Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

紧随Fitbit和谷歌眼镜(Google Glass)之后,许多公司开始蜂拥进入这一市场,带来了许多装有感应器的臂章、服饰以及眼镜。这个领域现在炙手可热,但最早使用这些设备的人们似乎都在等待那个时刻,让他们不再显得特立独行。(你知道的,谷歌眼镜的粉丝们现在有了个专门的贬义称呼“Glasshole”。)
2012年,谷歌发明了谷歌眼镜,一台你能戴在你脸上的电脑。在街上行走或者进行每天的任务的时候戴着它,可以同步看一些覆盖在眼镜上的日程会议,短信及地铁警戒等信息。戴着它行走的时候,可以用它们打视频电话,甚至把直播视频上传到网络,这一切都不需要动手。谷歌眼镜可能挺酷的,挺新颖,还有创新性,但是它绝对不是第一副可佩戴的电脑眼镜。
The amulet has been dated to 3,200 years ago and bears the name of Pharaoh Thutmose III, a prominent figure from the Eighteenth Dynasty who reigned from 1479 BCE to 1425 BCE.
不过在这一通胡闹之余(主持人蒂娜?费举杯道:致这个美好的混乱之夜),本届金球奖(Golden Globes)颁奖典礼还是清醒地把多项重要大奖颁给了各个夺奖热门。戴维?罗素(David O. Russell)电影作品《美国骗局》(American Hustle) 揽入包括最佳喜剧片在内的三项金球奖,成为当晚最大赢家。历史剧情片《为奴十二年》(12 Years a Slave)虽在另外六个竞赛单元中失利,但最终斩获了最佳剧情片奖。
entertainment
Among these six US schools, Rutgers Business School in New Jersey is the highest new entrant at 70. WP Carey School of Business at Arizona State University is the highest returning school at 57. Moore School of Business at the University of South Carolina returns at 77. Moore stands out for being top overall for international course experience. Its students spend from several months to a year overseas.

China’s reserves have fallen for nine of 11 months this year and stand at $3.43tn, as investors sell renminbi assets to protect themselves against depreciation and the central bank sells dollars from its reserves to curb renminbi weakness. Falling interest rates in China and expectations of an imminent rate rise by the US Federal Reserve have also fuelled outflows. Reserves rebounded mildly in October, suggesting outflows had diminished.
Tesla:In an effort to blunt criticism about slow refueling times for battery-powered cars, Tesla TSLA -1.54% starts to roll out of a network of battery-swap stations. CEO Elon Musk must hope he can outdo Shai Agassi’s Better Place, which tried to build a whole company around battery-swaps before going bankrupt in 2013.
figure
但随着美国接近实现充分就业,随着通胀向目标水平趋近,“你可以看到收紧政策是有道理的,”他说,“不需要很多就足以改变整个平衡”。
?The Aston Martin doesn't hurt. Not at all. Neither does dropping tons of cash at exotic casinos -- throwing money around makes men more attractive to women who are interested in flings. And, like Bond, men who gamble with women around are better at it.
The auction house said today that the auction, featuring two diamonds over 100 carats, drew buyers from more than 30 countries.
我立刻赞同了克雷格和尼尔关于艾伦是今年颁奖礼最合适的主持的想法。我们希望举办一场娱乐、吸引人而又有趣的颁奖礼。
“你美丽得如此不真实,我的视线无法从你身上移开”,这爱意满满的歌声使金发女郎笑得合不拢嘴,同时她也拿出手机记录下了这美妙的一刻。
n. 大巴,教练;(火车)客车车厢,四轮马车,经济舱

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.

New construction will provide luxury options for renters with deep pockets, mostly in the boroughs outside Manhattan. In Brooklyn, 6,527 new rental units are expected to hit the rental market next year, nearly twice the 3,802 units anticipated for Manhattan, according to Citi Habitats.

