Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

Apple (AAPL, Fortune 500) announced that it would put $30 billion of its cash toward share repurchases. The news made investors happy: The stock popped, and even a week later was up 12% relative to the S&P over that same 7-day period. The buybacks were part of a larger $130 billion capital return program that the company said would extend through 2015.
9. 《大空头》(The Big Short)。亚当·麦凯(Adam McKay)把影片处理为喜剧,但在他以笑声轰炸屏幕的同时,也表明他对这场2008年经济崩溃的呈现是一场让人心碎的美国悲剧。
无论是电视剧,还是正在拍摄的电影版本,都是改编自台湾大宇公司旗下著名的角色扮演游戏(RPG)《仙剑奇侠传》系列。这款电子游戏也被许多玩家视为中国最棒的角色扮演游戏。
"It's a goal that's right here and now and it's something that we want to experience," Curry said. "It'd be a huge accomplishment because doing something that hasn't been done in the history of the league is special. You never know if this opportunity will come back again. There are so many variables that go into winning this many in a row, especially the start of the season."
surrogate
Inarritu said: "I forgot to thank all the native Americans who made this film possible. I cannot say how surprised I am and how proud I am to have survived this film with all these fellows."

Song “Beautiful China”(Sha Baoliang and Xu Qianya)
Stanford's Zhenan Baohas has developed a super-flexible, super-durable, and super-sensitive material that can be the basis for future synthetic skin. People have tried developing synthetic skin before, but Baohas's material handles touch sensitivity better than any predecessor. It contains organic transistors and a layer of elastic, letting it stretch without taking damage. And it's self-powered—this skin contains a series of elastic solar cells.
Crown Prince Mohammed bin Salman said the majority of those being detained had agreed to pay back some of the money they had gained illegally in exchange for their freedom.
The high school version of Howard isn't nearly as intimidating as the new one. Just goes to show how much ridiculous hard work goes into becoming an NBA All-Star.
要让Airbnb退市,可能没那么容易。最近,昆尼皮亚克大学(Quinnipiac)开展的一项民意调查表明,56%的受访者认为,应该允许纽约人将房间租给陌生人。“我们不想把房子变成旅馆,但是与此同时,人们有时会想把自己的公寓租出去。”霍尔斯特德管理公司(Halstead Management Company)的总裁保罗·R·戈特塞根(Paul R. Gottsegen)说。该公司打理着纽约市250处住宅物业。
5.播音员
Eleven James:
Turkey’s foreign ministry angrily rejected the EU criticism. “The EU should realise that the statement fuels extremism, such as xenophobia and anti-Turkish sentiments, because the call to refrain from excessive statements and actions that risk further exacerbating the situation is made only to Turkey, instead of the countries that caused this situation by violating diplomatic conventions and international law,” it said.
芯片的零售价为150美元,但一次只能烤四寸的饼干。如果你用传统的烤箱,在烤箱烤一大批饼干,你也能在30分钟内烤完8到12块饼干,也更加便宜。

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.

circulation

1

[h?b]
赫梅尔说,“如果发达经济体的原油需求增加,再加上新兴经济体需求的增多,我认为市场供应将趋紧。”这意味着油价走势图上可能会再度出现多个高峰。
Mr. Anderson wanted an abundance and a variety of facial hair on the men, with no beard or mustache adorning each actor’s face in quite the same way. It’s a veritable hipster’s row of styles, from pencils to handlebars to a black-and-gray goatee worn by Jeff Goldblum.
“It suggests that people put more weight on what happened to themselves and less weight on other information that might be available,”Koudijs says. The more personally removed people are from an important event, the less it is to affect their appetite for risk.
The U.S. is set to add nearly 3 million jobs in 2014 — the biggest increase since 1999. The burst in job creation, expected to continue in 2015, is sure to fuel consumer spending. So, too, will a plunge in gasoline prices that's given households extra cash to spare on other goods and services. See: Americans saved $14 billion as gasoline prices declined in 2014.
Western states dominate the best states for projected job growth. Only two, Florida and Georgia, of the top 10 are located east of the Mississippi River. Rounding out the top five are Colorado (2.6% annual projected growth), North Dakota (2.5%) and Florida (2.5%).
For now, D'Aloisio isn't touching the money. 'I'm too young to appreciate the value of it,' he insists. 'I don't have a mortgage, I'm 17. To me, a hundred pounds is a lot. Take that as a benchmark.' Though he's not allowed to comment on Summly's sale price, when pressed he allows that he might one day like to deploy his newfound riches as an angel investor. No one around him seems to think there's a danger that the money will ruin him or that he'll be tempted to spend the rest of his life dissipating on a beach. 'He's pretty well grounded. You wouldn't believe how frugal he is,' says Diane. 'He's got a great engine,' says Lou. 'He won't stop at this.'
第十步 如果以上几条都做不到——就公告天下说你有反社会人格

