Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

13个原因
塞舌尔
DeMarcus Cousins, Serge Ibaka and Lou Williams were all dealt in advance of Thursday's 3 p.m. ET deadline, leaving role players like Taj Gibson and P.J. Tucker as the biggest names to move right before the buzzer.
funds
实话说没有其他国家能拥有中国那样的优厚研究条件:一个有着长期明确财政支持和庞大国内市场的政府——尽管大部分市场并不自由。市场预计中国国内航空市场将在当前基础上翻四倍,到2036年乘客总数将两倍于美国,达到16亿人次。
施普林格自然集团细胞生物学和生物化学编辑部主任皮特?巴特勒对上海澎湃新闻网站表示:“这些论文提交的评审人建议中,使用了评审人的真实姓名,但假冒了其电子邮件地址。”

“五位一体”总体布局:经济建设、政治建设、文化建设、社会建设、生态文明建设
v. 抢劫,掠夺
Siemens broke records last year by winning two awards for renaming its healthcare business Healthineers. Not only does it land the Martin Lukes prize for the worst combination of two words, the accompanying video, featuring a singing CEO and writhing spandex-clad employees, wins a gold medal for most embarrassing company song of all time.
Ultimately I expect these new leaders to start selecting from a broader pool of candidates and appoint direct reports from more varied backgrounds, defying those who use current imbalances to extrapolate gloomily that leadership parity between men and women is still decades off.
[in'tennli]
Eleven James:
That cold was drawn into the interior of the country by a loop in a current called the jet stream that allowed Arctic air to spill southward. But an offsetting kink allowed unusually warm tropical air to settle over the West, large parts of Alaska and much of the Arctic.
“在这种情况下,这些学生的言论自由权利根本没有被侵犯。”
不过,在这一反弹中也出现了奖金数额的下滑:去年的平均年终奖是12821元人民币(合1861美元),比2015年多了大约2000元人民币,却仍比2014年的平均值少了800元人民币。在奖金缩水的被调查者中,逾四分之一的人将原因归结为公司业绩太差。

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.

HSBC said its private reading of China's manufacturing sector was stagnant last month, confirming a "flash" estimate already published.

1

The EU is making clear it wants to use the void in US leadership on trade to nail down new trade agreements. The negotiations with the Mercosur trade bloc in Latin America have been going on in fits and starts for more than a decade. But the EU and key Mercosur members like Argentina are now pushing to conclude a deal by the end of this year. That would be a big statement planted right in the US’s backyard.
挪威曾为一只企鹅授予爵位。它现在居住在苏格兰的爱丁堡动物园,是那里的企鹅王,它叫尼尔斯·奥拉夫( Nils Olav)。它不仅是一只吉祥物,更是挪威皇家护卫队的名誉上校。2008年8月15日,国王哈拉尔五世(King Harald V)授予奥拉夫爵位,并在授予典礼上声明“奥拉夫在各方面都有资格获得骑士爵位的荣誉和尊严”。
intelligence
你知道什么叫“深藏不露”吗?
The American share in the total drugspending is about one third. IMS experts estimate that in 2014 it will rise11.7 percent. The UShas particularly high prices, according to the report, but drug makers defendthis by citing the soaring cost of new medicine development.
No one in Detroit has forgotten the snowstorm of 1999, when airplanes were mired for hours on the tarmac at Detroit Metropolitan International Airport. Likewise, US Airways encountered its own holiday mishap in 2004-05, when more than 72, 000 bags were lost or damaged.
Sam Smith, 'The Thrill of It All'
“失业”是金融类最热门的搜索项,其次是“华尔街公司”和“产品召回”。