1

不过,日本央行(BoJ)仍决定不加大货币政策刺激力度。该行指出,工业产出是日本经济疲软的领域之一。当然,就业市场等日本经济的其他领域,表现要好得多。
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。
['pr?ut?k?l]
Effectively strengthening environmental protection
福特汽车
n. 框,结构,骨架
Faber laughs at Bernanke's remark that the economy would be strong enough later this year so he could take his foot off the gas, that is begin 'tapering, or scaling back it's stimulative quantitative easing (QE) program later this year.' Yes, laughed.
史赛克公司(Stryker)的创始人就是“翻身床”的发明者,借助这个设备,卧床的病人无需挪动身体就能改变在病床上的位置。顺其自然地,这家医疗设备制造商也向自家员工及其家属出借医疗床,分毫不收。

Whether China opens the stock floodgates or not will be a major price-driver in cotton and sugar — and potentially also in corn, soyabean or vegetable oil — markets in 2017, the bank said in its report.
Marco Montanari, the head of passive asset management for Asia-Pacific at Deutsche AM, agrees that fundamental changes to distribution must be made before the Asian ETF market can move to the next level.
哈维·韦恩斯坦被指控此后将麦高恩列入了黑名单,同时雇佣莫萨德机构跟踪麦高恩,窃取她的纪念手稿。
de下,put放-下放权力-代理
你可能觉得夏威夷航空的运营相对容易,因为该公司的航班很少遇到美国大陆那种恶劣的天气条件。夏威夷航空公司在航班准点率排行榜上常年位居前列,在9月份最新公布的榜单上创下最高准点率。夏威夷航空公司最近宣布将把业务拓展到夏威夷岛外,开通从檀香山到北京的直达航班。
自1983年以来,每年的央视春晚就成为了中国人民春节必不可少的重要组成部分,也难怪主办方的每个举动都能成为关注的焦点。
Over the past 10 years, the value of the top 100 brands has more than doubled — increasing by 133 per cent. That value (see box on page 3 for methodology) is calculated in terms of financial measures such as revenues and profitability combined with surveys of how consumers view brands.
第九步 每天,告诉全世界“别BB了”,其实这样蛮圈粉的
Last but not least, no matter what kind of personality you are, be positive and stay healthy!
Leading actress Sun Li played Zhou in the drama. Despite her age, Sun, who was born in 1982, still successfully presented a lovely and innocent teenage Zhou in the eyes of many audience members.
去年上海浦东国际机场通报的准点率最低,该机场仅有52.4%的航班准时起飞,平均延误时长为48分钟。
11月24日至25日,苏富比举办慕尼黑第四代交易商康拉德·伯恩海默(Konrad Bernheimer)的藏品拍卖会,他拥有历史悠久的伦敦科尔纳吉画廊(Colnaghi)。65岁的伯恩海默决定缩小自己的业务,关闭慕尼黑的画廊,卖掉巴伐利亚的豪华宅邸马尔库斯泰恩城堡(Marquartstein Castle),将科尔纳吉画廊与伦敦的Coll & Cortes画廊合并。
斯托特说,对于2015年破纪录的气温来说,当前的厄尔尼诺现象可能只负有10%的责任。厄尔尼诺现象令太平洋海水变暖,是自然界一种经常性现象。

2

31岁的C罗的足球圈中的死敌、今年一月击败其荣膺世界足球先生的里奥·梅西在2015-2016年度收入5600万英镑,位居第二。
One year after new measures were implemented, Shanghai saw a year-on-year increase of six times the number of permanent residence applications from foreigners and their families.
马特达蒙凭借他在《火星救援》中扮演的被困宇航员一角而荣获喜剧类最佳男主角奖项。
新年英文祝福语大全
About 200 million migrants, half of whom are women, sent $445 billion to their families in Asia, Latin America and Africa in 2016, the International Fund for Agricultural Development (IFAD) said last Wednesday.
单词associate 联想记忆:
立场:为禁止员工在家上班进行辩解
根据中国海关的数据,今年头十个月,中国对美国出口同比增长5.2%,对东盟(Asean)国家出口同比增长3.7%。
中国会很快宣布一系列的关于房价调控和医疗保险的措施。在2014年,中国仍然需要建造7500万间超过7万5千美金的房产。这方面的投资,特别是医疗方面,使得普通中国消费者开始进入少存钱多花钱的消费习惯,进而促进内需,最终促进长期的就业增加。
樟宜机场集团总裁李绍贤先生表示:“连续五年获得Skytrax世界最佳机场的殊荣,这是对整个樟宜机场五万多名职员巨大的鼓励,我们每一位员工都极富热情,并且希望留给每一位旅客最难忘的候机经历。”
佐治亚州萨凡纳市(SAVANNAH, GA.)
我预计,将有更多公司培养懂得如何管理网络的领导人——不只是传统的内部员工网,还包括联系更松散的供应商和承包商网络,通过互联网和社交媒体进行远程管理。

