Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

“十二五”期间,中国累计实际使用外资预计达到6200亿美元,第三产业实际利用外资占比提高到60%以上。同期中国对外直接投资年均增长14.2%。
The “cool” factor isn’t the only issue. Security and privacy, particularly around the management of consumer data, remain a concern as the tech industry seeks to bring more of our body parts online. As The Economist notes, the glamour of developing sensors and algorithms for wearables is distracting everyone from glaring missing elements, “standards, interoperability, integration and data management” and “intellectual-property rights and regulatory compliance” among them. All this in an environment where paranoia remains over the National Security Administration’s activities.
2015年风头最劲的品牌:在新款切诺基的拉动下,Jeep在2014年的销量惊人地拉高了44%,而斯巴鲁的销量则静悄悄地提高了21%,现已成为美国第十大最受欢迎的汽车品牌。
都不是。1772年,一场空前的危机击中了阿姆斯特丹:一家受人尊敬的荷兰投资银团对不列颠东印度公司(British East India Company)股票的投资变成了一场灾难。
Most common passwords of 2013:
据中国国家通讯社新华社(Xinhua)周四的报道,李克强于周三在柬埔寨召开的一次地区领导人会议上发表讲话称,2017年中国经济发展好于预期,对外贸易扭转了两年来的下滑局面。

会建立起稳定、流动性较强的比特币期货市场吗?
Two bedrooms are on the second floor, including the master, which is part of a suite with a fireplace, a walk-in closet and a balcony overlooking the bay. An office down the hall also opens to the balcony. The other bedrooms are on the third floor. One overlooks the bay through the pediment’s fan window.
Here are four memorable designs from the year, including commentary from some of the artists who helped shape the looks.
时间:2010-09-19 编辑:beck
下面是2014年的几部重现活力、需要刮目相看的老剧——以及几部死气沉沉的老剧。
荷兰首相马克?吕特(Mark Rutte)最近由于对安卡拉立场强硬而在民调中排名上升。吕特所属的自由民主人民党(VVD)在民调中略微领先自由党。周二,他将埃尔多安的言论称为“对历史令人恶心的歪曲”,还称“我们不会自甘堕落至这种水平。这完全不可接受”。
8) Let Me Think About That: Yeah, it sounds like a cop out. And it is…sometimes. Fact is, we don’t always have the authority or expertise to make decisions. This phrase buys you time and breathing space. Then, set a date and time for follow up so the other person knows you’re taking him serious.
v. 扛,肩负,承担,(用肩
克普克认为,这些情况或将发生变化,而它们的意义被低估了。

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.

经济增长率将会首次达到3%在这十年里

1

The registered urban unemployment rate stood at 4.02 percent at year-end 2016, the lowest level in years.
Since you will be spending so much time in your office space, you should be comfortable enough to enjoy what you do. A comfy chair will keep you pleased throughout the day. We recommend the Allak Swivel Chair, $59.99, at Ikea.com. If you need music to keep your mind stirring, we recommend the Sound System iPod Speaker, $220, at UrbanOutfiters.com.
Online sales contributed 82.6 percent of sales. Online sales have prompted traditional stores, including 13 of Beijing's 77 "time-honored brands" from snack stores to shoes sellers, to move their goods online.
A. O. Scott
网络红人前10名的微博粉丝数加起来超过了4000万。其中最著名的Papi酱签署的视频广告价值竟然达到了令人震惊的2200万元。
According to government sources, property sales in Hong Kong fell almost 40 per cent in the first half of the year compared with the same period in 2015 — both in terms of price and volume. An index from the Rating and Valuation Department released this month showed the commercial sector was a particular casualty, with prices falling 5.7 per cent in May compared with the same month last year.
The ranking is based on data collected from two surveys: one of the participating business schools and the other of alumni who graduated three years ago — the class of 2013.
When faced with competition, they may focus less on winning or losing than their Type A counterparts, and more on enjoying the game regardless of winning or losing.

