Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

《被撕破的芭蕾舞鞋和突变的生活》(Torn Ballet Shoes, and a Life Upended)
受此影响,对设备等关键领域的商业投资一直处在美国复苏历史中的低点。若就业市场缓慢改善,且家庭财富增长,则可能引发消费支出增加的良性循环,增强商业信心并增加投资。但若情况并非如此,那么今年将再度令人失望。
10. “Sixty Six” Lewis Klahr’s beautiful compilation of digital short works, which refashion pop culture in a heroic key, played for only one night at the Museum of Modern Art. But his work shows up in cities like Los Angeles and San Francisco, too, so if you’re in the neighborhood, look for his next show.
这封信件在十天以前神奇般的被寄到了加利福尼亚大学的宾夕法尼亚州分校,这所大学位于宾州的东北部。寄给Moore先生的这封信是1958年2月20日的信件,上面还写着“永远爱你的Vonnie”。
For years, slow emissions declines in the West have been swamped by rising emissions in the East, and the trend continued in 2013. China's emissions grew 4.2 percent and India's 5.1 percent. Both countries have been constructing coal-burning power plants at a breakneck pace.
L2研究总监科林o吉尔伯特表示,这一系列合作标志着创新的摇篮与时尚的发源地终于开始牵手。吉尔伯特说,要解决可穿戴领域的难题,缺少的不仅仅是设计这一种要素,但设计确实是这个领域期待的元素。这份报告的调查显示,超过一半的受访者希望拥有看上去更像珠宝的可穿戴设备,62%的受访者更喜欢腕戴式设备。

Put succinctly, there was no way to describe or explain the crosscurrents of 2014. And I’m not convinced that the benefit of hindsight will make what happened this year any clearer years from now.
同样的,中国官方最初已批准了凯蒂·派瑞去上海参加维密秀的签证申请,但很快又取消了她的签证。据称,这是因为这位歌手2015年在台湾举办演唱会的时候曾举着一面台湾旗帜并穿着一件印着向日葵的连衣裙。
n. 奖章,勋章,纪念章
达成一个全球性气候协议的下一次大尝试,将是在来自世界各地的谈判代表今年12月聚集巴黎的时候。气候变化问题的政治活动人士上周五不失时机地引用2014年的温度记录为证,表明采取强有力行动的必要性。
国内生产总值达到74.4万亿元,增长6.7%;
1.和平年代
After IMD in second place, Duke Corporate Education completes the custom programme podium. It is the third year in a row that the US school is in third place, having previously topped this ranking for a record 12 consecutive years to 2014.
如果观众还不知道这部影片是以20世纪80年代初为背景,那看一眼安娜的直刘海就知道了。她留着齐肩长发,刘海以外的部分在脸庞四周形成微微弯曲的弧度。这个造型很简单,但对这个女人来说显得很有力量,她丈夫艾贝尔(奥斯卡·伊萨克[Oscar Isaac]饰)经营取暖油生意,不过她的过去更为复杂。
“I think the best way to engage young people in the process is to win,” he says.

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.

As for bitcoin in the mainstream banking system? “We are still a good year away, in our estimation, from where you can imagine a known financial services company using this,” Ludwin says. “But it’s not 10 years. And when it happens, people will be surprised by how quickly it spreads.”

1

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。
注册人数:503人
城镇新增就业1100万人以上,城镇登记失业率4.5%以内;
However, you know when your cycles are over when the washer and dryer stop making noise. And you know when the weather is ugly by simply looking outside, or checking your weather app. Therefore, the product is basically just another way hackers can get into your home.
Key projected targets for development this year:
Libby把这首歌放在了YouTube频道的评论部分,我把它摘过来了。我将大量的可爱的表述和英式的俚语都用不同颜色区分开了。你能猜出其中的意思吗?“OMG”表带什么意思?
With Westbrook playing such a hands-on, high-usage role and Victor Oladipo already locked in on a high-dollar extension, Payne needed to prove he could be an off-ball threat or a lead guard on the second unit.
amendment

