Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

This year, the Global 2000 companies hail from 62 countries, up from 46 in our inaugural 2003 ranking. In total, they raked in revenues of $38 trillion and profits of $3 trillion, with assets worth $161 trillion and a market value of $44 trillion.
TOGETHERNESS (HBO, Jan. 11) HBO’s Sunday night comedy block already covers early-20-something New York women (“Girls,” beginning its fourth season the same night) and late-20-something San Francisco gay men (“Looking,” beginning its second). Now it adds 30-something Los Angeles straight people in this sometimes bleakly comic half-hour from Jay and Mark Duplass, the brothers behind quirky films like “The Puffy Chair” and “Baghead.” Mark Duplass and Melanie Lynskey play a married couple sharing a house with his best friend (Steve Zissis) and her sister (Amanda Peet).
美联储去年花了六个多月的时间暗示其有意退出第三轮购债计划,这种可能性时常扰动着市场。目前美联储仅处于退出购债计划的第一阶段。
Intel
Within days of becoming Prime Minister of Great Britain, Winston Churchill (Gary Oldman) must face one of his most turbulent and defining trials: exploring a negotiated peace treaty with Nazi Germany, or standing firm to fight for the ideals, liberty and freedom of a nation.
中国财富榜每年的变化反映了中国资本的流动,显示了这个国家超级富豪的金融实力。

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。
comfort
Their positional matchups with both Cleveland and Boston now look much more palatable.
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。
8. Greenland sharks live for a very long time
n.
['p?st]
core
Brands with the most to make up for in 2015:Volkswagen, whose stale product line depressed sales by 11%, thereby delaying Ferdinand Piech’s plans for global supremacy, and Volvo, down 17%, which has yet to make any progress under its Chinese owner.

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.

2013年最常用密码:

1

众所周知中国一直在雄心勃勃地推进航天商业化,最近中国取得的进展正在将这一梦想转为现实。
今年中国经济成V字形强劲复苏,随之而来的是许多关于城市房价疯涨的报道。
2. Tell all your friends not to give birth or wed or die or whatever during the World Cup coz we won’t go.
Martha Cherry took a cigarette out of her mouth, murmured, "I've been there," and resumed smoking. Marc was in shock (which, let's face it, is a pretty healthy response when you realize your own mother may or may not have had thoughts of murdering you while you bathed). He realized for the first time how desperate and lonely it could be to be a housewife. He realized then and there that he was upon a very good idea for a TV show. This conversation was the birth of Desperate Housewives.
The United States saw its real GDP increase at an annual rate of 3.9 per cent in the three months ended September,according to official data released last month.
我叫它“万隆奖”,该奖得名于一位中国肉业大亨,人家身为CEO却无比坦诚地宣称:“我就是个杀猪卖肉的。”万隆先生一定会同意我把这个奖颁给北伯林顿铁路公司(BNSF)的一位高管,这位仁兄在一次会议上说:“我们把东西从一个地方运到另一个地方。”
这四个特大城市在11月之后则经历了交通拥堵状况的缓解,这可能与冬季用户出行减少、雾霾、外出打工人员返乡等多重因素有关。
Tom Hanks has got a slightly more level head around his. He apparently keeps his best actor awards, one each for Philadelphia and Forrest Gump, on the family trophy shelf alongside football (the English kind) trophies and a World’s Greatest Mom trophy left from a mother’s day past.

