Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

Much joy to you in the up coming year. May the warmest wishes, happy thoughts and friendly greetings come at New Year and stay with you all the year through.
为什么这么说呢?只需想想最高法院对同性婚姻问题做出裁决之后人们越来越强烈的怒火,想想人们围绕堕胎、奥巴马医改、枪支管制、食品券、共和党州长新推的选民压制等问题越来越强烈的怒火,另外还有保守派和茶党顽固不化,力争推翻一切立法并加强财政紧缩。
每次我跟人说起“未来”,我都被他们对“未来是可知”的这一想法吓到。我的印象就是,大部分人都想象未来像书本一样,有一个结局:已经写好了、也可以读取。你只要快速地窥一眼这本书的最后几页就能知道。他们很难接受这最后几页根本没有写完。未来还没有发生、也没有计划好——也无法预知,因为它们还根本不存在。
It was the season of Light, it was the season of Darkness…
射箭、射击、铁人三项、现代五项ykXdDI-D*%c]。
This is not to take anything away from Tesla, which has demonstrated that it can create and manufacture a complex and sophisticated product with demonstrated customer appeal. But its own internal forecasts, as well as the swelling of its share price, are based on the expectation that the future will unspool in an orderly fashion identical to the recent past. That’s a dangerous assumption to make – for several reasons:

The Big Bang Theory is not short on geniuses. Not only is the show about highly intelligent scientists, but cast member Mayim Bialik has a Ph.D. in Neuroscience. So it should come as no surprise that the cast would want to show off their intelligence and attention to detail. In Sheldon and Leonard's apartment, there's a large white board. The two roommates use the board frequently for everything from actual work that Leonard or Sheldon has brought home, or to decide whether to eat before or after the new Spider-Man movie.
Astronomers confirmed a key part of Einstein’s general theory of relativity in 2016 when they announced that the LIGO array had detected gravitational waves released by the collision of two black holes. The researchers won a Nobel Prize for the discovery. But they’re not done: In October, scientists announced the finding of two dead stars colliding — not only hearing the ripples in space-time they made, but confirming the event visually with powerful telescopes. Collisions of neutron stars are believed to be the source of all heavy metals in the universe, including gold and silver, and the detection by LIGO helps verify accepted explanations of how the chemistry of the universe formed.
['serim?ni]
Indeed, their ability to do so peacefully is among their strengths.
该报告指出,代理商和投资机构的涌入导致世界第二大经济体的增长方式和平台发生了额外的变化。小米科技公司的投资人和创始人雷军、360董事长周鸿祎、中国首富王健林等众多互联网大咖都大力支持流媒体的网络直播,这强烈表明了投资网红经济的巨大利润。
2015年最差职业
北弗罗里达大学的一个有趣的实验证明光脚跑步比穿鞋跑步更能提高记忆力。和那些在实验室和室内坐在桌子边进行的试验不同,在这个实验中,研究人员们引入了一些有趣的观点来探索提高记忆力的奥秘。实验的研究对象为“工作记忆”,即人们加工信息和回顾生活细节的能力。科学家们发现,光脚跑步比起穿鞋跑步来说,可以对记忆力产生轻微的提高。在试验中,年龄为18-44周岁的参与者们被要求跑两轮,一次穿鞋,一次不穿鞋。
His mother says he is a scapegoat. 'This company is in the process of attempting to sue a 14-year-old child,' she wrote in the letter which has been shared online.
n. 贷款,借出,债权人

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.

[slaut?]

