Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

1953年,病人HM因接受脑部实验手术患上了严重的健忘症。通过对HM进行数十年的后续研究,神经心理学家苏珊娜?科金在人类对记忆的认识方面做出了重大贡献。
It is not all bad news for buyers: Prices will still head north next year, but the pace will likely slow from a sprint to a saunter. “Prices can’t just keep going up, up, up on this steep climb,” said Pamela Liebman, the chief executive officer of Corcoran. “Buyers get a little fatigued.”
小编碎碎念:华裔球员林书豪的一夜爆红,让因病缺阵的尼克斯当家球星小甜瓜安东尼颇有几分“躺着也中枪”的无辜感。
Meanwhile, there are other factors holding back the Asian ETF market that some sceptics fear will hold back development of the retail side.
10.Fears of Another Tsunami
1、超级自信。邦德的超级自信让他不仅更加性感,而且工作更出色。与理性和客观相比,多一些自信往往收获更多(自负时人人感觉都不错)。无论男女都不喜欢谦逊的人。邦德有着实干家的品质:作为特种部队成员,他与普通人不同,具有非凡的自信(又称“自欺性提高”),并且情绪更稳定、更富弹性。

如果你是一名创业家,那么未来永远是光明的,基于传统服务的数字化来创立新企业的机会简直取之不尽。
According to a research report on 2016 graduates released by 51job.com, a leading job hunting platform in China, 52.11% of college graduates found employment or started their own business.
Crucially, they note, instability and conflict around the world could continue to drive inflation and affect the costs of living within certain cities.
单词avoid 联想记忆:
交通运输部科学研究院近日发布的报告显示,北京位居全国十大最拥堵城市排行榜第三,排在济南、哈尔滨之后。
紧缩政策促使一些企业寻求其他融资方案,比如债券或在全国中小企业股份转让系统上市。
[.dem?n'strein]
魔术队倒是可上可下,并且他们现在正在走下坡路。现在,阿龙-戈登和尼古拉-武切维奇被从板凳席上拉了出来并且马里奥-海佐尼亚被雪藏了。
Julia Hartz

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.

I always judge the tank on actions and not by words. So, when teams say they're not in the tank and then run out a bunch of undrafted free agents while injuries to star players linger, that's when you know it's on.

1

thoughtful
10.Shakira
待售房产:一栋带有四间卧室与四间半浴室的希腊复兴式房屋
The writer is a senior associate at the Carnegie Endowment and a former World Bank country director for China. Read other predictions for the world economy, politics and finance in 2012 at www.ft.com/thealist
教育部还表示,公费留学学生的归国率达到了98%。公费留学生一般选择中国急需的专业,包括工程学、纯科学、农业和医学科学等。
Three of former US president Barack Obama's tweets were among Twitter's list of 10 most retweeted this year, while none of current US President Donald Trump's tweets made the list.
Some hits have gone so far over the top they should be winded, yet instead keep on puffing gusts of hot air, including “Downton Abbey,” “Scandal” and “Revenge.” A new addition on ABC, “How to Get Away With Murder” was a fun substitute, a lurid nighttime soap opera about lawbreaking defense lawyers — “Law & Disorder.”
莱斯特大学研究人员表示,这副骸骨的DNA同理查三世一名姐妹的后代吻合,而且骸骨的脊柱弯曲,有战争留下的创伤,这都与历史记载吻合。

