Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

[.s?:kju'lein]
刘非也是汉朝皇帝汉武帝(公元前141-97在位)的同父异母兄弟。
美国大学与雇主协会(National Association of Colleges and Employers)进行的一项新研究表明,48%的美国公司计划于2011年招募物流专业研究生。供应链管理人才稀缺的现象,恰恰印证了这一调研结果。
Days after her death, Ross’ mother, Alicia Jesquith, told reporters she needed answers for the sudden death of her daughter, described by friends and family as a vibrant, ambitious young girl who lit up the room.
2014年在职高管100强课程排行榜冠军是由法国巴黎高等商学院(HEC Paris)、伦敦政治经济学院(LSE)和纽约大学斯特恩商学院(Stern School of Business at New York University)三家合办的Trium课程。排行榜前5位继续由洲际EMBA课程把持。
Zhang Jingxiu, executive director of Beijing-based employment consultancy Newjincin Research Institute, said he didn't monitor the significant decrease of students' willingness to start businesses, but he does admit the desire to found startups among students on campus is low.

今年六月,一项大学和工业界的合作宣布,他们通过一种新的勘探技术在坦桑尼亚发现了一个储量巨大的氦气田。
That was in line with last month’s manufacturing PMIs, which showed an uptick in sector activity,
Any 'jobs recovery is years away in most cities, ' says USA Today. And in reviewing famed analyst Meredith Whitney's new book, 'The Fate of States, ' she warns that 'excessive pensions crowd out both liberal goals such as education spending and tax cuts that conservatives want.'
税:每年大约41684美元(约26.7万元)
香港科技大学(Hong Kong University of Science and Technology)和凯洛格管理学院(Kellogg School of Management)合办的中美EMBA项目重新夺回英国《金融时报》100个最佳EMBA项目排行榜的冠军宝座。
4. 2012年搞笑诺贝尔奖之神经科学奖
Piggyback riders are designed especially for small children and toddlers, to lessen the parents’ struggles.
对可穿戴技术有兴趣的不止是科技公司。梅赛德斯-奔驰(Mercedes-Benz)正在将移动体验移植到可穿戴设备上,而维珍航空(Virgin Atlantic)正在试验性地探索谷歌眼镜在顾客服务上的应用。
Rihanna vs. Rosario Dawson Both stars wore this long satin Dolce & Gabanna dress in different colors.   蕾哈娜和罗莎里奥·道森都穿了这件款式一致颜色不同的D&G

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.

至少希拉里今年赢得了点什么。我相信她会非常兴奋。

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3. The root cause of eczema has finally been identified. Scientists have tracked down a series of proteins and molecular pathways that lead to this insufferable skin problem, revealing that the protein filaggrin isn't the sole culprit we thought it was.
Despite it being not that different from the typical bottle opener, the BOx does have a nice design made with stainless steel and solid wood.
赢家:鹈鹕
The drama was broadcast during the summer holiday, targeting young audiences who prefer fantasies and romances.
总之,尤吉利用特伦斯-罗斯、贾里德-萨林杰以及三个选秀权换来了两名季后赛老兵。
谢亚轩估计,11月中国外储下降的大约40%(350亿美元左右)可归因于欧元和其他货币相对于美元走弱的估值影响,而不是资本外流。
Dachis says: Starbucks is a perennial top-performer in social and 2012 was no exception. The company’s social savvy earned it 19 million new fans and followers in 2012 and its push into at-home and on-the-go products gave all those people something fun to talk about.
另外上榜的有Pink,勒布朗詹姆斯,赛琳娜戈麦斯,伊恩萨默海尔德,Jay-Z和碧昂丝夫妇,本阿弗莱克等明星。

