teams. It's going to be hard to outflank those outfits.
    单词syndrome 联想记忆:

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