affection
James Bond Themes 3. "Skyfall" by Adele
The circular also stressed zero tolerance for cheating.
单词protection 联想记忆:
He Fan, economist at Caixin, said:“This shows that the macro economy has moved further toward stable growth and the economic structure is improving. Future fiscal and monetary policies must be coordinated and large-scale stimulus should be avoided as much as possible.”
科比·布莱恩特
会。美国政府在垂直合并案上已有数十年没赢过。据美国司法部(Department of Justice)自己的审查指导原则,像时代华纳这样的内容所有者与AT&T这样的分销商之间的“垂直合并”,远不如水平合并那么令人担忧。与此同时,Facebook、亚马逊(Amazon)、Netflix和谷歌(Google)这四巨头(合称FANG,取每家名称首字母)如今主宰了数字娱乐版图,这使得政府的如下论点更难以站住脚:两家传统媒体公司的合并,会从根本上改变竞争态势。
单词addition 联想记忆:
WTF.1: Next Level of Working Moms
As the stars' private jets swooped in, the internet was going mad for 'the Dad bod'; the slightly flabby male physique was trending and there were plenty of examples on screen. Deborah Cole of AFP noted a “sweating, panting and shirtless” Gerard Depardieu in Valley of Love and a flash of Joaquin Phoenix's “tubby tummy” in Woody Allen's Irrational Man. When Colin Farrell strode the red carpet for the premiere of The Lobster, he looked his usual trim self – but in the film he is distinctly paunchy. To add some girth for the role of a lonely singleton in Yorgos Lanthimos' absurdist black comedy, Farrell went on a massively calorific diet that included drinking melted ice cream, he told the Hollywood Reporter. Eating “two cheeseburgers, fries and Coca-Colas, and two slices of chocolate cake at 10am is not that fun,” he said. “And I love cheese?burgers."
在做完所有他能做的自救措施后,这个务实的孩子不知道还要多久才会有人来救他,于是他决定做家庭作业。
2015年最佳职业
她说:“我们一直在寻找他的遗骨,终于找到了。现在是为他恢复名誉的时候了。”

2

而或许更引人关注的问题是,雅虎究竟为何决定拿出3,000万美元来收购一款手机应用呢?诚然,Summly的文本精炼能力与新战略下的雅虎对移动设备的侧重不谋而合。伴随着以11亿美元对轻博客的收购,以及广受好评的新款天气应用的推出,Summly软件的加入见证了雅虎占领智能手机领域的坚定决心,以及为爱使手机的年轻消费者提供优质服务的不懈努力。
“The headwinds that Chinese banks face will last for a long time,” he said. “In addition to lower sources for profit, they will also have to prepare themselves for losses on bad loans.”
《大汉情缘之云中歌》改编自桐华网络小说《云中歌》。它以西汉时期(公元前206年-公元220年)为背景,讲诉了名为云歌的女子、贵族公子孟珏和汉昭帝刘弗陵之间的传奇爱情。该剧和《琅琊榜》同月播出,风头却几乎被《琅琊榜》完全盖过。它也因历史漏洞广受诟病。对某些观众而言,杨颖的颜值恐怕是该剧吸引他们的唯一亮点。
其造成的影响范围比中国数据失真要小。英国法律要求英国国家统计局计算RPI数据,鉴于该部门拒绝改善算法,这种数据造假行为影响了继续与RPI挂钩的总值达数千亿英镑的合同。
吊床架组装方便,可以架在桨板、橡皮船和皮筏上。
Prior to the slowdown that began in 2014 employers in China had been less stingy with cash bonuses, which can total well over a full month’s salary and send employees back home for the holiday with plenty of cash for gifts to elders and other family members (or to squirrel away as savings).
I'm not worried about Philly, Phoenix, or Minnesota. They're young, they're rebuilding. If they make strides, great. If not, take another high pick. The Nets are the Nets and we should talk about them in a minute.
She has also performed on Jimmy Kimmel and The Ellen Show - not bad for someone who hasn't even hit adolescence.
[.p?pju'lein]
AIG CEO Robert Benmosche will be voted CEO of the Year.
据高部长称,在“十三五”计划期间,中国在与“一带一路”的国家形成优势互补的跨国产业链、价值链的同时,还将持续大力改善投资环境,充分挖掘市场潜力。
贝莱德(BlackRock)的iShares亚太区主管陈蕙兰(Susan Chan)表示,ETF更受该地区机构投资者的欢迎。