1

尽管中国的私人财富大幅增长,但中国的亿万富豪仍未跻身全球顶级富豪行列。胡润估计,中国首富、万达集团(Wanda Group)掌门人王健林在全球富豪中排名第26位。
越南昆岛——越南昆岛曾是臭名昭著的昆岛监狱所在地,由16座独立的小岛组成;现在,它的美景及海鲜正变得越来越有名气。
The 'Divergent' Star Shailene Woodley top the list of most beautiful women of 2015. The young Hollywood star found breakthrough success in The Descendants (2011). She was considered one of the “55 Faces of the Future” by Nylon Magazine's Young Hollywood Issue.
Yet the TV adaption couldn’t satisfy the audience, who prefer real history rather than fiction, and it only got 4.9 points on Douban.
提供公务员考试培训的教育机构中公网校的数据显示,报名首日共有31220人通过审核,超过去年同期的2.5万人。
《副总统》(Veep):Netflix公司的热门剧《纸牌屋》(House of Cards)今年露出疲态,但另一部讽刺华盛顿的HBO电视剧《副总统》却在第三季中更上一层楼。塞琳娜(朱莉娅·路易斯-德莱弗斯[Julia Louis-Dreyfus]饰)和助手加里(Gary,托尼·黑尔[Tony Hale]饰)在洗手间里发现自己即将成为总统后,激动得失声大笑,成为2014年喜剧片中最滑稽的一幕。
这支在11月有着过半胜率的不断进步的球队完全不是垫底球队,这是一支严格意义上的可能的季后赛球队,但是就像所有重建中的球队都会讨论的那样,是靠现有球员和上场时间来换取当下的胜利呢,还是更关注于可持续性的发展呢?
维多利亚的秘密内衣秀刚刚拉开华丽巨幕,今年的秀也是有史以来最奢华复杂的一次。

In the three years after the death of Steve Jobs, Mr Cook, 54, has held his nerve through attacks from activist investors and a loss of faith among some that Apple could succeed without its late founder. This year has seen Apple’s chief step out of the shadows of his predecessor and imprint the company with his own set of values and priorities: bringing in fresh blood, changing how it manages its cash pile, opening Apple up to greater collaboration and focusing more on social issues.
expansion
《小镇疑云》,BBC America,3月4日播出。大卫·田纳特(David Tennant)携第二季归来,在这部引人共鸣的英国推理剧中继续饰演亚力克·哈迪(Alec Hardy)探员(去年他在美国翻拍版的《小镇疑云》[Gracepoint]中饰演埃米特·卡弗探员)。这部剧将于周一在英国首映,制作人们已经开始谈起第二季的秘密情节了,编剧克里斯·齐布纳尔(Chris Chibnall)在接受英国杂志采访时说的话可能会让剧迷不爱听,“第二季不是讲罪案的。”奥莉薇娅·科尔曼(Olivia Colman)继续饰演艾丽·米勒(Ellie Miller)探员,夏洛特·兰普林(Charlotte Rampling)和玛丽安娜·琼-巴普迪斯特(Marianne Jean-Baptiste)也加入了演员阵容。
下面是2014年的几部重现活力、需要刮目相看的老剧——以及几部死气沉沉的老剧。
crew
恭贺新禧,万事如意。
201001/95381.shtml
4. 蕾哈娜
He took out his textbooks and busied himself with his daily homework routine.
silicon
这位工作人员表示:“我们的数据显示该用户的年龄是28岁,并非媒体上报道的13岁。”
该世界大学学术排名主要考核六个客观指标,包括校友和员工赢得诺贝尔奖的数量和奖牌、高度援引研究人员的数量、发表在《自然》和《科学》期刊上的文章数量、科学引文索引收录的文章数量以及师均学术表现。
“Even if you have made your peace with a Fed rate rise there are other reasons to be nervous,” said David Hauner, head of emerging markets at Bank of America Merrill Lynch, who points to falling oil prices and the slowdown in China to illustrate why market volatility measured by the CBOE’s Vix index, a barometer of investor sentiment, has been elevated since August.

