Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

上海交易所和深圳交易所总共完成了61宗IPO交易,较2015年同期分别下滑了67%。融资总额288亿元人民币,较2015年同期分别下滑了80%。
o Battery power may turn out to be a transition technology. Cost reductions have been slow in coming, and Tesla needs a 30% improvement in order to build the $35,000 Model 3 it has promised for 2017. Toyota’s recent move was eye-opening. It is allowing a battery-supply deal with Tesla to expire and instead will redouble its work on hydrogen fuel cells. The cost of fuel cells is coming down faster than batteries and fuel cell proponents believe drivers will prefer a relatively rapid refuel with hydrogen to waiting hours to recharge their batteries.
具有荷兰和美国双重国籍的Frans de Waal和另一位美国科学家Jennifer Pokorny获得这一奖项,他们的研究确认黑猩猩可以通过辨认同类的屁股照片来认出不同的个体。
Nothing else matters, not even basic astronomy.
One of the best things you can do to improve your entire life, not just school, is meditate. Fifteen minutes a day is all you need to feel calm, centered and confident.
买家和卖家

Since merged airlines often continue to report delay statistics separately, it may take a few years to see how the new American does during holiday travel.
Through an ETF buying programme that has been criticised by some as the “de facto nationalisation” of the Japanese stock market, the central bank indirectly holds a 10 per cent stake in some 22 large Japanese companies and about 3 per cent of the whole Japanese stock market.
沙泽勒编导的音乐片《爱乐之城》是当晚的得奖热门,所获14项提名平了奥斯卡史上的纪录。沙泽勒获得最佳导演奖。而埃玛?斯通(Emma Stone)凭借她在这部由狮门娱乐(Lionsgate)制作的影片中的表演,赢得了最佳女主角奖。此外,《爱乐之城》还获得了最佳配乐和最佳原创歌曲奖。
据《21世纪经济报道》称,广东去年的GDP增速为7.5%。
排名:第三
Strong in many categories, but without quite managing to be a front runner in any. Perhaps Timothee Chalamet's performance is its best chance of awards success.
我们不妨借用一些狄更斯的名句,来回顾下几乎各种战略都失灵的2014年:
About 200 million migrants, half of whom are women, sent $445 billion to their families in Asia, Latin America and Africa in 2016, the International Fund for Agricultural Development (IFAD) said last Wednesday.
对俄罗斯黑客行为的指控以及特朗普在经验、判断和性格上的明显缺陷表明,选举人团制度没能佐证汉密尔顿希望的那种保障作用。

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.

If you are a working-class white person and you fear that the new, cosmopolitan world will destroy or diminish an identity you cherish, you have no culturally acceptable way to articulate what you perceive as a crisis.

1

《星球大战:侠盗一号》预计2016年12月16日上映。
No.5: What Made Phelps So Happy?
是的,州市层级的退休金妨碍了复苏。公司养老金也是一个大问题,它加剧了美国的贫富分化:药品公司麦克森(McKesson)的CEO才当14年的老大,但退休时将有1.59亿美元的退休金,而美国一般打工族的收入已经30年止步不前。
7.Taylor Swift
2.全球谋杀案
据中新网报道,德国工商总会外贸主管沃尔克·特赖尔表示,2016年下半年从德国出口到中国的货物量增长非常迅速。
谎言6:我29岁。说谎原因:29岁听起来比30岁要年轻多了。
extravagant