动词limit的过
Meanwhile, New Yorkers living in the city’s nearly one million rent-stabilized apartments should brace for a fight in Albany in June, when the rent-stabilization law expires. Housing advocates hope to see a reversal of a rule that allows landlords to deregulate vacant units if the rent reaches $2,500 a month.
今年选股遇到困难,部分原因在于市场顶部高度集中。苹果、伯克希尔o哈撒韦、强生、微软和英特尔这五只股票占去了市场涨幅的20%。如果你未持有上述股票,几乎就没有机会分享这场增长盛宴,而正是这几家公司的增长推高了标普500指数。市场上大部分股票的表现要逊色得多。研究公司路佛集团称,标普1500综合指数成分股中,仅有30%的个股跑赢了该指数。上次出现这样的景象,那还是1999年的事。
[fleim]
农业原材料,特别是所谓的软性大宗商品,例如糖、咖啡和棉花,今年的表现在最佳之列。
国内生产总值达到74.4万亿元,增长6.7%;
Why? Just add in the intensifying anger after the Supreme Court's decisions over same-sex marriage issues and gays, add in the growing anger over abortions, Obamacare, gun control, food stamps, the new voter suppression pushed by GOP governors, plus more threats by conservatives and the tea party to dig in their heels and fight to overturn everything and increase austerity too.
Bursts of color are instant energy suppliers. If you can, paint your walls or use furniture and accessories to provide a colorful oomph.
价格:205万美元(约合人民币1312万元)

3

Chicago-based rival AT Kearney is also preparing for a change at the top, with a vote to replace Johan Aurik, who has already served the maximum two terms as managing partner, due to take place in the first quarter of 2018. His replacement will be expected to focus on how to pull AT Kearney out of the ranks of mid-sized players.
詹姆斯也反映出了一种趋势,从邓肯到马努·吉诺比利再到文斯卡特,也都是这样。调理、人体健康科学和营养正在为运动员们铺平道路,保持他们的身体素质,使得他们可以打更多的比赛。或许,在他36岁的时候,詹姆斯仍会是球队中最好的球员,即便现在看来这很疯狂。
Bedrooms are up a curving staircase. A loft-like library overlooks the central atrium. Walls of glass in the master suite and its en-suite bathroom take in acres of marshland. The suite opens to a sun deck on the water side of the house. Both other bedrooms also have en-suite bathrooms. The lower level is finished as a gym, with a half bath and a garage with space for several cars.
荷兰危机牵涉到成熟的金融专业人士,那些惯于分析金融和经济趋势的人们。但是,他们过于看重个人经验。
我去年就说过、今年要再强调的一点是:唯一比预测未来更不招人待见的事情就是公开自己的预言。
And – oh, right – ethics. "You're not being fair to your employer if you're using the company's dime to get the heck out of there," Foss says。
2. “闪光的密切:纳撒尼尔·多斯基与杰罗姆·希勒的电影”(Luminous Intimacy: The Cinema of Nathaniel Dorsky and Jerome Hiler)。赞美纽约电影节,感谢纽约电影节,举办了这样一次令人赞叹的双人回顾影展。
impresar,意大利语,意为管理+o表名词,“人,物或状态”→(娱乐圈的)经理人
McDonough School of Business at Georgetown University in Washington DC returns to the custom ranking in 15th place after dropping out last year because of a low survey response rate from clients. Only three schools enter the custom ranking for the first time, including London’s Cass Business School in 60th place.
devastating
Chinese people are intelligent and hardworking and they have an inexhaustible drive for pursuing a better life for themselves. The government needs to create the enabling environment for our people to fully use their talent and initiative.
“It’s horrible,” he said. “Whenever I see someone with a gun, I take it away and report it to police.”
Call Me by Your Name
Banking
No. Ms Merkel may accept a small eurozone investment fund, but it will fall short of the French president’s ambitions. Mr Macron wants a “road map” to a budget equivalent to several percentage points of eurozone output, supervised by a finance minister, all to absorb economic shocks. Ms Merkel is inclined to acquiesce, but she has emerged politically weakened from federal elections and will be unable to impose such a decision on her largely sceptical public.

