Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

n. 批准,认可,同意,赞同
4. Fruit Mold
肺的一项意外功能被发现了。研究人员发现肺不仅仅能促进呼吸作用,在造血方面也起关键作用,肺每小时能制造1000多万血小板(微小的血细胞),这相当于任何特定时刻循环中的血小板的大多数。
最近几个月,大宗商品相关行业受到的冲击尤为严重。采矿业全年利润下降23%。石油和石化炼制企业的利润也出现下滑。尽管油价下跌,但很多炼厂仍要接受在油价暴跌之前签订的协议价格,而它们的出厂价格在下跌。
伦敦商学院(LBS)连续三年蝉联欧洲商学院排行榜桂冠,但其在欧洲大陆的竞争对手在用于编制榜单的单项排名中领先。
In October last year North Korean border guards attempted to shoot down some balloons, triggering a brief exchange of heavy machine-gun fire between the two sides.

It is believed that the rise of South Korea's pop music industry is behind the boom, and many patients visit clinics with photos of celebrities, asking surgeons to emulate nose angle or eyes.
Jude Webber
我是一个封闭的人
invigorate
It is the continual shrinkage of components that have unleashed the explosion of computing power and enabled these gadgets to be accessible to people across the world.
Hitting the Top 100 for the first time, French fashion brand Dior and Silicon Valley automaker Tesla Motors Inc. were at Nos. 89 and 100 respectively.
专家等到夜幕降临才实施爆破,10秒钟内就夷平了十五万平方米的混凝土、玻璃、钢筋。
《Trigger Mortis》于9月8日发行,先于10月26日上映的007新电影《(幽灵党(暂译)》(Spectre)。
这一点,在他首次公开自己的性取向时表现得再突出不过了。

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.

6) My Pleasure: This subtle reminder reinforces a key point. You’re here to help others. You have all the time they need. And you’re happy to do it.

1

Actors Leonardo DiCaprio and Lady Gaga have led the winners at this year's Golden Globe awards.
今年8月,来自托雷维耶哈的乔斯·哈维尔创建了一个AdWords账户,这是谷歌旗下的一项点击付费服务。
她的设备使用了碳纳米管来检测铅的存在。据报道,数千个美国供水系统都有铅污染的问题。
虽然周六欧锦赛中爱尔兰0-3不敌比利时,但这并没有让赴波尔多看球的爱尔兰球迷一蹶不振。
40万美元对于他们来说可谓九牛一毛——2015年,希拉里和她的丈夫比尔?克林顿主要通过演讲和版税收入赚得了1060万美元,特朗普也声称自己赚得将近5600万美元。
When you need help, reach out to people in your networks – that’s what they’re there for. Whether you need a confidence-boosting pep talk or advice about building your technical experience — your mentor, your colleagues, and your manager can help. You may not know how to do something today, but chances are you’re smart enough to find someone who can help you learn it. And once you do, don’t unfasten your seatbelt – there’s always going to be another challenge headed your way.
A best film nomination looks certain. Darkest Hour's Gary Oldman is the favorite for best actor, but if anyone can beat him it's probably Chalamet.
"这个家伙对当前情况作了利弊权衡:他有很大机会从故障电梯逃生,但是如果家庭作业没完成,他会很倒霉。"一名名为Zealshifang的用户调侃道。

Other notable custom course performances include Harvard Business School, which recorded one of the year’s biggest rises, jumping nine places to fifth. The Massachusetts school was ranked 18th two years ago.
Brands with the most incentive to coast in 2015:Jeep, which must be exhausted after lifting sales an astonishing 44% on the back of the new Cherokee, and Subaru, now the 10th most popular brand in America after improving its sales by 21% in its usual fashion: quietly.
据称,索尼影业极有可能负责新一集的电影的发行工作,之前,他们也负责了最近两部《007》电影的分销职责。与此同时,与望远镜娱乐关系交好的派拉蒙影业也有可能担当发行公司,目前,这两届公司正联手拍摄《星际迷航2》。
根据公安部的声明,自2015年9月以来,我国在放宽外国人居留、入境政策方面取得了巨大进步,帮助吸引了更多海外人才、促进了国际交流和经济发展。
For democrats, the outburst of such primal emotions is disturbing because they are so hard to contain.
adj. 暂时的,临时的
“Our goal is to produce as many units as we can and, at the same time, make sure that we do it in a way that maintains and enhances the health of neighborhoods,” said Carl Weisbrod, the director of the Department of City Planning.
安娜还补充道,在巴西筹办世界杯期间,巴西人民却在遭罪。由于大型建设项目造成交通拥挤,耽误了居住在城市郊区穷人的上下班时间,她认为只有富人才会在世界杯倍感享受。
“能被评为全球最国际化的大学之一,这个名单中的所有学校都是值得祝贺的。这标志着它们拥有巨大的潜力、竞争力和发展动力。”
当然这也并不是说,你害怕老板起疑心,就要放弃你在领英上面的简介。但是告诉你,得小心点。其中一点是关掉你的活动广播这样你每一次策略性的行动就不会被所有网民发现,下面教你怎么做,在主页面,光标停在右上角,点击个性设置,在个性设置里面点击活动广播。
We learned that there is new hope for Africans with treatable cancers.
5. It's a dog's life for the British
一家国际医学杂志撤销了107篇中国学术论文,由此引发了人们对中国学术诚信的关注。被撤稿的作者多数是临床医生。

