Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

一些深受喜爱的电视剧角色就像老朋友一样存在于我们的生活中,并对我们产生翻天覆地的影响。我们为之捧腹大笑,也为之潸然泪下,甚至不惜撒谎请假,只为能够端坐在电视机前得知他们的最新进展。自始至终,我们对他们如痴如醉。但是还有很多东西是观众无法从银幕上得知的,比如隐藏在这些电视剧中的小秘密。下面就是一些受人追捧的电视剧的幕后故事。
5.电子烟
In one example, Christie’s was offering the mid-18th-century canvas “Rebecca and Eliezer at the Well” by the Venetian artist Francesco Fontebasso at a low estimate of 120,000. The pleasant piece of rococo decoration had been bought at auction in 1990 for $286,000, according to Artnet. At the Dec. 8 sale it fell to a single telephone bid of 115,000, about $170,000, before fees. Investors do not expect to incur a loss of about 40 percent a quarter century after buying a Warhol or a Basquiat. Reselling an old master can be even harder when that painting has been languishing in a dealer’s gallery.
mort=death死+gage抵押品→抵押品不能动,像死一样→抵押(品)
我们希望看到的亚太地区是一个稳定、有秩序的地区,是一个可以协商一致、达成原则的地区,是一个有能力管控分歧的地区,也是一个有智慧解决争端的地区。
Entrepreneur Pat Crowley, the hydrologist who invented the Chapul cricket protein bar, used Bigcommerce to validate early interest in his products and build the momentum to negotiate deals with health food stores and supermarkets. The team recently recommitted toBigcommerce, despite a compelling opportunity to switch to the Shopify platform for far less money. “We don’t think we will outgrow them anytime soon,” he said.

清华大学的毕业生以毕业五年后平均月薪14822元高居榜首。39所高校生跻身万元户行列。此外,共有185所高校的毕业生平均月薪突破8000元大关,789所高校的平均月薪突破了6000元大关。
John Authers
如果你每周的周一到周五没有一天早晨醒来感到一种想要去工作的兴奋,那么这就是一个问题了。那意味着你没有能够享受你的工作并且你的工作正在破坏你的生活质量。如果你每天醒来,恐惧去上班,那么是时候辞掉你的工作了
源于:relax(v 放松;休息)
威廉姆斯认为,这些影响也将波及到一些大宗商品净进口国,大宗商品价格上涨可能提高资源密集型制成品(如钢铁)的价格,提振韩国等国的出口产品价值。
The pair came out with a spree of punch lines, dishing them around the Beverly Hills Hilton, much to the delight of its starry audience. Mr. Damon, Meryl Streep and, naturally, Mr. Clooney were among the targets. Ms. Fey particularly had the crowd roaring with a description of 'Gravity,' which stars Sandra Bullock and Mr. Clooney.
保罗麦·卡特尼(是的,还有Wings乐队)凭着邦德电影《生死关头》的主题曲闯出了一片新天地。007系列电影做出了一些更换,灵魂人物邦德改由罗杰·摩尔出演,因此影片选取了20世纪70年代的音乐声作为主题曲。这是一首令人异常兴奋的歌,旋律变化无常、旋转跳跃、跌宕起伏,听众根本没有机会抓住歌曲要表达的东西,令人震撼。
In terms of salary three years after graduation, Germany leads the way for masters in management programmes, with three schools in the top four. Graduates of WHU Beisheim have the distinction of earning the highest salary, at $98,123 on average.
在作品中,她围绕这台机器创造了一整个世界:人类、带着大礼帽的鲸鱼和龙居住在其中。

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.

In response, Mr Wilders labelled Mr Rutte a liar, citing the prime minister’s broken pledge not to support a bailout of Greece during the 2012 election.