They were discovered in the modern-day Jiangsu Province near Shanghai inside the ancient tombs belonging to the rich and powerful.
"The longer people sit out of the job market, the harder it's going to be for them to re-enter," Frederickson says.
The joint Sino-American programme delivered by the Hong Kong University of Science and Technology and Kellogg School of Management has returned to the top of the Financial Times ranking of the best 100 MBAs for senior executives.
●"Florida man dies in meth-lab explosion after lighting farts on fire"
The Amsterdam crisis began when a Dutch group known as the Seppenwolde syndicate made a big, contrarian bet on the shares of East India Company. Those shares had plunged in 1771 mainly because of losses in Bengal, but the company kept paying high dividends and covered up its shortfalls by borrowing money. Convinced that East India shares would quickly rebound, the Seppenwolde group aggressively bought them on margin. But instead of rebounding, the shares fell even further after the company slashed its dividend.
It predicts index funds, or those that track commodities indices, to be back in the agricultural market in the second half of 2017, as they look for a hedge against inflation.
His eloquent defence of equality came after a year of faltering progress on gay marriage in the US and as arguments rage about the lack of diversity among the people running the Silicon Valley companies, including Apple, who shape so much of our culture.
[i'mju:niti]
The auction house says seven records in all were set at the Geneva auction including the highest amount ever paid for a yellow diamond - $16.3 million for the 100.09-carat Graff Vivid Yellow diamond ring.
您只需把杯子放到啤酒机上,杯底磁铁就会自动抬高,让啤酒流进杯子里。
6.微型人脑
TERRIBLE TIMEKEEPING
The inclusion of three turbodiesel engines this year could be considered controversial, especially as diesels remain far less popular in the U.S. than in Europe, where they tend to dominate the discussion. This is the first year in which more than two diesel-powered mills made the top 10 list and ironically two of them come from domestic automakers, including the only current full-size domestic half-ton pickup to offer one, the Ram 1500.

2

3.《初恋50次》
201110/156988.shtml
Murder on the Orient Express
*最佳综艺节目台本创作:《约翰?奥利佛上周今夜秀》(Last Week Tonight With John Oliver)
同样地,如果TPP剩下的11国在美国退出后,能在日本的带领下设法挽救该协议,可能为该地区带来一些平衡。
丽萨斯通
The Portuguese school has risen 31 places over the past two years since its International Master in Management course was first included in the ranking.
This movie tells the story of Wade Wilson, played by Ryan Reynolds, who is a mercenary with accelerated healing powers and a dark sense of humour. He's now on the lookout for the man who almost destroyed his life by subjecting him to rogue experiments. Deadpool belongs to the Marvel Universe and is their most unconventional anti-hero.
5.谷歌网站管理员工具
至于德克,我认为没有人应该曲意逢迎,但是总有人会这么做。从某种程度来说,如果球队处境如此令人痛心,或许摆烂会来得更轻松一些。
进入2月以来,猛龙逐渐感到他们需要进行人员调整了:良好的开局已经被挥霍的差不多了,他们的防守不足以限制对手,他们在四号位有个巨大的漏洞,在凯尔-洛瑞即将成为自由球员之前,他们急迫的需要利用好他的巅峰期。
卢彦说,通州和其他地区也会建设高规格的医院供市中心地区居民看病,该举措可以缓解交通压力和城市拥堵。

breakthrough
a不,非,mnes记忆-不记仇-赦免
管理着4亿美元资产的基金公司AIS Group的首席投资长赫梅尔(John Hummel)称,全球所有新原油资源的开采成本都较高。他预计到2015年美国页岩油产量将下降。
新年英文祝福语大全Best wishes for the year to come! 恭贺新禧! Good luck in the year ahead! 祝吉星高照! May you come into a good fortune! 恭喜发财! Live long
12306.cn, China's official website for purchasing railway tickets, has become the largest of this kind in the world, with combined sales reaching 3.5 billion in 2017.
一位不具名的北京癌症专家23日称,虽说破坏科学公信力的行为不该有任何借口,但是这起事件揭示了中国医生面临的普遍困境,即在超负荷的日常工作安排与发表论文以争取职业发展和升职的主要学术要求之间很难维持平衡。
没有比5个月前林赛·罗韩贴子中的麻木不仁和无动于衷更过分的了。
It is based on a survey of business schools and another of their alumni who graduated in 2013.
But some people might just remember the mustaches.

