Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

201109/155435.shtmlIn August, Jose Javier - from the city of Torrevieja - created an account with AdWords, a Google pay-per-click service.
Chinese property magnate Wang Jianlin has defended his crown as the country's richest man, according to the annual Hurun rich list, fending off Alibaba Group Holding Ltd (BABA.N) founder Jack Ma and new players on the block like Baoneng's Yao Zhenhua.
As for his own education: He's weighing whether to enroll in university in England or maybe the U.S. to be closer to Silicon Valley. Or perhaps he'll skip college entirely and just focus on his work. 'I absolutely want to start another company,' he says. 'Serial entrepreneurs get addicted to creation. I want to be passionate. I feel really bad when I'm not doing something new.'
上榜的12所美国学院平均而言是性别比例最为平衡的,女性学员比例为48%。
Job-searching employees often send these subtle signals without expecting their managers to notice, Kay says. But they do。
adj. 平的,与飞机有关的


对于购房者,也不都是坏消息:房价明年(2015年——译注)仍将上涨,但步伐可能会从飙涨趋于平缓。“房价不会一味地陡然上涨,”柯克兰集团(Corcoran)的首席执行官帕梅拉·利伯曼(Pamela Liebman)说,“买家都有点疲劳了。”
《the Post》
今年领跑美国股市的标普500公司的行业组合有些奇特,出现了一些令人意想不到的黑马。就算基金经理预见到了医疗保健行业今年将上涨27%,难道他们也能猜到公用事业行业将位列第二,上涨23%?不大可能。
但是白人身份认同的斗争不仅仅是个政治问题,它也是一个“深藏的”故事,一个看到别人都在向前,自己却感觉困在原地的故事。
In the field of the best 85 business schools in Europe, HEC Paris remains in second place behind LBS, while Insead, the international school based in Fontainebleau, France, climbs two places to third.
声明表示,安诺杰在会谈中承诺将加强管理,增强与中国科协的合作,提升科学公信力。他强调,施普林格自然集团并非针对中国,他们也撤销过其他国家专家的论文。
报告指出,大连万达集团主席王健林以321亿美元的个人财富荣登榜首,而马云的个人财富在2015年上涨了41%。
'The book is true to the character and keeps him as fans would want him, which is as the original hard-bitten guy,' he said.

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.

outstanding

1

年过40方当妈的女星们
Yes. There are plenty of positives: earnings, economic growth, and US tax cuts. But they are already known. Stocks look ridiculously expensive by historical standards, but that tells us nothing about short-term moves. Ultimately, it comes down to liquidity, which has driven markets since they emerged from the crisis in 2009. If all goes according to plan, central banks will be decreasing their balance sheets, and removing liquidity, by the end of 2018. If they go through with this, the odds are that the S&P will stall. But even a tiny tremor could make the bankers blink. Expect the momentum to continue.
如果你是一个工薪阶层的白人,担心这个充满国际性的新世界会摧毁或贬抑你所珍视的身份认同,那么你并没有一种在文化上能够被接受的方式,去阐明自己内心感受到的危机。
The system for ensuring responsibility is taken for poverty elimination will be effectively enforced, the strictest possible evaluations and assessments of poverty alleviation will be carried out, and stern measures will be taken to address deception, falsification, and the manipulation of numbers in poverty elimination work. We must see that the results of our poverty elimination earn the approval of our people and stand the test of time.
但是他告诉华盛顿报的记者他依然很希望能够读到这封信,毕竟这封信是当时的纯真、关切和真诚的见证。
特朗普说道:"她唯一能做的就是打女人牌。我愿意看到美国能有一位女主席,但希拉里绝对是错误人选,她简直就是一场灾难。"
深化农村改革。
Taylor Swift and Katy Perry opted for bedazzled5 dresses in very different styles. Taylor went for a more old Hollywood, glamorous Grecian style that exposed her back and statuesque6 figure, while Katy rocked a shorter, spunkier look that exposed a little of everything.

我是否工作太辛苦了?花时间重新调整一下,花时间做令你愉快的事情是非常重要的。必要时释放你的欲望,从工作或学习压力中解脱出来,给自己时间去自由呼吸,即便一次只有几分的时间。
数据显示,三星仍然占据榜首,其次是苹果。但是即便如此,这前两名的科技公司的出货量却分别下降了3%和7%,全球市场份额出现了下滑。
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。”
4. 学会自我推销。
她最近成了她的父亲、前总理纳瓦兹·谢里夫(Nawaz Sharif)的左膀右臂。但腐败指控给她的迅速崛起蒙上了阴影。
不包括阿拉斯加和夏威夷在内的美国本土曾在2012年创下温度记录,那年发生过灼人的热浪和干旱。主要是由于东部地区不同寻常地寒冷,才使得2014年的温度对这48个州来说,仅在有记录以来的最暖年度中排名第34。
n. [计]定序;排序;订购 v. 命令;指挥;订购(o
China’s retail sales softened as industrial production and investment held more or less steady in spite of a weaker showing from exports last month.
Song “Embrace Happiness”(Kelly Chen)
年龄:46
该数据显示10月份下半月北京、天津、上海、深圳、厦门和郑州新建住宅价格出现了环比下滑。
Julia Hartz
上周四,中国电影资料馆副馆长张晓光表示,这些电影从来自100个国家的2000多部候选影片中脱颖而出,将于4月8日到23日期间在北京30多个电影院和大学放映。

