Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

据《每日经济新闻》网报道,经过一项最新调查显示,经济和金融类院校毕业生最有'钱'途。国内5大财经类高校毕业生的平均月薪在1万元以上。
生活的起起落落
自迈克尔?哈内克之后,再没有人像希腊导演欧格斯?兰斯莫斯那样喜欢在电影作品中解剖社会习俗了。两年前,他的电影《龙虾》用其看待社会的辛辣视角完全征服了戛纳电影节。在《龙虾》描述的社会中,如果成年人无法在45天内寻找到一个爱侣,就会变成动物——这也是我们的世界,只是将集体思维和从众性推向了最大的极限。如今他又带着新作《圣鹿之死》回归,这是关于一个外科医生(科林?法瑞尔饰)和他的妻子(妮可?基德曼饰)的家庭惊悚电影。这位妻子也是一个医生,她像朋友一样对待没有父亲的少年马丁。马丁似乎决心暴露这个家庭的秘密,并揭开这对夫妻过去的一段可怕的创伤。这部电影想表达的难道是家庭(也有可能是社会)的平静有时候依赖于共享商定的谎言?不管是不是,准备好接受惊吓吧。该片将于11月9日在丹麦上映,11月16日在俄罗斯上映,11月30在中国香港上映。(A24制片公司)
Although Chinese domestic suppliers have expanded their market share to 32.7% in 2016, the trend was reversed in 2017, as their share shrank to 26.8%, said Qu Daokui, president of China Robot Industry Alliance.
The total number of qualified applicants reached 31,220 in the first 24 hours, up from 25,000 over the same period last year, according to figures from offcn.com, an education organization that offers training for the civil servant exam.
007系列电影主题曲第四名:汤姆·琼斯--《霹雳弹》

摩根士丹利首席执行长戈尔曼(James Gorman)将给该行所谓“降低风险”的策略来个大掉头。
Marlohe will shoot the Malick film concurrently with the ongoing press tour for Skyfall.
A major disruption still could push oil higher, but potential oversupply makes even that less likely. Emerging-market demand once kept supply so tight that any disruptions led to striking price moves, said Ole Hansen, head of commodity strategy at Saxo Bank.
8. Am I playing too hard? A lack of motivation to accomplish certain things can throw you off balance or make you feel stressed out and pressured later on. Taking breaks is very necessary, but if you take so many breaks that your productivity level drops, or you get into the habit of procrastinating too much, it might be time to balance out your schedule so that you will get a generous amount of things done and still have time for breaks and leisure.
Bigcommerce does particularly well among small retailers generating $1 million to $2 million in annual revenue, although its following with those in the $20 million to $30 million range is growing quickly. Roughly 70% of its existing customer base also runs a bricks-and-mortar store. For the past year, the developer has worked hard on responsive storefront templates that work equally well on mobile platforms and desktops—design is the number-one consideration for small e-commerce merchants, it says—and on relationships with partners of “adjacent” cloud services from the accounting, payments, customer relationship management, and payroll management worlds.
加快培育壮大新兴产业。
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.
!ku79.)#gCKfe
习主席讲会同300名智囊官员一起制定新的改革方案并协同省级政府制定增长目标。关于刺激增长的细节方案将会逐渐制定出来,并在中国迅速执行。我们认为明年中国的三线四线城市的市场增长速度会快于一线二线城市的增长。

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.

vi. 打结

1

“尽管大多数中国品牌在国外还不为人知,但在国内,它们打下了很深的基础,”胡润百富董事长兼首席调研员胡润说。
For many Western whites, opportunities for achieved identity — the top of the hill — seem unattainable. So their ascribed identity — their whiteness — feels more important than ever.
他在一则电话采访中向汤森路透基金会透露:“外出打工应该只是一个选择。但是对于2亿人来说,却是没得选择的选择。”
And while many Bond girls fade into acting obscurity or fall into second-class flicks after making a 007 splash, Marlohe and her agents at ICM Partners are making sure the actress surrounds herself with top-flight talent as she uses the Bond movie as a launching pad for an international career.
当她的妈妈来到学校整理她的遗体时,其他的同学把自己的名字和电话号码给了这个悲伤的女人,要求她联系自己的父母,让他们脱离这个网瘾训练营。网瘾训练营其中一种实践方法就是限制学生与外界接触。它是通过基于恐惧的培训方式和严苟的纪律来“纠正”学生行为的。
纽约州莱维敦的五年级学生张天羽在10万名参赛者中脱颖而出,赢得了本年度谷歌国际少年绘画大赛冠军。这次比赛的主题是“画一个能使世界变得更好的东西”。
il不+legal合法的→不合法的
With executive compensation in the U.S. rising and the income gap only getting bigger, it's refreshing to see a CEO who cares about more than his own paycheck. Lenovo(LNVGF) Chief Executive Yang Yuanqing announced in September for the second year in a row that he would share at least $3 million of his bonus with roughly 10,000 of his workers. The generous decision was a product of the personal computer maker's record sales that year. The average worker payout is equal to roughly a month's pay for the typical city worker in China, according to Bloomberg News.