Mr Ford, founder of a Silicon Valley software development company, suggests “a fundamental restructuring of our economic rules” may be needed to mitigate the impact of the advance of robotics and automation. He proposes a guaranteed minimum basic income — or “citizen’s dividend” — as one radical remedy.
de离开,priv=privat私人的-从私人那里拿走-剥夺
Sure, all of the hosting companies offer a basic CMS (content management system). But do they offer the flexibility that you need to get found online? Probably not. WordPress is an open-source CMS that you can install, customize and continuously optimize. You will likely need someone with development experience to help with set up, but once the template is installed, you’re probably smart enough to publish content without any assistance.
n. 克制,控制,管制,操作装置
近几个月,为了遏制资本外流、缓解人民币贬值压力,中国监管机构针对海外并购出台了一系列新限制措施。2016年,中国企业对外非金融类直接投资额激增44%,达到创纪录的1700亿美元。
For years, slow emissions declines in the West have been swamped by rising emissions in the East, and the trend continued in 2013. China's emissions grew 4.2 percent and India's 5.1 percent. Both countries have been constructing coal-burning power plants at a breakneck pace.
There are legitimate reasons to doubt that Nerlens Noel can blossom into a dependable starting center, including his injury history, off-court red flags, and extremely limited offensive game.
8. 2012年搞笑诺贝尔奖之流体力学奖
因为吉吉·哈迪德和凯蒂·派瑞等多位模特和表演者在申请签证时遇到了一系列问题,维密秀的主办方正试图使一切回到正轨,如今主办方又表示,中国政府还拦截了他们的邮件。
There were also shows that didn’t live up to early expectations but still had traction, most notably “The Affair,” on Showtime, which began as a Hamptons film noir and instead turned into a French art film. The crime may not be commensurate with the series’s punishingly slow pace and “Rashomon"-like storytelling, but the series picked up momentum — and suspense — in the final episodes.
As stars such as Kevin Spacey and Morgan Freeman were alleged to have assaulted or harassed performers, activists began using the hashtag to share their ordeals online.
人们最为关心的问题是,2015年石油价格将何去何从?石油目前的低价位是不可持续的。许多产油成本较高的企业和地区都处于亏损状态。短期内这种状况也许还可以应付,但中长期来看,石油公司将被迫退出市场,进而带动油价上升。然而,最重要的问题在于:石油价格何时上涨,以及涨幅能有多大?
2.Batman vs Superman: Dawn of Justice

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世界各国同意将地球升温控制在3.6华氏度以内,这需要在未来大约30年里,抑制温室气体排放,之后基本停止排放。科学家表示,如果在本世纪,排放量继续按照当前趋势发展,地球温度将比前工业化时代水平提高10华氏度,那将与人类文明当前的形式不再兼容。
本文列举了16种我本人几乎每天都会使用的应用软件,我还将在本文中讨论为什么你也应该使用它们。
a不,非,mnes记忆-不记仇-赦免
Gunal Youssouf, 23, is a Teach Firster who has joined the UK arm of PwC’s management consultancy graduate scheme. She says the two-year program-me gave her a chance to taste teaching without the cost of studying for a traditional qualification.
I’m not saying you should blindly accept everything that’s offered to you, it’s okay to take time when considering the pros and cons of an opportunity. But, when you find yourself leaning toward “No,” you owe it to yourself to be sure that you’re turning down the opportunity for a valid reason, not just out of fear.
作为过去二十五年来的常胜将军、福特的F系列皮卡一直成功地抵挡住了雪佛兰重新设计的西尔维拉多(Silverado)的挑战,盘踞着美国最畅销皮卡的宝座。而全是日本品牌角逐的最畅销汽车决赛,丰田(Toyota)凯美瑞(Camry)再次成功击败本田(Honda)雅阁(Accord),摘得冠军头衔。
怎么挑染头发
尽管中国国内经济放缓,中国对欧洲和美国的投资却达到创纪录高位。
上月越南主席张晋创对中国进行国访,会见中国主席习近平。但中越双方并未就跨境贸易达成一致。
价值增长最快的品牌
Cross-cultural Instrumental performance (Yanni, USA, and Chang Jing)
披露表格还警告购汇者不得使用其他人的购汇额度。以前,灰色市场的货币兑换者经常把多个个人的购汇额度汇集起来,靠这种手段来获取大量外汇。

