Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

China and its southern neighbour failed to come to an agreement on cross-border trade last month during Vietnamese president Truong Tan Sang's state visit to China, where he met with his counterpart Xi Jiping.
科学院说:“今年的诺奖关注的是经济学的一个中心问题:如何尽可能适当地匹配不同市场主体。”
《经济学人智库》发布了2016年世界生活成本报告,根据各种产品和服务的成本对各国进行了排名。
Coca-Cola cut its sales forecast for this year as it struggles with a consumer slowdown in China, sending the drinks group’s shares down more than 3 per cent.
[wi:t]
测试

tempor时间+ary表形容词,“…的”→短暂的
到了20世纪下半叶,随着歧视逐渐减少(比如在大学入学方面),白人的正式特权地位也在渐渐丧失。但是工资的增长、社会安全网的扩大以及新的受教育机会有助于弥补他们的损失。大多数成年白人都比父母更富裕、更成功,他们相信子女们会过得更好。
The Producer Price Index (PPI), which gauges factory-gate prices and is a major indicator of economic briskness, rose by 6.3% in 2017, compared with a minus 1.4% for 2016, reversing the trend of continual decline since 2012.
想要改善自己的生活,而不只是学业,最好的方法之一就是冥想。每天花上十五分钟,静下心来,集中注意力并充满自信。
The report said."It is important to balance economic measures of societal progress with measures of subjective well-being to ensure that economic progress leads to broad improvements across life domains, not just greater economic capacity," the report said.
The clip, taken on a mobile phone, starts with the crowd singing the Frankie Valli lyrics: You're just too good to be true, can't take my eyes off of you'.
摩洛克位于非洲北部地区,被称为通往非洲的一扇大门,主要旅游城市包括首都拉巴特、最大城市卡萨布兰卡、马拉喀什以及阿加迪尔市。
She's the perfect choice for this role, having hosted the Oscars last year, and previously hosted the Grammy Awards and the Primetime Emmys.
马拉比这部长达800页的作品今年10月由布鲁姆斯伯里出版社(Bloomsbury)和企鹅出版社(Penguin Press)出版。英国《金融时报》的一篇书评称赞该书“非比寻常”。该书是在同终选名单中的另外五部作品展开激烈竞争后脱颖而出的。另五部作品尝试解决的是世界上一些重要的经济与管理难题——从美国的生产率缺口,到持续存在的性别失衡。

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.

Play up being smarter than everyone, develop some obvious insecurities. Forget social skills if you happen to have any.

1

Since April 2007, the value of the top 100 brands has increased by 106 per cent. That compares with a 61 per cent rise in the S&P 500 and growth of 21 per cent in the MSCI world index over the same period.
同时,美国Rapper歌手Eminem被证明是“复出王”,摘得最佳Hip Hop歌手奖。”The Lose Yourself ”的创作者与Hip Hop的新面孔相互竞争,包括Drake, Future, Kendrick Lamar and Post Malone。
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This quiet, intense Israeli film unfolds like a psychological thriller. A poetry-loving teacher discovers that one of her young pupils is a literary prodigy, and takes increasingly extreme measures to protect his gift from an indifferent world. As the story unfolds, it becomes clear that Mr. Lapid is engaged in a stealthy, ferocious critique of a society that has sacrificed its spiritual values and its cultural inheritance on the altar of power and materialism.
11月份以人民币计算的出口也同样上升了,同比上升5.9%。不过,若以美元计算,同比增幅则只有0.1%,达到1968亿美元。不过,这仍然大大超过了下滑5%的预期。在之前的10月份,出口同比跌幅曾为7.3%,跌势有所缓和。
这将是一部非常有趣的电影,刻画出了美国队长与钢铁侠之间微妙的关系, 两人经常陷入信任危机。
里奥斯工作非常努力。她很小的时候就从萨尔瓦多来到了美国。以优异成绩从高中毕业后,她一边养家,一边读完大学。成立Nation Waste Inc.公司的时候,她并没有感到害怕。22岁的时候,里奥斯刚刚从休斯敦大学(the University of Houston)毕业几个月就贷款购买了两辆卡车,毅然投身由男性主导的垃圾处理行业。目前,这家位于休斯敦的公司有24名全职员工。里奥斯说:“回头看看过去的经历,总是让我感到吃惊。我很小的时候就跟着父母来到美国,现在我正在实现我的美国梦。”
Will José Antonio Meade be the next president of Mexico

