Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

下面是2014年的几部重现活力、需要刮目相看的老剧——以及几部死气沉沉的老剧。
日本
At that time, the chief executive was also under pressure, given Apple’s lack of clear product direction beyond milking the iPhone. Sensing blood, activist investors began to circle the company; first David Einhorn, then Carl Icahn, have lobbied for changes to how Apple is run and manages its finances. Mr Icahn has pushed for Apple to raise huge debt to return up to $150bn to shareholders and urged it to release more products, including a television set.
Stock pickers encountered difficulty this year in part because of concentration at the top of the market. Just five stocks—Apple, Berkshire Hathaway, Johnson & Johnson, Microsoft, and Intel— accounted for 20% of the market’s gains. If you weren’t at least equally weighted toward them, you had virtually no shot at making up for missing their enormous, index-driving gains. A majority of the market’s stocks did not perform nearly as well. According to the Leuthold Group, only 30% of S&P 1500 stocks posted gains exceeding the index itself. You’d have to go back to 1999 to see anything like this.
Among the gargantuan hedge funds that make up a majority of the industry’s assets under management, dispersion of returns shot up to notable levels. And for every big winner, like William Ackman’s Pershing Square, there was a big loser to counterbalance it, like John Paulson’s Advantage Fund. Investors choose hedge funds for their “non-correlated returns,” meaning a tendency to move opposite from the general market’s direction. They certainly got such returns this year, unfortunately.
Hurricane Harvey

We were forced to leave our comfort zone but were rewarded with unique experiences, says one graduate.
需要快速发送大到2GB的大型文件?不妨试试WeTransfer.com。你甚至不需要建立账户,我几乎每天都用它传文件。
卓越雇主排名:32
But national and racial identity were often conflated for the white majority. That identity felt to many white people like one of the most important pillars holding up their world — and now it seems under threat.
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。
随着俄罗斯货币卢布一再对其他货币贬值,近年来去往俄罗斯旅游的旅客也在逐渐增多。
n. 流通,循环,发行量,消息传播
胰腺产生胰岛素,如果你的胰腺没有这样做,你需要人工注射胰岛素。因此,糖尿病患者必须进行的日常事例是检查他们的血糖,并且在必要时注射胰岛素。
The UK’s Warwick Business School recorded the best progression at the top, moving up from 16th to ninth place, while the Shanghai Advanced Institute of Finance (Saif), based at JiaoTong University, enjoys the bestprogression overall, jumping from 28th to 14th place.

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.

在经历了性骚扰丑闻频频曝光(从硅谷开始,蔓延至几乎所有行业)的一年后,女性将试图利用这一势头来推动永久性变革。鉴于科技行业的黑人和拉丁裔雇员少之又少,人们将关注被边缘化的少数族裔的困境。

1

inspiring
以下是其中最值得期待的10部,我们相信这10部电影都将成为票房宠儿,值得反复欣赏。
The Nobel Prize in physiology or medicine was awarded to a cellular-level experiment.
Mr Cook has added three women to what was previously a white-male-dominated executive team and changed Apple’s board charter to commit to seeking out candidates from minorities when appointing directors.
“还有大批人没有统计进来,”胡润对英国《金融时报》表示,“两周前我在北京拜访了这家投资公司。一下午的时间,我就发掘出了30个登上今年富豪榜的人。他们去年还不在我们的视线内。”
若原油供应严重中断,仍可能会推高油价,但潜在的供应过剩会降低这种可能性。Saxo Bank的大宗商品策略部门主管汉森(Ole Hansen)说,新兴市场的需求曾使得供应如此紧张,因而任何一次供应中断都造成了油价的大幅波动。
In a bid to change their looks, 20 percent of women between the ages of 19 and 49 in Seoul, the country's capital city, admitted they had gone under the knife.
今年夏季,美国ETF管理的资产规模跨过3万亿美元大关,亚太ETF行业管理的资产仅成功爬上3500亿美元关口。