联合国下属的国际农业发展基金会(IFAD)上周三表示,2016年,约有2亿名打工人员--其中一半是女性--向他们在亚洲、拉美和非洲的家人汇款4450亿美元。
It was visible, for example, on many of Frida Giannini’s Gucci runways, including the tablecloth shades and A-line shapes of leathers for autumn-winter 2014; the pastel tunics and ruffled hostess dresses of spring-summer 2013; the bright Beatle trouser suits and caftans of spring-summer 2009.
The first is to view Asia as a market that has proved resistant to rapid development and will require significant structural and regulatory change before taking off. The second sees the possibility of sudden upside surprise.
Among the year’s biggest surprises was the plunge in gasoline pries. Economists differed on the economic impact—money in the pockets of consumers offset by declines in exploration and drilling activity—but everyone agreed that it was bearish for small cars and hybrids. The combination of cheap gas and a steep sticker price made the Cadillac ELR the runaway winner of the most disliked car of the year award. Only 155 of the Volt-based $80,000 cars found buyers in November.
最差运动员精神奖
In an industry enthralled to rehashed stories that strike a familiar chord with audiences, give Pixar credit for often trying something new and pushing their viewers into uncharted territories. Coco, directed by Toy Story 3’s Lee Unkrich, has a visual look based around Mexico’s Dia de los Muertos (Day of the Dead). It’s about a young boy named Miguel who idolises legendary guitar player Ernesto de la Cruz and wants to learn how to play as well as he could. So he goes on a transformative odyssey of self-discovery into the realm of the dead to find his long-deceased idol and learn some lessons about the nature of creativity and originality. Whether it can reach the heights of Pixar’s 2015 masterpiece Inside Out remains to be seen, but Coco should surely be a feast for the eyes. Released November 15 in France, November 22 in the US, Croatia and the Philippines, and November 30 in Israel. (Credit: Disney-Pixar)
1月份,沃尔玛美国公司总裁兼首席执行官比尔西蒙承诺,这家全球最大零售企业将在今后五年内聘用10万名老兵。此外,作为美国最大的私营雇主,沃尔玛还表示它将邀请光荣退伍不到一年的老兵加盟公司。
根据欧洲央行的最新预测,迄今难以实现像美国或英国那样强劲增长的欧元区,2016年将增长1.7%。今年欧元区将实现1.5%的增长,得益于量化宽松支持经济。
立场:和员工分享300万美元奖金

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举例来说,新浪微博就一直提供推特所不具备的一些功能,尤其是评论功能,让众多用户得以在别人发表的微博下发表自己的见解。拥有逾7亿用户的腾讯QQ即时信息服务也有众多附加功能,比如可以让用户改换形象的“皮肤”,同时QQ还是腾讯为其他产品和服务做广告的渠道。新浪拒绝置评。
China has been making progress in terms of prevention and control of AIDS, said Wang Bin, an NHC official in charge of disease prevention, during the press conference.
2. Don’t fantasize about big brother: I am only legend.
Manufacturing and sectors like leisure and hospitality should keep creating jobs. America's factories drove the early part of the U.S. recovery and, although growth has slowed, they should continue to add workers selectively. After adding about 9,000 jobs a month in 2010, manufacturing has added about 16,000 jobs a month so far this year. Slowdowns in Europe, Japan and fast-growing China have hurt global trade flows. But lately, more corporate executives are realizing that making things in the U.S. has benefits over, say, China. Meanwhile, the leisure sector, including restaurants, has been a reliable source of job growth all year.[qh]
The central government is planning to establish a bond market connect between the mainland and Hong Kong Special Administrative Region on a trial basis this year, allowing for the first time overseas capital to access mainland bond markets from overseas. Hong Kong will be the first to benefit from such an arrangement
我们不希望通过贬值来增加出口,这不利于企业转型升级。
去年年末,世界卫生组织宣布,寨卡病毒不再是全球紧急公共卫生事件。然而,人们才刚刚开始认识到这种病毒对婴儿及其未来几十年生活的影响。在巴西东北部,人们首次发现了病毒与小头畸形等出生缺陷之间的联系,家庭竭力为患病婴儿提供最好的生活。研究人员希望通过研究在巴西出生的一对双胞胎,来寻找病毒对胎儿影响的线索。这对双胞胎中,一个有出生缺陷,另一个没有。
制造业表现较好,利润增长6.5%。受低廉的能源价格的提振,电力、热力、燃气及水生产和供应业利润增长17%。
It is just a common sense that no one wants to see chaos at his doorstep.
Joseph Keller、Raymond Goldstein、Patrick Warren和Robin Ball获此殊荣,他们的研究课题是“人类马尾辫中头发的运动及受力平衡”。
2016全球大学国际化水平排名是由《泰晤士报》高等教育从28个国家的200所大学选出的。它采用了几项指标来衡量,比如国际员工的比例,国际学生的数量,每个学院至少有一个不同国家的作者合著的研究论文出版等。
一家非官方机构出具的中国制造业衡量指标在11月下降,表明国有企业的业务增长并未扩展到规模较小和私营的工厂。
价格:197.5万元(约合人民币1264万元)
Trium的学员重视与资深和国际高管一同学习的机会。一位学员表示:“它允许我们彼此交流(想法),获得和课程本身一样多的额外知识。”
An American actress, author, fashion designer, dancer, producer, and singer Jennifer Lopez hold the second place in the list of 10 most beautiful women of 2015. Lopez's personal relationships have attracted worldwide media attention; she has been married three times. Beside entertainment world, J. Lo enjoyed a highly successful business career, consisting of various clothing lines, accessories, fragrances, a production company, television shows and a charitable foundation among other business interests.

