Quality

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


 

Danielle Scheurer, MD, MSCR, SFHM

源于:muscle(n 肌肉)
现在是时候制订新年旅游计划了!有“背包客圣经”之称的《孤独星球》于近日向寻找地美价廉好去处的人们推荐了2017年性价比最高的旅游胜地清单。让我们一起来看看吧。
Rank: 4
支持:该片在威尼斯电影节首映后,获得观众喝彩。
author权力,权威+ixation表名词,来自-ize+ation,“…化”或“发展过程”→授权,批准
democratic

在007电影主题曲榜单上,《女王密使》的主题曲获得荣誉推荐。
不会。结束罗伯特穆加贝(Robert Mugabe)长达37年的执政(军方在这件事上也帮了点忙)后,埃默森姆南加古瓦(Emmerson Mnangagwa)承诺在2018年举行自由选举。这引出了一个问题:他可能会输掉大选。他至少要装作选举是公平的,因为他需要政治献金来扭转经济。这将意味着要推行选举改革——可能会让其不受欢迎的非洲民族联盟-爱国阵线(Zanu-PF)输掉选举。即使姆南加古瓦准备好在选举中赌一把,还不清楚军方愿不愿意。已经把自己的人推上台的津巴布韦将军们,不太可能会容许公众再把他踢下去。
对于在泥潭里挣扎的球队,有一样建队过程中关键的东西一直诱惑着他们,那就是建队计划。
明年,市长的保障性住房计划将初具规模,该计划要求在未来十年里,修建或保留20万套保障性住房。这一目标的实现取决于一项政策,它要求开发商通过修建保障性住房,来换取在市政府重新规划的社区修建更高、更密集楼盘的资格。至于政府将会如何在这项提案的雏形上添砖加瓦,开发商和保障房倡导者们都在拭目以待。
This year, online storefronts will generate an estimated $294 billion, or approximately 9% of all U.S. retail sales, according to forecasts by Forrester Research. By 2018, e-commerce will account for more than 11% of the total, or approximately $414 billion, with transactions made with tablets and smartphones accounting for about 20% of the online total, Forrester projects.
节目19 歌曲《一辈子朋友》,杨坤 张靓颖
Yes — just. Democrats will regain control of the House of Representatives in the November midterm elections. Though they will not take charge until January 2019, they will waste no time preparing the House Judiciary paperwork. Mr Trump will label it a “witch hunt”. But another year of his surreal presidency makes it all but inevitable Democrats will campaign on a pledge to hold him to account. Whatever Robert Mueller’s investigation unearths before then is unlikely to turn enough Republicans against him.
“一带一路”战略:“丝绸之路经济带”和“21世纪海上丝绸之路”
A partnership with IBM to sell iPads and iPhones to big corporate customers is just one example of how Apple is looking beyond its own walls more under Mr Cook, something Jobs had resisted.

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.

在此背景下,白不仅仅是指肤色。你可以将其定义为“人种-民族多数”的成员,但这样有点拗口。它的真正含义是不会被定义为“他者”的特权。

1

美国航天局(Nasa)表示,2015年气温以0.13摄氏度之差,打破了2014年创下的记录。
《财富》美国500强公司苹果(Apple))已宣布,将从现金中拿出300亿美元用于股票回购。这个消息让投资者很高兴:股价暴涨,甚至在消息发布一周后,这只股票相对于标准普尔指数在这7天上涨了12%。苹果有一项规模更大、总额高达1300亿美元的资本回报计划,将一直延续到2015年,而这些回购就是这项计划的一部分。
根据两位了解相关计划的人士的说法,中国政府正在禁止中国旅游团体赴韩国旅游,这是对韩国拟部署美制萨德(Thaad)反导系统的最新报复手段。
There are legitimate reasons to doubt that Nerlens Noel can blossom into a dependable starting center, including his injury history, off-court red flags, and extremely limited offensive game.
Other engines cited among 2014’s best include turbodiesels in the BMW 5 Series luxury sedan and the compact Chevrolet Cruze, the horizontally opposed 2.7-liter six-cylinder in the Porsche Cayman two-seat sports coupe and the 1.8-liter turbo-four in the compact Volkswagen Jetta sedan.
全部或者大多数政府部门将会迁移,行政大楼计划将在2017年建成。
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.
“An employee stormed out in the middle of a meeting, without explanation.”

