Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

discourse
Amid all of the current talk about whether government law enforcement agencies should be able to legally force Apple to unlock an iPhone to look for evidence, there is a machine available now at London's Fone Fun Shop that will find the four-digit passcode used to lock down an iPhone. And this device costs only $170.
Much of the boost in exports came from shipments to the US, which grew for the first time since March at an annualised rate of 6.9 per cent to $36.8bn. Among other destinations that swung back to growth last month was the the EU, shipments to which rose 5.1 per cent to $29.9bn, as did those to Japan, by 3.2 per cent to $12.2bn.
订婚买钻石真是太没新意了
2015年FT/麦肯锡最佳商业图书奖(2015 Financial Times and McKinsey Business Book of the Year)的获奖作品是《机器人的崛起:大规模失业的威胁与科技》(The Rise of the Robots: Technology and the Threat of Mass Unemployment),这本书对工作自动化的未来做出了令人不安和常常令人消沉的分析。
1. Newspaper reporter

PRRI research director Daniel Cox said that some respondents - including 75 percent of non-white Protestants - believe extreme weather is both evidence of end times and the result of climate change.
“现在,我只给她稍微擦了点唇膏,涂了点指甲油。”
但事实上,作为一项新技术以及新运动,比特币在2014年表现出了猛烈的势头,而且在新的一年有望征服更多怀疑论者。诸多领域的指标证明了这一点:与比特币相关的初创企业和就业岗位数量大增;接受比特币的机构数量也大大增加;开发人员间的活动也较此前增强。
Warm greetings and best wishes for happiness and good luck in the coming year.衷心祝福来年快乐、幸运!
My grandmother’s favorite poem was Invictus by William Ernest Henley. My father hung a copy of it on our kitchen wall, so I grew up reading it every day: “I am the master of my fate; I am the captain of my soul.” I think the best advice I can give anyone – especially someone just starting out in business – is to embrace your role as master of your own fate. Recognize opportunities when they arise and get comfortable saying “Yes.”
辛塔·努里亚在印度尼西亚开展她的家庭运动。她举办不同宗教信仰者参加的活动,并建立了一个进步伊斯兰女子寄宿学校网络。
A median forecast from economists had predicted a 0.9 per cent rise.
一,中国航空发动机集团的成立。去年集团公司通过研发提高了国产发动机的技术水平与续航能力,表明自主开发飞机发动机仍是当前中国的战略重点。当中国获得了铼,一种制造高压喷气发动机涡轮叶片的必须合金材料之后,这一决心更加显著。2010年在陕西发现占世界总储量7%的铼矿后,中国已投入相当大的精力开采并应用这一金属。此外,现代喷气发动机的关键部件——大规模单晶涡轮叶片制造技术也取得了重大突破。新成立的中俄宽体客机项目至此有望用上国产发动机。
梅瑟威对战麦克格雷戈的战斗

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.

5.3-D 打印耳朵

1

服务业增加值占国内生产总值比重上升到51.6%;
BrandZ表示,最具价值品牌的表现超过金融市场,这说明了它们的财务实力和对股东的价值。
Vo said with each plane flying 12 to 16 segments a day, one late flight can easily cascade into several delays in a single day. To offset that, the airline’s systems operation and control center makes adjustments when needed. That can involve inserting spare planes and extra crews into the schedule to make sure flights stay on time.
肯达尔·詹娜首次击败了15年里世界上收入最高的模特吉赛尔·邦辰。
圣加伦大学校友的薪资排名第三,为114449美元(按购买力平价调整后),排在艾哈迈达巴德的印度管理学院(Indian Institute of Management)和印度管理学院班加罗尔分校(IIM Bangalore)之后,这两所商学院校友的平均薪资分别为116476美元和116094美元。圣加伦大学还在职业服务质量方面排名第一。
As he scanned the Internet for knowledge, D'Aloisio decided that what he really needed was a better way to determine, at a glance, what was worth reading. He envisioned a summarization tool that used language theory to give a meaningful synopsis in fewer than 400 characters.
absolutely
romantic