2

China's 16 listed banks have cut their dividend payouts for the past year amid slowing net profit growth.
Experts waited until dark had fallen before detonating demolition charges which brought down 150000 square metres of concrete glass and steel in 10 seconds.
尽管当下是一个全球性的经济环境,但仅有约20%的美国人会说第二门语言。Sixty Vocab的目标就是以其在线外语游戏改变这一现状。基于2000个单词相当于一门外语的六成精髓的假设,Sixty Vocab试图使学习必要词汇的过程变得有趣。这些在线游戏能教你在对话中最为常用的词汇,并辅以限制时间的规则——你在越短的时间内猜出单词,你就能越快地进入到下一个阶段。Sixty Vocab填补了你高中课程和昂贵外语学习项目之间的空白,为那些想要在早餐咖啡或通勤时间学习一门外语的人提供了一个独一无二的选择。
Wishing you all the blessings of a beautiful season.愿你拥有美丽的新年所有的祝福。
怎么做煎饼?
内森说:“如今,你必须根据行情购买。不过,如果你很大胆,不跟随潮流,那么你也有很多机会。”
许多分析师或许会对有关他们低估美联储的说法感到愕然。如今人们在谈论新兴市场资产时,最常提到的两个相关因素就是美联储和中国,以及它们将来造成负面冲击的风险。
Such claims are unlikely to go away, though. John R. Christy, an atmospheric scientist at the University of Alabama in Huntsville who is known for his skepticism about the seriousness of global warming, pointed out in an interview that 2014 had surpassed the other record-warm years by only a few hundredths of a degree, well within the error margin of global temperature measurements. “Since the end of the 20th century, the temperature hasn’t done much,” Dr. Christy said. “It’s on this kind of warmish plateau.”
Song “Chang’er”(Li Yugang and three Chinese astronauts)
“The auction market is extremely selective,” said Henry Pettifer, the head of old master paintings at Christie’s, whose sale total had been dented by a 15th-century Flemish Madonna and child by Hans Memling that the auction house had sold privately for more than 3.5 million and had withdrawn from the sale. “The availability of fresh material is limited,” he added, alluding to how few museum-quality works are in private hands.
寻找工作的雇员并不希望将这些蛛丝马迹被他们的经理发现,凯说,但是他们确实被发现了。
ex出,ceed走-走出去到美国学习-超过一般人

2013年,勇士队曾在中国与洛杉矶湖人队打过季前赛,而森林狼队则是首次来华。
The data was released by the National Bureau of Statistics on its website, saying the growth rate rebounded for the first time after a four-year straight drop.
It is the first time that EMBA-Global, the joint programme delivered by London Business School and Columbia Business School, has dropped out of the top five.
实话说没有其他国家能拥有中国那样的优厚研究条件:一个有着长期明确财政支持和庞大国内市场的政府——尽管大部分市场并不自由。市场预计中国国内航空市场将在当前基础上翻四倍,到2036年乘客总数将两倍于美国,达到16亿人次。
Rihanna, who came in at second place, earned her runner-up position "following another 12-month period in which she was absolutely bloody everywhere and yet we all entirely failed to get sick of her," per FHM.
The strategy of Four comprehensives: Comprehensively building a moderately prosperous society, comprehensively driving reform to a deeper level, comprehensively governing the country in accordance with the law, and comprehensively enforcing strict Party discipline
现在的假手除了具备手的外形外,几乎没有其他功能。当然,这些假手能够拿东西和保持身体平衡,但是它们缺乏人手最重要的功能之一——触感。装了假手的人在碰触到一样物品时,如果不用眼睛看,是没法判断东西的。
Company: BlogHer
在欧洲的85所最佳商学院当中,巴黎高等商学院(HEC Paris)依然排名第二,仅次于伦敦商学院,而总部位于法国枫丹白露的国际商学院——欧洲工商管理学院(Insead)的排名攀升两位,至第三名。