伦敦——在20世纪70年代,英国喜剧演员汤米·库珀(Tommy Cooper)讲过这样一个笑话:他在阁楼里发现一把小提琴和一幅画,让拍卖公司估价。拍卖公司说,好消息是它们分别出自斯特拉迪瓦里(Stradivarius)和伦勃朗(Rembrandt)之手。坏消息是那幅画是斯特拉迪瓦里画的,小提琴是伦勃朗做的。
Mr Crabb has taken no exposure to Hong Kong’s property market since setting up in Asia 18 months ago, because he says prices are too high and affordability too low.
这名官员称,米特卜王子已于11月28日获释。米特卜王子在11月初以前一直掌管着颇有实权的国民警卫队。至少还有三名嫌疑犯也完成了和解协议。
Jobs for workers with branding skills were also on the rise during the third quarter of 2016, most likely thanks to “small businesses’ need to create cohesive and consistent strategies for their companies online,” according to the report.
Goldie Hawn’s award for best supporting actress in the 1970 film Cactus Flower rests somewhere altogether more zen – in the “India Room” in which she likes to meditate. Hers isn’t the only award to apparently emit good vibes – Russell Crowe’s award for best actor, which he won for his role as the bang-on-trend, leather miniskirt clad Maximus Decimus Meridius in Ridley Scott’s 2000 film Gladiator, is kept in a chicken coop on the actor’s Australian ranch. Crowe apparently thinks it helps the hens lay bigger eggs.
我祖母最喜欢的一首诗是威廉o埃内斯特o亨利的《不可征服》(Invictus)。我父亲把这首诗挂在厨房墙壁上,所以在成长过程中,我每天都会读到它:“我,是我命运的主宰。我,是我灵魂的统帅。”我能为每个人,特别是初入职场者提供的最好建议,就是欣然接受你作为命运主宰的角色。当机会出现时,抓住机会并敢于说“Yes!”
如果一部情景喜剧播出10年堪称流行,那么播出20年后依旧令无数人挂怀的电视剧则是经典。《老友记》1994年在美国首播,讲述了六个生活在纽约的青年男女的故事。现在,该剧已经是最著名的情景喜剧之一,在全球超过100多个国家和地区播出。
Another love ballad for Bond, but if Nancy Sinatra's song from You Only Live Twice was playing at your orthodontist's office, it would be the sexiest orthodontist's office in town. There's a mysterious quality to the string section, and a playfulness to the declining notes. They combine to make something rather magical. From here on out all of the Bond songs on this list are bona fide classics.
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。
3、全面放开二孩政策
要实现有效的电子邮件营销,可不只是偶尔发一封电子文宣邮件那么简单。要想构建一套有效的电子邮件营销战略,你需要一个功能齐全的工具。MailChimp似乎是市面上最佳的此类系统,它提供了各种典雅直观的电邮广告模板、先进的分段功能和营销自动化功能。
Morgan Slain, CEO of SplashData said: "Seeing passwords like 'adobe123' and 'photoshop' on this list offers a good reminder not to base your password on the name of the website or application you are accessing.
9.消防员

2

In the past decade, only three blue diamonds of 10 carats or more with the same vivid grading for intensity have been sold at auction, all weighing less than 12 carats and none flawless, he said.
Transforming and upgrading the real economy through innovation
这也是精算师高居美国最佳工作榜首的原因之一。这是求职网站CareerCast.com最新调查结果,调查报告于周二发布。生物医学工程师排名第二位,2012年高居榜首的软件工程师如今排名第三。排名垫底的工作包括现役军人、伐木工人和报社记者。
The Nets should really feel free to tank out if only to get assets for the players who aren't integral to culture change and won't be on the next very good Brooklyn team. That means Brook Lopez, basically. The market on him is weird, but presuming it exists, it should be explored.
大型制药公司正在与美国癌症协会合作,以大幅折扣价为非洲患者提供抗癌药物。在整个非洲大陆,每年有45万人死于癌症,但其中有很多种癌症是可以治疗的,比如乳腺癌、宫颈癌和前列腺癌等。
Please accept my sincere wishes for the New Year. I hope you will continue to enjoy good health.
Whenever I talk to people about the future, I'm struck by their belief that it is knowable. The impression I get is that most people imagine the future like a book ending: already written and readable if you can just steal a quick look at the last few pages. What they find difficult is accepting that the pages aren't written yet. The future hasn't happened, hasn't even been planned--and cannot be known because it doesn't exist.
Average age: 37
adv. 有意地,故意地
请尊重一下那些支持你的人以及节目主持人,能在访谈开始前把口香糖吐了吗?
The paperpot transplanter allows a single person to transplant 264 plants covering over 85ft in just minutes. What used to take hours, now takes minutes. Allowing you to spend less time transplanting crops, and more time doing other things like farm improvements, marketing, sales, or just taking some time off.
周二发布的官方数据显示,中国的出口在今年10月出现了连续第二个月收缩,这表明内需是PPI上涨的主要推动因素。