However, the state is also wary of the fast growth in online finance, which is largely unregulated and the risks of systemic crises may be high. Since 2007, 370 P2P lending platforms have failed in China, of which 270 failed in the past year, according to research by Morgan Stanley and Wangdaizhijia, a Chinese research group.
After her legal travails , anything Kesha released would have a veneer of triumph. But this comeback set was an artistic warrior cry more potent than any might've expected.
日前,斯坦福大学商学院(Stanford Graduate School of Business)教授彼得o库迪斯基于这场荷兰危机共同撰写了一篇文章,围绕“个人经验(而非市场信息)决定乐观、悲观以及信贷的获得与否”这种不那么科学的方法给出了现代经验。
Brazil's President Dilma Rousseff, who is facing impeachment, slashed her own salary by 10% to $103,400 a year last October as part of a wider austerity drive.
据悉,大多数借款的女性年龄都在19到23岁之间。
A 19-year-old girl, referred to as Guo Lingling (this may be a pseudonym), was allegedly struck and kicked repeatedly by her so-called instructors after failing to ask permission to go to the bathroom. An autopsy report showed she died from skull injuries and brain damage.
Meanwhile, villages within the city's boundaries will be overhauled and low-end manufacturers and logistics companies removed.
“治理空气,现在办法是有的,关键是看下多大决心。”
[iks'pi?ri?nst]
Harry Styles, 'Harry Styles'
中国商务部的最新数据不包含个人购买的房地产。有不少个人利用中国资本管制体系的漏洞来获取外汇。但外汇监管机构最近采取措施堵住了此类漏洞,尤其是收紧了对个人购汇的管控——按现行规定,中国公民每年可用人民币购买等值5万美元外汇。
Given a choice, Chinese university graduates prefer to find employment rather than start a company.
单词check 联想记忆:

2

《哈利·波特》粉们,福利来啦!该片是《哈利·波特》前传,讲述了纽特·斯卡曼德在老纽约的冒险经历。该片根据《哈利·波特》中霍格沃兹学院的同名教科书改编而成。
预计新一代iPhone中,将至少有一款采用人脸识别技术,这种图像捕捉技术能够感知深度,并追踪人脸及表情。随着苹果与Facebook和Snapchat等公司争夺用户的关注度,新一代iPhone将增加一系列包括猴子和机器人的新表情符号,其动画表情能够反映iPhone用户的脸。
Umbrellas for dogs are having a moment. They’re cute and funny, but also practical.
一些科学家说,2014年成为创下气温纪录的一年,最值得注意的一点是该年度并没有发生强大的厄尔尼诺现象,一种由于太平洋将巨大的热量输送到大气层所造成的大尺度天气模式。
In an explanation released alongside the latest data, the statistics bureau credited ongoing growth in producer prices in part to coal extraction and washing prices, up 15.4 per cent for the period and accelerating 11.3 percentage points from a month earlier.
In terms of individual commodities, coffee prices, which are trading at about $1.62 a pound, are expected to decline significantly, with an especially bearish outlook on arabica coffee.
capacity
这是光明的季节,也是黑暗的季节……
"Look What You Made Me Do" is one for the history books, and pop scholars will likely debate for generations whether it was a brilliant P.R. coup or not.
The so-called IP-BOX will work on iPhones running iOS 7 and older. It takes 6 seconds to 17 hours hours to crack the four-digit passcode. The Daily Mail purchased the device and cracked the code on an Apple iPhone 5c in 6 hours. A version that will work on iPhones running iOS 9 will be available later this month.
首先,正如咨询与培训机构RedPrairie公司的供应链专家汤姆?科赞斯基所言,一提到物流行业,多数人都觉得它“没有吸引力”,是一项乏味且薪水不高的仓储工作。
Domestically, an increasingly active middle class is generating pressure for more accountable governance. Mounting inequalities have nurtured a sense of injustice; 200m migrant workers remain second-class citizens and corruption is worsening. Tackling these problems is urgent, but China's economic successes have fostered an unwarranted self-confidence. Instead, motivated by the Arab spring, the system has moved aggressively to contain any social discontent that might spark more politically sensitive movements.