Company: BlogHer
威廉姆斯指出,据凯投宏观估计,全球经济增长率将从2016年的2.5%上升至今年的2.8%,“新兴世界的大宗商品净出口国的出口额(以美元计算)同比增长应会达到20%左右。”
《静待黎明》
Meanwhile, producer prices were deflating at a rate of -5.9 per cent, a six-year low, for a third straight month.
合作公寓和共管公寓
谎言9:对,我在高中足球队里就是个捣蛋鬼!说谎原因:我想让自己在别人的眼里更加闪亮。
One more scientific group, in Britain, that curates the world’s temperature record is scheduled to report in the coming weeks.
It’s wall-to-wall pure pop heaven, crackling with originality and dark humor, teeming with action sequences so perfectly timed and executed you almost want to run out of the theater on the spot so you can call a friend and rave about it — but you wouldn’t dare leave your seat because you wouldn’t want to miss a frame of this brilliant, pulse-quickening gem.
Rich blessings for health and longevity is my special wish for you in the coming year.
《没问题先生》是一部暖心大片,探讨如果在生活中,对每个问题都回答“好”,会发生什么。金·凯瑞(Jim Carrey)饰演的主角接受了这个挑战,结果学了韩语,上了飞行课,还升了职。起初他是个悲观的离婚男人,后来变成了吸引人的潮男,其间还找到了新女友。听起来像小说,但这部电影其实取材于自由电台制片人丹尼·华莱士的同名回忆录。
"某时,世界呈现给我们是相互分隔的,但是这些电影和电视作品让我们感觉世界是相通的,"美国电影学院的总裁兼首席执行官Bob Gazzale如是说。"美国电影学院奖表彰这些电影艺术家们,勇于挑战,让我们受到鼓舞,娱乐,又励志,最后让我们意识到,我们都有着同样的心跳,"
Solar Eclipse
如果有什么电影能够至少在两个小时里,为美国生活中深刻的种族、代际与阶层鸿沟架起桥梁,那可能就是这部古老的《洛基》(Rocky)系列的复活影片。西尔维斯特·史泰龙(Sylvester Stallone)拖着脚步,饰演这个聪明的老教练角色,给出了他演艺生涯中或许是最松弛、最温暖的表演。迈克尔·B·乔丹饰演洛基的被保护人阿多尼斯·约翰逊(Adonis Johnson),他也是洛基一度的竞争对手和早已丧失的朋友阿波罗·奎迪(Apollo Creed)的私生子,他成了我们这个时代重要的影星。至于库格勒,这是他执导的第二部唱片,证明他是一个真正的斗士。

2

中国政府鼓励向中小规模的借款人放贷,其中很多贷款者没有信用纪录。分析师预计,在金融上表现活跃但没有信贷渠道的中国消费者有5亿之多。
200家提名公司中,101家为私营企业,其余为国有企业。这200家企业的总价值年同比增长了36%,达到6960亿美元,其中前十名占总价值的46%。
英国新晋首相特蕾莎?梅的年收入为14万3462英镑(约合18万6119美元),其中包括了她作为国会议员的年收入74962英镑(约合97256美元)。
The Caixin-sponsored series is based on a much smaller sample of private companies than the official PMI reading, which focuses on larger state enterprises, and tends to be more volatile.
The attitude of the founder will set the tone for the business. Negativity, laziness and entitlement waste time and money while they tarnish your reputation. Success largely depends on making mistakes and accepting blame in stride. Owning up to and facing challenges head-on is what makes a mere business owner a leader.
[ri'dikjul?s]
Video editors likely benefited from the same factors that caused the increase in photography jobs. It stands to reason that this kind of work expands alongside the need for increasingly sophisticated and appealing website designs.
vt. 编预算,为 ... 做预算
Farewell to Cassini
公司:The Grommet公司
这个系列的特制镜框和太阳墨镜以“DVF|为谷歌眼镜设计”为标签,价格高达1,600美元以上。迄今为止,谷歌已经和雷朋(Ray-Ban)眼镜的生产商陆逊梯卡(Luxottica)以及其他几家提供时尚眼镜的公司如普拉达(Prada)等展开过合作。它还招募了曾在艺术网站Art.com担任首席市场官的时尚总监艾维o罗斯来领导谷歌眼镜团队。
单词campaign 联想记忆:

根据《重庆晨报》报道,今年4月24日,这名16岁的周姓同学将农药倒入了教室的饮水机中,显然是在报复扰乱课堂秩序、影响自己学习的同学们。
['epis?ud]
此前,跨国房地产经纪机构仲量联行(JLL)的数据显示,2016年全年,中国对外房地产投资额增长了53%,达到创纪录的330亿美元。
adj. 独一无二的,独特的,稀罕的
infection
大众创业,万众创新
Ma Nan补充报道
Duh.
complain

3

The seven large brick tombs were likelyconstructed for people of wealth, the researchers said.
与此同时,最近几个月,中国内地投资者一直在迅速开设股票交易账户并将资金投入股市。上证综指已成为亚洲今年表现最佳的股指,今年迄今已累计上涨近45%。
While Kobe's grown into his 6'6'' frame nicely, he was still a pretty decent-sized guy back in high school. Just imagine how hard trying to stop a 17-year-old Kobe Bryant was back in 1996. I'm sure it was nearly impossible.
可以这样说美国银行首席执行官布莱恩?莫尼汉这个人:他很会说话。在给股东的信中,莫尼汉特地感谢美国纳税人,正是由于他们,美国银行才获得了450亿美元的不良资产援助资金。他还说自己如今正在金融改革方面同“政策领导人”紧密合作。不过他是否能做好,比如转变美国银行的境遇,就是另外一回事了。虽然美国银行的确在去年12月偿还了援助资金,但是它仍然有数十亿美元的高风险住房与商用房房贷,这也是为什么它要在年度报告中花8000字来讨论风险了。
It is also reported that Chinese citizens made 1.26 billion cinema visits in 2015, a roughly 51 percent increase from a year earlier.
"It sounds like Harvard is intruding too deeply into the private lives of students," said Dershowitz, who has represented a series of high-profile clients, including OJ Simpson.
这项测试的答案没有对错,只要对自己诚实即可。
They say that it is especially risky to use the same password for entertainment sites as for email and social networking accounts.
单词prosperity 联想记忆:
“我是一个医生。说实话,一个人的健康首先与吃、喝与空气有关,如果这三样不好,再提什么样的发展都没有用!”
纽约前市长迈克尔·R·布隆伯格(Michael R. Bloomberg)正在为抗击气候变化花费自己私人财产的数千万美元,他在一份声明中说,“全球气温稳步上升、如今破纪录地上升的问题,不是一个未来的问题。这是一个迫在眉睫的明显危险,对经济、健康、环境和地缘政治有重大的危害。”
他表示:“价格走低对利润下滑影响加剧”。
"Let me point to the performance of China, in coming in at number 25 in the rankings, is now joining the upper income group of countries that have traditionally dominated the top slots in the global innovation index," the WIPO director-general, Francis Gurry, told a news conference.
He was responsible for monitoring how many cupcake aficionados were allowed in the store at one time. Of course Magnolia Bakery isn't exactly complaining. The store proudly displays memorabilia from the show on the walls of their many locations. Today, Magnolia Bakery is known for their banana pudding, but they will always owe their initial success to Carrie Bradshaw and a red velvet cupcake.
IE’s alumni have the second-highest average salary increase following graduation, at 39 per cent. The school is ranked first for aims achieved and for international mobility. It is third for career progress. “There is a definite ‘before and after’ for career progression,” says one former student. “Post-MBA I felt I had more of a sense of direction not only of where I wanted to be, but also why, and how to make it happen.”