2

黄金市场可能会对美元以及美国加息的前景着迷。但还有一个因素正在逼近:金矿供应下降。
['d?kjum?nt]
时间:2010-05-17 编辑:francie
remembrance
A report from the ministry showed that employers recruited 5.2 million workers through public employment service agencies in the first quarter, dropping 229,000, or 4.5 percent, from the previous year.
A segment of Peking Opera from “Take Over The Weihu Mountain” (Yu Kuizhi and a student from Confucius Institute)
4. 西班牙企业学院
If the timing of your job search allows, Foss recommends beefing up your LinkedIn profile gradually (and thus inconspicuously). Or better yet, work on it when you're not job searching。
The clothespin dates back to the 1800s, but in 2016 it became "smart." Meet Peggy, the laundry peg that's supposed to "help you lighten the load" by telling you when the washer cycle is over and if the weather is nice enough to hang your clothes outside. The device connects to your phones and sends you alerts when the weather changes or when you need to remove your clothes.
单词lace 联想记忆:
10. Be mindful of your attitude.
But markets plunged following the ECB decision. Investors complained that the central bank had misled markets about the amount of extra stimulus it was prepared to inject to shore up the recovery.

The data was released by the National Bureau of Statistics on its website, saying the growth rate rebounded for the first time after a four-year straight drop.
That is changing. One big 2013 move for benchmark Brent crude came in August, when international intervention in Syria seemed increasingly likely. But while the price of Brent, which is traded on London's IntercontinentalExchange, did rise by 5% on the threat of U.S.-led airstrikes, it didn't come close to the 2013 high.
adj. 社会的,社交的
“This could be just the beginning,” said Michael Na, a strategist in Seoul with Nomura.?“They have so many options to punish Korean businesses.”
前“世界小姐”朴雅卡·乔普拉位列2015世界美女榜第九。她是一名印度演员兼歌手,是宝莱坞片酬最高的女演员之一,也是印度最受欢迎、知名度最高的名人之一。她获得过无数荣誉,包括印度国家电影奖的最佳女演员奖项,以及印度电影观众奖的四项大奖。
7、《海底总动员2》
写博客有时也很浪费时间。HitTail会分析你的谷歌网站管理员工具里的数据,然后推荐你写一些“热门词”。另外,HitTail还有一个熟练写手组成的网络,可以帮助创建博客内容。
马纳尔·阿尔-谢里夫最有名的,是挑战她的祖国压制女性的法律和习俗。
紧缩政策促使一些企业寻求其他融资方案,比如债券或在全国中小企业股份转让系统上市。