4

在北约1999年对南斯拉夫的空袭中,大西洋联盟对塞尔维亚和科索沃境内数以百计的目标进行了打击。绝大多数目标都没有争议:防空阵地、军队指挥部和其他军事目标。然而对一个特殊目标的摧毁却在世界另一端掀起了声势浩大的反西方特别是反美浪潮。那个目标就是驻贝尔格莱德的中国大使馆。
这是信仰的时代,也是怀疑的时代……
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.
Like a lot of critics, I chafe against the arbitrariness of lists even as I recognize their utility. Since I can never stop at 10 — how could I, when something like 900 movies were released in North American theaters? — I picked 15 to match the year, ranked them and ended up fudging that count. So maybe technically it’s a top 20. The slots with more than one title aren’t ties, but double features, paired movies that complement, contend with or amplify each other’s best qualities.
productive
More than 110 new and returning series made the shortlist for this roundup before being whittled down to the 20 that appear here. (And that’s without the HBO shows “True Detective,” which is being moved to later in the year, and “Game of Thrones,” “Veep” and “Silicon Valley,” whose April premiere dates haven’t been announced.) From a “Breaking Bad” spinoff, to the return of “Broadchurch,” to the final season of “Justified,” the winter is high season for the serious TV watcher.
单词haven 联想记忆:
beneficial
《大唐荣耀》全剧共60集,改编自2007年出版的小说《大唐后妃传之珍珠传奇》。该剧主要讲述了女主沈珍珠和丈夫的爱情故事,以及他们为保护国家付出的努力。
IMD and Iese Business Schools have tightened their grip on the top spots of the twin FT executive education rankings, monopolising first and second places for both open-enrolment and customised programmes.
在这场充满政治色彩的颁奖典礼——唐纳德?特朗普(Donald Trump)屡次成为主持人吉米?基梅尔(Jimmy Kimmel)打趣的对象——的末尾,沃伦?比蒂(Warren Beatty)和费?唐纳薇(Faye Dunaway)宣布《爱乐之城》赢得此奖项。然而,就在这部达米安?沙泽勒(Damien Chazelle)编导的现代音乐片的制作人员和演员登上舞台、激动地发表致谢演说时,他们却被告知《月光男孩》才是真正的获奖者。

5

在经过一段漫长而艰辛的竞选活动后,美国当地时间11月6日,美国总统奥巴马战胜了共和党候选人罗姆尼,胜出2012美国总统大选成功连任,将迎来执政白宫的第二个任期。
Bank of China posted earnings per share of Rmb0.56, down from Rmb0.61, and a pre-tax dividend per share of Rmb0.175, down from Rmb0.19 last year.
France’s HEC Paris and Essec Business School remained second and third, respectively, for the third year running.
Total Program Cost: $118,000
1、超级自信。邦德的超级自信让他不仅更加性感,而且工作更出色。与理性和客观相比,多一些自信往往收获更多(自负时人人感觉都不错)。无论男女都不喜欢谦逊的人。邦德有着实干家的品质:作为特种部队成员,他与普通人不同,具有非凡的自信(又称“自欺性提高”),并且情绪更稳定、更富弹性。
[m?'r?liti]
Yes, it is that obvious when you're interviewing elsewhere and go MIA, with or without a flimsy excuse. Schedule phone interviews for personal hours, like a lunch break, and take vacation or PTO days for lengthy in-person interviews. "That way, you're not feeling pressured during the interview to get back to work – which can affect how you handle the interview – and you're not stealing time from your employers," Kay says。
She had recently emerged as the right hand of her father, the former Prime Minister Nawaz Sharif. But corruption charges are clouding her rapid rise.
Taylor Swift “Blank Space” (Big Machine)
adj. 快的,迅速的
The paper quoted a number of students from the incoming class, who had a range of responses, including two who said it was the right approach to withdraw the offers. "I do not know how those offensive images could be defended," one student said.
It is a struggle for power contained by understandings and institutions.
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。
对胎儿进行手术有可能改变他们的人生。

