Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

Scientists may be working hard at making organs that match the body's capabilities, but why stop there?
这是2015年1月11日发布在伊斯兰主义社交网站上的视频截图,显示了一个自称为AmedyCoulibaly的男人,声称就是他在2015年1月9日杀死了犹太超市的四个人质。
单词contain 联想记忆:
单词petroleum 联想记忆:
英国新人结婚模仿“怪物史瑞克”(图)
Helsinki-based developer Remedy Entertainment has blurred the line between Hollywood and games with previous incarnations Max Payne and Alan Wake. Now the studio is combining next-generation visuals with the tension and drama of scripted television. Set in the university town of Riverport, Quantum Break puts players in control of Jack Joyce and Beth Wilder, a pair of ordinary people who are given the extraordinary power to manipulate time after an accident that creates a time rift. Time will randomly break down during the game, which causes disasters in the environment that pause, stutter, rewind and freeze. Fans of Max Payne’s bullet time will see new strategies emerge with gunfights involving time-amplified combat as the player fights against the Monarch Corporation. In addition to the virtual storyline, the game features custom live action storytelling that’s personalized based on the decisions one makes.

性感的小动作,比如摆弄头发、轻弹小指、摩擦双腿、踱步、摇晃、轻咬嘴唇。(好吧,上面很多其实都是在回答“如何变成康伯巴奇”。)
亲朋好友称Ross是一个充满活力有梦想的女孩子,她走到哪里,都会被她点亮。她去世后几天,她的母亲Alicia Jesquith告诉记者,女儿突然离世,她需要一个答案。
“你们可以选择自己喜欢的休假方式,”他写道,并建议人们“旅行、参加慈善项目、与家人共享天伦之乐,或只是利用假期充电和调整心态”。
Elsewhere, Australia recently introduced reforms that have increased transparency around fund pricing, which has driven rapid growth in ETFs.
Will Trump trigger a trade war with China
Comedy Series: “Veep” (HBO)
Bank of China followed the trend, with profits up only 1.3 per cent and ROAA declining by 0.1 percentage points.
这一次,湖人队处境不错,而且不需要赶着去做什么事,给他们点时间,看看他们到底会怎样。用这样的防守质量他们很难进入季后赛,但是这并不是这个赛季的重点。
The fear was over downward mobility and cultural changes; the anger was against immigrants and indifferent elites.

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.

? President Obama declared a "major disaster" in New York and New Jersey. Flooding devastated the coast and more than 2.3 million lost power. The National Guard rescued hundreds from flooding in New Jersey. The governor, Chris Christie, a Republican, said the damage was "unthinkable". He praised the "outstanding" co-operation he had received from Obama.

1

10.American Hustle
我判断摆烂不是看言论而是看球队动作的。所以,即使球队说他们没有摆烂,但是签了一大批落选的自由球员,同时报告明星球员伤病缠身,这时候你就知道,他们是在摆烂了。
After Peking University, known as Bei Da, and Tsinghua University, the next highest-placed Chinese university is the University of Science and Technology of China at 15, Fudan University at 16, Shanghai Jiao Tong University at 18 and Zhejiang University at 19 in the top 20.
Funded partly by firms and companies, the charity places top graduates in schools serving low-income communities for at least two years, knowing full well that many of them will leave the profession at the end of this period.
According to a 2014 survey it conducted, 86 per cent of respondents who finished the two years said they were taking action to end educational in-equality through their work and 65 per cent outside of their work.
"Last year, 1.2 million Chinese visited Australia. We anticipate this will grow during the China-Australia Year of Tourism and will continue to grow afterward."
2013年日圆兑美元下跌21%,这为日本吸引来1,000万海外游客,尽管中日两国在东中国海(中国称东海)存在领土争端,然而这些游客中有许多是来自中国的富人。
《盗墓笔记》