问:写轻小说和写动画剧本有什么不同吗?
爱因斯坦复活了?
下载微信之后,用户会收到提示,让他们用自己的QQ账号或手机号注册。随后微信利用用户手机通讯录里已有的条目来充实联络人列表。进行交流时,用户可以上传任何照片或视频到手机上,也可以拍摄新的照片和视频,或是按下一个按钮录制一条语音信息,信息的传送几乎是实时的。语音信息可以回放,信息最后有短暂的哔声,模仿无线电对讲机那种即时联络的感觉。
TextPride was a fine business, but a tiny one. Meanwhile, the market for messaging apps was exploding. Facebook FB 0.61% bought WhatsApp for $19 billion; that service now has 700 million monthly active users. Tango, an app with 250 million registered users, is worth $1.5 billion. Kik has 200 million registered users. Snapchat, worth $10 billion, has 100 million users. A new study, commissioned by Kik, shows that U.S. users now spend more time on average in messaging apps than they do on social networking apps. The only problem? These messaging apps need ways to make money, and there’s no reasonable way for advertisers to wedge themselves into conversations between friends.
['?nim'pl?im?nt]
New Year time is here. I hope you have a wonderful New Year. May every day hold happy hours for you.
“One person said he was going to the men’s room and didn’t return.”
黑莓在周三下午的一份声明中表示:“黑莓尚未与三星进行过任何潜在的收购谈判。黑莓的方针是不对谣言和揣测加以评论,因此我们也不会对此做出进一步说明。”
Regional
但当格雷泽给我们带来《皮囊之下》,这部经过他长期酝酿的,由荷兰作家米歇尔·法柏的科幻小说改编的电影时,真是让人惊叹:欢快,不安,大胆。斯嘉丽扮演的外星人藏于人类的皮囊里,穿梭在格拉斯哥街道和商场,不亚于一位一线明星。现实生活中的路人在镜头中完美的展现,而隐身的约翰森面无表情的估算着三个地球人可被利用的热量值。接着演员带着被色诱的人类离开人群,来到她自己的地方:一个神秘的黑暗的洞穴中。在这里,情色恍惚间,人类贡献自己的肉体,被囚禁,被养殖成为食物,谁知道呢,又或许是人类的灵魂。
Google's brand is now worth more than 109 billion U.S. dollars, around 2 billion dollars more than Apple, making it the most lucrative in the world.
Lian Ping, chief economist with the Bank of Communications, said rising producer prices may push up consumer prices in the longer term.
n. 火

2

乌拉圭代表了一个更令人感到好奇的例子,国家队的球员是伪装成小人物的足球贵族。像比利时一样,这也是一个相对年轻的国家,但在赛场上它则是一名老手。他们曾两次赢得世界杯,第一次是1930年首届世界杯,第二次是在1950年,当时巴西是东道主。后来的那次被称为“马拉卡纳之殇”,一场人们在今天依然还记得的国家悲剧,当时巴西在创世界记录的20万(或许更多)球迷面前被压垮了。
我立刻赞同了克雷格和尼尔关于艾伦是今年颁奖礼最合适的主持的想法。我们希望举办一场娱乐、吸引人而又有趣的颁奖礼。
Unfortunately, there won't be a 2014 rematch between Brazil and Uruguay, as the latter was eliminated on Saturday. If Brazil makes it to the final on July 13, the country could play Mexico, the Netherlands, Costa Rica, Greece, USA, Belgium, Argentina or Switzerland.
“我们为最佳影片奖颁奖通告期间出现的失误,向《月光男孩》、《爱乐之城》、沃伦?比蒂、费?唐纳薇、以及奥斯卡奖观众表示诚挚地道歉。颁奖嘉宾收到的是错误奖项的信封,这个失误一经发现立刻得到了纠正。”
But we at The BostonConsulting Group believe that the current dip in China’s growth will not endureand that, under Xi’s leadership, China’s economy is destined to continuegrowing at a rapid clip. In fact, we are confident last week’s reforms willcontribute mightily to China’s growth between now and 2020. We stand by our base case forecast that China will deliver$4 trillion in growth over the next decade and combine with India to deliver a$10 trillion prize — an economic powerhouse driven by booming middle classconsumption and growing overall optimism. No one can perfectly forecastthe future … and in our book we describe scenarios where growthslows. But we remain optimistic and positive about China’s future.
2015年,全球范围发起的233起反倾销案件中,针对金属行业的案件占比达创纪录的46%,几乎全部是针对钢铁行业的案件。
Song “Super Shero”(S.H.E.)
阿德瑞娜利玛穿上了红色,亚历山大安布罗休惊艳四座,你能想到她刚生完孩子么?
Finance is one of top school Edhec’s core strengths, both in terms of teaching and research. The school in 2001 established the Edhec-Risk Institute to produce and distribute research on areas such as asset and risk management.
……被要求向面试官简单介绍自己,结果她没有什么可说的。
In this Jan. 9, 2007 file phtoo, Apple CEO Steve Jobs holds up an Apple iPhone at the MacWorld Conference in San Francisco. Jobs the CEO,
菲亚特(Fiat)试图就投资克莱斯勒(Chrysler)条款重新谈判。