Major areas of work for 2017
Best Companies rank: 63
对于一种色彩潮流(又或说两种色彩潮流)而言,要包含的和不同话题有关的信息传递太多了,但潘通在声明中称,体现社会潮流并用一种颜色捕捉它们,是公司的工作。和往常一样,这种颜色将会进入我们生活中使用的面料。
A 9.1-percent drop in the annual average density of fine particulate matter (PM2.5) was seen in 74 major cities.
在大型科技公司内部,女性雇员将希望看到加薪和升职方面发生变化的迹象——但是,随着男性权利在硅谷某些角落开始酝酿反击,她们也会保持警惕。
站在舞台中央,莱昂纳多发言说:“这是无上的荣誉,对我意义重大。两年前当我们置身于荒野当中拍摄电影,我们深深地被大自然的美丽和庞杂所感染。
节目28 歌曲《留声2012》①《滴答》(表演者:侃侃、李晨)②《我的歌声里》(表演者:曲婉婷、杜淳)
在去年11月29日,共计约有93万人参加国家公务员考试,同比下降了60000人。不过,提供的2.7万个招聘岗位则创下了新高。
这些情况眼下一个都不存在。去年12月开始的美联储政策紧缩已经暂停。联邦基金利率(银行间隔夜拆借利率)估计低于自然利率逾一个百分点。美联储一直未作出意外之举。例如,美联储去年12月将政策利率提升25个基点之前发出了大量信号。
从一开始,社交网络就被有效地隔离在互联网之外。比如,Facebook的海量内容通常不会显示在谷歌( Google )搜索结果之中。但是否非得是这种情形?比方说,Twitter搜索结果自动出现在一个标准的谷歌搜索显示页面,岂不是更方便?再比如,当你搜索Yelp时,为什么关于某家餐厅的最新Twitter消息没有显现出来呢?由于利益相悖,不同社交网络往往把各自的内容封锁在专利保护墙之内,但也有不少工具致力于创造性地弥合这道鸿沟。需要说明的是,本文作者的公司已经开发出了这样一种工具。
? Ten of a reported 33 fatalities occured in New York City, and that number was expected to rise, according to Mayor Michael Bloomberg. Deaths in New York were attributed to falling trees, electrocution and drowning.
n. 购买,购买的物品
上述消息源还称,苹果将在明年10月发布一款12.9英寸的平板电脑,“目标消费群是北美的教育市场(和)……生产商是广达电脑(Quanta Computer)”。有报道称,三星也在研发尺寸在12至13英寸之间的平板电脑,而现在看来,“这些大尺寸平板电脑将极大地影响超极本需求”几乎是板上钉钉的事了。新款“iPad Max”,搭载整合了键盘和电池的新款外壳之后,实际上就是一台笔记本电脑,很有可能在高中生和大学生之中成为主流产品——这一人群需要比现有iPad和iPad Mini产品更好的内容创造工具。

2

单词lace 联想记忆:
谎言5:你穿这条裙子真好看。说谎原因:总比说真话被别人扇耳光要好吧。
The frame is easily assembled and attaches to paddle boards, kayaks, and rafts.
In its decision to not boost its monetary stimulus efforts, the Bank of Japan noted industrial production was one area where the economy was just puttering along. Certainly, there were other parts of the economy, such as the labour market, that were doing much better.
Sixty Vocab:
这四个特大城市在11月之后则经历了交通拥堵状况的缓解,这可能与冬季用户出行减少、雾霾、外出打工人员返乡等多重因素有关。
威廉姆斯的中长期观点可能比巴韦贾更为悲观。他认为,全球出口增速在25至30年的时间里远高于全球GDP增速,意味着“全球化快速发展已经结束”。换句话说,目前的贸易增长放缓是结构性的,而不是周期性的。
The prize sold for far more than the gallery's estimate of $50,000 to $100,000. The only other Nobel Peace Prize known to have sold at auction was a 1903 medal that brought nearly $17,000 in 1985.
This year's Oscar-nominated musicians are going to take the stage at the Academy Awards ceremony.
When you need help, reach out to people in your networks – that’s what they’re there for. Whether you need a confidence-boosting pep talk or advice about building your technical experience — your mentor, your colleagues, and your manager can help. You may not know how to do something today, but chances are you’re smart enough to find someone who can help you learn it. And once you do, don’t unfasten your seatbelt – there’s always going to be another challenge headed your way.
Some 695 million netizens used mobile phones to access the Internet in 2016, with a growth rate exceeding 10 percent for the third straight year, the report said. Smartphone-based Internet use accounted for 95.1 percent of all Internet users, up from 90.1 percent in 2015.
“I think the best way to engage young people in the process is to win,” he says.

他们在培养核心球员,寻求合适的角色球员。他们可是湖人队啊,对他们而言,很有可能会有一到两个有实力的自由球员主动投怀送抱。
['m?skjul?]
据公安部介绍,2016年,1576名外国人成为中国永久性居民,较上一年度增长163%。
采光。在工作中,光线是很重要的,不要用上大学时候的那个小台灯了,用个更别致更有创意的灯吧。
麦高恩早年的成功依靠于发行独立电影,当时她在酒店房间遇到哈维·韦恩斯坦,就是在那间房里遭受了性侵。
Some scientists believe people with excellent recall and the ability to remember everything use a special mental filing system to keeping things organized in their memories. Mental tricks are also used by magicians to wow audiences with seemingly impossible feats of memory. But do you need to know special tricks or have an eidetic memory to remember everything? If you're worried you've forgotten more in life than you ever knew, don't worry. Science has you covered! Check out these 10 scientific secrets to a perfect memory.
Benito Mussolini and Adolf Hitler are case studies of demagogues turned into despots.
“根据我们去年的调查,仅仅只有0.6%-0.7%的大学生有自主创业的意向。而这个比例在职业院校达2.2%。然而,职业院校的学生创业的目的是为了为自己创造就业岗位,并且大多数人选择了开网店。”
在10月份的第三场总统大选辩论中,两位总统候选人没教养地拒绝与对方握手问好或道别。