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在全球最具价值品牌百强榜上,有15个中国品牌上榜,比去年多一个,较10年前大有增加,当时中国移动(China Mobile)是唯一上榜的中国品牌。
Michael Smurfit Graduate Business School at University College Dublin showed the best overall progress, moving up 21 places to 48. Guanghua School of Management at Peking University returns to the ranking at 38, after missing last year due to a low response rate from participants.
数据显示,在欧洲外的最受游客欢迎20大目的地中,游客的消费主要用于购物,而非就餐。尽管其中很多是世界著名的美食之都。
Beauty and Evolution
单词petroleum 联想记忆:
qualified
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.
The projects will also cover infrastructure programs such as new connections between Tongzhou and downtown Beijing, sewage and waste water disposal, and energy facilities. Cultural projects will be carried out to provide more employment opportunities, as the construction proceeds on a Universal Studios theme park and a training facility for the National Center for Performing Arts, Lu said.
惊险、欢快与不安交替进行,乔纳森·格雷泽导演的非凡之处在于让色情电影难得的实现了幻想与现实的融合。
[k?n'd?kt]
据中国科协21日发表的声明称,在会谈中,王春法对安诺杰表示,中国正在进行科技管理体制改革,此类问题将有所减少。

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10. 迪皮卡-帕度柯妮 1000万美元
改革就是要解放和发展生产力,调动广大人民的积极性,让群众得到实惠,为政之要就是要舍小利、顾大义、顺民心。
谁被埋葬在这里?
4. We can’t go into detail on this matter.
[?'ridnl]
Here are the 10 bogies, drones targeting markets, stocks, bonds and the, global economy:
Coming of age: in the modern banlieues of Paris and in San Francisco in the 1970s. These movies dramatize the harrowing, thrilling passage to womanhood with unsparing honesty and infinite compassion.
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。
We are a group of twelve and thirteen-year-olds from Canada trying to make a difference:Vanessa Suttie, Morgan Geisler, Michelle Quigg and me. We raised all the money ourselves to come six thousand miles to tell you adults you must change your ways. Coming here today, I have no hidden agenda. I am fighting for my future. 我们是一个十三四岁的小群体,我们想改变些什么:Vanessa Suttie, Morgan Geisler, Michelle Quigg和我。我们自己挣钱支持我们来到这里,旅行5000英里只为告诉你们成年人,你们必须改变你们的生活方式。今天我来到这里,我背后没有任何经纪人,我们为我们的未来而战。
虽然周六欧锦赛中爱尔兰0-3不敌比利时,但这并没有让赴波尔多看球的爱尔兰球迷一蹶不振。
adj. 稳定的,安定的,可靠的
Texas was one of the first states to emerge from the recession and it continues to attract companies on the basis of its low tax burden, predictable regulatory environment and skilled labor force. Texas employment is expected to expand 3% annually through 2017, according to Moody’s. (Arizona’s forecasted rate is a microscopic 0.04% better). Texas has attracted a lot of attention from California companies and Governor Rick Perry has not been shy about contrasting the business climates of the two states. California firms EBay and Electronic Arts have both chosen Texas for large expansions in recent years. Austin has been a hotbed of activity this year with Accenture
n. 精美的东西
你说的有道理。那我们就把国王队归到“有可能”的那一档里吧。同样我会把掘金队也归到这一档,鉴于他们球队战绩相近,且都或放走或签约了某些功能失调的球员。奇才队也会被我归到这一档,到目前为止我还是不看好他们。