2

年龄:31岁
对不起了各位,但如果你是投资者,并希望美国政坛的互相残杀会在短时间内改善,那你还是别投资了。支持率跌至10%深谷的国会与总统之间,民主党、共和党和茶党之间的战争将越打越激烈,扰乱市场,更扰乱经济。
2.听觉矫治专家
在上月销量最高的SUV和MPV制造商中,大家所熟悉的长城汽车和上汽通用五菱汽车成功卫冕。在轿车和掀背车型上,上汽大众也保持其冠军地位。
办公室总有一两个让人让大多数人都无法容忍的人,但是如果你不喜欢大多数的同事,那么你的工作就会变得不愉快因为你不得不整天和他们在一起工作。如果你再也不能容忍他们,试试找一个你能够和里面的职员和平相处的公司了。
Murietta belonged to a gang known as the Five Joaquins, who were notorious bandits during the height of the California Gold Rush. While Murietta's criminal activity likely did not have any political undertones, he nonetheless became a symbol of Mexican resistance as American settlers ventured to California. Unfortunately for him, this pushed the government to put a bounty on his head, leading to his murder and beheading. Luckily, Banderas's character didn't fall to the same fate.
TV soaps regularly top the TV ratings but the highest trending show of 2012 was the BBC kids' show 'Mike The Knight' that beat US terror drama 'Homeland' and 'Towie.'
“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。
The upshot: The world's largest economy can still function as an oasis in a desert despite the claims of doomsayers that those days are over.
上周发布的一份报告表明,还有很多人在使用password(密码)一词登录账户。
summary
凡是这家汽车服务公司的忠实员工在效力满10年后,都可获得一份奖励:在佛罗里达州波卡拉顿的一处度假胜地欢度周末(此地距该公司总部仅15分钟车程)。这项福利此后每5年都可以享受一次。

“The steady and now record-breaking rise in average global temperatures is not an issue for another day,” Michael R. Bloomberg, the former New York mayor who is spending tens of millions of dollars of his personal fortune to battle climate change, said in a statement. “It’s a clear and present danger that poses major economic, health, environmental and geopolitical risks.”
竞争对手在网上的表现如何?谷歌的搜索广告关键词规划工具会帮助你解答这个问题。“搜索广告”这个词可能会令有些企业家望而却步,因为它似乎会要求你买广告位。但事实并非如此,只要有谷歌账号,任何人都能使用这个关键词规划工具(不过你首先必须点击Adwords的进入端口)。然后你可以使用关键词规划工具来看看在你从事的领域中,哪些关键词会吸引最多的搜索量,然后找出吸引流量的机会。
grant
7. Am I working too hard? Taking time to re-charge and spend time on activities that make you happy is so important. Honor your desire to pull back from work or school pressure when needed and give yourself time to breathe, even if it’s only for a few minutes at a time.
凯特·温丝莱特凭借她在电影《乔布斯》中扮演的乔安娜·霍夫曼一角斩获金球奖最佳女配角奖项。当她听到自己获奖时,她目瞪口呆地坐在椅子上不敢相信。
Or, this year, to be women with a story to tell about abuse, sexual or otherwise — a couple of whom shared #MeToo moments in our pages. Carlotta Gall told the story of Henda Ayari, a French citizen of North African heritage and anti-Salafist activist who accused a prominent Oxford professor of raping her.
Like air, blue skies treat everyone equally.
[k?:]
12. Scientists modify photosynthesis to boost crop yield