如果你在寻找一个免费的客户关系管理系统,Zoho或许正适合你。为什么呢?因为它提供了集成的可能性。比如只需添加你的API密钥,就可以轻松与JotForm和Unbounce集成。这意味着只需要几秒钟的时间,销售线索就可以自动发送到你的CRM系统。对于一款免费软件来说,这已经非常强大了。
这份榜单的四所英国大学分别是剑桥大学、牛津大学和伦敦大学和帝国理工学院。东京大学也位列前20名。
在这部1998年的古装剑侠动作电影中,安东尼奥·班德拉斯扮演了一个无聊的贵族,他有时会扮成蒙面歹徒,从腐败领导人手中拯救加州的墨西哥平民。虽然佐罗听起来可能像个普通的老派超级英雄,但是《佐罗的面具》依据的故事大部分来源于现实世界中,一个叫乔伊·穆里埃塔的亡命之徒。
China is trying to attract more students with an international background because of the country's involvement in global cooperation, said Miao Lü, secretary general of the Center for China and Globalization.
这两部极具娱乐性,追求整体效果,建立在事实基础上的程序剧(procedural)都是关于惊人的犯罪与腐败滋生的大型机构的故事——一个是关于罗马天主教会,一个是关于华尔街银行。除了激发起正直的愤怒,麦卡锡与麦凯以不同的方式,把悬疑、情感和道德的分量融入到接电话、敲键盘、读报表等现代日常工作中去。
报告指出,中国网游开发商自今年年初以来一直在考虑按照时间收费。在排名前十的网络游戏中,时间收费型网游占据了4个席位,其中两款是今年才开始商业化运营的新游戏,包括盛大互动娱乐有限公司(Shanda Interactive Entertainment)的主要新游戏《永恒之塔》(AION)。Cnzz.com说,转向时间收费模式更有可能给游戏带来公平和公正感,因为玩的最好的玩家将是那些花时间最多的人,而不是那些花钱最多的用户。
Rank: 3
China has all long and continues to support a united, prosperous and stable European Union, support a strong Euro, and support European integration process. We believe that is good for globalization, for a multipolar world and for diversity of civilizations. We feel optimistic about the future of the EU and the future of China-EU relations.
Kate Winslet also won the Golden Globe for best supporting actress for a movie for her role in Steve Jobs. The actress remained in her seat looking dumbfounded after she was named best supporting actress in a film for her portrayal of Joanna Hoffman in Steve Jobs.
单词summary 联想记忆:
The country has rolled out measures to promote new-energy vehicles, including tax exemptions, subsidies for car purchases and a requirement for government departments to buy more new-energy cars.
大部分原因还是全球变暖,而全球变暖主要是二氧化碳排放量上升造成的。二氧化碳是主要的人为温室气体,通过燃烧煤、石油等化石燃料产生。
“An employee sent his boss a text message to say he was leaving.”

2

In the annals of climatology, 2014 surpassed 2010 as the warmest year. The 10 warmest years have all occurred since 1997, a reflection of the relentless planetary warming that scientists say is a consequence of human activity and poses profound long-term risks to civilization and nature.
['stresf?l]
The circular also stressed zero tolerance for cheating.
vt. 补给,供
Will Emmanuel Macron secure a commitment from German chancellor Angela Merkel on a eurozone budget
问:这次又和青木荣合作了,你的感觉怎样?
《患难与共》(Togetherness),HBO,1月11日播出。HBO台的周日晚间喜剧组合中已经有了20出头的纽约女人(《都市女孩》[Girls]第四季第一集将在同一天晚上播出),还有快到30岁的旧金山男同性恋(《寻》[Looking]也在当天开播第二季)。现在又来了30多岁的洛杉矶异性恋者们。这部有点阴郁的半小时喜剧来自杰伊(Jay)和马克·杜普拉斯(Mark Duplass),兄弟俩曾经合拍过《肥大的椅子》(The Puffy Chair)和《纸袋头》(Baghead)等诡异的电影。马克·杜普拉斯和梅兰妮·林斯基(Melanie Lynskey)饰演一对夫妻,和杜普拉斯最好的朋友(史蒂夫·齐西斯[Steve Zissis]饰演)与林斯基的姊妹(阿曼达·皮特[Amanda Peet]饰)合住一栋房子。
Jackdaw Research的简?道森(Jan Dawson)表示,最近几个月“他表现得更加意气风发和充满自信”。
7) Let Me Play Devil’s Advocate: Looking for a subtle way to critique? Turn the conversation into an exercise where you’re a detached party performing a function: Poking holes in the logic and plan of attack. You use this strategy to stress test ideas without making the process personal.
['pr?uti:n]
好莱坞的明星们早已着手准备了数周,尤其是对于去当地南瓜地挑选一些南瓜这样的事来说。
12岁的年纪,大多数的小女孩都还在向父母争取打耳洞的机会,努力适应高中生活,从青少年时代开始为将来做准备。