3

v. 构成,把 ...
PwC公司的管理人员立刻意识到有问题,但一切都太迟了,他们没法纠正错误了,唐纳薇已经念出《爱乐之城》的名字,而那张卡片本来是为最佳女演员准备的。那天晚上稍早些时候,就已经宣布过爱玛?斯通因为在《爱乐之城》中的表演而获得了最佳女演员奖。
我们只把精力在应该关注的地方
IFAD的政策顾问、这篇报告的作者佩德罗·德·瓦斯孔塞卢斯称:“这确实是一个全球性的现象,由于缺乏机会,人们不得不背井离乡,出门打工养活家人。”
中国上海——上海这座大都市是中国人口最多的城市,在那里,有着深厚历史底蕴的城市核心区与当代全球金融枢纽融为一体。
A New Year greeting to cheer you from your daughters.
就零工经济的命运来说,英国将是一个值得关注的关键国家。英国政府将对一份关于英国法律是否跟得上这一新趋势的独立评估做出回应。考虑到政府的脆弱性和耗时的英国退欧进程,现在似乎不太可能出台大胆的政策行动——无论是支持还是反对在线劳动力平台。
China’s investment in Europe and the US has reached record highs, despite the slowdown in the country’s domestic economy.
It's a tall order, but if you want to go after one of the thousands of supply-chain jobs that are going begging, a solid start would be logistics training, available at many colleges and universities. Some programs, like Penn State's graduate certificate in supply chain management, are offered online.
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.
南韩的活动分子在星期二发誓,要在月底通过宣传气球跨越边境向北韩偷运荷里活讽刺片"刺杀金正恩",以作为对北韩不断威胁的反抗。
This post is in partnership with Time. The article below was originally published at Time.com
Microsoft Corp., Toyota Motor Corp., IBM Corp., Samsung Electronics Co. Ltd., Amazon.com Inc., Mercedes-Benz and General Electric Co. were also on the Top 10 list, according to Interbrand's 2016 Best Global Brands report.
有5个项目首次登上“无工作经验要求”项目排行榜。其中,排名最高的是新加坡管理大学(Singapore Management University)李光前商学院(Lee Kong Chian School of Business)。该学院在毕业生国际流动性方面排名第二,而且是首所同时登上“无工作经验要求”和“有工作经验要求”排行榜的学院。
8 April

4

美国航天局还表示:“新记录比旧记录高出这么多,以前只有1998年出现过一次。”
Many economists doubt the European Central Bank will increase the size of its 1.46tn asset-purchase programme in 2016 despite assurances by ECB chief Mario Draghi that additional monetary stimulus is still on the table.
James Bond 23 may still be quite a ways away from actually happening, as star Daniel Craig is commited to three chapters in the Millennium Trilogy, starting with the currently in-production The Girl with the Dragon Tattoo. There is currently no talk of hiring someone else to play James Bond, but if Craig is to reprise the role a third time, we still won't see James Bond 23 until 2014 at the earliest.
7. AT&T
“只要总体市场仍然相对积极,只要交易继续执行良好,我们继续预期今年余下时间会保持健康的交易量,”高盛(Goldman Sachs)美洲股票资本市场主管戴维?路德维格(David Ludwig)表示。
n. 雨燕,线轴
麦高恩早年的成功依靠于发行独立电影,当时她在酒店房间遇到哈维·韦恩斯坦,就是在那间房里遭受了性侵。
They're the top three most unaffordable housing markets in the world, according to the 13th Annual Demographia International Housing Affordability Survey: 2017, published recently.
007系列电影主题曲第二名:蒂娜·特纳--《黄金眼》
Consider:
Makers of processed food, soda and fast food see markets in the developing world as their greatest growth opportunities. At the same time, obesity rates and weight-related illnesses are on the rise in developing countries. An ongoing series of articles examined the interaction of these two trends, starting with cases in Brazil, Ghana and Colombia. Taken together, these stories reveal “a new global food order, and a new health crisis.”