2016年观影人数达到13.7亿人次,同比增长近8.9%。
而90后微信用户数量则略有下降,从94.1%跌到了86.6%。
萨默塞特?毛姆(Somerset Maugham)曾形容法国里维埃拉(French Rivier)为“阴暗人物的阳光之地”。环视着酒店大堂里的“模特”,带着黑超的男人们似乎与他们相识,我似乎理解了毛姆。戛纳华丽的外表下有着其并不光彩的一面,就如湛蓝的海水下垃圾成堆。电影节开幕前,法国潜水员,同时也是环保人士的Laurent Lombard(劳伦?隆巴德)拍摄的戛纳河床沉积着大量垃圾废物的视频被疯传。我们被告知在此游泳并无危险。据《每日邮报》报道,市长已下令清理。但是小镇确实不再那么闪耀迷人了。
and the regime's first move—cashing in Lou Williams to the Rockets for a first-round pick—is a clear sign they realize that they must do everything to retain their own top-three protected pick in June's draft.
McDonald's (MCD, Fortune 500), the all-American fast food Mecca, announced it would put $20 billion towards share repurchases and dividends Thursday, jumping on board the buyback trend that has boomed over the past 18 months.
7)让我来唱黑脸:想找一种婉转的批评方式?将对话转变为一场操练,你在其中扮演被孤立的一方,执行一项职能:戳穿(对方言语中的)逻辑漏洞及其攻击计划中的漏洞。你使用此条策略,一定要强调一点,千万不要在这些观点中掺杂个人情绪。
在纽约市许多公寓楼的大门背后,充斥着居民们不协调的抱怨声。从我的“房地产答疑”(Ask Real Estate)专栏所收到的抱怨信中,我们可以一窥居民们是如何应对生活在拥挤、昂贵的住房中的种种不顺心的。比方说,有个合作公寓的股东被邻居家的老鼠窝吓坏了;有一对父母被禁止将婴儿车推进楼内的电梯;有个租户厨房里的橱柜从墙壁上掉了下来。
你或许要很长时间才能实现工作与生活的平衡,但努力遵守这个清单,并将其作为创业的目标,将会产生不一样的效果。创业者如何看待所取得的进步?以及一家公司多快才能实现正常运营和实现收支平衡?遵循这些建议,你很快就能找到答案。
在今年的榜单上,美国学校恢复了自己的优势,上榜的美国学校数量增至51所。2016年,这一数据首次跌破50,降至47所。在8所新上榜或重新上榜的学校中,有6所来自美国。