3

WTF.1: Next Level of Working Moms
在《After Laughter》(《欢笑过后》)这张专辑中,帕拉莫尔乐队别具一格的音乐技巧和极具讽刺性的歌词焕发出了荧光般的色彩。
在所有这些影片中,斯文顿用的是同一个牙齿设计专家——伦敦Fangs F/X公司的克里斯·莱昂斯(Chris Lyons)。他在工作中设计了各种牙齿,包括为坎耶·韦斯特(Kanye West)一个音乐录影带中的一只杜宾犬设计了金色尖牙。
但关于是否会诞生另一个火爆产品,来打破关于后乔布斯时代苹果前途的质疑,库克许久以前就学会了耐心和相信自己的直觉,正如他在1998年加入正处在困境中的苹果时对质疑者置之不理一样。
Because of her success, she no longer lives anything resembling a normal life.
截至2016年底,中国仍有4300万农村地区的人口生活在贫困状态下。中国的目标是在2020年时帮助他们脱贫。
3. You support the teams that I support.
China's consumer price inflation decelerated to just 1.3 per cent year-on-year last month, the slowest rate since May. On a month-to-month basis inflation fell by 0.3 per cent, the first negative reading since May.
Dwight Howard
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。
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。
尽管小小年纪她的事业就取得了如此惊人的成就,但如果给自己的成就打分,且10分满分的话,玛蒂只给自己打9分。
n. 校订,修正,修订本,复习
Qube会提醒你注意垃圾回收,在垃圾最后被倒出来的时候进行监控,并告诉你更换空气清新剂。但这些人们通常可以通过嗅觉和其他感觉器官来判断。现在有一个300美元的“优雅”不锈钢,会不断用讨人厌的移动警报提醒你。
在Ross居住的单元,不准记者入内,一名妇女在门缝中礼貌的说,孩子的母亲还没有准备好公开发言。

4

还有些人直接就玩消失了:
8月12日,港口城市天津的一座非法储存危险化学品的仓库发生一连串爆炸,导致173人死亡,数百人受伤,造成的破坏景象仿佛末日来袭。此次爆炸事件提出了有关中国在快速工业化进程中安全监管松懈的严肃问题。
n. 文件,公文,文档
Bangkok is projected to host 21.47 million "international overnight visitors" this year, according to the 2016 report by financial services corporation MasterCard.
2016年,我们看到很多新设备加入互联网(不幸的是,我们也看到他们被黑客打倒了大片)。从家用电器到服装,公司很想出售一些能使你的生活“智能化”的产品,但有时反而会适得其反。让我们来回顾在过去的一年里出现的一些最荒谬和最无用的互联网连接设备。
“如果30年前的改革是解决意识形态问题,现在则要解决利益问题。改革是调整既得利益,等于拿刀割自己的肉,很痛苦,需要下定决心、坚定信心。”
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。
《固定电话》
FlightAware, well known among travelers for its flight tracking app, calculated arrival delays for 18 major and regional U.S. airlines over the Thanksgiving and winter holiday (Christmas through New Year’s) travel periods, as defined by the Transportation Department, from 2010 through 2012.
安娜上班的地方位于富人区的一家购物中心的车库,她抱怨道:“我去上班的路上要多花费一小时,但我却得不到一个现场看球的机会。“
大小:3073平方英尺(约286平方米)

5

自从在2009年从榜单的第一位落到第五位之后,小甜甜布兰妮的排名继续下滑,随着嘎嘎小姐和贾斯汀 比伯这些新星的走红,布兰妮在2010年仅名列第十位。
[str?uk]
convenient
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。
demo人民+-ic…的]→人口统计的
埃米?珀勒(Amy Poehler)狂吻博诺(Bono),蒂娜?费(Tina Fey)吐槽乔治?克鲁尼(George Clooney)只爱年轻女人,而诡异的是马特?戴蒙(Matt Damon)当晚数次“中枪”。
美国太空探索技术公司在航天器充分回收方面取得重大进展
Corkin died this year but shortly after, journalist Luke Dittrich published a book claiming Corkin buried inconvenient findings, shredded files, and acted unethically in gaining HM's consent.
Meanwhile, WeChat offers perhaps the greatest potential yet for Tencent to gain overseas users. Forrester analyst Bryan Wang said he has seen colleagues and friends in Singapore and India begin to appear on his WeChat contact list.
Other notable custom course performances include Harvard Business School, which recorded one of the year’s biggest rises, jumping nine places to fifth. The Massachusetts school was ranked 18th two years ago.
It is not unusual for the documented wealth of China’s richest people to surge suddenly — or even for previously unknown tycoons to burst into prominence — as stock exchange listings and other public investments thrust them into the spotlight.
先是“非典”,接下来是全球范围的H5N1以及H1N1流感大爆发。全球化也无能为力。现在地球实际就是一个小村庄,这也使得病毒在几小时内,就能轻而易举地从北京传播到波士顿。2010我们是否会再次遭遇另一场“甲流”?
一次投入全部很少能够成功。虽然确实有人倾其所有,在六个月或一两年之后成为赢家,但这只是个案。对于任何初创公司来说,风险管理都是一个重要元素,账目平衡至关重要。如果你在最开始承担的风险更少,你就更容易消化损失。而这些损失将是必不可少的、富有价值的教训。
Of the 200 nominated companies, 101 are privately-owned, while the rest are State-owned enterprises. The total value of these 200 listed brands has risen by 36 percent year-on-year to reach $696 billion, with the top 10 accounting for 46 percent of the total value.