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201401/272266.shtml重点单词
Profits at China’s biggest banks shrank in 2015, as the sector weathered a year of central bank rate cuts and saw an end to easy profits after the government lifted the cap on interest rates on deposits.
至于说比特币进入主流银行体系?卢德温表示:“据我们估计,现在距离知名金融服务公司采用比特币,还有很长的路要走。但是用不了10年那么久。而且一旦出现萌芽,其推广的速度之快将令人震惊。”(财富中文网)
有趣的是,一项调查发现,31.8%的受访者认为北京是中国最拥堵的城市,而8.8%的人则认为郑州是中国最拥堵的城市。
This is second major English-language role for the French actress, who co-stars opposite Daniel Craig in Skyfall as the enigmatic Severine. The movie opens Nov. 9 in North America but already is shattering records internationally.
China's economic prowess is also seen by outsiders as having stimulated nationalism in a generation removed from the Cultural Revolution. Beijing's belligerent responses to overlapping maritime claims have heightened worries about its security objectives in a region already wary of its economic clout. This is one factor in Japan's decision to relax its ban on weapons exports; to China's dismay, it has also driven its neighbours to support a stronger US presence in Asia and has complicated regional trade integration.
考虑到达拉斯多年来一直拒绝摆滥,当德克-诺维茨基的职业生涯进入倒计时阶段,他们并没有囤积足够多的潜力新秀,这时换来22岁的诺埃尔而且没有对常规轮换造成大的损伤是个相当高明的举动。
2012年伦敦奥运会室内自行车比赛场馆2012年伦敦奥运会共设26个大项,总计300个小项比赛cupIHumCfz。比赛大项和小项均少于2008年北京奥运会sgK8=M,J)Qa&g9sAp!,。

4. Will China's one-child policy change in 2010?
social
In an explanation released alongside the latest data, the statistics bureau credited ongoing growth in producer prices in part to coal extraction and washing prices, up 15.4 per cent for the period and accelerating 11.3 percentage points from a month earlier.
The Cassini spacecraft has been sending home images of Saturn, its rings and its moons since arriving at the gas giant in 2004. The mission ended in September with a planned fiery crash into Saturn’s atmosphere. While it studied the planet, Cassini explored moons — Titan and Enceladus — that could be home to extraterrestrial life. The probe also gave us great insight into our solar system, and will continue to do so for years as scientists pore over the data it collected.
Of the other teams, Germany have a fantastic team, with some great options all over the pitch. The Italians can never be discounted at tournaments, whilst Portugal, with Ronaldo in the team will be dangerous, and Belgium, with such an array of talent will be amongst everyone's list of dark horses.
Here are some of the year's pinnacles and potholes:
condensed
9.微笑
项目长度:19个月
玛丽?芭拉从通用汽车的第三把交椅升至第一把交椅,获得首席执行官提名,这一路上她突破了好几个历史性障碍。一方面,通过任命一位非执行主席掌管董事会,她能更容易打开工作局面;但另一方面,由于一位对手接手了她以前的职责,她现在的工作又变得更棘手了。她是二十年来首位掌管公司的产品工程师,各种建议势必将纷至沓来,令人应接不暇。这些建议小到新皮卡上的空调出风口,大到别克(Buick)和雪佛兰(Chevrolet)这些品牌的前景,无所不包。
The Turkish president said Angela Merkel, the German chancellor, was “no different from the Netherlands” and urged émigré Turks not to vote for “the government and the racists” in upcoming European elections. Ms Merkel faces a tough re-election bid in September.
社交网络平台,包括微博和手机应用微信,被证明是网红扩大交流的最好工具,使其可以创造出一种囊括广告、电子商务和粉丝的行业。
在导演阿方索?卡隆(Alfonso Cuaron)和同事们(其中包括知名电影摄影师艾曼努尔?卢贝兹基(Emmanuel Lubezki)、制片设计师安迪?尼克尔森(Andy Nicholson)和编剧霍纳斯?卡隆(Jonas Cuaron))的共同努力下,《地心引力》丰富了电影的拍摄手法。《美国电影摄影师》(American Cinematographer)杂志上个月的封面故事刊载了关于《地心引力》制作过程的文章,对电影技术感兴趣的读者可以一探究竟。读者们可以在网上阅读该杂志。不过任何看过《地心引力》的观众都已经领会到了该片的情感内涵,这部电影把观众们带进入了一个寂静危险的外太空和一个深度愉悦的内心世界。