['d?u:?lri]
也许你在地铁上上见过各种着装怪异迥异的角色出现,可应该没人在月台上见过大熊猫成群结队吧。
奥巴马赢得了第二场辩论挽回颓势。虽然他也赢得了第三场,外交政策并不是选民关注的主要问题,这不大可能导致较大的选票波动。
[k?:n]
['mu:vm?nt]
发展最迅速的初创公司往往具有全球化的视野。未来一年,美国总统特朗普已经实施的移民限制,以及英国作为退欧的一部分而在考虑的限制措施,可能会对企业招聘形成障碍。
adj. 稳定的,安定的,可靠的
Now 12 games into the quadrennial tournament, the World Cup is averaging 3.42 goals per game. Nigeria-Iran promises to bring that average down, but as long there is at least one goal in that game or the United States-Ghana match, the World Cup will head into its sixth day averaging at least 3.0 goals per game. The last time a World Cup averaged that many goals for an entire tournament was 1958 when Pele burst onto the scene and the 12 teams combined to average 3.60 over just 35 total matches.
6.Gal Gadot
举例来说,新浪微博就一直提供推特所不具备的一些功能,尤其是评论功能,让众多用户得以在别人发表的微博下发表自己的见解。拥有逾7亿用户的腾讯QQ即时信息服务也有众多附加功能,比如可以让用户改换形象的“皮肤”,同时QQ还是腾讯为其他产品和服务做广告的渠道。新浪拒绝置评。
Despite the confusion, executive producer Ed Razek has commended the Chinese partners as “wonderful and enthusiastic hosts.”
冲击奖项:在最佳女主角的最热人选弗兰西斯麦克多蒙德面前,莎莉霍金斯的获奖几率很小。
[k?ut?]

2

When he was offered the role of "Will" on Fresh Prince, he had 70% of his wages garnished for the first three seasons. After three years, he was able to take home his full salary. Basically, the first line of the theme song could have been written about Will Smith's real life: "This is a story all about how/My life got flip-turned upside down." Except in real life, the "guys making trouble in his neighborhood" was the IRS.
In China, there were still 43 million people in rural areas living in poverty at the end of 2016. The country aims to help all of them out of poverty by 2020.
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China's movie box office revenue rose 13.45 percent in 2017 to more than 55.9 billion yuan (8.6 billion U.S. dollars), with domestic films contributing 53.84 percent to the market, according to the State Administration of Press, Publication, Radio, Film and Television.
3=somewhat true
最后,不管你是什么性格的人,积极生活,健康向上!
According to the annual Global Trade Protection Report, companies in the US launched 43 anti-dumping cases in 2015 and a further 22 anti-subsidy investigations aimed at securing countervailing duties. The US took the lead in both areas, overtaking India and Brazil, which launched the most cases in 2014 and 2013.
达奇斯说:2011年达美乐的品牌热情大幅度增长,但是2012年无法与之相提并论。他们不能每年都重新设计食谱,真是太可惜了。
I was waiting for you to bring up the Nets’ situation, so fine, I'll do it here. Jeremy Lin's been out for weeks with a hamstring injury. They're the only team tanking correctly and they're not actually tanking!
Online programmes appeal more to senior professional students than those who take full-time programmes. Participants on online MBAs are aged 34 on average compared to 28 for full-time participants. Online students are also more likely to seek a promotion following the course with their existing employer. While the majority of full-time MBA graduates (90 per cent) worked for different companies three years after graduation, only about 55 per cent of online graduates did so.
当前油价正在发生什么变化?在业内人士和严肃的投资者中间,对这个问题有两种不同的看法。2016年油价走势或许有助我们看清哪种观点是正确的。
Atlas Wearables founder Peter Li says battery technology and user retention are two more obstacles facing the wearables market. Some use cases require significant improvements to battery technology for a compelling experience, he says, and there’s always a balance to be struck between wear time between charges and processing power and features.