出手阔绰的美国公司正迫使英国同行提高从新入行者到顶级风云人物的薪资——尽管这并未阻止富尔德(Freshfields)的私募股权明星戴维希金斯(David Higgins)在圣诞节前夕跳槽到凯易律师事务所(Kirkland & Ellis)。精品专业律所通过提供更快、更专注的服务来吸引客户。
A few people took advantage of technology:
乔布斯在苹果博览会上手持iPhone ,2007年,1月9日,旧金山
n. 日历,月历,日程表
我只是忍不住希望,随着《广告狂人》的终结,一个时尚阶段也能终结,在这个阶段,设计师们被困于过去的时代,几乎窒息——至少是困在20世纪60年代(不要忘了,60年代初与50年代末非常相似)至70年代初。
adj.
但“平均”讲的是以前的情况,不是未来的事实。乐观言论不会让牛市重启,新的警告声音也不会刺破旧的泡沫。周期有自己的生命,该上行的时候上行,该下行的时候下行。这是很自然的事情。
新近成立的Eleven James正在男表领域引入合作消费的概念。该公司的会员项目能令你获得亲近一系列精挑细选的高端腕表的机会,这一曾经只和私人飞机、豪华汽车及度假屋联系在一起的会员模式正在Eleven James的手中发扬光大。除腕表外,会员还能注册专享忠诚度项目,其中包括礼宾服务、合伙人利益专享及诸如腕表主题活动等独一无二的体验。听起来有点像男士腕表和飞机租赁公司Net Jets体验的大碰撞?公司创始人兰迪?布兰多夫(Randy Brandoff)在奢侈品营销领域拥有深厚经验,曾经在Net Jets担任高级副总裁和首席营销官、在Marquis Jets担任过执行副总裁和首席营销官。他的专长,加上年复一年增长势头良好的腕表行业,以及一种在其他市场证明行之有效的商业模式——看起来Elven James正是在恰当的时间叩开了市场的大门。
《癌症:众病之王》(Cancer: The Emperor of All Maladies),PBS,3月30日播出。该剧由《斯科茨伯勒:美国的悲剧》(Scottsboro: An American Tragedy)与《美莱》(My Lai)的导演巴拉克·古德曼(Barak Goodman)执导,肯·伯恩斯(Ken Burns)担任执行制作人,这部六小时的剧集是根据普利策获奖书籍、悉达多·穆克吉(Siddhartha Mukherjee)医生的《众病之王:癌症传》(The Emperor of All Maladies: A Biography of Cancer)改编的。