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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。
In total, Chinese mainland has 54 institutions in the listing of top 300 universities in Asia.
Singapore tops the list as the most expensive city for the third time in a row, but in a year when costs around the world have been highly volatile.
'If that happens, that will need to be offset by some reduction of production out of Saudi [Arabia],' said Neil Gregson, a fund manager at J.P. Morgan Asset Management who oversees $3.5 billion in natural-resources investments.
因为一种鲜为人知的病毒所造成的重大影响,2016年将在全球卫生方面被人们铭记。这似曾相识,不过此次登上全球头条新闻的不是埃博拉病毒,而是寨卡——一种通过蚊子传播的病毒,大脑存在缺陷的新生儿数量在巴西急剧增加与此有关。
因城施策去库存。
undeniable
Singer Susan Boyle came undone -- literally, when her trousers popped open at a soccer match as she waved a Celtic fan above her head in Scotland. The "Britain
The actress who kick-started the exposure of Hollywood moguls who allegedly exploited positions of power to abuse women has branded #MeToo campaigners against sex attackers 'losers'.
7成以上受访者表示,实现自我价值是创业的最大动机。
Two weeks later, Mr. Bernheimer was among the dozens of long-established old master dealers attending the London evening sales. In the past, they would buy at these auctions to stock up for the Maastricht European Fine Art Fair in March in the Netherlands. But with sellers encouraging Sotheby’s and Christie’s to compete for their business with ever-higher valuations, and auctions now marketed to a shallow pool of wealthy buyers, there was conspicuously little trade bidding.
中共中央纪律检查委员会表示,中国正准备与其他国家签署更多双边或多边协议,并将加强信息交流和联合调查,尤其是与美国、加拿大和澳大利亚等西方国家在一些重大或独立个案上的合作。

Widely misunderstood as a biopic about the novelist David Foster Wallace, Mr. Ponsoldt’s film is a comedy of journalistic bad manners and a bitter, knowing satire of the machinery of literary fame. Jesse Eisenberg and Jason Segel use the conventions of the buddy movie to perfect a new subgenre: the frenemy film.
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.
替代燃料:自从柴油车于上世纪50年代从欧洲进入美国以来,人们对柴油车的热情首次冷却殆尽,取而代之的是马力高得吓人的雪佛兰CamaroZL1(580匹马力),和707匹马力的道奇挑战者SRT地狱火等车型。另外,续航里程更长的燃料电池汽车也开始登上舞台,从电池动力汽车那里抢走了不少风头。
Spielman was sifting through dirt at the Emek Tzurim national park on the slopes of the Mount of Olives in Jerusalem when she noticed the small rectangular object.
我其实好奇鹈鹕队会不会也会到这一地步。目测布朗时代最高顺位的新秀就是巴迪-希尔德了,这可不理想。
Whedon had always loved the seemingly separate ideas of sci-fi and westerns, and through The Killer Angels, he saw a way to combine them. "I wanted to play with that classic notion of the frontier," he said. "Not the people who made history, but the people history stepped on—the people for whom every act is the creation of civilization." And Whedon decided to set the frontier on a spaceship: a ship named Serenity.
“If hearing that the CEO of Apple is gay can help someone struggling to come to terms with who he or she is, or bring comfort to anyone who feels alone, or inspire people to insist on their equality, then it’s worth the trade-off with my own privacy,” he wrote in Bloomberg Businessweek in October.
对家长而言,整天抱着孩子非常费劲,尤其是孩子越来越大、越来越重的时候。
adj. 粗糙的,粗略的,粗暴的,艰难的,讨厌的,不适的

