Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

今年六月,一项大学和工业界的合作宣布,他们通过一种新的勘探技术在坦桑尼亚发现了一个储量巨大的氦气田。
5. Constantly take action.
报道称,这些公共脸书群组的名字包括,“哈佛前1%精英少年表情包群”、“UCLA超变态青少年表情包群”、“USC被宠坏的小少年表情包群”等。
Like any college kid, Evan Wray loved using the tiny pictograms known as emoji. But he hated that there was no emoji to express his Fighting Irish pride with fellow University of Notre Dame students. So, alongside co-founder Sean O’Brien, he built a modest business on that disconnect. TextPride, as it was called, licensed images from brands in the sports and entertainment world and sold them as sticker packs. Within a messaging app like Kik, users could buy a packet of stickers for Disney’s Frozen for $1.99, for example.
世界杯锦标赛即将到来。 我想告诉你永葆美丽的一些要诀。
The new figures come as Mr Duterte fends off criticism at home and abroad over his anti-drugs campaign, which has seen 600,000 potential suspects voluntarily turn themselves in to authorities.

在世界五大电脑制造商中,苹果公司是去年唯一一家出货量保持增长的公司,涨幅超过了6%;宏碁公司则是下跌幅度最大,下跌超过了18%。
艾伦·狄珍妮丝:
Will the BoJ tighten monetary policy
《一个开车从来不回头看的沙特女子》(A Saudi Woman Who Got Behind the Wheel and Never Looked Back)
新版《蜘蛛侠》是迄今为止最棒的一部,这主要是因为它很搞笑。这部电影就像是《早餐俱乐部》、《春天不是读书天》遇上《怪胎与书呆》式的幽默。
Investors have noticed Honda’s troubles. The automaker was one of the very few worldwide to avoid deep losses during the global financial crisis. Still, its common shares are down 17.2% over the past year, while the Nikkei 225 Index is up 7.4% and Toyota Motor shares are up 19.5%.
The book — published by Basic Books and Oneworld Publications — won out against a strong shortlist dominated by books on technology.
中国政府鼓励向中小规模的借款人放贷,其中很多贷款者没有信用纪录。分析师预计,在金融上表现活跃但没有信贷渠道的中国消费者有5亿之多。
国内生产总值达到74.4万亿元,增长6.7%;

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.

Companies do have black lists. It's not written down anywhere but it's a list of people they'd be happy to get rid of if the opportunity arises. If you feel invisible, if you're getting bad assignments, if your boss is ignoring you, or if they move your office, you're probably on it.

1

7.无人机
conduct
I loved his list (hat tip to him), but I thought I’d elaborate on what I believe makes for an effective boss or manager。
达洛伊西奥常喜欢说“时间是新的货币”。这是一个17岁男孩对人生的睿智洞察,也是Summly软件背后的发展理念。而我们多数人在他那个年龄,时间多得都不知道该怎么做才不会荒废。我很容易就忘了这样一个事实:达洛伊西奥在1995年出生于一个中上层阶级家庭,连高中都还没毕业,还住在小时候住的那个舒服卧室里。在我和他父母聊天的时候,他离开房间去在电脑上干活。只见他穿着袜子下楼,牛仔裤腿扫过大厅的地毯──此时此刻是他最像个孩子的时候。
'With women, he has this sort of patronising carnal attitude with them which is absolutely accurate to the Bond of the books. But then by creating very strong women he is given quite a run for his money and his attitudes are challenged.
Although it picked up a best editing prize from the LA Film Critics Association, it was ignored by their New York counterparts. Could its momentum be waning?
Lee Kong Chian School of Business at the University of Singapore, in 76th place overall, is the first Singaporean business school to enter this ranking, which includes seven Asian institutions. Its alumni are by far the most internationally mobile among this group. They are ranked 25th for mobility, 57 places ahead of the next most mobile alumni, those from the National Sun Yat-Sen University in Taiwan.
The EU is making clear it wants to use the void in US leadership on trade to nail down new trade agreements. The negotiations with the Mercosur trade bloc in Latin America have been going on in fits and starts for more than a decade. But the EU and key Mercosur members like Argentina are now pushing to conclude a deal by the end of this year. That would be a big statement planted right in the US’s backyard.