3

“此种情形中,宪法还真不适用。宪法限制了政府对言论的压制,但不限制私立学校。”
The seven large brick tombs were likelyconstructed for people of wealth, the researchers said.
World's Most International Universities Ranking 2016 by The Times Higher Education included 200 universities from 28 countries. It employed indicators such as the proportion of international staff, the number of international students and research papers published with at least one co-author from another country of each institution.
Science and engineering fields dominate the list of highest-paying college majors, with software engineering, bioscience, and electronic information engineering among the most lucrative majors.
排名:第二
虽然她五个月之前才刚学会走路,但是这个被人们称作“宝贝碧昂斯”的小宝宝已经开始在各种盛会的舞台上展露风采了。
单词intended 联想记忆:
Stanford’s alumni have the highest salary on average at $195,000 but overall the top 15 MBA programmes are closely matched in terms of income, career progress and satisfaction. All but one have average alumni salaries greater than $150,000, with a pay increase of about 100 per cent compared with their pre-MBA income.
获奖者:金·卡戴珊
对投资者来说,这一切都是坏消息。而现在恰好是美国30年债券牛市行情即将终结的时候。
The 54-episode series The Journey of Flower was one of the hottest topics on social media. The TV drama became a hit in the summer of 2015. The movie starring Huo Jianhua and Zhao Liying is based on a novel of the same title written by Fresh Guoguo. The aesthetical adaptation has picturesque outdoor scene in a Chinese ink painting style and charming male and female lead roles, attracting 800,000 followers on the drama`s official Weibo. The drama premiered in June of 2015. It tells a story from a female perspective of an orphan`s growth and romance on her way to becoming a goddess.
纽约州莱维敦的五年级学生张天羽在10万名参赛者中脱颖而出,赢得了本年度谷歌国际少年绘画大赛冠军。这次比赛的主题是“画一个能使世界变得更好的东西”。
如果你拼命工作还是入不敷出,你可能没的得到与你自身价值相符的酬劳。去找一份能够给你应有报酬的工作吧。
3) Tell Me More: “I’m all ears.” It’s the ultimate conversation starter! When you signal that you’re open and intrigued, the other party will respond in kind. And who can resist flattery? If your interest is genuine, you may just fuel a productive exchange.
不会。事情可能会这样发展:在一次试运营(其间出现多次交易停止)后,比特币期货将慢慢开始吸引机构资金。美国商品期货交易委员会(CFTC)的持仓数据将反映出资金管理公司对该产品存在的长期偏见。随着减仓的巨额成本变得不言自明,多头将越来越大声地抱怨围绕结算时间的例行分歧。就在参议院计划举行听证会调查潜在的市场操纵行为时,比特币期货价格将跌破现货价格,引发抛售。

4

2016年观影人数达到13.7亿人次,同比增长近8.9%。
In his annual news conference with international reporters, Putin said he is ready to work with any president the American people elect.
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。
Track field;hand ball;cycling;track racin;racing cycle;mountain bike race;Bicycle Motocross;horsemanship;football;Beach Volleyball.
成功的创业者在自己创业之前,通常都曾在同一领域的其他公司工作过。在业内工作数年时间,并且找一位优秀的导师,将为你的创业成功奠定坚实的基础。从前辈的错误中总结经验教训,思考如何改进他们的模式。找到愿意指导你的人,然后再考虑自立门户。
? President Obama declared a "major disaster" in New York and New Jersey. Flooding devastated the coast and more than 2.3 million lost power. The National Guard rescued hundreds from flooding in New Jersey. The governor, Chris Christie, a Republican, said the damage was "unthinkable". He praised the "outstanding" co-operation he had received from Obama.
中国官方PMI指数从10月份的50.8跌至11月份的50.3,这是3月份以来的最低读数。高于50的读数表示相关产业处于扩张之中。
三星的声明则更加简短:“媒体对收购的报道毫无根据。”
The developer behind Kinect Disneyland Adventures and Elite: Dangerous is taking the theme park business to the extreme in ScreamRide. The game lets players build outrageous roller coasters, thrill rides and attractions from the ground up and then take them for a test run. The game offers three ways to play: Engineers can construct elaborate rides that test the boundaries of physics and g-forces; Scream Riders get on these rides and experience the thrills and spills first-hand – sometimes resulting in untimely deaths; and Demolition Experts can use any means necessary to tear down an entire amusement park. With classic PC games like Roller Coaster Tycoon now playable on smartphones, this next generation of thrill-ride creator is a welcome interactive experience. It’s always fun to build, ride and destroy roller coasters – and ScreamRide offers plenty of ways to share the thrills with your friends.
3.You Spend More Time Surfing the Web Than Doing Your Job
"Hard to believe so many doctors lied in the papers. Can patients still trust them to help us treat diseases?" wrote one Sina Weibo user.