3

4.你的同事会泄密。
“D型人格”最先由荷兰蒂尔堡大学的心理学家Johan Denollet提出。他还设计了一个测试,帮助人们认识自己是否具有D型人格特征。
Allianz
9. The 2012 Ig Nobel Anatomy Prize
主流网络游戏仍然是大型多人在线角色扮演游戏 (MMORPG)。报告说,今年10月,中国最热门的10款网络游戏中有6款都属于大型多人在线角色扮演游戏。动视暴雪(Activision Blizzard)开发的《魔兽世界》(World of Warcraft)在注册用户和最高同时在线人数方面仍然排名榜首。但报告指出,目前围绕着这款游戏大陆运营权的政府监管纷争可能会给《魔兽世界》带来负面影响。网易公司目前持有《魔兽世界》的中国大陆独家运营权。
排名:第三
去年,由于俄罗斯经济陷入衰退,总统普京的工资因此缩减10%,但在此之前,普京2014年4月薪资增长逾两倍,约970万卢布。
China and its southern neighbour failed to come to an agreement on cross-border trade last month during Vietnamese president Truong Tan Sang's state visit to China, where he met with his counterpart Xi Jiping.
猪肉价格同比上涨4.8%。猪肉在用来计算CPI的以食品为主的一篮子商品中占有较大权重。
Harvard University topped the rankings for the 16th consecutive year, and Stanford University and University of Cambridge remained in second and third place, respectively.
It was not an auspicious start to the new year for bitcoin investors.
Its brand value has increased by 22 per cent to $19bn and it has climbed 20 places up the ranking to number 50.
n. 身份,一致,特征
When the cup is lifted and removed from the dispenser, the magnet seals the bottom and the drink is ready to be enjoyed.
据美国艾美仕医疗信息研究所周四发布的名为《全球用药:展望2018》的报告,2013年的药品费用支出提高了7个百分点,而2014年的药品总支出将达1.06万亿美元。

4

Will Emmanuel Macron secure a commitment from German chancellor Angela Merkel on a eurozone budget
But he sees his time in the classroom as invaluable, crediting it with having given him a resilience that he now draws on in the latest phase of his career.
IE商学院的在线MBA持续吸引着高素质的学员。其半数校友在入读时为高管级别,为所有上榜学院中比例最高的。该学院的在线MBA学员在毕业3年后的平均年薪最高,为17.9万美元,比薪资排第二位的(巴布森学院(Babson College)奥林商学院(Olin Business School))高出约3万美元。
他补充说,原本的故事情节里有个无法回避的问题,因为格洛本来的设定是个深陷对邦德的欲望而无法自拔的女同性恋。
根据这份由艾瑞咨询集团与新浪微博联合发布的报告表示,由新浪微博和电信巨头华为联合主办的2016超级红人节高峰论坛在上海举行。
《X战警:天启》据悉将于2016年5月27日上映。
根据一项针对技术发展的国家规划,到2020年时,研发经费的目标是要达到GDP的2.5%。
Interbrand的全球首席执行官杰斯·弗兰普顿表示:“苹果、谷歌和可口可乐是世界上最有价值的品牌。因为他们的财务实力雄厚,品牌具有强大的号召力,这是其竞争对手无法比拟的。”
这位《饥饿游戏》的女主角在AskMen.com网站评出的2012全球99个最性感女人排行榜中高居榜首。这一调查让网友票选他们最喜欢的女星,根据她们的外貌、个性、才能和其他吸引人的特质。该调查共收集了240多万张选票。
对学习充满热情
“…did a song and dance routine in hopes of getting the job.”