确实,现在的保罗更大更强壮了,但是,现在的他脸蛋和高中的自己一样。在高中的时候,保罗甚至就有了自己标记性的胡须。
把职工安置好还是我们推进供给侧结构性改革,推动化解和淘汰过剩产能中最关键的问题。
很多宏伟壮观的博物馆坐落在布鲁日、安特卫普和布鲁塞尔等风景如画的城市中。艺术爱好者可尽情徜徉在中世纪时期的大量艺术瑰宝中。同时,你也不要错过造访宁静小镇、参观哥特式建筑的机会。比利时拥有世界上最好的啤酒、巧克力以及薯条,因此,在那里人人都是美食家。随着第一次世界大战爆发100周年纪念日的临近,未来几年,比利时将成为更多游客的首选。
I give you endless brand-new good wishes. Please accept them as a new remembrance of our lasting friendship.
encourage
The life expectancy of the average human has increased more in the past 50 years than it did in the 200,000 years of human existence. Life expectancy is now 70 years old – which is a big difference from 47 years old in 1950!
继Facebook前员工肖恩帕克(Sean Parker)和查马斯帕里哈皮蒂亚(Chamath Palihapitiya)——二人谴责了社交媒体的成瘾性——之后,新的一年将有更多的科技行业工作者发声。
but the rate of growth appeared to slow noticeably in a number of top cities.
推进国际贸易和投资自由化便利化。
Despite the seemingly extensive target vetting on May 7 the Chinese embassy in Belgrade was struck by five Joint Directed Attack Munition satellite-guided bombs delivered by U.S. Air Force B-2 Spirit bombers. Three Chinese journalists—Shao Yunhuan of Xinhua and Xu Xinghu and his wife Zhu Ying of the Guangming Daily—were killed in the attack. Twenty other Chinese nationals were injured five seriously.
If we ask "What salary are you looking for?" say you're flexible, or say it depends on the responsibilities of the job. Try not to name a salary unless we really push you, because that gives us a leg up in the negotiating.
单词creative 联想记忆:
奖项:尽管大众的高尔夫GTI先拔头筹,但偏向自家人的2015年北美汽车大奖的评审员们还是对福特的野马和F-150皮卡不吝溢美之辞。

2

Russia regards itself as a great power - it is not in question anywhere inside the country.
祝节日快乐,新年幸福。
你倾向于隐藏自己的感情吗?
最后,在EMBA榜单上,若剔除与非欧洲商学院的合办课程,瑞士洛桑国际管理发展学院(IMD)的毕业生的平均薪资为26.1397万美元,远远领先于排名第二的萨伊德商学院和排名第三的西班牙企业商学院。
8. Experienced Better Cognitive Performance With Bare Feet
在作品中,她围绕这台机器创造了一整个世界:人类、带着大礼帽的鲸鱼和龙居住在其中。
我们不会越俎代庖,不会超越区域去做不应是中国做的事情。
5. 生活就像一个茶几,上面摆满了杯具和餐具。(杯具是“悲剧”的同音词,餐具是“惨剧”的同音词。)
十年前,斯蒂尔作为一名成功的投资顾问在世界电信展(ITU World)上发言。世界电信展是联合国主导的一项活动,重点是科技在政府中的应用。同一周,加州经历了史上第一次州长罢免选举。斯蒂尔不敢相信,在如此重要的选举中,会出现这种不合时宜的平台故障(三年前才刚刚发生了臭名昭著的佛罗里达州总统选举罢免),所以她决定凭一己之力来解决这个问题。到目前为止,共有169个国家使用了Everyone Counts的电子投票平台,包括波斯尼亚黑塞哥利亚和奥斯卡奖评审委员会。
准时完成你的工作。即使还有额外的任务,也要如此。
People promoting driverless cars, the most hyped industry segment of the moment, became world leaders in verbiage. Elon Musk claimed to be “laser-focused on achieving full self-driving capability on one integrated platform with an order of magnitude greater safety than the average manually driven car” (ie Tesla cars must stop crashing).
煽动家越是热情洋溢和野心勃勃,民主体制就越有可能沦为专制统治。