Ultimately I expect these new leaders to start selecting from a broader pool of candidates and appoint direct reports from more varied backgrounds, defying those who use current imbalances to extrapolate gloomily that leadership parity between men and women is still decades off.
在《渴望生活》这张专辑的第一首歌《爱》中,拉娜·德雷唱着“过去的一切造就了今天的你,但未来由你决定”。
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As for bitcoin in the mainstream banking system? “We are still a good year away, in our estimation, from where you can imagine a known financial services company using this,” Ludwin says. “But it’s not 10 years. And when it happens, people will be surprised by how quickly it spreads.”
排行榜的最新单曲有Shawn的《There's Nothing Holdin' Me Back》,击败DJ Khaled 的《Wild Thoughts ft. Rihanna》和Ed Sheeran的热播曲目《shape of you》,以及放了播破纪录Addy Yankee & Luis Fonsi的《Despacito》。
不是每个乐队都能在四十年的职业生涯中始终给人以清新的感觉,然而并非每个乐队都是金发女郎。
n. 警戒,警惕
9.Yeah, I was a badass on my high school football team! – Because I want to be seen by others in an even stronger light than I see myself。
1. Newspaper reporter

3

The Great Recession had devastating effects across the U.S. and few places were as hard hit as Arizona. The state was booming on the strength of its tourism and real estate markets during the 2000s. Median home prices jumped 70% between 2003 and 2006—only Nevada had bigger gains—fueling more building and construction jobs. Monthly unemployment was at 3.5% through much of 2007. But then the bottom fell out. Home prices plummeted more than 50% from their peak and 6% Arizona properties received foreclosure filings in 2009. Unemployment stubbornly remained in double-figures for most of 2009 and 2010 and only Nevada lost a higher percentage of jobs over the last five years. Household incomes declined at the fastest rate in the country since 2008.
Payouts also varied substantially between industries and cities. The average bonus at financial institutions was over Rmb17,200, while those in the education sector got less than half of that on average at less than Rmb7,500.
But economists generally expect the momentum of the recent past to resume and continue once storm distortions abate. The 45 economists who responded to The Wall Street Journal's latest monthly forecasting survey saw the jobless rate falling to 7.8% by next June and 7.5% by the end of 2013. Some say job growth could accelerate from its slow pace. 'I think businesses are going to have to hire,' said Bob Baur, an economist with Principal Global Investors.[qh]
斯坦福大学的Zhenan Baohas 研发出了一种具备超弹性、超耐性和超敏感的材料,能够作为未来发展人工皮肤的基础。以前,人们也研究过生化皮肤,但是Baohas的材料比以前研发出来的更具敏感性。它带有有机转换物质和一层弹性材料,保证它在不被破坏情况下的延展性。另外,这种材料带有一系列的太阳能电池元件,可以自动充电。
['k?mpleks]
狄更斯在《双城记》中描写法国大革命时,距离事件发生已有近一个世纪。而我则是在今年12月就回顾盘点这一年。因此,我在此描述的某些趋势,可能将在可预见的未来继续存在,而另一些趋势则可能已经开始减弱。作为当今时代“最哗众取宠的权威人士”之一,我只要求各位在阅读这篇评论文章时记住一点:过去的业绩并不能保证将来的表现。
为了尝试遏制煤炭消耗量的增长,中国正在可再生能源和核能领域投入巨资,但尽管付出了这些努力,中国迄今为止依然是最大的温室气体排放国。中国每年因化石燃料燃烧和水泥生产排放100亿吨二氧化碳,几乎是美国的两倍,但美国的人均排放量依然远远高于中国。
CEOs: Newbies Mary Barra at GM and Mark Fields at Ford start playing close attention to the moves made by FCA’s Sergio Marchionne. Despite running his growing empire on two continents, Marchionne tacked on a U.S market share gain of 1.2 points, unhindered by one of the weakest product lineups in the business and troubles with his much heralded eight-speed transmission.
Justin Bieb er just made tens of thousands of more dollars -- from his hair. The 'Baby' singer's locks sold on eBay yesterday with a final bid of $40,688.
appear出现+ance表名词,“性质,状况”→出现;外表
Harry Potter fans, it's time for another movie. A prequel to the Harry Potter films, Fantastic Beasts and Where to Find Them follows the adventures of Newt Scamander in an ancient New York. It is based on the Hogwarts textbook in Harry Potter by the same name.
创始人的心态将为公司定下基调。消极、懒惰和理所应当的心态,不仅浪费时间和金钱,还会损害你的信誉。成功很大程度上取决于能否在犯错后从容地接受批评。直面挑战可以让一位普通的公司老板变成真正的领导者。
Swiss school IMD comes top in the ranking of open-enrolment courses, available to all working managers, and jumps two places to second for customised programmes, which are tailor-made for corporate customers. Iese of Spain holds on to the top spot in the custom ranking and remains second in the open ranking.
Together, the world's 10 highest-paid models banked a cumulative $109.5 million between June 1, 2016, and June 1, 2017, before taxes and fees.
你可能已经在使用谷歌日历了,但你使用的方式是否正确呢?告诉你一个秘诀:只要把在那个日子和那个时候会真正发生的事情记录在谷歌日历上就行。同时利用iPhone提醒记住那些时间敏感性不太强的事情(即不是那些精确到小时和分钟的事情)。遵循这一战略有助于你保持更清醒的状态。