5

库迪斯和沃斯在孜孜不倦分析荷兰金融记录的过程中得出了结论,悲观者和乐观者之间真正的区别在于他们是否亲身经历过这样的痛苦过程。库迪斯认为,可以类比的是那些经历过大萧条的人们的行为:这些人在大萧条梦魇过去后的几十年里,一直回避金融风险。
但是Gitanjali的便携发明,可以通过一个与手机app连接的传感器,就得出一个确切、及时的分析。
获奖者:侯任总统唐纳德?特朗普和希拉里·克林顿(共同获奖)
本次问卷调查的主要对象为中国高校2017年应届毕业生,包括大专、本科、硕士及博士等,智联招聘最终收回有效样本93420份。
在这月初这封信上写着的地址是宾夕法尼亚大学的某个邮箱。
Few years in recent decades dawned with as much of a sense of pessimism as 2014. One consistent theme in the predictions for the year was that 2014 looked eerily similar to 1914. Most pundits predicted doom and gloom, especially in east Asia. Yet, while there were many horrific events — from thedowning of flight MH17 over Ukraine, to the abduction of hundreds of schoolgirls in Nigeria and the rise of the Islamic State of Iraq and the Levant — we have avoided outright world war. Now that the year is closed, with no repetition of 1914, it may be wise to investigate why the pundits were wrong, particularly on their ideas around the potential for conflict in Asia.
猪肉价格同比上涨4.8%。猪肉在用来计算CPI的以食品为主的一篮子商品中占有较大权重。
2005年初,斯通和其联合创始人爱丽莎卡玛赫特和朱瑞德斯贾丁斯发现,使用博客的女性规模庞大,但主流媒体却很少会引用她们的文章。于是,三人决定召开一次草根会议,并吸引了谷歌和雅虎(Yahoo)等赞助商。门票很快销售一空,不久,她们便成立了BlogHer.com。这个博客发布平台把撰写博客变成了许多女性可以用来赚钱的一项业务——2009年至2012年期间,这家公司向5,000名博主支付了超过2,500万美元。目前,这个平台的用户已经超过9,200万人。
但是,这一情况在两年前发生了变化,清华大学首次跻身前20名,2016年排名第18位。去年,北京大学也跻身前20名。
加拿大城市温哥华依然是北美地区最贵城市,在生活成本指数榜单上名列第21位。
Format: After a one-week orientation, classes are held on alternating weekends on Fridays and Saturdays, with accommodations provided on Friday nights. Final term sessions are held on campus for two weeks with the remainder of the term completed online.
美联储去年花了六个多月的时间暗示其有意退出第三轮购债计划,这种可能性时常扰动着市场。目前美联储仅处于退出购债计划的第一阶段。
Why does beauty exist? To answer this question, Richard O. Prum, an ornithologist, is working to revive an idea advanced by Charles Darwin: the attractiveness of an animal to another of its species isn’t only tied to fitness and good genes. Rather, animals — especially birds in Dr. Prum’s work — are making subjective decisions. He hopes that evolutionary biologists will stop “explaining away desire.”
在这个越来越为人类所主宰的星球上,我们仍然可以从其他物种身上学习到很多东西。格陵兰鲨鱼可存活400年,是世界上最长寿的脊椎动物,这一发现让人类重新审视自己忙碌的人生。