Wealthy Chinese are showing growing interest in islands in recent years.
Zhang Guoli to host 2014 Spring Festival Gala
4. Outsourcing placement services.
又到了一年盘点的时候了,扬子晚报上传了一段名叫今年中国网络九条最热流行语的视频,盘点了如下几条流行语。
If you do much hiring of freelancers, you’ve probably considered outsourcing the outsourcing. There are several great services that can help, each with varying business models. For example, Bolton Remotewill build your team with vetted, offshore contractors. Another provider,Hubstaff, starts with your project in mind and then matches you with project specialists. Using an outsourcing placement service will save time instead of trying to do the recruiting yourself. These firms typically offer free recruiting and placement services but take a cut of the hourly rate.
How do you know if you need to drink more water? Well, there's a list of factors: dry lips, dizziness, headaches, low urine output and increased thirst. Yet, this smart bottle wants you to listen more to your phone than to your body.
This ranking measures the quality and breadth of the schools’ postgraduate programmes. It is based on their performance in the four main rankings published by the FT each year: MBA, Executive MBA, Masters in Management and Executive Education. Only schools that take part in all four rankings are eligible for a full score.
['letis]
Cross talk “Do Not Blame Me” (Cao Yunjin and Liu Yuntian)
就业市场面临着挑战。约有500万美国人失业已有六个月之久,技能退化令他们未来更难找到工作的风险也加大。此外,收入增长放缓引发的担忧可能会限制企业招聘。据咨询公司CEB今年10月进行的一项调查显示,约有36%的美国高管预计其公司的职员人数会减少;相比之下,今年夏天这一比例为29%。[qh]
“即便人们充分了解了(美联储政策的作用),市场动态也可能相对容易地变得不稳定或不利,”他说,“届时你将陷入一个卖盘压力自我强化的循环。”
Private investment for the year ended October was up 2.9 per cent, up 0.4 percentage points, while state investment dropped 1.1 percentage points to 20.5 per cent.
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。

2

31岁的罗西每天的工作就是计算五角大楼在养老、医疗和教育福利方面未来的成本。但他说,这份工作不仅仅是鼓捣电子表格数据。他还要与其它政府部门进行沟通,并就金融模型与同事举行头脑风暴会议。
林怡仲预测道,下半年A股IPO的数量或将维持与上半年相当,预计2016年全年A股IPO为120宗左右,融资规模在600-800亿元人民币左右。
科技厌恶症。
Last year, the Education Ministry issued a booklet warning Korean high school students of 'plastic surgery syndrome', citing Michael Jackson and a local woman whose addiction to plastic surgery left her with a grotesquely swollen face.
"He (Premier Wen) underlined that China effectively countered the severe impact of the global financial crisis and has maintained steady and fast economic development. This allowed China to become the second-largest economy, almost doubling its GDP in five years."
这种现象部分原因可能来自人民币汇率总体的疲软,原因是这会令境外的商品变得更加昂贵。今年1月人民币汇率下跌了1.3%,而在2015年最后一个季度人民币贬值了2.2%。不过,中国的出口仍未因人民币贬值而受到提振。
保罗·乔治,克里斯·保罗,卡梅罗·安东尼,戈登·海沃德,吉米·巴特勒,德里克·罗斯,保罗·米尔萨普,J·J·雷迪克,埃里克·布莱索,德怀特·霍华德……自去年以来,换了东家的球员名单还在不断增加。
23% of wealthy Chinese women work in real estate and 18% of them are involved in finance and investment, followed by manufacturing accounting for 14%.
立场:为LGBT(指同性恋、双性恋和变性人)群体争取工作权益
Derrick Rose
Another exceptional new field is that of nanotechnology.
在这部1998年的古装剑侠动作电影中,安东尼奥·班德拉斯扮演了一个无聊的贵族,他有时会扮成蒙面歹徒,从腐败领导人手中拯救加州的墨西哥平民。虽然佐罗听起来可能像个普通的老派超级英雄,但是《佐罗的面具》依据的故事大部分来源于现实世界中,一个叫乔伊·穆里埃塔的亡命之徒。