4

Perhaps it will not catch on in the cut-throat world of Wall Street. Some may see an extended absence as an admission that their jobs are expendable, and that colleagues can survive — and perhaps thrive — without them.
Trigger Mortis was released on September 8, ahead of the release of the latest Bond film Spectre which is out in cinemas on October 26.
But once again, Bryant said he's fine, that his health is fine, that his shot is fine, and he diverted the conversation elsewhere, largely to his teammates and the team's overall scheme.
调查显示,2017年应届毕业生的就业意向仍然以就业为主,占比为73.5%。相较去年,选择在国内继续学习的学生比例出现大幅下降,由2016年的16.5%下降至今年的6.3%。
吉迪恩拉赫曼(Gideon Rachman)
n. 石油
The 60-episode TV drama was adapted from a novel Legend of Princess Pearl published in 2007. It focuses on the protagonist Shen Zhenzhu’s romance with her husband and their efforts to protect the country.
“他不在情报系统监视范围内,”总理补充道。
Manal al-Sharif is best known for challenging laws and mores that keep women down in her native country.
达奇斯说:2011年达美乐的品牌热情大幅度增长,但是2012年无法与之相提并论。他们不能每年都重新设计食谱,真是太可惜了。
Despite relatively low comparative competition earnings and salary, the pair were the two highest earners in regards to endorsement deals last year, with 17-time Grand Slam champion Federer earning pound 41 million.

5

更强的是设计公司Ideo的全球董事总经理伊恩?罗伯茨(Iain Roberts),他问了一个我一点都不感兴趣的问题:“怎样激发人们去洞察潜在机动性或多模式需求?”
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.
associate
But what drives the underlying optimism or pessimism? Koudijs, working with Hans-Joachim Voth at the UniversitatPompeuFabra in Barcelona, found surprising answers.
《内布拉斯加》(Nebraska)以明快的黑白片形式拍摄,通过一次穿越蒙大拿和内布拉斯加的旅行揭示了由布鲁斯?邓恩(Bruce Dern)扮演的易怒老头伍迪?格兰特(Woody Grant)的内心世界。(这部电影的摄影师芬顿?帕帕迈可(Phedon Papamichael)也参演了影片。)编剧鲍勃?尼尔森(Bob Nelson)炮制了优秀的剧本,而亚历山大?佩恩(Alexander Payne)的导演工作也无懈可击。这部影片讲述的是伍迪和儿子威尔(Will)关系不佳、最终和解的过程;扮演儿子的威尔?福特(Will Forte)极度平和的表演征服了观众。这里是很少在银幕上得到刻画的美国心脏地带,带着幽默和几乎可以感知的深情。
一名校友表示:我们被迫远离了安逸,但获得了独特的体验。
Part of the appeal of online programmes lies in their flexibility, reach and slower pace of delivery than cam-pus-based MBAs. Apart from IE, which imposes an 18-month time limit, participants have on average about five years to complete their degrees.
Experts also noted that the population control policies adopted in recent years have started to pay off.
8) I am a closed kind of person 0 1 2 3 4
Here are five things consumers and investors can count on (probably) in 2015:
To SKN Company in Russia for exploding old Russian ammunition and creating diamonds. Now that's recycling!
neg否认+lect选择→不选择→忽视,不顾
Citing recent figures from the CPB Netherlands Bureau for Policy Analysis, that show global trade in seasonally-adjusted volume terms fell 1.1 per cent between September and October, Mr Leering suggests last year will prove to be the worst year for world trade since 2009.
“The Fed was much more aggressive than expected,” Mr Koepke says. “Taking markets by surprise was clearly not the way to go.” (This was before the Fed began making regular public statements after its monetary policy meetings.)