乔布斯在苹果博览会上手持iPhone ,2007年,1月9日,旧金山
考虑到波士顿咨询集团(Boston Consulting Group)管理合伙人理查德莱塞(Richard Lesser)的第二任期将于10月结束,该公司可能也将引来变化。然而,由于该公司拒绝就其选举流程及领导人最多可以有几个任期置评,莱塞的未来尚不明确。
抵达太阳系深处的人类智慧。
3.Porto, Portugal
8. Your appendix might not be a useless evolutionary byproduct after all. Unlike your wisdom teeth, your appendix might actually be serving an important biological function - and one that our species isn't ready to give up just yet.
这部20世纪70年代黑色幽默犯罪电影的主角,是诈骗高手欧文·罗森菲尔德和他的情妇西德尼·普鲁塞尔,他们被一名联邦调查局(FBI)干员抓获,然后被迫欺骗腐败的政治家。二人继续与干员、政治家目标以及自己的家人周旋,最终达成豁免协议,得以不受任何刑事指控就脱离苦海。
她解释说:“这一事件牵涉了许多方面,例如环境、能源、工作场所灾难和大国政府职能。它成为了人们焦虑情绪聚集的一个焦点。”
The studio says it has taken the step because the boy declined to remove a YouTube video he published which promoted how to use the software.
China will not see nor allow massive unemployment of particular groups this year, as the government is capable of ensuring a favorable environment to generate jobs.

3

2006年,哈茨与现任丈夫凯文共同创办了在线票务平台Eventbrite。自成立以来,这家公司先后从红杉资本(Sequoia Capital)和老虎全球基金(Tiger Global Management)等公司获得了总计1.4亿美元的投资。今年9月,它的票务销售总额达到了20亿美元。创业让哈茨不得不在与人沟通时运用坦率、且具有合作性的对话方式。她说:“我必须学会如何寻求帮助。所有人都认为创业是勇敢的举动,但我认为,更需要勇气的事情是,把自己摆到众人面前,同时努力达成协作。”
电影《分歧者》的主演谢琳·伍德蕾为2015全球十大美女的冠军。这位年轻的好莱坞女星在电影《后人》中的演出大获成功。此外,她还入选了《尼龙》杂志“好莱坞青年特辑”评选的“55张未来面孔”。
Alice Schwarzer, who has battled for women’s rights for years, is stunned that “an old-school sexist” like Donald J. Trump could win the United States presidency.
3. Grow your hair slightly longish, if it isn't naturally wavy (poor you), wear curlers to bed every night.
《三块广告牌》
但舒尔茨没有停留在担心这一步。美国政府停摆期间,星巴克还在一些日子里为给他人买咖啡的顾客免单。舒尔茨希望此举能帮助人们“在期待民选官员为了国家利益团结起来的同时,彼此也能团结起来。”
The stomach-churning finding is not the first to be exposed in the area. Police in Guangxi, along China's border with Vietnam, have stepped up anti-smuggling operations over the last year and have raided seven illegal food processors.
You might think 60% is absolutely nothing, but this is a significant step, seeing as gay marriage was not legal anywhere in the United States in 2003.
去年12月,中国工业利润降幅达到创纪录的8%,显示中国有针对性的刺激计划未能抑制工业放缓,而工业是中国经济的主要推动力。
The QUBE will remind you to recycle, monitor when the trash was last taken out, and tell you to change the air freshener. These are all things people usually remember to do anyway, by the smell and all, but now there's a $300 "elegant" stainless steel can that'll constantly remind you with annoying mobile alerts.
马纳尔·阿尔-谢里夫(Manal al-Sharif)
In my anger, I am not blind, and in my fear, I am not afraid to tell the world how I feel. 然而事实却让我很愤怒,但我也很清醒,我虽然害怕,但我敢于告诉世界我真实的感受。
冲击奖项:如果这届奥斯卡最佳影片的提名数有9或10部电影的话,那么《逃出绝命镇》能占一个。乔登皮尔的剧本应该一定会被提名。
对于购房者,也不都是坏消息:房价明年(2015年——译注)仍将上涨,但步伐可能会从飙涨趋于平缓。“房价不会一味地陡然上涨,”柯克兰集团(Corcoran)的首席执行官帕梅拉·利伯曼(Pamela Liebman)说,“买家都有点疲劳了。”
We've had the technology to artificially restore hearing for decades, but internal implants do nothing for the visible parts of the ear. You'd think those big flaps (“pinnae”) on either side of your head would be easy to replicate, since they're just skin and cartilage rather than complex organs. In reality, scientists have never done a good job with fake ears. Traditional replacements look and feel like plastic toys.