5

temptation
这名官员称,米特卜王子已于11月28日获释。米特卜王子在11月初以前一直掌管着颇有实权的国民警卫队。至少还有三名嫌疑犯也完成了和解协议。
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.
品牌价值增长最快的行业是服装,由运动服饰耐克(Nike)和快时尚品牌Zara引领,因为人们更多地关注健康和健身,同时Zara的快时尚在中国变得越来越受欢迎。
For over two decades I have been writing about the rise of Asia and the dynamic driving it. There is an extraordinary consensus among east Asian leaders that Asia needs to use this window of opportunity to focus on economic development and growth. War is the biggest obstacle to development. If Asians were truly stupid, they would engage in such wars and derail their enormous development promise. Most Asian leaders, barring North Korea, understand well the dangers of war. Hence, while there will be tensions and rivalries in the region, there will be no wars in the region, in 2014 or in 2015. As 2015 unfolds, I would like to encourage all western pundits to understand the underlying Asian dynamic on its own terms, and not on the basis of western preconceptions.
Hanging on the coat tails of Ronaldo and Messi are NBA star LeBron James (pound 53 million) and tennis player Roger Federer (pound 46 million).
A disturbing and often bleak analysis of the automated future of work has been named 2015’s business book of the year.
'One of the challenges of writing the book was that attitude that a heterosexual man can change a woman's life and make her go weak at the knees.
2. Luminous Intimacy: The Cinema of Nathaniel Dorsky and Jerome Hiler All praise and many deep-felt thanks to the New York Film Festival for programming this sublime dual retrospective.
Three Billboards Outside Ebbing, Missouri
近几年,得益于世界日新月异,就像保护异性夫妻一样, LGBT群体(女同性恋、男同性恋、双性恋、跨性别人士)也会得到同样的权利保障。事实上,如今60%的美国人承认同性婚姻的合法性,如果你问那剩余的40%呢?我们可以告诉你美国的其他地方以及世界的其他地方,例如俄罗斯,很快都会赶上脚步。
strain
幸好这类单曲只是《名誉》这张专辑的一部分。在《Dress》(《连衣裙》)这首歌中,她沉醉于令人激动的新恋情里;在《New Year’s Day》(《新年》)这首歌中,她试着弄明白聚会结束后她还拥有什么。
恭祝健康、幸运,新年快乐。

6

全球肥胖率上升的前因后果。
The worst of 2015
“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.
根据美国影院业主协会的数据显示,2015年全球影院收益达383亿美元创新高,中国贡献了68亿美元的票房收入,较上一年增长了近五成。
大众创业、万众创新广泛开展;
马丁沃尔夫(Martin Wolf)
税:每年大约41684美元(约26.7万元)
'I have to echo that, You have steel in your eyes when you sing. You are totally focused. The first time I heard this song it was fantastic, well this was a step up,’ Simon shared.
此外,该专家补充说道,受当前经济形势的影响,并且我国金融市场资源重新配置,银行业高速增长的周期已经过去。

Rafael Corrales, a partner at Charles River Ventures, believes that the growth in a wide range of fields—from academia to infrastructure to policy—is a sign that 2014 was the biggest year bitcoin has had yet, despite its volatility. “In the short-term, that’s an easy knock from people who don’t understand or believe it can be something,” he says. “It’s the easiest thing for them to go after. In that transition stage, you’re going to have extreme volatility, so looking at its value over one year is kind of silly.” As for occasional hacks, he adds, “There are going to be bumps in the short term, but they’ll be solved sooner than later. And these things are being addressed by a huge community of people. So you have to be really excited, despite small bumps.”

Conclusion

英国统计学家不愿纠正RPI服装价格部分的已知错误,每年把巨额资金从学生、新毕业生、纳税人和铁路通勤者重新分配给了与该指数挂钩的英国政府债券持有人、领着与RPI挂钩的退休金的富裕退休金领取人、以及铁路公司。
排名:第四
胡润估计,如果此举获得成功,王健林的净财富可能会猛增至逾500亿美元,令他跻身世界前十大富豪之列。
[k?n'tein]
4. Booing isn't just for pantomimes
The decaying feet, some dating back to 1967, were being 'cleaned up', plumped up and whitened at the 'foul-smelling' plant using bleach and other chemicals, before being prepared for sale.
是的,当你到处面试的时候,去MIA没有借口借口很牵强的时候十分明显。可以在私人时间比如午饭时间电话面试。也可以利用节假日或者带薪假期进行长时间的现场面试,这样面试的时候你不会因为要赶回来上班感到紧张压迫。同时也可以帮助你面试进行的顺利,而且你也没占用工作的时间,Kay说。
停战日在1938年成为美国的正式节日,但在1954年改称退伍军人节。当时是第二次世界大战和朝鲜战争结束不久。退伍军人节跟每年五月最后一个星期一的阵亡将士纪念日不同。


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. Summly was backed by Horizons Ventures, the venture capital arm of Hong Kong billionaire Li Ka-shing, and other tech and media names including actors Ashton Kutcher and Stephen Fry, Spotify’s Shakil Khan and Zynga’s Mark Pincus .
  2. 8. “Mad Max: Fury Road”(George Miller)
    n. 检查,支票,账单,制止,阻止物,检验标准,方格图案

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