Many investors, it turns out, are siding with Mr Cook. After a tumultuous 2013, the share price has increased by around 50 per cent since that shareholder meeting, at one point taking its market capitalisation above $700bn.
adult成熟的,escent开始…的-开始成熟的-青春期的a,do,lescent=lesson:还在上课的年龄-青春期的
5. “Carol” (Todd Haynes)
THE WHITENESS TABOO
What? Hasn't his firm made enough money off Bernanke's cheap money printing? So he's blaming 'lower growth on fiscal austerity, ' even as Bernanke keeps blowing up the Fed's balance-sheet bubble by trillions under the delusion he's America's savior because our dysfunctional Congress failed?
国际移民组织说,不到三万五千人,或者说大约百分之三的移民,是从土耳其经陆路进入希腊和保加利亚的。
萝丝王在中国长大,在那里学会了计算机编程。大学毕业后,她希望到美国工作。第二年,《中国学生保护法案》(Chinese Students Protection Act)获得通过,萝丝王获得了休斯敦大学的计算机科学硕士学位。2001年9月11日之前,她曾在多家硅谷初创公司(包括成立自己的公司iBizWomen.com)工作。911事件让她产生了创办Binary Group的想法。Binary Group是一家与联邦政府合作的科技咨询公司。过去16年间,这家公司帮助客户节省的资金不计其数——比如美军第20支援司令部(Army 20th Support Command)就在五年时间内共节省了6,000万美元卫星通信带宽开支。
David Pilling
Those with 3-years of driving experience and no records of traffic accident crimes, dangerous driving, drugs or drink driving will be allowed to take examinations for online-driving services.

3

As we began 2017, the Warriors were in a rocky point with their upgraded super-team. They'd lost to most of the other premier Western Conference teams, and just lost to the Cavaliers on Christmas. Maybe, just maybe, this super-team was mortal just like the 2016 team that looked invincible was. As it turns out, in a word, nope.
这是中国首次占据榜单前三甲以及在前10强中占了5名。中国工商银行连续两年占据第1名的宝座,中国建设银行次之,而且中国农业银行向上移动了5名成为第3名。这三大银行与排在第9名的中国银行一起跻身前10强,中国银行是“四大国有银行”中的另一个成员。
One explanation could be that significantly more men than women work in the industry’s best-paying fields. A third of men work in private equity orventure capital, investment banking or mergers and acquisitions, andhedge funds compared with only 19 per cent of women.
“我们的人口和就业正处于历史高位,并在不断增长。这给租金和房价施加了很大压力,”纽约大学富曼房地产及城市政策中心(Furman Center for Real Estate and Urban Policy of New York University)的主任马克·威利斯(Mark Willis)说,“现在没有理由认为这些趋势可能发生改变。”
'In total I've spent about £5,000 in three months on my three girls. One dress cost me $200 and she only wore it twice before she grew out if it - but I don't intend to lower my spending.
英国和法国成为欧洲商学院教育的两大来源。在上榜商学院中,近一半要么来自英国(20所),要么来自法国(19所)。从排名、毕业生薪资(法国为5.5万美元,英国为4.9万美元)以及学生数量(法国为9000人,英国为1200人)看,法国在管理硕士课程方面强于英国。然而,从MBA商学院数量(英国上榜商学院为18所,法国为5所)和学生数量(英国为1900人,法国为1300人)来看,英国商学院MBA课程强于法国,尽管在毕业生薪资方面,英国MBA课程(11.5万美元)不敌法国(13.7万美元)。
The deal makes a millionaire of 17-year-old Mr D’Aloisio, who taught himself to write software aged 12 and will join Yahoo’s London office while he continues his studies at school.
Sweden’s Proponent of ‘Feminist Foreign Policy,’ Shaped by Abuse
In contrast, the average unit price of emerging market exports has been falling in year-on-year terms pretty much since mid-2012, hitting a year-on-year decline of 16.4 per cent in February 2016.
“Who’s going to pay for that?” said Marc J. Luxemburg, the president of the Council of New York Cooperatives and Condominiums. “This has a real-world cost for many buildings.”
Belize's proximity to Mexico and the Caribbean ensures the street-food scene, providing an abundance of budget meal options.
That was in line with last month’s manufacturing PMIs, which showed an uptick in sector activity,
Rossi, 31, spends his days calculating the future costs of the Pentagon's pension, health and education benefits, but says his job involves more than just crunching numbers for spreadsheets. He communicates with other government agencies and brainstorms with colleagues about financial models.
Song of the year: "Over you," Miranda Lambert and Blake Shelton
At least one model of the next iPhone is expected to feature image-capture technology that can sense depth, and track faces and expressions. A range of new emojis include monkeys and robots, whose animated expressions can mirror the iPhone user’s face as Apple battles for users’ attention with the likes of Facebook and Snapchat.