4

这支队伍需要更多的天赋,他们需要大修。对魔术而言,最能吸引天赋到来的方式一直以来都是选秀。
5.E-Cigarettes
不会。默克尔可能会接受一支规模较小的欧元区投资基金,但这满足不了这位法国总统的雄心。马克龙想要的是“路线图”,指明如何实现一份相当于欧元区经济产出一定百分点的预算,由一名财政部长监督,完全用于缓冲经济震荡。默克尔想要答应,但她在联邦选举后政治地位受到削弱,因此无法勉强基本上持怀疑态度的德国民众接受这样一个决定。
amphibious
尽管你会忙个不停,但是不要忘记赞美生活中不完美的地方。我在徒步攀登喜马拉雅山的十天中了解到生活也有美好的缺陷。高山峻岭的陡峭边缘,午后骤降的冰雹风暴,都给人带来种种不便,但是却为登山旅途增添了几分妙趣。我敏锐地感觉到,在我追求完美事业的过程中,我往往没有认识到,不完美的地方也是我们自身的核心特质,需要保留下来,而不是经常改变。
A disturbing and often bleak analysis of the automated future of work has been named 2015’s business book of the year.
2.喷气背包
报告发现,艺术学、农学、工学专业的学生创业意愿最高,而历史学和理科专业的学生创业兴趣相对较低。
爆破公司总指挥贾永胜告诉中国国营电视台CCTV说:像这样在市中心的大规模爆破任务,不但要保证爆破结果(精确),还要控制爆破产生的不良影响。
2017年,全球黄金的产量从上一年的3263吨上升至3268.7吨。这是自2008年以来的最小涨幅。2008年金融危机期间,黄金开采量下降了逾2%。
深化生态文明体制改革。