3

不管是什么根本原因,去年美国西部地区的极端温暖意味着,阿拉斯加州、亚利桑那州、加利福尼亚州和内华达州都创下了气温记录。加利福尼亚州的一些地区去年基本上没有冬天,那些地区的气温有时比季节正常温度高出10到15华氏度(5.5到8.3摄氏度)。在阿拉斯加的最大城市安克雷奇,2014年的气温从未低于华氏零度(或摄氏零下18度),在该市101年的气温记录中,这是首次。
exposed
We learned that there is new hope for Africans with treatable cancers.
Song “Taste of China” (Phoenix Legend)
4. Adidas. Brand love: 35% / Rank 25
vt. 鼓励,促进,支持
新近成立的Eleven James正在男表领域引入合作消费的概念。该公司的会员项目能令你获得亲近一系列精挑细选的高端腕表的机会,这一曾经只和私人飞机、豪华汽车及度假屋联系在一起的会员模式正在Eleven James的手中发扬光大。除腕表外,会员还能注册专享忠诚度项目,其中包括礼宾服务、合伙人利益专享及诸如腕表主题活动等独一无二的体验。听起来有点像男士腕表和飞机租赁公司Net Jets体验的大碰撞?公司创始人兰迪?布兰多夫(Randy Brandoff)在奢侈品营销领域拥有深厚经验,曾经在Net Jets担任高级副总裁和首席营销官、在Marquis Jets担任过执行副总裁和首席营销官。他的专长,加上年复一年增长势头良好的腕表行业,以及一种在其他市场证明行之有效的商业模式——看起来Elven James正是在恰当的时间叩开了市场的大门。
The result was a loss of playoff revenue so steep that it actually hurt the cap situation of teams trying to find room to compete with the Warriors. The Finals were supposed to be the last hope, the last chance, and there were those who foolishly kept telling you not to count out LeBron James. Well, I've covered five LeBron Finals, and I'm here to tell you: he knew. He spoke about Golden State with a tone of "What can I do? They won 73 games, I beat them, they added Kevin Durant." The Cavaliers managed to make things close with a chance to win in Game 3 before Kevin Durant's cold-blooded, series-ending dagger. In the end, the Cavaliers got their requisite single face-saving game, but the end result was ... anticlimactic.
“在三个月里,我在我的三个女儿身上总共花费了5000英镑。有一件裙子花了我两百美元,她只穿过两次,就长高了、不合身了。——不过我不打算节制开支。”
《怪奇物语2》
这位无懈可击的歌手用吉他和铜管乐器合成的节拍和强节奏的音乐效果展现了更为广阔的情感和音乐世界。它会使你回想起艺术摇滚乐教母凯特·布什(你可以去听一下《Green Light》(《绿灯》)这首歌)。
美国上市交易相比2016年(多年来最疲弱的年份之一)出现起色。根据Dealogic的统计,今年迄今已有112笔IPO得到定价,而去年这个时候只有63笔。发行金额翻了一番多,达到316亿美元。
3. Your boss received your résumé from a contact of a contact。
supply
改革就是要解放和发展生产力,调动广大人民的积极性,让群众得到实惠,为政之要就是要舍小利、顾大义、顺民心。

4

Effectively strengthening environmental protection
Taylor Swift and Katy Perry opted for bedazzled5 dresses in very different styles. Taylor went for a more old Hollywood, glamorous Grecian style that exposed her back and statuesque6 figure, while Katy rocked a shorter, spunkier look that exposed a little of everything.
The two extraordinary sex toys will go on display at an upcoming exhibition at the Asian Art Museum of San Francisco in the United States.
1.You Aren't Learning Anything New
时间:2009-10-21 编辑:sunny
9.Fantastic Beasts and Where to Find Them
制度也可能失效。
We’ve all had them: bosses and managers who make our work lives terrible and couldn’t manage a stack of paper clips, let alone a team of employees. I’ve written about the traits that make for bad bosses before, and in that article, a thoughtful commenter came up with his own list of what makes a good boss。
5、低效的邮件沟通
人力资源和社会保障部的一位官员称:“根据往年的经验,在报名窗口快关闭时,报名人数会剧增,尤其是在最后三天。”
Comparatively, the increase rate is higher than income rise of urban residents for the same time period, which is 17.4%.

5

时间:2010-09-19 编辑:beck
5月7日-11日
设计师布莱恩-卡朋特和布兰德-霍克因为酷爱户外运动而受到启发,决定想出一种创意方式,能够随处搭吊床。
It is the eighth straight year that the metropolis has led Chinese cities in terms of consumer spending.
Judge Business School at the University of Cambridge jumps five places to fifth. Not only is it the first time it has broken into the top five, but it is also the first occasion that LBS is not the top-placed UK school in the MBA ranking.
死亡可能隐藏在评论人的十大清单这一仪式之后,也包括实体媒体的死亡:清单在手机上更容易读,就算娱乐媒体的泛滥,已经令深刻的阅读近乎不可能实现。截止到年底,纽约今年一共上映了900多部电影,很多影片都在影院内匆匆来去,由于缺乏观众而被遗忘。尽管如此,这一年里,我看了几百部影片,喜欢其中的一部分;不出所料,大制片公司和独立公司都有垃圾制作,但和往常一样,也不乏有价值的作品。下面是我在2015年最喜欢的影片,以及今年的十则杂记。
Format: Alternating Friday-Saturday classes, with an initial week-long meeting and a week-long international study seminar
节目1 开场曲《欢歌贺新春》,中央电视台48位主持人
“An employee bragged to all his colleagues that it was his last day, but failed to let his boss or the HR manager know.”
Challenger说:“工作总会有的。公司总是在招聘,只是竞争更加残酷了。”
Swipe them free and they'll soar into the sky.
Beijing is looking to unload excess reserves built up under the government’s subsidy policy.
英国国家卫生署去年公布的入院患者的数据显示,各种各样的营养性疾病和传染性疾病在过去十年来以惊人的速度增长着。
4.Autonomous Cars