Talk show host and comedian Ellen DeGeneres will host the Oscars ceremony for a second time.
9月份CPI录得1.6%的同比涨幅后,经济学家曾预测10月份的同比涨幅为1.5%。中国政府为今年全年设定的通胀目标为“3%左右”。
While Switzerland’s University of St Gallen retains the top spot, French and British business schools, with 24 and 18 programmes respectively, are the backbone of the 2017 FT ranking of 95 programmes around the world. More than half of UK schools move up the ranking, compared with one in France. A third of British schools rise five places, in contrast to the two-thirds of French schools that drop five or more places.
Ellen Johnson Sirleaf, 72, became Africa's first democratically elected female president in 2005. The Nobel Committee praised the Liberian leader for her efforts to secure peace, promote economic and social development and strengthen the position of women.
And the best gig for 2015? That would be an actuary, the people who specialize in financial risk.
Their positional matchups with both Cleveland and Boston now look much more palatable.
There's a difference, though, in a team like Miami that's playing its young guys and trying to build a core while taking on losses, and, say, the Magic, who are trying to jump-start a stalled process.
在英国《金融时报》的年度调查中,欧元区分析师作出了欧洲央行不会采取进一步行动的预言,尽管德拉吉试图说服市场相信:只要整个单一货币区的通胀和经济增长继续令人失望,欧洲央行就将随时准备采取行动。
联系方式:Debbie McNally, Lakes Sotheby’s International Realty, (612) 388-1790; debbiemcnally.com
通过药物注射传播艾滋病病毒的情况已得到有效控制。2017年,经注射吸毒感染者的人数相比2012年下降44.5%。
She said: 'On a scale of one to 10, I feel I'm at a nine because there's definitely room for improvement. I know I could go further.'
防止虐待动物协会南澳首席检查员安德里亚·刘易斯表示,对工作人员来说这是一件“令人心碎”的事。
Succeeding as an entrepreneur takes hard work and persistence because, unfortunately, there is no business-startup fairy who magically bestows success on small businesses and their owners.

2

是的,在具体时间问题上它们给不出答案,但定时炸弹的嘀嗒声很响、很近。“始于2013年4月份的贵金属崩盘,是全世界即将发生的情况的第一个警告信号。”
In reality, bitcoin displayed major momentum in the last year as both a technology and a movement, and looks poised to convert more skeptics in the year to come. The metrics in a range of areas prove it: the number of bitcoin-related startups and jobs has boomed; the number of accepting institutions has bloomed; and activity among developers is greater than ever.
Obama's victory in the hotly contested swing state of Ohio - as projected by TV networks - put him over the top in the fight for the 270 electoral votes needed to clinch the White House and ended Romney's hopes of pulling off a string of swing-state upsets。
衷心祝福来年快乐、幸运!
accomplished
虽然总统那晚险胜,此次相逢与前两次辩论相比是诚恳且基本上平安无事的,不太可能对选举结果产生多大的影响。
尽管增势坚挺,上个月年增长率还是从9月份的下跌0.8%,滑落至下跌1.4%。经济学家原本预计,在截至10月份的12个月里,日本工业产出下滑幅度为0.9%。
Swyft works with 50 different messaging partners, including Kakao Talk, Facebook Messenger, BlackBerry Messenger, and Line. The partnerships give the 11-person company access to 2.5 billion registered users. As the strategies for monetizing messaging apps evolve, the young startup has carved out a way for brands to inject themselves into the conversation.
今年的排行榜包括90个管理学硕士项目,创历来最高纪录,多于2015年的80个。
10月份,日本生产增长速度突然提升,让决策者对日本经济的实力有了更多希望,或许也可以理解为释放了更多喜忧参半的信号。
专家表示,2016年对中国电影业来说是非凡的一年,因为它实现增长的同时面临着多种挑战,包括互联网的快速发展、中国观众日益高雅的品味和国家的经济衰退。
2014届大学毕业生工作半年后,平均月收入为3487元,较2013届的3250元、2012届的3048元有了较大增长。

会建立起稳定、流动性较强的比特币期货市场吗?
enter在中间+tain拿住+ment→在[工作]中间拿→娱乐,款待
Nearly four in 10 US residents say the severity of recent natural disasters such as Superstorm Sandy is evidence the world is coming to an end, as predicted by the Bible, while more than six in 10 blame it on climate change, according to a poll released on Thursday.
卓越雇主排名:7
'There are two ways of doing natural language processing: statistical or semantic,' D'Aloisio explains. A semantic system attempts to figure out the actual meaning of a text and translate it succinctly. A statistical system-the type D'Aloisio used for Summly-doesn't bother with that; it keeps phrases and sentences intact and figures out how to pick a few that best encapsulate the entire work. 'It ranks and classifies each sentence, or phrase, as a candidate for inclusion in the summary. It's very mathematical. It looks at frequencies and distributions, but not at what the words mean.'
●"Woman arrested for defecating on boss’ desk after winning the lottery"
玛莎·切利取出嘴里的香烟,喃喃低语:"我也曾经这么想过。"说完便又抽起了烟。马克震惊了(我们想象一下,当知道你的亲生母亲可能会在你沐浴时杀了你,这反应很正常)。马克第一次意识到家庭主妇会变得多么绝望和孤独。接着,他就想到这会是电视剧的一个好素材。这次谈话便开启了《绝望主妇》的制作。
沙特阿美(Saudi Aramco)会在外国公开上市吗?
The THE Asia University Rankings for 2017 rated Peking University and Tsinghua University, both in the Chinese capital of Beijing, as the second and third best universities in the continent. National University of Singapore is ranked the best.