3

荷兰合作银行表示,在本月唐纳德.特朗普(Donald Trump)当选美国总统后,该行对美国的前景持谨慎态度。
仲量联行国际住宅物业服务公司副董事马克·艾略特在接受CNN采访时表示:“香港是一个有着700万人口的小岛。边界那边(中国大陆)有15亿人口想要在此投资。虽然政府正在腾出越来越多的土地,但是这并不管用。”
After IMD in second place, Duke Corporate Education completes the custom programme podium. It is the third year in a row that the US school is in third place, having previously topped this ranking for a record 12 consecutive years to 2014.
Cnzz.com的报告还讨论了目前在中国网络游戏行业盛行的装备收费模式问题。举例来说,很多美国游戏公司都是按照时间收费的,但大多数中国网络游戏都采取了装备收费模式,玩家可以免费试玩。用户玩游戏的时间越长,就越有可能花钱购买游戏装备,以获得更高的游戏级别。但这也意味着花钱最多的玩家就在游戏中表现最好。
和许多评论家一样,我一方面了解清单的便利,一方面也讨厌清单的专横。所以我永远不可能只列出十部――我怎么做得到呢,北美影院一年就要上映900多部影片呢――今年是2015年,所以我挑选了15部,为它们分门别类,计数时做了一点含糊,所以最后其实是20部。其中有两部片名的不代表并列,而是代表有两种特色,可以成对观看,二者的优点相映成趣。
单词neglect 联想记忆:
4.室外类比赛项目
With assets under management of $200bn, according to Nomura Securities, Japan’s ETF market is about $50bn larger than all other Asia-Pacific ETF markets put together. At the end of August, the market value of the BOJ’s ETF holdings was $175bn.
“我们为最佳影片奖颁奖通告期间出现的失误,向《月光男孩》、《爱乐之城》、沃伦?比蒂、费?唐纳薇、以及奥斯卡奖观众表示诚挚地道歉。颁奖嘉宾收到的是错误奖项的信封,这个失误一经发现立刻得到了纠正。”
Once you grow your hair slightly longish, be sure to play with it at every opportunity.
In 2013, the total number of applicants who qualified for the national service exam reached a record 1.52 million. In 2014, the total number decreased for the first time in four years to 1.41 million, the People's Daily website said.
n. 校订,修正,修订本,复习
James Bond Themes 7. "Nobody Does It Better" by Carly Simon
Judge for yourself.
Estimates vary, but the research firm IDC projects that wearable tech will exceed 19 million units this year—more than triple last year’s sales—and will soar to 111.9 million units by 2018. Credit Suisse values the industry at somewhere between $30 billion and $50 billion in the next two to four years. But before that happens, the nascent market has that pesky wouldn’t-be-caught-dead-wearing-it hurdle to clear.

4

Recipient: Canadian Prime Minister Justin Trudeau
年龄:39岁
或许不会是一个超新星,但是会有好球员快速地把他们拉回正轨,比我们之前讨论的其他队伍都要快。打完这个赛季,还完之前的债,然后就可以潇洒甩头,大步向前了。
The fastest growing start-ups tend to be global in their outlook. The immigration restrictions already imposed by President Trump in the US and those under consideration as part of the UK’s separation from the EU are likely to be a hindrance in the coming year for hiring.
projected
近些年来,细菌感染卷土重来,受害者达到了自1960s以来从所未见的最高值,初步确诊者的人数从429跃升至1300多人,从2011年到2017年期间的感染人数翻了两倍不止。
adv.
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.
不存在什么人民,这是想象出来的实体。
这个家庭中心内部有三个摄像头,它能够连接到你的手机,你可以通过手机看冰箱里有什么。所以它基本上是一个6000美元替代用纸笔完成购物清单的替代品。
它们大多来自50个不同的行业,包括食品和饮料、汽车和汽车零部件、媒体、零售、能源和互联网。