尼泊尔的最佳旅行时间在今年的1月份到5月份。届时一定要去该国的加德满都谷底,该地区是尼泊尔的政治文化中心,同时也是世界遗产的集中地区,建筑风格多种多样,文化气息十分浓郁。此外,南部地区的奇旺国家公园也是必去之地,许多诸如印度犀牛和孟加拉虎等罕见野生动物都聚居在此地。
Upgrades to the country's industrial structure in which labor-intensive industries are being moved out of metropolitan areas contributed greatly to the demographic change, Peng Xizhe, dean of the School of Social Development and Public Policy at Shanghai-based Fudan University, told the Global Times on Tuesday.
人事工作类
她还表示,由于西方一些国家的经济条件和反移民情绪,许多中国学生发现现在很难留在这些国家。
特斯拉表示,在该公司的展厅里,每平方英尺的面积带来的销售额是苹果公司(Apple)的两倍,而苹果目前被公认为是行业领军者。
如果你想把内容写作工作的一部分或全部外包出去,那么你首先要确保你获得的内容是原创的。你可以把内容粘贴到CopyScape的分析工具,然后就能立刻知道这些内容是否为原创。
尽管看起来有着大量的目标核对工作,但在5月7日,中国驻贝尔格莱德的大使馆却被从美国空军B-2幽灵轰炸机上发射的五枚卫星制导联合直接攻击弹药击中。三名中国记者——新华社记者邵云环,光明日报记者许杏虎和他的妻子朱颖在袭击中身亡。另外20名中国公民受伤5人伤势严重。
吊床架
Neighborhoods
n. 块,大量,众多
10.Selfie Sticks
7.Taylor Swift
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。

2

8.Please aid the Olympic authorities and organisers by demonstrating at all times that you are not a terrorist. Do not perspire, take off your shoes, smile in a weird way while texting someone, or point and shout: "Hey! Look at all those missiles on that roof over there!" In fact, if you're not using your hands for anything, it's probably best if you keep them in the air where everybody can see them.
Christmas arrived on schedule for the U.S. auto industry as a spurt of sales put the wrapping on a surprisingly successful year. Analysts predicted that sales in December could hit a seasonally-adjusted rate of 17 million, which would be the first month at that rate in nearly six years. That would push 2013 sales up to a robust 15.7 million units.
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.
根据研究机构Millward Brown编制的BrandZ最新排行榜,全球100个最具价值品牌的品牌价值仍远远领先于其他品牌,今年它们的总价值上升3%,至3.4万亿美元。
Management and leadership skills are just one aspect of EMBAs. “It actually made an entrepreneur of me,” says one graduate. Nearly a third (31 per cent)of graduates have set up their own company, or are about to, since enrolling on their EMBA four or five years ago. FT data show that 91 per cent of the businesses are operating today.
In the best possible way.
Much joy to you in the up coming year. May the warmest wishes, happy thoughts and friendly greetings come at New Year and stay with you all the year through.让温馨的祝愿、幸福的思念和友好的祝福,在新年来到你身边,伴你左右。
Phil Baty, editor of the rankings, said: "it seems that China's relentless march up the global league tables has stalled, after making major gains in recent years. This new data shows just how hard it is for emerging powers to break into the traditional global elite."
n. 校订,修正,修订本,复习
基因疗法发展良好。
福特汽车
两人的正式获奖词说的是表彰其“稳定匹配理论和市场设计实践”。

The study relied on a dataset of hundreds of millions of secret answers and millions of account recovery requests.
When she consults managers, Kay says many of them suspect something is fishy when their employees stop talking to them as often, whether it's to give an update, ask for an opinion or just say hello. As Kay puts it: "You're not doing the things you normally would have to keep the relationship going."
You can browse the full list at AskMen.com. Here are the top 10 women:
Ariel Foxman In Style
在这座亚洲城市,低于100平方英尺(9平方米)的隔断公寓的租金达到了385美元。
8) Let Me Think About That: Yeah, it sounds like a cop out. And it is…sometimes. Fact is, we don’t always have the authority or expertise to make decisions. This phrase buys you time and breathing space. Then, set a date and time for follow up so the other person knows you’re taking him serious.
charter
俄罗斯总统普京说,无论谁在明年的美国总统大选中胜出,他都希望改善与美国的关系。
Video of the year: "Tornado," Little Big Town