从什么时候起,冬季成了一年中电视节目最丰富的季节?今年秋天有许多首播电视剧做了有组织的盛大宣传,获得不少关注,但更多有趣的剧集还是在一年中的前三个月中登陆有线台、无线台和网络。
床垫内的传感器可以检测压力和发送邮件给你的应用程序,它不会放过任何一个细节。它不仅检测床上运动,还可记录强度和速度。
CANCER: THE EMPEROR OF ALL MALADIES (PBS, March 30) Barak Goodman (“Scottsboro: An American Tragedy,” “My Lai”) is the director and Ken Burns is an executive producer of this six-hour series based on the Pulitzer Prize-winning book “The Emperor of All Maladies: A Biography of Cancer” by Dr. Siddhartha Mukherjee.
Mr Lam predicts that any recovery in the market will rely on appetite from cash-rich companies from mainland China, with foreign investors restricting their investments to real estate investment trusts or stocks exposed to developers, rather than actual property.
这是信仰的时代,也是怀疑的时代……
vt. 避免,逃避
因此,有如此强大的南美洲队伍坐镇,主要的挑战力量将来自何方呢?嗯,来自欧洲的强势力量恐怕便是最显而易见的答案了,你还能去哪里寻找一个比西班牙更有冠军相的球队呢?作为一支卫冕冠军,并坐拥两届欧锦赛的冠军头号,这是一支不仅知道如何出色发挥,同时知晓如何赢得比赛的队伍。因此,虽然梅西和罗纳尔多曾获得所有年度最佳球员的头衔,但是哈维(Xavi)和伊涅斯塔(Iniesta)却将所有主要冠军据为己有。那么,他们在2014年将延续冠军生涯么?对于这个困扰世界上其他国家的问题,答案是肯定的。不仅大多数老将依然坚守岗位,许多包括科克(Koke )和蒂亚戈·阿尔坎塔拉(Thiago Alcantara)等有才华的年轻球员也加入了。不仅仅如此,他们还从东道主的眼皮下挖走了一个才华横溢的射手蒂亚戈·科斯塔(Diego Costa)收入囊中,因为这位马德里竞技(Atletico Madrid)的前锋选择为西班牙效力,而非自己出生国家踢球。
According to the Hurun Report’s annual China Rich List, Yao Zhenhua’s net worth surged more than nine times to $17.2bn last year, making him the country’s fourth richest person. Last year he was ranked 204th.
福布斯表示,如果不扣除管理费和税费,在2015年6月1日到2016年6月1日期间,全球收入最高的10位女星共入账2.05亿美元。

3

《国土安全》(Homeland):第三季末布洛迪(Brody,戴米恩·路易斯[Damian Lewis]饰)最终被杀后,映时频道(Showtime)的这部间谍惊悚剧似乎走到了尽头。目前看来,第四季没了他却变得充满活力,令人喜爱。卡莉(Carrie,克莱尔·丹尼斯[Claire Danes]饰)这次的对手是美貌、狡猾的巴基斯坦情报官塔斯尼姆(Tasneem,尼姆拉特·考尔[Nimrat Kaur]饰)。
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.
金奇(James Kynge)
爱你的老公!
《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)
5. 2012年搞笑诺贝尔奖之化学奖
《被撕破的芭蕾舞鞋和突变的生活》(Torn Ballet Shoes, and a Life Upended)
n. 姿势,态度,情形
Analysts say headline import figures may start to improve in the coming months since commodity price falls were particularly pronounced at the end of 2014, which will mean smaller year-on-year falls in Chinese imports in value terms.
Man got to tell himself he understand.
The website claims that "the more you sip, the smarter you (and the bottle) get," but in reality the more you sip, the drunker you get and the less information you'll retain.
另外上榜的有Pink,勒布朗詹姆斯,赛琳娜戈麦斯,伊恩萨默海尔德,Jay-Z和碧昂丝夫妇,本阿弗莱克等明星。
According to local media, the gang, based in Nanning, the capital city of south China's Guangxi Zhuang autonomous region, was able to make up to 16,000 yuan (£1,750) profit on every tonne of the putrid meat, by injecting it with chemicals, increasing its weight by 50 per cent.
The report also found that the top cities in intellectual capital and innovation and technological readiness also achieved high scores in the overall ranking, a clear indication that technologically advanced cities were more likely to earn the title of "cities of opportunity".
在星期六晚上他们再次献唱《悲惨世界》原声《Stars》。