But Gitanjali's portable invention allows a sensor linked to a mobile app to give an accurate, almost immediate analysis.
The dollar value of exports from emerging market countries will rise next year for the first time since 2014, helped by higher commodity prices and modestly stronger demand, it is predicted.
reservation
Agricultural raw materials, especially the so called soft commodities such as sugar, coffee and cotton, have been among the top performers this year.
恭祝健康、幸运,新年快乐。
['greisf?l]
n. 三角(形)
你可能已经在使用谷歌日历了,但你使用的方式是否正确呢?告诉你一个秘诀:只要把在那个日子和那个时候会真正发生的事情记录在谷歌日历上就行。同时利用iPhone提醒记住那些时间敏感性不太强的事情(即不是那些精确到小时和分钟的事情)。遵循这一战略有助于你保持更清醒的状态。
We will maintain ethical conduct and moral integrity at all times.
澳大利亚一名女子将其猫咪们遗弃在家里,最后这些猫咪们竟同类相食,目前该女子已被判虐待动物罪。
授完奖,在他致谢他的粉丝和MTV之前,他兴奋地说到”首先,我想说我不确定我怎么能得到这个奖,因为我已经好几年没有出过唱片了,但是我得奖了。”另外,Kendrick Lamar获得了最佳录影带奖,尽管这位说唱歌手无法到场,而是他通过视频感谢了他的粉丝。
China's newly issued lunar New Year monkey stamps marking 2016, another Year of the Monkey, also designed by Huang and each with a face value of 1.20 yuan, have attracted much attention, with collectors lining up outside post offices ahead of their release.
China Everbright, the financial conglomerate that bought the Dah Sing Financial Centre for HK$10bn ($1.29bn), is just one of a number of mainland Chinese companies to have splashed out on headquarters in the city over the past year.

2

据防止虐待动物协会录制的视频显示,那间房间里满是垃圾杂物胡乱不堪,还有动物粪便。
But as Western manufacturing and industry have declined, taking many working-class towns with them, parents and grandparents have found that the opportunities they once had are unavailable to the next generation.
新总督还寻求私有化如能源生产部门的服务,设立一个办公室监督和分类联邦资金以减少腐败,并为医生创造财政奖励,以提升日益减少的专家人数。
n. 疫苗
二年级的佩恩,作为一个乐透秀,因为脚伤很多时间不能上场,并且没有表现出作为投手或者防守球员的一点点进步。
新上榜学校中排名最高的是巴黎第九大学(Université Paris-Dauphine),排在第57位。
Financial success and dazzling new technology alone might have been enough to earn Apple’s steely chief executive the FT’s vote as the 2014 Person of the Year, but Mr Cook’s brave exposition of his values also sets him apart.
The film critics of The New York Times — Manohla Dargis and A. O. Scott — share their picks for the best movies of the year.
受到国家经济全面紧缩的影响,正面临弹劾的巴西总统迪尔玛?罗塞夫在去年十月时年收入下滑至10.34万美元,与之前相比下降10%。
Without a cellphone at hand, Sun tried yelling to get the attention of people outside, but no one responded as time passed by.
7.Jaws
I'm going to disagree on one team you mentioned: the Kings. The West is a bit shallow again, and Sacramento is in the mix for a playoff spot. It's not likely or anything, but so long as they are in the mix, they have to pull out almost all the stops to grab it.