3

总体来说,直播授课和录制内容均获得8.8分的高分(满分10分),在线互动和团队合作的评分略低。
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。
考克斯说:“人们的政治倾向甚至影响到他们对气候的认知,这真有趣。”
笑并且像美洲狮一样咆哮
Taylor Swift has been named the most charitable celebrity of 2012.
2. 米拉?库妮丝
unemployment
大宗农产品投机交易一直是今年市场波动的一个特点,荷兰合作银行预测,这种趋势将继续。
他表示:“价格走低对利润下滑影响加剧”。
For the fifth year in a row the city-state's Changi Airport has been named "world's best airport" at the annual Skytrax World Airport Awards.
优秀的老板们懂得授权的艺术。我的一位评论家说要沿着线走“他们已经从目前的工作里面抽身”,意味着他们不干涉每一天和每一分的工作流程和程序。本质上,学着去授权给员工去代替微化管理是对员工的一种信任。
剧烈动荡石油产量—随着更加缓慢增长的世界经济—造成了原油价格从2013年100美元一桶到2014年年末的几乎50美元一桶的大幅下降,而在美国国内2014年初却造成了通货膨胀的相反影响
1985年2月是全球表面温度低于给定月份的20世纪平均值的最后一个月份,这意味着所有年龄在30岁以下的人都没有经历过低于平均温度的月份。最后一个低于20世纪平均温度的年度是1976年。
But industry watchers say that view misses an area where China goes toe-to-toe with Western rivals in innovation: extra features that make the Chinese version more interactive and more interesting to use.
Reality Competition Program: “The Voice” (NBC)

4

For once, the Lakers are in good spot and don't have to rush into anything. Take some time. See what they have. They're not making the playoffs with that defense, but that's not really the point of this season anyway.
Comic skit “Big City Small Life”(Wang Ning, Chang Yuan and Ailun)
"There's a new type of wealth creation coming out," he told Reuters, adding China was having to adapt as the wider economy was "very materially slowing down".
Autonomous cars: Researchers are working on devices that will automatically park your car in a parking lot without you being in, or near, the car. It will also slip a note under the wipers of the car next to it with your phone number and insurance carrier in case of any scratches.
但是她的成功也来之不易。精美的舞台装和参赛的全程费用已经让她母亲花费了5000英镑的费用。
Entrepreneur Pat Crowley, the hydrologist who invented the Chapul cricket protein bar, used Bigcommerce to validate early interest in his products and build the momentum to negotiate deals with health food stores and supermarkets. The team recently recommitted toBigcommerce, despite a compelling opportunity to switch to the Shopify platform for far less money. “We don’t think we will outgrow them anytime soon,” he said.
n. 财产
v. 撤退,向后倾
他表示,2017年的目标是航班整体准点率维持在75%左右。
与此同时,前第五届和声明星 Camila Cabello证明了她的独唱生涯正在起飞,因为她的首张单曲《Havana》获得了最佳流行音乐奖。她的胜利意味着Taylor Swift失去了另一个奖项,尽管这对于歌手来说只是众多收获中的一个,但是近期她因为一年的沉寂过后又重新成为焦点。
米特卜王子被捕不到一个月即获释,这显示出沙特想要迅速结束这场腐败调查,阿尔瓦利德·本·塔拉尔王子等多名王室成员和亿万富翁在调查中突然被捕。

5

1.手指存储器
No. Football punditry is a mug’s game. Better to have the benefit of hindsight. There have been 20 previous World Cups. Of those, Brazil (five titles) and Germany (four), are regular contenders. Home advantage helps, with host nations winning the trophy six times. But next year’s festival of football is being held in Russia, which has the lowest-ranked team in the tournament.
和许多评论家一样,我一方面了解清单的便利,一方面也讨厌清单的专横。所以我永远不可能只列出十部――我怎么做得到呢,北美影院一年就要上映900多部影片呢――今年是2015年,所以我挑选了15部,为它们分门别类,计数时做了一点含糊,所以最后其实是20部。其中有两部片名的不代表并列,而是代表有两种特色,可以成对观看,二者的优点相映成趣。
It’s been one of the worst years for investment decision-making on record, almost across the board. No strategy worked consistently, save for the type of shareholder activism that only a handful of Wall Street’s billionaire titans are able to engage in.
时间:2010-06-03 编辑:francie
结果那些要求进行设身处地和角色扮演的人在随后的提问环节表现最好。准确地说,这些运用设身处地法进行记忆的人记单词的效率是使用其他记忆方式的人的三倍。虽然主持这项实验的科学家们研究的是设身处地法对患有记忆力损伤的人恢复记忆的影响,但无论人们有没有记忆损伤,皆可能受益于此。如果你想记住朋友在哪买了一双鞋子,不妨就试着想象走进店里买鞋的是自己。
*Guest Actress in a Comedy Series: Tina Fey and Amy Poehler, “Saturday Night Live”
10.美国密歇根上半岛
Although it looked like the mobile patent wars might cool off after several settlements late in 2014, this year kicked off with a skirmish between Apple and Ericsson over patent royalties related to wireless communications. BlackBerry used to be pretty litigious: It even took on celebrity Ryan Seacrest over its keyboard! But these days it is more focused on trying to convince smartphone buyers that its technology is cool again. Or at least relevant.
我们一定要让企业和群众更多感受到“放管服”改革成效,着力打通“最后一公里”,坚决除烦苛之弊、施公平之策、开便利之门。
7. Make sure you don’t ask silly questions such as; is this Chelsea versus England?
居民消费价格上涨2%;
vi. 谈话,讲述
在过去的12个月里,这位22岁的T台女王兼真人秀明星赚得2200万美元,首次登顶福布斯模特收入榜。