5

Gitanjali said she wanted to further refine the device so it could eventually go on the market.
André Aciman’s 2007 novel has spawned a big screen adaptation that’s among the most acclaimed films of the year. Up-and-coming 21-year-old actor Timothée Chalamet plays a young man living in Italy who has a passionate affair with an older academic (Armie Hammer). When it premiered at the Sundance Film Festival in January, BBC Culture critic Sam Adams awarded Call Me By Your Name five stars and praised Chalamet and Hammer’s chemistry, the lush photography of the sun-kissed Italian setting, and the particular nuance and depth of the script. It will be a major Academy Awards contender. Released November 24 in the US. (Credit: Sony Pictures Classics)
华盛顿暂时的“停战”能否持续?
2. Staying too long in a job that you want to leave
排名前20的大学有13所大学是美国的大学、还有4所英国大学和3所其他大学。
n. 经营方法,行为态度
n. 图形,数字,形状; 人物,外形,体型
马修?麦康纳(Matthew McConaughey)和贾里德?莱托(Jared Leto) 均凭在剧情片《达拉斯买家俱乐部》(Dallas Buyers Club)中的真实演绎荣获金球奖,该片讲述了一群德克萨斯人向艾滋病病毒发起勇敢抗争的故事。获九次金球奖提名的莱昂纳多?迪卡普里奥(Leonardo DiCaprio)因在《华尔街之狼》(The Wolf of Wall Street)的出色表现第二次摘得最佳男演员桂冠。他在发表获奖感言时感谢了影片导演马丁?斯科塞斯(Martin Scorsese)对他的指导(该片是两人第五次合作),并感谢他“允许自己跟着他拍下了这部电影”。
The government needs to work to emancipate and develop productive forces, bring out the initiative for the people and deliver greater benefits to the general public, the essence of governance is to always act in the overall interests of the whole country rather than just acting in one scenario departmental interests. The essence of our government is to always respond to the people’s call.
吕特在周一晚间的辩论中重申,他不会与维尔德斯所属的政党组建联合政府,他甚至还表示不可能组建一个依赖这个反移民政党支持的政府。吕特表示:“我不会再次与这样的政党合作。”在2010年选举之后,吕特组建的首个少数派政府受到自由党的支持。
The emissions growth last year was a bit slower than the average growth rate of 2.5 percent over the past decade, and much of the dip was caused by an economic slowdown in China, which is the world's single largest source of emissions. It may take an additional year or two to know if China has turned a corner toward slower emissions growth, or if the runaway pace of recent years will resume.
7月25日
3.You Spend More Time Surfing the Web Than Doing Your Job
Sinta Nuriyah

6

人事工作类
据张晓光表示,怀旧部分将包括出自上海文华电影制作工作室的电影,该公司成立于1946年、引领了中国文艺电影的新时代,将会让观众“一睹中国的电影文化和历史”。
2015年,紧随中国票房收入之后的是英国的19亿美元、日本的18亿美元、印度的16亿美元以及韩国的15亿美元。
Duh.
2014年,尽管汽车销量自2007年以来首次超过1600万辆,但占据媒体头条的还是各类召回事故。在召回舞台上最活跃的是通用汽车公司,由于不断曝出点火开关故障,通用今年已经召回了几百万辆汽车。这家汽车制造商选择勇敢曝光自己的失误,并公开发布了一份自查报告。而日本气囊生产商高田公司却对“气囊门”三缄其口,转而把补救措施留给其深陷困境的客户本田和丰田来实施。有问题的气囊爆炸后,会向驾驶室弹出致命碎片。
25 July
《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。
瑞典
"password" had held the top spot in the rankings since the annual list began to be compiled. In 2013 it slipped to number two on the list.

Over the past three years, drawing conclusions about China's box office growth has been complicated by Beijing's decision to include new service fees in official revenue totals.

Conclusion

学员平均年龄:36岁(英语授课项目)
在数年的停滞之后薪酬将会加速提升
It is also reported that Chinese citizens made 1.26 billion cinema visits in 2015, a roughly 51 percent increase from a year earlier.
对于更多的普通投资者而言,在标普500指数回报高于历史平均值的大背景下,2014年是充满挫折的一年。
国有企业员工对年终奖表达了比民营企业更高的满意度。这一点毫不奇怪,因为国企的平均年终奖是17318元人民币,比民企的预期年终奖高了大约6000元人民币。
Li Yi, a Shanghai-based independent IT expert, told the Global Times the surge in the number of smartphones was the primary reason for the growth in Net users.
与此同时,有一首非常有意思的歌曲来自我们的读者Libby Russell,是她为所有世界杯期间的足球寡妇所作。非常感谢Libby的分享,太棒了!
China’s foreign exchange reserves posted their third-largest monthly decline on record last month, central bank data showed yesterday, renewing worries about capital outflows after reserves had appeared to stabilise.


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. The regulator said that “faced with a complex and volatile market environment,” funds had realised gains of only Rmb294.5bn in the first half, a drop of 42.3 per cent.
  2. 'It surprised me, but it's a good sign for Tencent getting abroad, because in particular WeChat is a combination of WhatsApp and Instagram, so it's a unique value proposition that is probably pretty good for emerging market consumers,' he said.
    我们的外汇储备是充裕的,是足以支付进口和满足短期偿债需要的。

Next Article:

   Comments ()

Clinical

Practice Management