3

1. “Timbuktu”(Abderrahmane Sissako)
反对:可以把这部电影当作一部演技在线的影片,而不是一部真正伟大的作品吗?
射箭、射击、铁人三项、现代五项ykXdDI-D*%c]。
Apple CEO Tim Cook
In the big closing session of the World Economic Forum in Davos, they recognised risks existed and badly run emerging markets might be vulnerable to shocks, but concluded that the outlook was brighter than it has been for many years.
remembrance
201202/172834.shtmlChinese entrepreneur Wang Xing stays in touch with a sister in California and an uncle in Australia through chat software that offers a glimpse of how China's Internet companies can compete globally.
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%
唐同学怀疑水中被混合了有毒物质,便把此事报告给班长和老师。
The biggest brands outperform financial markets, according to BrandZ, which says this illustrates their financial power and value to shareholders.
3. Kate Upton
单词protocol 联想记忆:
Facebook首席执行官马克扎克伯格
他在一则电话采访中向汤森路透基金会透露:“外出打工应该只是一个选择。但是对于2亿人来说,却是没得选择的选择。”
n. 外表,外貌,出现,出场,露面

4

One of the main shackles on the economy over the past four years has been stagnant wages. Hourly earnings have risen an average of 2% annually — just two-thirds of the long-term U.S. average.
我国发展到现在这个阶段,不靠改革创新没有出路。我们拥有世界上数量最多、素质较高的劳动力,有最大规模的科技和专业技能人才队伍,蕴藏着巨大的创新潜能。
《固定电话》
Rose McGowan accused producer Harvey Weinstein of rape this time last year, sparking an avalanche of allegations in the entertainment industry and beyond.
谨祝新年快乐幸福,大吉大利。
节目18 杂技《冰与火》,赵丽 张权
Hailed as one of the greatest films of all time, Taxi Driver tells the story of a depressed ex-Marine who attempts to assassinate a senator after being rejected by a woman he admires. While the titular taxi driver, Travis Bickle, lives a chaotic life filled with drug dealers and prostitutes, his story was never meant to be an unrealistic fantasy. Rather, it meant to expose the very real warning signs of a would-be gunman.
Unlike most boy-band dudes going solo, he never sounds like he's sweating to get taken seriously – he never loses touch with the exuberance and swagger he brought to One Direction in the first place. So get used to this man – you'll be hearing a lot more from him.
寄希望于电梯可能会再度恢复运行,他随即按下所有楼层的按钮,但是并没有奏效。于是,孙轶潇按下"停止"按钮,锁住电梯,确保不会再下坠。
Las Vegas Shooting
不过,这一增幅低于8月份到9月份3个百分点的增加幅度,意味着近期的房地产限购措施或许产生了一定效果。

5

The continued, albeit slower growth in prices tracks with recent data showing real estate investment ticked upward in October and sales had registered barely any negative impact from the new restrictions.
这颗梨形蓝钻被命名为“蓝色”,重13.22克拉,拍前估价为2100万至2500万美元。
但是,当今年12月WTO成员国聚集在布宜诺斯艾利斯召开两年一度的部长级会议时,我们将一尝世界新秩序的味道。一如既往的是,目前尚不清楚WTO此次能否产生一些实质性内容。但真正的考验在于,WTO有史以来第一次不由美国牵头讨论。中国或欧盟会取而代之吗?印度会像过去一样一心阻挠任何协议吗?
The film critics of The New York Times — Manohla Dargis and A. O. Scott — share their picks for the best movies of the year.
Total Program Cost: $98,906
over $50,000 category, pickups and SUVs distributed through non-premium dealers outsell German luxury brands.
This makes China the country with the second most number of universities included in the Global 400 Subjects, according to the QS rankings. This is only after the United States, which has 164 universities included in the Global 400 subjects. The UK comes third at 78 universities.
More than 80 percent of Chinese students returned to the country after completing their studies abroad, and the country has sent 544,500 students in 2016 to study abroad.
Talking about wanting to kill your boss may not be that uncommon, but it does put a damper on things when said boss actually ends up murdered. When the police came to ask questions, they ended up learning that the Cranston brothers had recently resigned to ride their motorcycles cross-country. Until they could be cleared, the two men were both suspects.
invigorate
Company: Eventbrite
The latest list showed that University of Hong Kong ranked third and University of Macao seized the sixth place.
节目24 土耳其风情舞蹈《火》,土耳其火舞舞蹈团
This summer, Noel will enter restricted free agency expecting to be compensated handsomely given his demonstrated defensive impact, untapped potential and lottery pick pedigree, even though he's logged fewer than 5,000 minutes during his career.