6

“Through the second half of the 20th century we had this big dispersion of trade and economic activity around the world. All this specialisation meant exports rose faster than GDP,” Mr Williams says.
And, men are 2.8 times more likely to use this obvious phrase than women.
In early December, authorities announced that market circuit breakers would be introduced become effective from January 1 in an effort to limit the volatility seen during the savage, summer sell-off from June. The circuit breakers would see trading in shares, options and futures halted for 15 minutes if they fell by more than 5 per cent. On their first day of use, that first threshold was breached just after the return from the lunchbreak, prompting a 15-minute halt.
In the open ranking, IMD, in Lausanne, scores particularly highly in the top 10 criteria based on a survey of executives who attended programmes. It is ranked first in three criteria and in the top five for the remaining seven.
Mr Draghi hit back the day after the December vote, saying that there was no “limit” to what eurozone policymakers could do to return inflation to its target.
其实,中国经济增速放缓至8%左右,对中国乃至世界都是一件好事。更具环境可持续性、更加公平的局面,将缓解社会忧虑,而更高的消费将缓解全球贸易紧张。
The drama got 7.2 points on Douban, receiving criticism for having too much romance and too few of Zhou's struggles.
4. 《狗心》(Heart of a Dog),导演:劳瑞·安德森(Laurie Anderson)。
节目39 歌曲《冬天里的一把火》,吴克群 《梦想合唱团》宁波队

'You can't put a price on the look on her face when she's on stage in her costumes.'

Conclusion

A major disruption still could push oil higher, but potential oversupply makes even that less likely. Emerging-market demand once kept supply so tight that any disruptions led to striking price moves, said Ole Hansen, head of commodity strategy at Saxo Bank.
中国的旅游业官员正力图在2014年扭转入境游客减少的情况,专家认为,如果能对其过时的旅行团进行改进并降低票价,这一计划就有可能实现。
美国人:对于你们来说,干脆装成是加拿大人好了。英国人很难判断你们之间的区别,这样你们就可以避免卷入到关于死刑的尴尬谈话中了。
A child prodigy with an IQ higher than Albert Einstein is celebrating becoming a unique member of Mensa. Nishi Uggalle, ten, is one of the youngest people in the country to score the highest possible mark of 162 in the IQ society's supervised testing.
澳大利亚一名女子将其猫咪们遗弃在家里,最后这些猫咪们竟同类相食,目前该女子已被判虐待动物罪。
其实我一直都在等你提到篮网队的处境,既然你没说,那就我来说吧。林书豪已经因腿筋受伤缺阵几周了。他们是唯一有摆烂权利但是不摆烂的球队!
More than 40 percent of consumer goods exported to China last year through e-commerce platforms fell short of standards, China's top quality watchdog said.
Further, 32 out of the 50 new selected female billionaires started their businesses from scratch.


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 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.
  2. 6、A股保卫战
    《我无法忘记那天晚上和他在一起时发生的事》(‘I Could Not Forget What Happened to Me That Night With Him’)

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