外部事件的影响。《消费者报告》(Consumer Reports)杂志曾经对Model S大加吹捧,但最近该杂志也报道了它的一些常见故障,包括门把手失效,中控触屏白屏,导致车内大部分功能不能使用等等。汽车网站Edmunds.com也找了Model S的麻烦。更多此类报告无疑会影响特斯拉到目前为止非常正面的声誉。
['k?nfid?nt]
据张晓光表示,怀旧部分将包括出自上海文华电影制作工作室的电影,该公司成立于1946年、引领了中国文艺电影的新时代,将会让观众“一睹中国的电影文化和历史”。
Consumer prices continued to rebound from an August dip, accelerating 0.2 percentage points to 2.1 per cent year on year, bang-on analysts’ median forecast.
不过目前来看,这些潜在的乌云似乎都没有遮住特斯拉在帕洛阿尔托总部的阳光。特斯拉仍然坚持在2020年之前年产50万辆汽车的中期目标。这在很大程度上要取决于Model X是否有能力维持当前的势头。特斯拉已经大大提高了资本和研发支出,以确保Model X的顺利发布(虽然已经推迟了一年)。
"To make the world a better place, I invented a transformative water purifier," Google quoted Zhang as saying. "It takes in dirty and polluted water from rivers, lakes and even oceans, then massively transforms the water into clean, safe and sanitary water. When humans and animals drink this water, they will live a healthier life."
在本届戛纳电影节上,女性电影制作人以及相关女性话题曾广受关注成为宣传主题。28年来,戛纳首次以女导演拍摄的电影拉开序幕,伊莎贝拉?罗西里尼(Isabella Rossellini)成为“一种关注”单元评审团主席,莎尔玛?海雅克(Salma Hayek)主持讨论会高调探讨女性角色在电影中的意义。可以讨论的话题有许多,但是真的有何改变吗?数字似乎更能说明问题,主竞赛单元的19部入围作品仅有2部来自女性导演。而后发生的“高跟鞋门”,更有.....面对外界对于影展涉嫌性别歧视的负面消息,艺术总监蒂埃里?弗雷莫(Thierry Frémaux)一点儿反应都没。他只是说,戛纳电影节的举办有着及其不公平的高标准,参展影片不能申请其他诸如威尼斯或柏林电影节。这难道是建议人们去“攻击奥斯卡”?
plat平坦+form形状→形状平的地方→平台,月台
Only Kobe Bryant had played in more games by age 32, and did so with fewer minutes, and that's just including regular-season games.

3

“学会让经济指标和人民主观的幸福感同步发展是很重要的,因为我们应该不仅仅是追求更强的经济能力,而应追求提高各个领域生活质量。”报告总结道。
adj. 粗糙的,粗略的,粗暴的,艰难的,讨厌的,不适的
Lufax, which started four years ago has emerged as the leader due to innovative credit rating techniques.
去字典里查一下“side-splitting humor”(令人捧腹大笑的幽默感)这个词,你可能会看到《嗨翻姐妹行》的预告片,这是2017年最搞笑的电影,没有争议。
[?'v?id]
公司一直都在寻求省钱的办法,将一些自由职业者能胜任的工作外包出去。虚拟助理可以做许多全职员工可以做的工作,但是忠诚度却比较低。这些员工可以帮助拓展商业渠道,或者促进事情更加顺利进行。
Whedon had always loved the seemingly separate ideas of sci-fi and westerns, and through The Killer Angels, he saw a way to combine them. "I wanted to play with that classic notion of the frontier," he said. "Not the people who made history, but the people history stepped on—the people for whom every act is the creation of civilization." And Whedon decided to set the frontier on a spaceship: a ship named Serenity.
13个原因
Take targeted policies to cut excess urban real estate inventory
同时,11月服务业PMI指数是51.2。此前的10月份该指数为52。本周早些时候报出的11月份制造业PMI指数为48.6,高于48.3的预期。10月份该指数则为48.3。
5. 格罗斯警告:“庞氏骗局!临界点!信贷超新星!”
When Dickens wrote about the French Revolution in A Tale of Two Cities, he did it with nearly a century of hindsight. Here, at the end of December, I don’t enjoy that luxury. As such, some of the trends I’ve written here are likely to remain in force for the foreseeable future, while others may have already begun to fade. As one of this period’s “noisiest authorities,” I insist only on your receiving this review with just one caveat in mind: Past performance does not guarantee future results.
《乐高蝙蝠侠大电影》
D'ALOISIO BEGAN designing iPhone apps nearly the moment the app store opened in 2008. He was 12 years old, working on a Mac in his bedroom in the London district of Wimbledon. Because he was too young, he signed up for the Apple developer's license using his father's name. He'd taken no formal computer science classes at school, and neither of his parents (Diana and Lou, a lawyer and a business executive, respectively) knew much about tech. Instead, he learned how to program almost entirely by himself, scouring websites and watching instructional videos.
年龄:46

4

'For now she wears a dab of lipstick and nail varnish.'
China's economy grew last month, according to a closely-monitored PMI series - which indicated growth for the first time in four months.
Everything Else
此外,他指出,鉴于中国正在努力推动本国经济从出口转向消费的再平衡(从而减少对中间投入品的进口需求),再加上“中国政府鼓励使用国内供应商的政策”和其他地区保护主义的兴起,“全球贸易在短期内不太可能回暖”。
上赛季的封王对勇士队球迷来说是一种缓解,毕竟他们前一年经历了总决赛史上最严重的崩盘。尽管如此,但整个系列赛的感觉还是“是的,这是应该发生的。”。几乎没有什么戏剧性的事情,也没有什么争论,最后,大家都预料到会发生什么。不会引起太多谈话或兴趣,它就是这样的。
节目11 歌曲《我心永恒》,席琳-迪翁
The Fate of the Furious was the top-grossing foreign film, ranking second on the list.
According to the report, students from prestigious universities were less willing to start businesses, likely because of high opportunity cost.
安吉利拉瓦尔(Anjli Raval)
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”。)
“中国银行业面临的逆风将延续很长时间,”他说。“除了盈利来源减少,它们还将不得不为坏账带来的亏损做好准备。”