6

社交名媛卡戴珊8月份参加凯莉·詹娜的19岁生日聚会时,笨手笨脚从跑车出来的方式让她不小心走光太多了。
Maybe 'Melo's mini-fro is the missing key to an NBA Championship for the New York Knicks. Oh no, wait, the missing link is Jeremy Lin—but still, 'Melo's mini-fro wouldn't hurt the Knicks' title hopes.
米拉·库尼斯继续在各种性感女星排行榜上占据一席之地。
10. Drawing Words Helps Your Brain Recall Them
With the momentum now back behind the iPhone and anticipation growing for the Watch, Mr Cook seems to have won back the confidence of Apple employees, something that analysts say was obvious in his demeanour at this year’s product launches.
"Sure, there are only whites in the stadium. It comes down to money," said Ana Beatriz Ferreira, a 27-year-old parking attendant in Rio de Janeiro, who is black. "Nobody I know could find affordable tickets."
《伯德小姐》
Here are the 10 bogies, drones targeting markets, stocks, bonds and the, global economy:
这两个人站在后台两端,熟记奖项得主名字,以省去写下名单的麻烦。从以往看,他们都做了细致的检查,以确保准确地填装了信封。据信,按要求,瑞兹和卡利南要随着颁奖典礼的进行毁掉两张相同的卡片。所以,到颁最佳影片奖时,应该只剩下两只最佳影片奖信封。

“她确实带着假发和皇冠,穿着美美的裙子,但是我不会给她用喷雾晒黑剂或者给她涂上满脸的化妆品——我会等到她五岁的时候再给她用这些。”

Conclusion

de离开,priv=privat私人的-从私人那里拿走-剥夺
【编辑语】应聘时必须面对HR,工作期间可能需要HR,离职时还是离不开HR。HR是公司中最深谙职场秘密的部门。以下的18条评论是来自于美国各知名公司的HR或是专业人力资源机构的讲师,其中包括知名作家,前人力资源经理Cynthia Shapiro(《企业机密:50条公司不会告诉你的秘密》一书的作者)。我们一起来了解下吧。
It was in Giambattista Valli’s most recent autumn-winter show, full of puffed-sleeve printed tunics over matching trousers and drop-waisted schoolgirls shifts, and in MaxMara’s ode to Marilyn Monroe’s 1962 photo shoot with George Barris.
The official Facebook page for students admitted to join the Harvard Class of 2021 warns students that "Harvard College reserves the right to withdraw an offer of admission under various conditions including if an admitted student engages in behavior that brings into question his or her honesty, maturity, or moral character".
但是亚利桑那州的经济前景现在已经大为好转,随着住房市场的稳定,失业率在5月份降至7.8%,创下经济衰退后的新低。为了评选今年的美国最适宜经商的州,我们评估了35项指标以判断哪些州的经商条件最佳,哪些最差,这些指标中就包括就业预期。根据穆迪分析公司(Moody’s Analytics)的统计,在今后五年中,亚利桑那州的就业增长速度预计将达到每年3%。到2017年,亚利桑那州增长的就业岗位预计每年将把家庭收入提高3.6%,在全美各州中位居第二,仅次于伊利诺伊州。亚利桑那州的就业增长和经济增长保持同步,穆迪预计该州的经济增长速度为每年4.6%,达到美国的最佳水平。
strain
《寻梦环游记》
In the near future, a weary Logan (Hugh Jackman) cares for an ailing Professor X (Patrick Stewart) at a remote outpost on the Mexican border. His plan to hide from the outside world gets upended when he meets a young mutant (Dafne Keen) who is very much like him. Logan must now protect the girl and battle the dark forces that want to capture her.


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. 8.Form or Join a Study Group
  2. 就毕业3年后的学员薪资而言,德国的管理硕士课程排名居前,有3所商学院进入前4名。奥托贝森管理研究院(WHU Beisheim)的毕业生享有薪酬最高的名声,平均薪资为9.8123万美元。
    4、拖拉

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