4

谁会与一位王室成员击掌呢?尽管他年龄不大。
China has ample foreign exchange reserves to satisfy the demands of imports and short-term debt repayments.
We need to ensure that our consumers will have access to good options, benefit from such consumption, and most importantly that Chinese companies will be able to win over the consumers with their commitment to high quality and workmanship.
Coca-Cola (KO, Fortune 500) Chief Executive Muhtar Kent thinks as both a first-generation American as well as a business leader that immigration reform is good for business. Kent outlined in a February USA Today op-ed how "lucky" he felt to be able to make his life in the U.S. and his belief that foreign entrepreneurs should have the same opportunity. The CEO wrote that he supports immigration reform because immigration is "an essential part of the growth calculus for this great country."
On the sales front, General Motors and Ford F -0.13% lost market share to Chrysler, which leveraged its Jeep brand to previously unimagined heights – and then, metaphorically left its heritage behind when it established legal domicile in the Netherlands and changed its name to FCA US LLC.
以100亿港元(合12.9亿美元)购入大新金融中心(Dah Sing Financial Centre)的中国光大控股(China Everbright),只是过去一年里在香港大举购置总部大楼的众多内地企业之一。
1、Procrastination
intel在…中间+lig选择,收集+ence→从中选出好的→智力;聪明
"It is a massive jump in very little time: there were just about 30 cases when I became interior minister (in mid-2012), and 1,400 today," said Valls.
You’re a busy person. At times, it all can feel overwhelming. Asana is a cloud-based project management software that helps you keep it together. (Trust me, I’ve tried them all.) Flexibility is built into Asana’s architecture. Each “task”, or “subtask”, can be associated with a larger “project” and “department.” In addition, you can even assign recurring tasks to yourself or team, which makes life so much easier. Stop trying to remember all the things you’re supposed to do and let Asana structure your life.
10. China watchers inthe United States will continue to postulate China’s declining growth rate inthe face of evidence that it is stable at over 7%. China will grow fasterin 2014 than in 2013.

5

坦白地说,这部电影2017年可能筹备不好,但是以防万一我们还是把它归进来。这是拉斯洛.奈迈施的第二部电影,2016年早些时候他凭借《索尔的儿子》摘得奥斯卡最佳外语片。《日落》是一部关于成长的电影,背景设定在一战前夕的布达佩斯。
11. Arctic and Antarctic sea ice volumes both fall to an all-time low
We learned about the lingering toll of this frightening epidemic.
This move works on multiple fronts for the Thunder. First, Gibson helps fill in for the injured Enes Kanter in the short-term and he brings playoff experience, solid rebounding and hard-nosed defense to a possible postseason matchup with the Spurs or Rockets.
祝来年好运,并取得更大的成就。
一个更大的侧影
互联网已经让世界变成了平面,Facebook让我们大家团结起来,组成一个大家庭。我们的祖父那一辈人是地区的传承者,我们这代人是国家的传承者,而你们则是世界的传承者。你现在和任何人的联系只有4.74个人的距离,到达全球任何有人居住的角落平均只需要两天时间。你可以踏上旅途。无论是非洲、欧洲、印度、中国还是巴西,前往那些能让你学到最多东西的地方,拥抱那个可以教给你最多东西的国度。
但当格雷泽给我们带来《皮囊之下》,这部经过他长期酝酿的,由荷兰作家米歇尔·法柏的科幻小说改编的电影时,真是让人惊叹:欢快,不安,大胆。斯嘉丽扮演的外星人藏于人类的皮囊里,穿梭在格拉斯哥街道和商场,不亚于一位一线明星。现实生活中的路人在镜头中完美的展现,而隐身的约翰森面无表情的估算着三个地球人可被利用的热量值。接着演员带着被色诱的人类离开人群,来到她自己的地方:一个神秘的黑暗的洞穴中。在这里,情色恍惚间,人类贡献自己的肉体,被囚禁,被养殖成为食物,谁知道呢,又或许是人类的灵魂。
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。”
19. 前进直至消失。昆汀·塔伦蒂诺(Quentin Trantino)用70毫米胶片拍摄了新片《八恶人》(The Hateful Eight),这部影片将在将近100家影院上映,它们和全国大多数影院一样,通常使用数码放映。不管你对塔伦蒂诺有何看法,你都应该去影院看《八恶人》,这样你就可以自己看看,这个行业被迫转向数码,对电影究竟产生了多大的影响。
"Those who disrupt testing and harm the equity of education by cheating will get the punishment they deserve," the ministry said.
extend
昨日公布的一项调查显示,就像全国观众在电视机前所看到的一样,买球票来场边观战的,绝大多数是白人和富人。
This year's juries were chaired by AFI board of trustees vice chairs Tom Pollock (for film) and Richard Frank (for TV). Other jury members included Judd Apatow, Halle Berry, Jamie Lee Curtis, Leonard Maltin, authors and scholars representing prestigious universities with recognized motion picture arts and TV programs and film and TV critics from media outlets like NPR, Rolling Stone, TV Guide and The Washington Post.