3

(og[coRVqG6sd,
《至暗时刻》
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。
6. Make a plan.
每平方英尺单价:395美元(每平方米约合人民币2.7万元)
这两部纪录片都使用标准工具——资料影像、人物采访,悉心选择的音乐资料——在目前的紧张局势中书写历史。在“黑人的命也是命”(Black Lives Matter)的时代,关于黑豹党和爵士歌手兼行动分子妮娜·西蒙妮的影片确实意义重大。尼尔逊和贾巴斯精彩地讲述了他们的故事。
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。
n. 谈话,演讲
爱你的老公!
Texas was one of the first states to emerge from the recession and it continues to attract companies on the basis of its low tax burden, predictable regulatory environment and skilled labor force. Texas employment is expected to expand 3% annually through 2017, according to Moody’s. (Arizona’s forecasted rate is a microscopic 0.04% better). Texas has attracted a lot of attention from California companies and Governor Rick Perry has not been shy about contrasting the business climates of the two states. California firms EBay and Electronic Arts have both chosen Texas for large expansions in recent years. Austin has been a hotbed of activity this year with Accenture
萨姆·史密斯是一个风格多变的男人,他可以在奥蒂斯·雷丁、艾瑞莎·弗兰克林和雷·查尔斯以及像艾米·怀恩豪斯和阿黛尔这样的现代偶像的风格中随意转换。
CONTACT: Staci Donegan and Peter Westley, Celia Dunn Sotheby’s International Realty, (912) 247-2052 / (912) 660-5169; celiadunnsir.com
从“高跟鞋门”到“金棕榈狗狗奖”(Palm Dog),再到迅速走红的“老爹身材(Dad bod)”,戛纳电影展的这12天,真是令人眼花缭乱。随着电影节进入尾声,英国广播公司回顾了本届戛纳影展上的九桩事。
However, in season two Friends took a big leap toward equality by featuring a gay wedding when Carol married her girlfriend Susan. Behind the scenes, executive producer Marta Kauffman said, "NBC expected thousands and thousands of phone calls and hate mail." However, after the episode aired, they received only four antagonistic letters. As it turns out, people just didn't care that much.
昨日,中国四大国有银行中的两家——中国工商银行(ICBC)和中国银行(BoC)——均报告称,2015年全年净利润增长低于2%。

4

“失业”是金融类最热门的搜索项,其次是“华尔街公司”和“产品召回”。
三严三实:既严以修身、严以用权、严以律己,又谋事要实、创业要实、做人要实
Song “Embrace Happiness”(Kelly Chen)
4. Smart trashcan
10.American Hustle
(og[coRVqG6sd,
神经系统科学家发现了小脑的一项全新功能。长期以来人们一直认为小脑基本上与意识直觉等活动无关,它的主要作用是协调站立、呼吸等基本的身体活动,然而,实际上小脑在影响人类行为上也发挥着重要作用。
可以想象,2016年油价将从当前不到40美元的水平上反弹。沙特或许会尝试减产,伊拉克可能会爆发更多冲突,恐怖主义分子可能会攻击一些重要目标,比如沙特拉斯坦努拉和阿巴奇克的石油终端。一切皆有可能,有些事情发生的可能性更大一些。但问题在于,油价反弹的幅度将有多大?
不会。华尔街策略师预测美国政府的10年期借贷成本将在未来一年攀升至3%以上,这话就像尴尬的办公室聚会一样是圣诞节那段时间的固定节目。鉴于美联储退出量化宽松和美国减税,今年的预测看起来更有可能实现。然而,压低通胀和长期债券收益率的长期重大因素依然存在,并且仍然被低估。2018年美联储将至少加息三次,但10年期收益率不会突破3%。
The central government is planning to establish a bond market connect between the mainland and Hong Kong Special Administrative Region on a trial basis this year, allowing for the first time overseas capital to access mainland bond markets from overseas. Hong Kong will be the first to benefit from such an arrangement
胡润估计,中国内地目前有594位身家十亿美元以上的富豪,在香港、台湾和澳门还有94位,而美国仅有535位。