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China has become the world's largest industrial robot market since 2013, and currently its domestic suppliers are moving up the supplier chain by offering more high-end products in recent years, added the report.
当地媒体上周三报道,中国西南部重庆市的一名学生因嫌同学上课吵闹而试图下毒,被判有期徒刑一年。
10.Firefly was Inspired by Gettysburg
乔布斯在苹果博览会上手持iPhone ,2007年,1月9日,旧金山
China purchased 141,000 industrial robots in 2017, up 58.1% year-on-year, but foreign brands accounted for nearly three quarters of that, showing that the gap is still widening between Chinese robot makers and their foreign peers.
犹如船长要驾驶一艘船。如果领导曾不知这个工程或公司如何牵头,公司又怎样知道呢?这不仅仅是关于接下来的步骤或者交付的内容这两点,而更是对部门或公司的未来有一个清楚的认识,他/她能够同公司员工一起交流的内容。
问:在过去的几次采访中,你都提到了你和角色之间的联系。那么在目前播放的Aldnoah Zero重,你觉得你和伊奈帆之间的联系是什么?
尽管看起来有着大量的目标核对工作,但在5月7日,中国驻贝尔格莱德的大使馆却被从美国空军B-2幽灵轰炸机上发射的五枚卫星制导联合直接攻击弹药击中。三名中国记者——新华社记者邵云环,光明日报记者许杏虎和他的妻子朱颖在袭击中身亡。另外20名中国公民受伤5人伤势严重。
Stanford's Zhenan Baohas has developed a super-flexible, super-durable, and super-sensitive material that can be the basis for future synthetic skin. People have tried developing synthetic skin before, but Baohas's material handles touch sensitivity better than any predecessor. It contains organic transistors and a layer of elastic, letting it stretch without taking damage. And it's self-powered—this skin contains a series of elastic solar cells.

Vawter climbed 103 floors of a Chicago skyscraper on his bionic leg, but its designers are still working on improving it. To optimize it for everyday use, they have to make it even thinner and lighter. Its successor (the iLeg Air?) may meet the Army's stated goal for a bionic leg—10,000 steps without recharging.

Conclusion

德文·韦德
More advanced components are in short supply, however, which could leave many customers waiting long after September to get hold of the new iPhone. That presents an opportunity for rivals such as Samsung’s new Note 8 or Essential, the smartphone maker led by Android co-founder Andy Rubin, which is targeting premium customers such as Apple’s with its slick $699 device. Google is also said to be preparing a new version of its Pixel smartphone, which has proved popular with early adopters.
control
Swift has also been having quite the year, claiming the No. 2 spot with $80 million. More than a year after the launch of 1989—the top release of 2014 with over 3.6 million copies sold—her latest single, “Wildest Dreams,” has ascended to the top of the charts, boosted by a music video with Scott Eastwood. But it was the beginning of her epic 1989 World Tour that placed her so close to the top of this list.
乔治王子获得满分,因为他对加拿大总理特鲁多傲慢的击掌回了一记冷眼。
The end of November is here. As I wrote Monday, recent history suggests nine teams have pretty much already been knocked out of playoff contention. Yet, none of them are straight-up tanking.
An odd assortment of S&P sectors led the market higher this year, with some strange bedfellows atop the leaderboard. Even if a manager had foreseen that the healthcare sector would gain 27% this year, would they have guessed that utilities would be in the No. 2 slot, with gains of 23%? Unlikely.
哈佛大学著名教授格雷厄姆?阿利森(Graham Allison)也警告说,东亚已走向“修昔底德陷阱”(Thucydides’s trap),他并补充道:“当一个迅速崛起的大国与一个老牌霸权国竞争时,麻烦接踵而来。”2013年初,时任卢森堡首相的让-克洛德?容克(Jean-Claude Juncker)警告称,2013年看起来像1913年一样危险。2013年底,《经济学人》杂志(The Economist)也警告说,“一个世纪已过去,当今世界却与那个导致第一次世界大战爆发的时代有不少相似之处,令人不安。”


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. 在过去的一年中,20多个省推出鼓励学生创业的政策,在创业期间,允许学生休学2至8年,并保留其学籍。然而,很多行业内部坚持学生应该首先完成学业,并先工作几年。
  2. Europe fell into a debt crisis. Japan faced a natural disaster. Emerging markets, once the bright spots on the global landscape, lost their glow. Political crises from Italy to Egypt to Thailand raised the prospect of another round of global unrest.
    Jon Copestake, editor of the EIU Worldwide Cost of Living Index, said one of the most notable changes was the rising costs in Australia, with Sydney third in the list and Melbourne fifth. Sandwiched between them was Oslo in Norway.

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