6

Ranking third on our Top-Grossing list is Steve Carell. Despicable Me 2 was a huge hit this year, bringing in $919 million at the box office. Overall, the franchise has earned $1.4 billion at the box office worldwide and a third movie, Minions, is on the way. Carell also appeared this year in the small indie The Way Way Back and The Incredible Burt Wonderstone. The latter failed to earn back its production budget at the box office but we’re only looking at ticket sales here — the film put another $22.5 million in Carell’s column for 2013.
另一些人则采用一些颇具创意的告别方式。人力资源公司OfficeTeam邀请美国600位人力资源经理透露一下他们最近耳闻目睹的最古怪离职方式。现在就让我们一起来欣赏一下吧:
I was asked by one CEO to hire the long-legged girl with the long dark hair even though she didn't have the right skills. Another time, I was instructed not to hire anyone with children because the company had too many people leaving for soccer games. That kind of thing happens all the time.
卡梅隆·安东尼
去年电影市场的一个亮点是,共有七部高质量的国产影片在票房前10名的榜单中。其中就包括真人与动画结合的《捉妖记》、以及基于经典古代故事的3D动画电影《大圣归来》。
7、 阿斯顿·马丁必须有。不止如此,还要在异国情调的赌场里挥金如土——一掷千金的男人很能吸引寻欢中的女性。常与女性周旋的邦德更擅长于此。
Princess Agents
6.杰克·谢帕德差点在第一集中死去
智能手机和电脑代表了20世纪科技发展的驱动力,任何人只要看到它们,就会打消对上述这句话的疑虑。

adj. 毁灭性的,令人震惊的,强有力的

Conclusion

肯尼迪中心为她的善举给她颁发了希望的波澜奖(the Ripple of Hope Award),泰勒也成为此奖项的最年轻获得者。
在苏富比的拍卖会上,有少数几幅作品的拍卖价格远高于预估价,比如德比的约瑟夫·赖特(Joseph Wright of Derby)1780年的一幅风景画,它描绘的是奥古斯都大帝的女儿朱莉叶(Julia)被流放到萨莱诺湾(Gulf of Salerno)的一个洞穴里。
Another fashion high-flyer making her mark on the first day of the world-famous festival was Winnie Harlow. The Canadian model - who has the skin condition vitiligo - nearly took Emily's crown, as she made a play for the attention with her elegant belle of the ball outfit.
5. Hong Kong, China-A junk boat set against the famous skyline might be the iconic shot of Hong Kong, but Lonely Planet picked the territory for its natural heritage miles away from Victoria Harbor.
沙泽勒编导的音乐片《爱乐之城》是当晚的得奖热门,所获14项提名平了奥斯卡史上的纪录。沙泽勒获得最佳导演奖。而埃玛?斯通(Emma Stone)凭借她在这部由狮门娱乐(Lionsgate)制作的影片中的表演,赢得了最佳女主角奖。此外,《爱乐之城》还获得了最佳配乐和最佳原创歌曲奖。
6.London's bike hire scheme couldn't be simpler, by the way: just go up to the terminal at any docking station, pay by card and take away one of our so-called "Boris bikes". When you're done with it, simply throw it into the nearest canal. They're disposable!
智能垃圾桶
麻省理工学院斯隆管理学院(MIT Sloan School of Management)教授迈克尔?库苏马诺(Michael Cusumano)表示:“我曾经认为乔布斯是不可取代的,而且这在一定程度上是个事实。但乔布斯的精神依然留存在苹果内部,而且公司正围绕着一种不那么对抗性的文化组织在一起。我们应为此给予蒂姆赞扬。”


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. 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。
  2. Equally, a three-week interning stint at PwC in the school summer holidays gave her the chance to sample life in a professional services firm. “I didn’t think I would get a place on [PwC’s programme] as I had no business experience,” she says.
    "The editors thought the articles were being sent out to genuine reviewers in the discipline," he said. "Following our investigation and communication with the real reviewers, they confirmed they did not conduct the peer review."

Next Article:

   Comments ()