5

Leading the pack of the best airlines for holiday travel is Hawaiian Airlines, followed by another Pacific Coast-focused carrier, Alaska Airlines. Conversely, the worst airline for holiday travel is New York-based JetBlue Airways, with ExpressJet, a regional carrier, coming in next to last, according to the FlightAware data.
engaged
Yu Xiuhua
自从美国的民权运动以及欧洲敞开国界以来,多元文化主义已经兴盛数十载,这些问题似乎是一种突然的逆转。
The values of the citizenry are a democracy’s most important asset.
10.Star Wars: Rogue One
The impact of sluggish growth on year-end payouts may have peaked in 2015, however, when 66 per cent of white-collar workers received no year-end bonus. And the 2016 level actually represents an improvement from 2014, when 61 per cent had to go without.
脱口秀主持兼喜剧演员艾伦·狄珍妮丝将会第二次主持奥斯卡颁奖典礼。
女子200米蝶泳——刘子歌、焦刘洋
2015年最差职业
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.
考虑到猛龙现有的轮转人员,伊巴卡和塔克的到来使猛龙的防守大幅度提升了。鉴于洛瑞和德马尔-德罗赞一到季后赛得分效率就下降的黑历史,这两笔交易也给了主教练德韦恩-凯西足够的武器用来拿下那些季后赛胜利。
因此,根据凯投宏观的计算,在2016年头10个月,新兴市场出口额(以美元计算)的同比降幅仅为6.6%,较2015年11.6%的降幅有了明显改善,如第三张图表所示。
4.Captain America: Civil War

6

Sandy has caused large-scale damage, with more possibly to come.
Against: It's not yet managing to win top honors from critics' groups.
Metals cases made up a record 46 per cent of the 233 anti-dumping actions brought worldwide in 2015, with the steel industry accounting for almost all of the metals complaints.
江苏、山东、浙江、河南和四川的经济总量排名紧随其后,名次与2015年相同。
我的饮食健康吗?我们所吃的食物种类很大程度上会影响我们在身体和情绪上的感觉。食用过多垃圾食品会导致偏执,使人精力降低。反之,饮食健康则会使人有更好的情绪和更高涨的劲头。
中国拥有世界上最大的外汇储备,它一直被视为金融稳定的最终保障,因为外储可以被用来对冲资本外流,或纾困艰难应对坏账增加的国内金融机构。
The untitled movie revolves around two intersecting love triangles, obsession and betrayal, set against the music scene. It stars Christian Bale, Cate Blanchett, Michael Fassbender, Ryan Gosling, Rooney Mara and Natalie Portman.
来自中国首都北京的北京大学和清华大学,分列2017年亚洲大学排行榜的第二、三名。而新加坡国立大学则位居榜首。
cast

n. 行星

Conclusion

“伦敦商学院拥有优秀的学员群体,国籍非常多样化,具有竞争力和聪明才智,”一位2012级的美国毕业学员评论道:“它也给了我无需参加单纯聚焦美国的美国MBA课程就能(通过交换)在美国学习的机会。”
We will improve mechanisms that give incentives and allow for and address mistakes so as to support those who are dedicated to their work and stand behind those who live up to their responsibilities. Every one of us in government must take an active approach to our work and have the courage to tackle the toughest problems, we must work closely with the people, using concrete action to make progress in development, and using genuine hard work to realize a bright future.
The University of Pittsburgh team used stem cells made from skin to make MCPs, a special kind of cell that acts as a precursor to cardiovascular tissue. They then placed these cells on a 3-D scaffold designed to support a mouse heart. Within 20 days, the new heart began beating at 40 to 50 beats per minute.
The Belt and Road Initiative: The Silk Road Economic Belt and the 21st-Century Maritime Silk Road
John Authers
艾瑞咨询集团和中国最火的微博平台——新浪微博在上海的一个论坛上发布了该报道。该论坛由微博和通信巨头华为联合举办。
在这场新闻发布会上,国家卫生健康委员会负责疾病预防的官员王斌称,中国已经在预防和控制艾滋病方面取得了进展。
我对事物持悲观态度


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. The Republican candidate appeared unsure at times and occasionally stumbled over his lines as if struggling to remember his briefing notes. He began sweating as Obama, aggressive from the start, got the better of him during exchanges on Iran, Iraq and Russia as well as on US military spending.
  2. vi. 领先
    今年夏季,美国ETF管理的资产规模跨过3万亿美元大关,亚太ETF行业管理的资产仅成功爬上3500亿美元关口。

Next Article:

   Comments ()

Clinical

Practice Management