3

We will promote the liberalization and facilitation of international trade and investment.
Do you feel any of your worksare underrated or wished was a little bit more popular?
Economists had likewise expected year-to-date urban fixed asset investment, a rough proxy for long-term spending, to remain at September’s level of 8.2 per cent year on year growth.
因为吉吉·哈迪德和凯蒂·派瑞等多位模特和表演者在申请签证时遇到了一系列问题,维密秀的主办方正试图使一切回到正轨,如今主办方又表示,中国政府还拦截了他们的邮件。
The 2017 grads of Tsinghua University earn an average salary of 9,065 yuan per month, according to the survey released by xinchou.cn, an internet salary survey and report provider.
在这场充满政治色彩的颁奖典礼——唐纳德?特朗普(Donald Trump)屡次成为主持人吉米?基梅尔(Jimmy Kimmel)打趣的对象——的末尾,沃伦?比蒂(Warren Beatty)和费?唐纳薇(Faye Dunaway)宣布《爱乐之城》赢得此奖项。然而,就在这部达米安?沙泽勒(Damien Chazelle)编导的现代音乐片的制作人员和演员登上舞台、激动地发表致谢演说时,他们却被告知《月光男孩》才是真正的获奖者。
The developer behind Kinect Disneyland Adventures and Elite: Dangerous is taking the theme park business to the extreme in ScreamRide. The game lets players build outrageous roller coasters, thrill rides and attractions from the ground up and then take them for a test run. The game offers three ways to play: Engineers can construct elaborate rides that test the boundaries of physics and g-forces; Scream Riders get on these rides and experience the thrills and spills first-hand – sometimes resulting in untimely deaths; and Demolition Experts can use any means necessary to tear down an entire amusement park. With classic PC games like Roller Coaster Tycoon now playable on smartphones, this next generation of thrill-ride creator is a welcome interactive experience. It’s always fun to build, ride and destroy roller coasters – and ScreamRide offers plenty of ways to share the thrills with your friends.
The ranking of 95 schools, up from 90 last year, includes nine institutions, from seven countries, that were ranked for the first time. Frankfurt School of Finance and Management in 41st place is the year’s highest new entrant. The German school has one of the most gender-balanced programmes, with women accounting for 49 per cent of students.
More advanced components are in short supply, however, which could leave many customers waiting long after September to get hold of the new iPhone. That presents an opportunity for rivals such as Samsung’s new Note 8 or Essential, the smartphone maker led by Android co-founder Andy Rubin, which is targeting premium customers such as Apple’s with its slick $699 device. Google is also said to be preparing a new version of its Pixel smartphone, which has proved popular with early adopters.
以下是第68届年度黄金时段艾美奖的主要获奖者名单,请登陆emmys.com浏览获奖名单完整版。
[k?:]
The GDP of Southwest China's Chongqing Municipality grew by 10.7 percent in 2016, hitting 1.76 trillion yuan. Southwest China's Guizhou province and Tibet autonomous region posted 10.5 percent and 10 percent growth respectively.
我国火车票购票官网12306网站已成为世界最大火车票购票网站,2017年该网站交易总量达35亿张车票。
temptation
Fiat will seek to renegotiate the terms of its investment in Chrysler.

4

The Sixers are still slowly pivoting from a full-on institutional tank job to trying to be competitive, and the Suns are not expecting to be anything like good. So those two teams are quasi-tanking. They are, at least, not mad about losing.
和过去几年相比,2013年信心受到动摇的时候少了,但市场依然很容易受到影响。OppenheimerFunds的首席经济学家韦布曼(Jerry Webman)表示,虽然2013年的信心要强于以往,但全球各地也不都是这样。
北韩已经警告过Park,如果电影穿越边境,将会要他"以命偿罪"。
severe
stress
Given that every single Wall Street economist had called for higher rates at the start of this year and 67 of 67 economists surveyed by Bloomberg concurred, the rate-sensitive utilities industry would have been the last sector a rational person would want to overweight. Bets on the financial sector were slow to pay off while wagers on “cheap” energy stocks demolished portfolio performance in the third and fourth quarters, just as they had elevated it during the first and second.
因此,他在福布斯的该榜单上排名下滑了220位,与其他19名富豪并列第544位。
South Korean activists vowed Tuesday to sneak copies of Hollywood satire "The Interview" across the border by propaganda balloon later this month, in defiance of North Korea's repeated threats.
After weeks of nail-biting auditions and five days of tense semi-finals, Britain’s Got Talent picked one of the 11 acts to be the 2014 champion.
[':tn]
王春法说,在出版前应加强审查和评估。