5

com共同+fort强大→一起给力量→安慰;舒适
Overseas trips exceeded 120 million.
There are 27 companies that are dropped from the list this year, including AT&T, IBM, Siemens and Xerox.
Cambridge Judge Business School also ends the year on a high, appearing for the first time in the rankings for both open and custom executive education, and climbing three places in the MBA ranking and 12 places in the Executive MBA table.
Migrants working in rich countries sent home almost half a trillion dollars in 2016, helping to lift families out of poverty by providing financial stability, access to education, housing and healthcare, according to a global report.
比赛项目:
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.
5.Emma Watson
sur下面+rog要求…要求做下去…代理+ate表名词,“人或地位”→代理人,代替品
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。”
Inside Obama's Chicago campaign headquarters, staffers erupted into cheers and high fives as state after state was called for the president。
Investigators have arrested one youth and one 18-year-old in connection to the July 9th shooting.
排名部分基于校友们在职场上的成功程度,衡量标准为薪资数据。
In year-on-year terms prices rose in 65 cities and fell in five.

6

Dealers: Car dealers work toward reducing the paperwork involved in buying a car and the hours it takes to fill it out. That will give them more time to devote to upselling add-ons such as extended warranties, paint and fabric protection, and rust-proofing.
n. 舞厅
BuzzFeed News defined “fake news” as news that was verifiably “100 percent false” and drawn from a list of 96 websites purposely created to disseminate false information.
报告提供了对除北京和上海之外的28个国内商业和行政中心城市进行的深入考察。
[':tn]
8.My resume is 5 pages long for a good reason. – Because I’m darn good at bullshittin’!
●"Trump Offering Free One-Way Tickets to Africa & Mexico for Those Who Wanna Leave America"
Mrs. May’s government proposed a rule that would publicly shame employers who hired foreign workers. And her first major speech was full of barbs directed against multiculturalism, including a jab against people who claimed to be “citizens of the world,” whom she called “citizens of nowhere.”
I am so excited to be hosting the Oscars for the second time. You know what they say - the third time's the charm.

如果你是一个腼腆的人,那么一开始坐在前排可能会让你有点不自在。但是,我向你保证,这是接受老师传授的内容的最好的办法之一。你也可以听得更清楚。不用伸长脖子,你就可以看到黑板上所有的内容。

Conclusion

When M·A·S·H first aired, the characters of Hawkeye and Trapper were meant to be equally sized roles. It was with that understanding that Wayne Rogers agreed to take the role of Trapper John. However, as Alan Alda began to make changes to the characters and have more influence on the direction of the show, Hawkeye began to seriously eclipse Trapper.
会。梅因为失算的提前选举而失去了大部分权威。但过去几个月情况对她较为有利。敲定退欧离婚协议,确保了她的饭碗短期无忧。因此直到2019年英国退欧正式完成(或者另一种更吸引人的替代方案出现)前,保守党将让她继续坐在首相位置上。留欧派和退欧派都希望避免因反对她而引发内战。事实将证明,曾经被人们认为是坐不长的位置,意外地能够坐久。
亚瑟小子(Usher),《擅长接吻的人》(Good Kisser),RCA
“有个女员工打包好自己的东西就一言不发地走了。”
adj. 优雅的,精美的,俊美的
He did several makeup tests to get the look that would so dramatically change Mr. Carell. “We were literally creating a new human being,” Mr. Corso said.
9. 杰西卡?帕尔
Whiteness, in this context, is more than just skin color. You could define it as membership in the “ethno-national majority,” but that’s a mouthful. What it really means is the privilege of not being defined as “other.”


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. 在春运期间,国内的交通运输将面临极大的挑战,车票供小于求。铁路局会采取多种措施来应对春运压力,比如开设临客(L字头的列车)、延长售票时间以及开设更多的售票点。
  2. 5.射击类比赛项目
    It was an incredible achievement for SpaceX. The first stage rocket of one of its Falcon 9 launchers, having successfully lofted cargo to the International Space Station, managed to turn itself around, bleed off the enormous kinetic energy it had acquired while its main engines were burning, fly back down to Earth and land vertically - with balletic precision - on a rather tiny looking robotic barge floating somewhere in the Atlantic.

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