Less than an hour ago the official manufacturing PMI for November came in at 49.6, the fourth consecutive month of contraction and below the 49.8 reading economists were looking for. Analysts at ANZ said, in relation to that PMI series:“With soft growth momentum and deflation pressures creeping up, we expect the authorities to further ease monetary policy and continue to implement an expansionary fiscal policy in order to prevent further slowdown of the economy in 2016.”
adj. 创造性的
但是这并没有阻止科学家在实验室发展人造大脑。今年奥地利的科学家仅从干细胞开始,成功地创造出等同于9个周大的婴儿的大脑。目前,这些大脑只有豌豆大小,也不能思考。阻止这些试验品发育成具有完全功能的大脑的因素是它们没有血液供给。
['?nim'pl?im?nt]
pro前面,to头,col=coll-前面的头要酷一点儿-礼节
IDC believes that the rising disposable income of Chinese people has resulted in greater consumption, which contributed to the rapid growth of the domestic smartphone market.
对于共同创始人哈勃,未来12个月的第一要务是强化Bigcommerce的内部科技人才队伍,提供能够帮助商户构建更紧密客户关系的服务。一个例子是提供数据,帮助店铺经理追踪“被丢弃的购物篮”,以及提供能够将浏览者转变为买家的交易。这能推动商户的月销售额迅速增加15%,他说。
Foreign robot makers sold 103,191 robots to China in 2017, up 71.9% from a year earlier.
China Mobile, supply chain rumors are emerging about Apple’s next significant product releases. Digitimes reports that according to “sources from the upstream supply chain, ” Apple is planning to release a 5-inch iPhone 6 “phablet” this coming May and a large tablet in October.

3

坦率地讲,这种行为意味着你还只是一个小女孩,还算不上女人。
她还表示,由于西方一些国家的经济条件和反移民情绪,许多中国学生发现现在很难留在这些国家。
Oklahoma City GM Sam Presti, no stranger to deadline deals, pulled off a clean win bysending Cameron Payne, Joffrey Lauvergne and a second-round pick to Chicago in exchange for Taj Gibson and Doug McDermott.
在新浪微博(类似Twitter的一个中国社交平台)的一个投票中, 58.5%的网友“喜欢”水墨画猴子形象,14.4%的人喜欢3D版的正面图,而12.5%的人想“为其换装”,这意味着他们并不喜欢这个颜色。
在接下来几年里,大型住宅楼盘必须遵守第87号本地法(Local Law 87)——该法要求楼盘审核能源使用量,并保持系统以最高效率运行。住宅楼是纽约市最大的温室气体排放源,其排放量占总量的37%。“能源是一大热门话题。楼盘怎样提高能源效率?”管理着超过500处房产的FirstService Residential New York的总裁丹·沃泽尔(Dan Wurtzel)说,“如果运营预算的三分之一来自能源耗费,而现在你可以降低这块成本,那么上涨维护费的压力就减轻了。”
对工业大宗商品需求的下降尤为明显。中国房地产和制造业的严重供应过剩在近几个月抑制了对新产能的投资,进而削弱了对各种原材料的需求。
所以,是的,我认为他们应该果断垫底甚至交易伊巴卡以换取更多的价值,尽管这变脸来得有点快。唉,天啊,这支队伍实在太诡异了。
Libby把这首歌放在了YouTube频道的评论部分,我把它摘过来了。我将大量的可爱的表述和英式的俚语都用不同颜色区分开了。你能猜出其中的意思吗?“OMG”表带什么意思?
不过,从乐观角度看,阻碍复苏的几个拦路虎──身负重债的消费者、半死不活的楼市和心有余悸的银行──已经不再对招聘造成负面影响。除非经济受到意外的打击,否则这可能意味着2013年将又是一个缓慢但稳定的增长之年。[qh]
4. 《卡罗尔》(Carol)。这是托德·海因斯(Todd Haynes)第一次执导不由自己编剧的影片,编剧菲丽丝·奈吉(Phyllis Nagy)简化了派翠西亚·海史密斯(Patricia Highsmith)的小说原著,海因斯藉此再次证明,电影导演不必依靠拍自己亲自写的剧本才能成为伟大导演,这个真理却遭到许多雄心勃勃或功成名就的导演忽略。
[.rek?'mend]
今年年初,所有华尔街经济学家都呼吁提高利率,彭博社就这个问题调查了67位经济学家的意见,他们全票赞同,有鉴于此,任何一个有理性的人都不会想要增持对利率敏感的公用事业股。把赌注押在金融股上的投资者,回报进展缓慢;而瞅准了“低价”能源股的投资者,投资组合业绩在第一和第二季度曾因此推高,却在第三和第四季度被大拖后腿,可谓“成也萧何,败也萧何”。
6. 制定计划。
expansion
我冒死地想一想,湖人队在几周后会不会也加入这一阵列呢?照目前这情况,他们必须打出史诗级别烂地比赛才能留住他们的选秀权(给费城的前三保护签位),问题取决于他们是会围绕现有阵容继续缓慢地重建呢还是为了得到下一个巨星扔掉一两个年轻球员呢。