6

根据租金指导委员会(Rent Guidelines Board)的数据,在过去20年里,纽约市至少有13.3万个单元因这项规定而变成市价房。政策的支持者表示,如果这一趋势持续下去,租金管制政策会被进一步削弱,从而对市长保留保障房的努力构成阻碍。
remembrance
据BT下载网站TorrentFreak数据显示,《权力的游戏》每集平均下载人数有590万。这个数字还不包括在线视频和cyberlocker的下载方式,如果算上这种方式,数据将会更高。而《权力的游戏》每一集的平均收视人数才550万。
One of the most discussed potential use cases of the block chain is as a decentralized Uber. Instead of using an app, customers could order a car and pay the driver directly, cutting out the middleman. (Sorry, Travis Kalanick.) The block chain can be utilized for everything from the storage of secure documents (that is, a decentralized Dropbox, too) to “watermarking,” in which a specific coin could contain, say, the deed to your house. “The block chain is going to spawn decades of innovation,” says Ryan Selkis, director of investments at the Digital Currency Group, created by former SecondMarket founder Barry Silbert. “It could lead to things like frictionless share issuance, title transfers, smart contracts. Collectively these things make up the backbone of the economy. If you wanted to create a decentralized Uber, Dropbox, Facebook, you could reinvent the Internet.”
Large technology companies were criticised throughout 2017 for becoming too powerful, using their size to dominate markets and not paying enough attention to how the tools they create can be used for ill.
The GM turnaround will drag on. Forget a 2010 IPO.
It was the spring of hope, it was the winter of despair…
There was no indication of the identity of the kidnappers or their motive.
10. Drawing Words Helps Your Brain Recall Them

单词remembrance 联想记忆:

Conclusion

No.1: Einstein Alive Again?
Islands in China come with many restrictions on their use and just 50 years of ownership.
狄更斯在《双城记》中描写法国大革命时,距离事件发生已有近一个世纪。而我则是在今年12月就回顾盘点这一年。因此,我在此描述的某些趋势,可能将在可预见的未来继续存在,而另一些趋势则可能已经开始减弱。作为当今时代“最哗众取宠的权威人士”之一,我只要求各位在阅读这篇评论文章时记住一点:过去的业绩并不能保证将来的表现。
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The official non-manufacturing PMI came in at 54.3 in October, down from a recent peak of 55.4 a month prior. A key sub-index for the services sector likewise fell 0.9 points from its September peak to 53.5. Even the construction industry appeared worse off, with a sub-index for the sector dropping 2.6 points to 58.5.
“我……学会了与来自其他文化及社会的人们进行互动,”一位来自瑞典的毕业生说。
The Cassini spacecraft has been sending home images of Saturn, its rings and its moons since arriving at the gas giant in 2004. The mission ended in September with a planned fiery crash into Saturn’s atmosphere. While it studied the planet, Cassini explored moons — Titan and Enceladus — that could be home to extraterrestrial life. The probe also gave us great insight into our solar system, and will continue to do so for years as scientists pore over the data it collected.
如果没有别的,很明显,夏天交易期并不代表NBA赛季的停止,它只是换了个档而已。


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. PBS的"越南战争"赢得美国电影学会颁发的特别奖。
  2. 2008年,中国政府增加了一个归类为精神疾病的条目:"网瘾症"。据大量官方媒体报道,中国的年轻人花太多时间泡在网吧里,不顾家人和工作玩网络游戏到凌晨,有时甚至不吃,不喝,不睡眠,严重危害了自己的健康。
    221位去年上榜的富豪今年跌出榜单,有198位富豪首次入选,去年榜单上有29人去世,今年则有29位重返榜单之人。

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