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。
以美元计,上个月进口下跌了18.8%,跌至1141.9亿美元,跌幅超过了去年12月的7.6%,也超过了下跌3.6%的预期。
买securities很不security(n 安全)
在这个越来越为人类所主宰的星球上,我们仍然可以从其他物种身上学习到很多东西。格陵兰鲨鱼可存活400年,是世界上最长寿的脊椎动物,这一发现让人类重新审视自己忙碌的人生。
求职者犯的错,他们:
从碧昂丝和珍妮弗·洛佩兹的红毯着装来看,“短”是这次娱乐盛典的主题。这两位女歌手都选择及大腿的裙子来露出她们的美腿,策略性地减去领口,并注重肩膀的细节设计,但碧昂丝选择穿消防车红色从中脱颖而出,而珍妮弗·洛佩兹选择了柔和的有缎子般光泽的褐土色。
vt. 把 ...
4、慧眼识香。邦德眼光敏锐,能辨认出孰敌孰友。这种品质常见于性开放者。007很容易识出对他有意的女人,有科学证明,帅哥往往擅长于此。
社交网络平台,包括微博和手机应用微信,被证明是网红扩大交流的最好工具,使其可以创造出一种囊括广告、电子商务和粉丝的行业。

3

“Policymakers around the world are cognisant of the impact the Fed decision will have and are worried, which makes us worried,” said Simon Lue-Fong, head of global emerging debt at Pictet Asset Management. “People are saying the decision is priced in but seeing as no one knows exactly what will happen how can that possibly be true.”
It's almost TOO good. Soulful and aching and grand, Adele's theme to Skyfall is stunningly performed, and gives the distinct impression that someone tried to make the ultimate James Bond theme and had the talent to back it up. History and sensuousness have elevated two songs higher than Adele's contribution, at least in our eyes, but not by much.
When he wasn't programming or doing schoolwork, D'Aloisio began to fill his spare time reading about natural language processing. He'd studied languages as diverse as Latin and Mandarin, and became fascinated by concepts like grammatical frameworks, morpheme parsing and the 1960s work of the linguist Richard Montague. 'He's my favorite,' D'Aloisio enthuses. 'He theorized that natural language could be described like a syntactical programming language.'
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.
5.射击类比赛项目
Inarritu said: "I forgot to thank all the native Americans who made this film possible. I cannot say how surprised I am and how proud I am to have survived this film with all these fellows."
TAXES: Approximately $18,036 a year
去年,韩国教育部发布了一本手册就整形手术综合症对韩国高中生发出了警告,引用了迈克尔?杰克逊以及一个韩国女性因对整形上瘾导致脸部怪异浮肿的案例。
Amazon founder Jeff Bezos rose to No. 3 on the list for the first time, thanks to the jump in in Amazon shares, which boosted his net worth to $72.8 billion.
华盛顿暂时的“停战”能否持续?
Since then, Teach First has put 5,000 graduates into schools, working with more than 1m pupils in low-income areas, helping to raise standards in classrooms, particularly London.
The number of people holding degrees from colleges or universities reached 170.93m, which means there were 12,445 people with an advanced education per 100,000 people in 2015, up from 8,930 in 2010. The number of people who had attended a senior high school also increased, and the number who had only completed lower-level education fell.
单词celebrity 联想记忆:
相比之下,巴西雷亚尔升值促使咖啡和糖价格飙升,因为该国是这两种商品的最大生产国。
A total of 13.14 million new urban jobs were added.