6

在2009年美国经济开始复苏时,全球其他地区开始陷入各自的困境。
And, at random, some other highlights from the list:
adj. 有营养的,滋养的
Employees of state-owned firms also expressed more satisfaction with their bonuses than those at private companies – and little wonder, as the average payout at the former was Rmb17,318, or about Rmb6,000 more than what their private-sector counterparts could expect.
该报道称,并没有老师和学生喝了有毒的水。
“The auction market is extremely selective,” said Henry Pettifer, the head of old master paintings at Christie’s, whose sale total had been dented by a 15th-century Flemish Madonna and child by Hans Memling that the auction house had sold privately for more than 3.5 million and had withdrawn from the sale. “The availability of fresh material is limited,” he added, alluding to how few museum-quality works are in private hands.
当然我们不可能列举出所有女性,这个榜单的评选范围仅限于那些名气较大的女星。下面就让我们来见识一下这些热辣美女吧。
[k?n'sist?ntli]
蓝天和空气一样,对每个人都是平等的。

I'm not worried about Philly, Phoenix, or Minnesota. They're young, they're rebuilding. If they make strides, great. If not, take another high pick. The Nets are the Nets and we should talk about them in a minute.

Conclusion

印度尼西亚佩母德兰——在巴厘岛的佩母德兰,可以在长了珊瑚的佛像周围进行水肺潜水,也可以到地面上享受海滩胜地和餐馆美食。
One of the more unique games announced at Gamescom was Silent Hills, the latest sequel in Konami’s bestselling horror franchise (which has also spawned two films). The world of gaming and movies combine in this new game, which is being developed by Metal Gear Solid V: The Phantom Pain creator Hideo Kojima and Pacific Rim director Guillermo del Toro. The game will star The Walking Dead’s Norman Reedus.
Jules Pieri
experienced
产品看起来并不太像一个鼻子,而是一个瓶子,装满了培养细菌的营养液体。但是给这个“鼻子”一个血液样本,让它嗅上一段时间,这个瓶子的斑点会改变颜色来表示它鉴别出的细菌种类。
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.
Four government agencies including the commerce ministry and the central bank said in December they would apply tighter scrutiny to "irrational" outbound deals including real estate, hotels, movie theatres, entertainment assets and sports clubs.
We will take solid steps to pursue a new type of urbanization.


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. 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.
  2. 去年,伊斯兰国激进分子在土耳其驻摩苏尔领事馆扣押了49名土耳其人质,三个多月后才释放他们。人质中包括外交官、军人和儿童。
    The special tokens of appreciation will take place alongside more traditional and somber observances, including the laying of a wreath by President Barack Obama at the Tomb of the Unknown Soldier at Arlington National Cemetery, just across the Potomac River from the nation's capital.

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