5

Play up being smarter than everyone, develop some obvious insecurities. Forget social skills if you happen to have any.
我是否在维持健康的人际关系?在你的生活中,是否有一段关系需要你额外的关注?你是否需要给某人平反?在如何对待他人这个问题上,努力保持清醒的头脑。
['k?midi]
《东方快车谋杀案》
“去年,有120万中国人来澳大利亚旅游,我们预计这将在中澳旅游年期间增长,并将继续增长。”
同期,巴西和俄罗斯分别减持到2617亿美元和1089亿美元。
Lady Gaga ranks fourth with $59 million, followed by Beyoncé at $54.5 million. The former played 66 shows during our scoring period, also cashing in on deals with Versace and MAC, as well as her own Fame fragrance. The latter’s On The Run tour with husband Jay Z grossed over $100 million for 19 North American dates, giving music’s first couple a nightly average comparable to that of the Rolling Stones.
先是“非典”,接下来是全球范围的H5N1以及H1N1流感大爆发。全球化也无能为力。现在地球实际就是一个小村庄,这也使得病毒在几小时内,就能轻而易举地从北京传播到波士顿。2010我们是否会再次遭遇另一场“甲流”?
[t?ek]
2Canada
本次国考共有148万人通过资格审查,较去年增加9万人,而计划招录岗位为2.7万个,几乎与去年持平。
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。
骑行背带是专为小宝宝设计的,以减轻家长的负担。
不过现在,她已经开始利用自己童话公主一般的面容做慈善事业了,她会装扮成童话角色的样子,为孩子们演出,为癌症患儿的家长加油鼓劲。

6

7.Thought-Controlled Bionic Legs
当地媒体上周三报道,中国西南部重庆市的一名学生因嫌同学上课吵闹而试图下毒,被判有期徒刑一年。
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。
中国的科技巨头联想仍是PC市场的老大--占有市场份额的20%以上。惠普和戴尔分别名列第二、第三,苹果和华硕电脑并列第四。
众所周知,中国国家主席习近平也是一个足球迷,他曾多次表达了自己对中国足球发展的支持。
改编自上世纪70年代真实贿赂事件的影片《美国骗局》当晚表现更加抢眼,埃米?亚当斯(Amy Adams)和珍妮弗?劳伦斯(Jennifer Lawrence)凭此片分获最佳女主角和最佳女配角奖。《为奴十二年》虽在提名数量上与《美国骗局》打平,参与了七个奖项的角逐,但当晚只摘得最佳剧情片一个奖项。
否则,就应该交易考辛斯还有在过去的两个赛季里签下的其他的老将了。
'But then what I do is I nudge him with a little reference to a newspaper article he happens to glance at which just reminds him that these things will give him cancer.
昨日,108名表演者身着熊猫服装,穿行在伦敦的街头,向大众宣传这种惹人喜爱却面临灭绝危险的黑白物种。

事实证明,许多投资者站在了库克这一边。经历了动荡的2013年,苹果股价在这次股东大会后上涨了约50%,一度将苹果市值推至7000亿美元之上。

Conclusion

为实现2020年医疗保健制度覆盖全民的目标,中国将改革药品市场,这将使其成为仅次于美国的第二大药品支出市场。未来5年内,预计中国人均药品支出将增长70%。
《三块广告牌》是一部黑色喜剧电影,由奥斯卡得主马丁?麦克唐纳执导。
The reading is just below economists' forecasts but it's not altogether surprising. When the People's Bank of China unexpectedly cut interest rates last month, some analysts said the move was likely a pre-emptive one and that a spate of weak data was likely ahead. Well, here it is.
Not until recently anyway. But scientists at Weill Cornell Medical College have at last managed to—at least with mice and monkeys. This produced artificial retinas, whose chips convert images into electronic signals and whose tiny projectors convert electronic signals into light.
李克强表示,中国经济之所以能有这样良好的表现,关键就在于坚持不搞“大水漫灌”式强刺激,着力推进供给侧结构性改革。
单词adolescent 联想记忆:
On Monday the research team said the skeleton confirmed that the monarch had severe scoliosis, or twisting of the spine. It may have been painful and caused his right shoulder to appear higher than his left, but there was no evidence of the withered arm depicted in Shakespeare's "Richard III".
con全部,tain拿-全部拿住-包含


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. 9. Jessica Pare
  2. 但3D版吉祥猴的形象却未能避开炮击,挑剔的网友纷纷吐槽:“这让我想起红绿灯!”;“水墨画的精髓全然不见”;“耳朵下面的两个球是什么呀,太抢镜了……”;“已被它丑哭。”
    Inflation for consumers, meanwhile, ticked up slightly to 1.5 per cent, versus a five-year low of 1.4 per cent in November.

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