6

4Germany
德拉吉在12月投票表决的次日作出回击,称欧元区政策制定者在动用政策工具推动通胀达标方面“是没有限度的”。
我猜弗兰克-沃格尔正在试验阵容以找到能赢球的轮换阵容。但是这个阵容实在是太不均衡了,最有希望的球员没有被安置在最好的位置上。
Columbia Pictures克里斯蒂安?贝尔、艾米?亚当斯和布莱德利?库珀在电影《美国骗局》中早在1月份闹片荒的时候,人们不会想到今年会迎来如此多好电影。不仅如此,有几部影片甚至达到了被我们在心目中理想化了的那些老电影的水准。今年有两部电影脱颍而出。纯娱乐片方面,赢家显然是《美国骗局》(American Hustle),这部由大卫?欧?拉塞尔(David O. Russell)执导的影片讲述了上个世纪七十年代的行骗高手和他们的微妙骗术的故事,幽默诙谐,令人捧腹。而从创新角度看,《地心引力》(Gravity)的全新拍摄技术给观众带来了新的观影体验。人们普遍认为《美国骗局》无可挑剔,这部疯狂喜剧片是一部时代佳作。我个人则认为,《地心引力》是今年的最佳影片。
castle
We will move forward with ecological conservation and improvement.
The theories, yes, and also the bad statistics traditional economists use to mislead America: The worst offender, GDP is a narrow, misleading measure of America's long-term growth. And second, our obsessive focus on short-term numbers, daily stock closings, quarterly earnings, annual returns, is stunting America's long-term growth.
200亿美元的数额会让任何一位投资垂涎,但这笔钱需要在回购和派息之间进行分配。与2014年其他公司宣布的股票回购相比,这笔钱只能算是零花钱。
Many investors, it turns out, are siding with Mr Cook. After a tumultuous 2013, the share price has increased by around 50 per cent since that shareholder meeting, at one point taking its market capitalisation above $700bn.

['gl?ub?l]

Conclusion

艾米莉·拉塔基科斯基想(在红毯秀上)抢镜头,她选择了一件经典的舞会礼服,礼服上编织着非常别致的花纹。这位出演了《我们是你的朋友》这部影片的女演员选择了一件黑色半透明且有着精致的透空图案的礼服来展示自己举世闻名的身材。
2) I Trust Your Judgment: Translation: “You have my permission. I believe in you. Now, go make it happen.” Feels pretty uplifting to hear that, doesn’t it? And I’ll bet you’d do almost anything to please someone who makes you feel that way. Your employees and peers are no different.
普华永道的校园和学校雇佣主管安德鲁?巴杰里(Andrew Bargery)表示,Teach First的毕业生出类拔萃:“他们已经在专业环境下工作过,拥有专业成熟度,并擅长交际。”
威尼斯被普遍认为是世界上最浪漫的城市之一,也是许多游客必来的水上城市。
不过,日本央行(BoJ)仍决定不加大货币政策刺激力度。该行指出,工业产出是日本经济疲软的领域之一。当然,就业市场等日本经济的其他领域,表现要好得多。
[k?n'tr?ul]
“An interviewer walked inta closet instead of the meeting room.”
乔斯·威登一直都很喜欢科幻小说,也是西部小说的忠实拥趸。尽管这两种小说类型风马牛不相及,但是从《天使杀手》这部书中,他找到了一种方式,可以把二者融合起来。"我当时想把新垦地的概念好好地演绎一下",他说,"人类文明是由那些被历史深深伤害了的人们推动前行的,而不是那些创造历史的伟人。"这一次,威登决定把新垦地从西部搬到了"宁静号"宇宙飞船上。


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. 一份产业报告显示,随着国内手机制造商加快创新,国产品牌手机仍占据国内手机出货量的主要份额。
  2. 该榜单囊括了2015年度全球最具影响力、最智慧性感、人气最高、事业最为成功的美丽女性。
    宾夕法尼亚州圣约瑟夫大学(Saint Joseph’s University)的Haub商学院(Haub School of Business)是唯一一所首次上榜的学院,排在第98位。

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