5

enter进入+prise进入抓住[目标]→事业;进取心
201107/145539.shtml
《橘色》,导演:肖恩·贝克(Sean Baker)。
When things do go wrong, Mr Cook takes swift and merciless action. In late 2012, after the premature launch of Apple’s flawed Maps app, he dismissed Scott Forstall, who led the creation of iOS and was a close ally of Jobs, and John Browett, the former Dixons chief who had led Apple retail for less than a year. The actions sent a message that Mr Cook will not tolerate underperformance or internal politics.
4.Thank you so much! I just love it! – Because telling someone that their gift sucked would make me look like an insensitive jerk。
但行业观察人士说,这样的观点忽略了一个中国在创新方面与西方竞争对手直接对峙的领域:让中国版本更具互动性、使用起来也更有趣的那些额外功能。
许多技术人员相信,本世纪的智能机器人很有可能和人类进行比赛,并取得胜利。
第三季度摄影师的工作增长了大约22%。报告的作者将这一增长归因于雇佣者“最终理解了他们的登录页面的高质量图片的重要性”。通过雇用受过培训的有创造力的专业人员来扩大提升网站知名度也是这一排行榜上的一个常在的主题。
单词petroleum 联想记忆:
一些银行仍然给予股东高额回报。中国招商银行十分“大方”,其分红占净利润的30.16%。
The impact will also ripple out to some net commodity importers, Mr Williams believes, with higher commodity prices likely to boost the price of resource-intensive manufactured goods such as steel, bolstering the value of exports from the like of South Korea.
Sixty Vocab:
population
EMBAGlobal is the only programme in the top 10 that saw a slight drop in the average salary of its alumni compared with last year (the other nine recorded strong increases).

6

否则,就应该交易考辛斯还有在过去的两个赛季里签下的其他的老将了。
并且第四座航站楼已经竣工,将于2017年下半年投入使用。
The wealth and depth of knowledge from around the world adds tremendous value to the course, wrote another graduate from the US, adding that “with so many cultures and experiences represented, a classroom ethics discussion about bribery is not your typical boring USA version”.
最后的预言:疲软的经济增长将延续至2010年。在春天前,奥巴马的白宫都不得不扮演美国政治中心的角色,美国商业界也终于开始相信会出现温和复苏。
审校:赵倩 来源:前十网
According to the institution, only women with a net worth exceeding 8 billion yuan are eligible to be selected as one of the top 50 richest women in China.
与此同时,有一首非常有意思的歌曲来自我们的读者Libby Russell,是她为所有世界杯期间的足球寡妇所作。非常感谢Libby的分享,太棒了!
这个啤酒机能从下往上倒着灌满一杯好酒。
当时的杜兰特身高6尺9寸,体重只有185磅,我很惊讶在高中赛打到一半时他没有被撞坏。幸运的是,杜兰特不靠在大前锋位置上力量抗衡赚钱,他主要依赖他拿手的急停跳投。

明尼阿波利斯(MINNEAPOLIS)

Conclusion

"这是自然保护的一次伟大创举。"
What dangers does the Fed present to EMs today? One of the biggest risks, says Mr Koepke, is that it might “get behind the curve” and delay raising rates for too long. This would result not only in a surprisingly big hike when it came, but also a higher terminal interest rate than would otherwise be the case.
7. Get Comfortable
事实上,你要毅然坚决地将工作和找工作划清界限。也就是说,你不能偷偷溜出去接听电话面试。不要浏览找工作的平台。不要用你的工作邮件地址申请和联络。“你不要在工作时看色情照片,同样不要在工作的时候看你的简历,”凯说:“你千万不要。”
Du Pont called himself “the Golden Eagle” and had a distinctive, eagle-like profile. The designers aimed to capture that profile while not creating a carbon copy of the real du Pont.
Beloved TV show characters enter our lives as friends and impact us in crazy ways. They can make us laugh until our sides hurt, cry when things don't go well for them, and call in sick to work when we just can't stop watching and must know what happens. But through it all, we love them. And yet, there's so much that the audience will never know. Some TV shows have dark secrets. Some almost didn't exist at all. Here are some behind the scenes stories of your favorite TV shows.
Carry out deleveraging in an active and prudent way.
钱很重要


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. “New Yorkers have been waking up and realizing this long period of prosperity has wreaked a little bit of havoc on things that we think of as classic New York,” said Simeon Bankoff, the executive director of the Historic Districts Council, noting that 2015 will mark the 50th anniversary of the New York City landmarks preservation law. “Things we always thought were going to be there are just closing left and right.”
  2. n. 碎片,乱七八糟的状态
    该王储称,当局可通过和解收回多达1000亿美元。

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