4

Her predecessor David Cameron placed fifth in CNNMoney's previous ranking in March 2015 with his salary of £142,500, then worth $214,800. May is only seventh.
其中包括“qwerty”(键盘字母顺序,排名第4)、“admin”(管理员,排名第11)和“login”(登录,排名第14)。
The 8 per cent year-on-year drop in profits last month compares with 4.2 per cent in November and is the biggest since the current data series began in late 2011, figures released on Tuesday showed.
A separate Caixin PMI tracking growth in China’s services sector is slated for release on Tuesday.
另一方面,世界杯作为体育盛事和文化体验也成为了热门搜索项。
Yes — by an eyelash. Democrats will need to win an additional 24 seats, meaning they will have to hold on to all 12 Democratic districts that Mr Trump won last year and pick up the 23 Republican districts that voted for Hillary Clinton, plus one or two more for good measure. The math is not on the Democrats’ side, but history is. The president’s party almost always loses some House seats in the midterms, and sometimes loses big, especially when the president has an approval rating below 50 per cent. See Barack Obama in 2010.
卓越雇主排名:1
1.Asana
佳士得把汉斯·梅姆灵(Hans Memling)于15世纪创作的佛兰芒风格圣母与圣子油画从拍卖会上撤掉,以350多万英镑私下出售,所以影响了这次的拍卖总额。该拍卖行的18世纪前绘画大师作品主管亨利·佩蒂弗(Henry Pettifer)说:“拍卖市场非常挑剔。新鲜作品的数量很少。”他指的是私人极少收藏有博物馆级别的作品。
If you want a refrigerator with a screen, might as well just stick an iPad on it. Samsung unveiled a smart refrigerator this summer that connects to wi-fi to help manage groceries and leave notes behind for family members.
他说,“油价将波动上行。”

5

我们就是要打造开放的高地、投资的热土,和世界共享发展机遇。
网队我认为倒是可以轻松舒适地摆着烂,除非是想给那些没有融入球队文化,并且明年不会在队中地球员增加身价。对,我说的就是布鲁克-洛佩兹。他存在的交易价值很诡异,但是我们假设它存在的话,我们就该充分利用他身上的价值。
With best wishes for a happy New Year!
People (read: your boss) will notice if you go from sporting a uniform of jeans and a T-shirt to showing up in a tailored suit on interview day. This is all the more reason to take the day off from work to interview, but if you don't, dress as usual at the office. And then, Foss says, "leave the premises, and stop in a McDonald's parking lot on the way to the interview to change."
Attractions: Food, culture and scary stories
['serim?ni]
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。
根据电影监管机构数据显示,中国电影票房销售额在去年同比了增长48.7%
保险代理人员也增加了93.62万人,总人数逾560万人。
Most Catholics (60 percent) and white non-evangelical Protestants (65 percent) say they believe disasters like hurricanes and floods are the result of climate change.
夏普利对这一主题提出了早期的理论,在20世纪50年代和60年代利用博弈论来分析不同的匹配方式。与美国经济学家大卫?盖尔一起,他开发了一个数学公式10个男人和10个女人如何配对才能保证没有人会受益于配对伙伴。虽然这可能有一点影响到结婚和离婚,他们开发的算法已经被用于更好地理解许多不同的市场。
尽管在2008 年9 月被任命为美国时代华纳集团旗下《型时代》杂志总编辑的阿里尔·福克斯曼是榜单新人,很少参加电视节目,但他的时尚总监哈尔·鲁本斯坦现在是美国“一生” 女性频道《幻彩魔刷:寻找下一个化妆大师》节目的评委。福克斯曼的刊物在广告页数上领先,据称在2009 年上半年总计超过1000 页。
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。
据哈佛大学校报报道,至少10名学生因在脸书私聊小组中发布“猥琐表情”而失去哈佛大学的入学资格。