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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.
"It's a great conservation success story."
12. 最有希望的迹象。有段时间,你会觉得现状已经改善了,人们可以公开大声谈及业内的歧视现象。维奥拉·戴维斯(Viola Davis)出来说话,詹妮弗·劳伦斯(Jennifer Lawrence)公开谈起,自己比片中的合作男星片酬少。“我不想被视为‘难搞’或者‘被宠坏了’,”她在简报《伦尼》(Lenny)中为许多人发言,其中包括许多薪酬更低的人们。
Mrs. May’s government proposed a rule that would publicly shame employers who hired foreign workers. And her first major speech was full of barbs directed against multiculturalism, including a jab against people who claimed to be “citizens of the world,” whom she called “citizens of nowhere.”
The U.S. is set to add nearly 3 million jobs in 2014 — the biggest increase since 1999. The burst in job creation, expected to continue in 2015, is sure to fuel consumer spending. So, too, will a plunge in gasoline prices that's given households extra cash to spare on other goods and services. See: Americans saved $14 billion as gasoline prices declined in 2014.
Apple CEO Tim Cook
创始人的心态将为公司定下基调。消极、懒惰和理所应当的心态,不仅浪费时间和金钱,还会损害你的信誉。成功很大程度上取决于能否在犯错后从容地接受批评。直面挑战可以让一位普通的公司老板变成真正的领导者。
目前还不清楚绑架者的身份以及他们的目的。
“我……学会了与来自其他文化及社会的人们进行互动,”一位来自瑞典的毕业生说。

不要误以为最后时刻的风平浪静就意味着截止期限前的动作是平淡无奇的:

Conclusion

Federal, state and local government job cutbacks are slowing. More than 250,000 workers at all levels of government lost jobs last year. This year, so far, about 20,000 have gained jobs. Worries about the nation's debt and deficits likely will keep a lid on government spending and investments, economists say, but any jumps in, say, infrastructure spending would create jobs. At the least, government will be less of a drag.[qh]
Recognize me?: image via blog.discoverymagazine.com
6. You don’t just pass in front of the TV if i’m watching football, you better crawl on the floor.
德马库斯-考辛斯、塞尔吉-伊巴卡和路易斯-威廉姆斯的交易早在截止时间——美国东部时间周四下午3点之前就已经完成了,在余下完成压哨交易的角色球员里,只有像泰-吉布森和PJ-塔克算是相对大牌的球员了。
持续推进大众创业、万众创新。
Cousins's deal qualifies as a blockbuster, the Raptors made two strong moves to bolster their contender status, and the race for the West's last playoff spot got far more intriguing, among other storylines.
Following the devaluation in mid-August, the renminbi rallied in September and October. Devaluation resumed in November, however, and the renminbi closed at its weakest level in three months at 6.4082 to the dollar yesterday. “Since October many countries around China have experienced some capital outflow, and China has had its share,” said Xie Yaxuan, an economist at China Merchants Securities in Shenzhen. “The strengthening dollar is bound to cause some repositioning into dollar assets.”
Businesswomen are booming in Asia: The whole region makes a strong showing, from China and Singapore to New Zealand and Thailand. Entrepreneurship is on the rise: see Zhang Xin (No. 50) , Sun Yafang (No. 77) and Solina Chau (No. 80). And Asian region women are showing their political might, from newcomer Park Geun-hye, the South Korean president (No. 11) and Burmese dissident and parliamentarian Aung San Suu Kyi (No. 29) to Australian PM Julia Gillard (No. 28) and Thai Prime Minister Yingluck Shinawatra (No. 31).


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 first thing you must understand about personality types is that they have nothing to do with genes. This means that if you have a Type D personality then this doesn't mean that you can't change it. Also, the quiz doesn't mean that the result of the quiz determines your destiny. According to psychology, any personality trait can be changed.
  2. US News also offers subject-focused rankings, which include popular fields such as computer science, economics and business and engineering.
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