4

超过35万的欧洲玩家(还有一些北美和亚洲玩家)带着朝圣般的心情,赶赴人口刚过100万的德国科隆市,参加一年一度的游戏盛会。美国动视(Activision)在展览中首次公布了Sledgehammer Games工作室的多人游戏《使命召唤:高级战争》(Call of Duty: Advanced Warfare),现场玩家亲身体验了这款将于11月3日正式发布的游戏。
Two Chinese universities have been placed in the top 20 of this year's Times Higher Education World Reputation Rankings, according to data released last Thursday.
这篇文章指出,食用有益于心脏的食物是防止痴呆、保护记忆力的关键。一些心脏病的并发症和阿尔茨海默症以及痴呆症的并发症十分相似,因此研究阿尔茨海默症和痴呆症的教授们认为,有益于心脏的食物大概也有益于大脑和记忆。水果、蔬菜、全麦面包、豆子、坚果和橄榄油都有对心脏有益。如果这10个方法你不能都采用的话,一个健康的饮食至少能让你不要丢失记性。
大隅在自噬作用上的研究成果,为帕金森病、糖尿病等常见疾病的治疗带来了一线希望。
An earlier plan by activists and the US-based Human Rights Foundation to send 100,000 copies of the film in January was postponed until after last month's Lunar New Year.
10. Neuroscientists have discovered a whole new role for the brain's cerebellum. It's long been assumed that the cerebellum functions largely outside the realm of conscious awareness, coordinating basic physical activities like standing and breathing, but it could actually play a key role in shaping human behaviour.
巴韦贾对全球化不断变化的性质的深度分析显示,全球贸易增长疲软背后的主要因素是投资减速。全球贸易增速曾在很长一段时间内是全球GDP增速的两倍。
《胡润百富榜》追踪逾2000名净财富在3亿美元或以上的民营企业家,今年的榜单新增了179位富豪。
4、Tardiness
David said: ‘It was wonderful, you couldn’t fault it. It was perfection.’
我们要通过“互联网+政务服务”,让群众少跑腿、少烦心、多顺心。

5

I wish you a happy New Year. All affection and best wishes to you and yours.
Rather than strangling the doctor (difficult, due to his injury) Jalava took the corny line as inspiration. He decided to go ahead and actually build a prosthetic finger that contains two gigabytes of digital storage. He can now jack his finger into a computer just by peeling back the nail to expose the USB plug. He can also remove the entire finger at any time and hand it to a friend to use.
Over the three-year period we examined, late arrivals actually declined during the Thanksgiving travel season — just 12 percent of Thanksgiving flights were delayed last year, compared with 19 percent in 2010. according to the Transportation Department.
v
?All the Bond actors have been tall. This isn't a coincidence. A man who is five foot six needs to earn $175,000 a year more a year to be as attractive as a man who is six feet tall. A lot of people commented on Daniel Craig's buff physique in Casino Royale. Once again the depiction clicks with the research: muscular men have more one night stands and you can tell how many women a guy has slept with by the size of his arms. That chiseled torso may mean he's a better lover.
单词charming 联想记忆:
对于美联储(Federal Reserve)预计本周宣布的加息已经产生了效应,还是会进一步加大负债企业和经济体所受的压力,投资者意见分歧。
['?nim'pl?im?nt]
订婚买钻石真是太没新意了
When faced with competition, they may focus less on winning or losing than their Type A counterparts, and more on enjoying the game regardless of winning or losing.
As China gains ground, its best frenemy – the United States – account for the other half of the top 10 spots. Berkshire Hathaway and Wells Fargo WFC -both move up four spots to No.5 and No. 9, respectively.
在经历了艰辛的法律诉讼之后,凯莎发表的一切都会给人一种胜利的假象。但这张回归专辑用艺术反映了一位勇士的呐喊,并带来了比所有人期望中更为强大的影响力。
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Actor in a Mini-Series or Movie: Courtney B. Vance, “The People v. O. J. Simpson: American Crime Story”