4

最差问候奖
在库克雄辩地捍卫平等之际,美国同性恋婚姻运动遭遇了不顺的一年,也恰逢舆论正激烈批评包括苹果在内的硅谷公司的管理者缺乏多样性,而这些管理者对美国文化具有巨大的影响力。
《战地神探》(Foyle’s War),acorn.tv,2月2日播出。去年流媒体服务网络Acorn TV放完了《大侦探波洛》(Agatha Christie’s Poirot)的最后三集,如今又带来另一部传统英国推理剧,这部超级剧集在英国已经拍到第九季,在美国还是首次播出。迈克尔·基臣(Michael Kitchen)在剧中饰演克里斯托弗·弗伊(Christopher Foyle),一位可敬而又狡黠的侦探,这部剧多年来从一部“二战”后方警探剧演变成勒卡雷(le Carré)式的冷战惊悚剧。新的几集中有纽伦堡审判以及英国在巴勒斯坦所扮演的角色。
2. 《头脑特工队》,导演:彼得·道格特(Pete Docter)。
2.德语:增长了22.2%
amnesty
Her mother discovered the debits on Jan 30, China Central Television reported.
We will move forward with ecological conservation and improvement.
波尔图还有一系列较平民的博物馆、廉价的老式有轨电车和迷人的卵石海滩。葡萄园一日游这类短途旅行也非常便于安排。
Countrywide, month-on-month prices rose in 62 out of 70 major cities last month, were unchanged in one and fell in seven.
One of the best James Bond theme songs wasn't actually played over the opening credits, so we're giving it our first honorable mention. This enormously romantic song from On Her Majesty's Secret Service is one of the few James Bond themes that helps tell the story of the film, in which our hero finally meets the love of his life. (Alas, it was short-lived.) Satchmo warbles his trademark warble, our hearts melt, and a classic is born.

5

The dollar value of China’s exports fell markedly more than expected last month and import growth more than halved, while revisions to November data erased what had appeared to be a long-hoped-for return to growth for outbound shipments.
热门行业
The Wizards need to surge ASAP if they want to stay in this. We saw what happened last year when they waited too long to get it together.
在英国《金融时报》的年度调查中,欧元区分析师作出了欧洲央行不会采取进一步行动的预言,尽管德拉吉试图说服市场相信:只要整个单一货币区的通胀和经济增长继续令人失望,欧洲央行就将随时准备采取行动。
Three Billboards Outside Ebbing, Missouri
全球重量级的央行家和政府官员周六表示,对一些新兴经济体脆弱性的担忧以及近期金融市场的剧烈波动,应该不会挫伤人们对今年全球经济形势的“谨慎乐观”态度。
Negative emotions such as worrying, stress, depression and anger visit type D personalities more often. A small event that is usually overlooked by others can bother a type D a lot and even ruin his mood.
3.数学家
It is unknown why there was still a Best Actress duplicate available when Beatty walked on stage.
2.Batman vs Superman: Dawn of Justice
n. 果心,核心,要点
伦敦商学院课程的一个主要优势是学员来自地域广泛的不同国家。其2015年MBA课程学员的90%来自海外,来自大约60个不同国家。
正当整个时尚界都在为拉格菲尔德哀悼,而除了他的众多继承人,他的爱猫邱佩特可能也会继承他的1.5亿英镑财产的一部份。
“All the regulatory bodies are looking to do this and more transparency is always welcome. But whether they get there is different,” she says. “Regulators talk about more transparency and lower fees but very little in terms of law.”