4

Executives in the finance and real estate industries have the highest pay, according to figures from the 1,894 listed companies that announced their annual financial reports in 2016.
《老友记》中没有露骨的内容、不干净的台词或是黄段子,但它的幽默感却丝毫不减,为这个电视剧总喜欢裹挟着露骨内容的年代带来一阵清新之风。
近日中国警方对南部一家不法食品商家进行突袭,曝光成吨的腐臭鸡爪。这些有几十年历史的“美味”经过“特殊加工”后,会卖给毫不知情的消费者。
One fifth of the rich in the 500 list are from the information technology industry, and capital players are fading away from the list.
即使他们打的比赛也许并不完美,但是,金州勇士队完美的赛季开局阶段仍然在继续。
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。
In this Jan. 9, 2007 file phtoo, Apple CEO Steve Jobs holds up an Apple iPhone at the MacWorld Conference in San Francisco. Jobs the CEO,
听起来像是泰勒斯威夫特,但事实上,却是她一直以来的竞争对手,凯迪派瑞。这主要归因为她的棱镜世界巡回演唱会。现在演唱会的热潮已归于平静,派瑞今年凭此吸入13.5千万美金。在我们评分期间的126场演出中,她平均每个城市赚得2百万美金,再加上与科蒂,克莱尔和封面女郎的合约,得到了她的总共收入。
对胎儿进行手术有可能改变他们的人生。
“From one son of the South and sports fanatic to another, my hat’s off to you,” tweeted Bill Clinton, the former US president, in response to the article.
“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.”

5

It's impossible to list every woman who's ever existed, this list obviously be restricted to women who've achieved a fair level of celebrity. These are the hottest women celebrities of 2015.
今年11月,我国网约车司机将须通过考试获得从业资格证。
美国则在2016年下降为德国的第三大贸易伙伴。
●"President Obama Confirms He Will Refuse To Leave Office If Trump Is Elected"
单词immunity 联想记忆:
The dumbest 'smart' objects of 2016
谈到乌克兰,普京再次否认俄罗斯军队在东乌克兰境内活动。那里的亲俄罗斯分离主义运动正在与乌克兰政府军作战。但是他说,莫斯科从未否认有人在那里开展属于“军事领域”的行动。他还说,俄罗斯没有制裁乌克兰的计划,但不会让乌克兰享受优惠贸易待遇。
《蜘蛛侠:英雄归来》
“This has been a miserable year for EM,” said Paul McNamara, investment director of emerging markets at GAM, the Swiss fund house. “There has been a steady bleed out of assets and no one is certain what shape the market might be in this time next week.”
据透露,二月份哈迪德眯着眼睛试图模仿佛像,冒犯了许多人,在那之后她的签证申请就被驳回了。
sincerely
这些人工眼睛,确实恢复了盲鼠的视力。猴子的视网膜工作原理和人类的非常相似,因此随后在猴子上进行的试验给了最终的人类试验以成功的希望。
当时,身为首席执行官的库克也承受着压力,因为苹果除了从iPhone攫取利润之外,缺乏清晰的产品开发方向。维权投资者嗅到了血腥,开始围攻这家公司,打头的是大卫?艾因霍恩(David Einhorn),接着是卡尔?伊坎(Carl Icahn),他们游说改变苹果的经营和财务管理方式。伊坎施压要求苹果筹集巨额债务,向股东返还1500亿美元,并敦促苹果发布包括电视机在内的更多产品。
ICBC’s earnings per share were Rmb0.77, down from Rmb0.78 last year, and a pre-tax dividend per share was Rmb0.2333, down from Rmb0.2554.