6

英国演员丹尼尔卡卢亚扮演的克里斯华盛顿卷入到一个美国小镇的邪恶阴谋中。
adj. 分开的,各自的,
1. Beyoncé “Beyoncé” (Parkwood Entertainment/Columbia) An ambush that landed after last year’s tabulations, Beyoncé's tour de force — a lustrous showcase of soulful dominion, sleek production, sensual abandon and feminist agency, not always in that order — kept its relevance during a long year swollen with distractions. The singing, like the attitude, is phenomenally assured yet full of nuance; the message is complicated but clear. It’s high-wire pop that refuses to pander.
办事处副局长卢华东说:“自治区已投资40亿元人民币(约合6亿美元),用于推动贫困地区特色的产业,去年重新安置了77000名贫困人口。”
Whatever one's view, two further points for and against Russia's global standing are undeniable:
201103/129769.shtmlEveryone tells a white lie on occasion, it’s just a question of why. Some white lies save relationships, some ease a hectic situation, and others buy us time. We all do it, so there is no reason to deny it. As long as we aren’t hurting others or breaking the law, these innocent lies can make life more pleasant. Most of these white lies only stretch aninterpretation of what the truth actually is anyways. Here’s a list of the 10most common white lies and why we tell them.
The estimates include earnings from movies, TV and endorsements from cosmetic and other companies. Bollywood star Deepika Padukone is the only newcomer on the list.
单词hospitality 联想记忆:
她说道:“我认为,由于这家公司没有打击盗版或其他恶意修改游戏行为的能力,所以他们把一个14岁的孩子当替罪羊来以儆效尤。”

Industry Kitchen是位于纽约市南街海港的一间餐厅,你可以在这里购买到这款24K黄金比萨,其售价高达2000美元。顾名思义,黄金披萨因为覆盖了24k黄金金片而闻名。

Conclusion

实际上,有能力和平回应是它们的长处之一。
节目35 歌曲《美丽中国》,沙宝亮 徐千雅
“我想,在21世纪,人们绝对会质疑这件事。”
俄克拉荷马城的经理萨姆-普莱斯蒂并不是截止日交易的陌生人,他送走卡梅罗-佩恩,若弗雷-洛维尔涅和一个二轮签从芝加哥换来泰-吉布森和道格-麦克德莫特的交易大获成功。
又到了一年盘点的时候了,扬子晚报上传了一段名叫今年中国网络九条最热流行语的视频,盘点了如下几条流行语。
“温总理的讲话重点提到了经济和社会发展。中国政府为实现建设繁荣社会这一目标付出了巨大的努力。”Irene Giner-Reichl, Austrian ambassador
中国中央和地方政府会对技术升级方面投入更多的经费。 包括现代化农业、运输、医疗等方面。这些积极的投资将会进一步提高中国生产和制造业的竞争能力。这将是一次国家行为,目的是为了推动提高产品质量和产品合格率以及以提升产品主导的全球竞争力。
吉尔伯特称,冬季假期会让这个领域的热度降低,但真正的试金石在于各家公司能否开发出可以通过“返回考验”的可穿戴设备——如果人们已经走出了家门好几步,依然决定返回去取忘带了的可穿戴设备,就像他们去取忘掉的钱包、钥匙、手机一样,这个设备就成功了。


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 Caixin-Markit manufacturing purchasing managers’ index dipped to 50.8 in November, down from 51 in October and coming closer to the 50-point threshold that delineates expansion from contraction. A median forecast from economists polled by Reuters had predicted a fall to 50.9.
  2. 但是通常你可以选择匿名求职,Fos说,或者要么就拒绝那个选项坚持在领英上面发布,她补充道这样至少更易被招聘者和经理发现。
    每个员工都想偶尔得到上级的鼓励,优秀的老板们懂得认识和感激员工贡献的重要性。这并不意味着要对员工们作出一定的薪资奖励,而是合理的有意义的表达感激之情。

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