6

实际上,有一句俗语就是这样说的:“如果你拥有了龟兹,那么西域99%的城邦都会服从你。”
最佳喜剧类编剧:阿兹?安萨里(Aziz Ansari)和艾伦?杨(Alan Yang),《无为大师》,“父亲母亲” (Master of None, "Parents")
尤塞恩?博尔特是搜索次数最多的非英国籍奥运会选手。
The soaring prices of 2008, when oil reached more than $140 a barrel, will repeat, though not likely in 2014, Mr. Hummel said. The price 'is going to go higher.'
凸起那部分有个“涡卷饰品”——(古埃及碑上)在王和神的名字周围的椭圆形装饰。考古学家在上面发现有眼镜蛇一只眼的符号。
“尽管大多数中国品牌在国外还不为人知,但在国内,它们打下了很深的基础,”胡润百富董事长兼首席调研员胡润说。
[stres]
adj. 群众的,大规模
A private reading on China's manufacturing sector suggests the slowdown continued last month but that conditions had not worsened as much as in October. The Caixin-sponsored preliminary manufacturing PMI was 48.6 in November, versus expectations of 48.3. It had been 48.3 in October.

据周一发布的一份报告显示,伴随对教育和研发的投资正在不断转变为新的专利和许可,中国首次跻身世界最具创新力经济体前25强。

Conclusion

整个夏天,每隔一周,Good Humor冰淇淋卡车在周五午餐时就会拜访这家公司。而在秋季,公司每个月有两个上午会给大家提供苹果酒和甜甜圈。
不错,2014年完全是一场灾难,只等着引爆。在《年内股市崩盘的概率有多大?》(Doomsday poll: 87% risk of stock crash by year-end)一文中,我们分析了今年年初以来的10大崩盘征兆。之后,我们又不断发现了更多新的妖魔。它们有如嘀嗒作响的定时炸弹,来自国会、最高法院、性问题、碳排放、石油巨头、国家安全局(NSA)、国税局(IRS)、茶党式财政紧缩。接踵而至,让人无法招架。
致以最良好的祝福,原你新年快乐幸福。
贝南克(Bernanke)说今年晚些时候的经济将会走强,所以到时候他可以松开油门,也就是“在今年晚些时候开始减弱刺激性的量化宽松(QE)计划”。对此麦嘉华(Marc Faber)笑了。没错,他笑了。
"Compared with previous years, this year's two sessions are due to see the new leadership elected, and reforms of organizations will be discussed. They will also elaborate on detailed plans for implementing policies proposed by the 18th National Congress of the Communist Party of China."
McGowan has also hit out at Meryl Streep, saying that it is 'literally impossible' the actress knew nothing of Weinstein's sexual proclivities until last autumn.
In May 1940, Germany advanced into France, trapping Allied troops on the beaches of Dunkirk. Under air and ground cover from British and French forces, troops were slowly and methodically evacuated from the beach using every serviceable naval and civilian vessel that could be found. At the end of this heroic mission, 330,000 French, British, Belgian and Dutch soldiers were safely evacuated.
If you do much hiring of freelancers, you’ve probably considered outsourcing the outsourcing. There are several great services that can help, each with varying business models. For example, Bolton Remotewill build your team with vetted, offshore contractors. Another provider,Hubstaff, starts with your project in mind and then matches you with project specialists. Using an outsourcing placement service will save time instead of trying to do the recruiting yourself. These firms typically offer free recruiting and placement services but take a cut of the hourly rate.


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. 一座陵墓般的濒危物种仓库。
  2. 学校依赖于多种多样的技术,确保授课的活泼和互动性,包括虚拟课堂、直播授课以及多媒体教学资料。校友们被要求对授课质量进行评价,并说明在线考试的效果如何。结果令人鼓舞。在线授课质量似乎越来越好。在线授课所有方面的得分都比前几年高,这表明学员满意度提高。
    然而,《秦时明月丽人心》并不能让更喜欢真实历史而非虚构故事的观众满意,该剧豆瓣评分仅为4.9分。

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