6

经济学人智库全球生活成本指数发现,亚洲和澳大利亚共有11个城市跻身全球最贵20城市之列,其余有8个是欧洲城市,一个为南美城市。北美没有一个城市进入前20名。
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”。
When you post your résumé to a job board, such as Monster or Indeed, there's a chance your current employer could see it. In fact, Foss says many HR staffers and managers regularly search for their company names within job board submissions specifically to see if their employees are looking for jobs。
Princess Agents
China denies any wrongdoing and says it is working to tackle problems of industrial overcapacity that have become more acute as its economy has slowed.
China's property companies have been escalating promotional efforts and cutting prices in a bid to maintain sales volumes.
小贝现身纽约时装周 为凯特选嫁衣?
谷歌英国的搜索结果分为热门趋势搜索榜和搜索次数排行榜。
Yet institutions matter, too, because they set the rules of the game.

The biggest story of the festival had nothing to do with films. It was about shoes. On Tuesday trade magazine Screen reported that a group of women had been denied access to a screening of Todd Haynes' Carol because their footwear – flat shoes with rhinestones – was unsuitable for the red carpet. Further tales came tumbling forth, social media erupted in indignation and soon enough we were soon dealing with a fully fledgedscandale. The Cannes press office rushed out a garbled statement: “Rules have not changed throughout the years (Tuxedo, formal dress for Gala screenings) and there is no specific mention about the height of the women's heels as well as for men's. Thus, in order to make sure that this rule is respected, the festival's hosts and hostesses were reminded of it.” Well, that cleared that up. Perhaps wisely, press screenings are exempt from any dress code: scruffy journalists are free to ascend the Palais' steps in flip flops and trainers.

Conclusion

在即将结束的2014年,标普500指数再次实现亮眼增长,而那些本欲跑赢该指数的基金经理们,表现则没那么出色。Lipper公司称,截止11月底,85%的活跃股票型共同基金经理业绩低于标普500指数。而在正常的年份里,跑赢该指数的基金经理比例是今年的两倍,也就是说,通常只有约三分之二的基金表现不如标普500指数。Lipper公司称,这是30年来活跃基金经理相对大盘表现最差的一年。
British schools outperform the French on both new criteria. Warwick Business School, the top UK school for career progress, is second overall for the criterion, 30 places above the first French school, HEC Paris. Alumni from UK schools also see a higher increase between their first salary after graduation and now, at 62 per cent versus 45 per cent. However, UK school alumni still have a lower salary on average than their counterparts who studied in France, at $55,000 versus $64,000.
纽约州莱维敦的五年级学生张天羽在10万名参赛者中脱颖而出,赢得了本年度谷歌国际少年绘画大赛冠军。这次比赛的主题是“画一个能使世界变得更好的东西”。
3.你老板从他认识的人那收到了你认识的人给的简历。
达奇斯说:阿迪达斯在今年的12个月里增加了3400万名新粉丝。公司把粉丝们带动了起来,粉丝们一整年都在进行积极的讨论,公司因而从中受益。
智联招聘高级职业顾问王一新表示:“虽然国家政策、各大高校和投资环境给大学生创业提供了良好的土壤,但鉴于大学生经验欠缺、资源积累不足、人脉不足等原因,目前大学生创业成功的概率并不高。”
After her legal travails , anything Kesha released would have a veneer of triumph. But this comeback set was an artistic warrior cry more potent than any might've expected.
但来自宾夕法尼亚州(Pennsylvania)的玛蒂?齐格勒(Maddie Ziegler),她的人生完全不是这么一回事。


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. [k?'min]
  2. She added that because of economic conditions and anti-immigration sentiment in some Western countries, many Chinese students find it difficult to stay in those countries.
    舞厅上面有一个可以旋转,发出五颜六色的光的球-ballroom

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