6

3. 经济已经在崩溃,2014年到2016年的GDP将会更加难看
经济学家表示,香港住宅市场和商业地产市场都将受到一些相同因素的损害:中国增长放缓、人民币贬值、中国内地反腐以及美国低利率环境将走向终结的预期。然而,住宅市场的发展还受到一个额外因素的阻碍,即2012年政府为减少香港房地产市场上的投机活动而出台的“降温”措施。
凯投宏观(Capital Economics)中国经济学家朱利安?埃文斯-普里查德(Julian Evans-Pritchard)评论道:“结果是,上个月中国的贸易看起来惊人强劲。在全球需求强劲的背景下,我们预期未来数月出口还将继续表现良好。”
strictly
产品看起来并不太像一个鼻子,而是一个瓶子,装满了培养细菌的营养液体。但是给这个“鼻子”一个血液样本,让它嗅上一段时间,这个瓶子的斑点会改变颜色来表示它鉴别出的细菌种类。
The bulk of the risk in this move comes with the possibility that both Ibaka and Turner are free agents this summer, but the disappointment that might result from losing one or both would pale in comparison of a postseason flameout in May.
Lori Steele
Successful CEOs tend to follow a structured, daily schedule of rising early, exercising, having snacks on hand for fuel and socializing many evenings of the week.
基准原油价格上周跌破每桶40美元大关,至六年最低位,导致投资者对大宗商品相关企业和出口国家(包括巴西、俄罗斯和南非)情绪更加黯淡。

The Good Place

Conclusion

New Year’s greetings and best wishes!致新年贺忱与最美好的祝福!
inspiring
宾夕法尼亚州立大学的气候科学家迈克尔·E·曼恩(Michael E. Mann)在电子邮件中说,“如果不是由于燃烧化石燃料所产生的、导致地球变暖的气体排放越来越多的原因,在上千年史无前例的几十年较暖期间、创纪录地变暖的十年中,看到变暖的又一个记录年度,是非常不可能的。”
电影主人公名叫韦德·威尔逊,由瑞安·雷诺兹扮演。威尔逊是一个拥有超强自我修复能力的雇佣兵,擅黑色幽默。他一直在寻找那个将他投入凶残实验、几乎毁了他一生的人。《死侍》由漫威公司出品, 塑造了一个超常规的反英雄人物。
影片由斯蒂芬?斯皮尔伯格执导,梅丽尔?斯特里普和汤姆?汉克斯主演,讲述了一次激动人心的合作。凯瑟琳?格雷厄姆(斯特里普饰)是美国第一位大型报刊女性出版商,故事里,她与编辑本?布拉德利(汉克斯)力争抢先于《纽约时报》大规模报道美国政府的秘密。这些秘密尘封了三年,涉及四位总统。他们把自己的事业前途——以及人身自由——都赌在了这一次冒险上,双方必须合作,解决彼此之间的不和,才能携手将真相披露在大众面前。
失业率减幅在2015年的下降得可能不会那样的迅速,据经济学家所言,特别是如果更多的人进入劳动力市场由于更容易找到工作。尽管如此和2014年相似的大量招聘和录用将会使低的失业率数据显得更加的可信。
单词ridiculous 联想记忆:
No matter what the inherent method of momentum, all of these engines leverage the latest engine technology to maximize both their power and fuel economy, and run the gamut from the tiny and efficient 1.0-liter turbocharged three-cylinder unit offered in the Ford Fiesta to the Chevrolet Corvette Stingray’s mammoth 6.2-liter V8 that proves there’s no substitute for sheer displacement. We’re featuring Wards’ 10 Best Engines in the accompanying slideshow.


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. Stand: Coca-Cola CEO Muhtar Kent called for immigration reform
  2. ? The transport infrastructure in New York City has been dealt a huge blow. Many of the city's subway tunnels are flooded.
    《边桥谜案》(The Bridge),Hulu,周五播出。这部丹麦、瑞典合拍的犯罪剧即将迎来第二季(FX的同名剧集就是根据它改编的,最近刚刚被砍掉),新的一季仍与连接两个乡村的奥莱桑德桥有关。

Next Article:

   Comments ()

Clinical