5

Last week, Clinton campaign chairman John Podesta said that the former first lady's shortlist of potential running mates will include women, quickly leading to speculation that Clinton will consider Massachusetts Sen. Elizabeth Warren, a popular progressive, for an all-female ticket.
['ent?praiz]
outrage
《大白鲨》的故事非常不现实,但它的原型是1916年由一条鲨鱼造成的一系列真实命案。在被称为“史无前例的系列鲨鱼袭击事件”中,2周内,泽西海岸边有4人被鲨鱼咬死。据报道,犯案的鲨鱼被捕后,消化道中还有尸骸。不过,权威科学家至今无法确定,是什么驱使这条鲨鱼袭击了这么多人。
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.
The PPI has been negative for 44 consecutive months, reflecting excess supply of housing materials and raw materials, and overcapacity in heavy industry.
这个所谓的“百万富翁的游乐场”现已向所有人敞开怀抱。经济型的酒店、家庭旅馆以及带有自助厨房的公寓,都使得塞舌尔之行不再价格高昂。塞舌尔由100多个散布在印度洋上的岛屿组成,这里有多种多样的娱乐活动供您选择,诸如沙滩浴、钓鱼、潜水、航海和乘船游览。塞舌尔群岛一年四季的热带气候可谓得天独厚,所以你随时都可以开始你的塞舌尔之行。
去年2月份中国国家旅游局启用一个名为“美丽中国”的标志,意在向海外宣传推广其旅游形象,然而有人讽刺“美丽中国”这一名称与中国城市在严重污染之下那一张张“不太美丽”的照片相比反差太大。希望专家们今后能设计出一个好一点的方案来。
Vocal group: Little Big Town
With U.S. e-commerce activity approaching 10% of all retail sales, more merchants are shopping around for easy-to-use platforms that get them selling online quickly.
GoldSeek.com的这个标题发出了红色警报。在评估另外20名专家跟踪的20种周期之后,它总结道:“很多周期表明股市的调整或崩溃已经临近……未雨绸缪是很重要的。在‘窗口’关闭之前,你仍有一些时间!”
It was unearthed by archaeologists in 2012 and has since been kept at the Yizheng Museum. It is not shown to the public.
There was no immediate word from the Romney camp on the reported results。
It organized two large-scale inspections last year, involving more than 5,300 batches of imported consumer goods, such as air purifiers, car brake blocks, household electrical appliances and clothes, with more than 1,500 found to be substandard, Han said.

6

除了你的华生,他会觉得这样的你性感极了!
adj. 易坏的,脆弱的,浅薄的 n. 复写纸,薄纸副本
我们咨询了社交媒体评估机构达奇斯集团(Dachis Group),问它哪些品牌最受消费者的喜爱,哪些品牌失去了大部分市场。
我们再来看看名单里一些其他的亮点:
Jude Webber
菲律宾参议院一委员会就国内发生的法外处决事件举行了听证会,罗纳德?德拉罗萨(Ronald Dela Rosa)在会上表示,自7月1日杜特尔特就任总统后,有712人在警方缉毒行动中被杀,还有1067起死亡正被作为与毒品相关的自告奋勇者杀人案件在调查中。
Ohsumi’s research on autophagy shines a light on ubiquitous diseases such as Parkinson’s and diabetes.
With very best wishes for your happiness in the New Year.
? Aid workers are worried about a food crisis in Haiti, where Hurricane Sandy killed 52 people last week. The UN is also concerned that flooding could lead to a sharp rise in cholera cases. At least 69 people were killed by Sandy in the Caribbean.

'The pizza is extremely rich - if you're in the mood for a lavish meal, this is the pizza for you,' he said.

Conclusion

The Canadian city of Vancouver remains the most expensive location in North America, ranked 21st in the index.
伯利兹城靠近墨西哥和加勒比海,各处都是露天的街头小吃摊,为游客们提供了很多较实惠的用餐选择。
James Bond 23 may still be quite a ways away from actually happening, as star Daniel Craig is commited to three chapters in the Millennium Trilogy, starting with the currently in-production The Girl with the Dragon Tattoo. There is currently no talk of hiring someone else to play James Bond, but if Craig is to reprise the role a third time, we still won't see James Bond 23 until 2014 at the earliest.
‘Unfortunately, while the newest episode may be a fantastic addition to the Star Wars franchise, ‘starwars’ is a dangerous password to use,’ said Morgan Slain, CEO of SplashData, Inc.
据中央电视台报道,她的妈妈在1月30日才发现了此事。
同时,乔金-诺阿和交易无缘,因为甚至都没有关于他的交易流言。
尽管两个数字都低于预期,它们还是显示出在加大量化宽松计划力度方面,日本央行正面临艰难的抉择。目前,环比数据看起来还不错,而同比数据则不太好。
这个12岁的女孩已经成为了在Instagram拥有300万粉丝的超级巨星,她和流行歌手希雅(Sia)合作的MV在YouTube上点击量超过10亿。


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. ……一边说从来不会让人看到他流汗,一边汗流不止。
  2. In Belgium's case, the reasons are more readily apparent. A nation sewn largely from a patchwork of three peoples, the Flemish, Walloons, and Germans, its football team nevertheless features several stars of African descent. Currently, Belgians of Moroccan descent -- including midfielder Marouane Fellaini and winger Nacer Chadli -- make up the biggest non-European group; for many Moroccans, French is a second language. Like France with its North African and Caribbean contingents and Germany with its Turks, Belgium's national team has benefited from multiple populations: one from Western Europe, one from Africa, and one from Eastern Europe.
    A research team at the University of Chicago has solved this problem, producing hands that send electric signals to the brain. They've begun with monkeys as test subjects, studying the animals to see how their brains respond to touch. When outfitted with prosthetic hands that stimulate their brains that way, the monkeys respond just as though they physically touch objects themselves.

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