6

We think of the passage of NBA time in seasons, for obvious reasons. There's connection, a continuum. It's how we remember things that happen, in the course of a season of play. But there's some benefit to looking back at a calendar year, January 1 to December 31, and what we've learned in that process. After all, many say the "unofficial start" to the NBA season is Christmas, with the new year starting soon after. So here are the lessons we learned about the NBA in the year 2017.
当发生问题时,库克会迅速而无情地采取行动。2012年底,苹果过早推出了有缺陷的苹果地图(Apple Maps)应用之后,库克解雇了乔布斯的亲密盟友、领导开发iOS的斯科特?福斯托(Scott Forstall),以及前Dixons首席执行官、掌管苹果零售部门不到一年的约翰?布劳伊特(John Browett)。此举传递出一条信息:库克不会容忍业绩不佳或内部政治。
But that recovery has also seen the size of bonuses drop: last year the average payout was Rmb12,821 ($1,861), about Rmb2,000 more than in 2015 but still roughly Rmb800 below the 2014 average. More than a quarter of those surveyed who saw their bonus shrink last year blamed the decrease on poor company performance.
Italy, one of the eurozone’s weaker economies, received the most investment of any EU nation from Chinese companies. That was largely down to a $7.9bn deal between Pirelli and ChemChina. France was the number two country, receiving $3.6bn of investment through a string of big deals in the tourism and infrastructure sectors.
这位无懈可击的歌手用吉他和铜管乐器合成的节拍和强节奏的音乐效果展现了更为广阔的情感和音乐世界。它会使你回想起艺术摇滚乐教母凯特·布什(你可以去听一下《Green Light》(《绿灯》)这首歌)。
Gitanjali因为拿下了本次最高奖项,从而获得了一笔2.5万美元的奖金。
人命关天,安全至上。
This founding father argued that the college would both guard against the desire in foreign powers to gain an improper ascendant in our councils and ensure the office of President will never fall to the lot of any man who is not in an eminent degree endowed with the requisite qualifications.
这种迹象各个公司是不同的。你一定要记住,如果公司的业绩在下降,销售额在减少,但还没到危险的地步,这种信号可能不适用与你。然而,如果你的公司看起来就要破产啦,那么请赶快开始找一份新工作吧。

5. Repeats & highlights are as good as the main match, so am gonna watch them.

Conclusion

Scott Brooks gets leeway as he learns his roster, and injuries continue to play too big a role. But I just can't fathom why this team is so much worse than the playoff team from a couple years back. The other piece is that it's unlikely the Wizards can conceivably be bad enough to get a top-five pick.
TextPride was a fine business, but a tiny one. Meanwhile, the market for messaging apps was exploding. Facebook FB 0.61% bought WhatsApp for $19 billion; that service now has 700 million monthly active users. Tango, an app with 250 million registered users, is worth $1.5 billion. Kik has 200 million registered users. Snapchat, worth $10 billion, has 100 million users. A new study, commissioned by Kik, shows that U.S. users now spend more time on average in messaging apps than they do on social networking apps. The only problem? These messaging apps need ways to make money, and there’s no reasonable way for advertisers to wedge themselves into conversations between friends.
据《每日经济新闻》报道,这16家上市银行计划向股东返还3562亿元现金分红,与前一年相比减少了83亿元。
在你面试应聘者的时候,有些人得分较高,你认为应该他能得到这份工作,但是招聘主管却改掉分数,招那些他喜欢的人。
在日本博览会上,我们非常荣幸地采访到了虚渊玄,还有Nitro+社长Takaki Kosaka。让我们开始吧。
“…started swearing during the interview.”
Torn Ballet Shoes, and a Life Upended
这位曾演唱过《Royals》(《皇室贵族》)的少年天才在20岁的时候就在联合制作人杰克·安东诺夫的帮助下更上一层楼,把对电子音乐的无限展望与人类的尺度结合在一起,亲手打造了自己的第二张专辑。


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. Plante Moran
  2. ['gri:nhaus]
    We will continue to encourage people to start businesses and make innovations.

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